RD523M.23

Nuclear Medicine and Molecular Imaging

Director(s): Hyewon Hyun
Prerequisites: HMS Principal Clinical Experience (Core Clinical Clerkships) or equivalent
Offered: Full time each month except Dec
Location: BWH - Brigham and Women's Hospital (23)
Open to Exclerks: No (HMS only)
Description: This elective provides a 4-week opportunity for medical students (with/without core clerkship in radiology completion) for hands-on experience in Nuclear Medicine and Molecular Imaging. Students’ home institution is BWH, but like residents who train in the Joint Program in Nuclear Medicine (JPNM), an ACGME-approved training program, they will spend time at Dana-Farber Cancer Institute and Boston Children’s Hospital based on interest and availability. At each institution, the student will also be paired with an experienced senior diagnostic radiology resident, fellow or JPNM resident; the overall supervision of the student will be by an attending physician. The student will be paired with an experienced nuclear medicine technologist at least once at each site so that he/she can observe the entire process of obtaining nuclear medicine and molecular imaging studies from the technologists’ and patients’ perspectives. After an initial day of observation, the student will play an integral role in the care of patients who present for imaging or therapy to the Nuclear Medicine and Molecular Imaging Division. The student will have access to electronic patient records as well as digital image systems. The student will participate in determining patient history and clinical indications for requested imaging studies. He or she will observe and then participate in decision-making process regarding performance of requested studies and their interpretation. The student will be expected to look at one to two cases per day on his or her own and to incorporate what he or she learns by observation into active practice, becoming familiar with the appropriate use of physiologic imaging in the context of anatomic imaging such as CTs.
Incorporation of Basic Science Content and Evidence-Based Medicine:
1. Will be discussing physiologic basis of nuclear medicine and molecular imaging.
2. Participation in image interpretation with attendings, residents and fellows
3. Participation and attendance in didactics, teaching conferences, grand rounds when appropriate
Grade Criteria:
Honors with Distinction:
Confident use of PACS/NM (nuclear medicine) workstation to demonstrate a thorough understanding of the anatomy and pathophysiology of the cases seen during the rotation. Great sense of when and how physiologic studies (general nuclear medicine studies and PET/CTs) can be useful with recognition of its role in the broader context of other imaging modalities. Recognition of common abnormalities seen on general nuclear medicine and PET/CT studies, with proper use of nuclear medicine terminology. Appropriate sensitivity to patients and awareness of their needs. Attendance at morning and noon conferences. Enthusiastic comments from supervising staff.

Honors:
Confident use of PACS/NM workstation to demonstrate most radiologic findings and with a basic knowledge of the anatomy and pathophysiology of the cases. Good sense of when and how physiologic imaging studies can be useful with recognition of its role in the broader context of other imaging modalities. Recognition of most common abnormalities seen in general nuclear medicine and PET/CT studies, with proper use of nuclear medicine terminology. Appropriate sensitivity to patients and awareness of their needs. Attendance at majority of morning and noon conferences. Good staff feedback supporting the student’s attendance in the reading room.

Satisfactory:
Adequate ability to use PACS/NM workstation to present some findings relative to the cases seen; rudimentary knowledge of anatomy and pathophysiology. Limited sense of when and how physiologic imaging studies can be useful with some recognition of its role in the broader context of other imaging modalities. Recognition of some of the common abnormalities seen on general nuclear medicine studies and PET/CTs, with limited understanding of nuclear medicine terminology. Sensitivity to patients and can attend to their immediate needs with help. 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 PACS/NM workstation. Very little sense of when and how physiologic imaging studies can be useful with little to no recognition of its role in the broader context of other imaging modalities. Unable to recognize any common abnormalities seen on general nuclear medicine studies and PET/CTs, with no understanding of nuclear medicine terminology. Insensitive to patients and unaware of their needs. Consistent failure of attendance at radiology conferences. Disruptive behavior in reading room, negative feedback from the staff, or unexplained absences.