MS4 Catalog

General Radiology - Virtual

LOCATION: Online
PRECEPTOR: Parissa Feizi, MD
DURATION: 2 weeks minimum
OFFERED: Intermittently 
MAXIMUM ENROLLMENT: 8
STATUS: Elective - WVU students only
NOTES: If you have completed the same clinical rotation you can not take the Online rotation. 

OBJECTIVES:

The student will be educated in considerable depth to use a variety of diagnostic imaging resources effectively as tools for their patients with current accepted best-practice guidelines. The student will have a comprehensive and intense two-week course of didactic instruction balanced with time in the exam and reading rooms that emphasizes acquisition of skills in professional communication, appropriate selection of imaging, imaging safety, and interpretation of imaging. This 2-week elective teaches the essentials of diagnostic imaging that all medical students should know.

Patient Care:

There is no direct patient care in this elective, which is entirely online.

Medical Knowledge:

  1. Demonstrate the Radiology skills Clinical Residency Program directors consider "Essential" for when you begin your residencies: (Kondo KL, Swerdlow M. Medical student radiology curriculum: What skills do residency program directors believe are essential for medical students to attain? Acad Radiol. 2013 Mar;20(3):263-71.).
  2. Discuss concept of high risk groups (children and young patients, especially females, pregnant patients) for radiation exposure especially from CT scans.
  3. Demonstrate basic knowledge of limitations of radiologic studies by description and discussion.
  4. Describe where image guided invasive procedures are beneficial.
  5. Apply Basic interpretative skills in CT, including chest and abdominal anatomy.
  6. Apply the navigation and incorporation of the American College of Radiology Appropriateness Criteria in providing radiological care that is Safe, Efficient, cost-effective, equitable with resources, timely, and patient-centered.

Practice-Based Learning:

  1. Choose most appropriate radiologic study for workup of common clinical situations using best practice Appropriate Use Criteria clinical decision support resources, consistent with PAMA law.
  2. Recognize common normal/abnormal findings on Chest radiographs.
  3. Learn and consistently apply a Systematic approach to viewing Chest radiographs.
  4. Recognize common normal/abnormal findings on Abdominal radiographs.
  5. Learn and consistently apply a Systematic approach to viewing Abdominal radiographs.
  6. Recognize common normal/abnormal findings on basic musculoskeletal exams.
  7. Recognize common normal/abnormal findings on basic CT exams.
  8. Recognize common normal/abnormal findings on basic Ultrasound exams.
  9. Recognition/management of common emergent imaging findings.

INTERPERSONAL SKILLS AND COMMUNICATION:

  1. Communicate the relevant clinical history when ordering a radiologic study.
  2. Describe the distinct communication roles of radiologists and referring physicians for the provision of optimized radiological care for patients 
  3. Communicate effectively and efficiently the relevant clinical history when ordering a radiologic study.
  4. Appropriately select and apply semantic qualifiers for creating concise summary statements of their patients' clinical presentation sufficient to inform and drive appropriate, safe, timely, cost effective, efficient, equitable, and patient-centered radiological care.
  5. Discuss the necessary components of an optimized consultation.
  6. Describe how communication methods for radiological reports vary depending on the clinical setting.
  7. Discuss the downstream negative effects of suboptimal communications in optimized provision of radiological care.

PROFESSIONALISM:

  1. Describe the referring physician's role in advocating for their patient's interests by minimizing/eliminating unnecessary radiological testing, minimizing radiation exposures, minimizing delays that arise from inappropriate testing.
  2. Discuss the referring physician's role in protecting patients' financial interests by preventing unneeded charges against patients' medical accounts by use of proper ordering language that allows available insurance to cover appropriately ordered examination costs (Healthcare Economic aspects of radiological care).
  3. Discuss how radiological images can be used for publications and presentations, including how patient private healthcare information information must be handled.
  4. Describe ethical challenges that physicians may be required to navigate in a variety of situations that arise in the department of radiology. 
  5. Engage positively as a member of this online learning community.
  6. Complete the online learning tasks in a timely manner. Adequately complete the self-reflection questions.

Systems-Based Practice:

  1. Describe how systems of care depend on the professionalism of the physicians to fulfill their "Contract with Society".
  2. Discuss briefly how costs, charges, reimbursements, and insurance are related in radiological studies, and be generally aware of relative charges for some commonly used radiological examinations.
  3. Discuss costs, technique, risks and benefits of imaging - particularly the risks associated with radiation exposure and awareness of the potential impact of unnecessary or repeat CT imaging in patients.
  4. Discuss role of screening with imaging in health maintenance/healthcare.


METHODS TO ACHIEVE OBJECTIVES:

Aquifer Radiology Virtual Patient case are the central didactic resource. Completion of the 19 online cases is Mandatory, as these cases provide the National Medical Student Curriculum in Radiology assembled by the Alliance of Medical Student Educators in Radiology (AMSER), an affinity group of the Association of University Radiologists. Completion of these 19 online cases ensures the learner's introduction/familiarity with the entire collection of the "Can't Miss" diagnoses that all medical school graduates must know about to practice effectively as interns and in physician roles afterwards

EXAMINATION PROCEDURES AND EVALUATION CRITERIA:

Formative Assessment:
Embedded self-assessment questions are part of the online Aquifer Radiology cases. These embedded self­ assessment questions provide immediate post-response feedback (explanation of WHY the correct answers are correct and WHY the incorrect responses are wrong).


PRIOR TO THE FIRST DAY OF THE ROTATION:

Students must contact Dr. Parissa Feizi, pfeizi@hsc.wvu.edu at least 2 weeks prior to the start of the elective.