Joint dislocation: reduction and immobilization. ACR Gastrointestinal CD-ROM (2nd Edition). The resident will observe and/or assist the technologist as they position the patient and prepare the modality. One block (20 days) will be set aside for this elective experience, to be used longitudinally as 20 days borrowed from each of the remaining 12 rotation blocks (as needed based on schedule requirements). Gallium scan for infection and sarcoidosis, Tc_99m HMPAO labeled WBC  scan and In-111 Oxine labeled WBC scan for infection, Lymphoscintigraphy with Tc_99m labeled sulfur colloid for sentinel node, Octreotide scan with In-111 and MIBG scan with I-131 or I-123 for neuroendocrine tumors, Performance of FDG PET/CT on NSCLC, lymphoma, melanoma, esophageal ca, colorectal ca, head and neck cancer, breast ca, cervical ca and ovarian cancer, compared to radiological images, SUV measurement and factors affect SUV value, Lymphoscintigraphy with Tc_99m sulfur colloid for lymphedema. Understand the importance of communication with referring physicians including when the result of an investigation or procedure should be urgently communicated. The resident should use the book during the rotation and give the book back to Laura Lang at the end of the rotation or hand it to the next resident starting on cardiac radiology. The resident will further enhance their skills in the assessment, diagnosis and management of the fetus and female patient population. Review session times should keep in mind that the staff radiologist is responsible for all inpatient patient scans performed before 17:00. A radiology department’s dashboard could be organized into three sections: user-level data, sectional- or divisional-level data, and departmental- or health-care system–level data. Recognize the physical and psychological needs of patients and their families undergoing breast imaging investigations and/or treatment including issues related to culture, race and gender. Report all cardiac CTs or cardiac MRs performed that day (depending on the radiology schedule) as well as the MR aorta performed the day before. Become familiar with thoracic aortic MR angiography interpretation. Specialized areas within a radiology department may include diagnostic radiology, nuclear medicine, and sonography. The resident should discuss which day(s) they want to spend there with Dr. Lee. To identify common abnormalities encountered in daily practice and understand basic concepts which relate to gynecological ultrasound. Maintain well organized patient notes and discharge summaries. Once you have accomplished this, the cardiac radiology staff should teach you the basics of cardiac CT post-processing and interpretation. Setting employee performance goals and objectives is a common practice in most of the organizations. Understand the nature of formation of x-ray and CT images of the chest, including the physical and technical aspects, patient positioning and contrast media. Understand the nature of formation of MRI images including physical and technical aspects, patient positioning and contrast media. Advanced techniques of endometrial assessment, including endometrial saline infusion ultrasound. Saunders. Gluecker T, Capasso P, Schnyder P, Gudinchet F, Schaller MD, Revelly JP, Chiolero R, Vock P, Wicky S. Katz DS, Loud PA, Bruce D, Gittleman AM, Mueller R, Klippenstein DL, Grossman ZD. Funaki. Mosby, 3rd Edition (2004). Call will be performed on a “shadow call” basis and the resident will be assigned with a senior trainee. This list of strategic objective examples should help you think through the various types of objectives that may work best in your organization. 2015. 18 Alternatively, the dashboard could be aligned with major institutional goals . Magnetic Resonance Imaging of the Brain and Spine. Following approval by the RTC, approval by the PGME evaluations committee is required. Understand and communicate the benefits and risks of breast imaging and intervention, including population screening. Ideally this should include both a single contrast depiction using the Ba puddle and a double contrast depiction for each portion of the anatomy. Small joints?). Review the list of procedures scheduled for the next day and read around cases to be performed. All cases will be dictated before the end of the day. Acquire a working knowledge of the various modalities used in cardiovascular imaging, including their scope and limitations. Manage patients during procedures in close association with the radiologist. Gastrointestinal Radiology: The Requisites, 3rd Edition. Have the ability to function as a member of a multidisciplinary health care team. Read journals regularly and attend journal clubs. equal opportunity/access/affirmative action/pro-disabled and veteran employer. Some of the tools which my be recommended by the Promotions sub-committee are as follows: The promotions committee determine the best strategy for a return to expected performance. Demonstrate the ability to teach the plain film findings of cardiac disease to medical students, residents, technologists and clinical colleagues. Lippincott Williams & Wilkins. If that is not possible, assign them to you and leave them as “needs over read” (light blue). What are the two major generic types? 7. ACGME competencies are marked in bold and underlined after each assignment or goal. In turn, the core program's focus is to develop physicians who can carry this mission forward. We will leave this to the taste and preferences of the users. Take that opportunity to see more plain films. Deliver the highest quality care with integrity, honesty and compassion. Lippincott Williams & Wilkins. The resident will be relieved of his/her duties from 12:00 - 1:00 for daily teaching rounds, academic half-day and all other scheduled teaching activities. Chest tube placement in treatment of pleural effusions, empyemas, pneumothorax. Administration directs the efforts and skills of employees toward reaching departmental objectives in a cohesive and satisfying fashion. nodal, parotid), omental, prostate and renal biopsies, paracentesis, and their indications. Testicular scan with Tc_99m Pertechnetate for acute testicular torsion and inflammation. On your first day of the rotation you should watch at least 1 cardiac CT performed by the technologists. Dysphagia of any kind, motility assessment of the esophagus or stomach, upper GI obstructive symptoms. Understand the acceptable and expected results of investigations and/or interventional procedures as well as unacceptable and unexpected results, including knowledge of and ability to manage radiological complications effectively. Merkle EM, Hallowell PT, Crouse C, Nakamoto DA, Stellato TA. Hospital administrators are most knowledgeable about the institution’s strategic direction, and the success of the radiology department depends on the alignment of its KPIs with the institutional strategy. Fourth rotation:  This rotation will now be more dedicated to cross section imaging, particularly MRIs, including the technique, protocoling and interpretation. These guidelines are in the resident handbook and on the PGME web-site . Participate in scanning of neonatal heads. University of Ottawa Postgraduate Medical Education, Vice-Dean (ex-officio). Let’s go, 3 examples of measurable sales goals and objectives. Recognize when investigation and/or treatment would be detrimental to the health of the patient. The first 2 weeks of your rotation, you are expected to report at least 1 cardiac CT/day and progressively increase the number of cardiac CT’s to 2 /day by the end of the rotation. Arthrography; Freiberger RH, and Kaye JJ, Appleton-Century-Crofts, 1979 out of print, but the only arthrogram book that I know of, find it in the department. Taljanovic MS, Jones MD, Ruth JT, Benjamin JB, Sheppard JE, Hunter TB. To understand the importance of informed consent, and of factors that may affect interpretation of CT images and differential diagnosis. Staff Radiologist Core members are appointed by the Committee Chair in consultation with the remaining RTC members. The following are examples of a strategic objective. Basic science, including physics, instrumentation, radiopharmaceticals and radiobiology, is an important part of nuclear medicine. Leonard E. Swischuk. Recognizes and responds to those patient care issues where patient advocacy is appropriate. A good exam is a speedy exam. Noon rounds attendance is optional if residents feel they will benefit more from additional scanning time. Learn to communicate effectively with patients in the radiology department. The Diagnostic Radiology Resident Training Committee functions as an advisory committee to the Director of DI Resident Training Program in matters related to Diagnostic Radiology Residents. Back to top. Some topics are explored to a greater extent in the literature, hence the multiplicity of suggested articles in those areas. To learn to correlate CT findings with other imaging modalities. These technicians set up X-ray rooms, prepare and position patients for the best images and process the films. have a compassionate interest in them. Specific - Consider who, what, when, where, why and how in developing the goal. Callen. Additional expectations: Report 5 CRs per day. Demonstrate the ability to teach the plain film and basic CT and MR findings of cardiac disease to medical students, residents, technologists and clinical colleagues. The excellent emergency radiology book by Harris has become outdated, appropriate to be used as an introductory, rather than a comprehensive resource. Specialized areas within a radiology department may include diagnostic radiology, nuclear medicine, and sonography. The number of cases to be read each day depends on the resident’s experience level, as well as the number of consultations and cases to be protocolled that day. Critically appraise sources of medical information. Day ends: 5:00 pm or when the resident finishes dictations from the day. Residents must attend all scheduled rounds and other academic sessions. The resident should therefore expect to be the first person to be contacted for technologist questions, “will see” unenhanced examinations, imaging consultations, and imaging requests. All cases will be discussed with the resident both during and following the procedure and the dictation represents only a portion of the workload in this particular subspecialty. Recognizes limitations and seeks advice and consultation when needed, Discharges duties and assignments dependably and in a timely fashion, Maintains appropriate boundaries in work and learning situations, Respects diversity of race, gender, disability intelligence and socio-economic status, Interpretation of diagnostic tests (EKG, Labs, Chest X-ray, ABG) Performance of E, Cardiovascular disorders such as acute coronary syndromes, arrythmias, stroke, syncope, hypertension, Respiratory disease such as asthma, COPD, lung cancer, CNS disorders such as stroke, seizure, headache, coma, Metabolic disorders such as acid-base, electrolyte disturbances, renal failure, Endocrine disorders such as thyroid disease, diabetes and its complications, GI disorders such as diarrhea, bleeding, hepatobiliary disorders, acute abdomen, Infectious Diseases disorders such as post-op fever, pneumonia, urosepsis, septic shock, cellulites, meningitis, HIV, Psychiatric disorders such as anxiety, depression, Geriatrics: dementia, delirium in the elderly, falls and confusion, The principles of resuscitation, stabilization, and disposition, The natural history and progress of surgically related disease in the pediatric, adult, pregnant, and geriatric population, The indications and limitations of investigative modalities, The indications and limitations, mechanisms of action, interactions, and complications of pharmacologic agents, The indications, techniques, and complications of manipulative procedural skills, Complete a clinical assessment of patient with respect to the history and physical examination. When it comes to running a business, there are various types of goals that must be set for every department and its employees. The resident will be notified of this presentation and will be invited to testify in front of the committee. Day ends: When the assigned daily duties are completed, Interdisciplinary rounds: 4:00 to 5:00 pm *, *Please check weekly schedule for teaching & interdisciplinary rounds during rotation, Individual daily teaching sessions - to be arranged with Staff Radiologist. How are they distinguished by ultrasound? Written & face to face end of rotation evaluation. Become familiar with the different pathologic processes which occur in each compartment. A list of recommended reading materials is provided (APPENDIX B). Lippincott Williams & Wilkins, 4th ed. The Program Director and the RTC can guide residents towards helpful resources within the CMPA should a threat of legal action be made against them whilst in the program. Opportunity to interact professionally with patients and technologists. If disruptive behavior is repeated, again: If there is persistent disruptive behavior, following a Stage 3 Response: The University of Ottawa Diagnostic Radiology Program Strives to maintain a stress-free and positive work environment. Residents are expected to be punctual in all rotations. Bone scan with sodium F_18 fluoride PET/CT for back pain, trauma, osteomyelitis, child abuse, arthritis, avascular necrosis, metabolic bone disease, metastatic disease, abnormal radiographic or laboratory findings, SPECT and SPECT/CT for incremental sensitivity and lesion localization, Thyroid scan with I-123 or Tc-99m Pertechnetate for thyroid nodules. Synopsis of Diseases of the Chest. Continue to practice scanning techniques, with a strong emphasis on the      sonography of various pathologies. Consult effectively with other physicians, technologists, nurses and other health care professionals. All residents are expected to comply with MR safety protocols and procedures as outlined by the site Radiology Department and Ontario Ministry of Health & Long Term Care. 3. To utilize information technology to optimize patient care, learning and other activities. What is the most accurate ultrasound parameter for dating a pregnancy? Dr. Conn has extensive leadership experience and has previously served as rotation supervisor for past Presidents fulfilling similar electives. Satisfactory attendance at departmental educational activities including academic half day, visiting professor and resident rounds. Perform interventional procedures including fine needle aspiration biopsies of focal thoracic lesions, core biopsies and insertion of pleural drainage catheters. Tuesday** Note on the second Tuesday every month the resident should go to the General rather than the Civic Campus for the outpatient GI cases. Conduct appropriate research to contribute to the medical imaging profession. Ask the staff or alternatively the fellow to teach you how to navigate through the multiple sequences sent to PACS for every cardiac MR so that you are able to look at these independently. Typically, there are going to be review sessions around 10:00 – 10:30 am and again at 3:00pm. department members and field experts (including The Advisory Board™), we have examined our mission and vision and arrived at prioritized goals for the new plan. The Role of References in Department Strategic Plan Drafting. 5. Overall Goals and Objectives Overall Goals & Objectives Diagnostic Radiology. 5. Goal 4:   Students will evaluate the importance of professional growth and development. Become competent in performing myelograms and lumbar punctures. Ziessman H. A. Begin to present scholarly material and lead case discussions. If no CTC cases are available, the resident will review (in the following order of priority): inpatient abdominal x-rays > outpatient abdominal x-rays > inpatient and ICU CTs > and outpatient CTs (tri-campus from oldest to newest). Members: PD, Associate PD, Resident RTC members, PGY1 resident representative, PGY1 curriculum co-ordinator, SIM committee staff, Meet at least twice per year (2 RTCs to be replaced, ~May & December). Perform all the stereotactic core biopsies without assistance and all the ultrasound guided core biopsies with only minor assistance. Develop an appreciation and understanding of health policy and its impact on medical practice. When there are no fluoro cases the resident should report AXR and body CT including CT enterographies. PGY4 and 5 rotations will be focused on building on the core fundamentals developed in the PGY 3 rotation with increased exposure to cross-sectional imaging, in particular MRI.As well, senior residents may take the opportunity to gain exposure to subspecialized areas of pediatric radiology such as Fetal MRI, Interventional Radiology, Nuclear Medicine and MR Enterography (MRE) based on availability. splenic, hepatic, arterial laceration/hemorrhage), Conscious sedation (i.e. Gain an understanding of patient positioning used in GI examinations. 4. Overall Goal: This rotation in Pediatric Medicine is designed to expose the resident to common problems encountered in the pediatric populations. RMH will implement the People Plan to ensure staffing facilitates the delivery of safe, competent and high quality care now and in the future. What is its clinical significance? Mosby. 9. Learn how to maximize the quality of the fluoro image. Also, due to the large number of the articles and time restraints, not all articles have been reviewed in depth. Demonstrate competence in effective consultation, and in the conduct of clinico-radiological conferences. You should too officially spend a whole morning with the MRI technologists. FIRST BLOCK should be SPLIT b/w campuses (2 weeks @ each). Recognize when the patient’s best interests are served by discontinuing a procedure or referring the patient to another physician. The General Campus ER cases are read by the MSK section. Oversee residency program formal curriculum including but no limited to: Members: M. McInnes, G. Doherty, A. Gupta, S. Peddle, K. Rakhra. Bone and Joint Imaging; Donald Resnick; A Saunders; 3rd ed. Day begins: 8:30 am (or 8am if there are no morning rounds). What is a pseudo-gestational sac? Day begins at 7:30 am (if rounds are scheduled) or at 8am (to start with technologists). Work-up a palpable breast lump or a mammographic asymmetric opacity, microcalcification or nodular lesion. Report your fluoro times in order to become aware of your performance. This may be done prone, supine, horizontal or with Trendelenburg, with or without abdominal. The radiology resident would then rotate to General Campus on Mon & Thurs. Drill Down Example: Hand Hygiene Compliance KPI In Each Ideally, the resident will be exposed to a balanced mix of fluoroscopy, biopsy, CT, US and MR. The Senior Resident Reporesentative is also chosen in May or June by the PGY3 and PGY4 residents at the time of the vote and will represent the PGY4 and PGY5 residents from July 1 to June 30. Senior rotation (tasks and minimum number of cases to report).
2020 radiology department goals and objectives examples