Ascension Providence Hospital Diagnostic Radiology - Curriculum
Michigan State University
Providence residents attend full day didactic sessions at Michigan State University (MSU) in East Lansing, MI each Tuesday during the majority of the academic year (27 weeks). This comprehensive course presented by MSU academic faculty and invited visiting professors supplements the local didactics presented by Providence / MSU College of Human Medicine clinical faculty. As part of the program, residents also attend the annual Head & Neck Radiology review course.
Conferences and Curriculum
A didactic curriculum that spans one and a half years is covered by an extensive conference experience that includes daily morning conferences, afternoon conferences, interdepartmental conferences and board review. The curriculum and interdepartmental conference schedule are based on an organ system approach with reading assignments, lecture topics and video conferences organized around a specific “organ system”. We belong to a visiting professorship consortium that permits our residents to enjoy a visiting professor program at various local hospitals (8 times a year). Rotations are monthly and include a balance of case reading and procedural experience.
Intradepartmental and Interdepartmental Conferences, Lectures Day/Time Responsible for Organization of Session Core or Subspecialty Teaching Conference Brant and Helms Reading Group Mondays 8am Residents and faculty Core Teaching/Case Conference: Organ Group Specific Tuesdays-Wednesdays-Thursdays: 7am Faculty Radiologists Core Michigan State University didactics Tuesdays, all day MSU Academic Faculty and Visiting Faculty Core Interesting Case Conference 3rd Monday 7am Residents Core VIR Conference 1st Monday 7am Interventional Radiology Subspecialty Breast Cancer Working Group* Wednesdays 7am Breast Radiology Subspecialty Jr/Sr Conference Wednesday 12pm Senior Residents Core Board Review Weekdays 7am/4pm April/May by Faculty Radiologists Subspecialty Lung Cancer Working Group* 1st and 3rd Fridays noon and 2nd Thursday at noon Faculty Radiologists Subspecialty Leukemia/Lymphoma Working Group* 2nd Friday noon Faculty Radiologists Subspecialty GI/HepatobiliaryTumor Board* 2nd and 4th Tuesdays 7am Faculty Radiologists Subspecialty Colorectal Tumor Board* 1st and 3rd Thursdays Faculty Radiologists Subspecialty GU Tumor Board* 3rd Thursday 7am Faculty Radiologists Subspecialty Head and Neck Tumor Board* 3rd Tuesday 7am Neuroradiology Subspecialty Ortho Conference 3rd Thursday 7:30am Dr. Kinni / Dr. Lincoln / Dr. Mapkar Subspecialty Coronary CTA Last Wednesday 7am Cardiologists/Radiology Subspecialty Peer Learning 4th Thursday 4pm Dr. Gari Core Afternoon Conference: Staff Lecture Monday, Tuesday, Wednesday and Thursday at 4pm Faculty Radiologists Core Resident Research Meeting Bimonthly, 4th Monday 4pm Dr. Flynn, Dr. Brannan, Dr. Chakko, Dr. Kado, Dr. Osher, Dr. Gari Core Vascular Conference Last Thursday 7am Vascular Surgery Subspecialty Journal Club Monthly 4pm Faculty/Residents Both General Oncology Tumor Board* 3rd Friday of block 7:30am Internal Medicine/Residents Subspecialty Telerad Physics Fridays 8am Dr. William Sensakovic Core Neurotology Conference* 1st Monday 7pm Neuroradiology Michigan Ear Institute Subspecialty Neuro-Oncology Tumor Board 2nd and 4th Monday 7am Staff Radiologists Subspecialty Neuro Clinical Pathologic Correlation 2nd Wednesday 7am Neurosurgery and Radiology residents Subspecialty
An asterisk (*) signifies that resident attendance at this conference is optional / rotation specific.
A monthly journal club is hosted by faculty. Articles of contemporary interest are presented by individual residents and discussed “round table” style. The event is typically followed by social activities at a local pub. This encourages informal discussion and contributes to a friendly, collegial atmosphere.
Brant and Helms Group
A weekly reading assignment and review of the assignment occurs at Monday morning conference. The 1st year residents present a topic from the highly regarded text book, with further discussion of salient details by senior residents and faculty. These sessions are coordinated with MSU curriculum.
Interesting Case Conference
Residents are assigned to present an interesting case as an unknown with discussion of imaging findings and differential diagnoses in a Power Point format.
Visiting Professor Consortium
The Providence radiology program participates with several other local hospital programs in a Visiting Professor consortium whereby residents from all participating programs meet and spend half a day with a visiting professor. Typically, the visiting professor lectures and gives unknown cases to the residents during an afternoon from which they have been relieved of their hospital duties. This event occurs 8 times a year.
A new laboratory and research facility was opened at the hospital in January of 2002. The Biomedical Research department consists of over 8,000 square feet of dedicated space staffed by several full time employees. There are microvascular, gross anatomy and basic science areas within this space. Click here for more information. New for 2017 is the Simulation and Education center, a surgical skills and education facility of almost 7000 square feet.
Residents participate in a weekly web conference presented by Dr. William Sensakovic of Telerad Physics (founded by Dr. Walter Huda) . This interactive course offers comprehensive preparation for the Core examination. This curriculum serves in addition to radiologic physics didactic content at Providence and MSU.
Health Care Economics
As part of a 4-year rotating curriculum in non-interpretive topics, our residents participate in the ACR/Radiology Leadership Institute Health Care Economics Milestones Program. This collaborative, interactive program led by national experts and local faculty moderators provides training in healthcare economics with emphasis on the ACGME milestone requirements.
Healthcare Disparities and Cultural CompetencyAs part of a 4-year rotating curriculum in non-interpretive topics, residents participate in Healthcare Disparities and Cultural Competency curriculum designed by the APDR (Association of Program Directors in Radiology.) This radiology-specific curriculum includes journal club style discussion with Providence faculty.
Financial Support for Residents
The hospital provides a generous yearly stipend of $500 for books and $500-$1250 for meetings or other educational materials depending on their PGY status. If presenting at a meeting the hospital pays for the hotel and air fare. The hospital provides AIRP registration costs and contributes $1500 for living expenses. The staff radiologists provide an $800 stipend for AIRP and contribute funding toward air fare for any resident presenting at a meeting. Dinner is provided for the residents at RSNA at least one night and the registration fee for local interventional radiology meetings and for the Michigan Radiology Society meeting is paid for by the staff radiologists.
Learning ResourcesResources including interesting cases / teaching files, faculty and resident lectures, and useful articles are available as a growing archive via hospital network / shared Google Drive. An institutionally accumulated historical hard copy teaching file contains over 5000 cases and is available to the residents. Access to web-based platforms including StatDx / RadPrimer and boardvitals.com is provided to residents. RadPrimer and RadExam are used for monthly module / multiple choice question assignments coordinated with individual resident rotation schedules. Resources are also available through our Michigan State University affiliation.
Resident evaluations are conducted at the end of a month long rotation. A semi-annual meeting is held with the resident during which the latest evaluations are discussed. Twice a year the residents are also evaluated by the technical and clerical staff. These evaluations are also discussed with the resident during their semiannual evaluations. Residents also evaluate each section and faculty member at the end of their rotation and annually. In addition, residents and faculty evaluate the program as a whole annually.
Each resident has documented, supervised experience in interventional procedures that includes image-guided biopsies, drainages, non-coronary angioplasty, embolization procedures including uterine fibroid embolization, venous access via percutaneous introduction techniques, radiofrequency ablation and vertebroplasty.
Simulation LabState-of-the-art simulation lab is available to Providence residents of all specialties. Monthly sessions are scheduled for faculty-supervised, hands-on simulation of interventional procedures including thoracentesis, paracentesis, vascular access, and ultrasound-guided biopsy. Mannequins and phantoms are used, allowing junior residents to develop the dexterity and coordination required for the procedures. Diagnostic ultrasound simulation is also included in the curriculum, using SonoSim software and mannequins.
A new laboratory and research facility was opened at the hospital in January of 2002. The Biomedical Research department consists of over 8,000 square feet of dedicated space staffed by several full time employees. There are microvascular, gross anatomy and basic science areas within this space. Click for more information. Established in 2017 is the Simulation and Education center, a surgical skills and education facility of almost 7000 square feet.
OB Ultrasound Experience
The residents rotate through Providence Hospital’s Department of Maternal-Fetal Medicine for their second and third trimester ultrasound experience, in their 3rd year.
Providence is affiliated with the Cranio-facial Institute and the Michigan Ear Institute. Both of these are staffed by world class surgeons who are known as top doctors in their specialties. Providence’s Neurosurgical Department has endovascular neurosurgeons and the radiology resident may rotate with them to gain experience in aneurysm coiling and carotid stenting.
Providence Radiology resident duty hours do not exceed 80 hours per week averaged over a four week period.
Providence Radiology residents are provided with at least 1 day in 7 free from all educational and clinical responsibilities, averaged over a four week period.
Adequate time for rest and personal activities is provided for the Providence Radiology resident. A 10 hour period is provided between all daily duty periods and rotation assignments. Continuous in-house duty does not exceed 24 hours for the Providence Radiology Resident. There is no at-home call for the Providence Radiology Resident.
Residents are evaluated using the basic competency tools created by the ACGME.
Patient care (Residents should provide compassionate, appropriate, and effective care for health problems and should make efforts to promote health)
- Develop a management plan based on radiologic findings and clinical information
- Demonstrate proper technique in planning and performing image-guided procedures
Medical knowledge (Residents should be knowledgeable, scholarly, and committed to lifetime learning)
- Recognize and describe relevant radiologic abnormalities
- Synthesize radiologic and clinical information and form an impression
- Utilize information technology to investigate clinical questions and for continuous self-learning
Interpersonal/communication skills (Residents should communicate and teach effectively)
- Show sensitivity to and communicate effectively with all members of the health care team
- Appropriately obtain informed consent
- Recognize, appropriately communicate, and document in the patient record urgent or unexpected radiologic findings
- Produce radiologic reports that are accurate, concise, and grammatically correct
- Effectively teach residents, medical students and other health care professionals
Practice-based learning and improvement (Residents should investigate and evaluate patient care practices, and appraise and assimilate scientific evidence in order to improve their practices)
- Participate in QI (Quality improvement) / QA (quality assurance) activities
- Recognize and correct personal errors
Professionalism (Residents should be altruistic and accountable, and adhere to principles of medical ethics by respecting and protecting patients best interests)
- Demonstrate a responsible work ethic with regard to conference attendance and work assignments
- Demonstrate acceptable personal demeanor and hygiene
Systems-based practice (Residents should understand healthcare practice)
- Demonstrate knowledge of and apply appropriateness criteria and other cost-effective healthcare principles to professional practice
The Providence Radiology Residency is a small community based program with a high volume of studies and procedures and modern equipment. Providence draws from a suburban and urban patient population representing the full spectrum of pathologic conditions. The absence of Radiology Fellows ensures an intense, high volume, “hands on” interventional experience. The presence of world class referring physicians, research facilities and up to date teaching tools creates a superb environment for study of a truly satisfying specialty.
Click here to review the program's details
Mathew Chakko, M.D.
Department of Radiology
Ascension Providence Hospital
16001 W. Nine Mile Road
P.O. Box 2043
Southfield, MI 48075
Phone: (248) 849-2203
Fax: (248) 849-5395