RADU-4002 - Interventional Radiology Elective

RADU-4002 - Interventional Radiology Elective

Elective Title: Interventional Radiology Elective
Course Number: RADU-4002
Elective Type: clinical • Direct Patient Care Duration/Weeks: 2 Max Enrollment: 2
Prerequisites: Successful completion of Year 2
Additional Requirements: N/A
Responsible Faculty Director: Arsalan Saleem, MD Periods Offered: 1-7, 9-13 excluding holiday period 8 
Coordinator: Angel Diaz Other Faculty:
Location to Report on First Day:
Angel Diaz, CSB 2.420, anrdiaz@utmb.edu

Goals
To provide students with a focused two-week introduction to Interventional Radiology through supervised participation in patient evaluation, imaging review, procedural observation and assistance, and peri-procedural patient care.

Objectives
1. Describe the basic indications and contraindications for common Interventional Radiology procedures encountered during the rotation.
2. Review relevant imaging studies with the IR team and identify basic considerations involved in planning image-guided interventions.
3. Participate in the evaluation and management of patients before and after Interventional Radiology procedures.
4. Observe and, when appropriate, assist with selected procedures under the direct supervision of IR faculty, residents, or fellows.

Description of course activities
This two-week, clinically oriented elective provides students with focused exposure to Interventional Radiology. Students participate with the IR team in morning rounds, imaging review, pre- and post-procedure discussions, and supervised patient care in inpatient and outpatient settings. Depending on the clinical schedule and the student’s level of preparation, students may observe or assist with selected image-guided procedures.

This two-week elective emphasizes direct clinical participation with the Interventional Radiology service. Students join morning rounds, review relevant imaging, participate in case discussions and peri-procedural patient assessment, and observe or assist with selected procedures under supervision. The abbreviated experience focuses on foundational IR workflow, common procedures, and patient-care principles.

Type of students who would benefit from the course
This elective has been popular with students considering a career in Radiology, but that is not a prerequisite. It is useful for students planning to enter
a procedurally oriented specialty such as ICU medicine, surgery, cardiology, or GI endoscopy.

    Weekly Schedule
          Estimated Course Activities (Start-Time/Finish-Time):
Day of Week   AM   PM
Monday 8:30 6:00
Tuesday 8:30 6:00
Wednesday 8:30 6:00
Thursday 8:30 6:00
Friday 8:30 6:00
Saturday
Sunday

 Average number of patients seen per week: 120
 Call Schedule: N/A

Research / Other Course Activities
(estimated schedule)
Activity Hours per Week
Faculty Contact-Time
Self-Directed Study
Data-Collection/Analysis
Other


Method of Student Evaluation
1.  Clinical Observation
  A. Where are students observed on this elective?
    Checkbox pixInpatient Service   Checkbox pixAmbulatory   Checkbox pixSurgery   Checkbox pixStandardized patients
Checkbox pixPatients simulators   Checkbox pixOther
  B. Frequency - How often are students observed clinically?
    Periodically during the day, approximately 2-4 times.
  C. Format - What method(s) are used to document the student's clinical performance?
    Checkbox pixDaily oral feedback   Checkbox pixEnd of period oral feedback   Checkbox pixWritten feedback
Checkbox pixOther

2.  Oral Presentation
  A. Audience - To whom does the student present?
    Periodically during the day, approximately 2-4 times.
  B. Frequency / Duration of Presentation(s)?
    1-2 times per week informally in 15–20-minute sessions at morning board rounds. One formal PowerPoint presentation during the final week of the elective.
  C. Format - What guidelines are set for the student's presentation?
    Informal discussion of selected topics. One formal PowerPoint presentation presented to faculty and residents at the end of the elective.
  D. Assessment - Who assesses the student's presentation performance?
    Checkbox pixSelf-assessment   Checkbox pixPeer assessment   Checkbox pixFaculty assessment
  E. Method of content selection
    Checkbox pixCurrent cases  Checkbox pixStudent-selected topic   Checkbox pixAssigned topic

3.  Written Assignment (H&P's, notes, papers, abstracts, etc.)
  A. Frequency of written assignment(s)?
    After every procedure in which the student participates.
  B. Format - What guidelines are set for the student's written work?
    Students prepare a radiology report for each procedure they participated in. Faculty review the report and discuss it with the student.
  C. Length of written assignment(s)?
    Checkbox pixAbstract   Checkbox pixAnnotated bibliography   Checkbox pix1 - 2 page paper   Checkbox pix3+ page paper
  D. Are recent references required?   No    If yes, how are they selected?
   
  E. Method of content selection - e.g. student-selected, relate to cases, etc.?
    Related to cases
  F. Audience - Who assesses the student's written performance?
    Checkbox pixPeer Assessment     Checkbox pixFaculty Assessment     Checkbox pixOther

4.  Examination
  Format
    Checkbox pixOral   Checkbox pixWritten multiple choice   Checkbox pixWritten essay / short answer   Checkbox pixOSCE
Checkbox pixOther

5.  Extra Course Activities
  What expectations do you have for the student to demonstrate participation in the elective (e.g. small group activities, seminars, thoughtful questions, providing resources, journal club, resident lecture attendance)?
    Students are encouraged to attend departmental didactic and multidisciplinary lectures, along with the IR morning lecture every Tuesday at 7:00 AM. Students are required to present a PowerPoint presentation to faculty and residents at the end of the elective.

6.  Additional Costs
  Please list any additional costs and/or purchases (books, materials, movies to watch, etc.) that are required for this course. Include an estimated total cost. If there are no additional costs, please enter "None".
    None.

7.  Other Modes of Evaluation
  Please explain below.
    Students are observed and evaluated during procedures, case discussions, and patient interactions.

8.  If this course is an Acting Internship, please complete the following:
  A. Objectives for the AI should relate directly to the Entrustable Professional Activities (EPAs). Each AI should describe how the four key Year-4 EPAs that our school has identified as being Year-4 skills are assessed. The Year-4 objectives are:
1. Entering and discussing orders/prescriptions.
2. Give or receive patient handover to transition care responsibility.
3. Recognizing a patient requiring urgent or emergent care and initiating management.
4. Obtaining informed consent for tests and procedures.
Specify how the student will be given formative feedback on their clinical skills.
   
 
B.
Year-4 students should demonstrate mastery of EPAs they developed in the clerkship year, including recommending and interpreting common diagnostic and screening tests, and performing general procedures of a physician. They should be able to demonstrate masterfully and independently skills they mastered in Years 2-3, including efficiently performing comprehensive admission-notes and succinct daily progress notes and perform accurate, concise, and hypothesis-driven clinical presentations, form clinical questions and retrieve evidence to advance patient care. They should be able to demonstrate basic understanding of and beginning mastery of collaborate as a member of the interprofessional team and identify system failures and contribute to a culture of safety improvement.

List advanced clinical skills that a student will be assured an opportunity to practice.
   
 
C.
How specifically will this AI build on developing skills from the clerkship year to prepare students for internship?
   
 
D.
What opportunities will typically be available to all students who take this AI (procedures, required presentations, etc.)? What opportunities may be available based on patient load/presentation or student initiative (ie. Writing a case report)?
   
 
E.
An AI should have expectation of a minimum of 32 hours per week of clinical responsibilities. Duty hours should be capped at ACGME limits for an intern, thus up to 24 hours followed by 4 hours of activities related to patient safety, education, and handoff. Students cannot work more than 80 hours per week averaged over 4 weeks. They can only have 1 day off in a 7-day work week with 8 hours off between shifts.

Clinical responsibilities will vary depending on specialty, but how is the student functioning with work commensurate to a PGY1 with an appropriate level of training?
   
 
F.
How is the student demonstrating drawing clinical conclusions and/or developing a management plan and documentation as an intern would do?
   
 
G.
How and by whom will midpoint feedback be provided to the student? How will you remediate deficiencies identified at midpoint?
   
 
H.
Acting Internship students often seek letters of recommendation following their experience. How many different Faculty will work directly with the student and have knowledge of the student's abilities to detail in a written evaluation? Describe the degree of supervision and interaction with faculty vs. residents or other providers and how feedback will be obtained if more direct work is with residents or other providers.