RD513M.23

Interventional Radiology Sub-I @BWH

Credits: 4 CREDITS (Clinical Elective)
Sites: BWH
Director(s): Erik Alexander, Dmitry Rabkin
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Monthly September-June
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: US/Canadian
Description: This course provides an opportunity for students who, having completed the core clerkship in radiology, wish further advanced instruction in Interventional Radiology. Students will spend four weeks in the Interventional Radiology Division at Brigham and Women’s Hospital. During these four weeks, the students will be supervised by Brigham and Women’s Hospital attending Interventional Radiology physicians. Students will also be paired with an experienced Interventional radiology senior radiology resident or fellow. The students will be able to observe and participate in vascular procedures (including chemo- and radio-embolization, TIPS and BRTO) and non-vascular interventional procedures (such vertebral augmentation, hepatobiliary and urinary interventions). Students will learn the essentials of interventional radiology in a busy academic practice, including clinical evaluation and preparation for the interventional procedures, performing the actual procedures and post-procedural management. The students will have an opportunity to participate in evaluation of the patients in the Interventional Radiology Outpatient Clinic. The students will also be able to elect to visit Interventional Radiology Vein Centers and participate in endovascular management of patients with varicose veins. The students will also have an opportunity to practice performing variety of interventional radiologic procedures on an endovascular simulator. Each day the students will be able to observe about 20 different interventional procedures and actively participate in 4-5 interventional procedures of their choice. Students will also participate in a daily morning rounds. By the end of the clerkship, the students will be familiar with clinical aspects of managing patients before, during and after interventional radiologic procedures, and with technical aspects of basic and more advanced radiologic interventions. Suggested weekly reading assignments will be given. Students will be assessed with a final evaluation at the end of the clerkship. This course would be particularly suited to a student interested in interventional radiology, diagnostic radiology, emergency medicine, or surgery.
Incorporation of Basic Science Content and Evidence-Based Medicine:
Basic science content and evidence-based medicine are at the forefront of our specialty. Five steps of evidence-based medicine are integral part of an everyday practice in our Division: we formulate answerable questions with which to search for evidence, search the literature, appraise the retrieved evidence by using explicit methods, apply results to a patient or patient group, and evaluate our evidence-based practice and clinical performance. The students are encouraged and expected to utilize these principles during their rotation in our Division. Our faculty, residents and fellows are involved in basic science and clinical research projects and interested students will have an opportunity to participate in them. We have two one-hour long didactic lectures a week for the trainees and M&M conferences once a month. The students will be able to attend monthly New England “Angio Club”, where invited national and international leaders in the field of Interventional Radiology present their work and experience.
Grade Criteria:
Honors with Distinction: Confident demonstration of pertinent clinical skills and knowledge of wide spectrum of interventional vascular and nonvascular procedures. Knowledge of indications and contraindications for a wide spectrum of interventional procedures. Recognition of potential side effects and complications. Appropriate sensitivity to patients and awareness of their needs. Communicates clearly and uses appropriate language with patients while performing a clinical examination and interventional procedures. Daily attendance at morning conference. Enthusiastic comments from supervising staff. Honors: Confident demonstration of basic clinical skills and knowledge of basic interventional vascular and non-vascular procedures. Knowledge of indications and contraindications for basic interventional procedures. Appropriate sensitivity to patients and awareness of their needs. Communicates clearly and uses appropriate language with patients while performing interventional procedures and clinical evaluations. Attendance at majority of interventional radiology morning rounds. Good staff feedback supporting the student’s attendance. Satisfactory: Adequate demonstration of basic clinical skills and knowledge of basic interventional vascular and nonvascular procedures. Limited knowledge of indications and contraindications for basic interventional procedures. Able to recognize some of the common Potential side effects and complications. Limited sensitivity to patients and with help can attend to immediate needs. Communicates adequately using appropriate language with patients while performing clinical evaluations and interventional procedures. Attendance at less than half of interventional radiology morning conferences. No negative feedback from supervising staff. Unsatisfactory: Limited ability or inability to demonstrate basic clinical skills and knowledge of basic interventional procedures. Inability to formulate indications and contraindications for basic interventional procedures. Unable to recognize any common findings, side effects and complications. Insensitive to patients and unaware of their needs. Poor communication with patients while performing clinical evaluations and interventional procedures. Consistent failure of attendance at interventional radiology morning rounds. Disruptive behavior in reading room or procedure suites, negative feedback from the staff, or unexplained absences.