RD506M.23

Diagnostic Radiology Ultrasound

Sites: BWH
Director(s): Erik Alexander, Sara Durfee, Robin Perlmutter-Goldenson
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time every month.
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: US/Canadian
Description: Students may add themselves to the waiting list for this course during add/drop periods but not during lottery periods. Please contact Dr. Sara Durfee, sdurfee@bwh.harvard.edu, for approval to enroll. This course provides an opportunity for students who, having completed the core clerkship in radiology, wish further advanced instruction in ultrasound. Students will spend four weeks in the Ultrasound Division of the Department of Radiology at Brigham and Women�s Hospital. During these four weeks, the students will be supervised by Brigham and Women�s Hospital attending radiology ultrasound specialists, including Dr. Sara Durfee, Dr. Carol Benson, and Dr. Mary Frates. The student will also be paired with an experienced ultrasound technologist or a senior radiology resident or fellow and will be given hands-on instruction as to how to perform basic ultrasound examinations, including abdominal, renal, thyroid and scrotal studies, with a heavy emphasis on gynecologic and obstetric ultrasound exams. Students will learn the essentials of diagnostic ultrasound in a busy academic practice, including indications and limitations of these studies, practical tips for performing the studies, interpretation of the exam, and generation of a radiology report. Each day the student will be scanning approximately 12 patients, for a total of approximately 240 patients by the end of the rotation. Depending on availability, separate short observation periods (1-2 days) may be scheduled in the following departments: high risk obstetrics cross sectional interventional radiology (ultrasound guided biopsies and drainages) and angiography (ultrasound guided central line placement). Students will also participate in a daily morning thirty minute ultrasound conference and will attend resident conferences during the lunch hour. By the end of the clerkship, the student will be comfortable with basic scanning techniques and will be able identify common abnormalities on ultrasound. Weekly reading assignments will be given. The student will be assessed with a final examination at the end of the clerkship. This course would be particularly suited to a student interested in diagnostic radiology, obstetrics/gynecology, emergency medicine, medicine or surgery.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Participation in image interpretation with attendings, residents and fellows. Attendance at radiology didactic and case-based teaching conferences.
Grade Criteria:
Honors with Distinction: Confident use of radiology PACS to demonstrate a thorough understanding of the anatomy and pathophysiology of the cases seen during the rotation. Facility with scanning demonstrated by the end of the rotation. Recognition of common abnormalities seen on ultrasound, with proper use of ultrasound terminology. Appropriate sensitivity to patients and awareness of their needs. Communicates clearly and uses appropriate language with patients while performing an ultrasound examination. Daily attendance at morning conference and noon conferences. Enthusiastic comments from supervising staff. Honors: Confident use of radiology PACS to demonstrate most radiologic findings and with a basic knowledge of the anatomy and pathophysiology of the cases. Strong scanning ability demonstrated by the end of the rotation. Recognition of most common abnormalities seen on ultrasound, using appropriate ultrasound terms. Appropriate sensitivity to patients and awareness of their needs. Communicates clearly and uses appropriate language with patients while performing an ultrasound examination. Attendance at majority of radiology noon conferences and morning conference. Good staff feedback supporting the student's attendance in the reading room. Pass: Adequate ability to use radiology PACS to present some findings relative to the cases seen; rudimentary knowledge of anatomy and pathophysiology. Limited scanning ability demonstrated by the end of the rotation. Able to recognize some of the common abnormalities seen on ultrasound, with limited understanding of ultrasound terminology. Limited sensitivity to patients and with help can attend to immediate needs. Communicates adequately using appropriate language with patients while performing an ultrasound examination. Attendance at less than half of radiology noon conferences. No negative feedback from supervising staff. Unsatisfactory: Limited ability or inability to retrieve and display cases on radiology PACS. Unable to identify normal structures on ultrasound while scanning. Unable to recognize any common abnormalities seen on ultrasound, with no understanding of ultrasound terminology. Insensitive to patients and unaware of their needs. Poor communication with patients while performing an ultrasound examination. Consistent failure of attendance at radiology conferences. Disruptive behavior in reading room, negative feedback from the staff, or unexplained absences.