Header Child Neurology

Child Neurology Residency

Neuroradiology

Introduction
This rotation takes place in the neuroradiology reading room (E1/318). The trainee will learn by observing and shadowing the radiology residents, neuroradiology fellows and attendings, as well as participating in readouts through clinical correlation and providing surgical perspective.

It is the expectation that each person who rotates through for longer than 2 weeks will be
responsible for delivering a presentation (topic to be decided in conjunction with neuroradiology staff) to the residents, fellows and attending neuroradiologists. Additionally, the section will supply your attendance record to your program coordinator at the end of your time with a composite evaluation. 

Schedule

Each resident will attend daily read-out sessions; residents should report to the reading room by 8:30 AM to participate in overnight call case readout. Additional readout sessions and procedures are scheduled throughout the day. At the beginning of the rotation, please notify the reading room of schedule conflicts (e.g., program conferences).

Residents will attend the neuroradiology conferences listed in the pre-rotation orientation email, except as they conflict with their own program conferences. There is no call associated with this elective. 

Patient Care

Goals

Develop the ability to properly interpret neuroradiologic studies and correlate with clinical neurologic findings.

Objectives 

Residents will:

  1. Learn how to relate radiology results to the clinical diagnosis and proper management of patients with all manner of neurologic disease.
  2. Become independent in their ability to interpret neuroradiologic studies.

Medical knowledge

Goals

  1. Develop a methodological approach to film interpretation and understand the limitations of each imaging technique.
  2. Generate appropriate differential diagnoses from the findings. 

Objectives

Residents will:

  • Understand the basic principles of CT/CTA (including dual-energy technique and reconstructions), MRI/MRA (including spectroscopy, functional), and PET as applied to the trainee’s program.
  • Learn the normal cross-sectional imaging of anatomy of the brain, skull base, and spine.
  • Learn the diagnostic interpretation of carotid duplex evaluation.
  • Study the principles of pathologic processes of the brain and spine, as seen by imaging techniques, including trauma, hemorrhage of various ages, benign and malignant neoplasms, ischemic cerebrovascular disease, hydrocephalus, developmental abnormalities, aneurysm and other vascular malformations. 

Interpersonal and Communication Skills 

Goals 

Demonstrate interpersonal and communication skills that result in information exchange and partnering with patients, their families and professional associates. 

Objectives 

Residents will learn what constitutes an accurate radiology report of findings.  While neurology residents are not expected to prepare radiology reports, they should be familiar with the structure of such reports.

Practice-Based Learning and Improvement

Goals 

  1. Demonstrate knowledge, skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one’s patient care practice.
  2. Identify opportunities for improvement.

Objectives

Residents will be responsible for tracking the number and diagnoses of radiology cases seen during this rotation. Cases must be entered into the electronic patient log.  These data will also be used to ensure that an adequate educational experience is obtained.

Professionalism 

Goals 

Demonstrate continuing commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to diversity. 

Objectives

Residents will: 

  1. Act in a professional manner while interacting with radiology faculty and staff.
  2. Be responsible for tracking duty hours via the electronic monitoring system.

Systems-Based Practice 

Goals 

Understand how to practice high quality health care and advocate for pediatric patients with neurologic disease within the context of the health care system.

Objectives

Residents will: 

  1. Learn the systems issues related to ordering, performance, and reporting results of radiologic tests.
  2. Learn how to most effectively work with radiology services to provide effective evaluation and management to their patients.
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