PH GME Diagnostic Radiology Residency Curriculum

Interesting Case Conference/Conferences | Curriculum | Helms Reading Group 
Journal Club | Mock Board | Physics | Evaluation |Interventional Experience 
Diagnostic Radiology - Program Details |OB Ultrasound |Neuroradiology 
Duty Hours  |  Financial Support for Residents | Learning Resources  | ACGME Competencies  | Summary  |  Program Director and Residency Coordinator
 

Conferences and Curriculum
A didactic curriculum that spans two 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 is based on an organ system approach with reading assignments, lecture topics and video conferences organized around a specific “organ system”.  We have an arrangement with Wayne State University that allows our residents to attend the WSU core curriculum conferences on Wednesday afternoons. 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.

Conferences

An asterisk (*) signifies that resident attendance at this conference is considered optional by the program director.

Journal Club
A monthly journal club is hosted by Dr. Thomas Hall and Dr. Brian Puszar. Articles of contemporary interest are presented by individual residents and discussed “round table” style. The event is typically held after hours at a local pub. This encourages informal discussion and contributes to a friendly, collegial atmosphere.

Helms Group
A weekly reading assignment and review of the assignment occurs at Monday morning conference. Dr. Surmann and Dr. Klein have created a two-year revolving curriculum based on the highly regarded text book and has divided salient topics into reading lessons, with discussion. These follow the organ-specific curriculum.  This is mainly conducted by Dr. Osher.

Mock Boards
A yearly “mock” oral examination is held in the spring to prepare the senior residents for the actual oral boards and to gauge the performance of the junior residents. This is administered to all of the residents and typically covers 9-10 of the subspecialty sections.

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.

Research Facilities
A new  laboratory and research facility was opened at the hospital in January of 2002. The research department consists of three thousand square feet of dedicated space staffed by 12 full time employees. There are microvascular, gross anatomy and surgical skills education facilities within this space.

Physics
The residents receive 1.5 hours per week instruction in radiation physics, radiobiology and radiation safety from our physicist, Jim Carey. Additional physics instruction can be gained at the Wayne State Core Curriculum lectures. An outside physics review course (HUDA, Chicago, Illinois) is an option provided to the residents as well. Dr. Brown reviews protection and radiation safety as part of his lecture series. In addition, first year residents attend physics lectures every Wednesday afternoon.

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 the meeting the hospital pays for the hotel and air fare. The hospital provides AFIP registration costs and contributes $1500 for living expenses. The staff radiologists provide an $800 stipend for AFIP 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 Resources
An institutionally accumulated teaching file contains some 5000 cases and all are available to the residents. The program owns copies of all of the ACR CD-ROM teaching modules as well as an extensive collection of teaching DVDs and videotapes. Electronic teaching files are available to the residents through the internet to all of the files available through Case in Pointe on acr.org ; Medscape Radiology, learning radiology.com and others as well as the multitude of University Electronic Teaching files that are available online. The residents are making their own electronic teaching file currently and a web based teaching file repository has been developed.

Evaluation
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. Once a year the residents are also evaluated by the technical and clerical staff. These evaluations are also discussed with the resident at one of their quarterly evaluations. Residents also evaluate each section and faculty member at the end of their rotation and annually.

Interventional Experience
Each resident has documented, supervised experience in interventional procedures that includes image-guided biopsies, drainages, non-coronary angioplasty, neuro and non-neuro embolization procedures including uterine fibroid embolization, venous access via percutaneous introduction techniques, radiofrequency ablation and vertebroplasty

OB Ultrasound Experience
The residents rotate through Providence Hospital’s Department of Maternal-Fetal Medicine for their second and third trimester ultrasound experience.

Neuroradiology
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 is adding an endovascular neurosurgeon and the radiology resident will rotate with him to gain experience in aneurysm coiling and carotid stenting.

Duty Hours
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.

ACGME Competencies
Residents are evaluated using the basic competency tools created by the ACGME.

Summary
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.

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Program Director
Roger Gonda, Jr., M.D.
Department of Radiology
Providence Hospital and Medical Centers
16001 W. Nine Mile Road
P.O. Box 2043
Southfield, MI   48037-2043
Phone:  (248) 849-2203
Fax: (248) 849-5395

Residency Coordinator
Eutropia Rhodes
Phone: (248) 849-2203
Email: eutropia.rhodes@stjohn.org