Residents will be expected to protocol cross sectional CT/MR studies and IR procedures daily in Epic. The resident is to protocol all cases after utilizing any prior imaging and the MSK protocol file to optimize the study protocol. Help from attending MSK radiologists should be sought, especially during the first few weeks of the first rotation. Before bringing a case to the attending’s attention, the resident should fully investigate all aspects of the case (reason for ordering exam, patient condition and ability to tolerate MRI, previous exams of all types). The resident should propose a protocol for the exam that will be reviewed and amended by the attending as necessary. Residents should serve as the first line for protocoling exams, but should feel free to call upon staff for assistance at any time.
MSK 1 & 2 RESIDENT DUTIES:
Residents will be expected to review and dictate cases which will be checked by faculty. Residents will be expected to compare exams with appropriate prior studies. MSK residents will work together to ensure that all the images are interpreted in a timely fashion. MSK 1 & 2 residents will serve as back-up for the MSK CROSS SECTIONAL resident if assistance is needed.
During the first MSK rotation, the radiology resident will be expected to:
1. Dictate a succinct, precise and coherent radiology report.
2. Describe pertinent normal anatomy in a MSK radiograph.
3. Establish a diagnosis and provide an appropriate description of a fracture involving the peripheral skeleton.
4. Discuss the imaging findings of septic arthritis, osteomyelitis, and metastatic diseases.
5. Evaluate orthopedic follow-up imaging including the imaging findings of loosening and infection of orthopedic hardware.
6. Function as a consultant to clinicians for radiographic evaluation of MSK trauma and orthopedic follow-up.
7. Participate actively in the MSK division’s academic program (e.g. teaching medical
students on the rotation, quality assurance, etc…)
A resident test at the end of the rotation will focus on radiology of the musculoskeletal system with lesser emphasis on other topics introduced while on service.
During the second MSK rotation, radiology resident will be expected to:
Discuss the imaging findings and provide an appropriate differential diagnosis for:
2. Benign and malignant bone tumors.
3. Metabolic and endocrine diseases.
4. Miscellaneous diseases entities (as listed below).
7. Consolidate the objectives of the first rotation
8. Function as a consultant for conventional radiographic evaluation of MSK
pathology and for planning the MSK imaging to solve a particular problem.
9. Participate actively in the MSK division’s academic program (e.g. teaching medical
students on the rotation.)
A resident test at the end of this rotation will focus on arthritis, metabolic diseases, trauma and tumors of the musculoskeletal system with lesser emphasis on other topics encountered while on service.
MSK CROSS SECTIONAL RESIDENT DUTIES:
During the MSK CROSS SECTIONAL rotation, the radiology resident will be expected to:
1. Interpret with competence MR and CT imaging studies of the joints, extremities, musculoskeletal system in a timely fashion. The resident is to ensure that all appropriate comparison exams are available and reviewed.
2. Plain film interpretation
3. Act as a consultant on MSK imaging studies
4. Participate actively in the teaching of junior residents, other residents, interns, and medical students
Books – links via moody library
1. Netter FH, Atlas of Human Anatomy, CB_GEIGY
2. Kang HS, Resnick D, MRI of the Extremities an Anatomic Atlas, Saunders.
3. El Khoury GY, Bergman RA, et al, Sectional Anatomy by MRI/CT, Churchill
4. Sarai, Ernst et al GAR CD
1. Freiberger and Kaye, Arthrography. Appleton-Century-Crofts.
1. Lee & Sagel, Computed Body Tomography with MRI Correlation. 3rd Edition, 1998, Lippincott-Raven, Chapter 22 - Musculoskeletal.
2. Pretorius ES, Fishman EK. Helical (Spiral) CT of the Musculoskeletal System. Radiol
1. Harris, The Radiology of Emergency Medicine, Williams & Wilkins.
1. Resnick & Niwayama, Diagnosis of Bone and Joint Disorders 2nd ed., Saunders, Vols. 1-6.
1. Berquist TH, Imaging Atlas of Orthopedic Appliances and Prostheses, Raven Press,
1. Swischuck Emergency Radiology
2. Ozonoff, Pediatric Orthopedic Radiology, W. B. Saunders and Co.
3. Taybi, Radiology of Syndromes, Year Book Medical Publishers.
1. Bernau & Berquist, Orthopedic Positioning in Diagnostic Radiology, Urban & Schwarzenberg.
2. Lusted & Keats, An Atlas of Roentgenography Measurement, Year Book Medical
1. Rogers LF, Radiology of Skeletal Trauma, Vol. I & II, Churchill Livingston.
1. Bone and Joint Imaging. Donald Resnick. W. B. Saunders
2. Mirra JM, Bone Tumors: Clinical, Radiologic, and Pathologic Correlations, Lea & Feabiger.
3. Greenspan, Bone Tumors Differential Diagnosis
4. Kransdorf, Soft Tissue Tumors