Chest

Body Imaging: Chest

Rotation 1

Knowledge Based Objectives: At the end of the rotation, the resident should be able to:

1. Identify normal anatomy of the chest as it is seen on the radiograph and CT.
2. Identify and/or describe common variants of normal.
3. Demonstrate a basic knowledge of radiologic interpretation.

Technical Skills: At the end of the rotation, the resident should be able to:

1. Given a chest radiograph or CT examination, distinguish normal from abnormal structures.
2. Dictate a report that is brief and understandable.
3. Communicate verbally with referring physicians and house staff about radiographic findings.

Decision-Making and Value Judgment Skills: At the end of the rotation, the resident should be able to:

1. Make decisions about when to alert house staff to the immediacy of a condition that is apparent on the radiograph.
2. Determine when to request that a repeat examination is needed because of technical inadequacy.

Rotation 2

Knowledge Based Objectives: At the end of the rotation, the resident should be able to:

1. Discuss various common diseases that give altered patterns of lung disorders.
2. Describe the characteristics of common abnormal cardiac shadows.
3. Discuss the various reasons for reading a chest CT.

Technical Skills: At the end of the rotation, the resident should be able to:

1. Recognize the following pathologic anatomy in the lungs:
   1. air space processes
   2. lobular processes
   3. interstitial processes
2. Given an appropriate radiograph, recognize cardiac enlargement.
3. Identify anatomy and significant pathology as seen on CT.

Decision-Making and Value Judgment Skills: At the end of the rotation, the resident should be able to:

1. Determine which cases can be interpreted and dictated independently and which cases require the assistance of a faculty radiologist.

Rotation 3

Knowledge Based Objectives: At the end of the rotation, the resident should be able to:

1. Name and describe characteristics of chest pathologies that are seen infrequently in routine work but have distinctive radiographic and/or clinicopathological signs.
2. Correlate pathological and clinical data with radiographic findings on the chest film.

Technical Skills: At the end of the rotation, the resident should be able to:

1. Read routine chest films with a high level of accuracy and efficiency.
2. Prepare and present the radiographic components of the radiology/pathology and chest conferences.
3. Fully supervise the performance of a chest CT examination.
4. Show competence in FNA biopsy of chest lesions. (This will be completed as part of the interventional radiology rotation)

Decision-Making and Value Judgment Skills: At the end of the rotation, the resident should be able to:

1. Demonstrate a high degree of accuracy in interpreting and dictating cases, identifying consistently those cases with which assistance is needed.
2. Consult, with confidence, with primary care physicians and surgeons in regard to most chest imaging procedures.