Program Introduction

  • DURATION OF TRAINING

    Four (4) years of full-time broad-based residency training in diagnostic radiology (48 months of training rotations in specialty areas as defined by the AOA/AOCR) are required of a resident entering training on or after July 1, 1989, in a program approved by the AOA. The American Osteopathic Board of Radiology requires that the period of training be at least 48 months for those entering training on or after July 1, 1989. Extended absences, whether for financial, maternity/paternity leave, illness, disability, etc., must be made up.

    A resident beginning flexible training after January 1, 1995, may complete the required 48 months of training on a flexible basis not to exceed six (6) years. No continuous absence of more than one (1) year will be permitted. The program director will maintain records describing specific flexible residency arrangements. The certificate of completion issued by the training institution must indicate a cumulative total of forty-eight (48) months of approved training.

  • TRAINING PROGRAM Enter description here.

    The residency training program in diagnostic radiology at Oklahoma State University Medical Center – Oklahoma State University College of Osteopathic Medicine shall be 48 months in duration and shall include the following areas of training as designated and arranged by the program director. The following guidelines are based on the Basic Standards for Residency Training in Diagnostic Radiology listed by the AOA. The following listed requirements will be met in the resident’s 4 years of training by designated rotations by the Program Directors to meet both departmental needs and training needs.

    1. General Diagnostic Radiology ‑ 11 months (Chest - 3 month; Gastrointestinal - 3 months; Genitourinary - 2 month; Musculoskeletal - 3 months)

    2. Mammography - 3 months

    3. Nuclear Radiology ‑ 4 months

    4. Pediatric Radiology - 3 months

    5. Cardiovascular/Interventional - 3 months

    6. Neuroradiology - 4 months

    7. Diagnostic Ultrasound - 3 months

    8. Computed Tomography - 3 months

    9. Magnetic Resonance Imaging - 3 months

    10. Emergency Radiology - 2 months

    11. Cardiac Radiology – 1 month

    12. American Institute for Radiologic Pathology (AIRP) - 1 month

    13. Electives – 7 months


    Additionally, our program adheres to a four-year curriculum that meets the requirements that will prepare the radiology resident for specialty certification in diagnostic radiology through provision for a combination of didactic and clinical training opportunities.

    The nine subspecialty areas of diagnostic radiology are neuroradiology, musculoskeletal radiology, vascular and interventional radiology, cardiothoracic radiology, breast radiology, abdominal radiology (GI/GU tracts), pediatric radiology, ultrasonography (including obstetrical and vascular ultrasound), and nuclear radiology (including PET and nuclear cardiology).

    Integration with the outlined requirement cumulative total of rotations and the nine subspecialties are primarily accomplished at OSUMC and with Diagnostic Imaging Associates hospitals they cover onsite or by teleradiology. Pediatrics exposure is accomplished with dedicated 4 weeks rotations at Children’s Mercy Hospital in Kansas City, Missouri.

    The residency program has transitioned from the traditional 4 week or 1 month block schedule to a one to three week rotational schedule in order to fulfill the core competency requirements set by the AOA/AOCR. This is done due to the small size of the residency program. As our department is PACS/voice recognition integrated environment, each resident will be assigned to a specific area of imaging modality or imaging specialty. There will be times when a resident may have to cross cover other sections. Monthly rotation assignments are as follows: Chest, Body, Ultrasound (US), Musculoskeletal (MSK), Nuclear Medicine(NM), Mammography (MAMMO), Interventional (IR), Cardiac, Neuroradiolgy (NEURO), OSUMC float, Cancer Treatment Center (CTCA), DIA Tele or Peds, Night shift, and Flouroscopy (Flouro). Out of house rotations include Pediatrics (3 months) and AIRP course (4 weeks). The resident should make note that electives (7 months) are utilized as in house rotations to improve areas of clinical imaging deficit. Rotation through all sections will allow adequate clinical exposure to meet AOA/AOCR requirements for completion of residency training.

    We address training specifically per this breakdown and cross integration of rotations:
    1. Chest/Cardiac – Cardiothoracic subspecialty in which general radiology/CT/MRI rotation requirements are met. Met at OSUMC/DIA/Peds.

    2. Body – abdominal radiology (GI/GU tracts) subspecialty in which general radiology/CT/MRI rotation requirements are met. Met at OSUMC/DIA.

    3. Musculoskeletal – Musculoskeletal subspecialty in which general radiology/CT/MRI rotation requirements are met. Met at OSUMC/DIA.

    4. Nuclear Medicine – Nuclear medicine subspecialty in which general 700 hours of nuclear medicine requirements are met at OSUMC/DIA (specifically CTCA for PETs).

    5. Mammography – Mammography subspecialty in which 4 month requirement is met at OSUMC and with DIA telemammography.

    6. Interventional – Interventional subspecialty requirement met a OSUMC.

    7. Neuroradiology – Neuroradiology subspecialty in which CT/MRI rotation requirements are met at OSUMC/DIA.

    8. Flouroscopy – Meets GI/GU subspecialty requirements along with general radiology requirements.

    9. Night shift / Weekends – Accomplishes ER volumes that are primarily CT, US and plain radiographs and to a lesser degree MR volume.

    10. Pediatrics – Subspecialty requirement met by 2-3 month rotation at Children’s Mercy Hospital in Kansas City, Missouri. 1 month of Peds are available for seniors to do a dedicated Peds rotations with DIA.

    11. Utrasound – encompasses all aspects of ultrasonography


    The residency program has adopted the objectives from the Association of Program Directors in Radiology to guide the resident based on clinical rotations. The monthly rotations as defined by OSUMC enable the resident to accumulate knowledge, develop technical skills, and establish decision-making processes. These objectives are to be used as general guidelines in regard to the residents' progression through the residency. As residents attain knowledge and skills at different competency levels and that fluctuation of patient loads impact upon the residents' experiences, it would not be reasonable to expect each resident to fully accomplish each objective during any rotation. The objectives, therefore, are to be used as a relative measure of progress, either as a formal measurement administered by the clinical faculty at the end of the rotation or as a personal evaluation by the resident. Objectives not completed on a first rotation in a clinical area may be carried over until the next rotation in that clinical area.


    Supplemental Excluded Educational content from primary syllabus and distributed separately or follows the subspecialty rotation objectives:

    1. Academic year for Book Club
    2. Monthly Journal Club schedule
    3. Routine monthly Tumor Board schedule
    4. Educational Media series utilized for supplemental lecture series
    5. Physics lecture schedule
    6. Rad Primer schedule and rotation specific reading recommendations

  • TRAINING PROGRAM SUMMARY
    • PGY I
      Linked radiology internship in which 3 months out of the 12 months are designated radiology departmental rotations. During the rotations the intern will begin introduction to basic general radiology (plain radiographs) and begin to learn dictation skills and voice recognition. Orientation will occur for the department specifically with the RIS/PACS and voice recognition software. Interns are required when off-service rotations allow for attendance to weekly Physics lectures, weekly Book Club and monthly Journal Clubs.

      Additional experience in the 3 months of rotation will include:
      • Progression in interpretation and dictation to ultrasound, MRI, CT and fluoroscopy.
      • Performing basic procedures such as ultrasound guided paracentesis and thoracentesis; fluoroscopy procedures; and potential simple CT guided procedures.
    • PGY II
      The first three to six months are designed for 3 week block rotations in the departments designated rotation assignments which include Ultrasound, Neuroradiology, Chest, Body, Musculoskeletal, Nuclear Medicine and Fluoroscopy. Mammography and Interventional will be introduced similarly in the last six months of the academic year. Weekend assigned shifts will begin to be assigned beginning three months after the start of the PGYII year and continue thereafter.

      The following below will occur during this academic year:

      • Overall operation of department: processing of images, RIS, teaching file
      • Roentgen technique (positioning)
      • Roentgen anatomy including cross sectional anatomy
      • Construction of radiographic equipment
      • Fluoroscopic technique and practice (GI physiology; Use and abuse)
      • Radiation physics (diagnostic radiology)
      • Radiology pathology
      • Basic science review
      • Directed reading
      • Imaging interpretation and rotation in all of the nine subspecialities with the exception of pediatrics.
      • Journal Club, weekly conferences, and presentations
      • Radiation safety and protection
      • Resident evaluation conference on quarterly basis with documentation submitted at the end of each year.
      • Teaching assignments including extern/intern teaching
    • PGY III
      • Fluoroscopic technique and practice, expanded
      • Image interpretation, expanded
      • Surgical correlation
      • Radiological-Pathological correlation
      • Continued routine rotations in all of the nine subspecialties that will now included pediatric radiology.
      • Conferences
      • Directed reading program continued
      • Journal club, tumor conferences, other conferences
      • Radiation safety and protection
      • Resident evaluation conference on quarterly basis with documentation submitted at the end of each year
      • Fulfill scientific exhibit requirement
      • Physics Board exam.
      • Teaching assignments including extern/intern teaching
    • PGY IV
      • Conduct and reporting of procedures
      • Radiation physics and biology review
      • Staff consultations
      • Radiological-Pathological correlation with oncological emphasis
      • Directed and non-directed reading program
      • Teaching assignments including extern/intern teaching
      • Continued routine rotations in all of the nine subspecialties
      • Fulfillment of exhibit requirement
      • Staff review and critiques
      • Journal Club
      • Quality assurance (medical/legal)
      • Submit progress reports on research projects
      • Radiation safety and protection
      • Resident evaluation conference on quarterly basis with documentation submitted at the end of each year.
      • Written Boards
      • Option for AIRP attendance
    • PGY V
      • Conduct and reporting of procedures
      • Radiation physics and biology review
      • Staff consultations
      • Radiological-Pathological correlation with oncological emphasis
      • Directed and non-directed reading program
      • Teaching assignments including extern/intern teaching
      • Nuclear medicine responsibilities
      • Continued routine rotations in all of the nine subspecialties
      • Staff review and critiques
      • Journal Club
      • Quality assurance (medical/legal)
      • Submit progress reports on research projects
      • Radiation safety and protection
      • Resident evaluation conference on quarterly basis with documentation submitted at the end of each year.
      • Oral board examination
      • AIRP attendance unless attended in PGY IV year
  • OLD SYLLABI Enter description here.

RESIDENCY MANUAL

  • PREFACE
    The Diagnostic Radiology residents at Oklahoma State University Medical Center (OSUMC) facility are expected to conduct themselves in a manner consistent with the standards of the osteopathic medical profession. Successful completion of the training program entails not only academic standards but also ethical, professional, behavioral and personal characteristics necessary for the practice of osteopathic medicine. In addition to the house staff policies and procedures from the Department of Medical Education, the following policies will also be implemented. The policies of the AOA, AOCR, or OSUMC House Staff will take precedent over the policies contained in this document should a conflict arise. Each resident should review this manual as it contains a wealth of information as to what is expected of you during your training here at OSUMC. This manual is continuously updated each year as new challenges or policies arise.
  • ORIENTATION Enter description here.
    • Obtain copy of Basic Standards for Residency Training in Diagnostic Radiology published by the AOA and AOCR.
    • Obtain copy of this Training Manual.
    • Obtain copy of House Staff Policies and Procedures.
    • Apply for membership with the AOA, AOCR, ACR, and OSRS (mandatory).
    • Apply for membership with the RSNA, and ARRS (recommended).
    • Obtain radiation badges (Nuclear Medicine).
  • DEPARTMENTAL PRIORTITIES Enter description here.
    • Welfare of patients always comes first.
    • Needs of referring physicians.
    • Morning and noon education. Protected time, attendings are to cover, if issues arise notify program director.
    • Procedures.
    • Dictation which includes reviewing and correcting reports routinely. All studies need to be dictated prior to leaving for the day unless for specific reasons.
    • Orientation to the radiology department and utilization of the RIS/PACS system and voice recognition will occur during the radiology intern’s first week in the radiology department for the rotation.
    • Orientation to qGenda will aslo be done during the first month of the intern’s radiology rotation.
  • DEPARTMENTAL HOURS Enter description here.
    • Education: 0700 to 0800 \ 1200 to 1300. You are expected to be in the radiology conference room at this time for education. You must sign in the logbook and indicate the topic of your education and evaluate the lecture \ lecturer. Failure to comply with this policy may result in a resident being put on probation as outlined in your House Staff Policies and Procedures. This time is protected. Residents have no responsibilities in their section of the department during this time. The night shift resident is not required to attend the morning education. Residents on out rotations are exempt.
    • Department section coverage: 0800 to 1700. Residents are responsible for their assigned sections during all this time and must be available via pager or mobile phone. It is mandatory that a minimum of four residents be available in the department. If a resident cannot cover his/her assigned section, he/she must obtain coverage from another resident and inform the technologist(s) of the section of the change. In cases of situations where no resident is available (e.g. conferences), the attending physicians will be notified so that they can provide coverage.
    • After hours and weekend coverage: When residents are on night shifts they are responsible for reviewing and providing preliminary or finalized reports as well as consultation to all referring physicians. There is 24 hour a day attending on duty coverage for Diagnostic Imaging Associates (DIA) in which the resident is not required to make preliminary interpretation prior to discussion with attending radiologist. The night shift residents are also responsible for providing triage and assisting in after hour’s interventional cases.
  • RESIDENT RESPONSIBILITIES
    1. GENERAL[+]
      • Your family is your greatest priority. Four years are a long haul and relationships can be damaged or lost with neglect and selfishness. We understand that you are more competent and efficient in the workplace if you have healthy family relationships. At the same time, the guidelines set forth below are to guarantee that all residents can maintain this priority AND have a successful learning experience.
      • It is important to work together as residents to insure maximization of a positive experience during the four years of residency. This will be for many the most challenging time in your career with the pressure of learning the vast field of radiology, taking call, studying for three board exams, and finishing residency as a confident and competent radiologist.
      • Residents are a role model for House staff and students under their supervision and are looked up to for leadership from those who work in the Radiology Department. Therefore, it is essential that residents act in a professional and courteous manner at all times when interacting with department staff, students, and house staff. It is especially important that professionalism and compassion be extended to ALL patients.
      • Dress code should be in accordance with the House Staff Policies. OSUMC-provided scrub suits may be worn routinely.
    2. EDUCATION - GENERAL[+]
      • Residents are required to attend two daily 45 minutes to 1 hour long educational sessions. The 5pm to 2am night shift resident is only excluded from these sessions besides residents that are on vacation, at AIRP, Peds, or out rotation. Being on time to the scheduled sessions is required to continue to reinforce the importance of structured education. Breakfast and lunch may be brought to the conference room as long as the you clean up after yourself. Meeting times are (10 total weekly educational time slots, minimum requirement is 5 per AOCR by direct faculty supervision or lecture): Dates and times subject to change
        • 7:15am Monday and Wednesday (unless otherwise scheduled), 12pm Monday through Thursday and 12 pm on Friday.
        • Grand Rounds are the 1st, 2nd and 3rd Tuesday of the month beginning at 7 am.
        • Physics begins at 7:15 am on (Monday or Wednesday) and Thursdays weekly. *** Subject to change
        • Friday morning is Book Club and begins at 7:00 am.
      • Residents are excused from Physics lectures if they have successfully finished their Physics Board exam and have meet the documented 80 hours of required physics didactics requried by the NRC/AOCR.
      • OSUMC Tumor Board is presented by the resident who is assigned each month by the chief residents. *** Tumor Board as of this academic year is not being provided by OSUMC and will be done in coordination with CTCA. No resident requirements are present for this with the exception of routine documented attendance.
      • Journal Club occurs once a month and will be coordinated by the chief resident(s) and designated attending for the month’s journal club.
      • PGY3s and PGY4s are required to give two lectures each during the year. Topics to be chosen by the resident or DIA faculty attendings.
      • Residents are required to place on average one interesting case in the DIA Teaching File System (not RIS teaching file) per week. A review article, site link or book chapter text is a plus for references.
    3. DEPARTMENTAL[+]
      • Start assigned departmental section coverage at 0800. The following sections of the department must be covered - CT, MR, NM, General Radiology/Fluoroscopy, and US. Residents are to pre-review scheduled cases so that procedures performed are appropriate for the indication and proper protocols are followed. It is the residents’ responsibility to fill out all paperwork for all procedures performed. These include review of pertinent laboratory data, signed informed consent, history and physical, post procedure note, and post procedure orders, and HI-IQ QI/ QA forms. Include start/stop time, type and volume contrast, and meds for “moderate sedation/analgesia”, fluoroscopy time/rad dose, CPT’s.
      • Residents are responsible for keeping the front office and the technologist/attending in their assigned section informed of the resident’s whereabouts at all times. All residents will carry a functioning pager. If a pager is misplaced or forgotten, the resident shall immediately obtain a replacement or retrieve their pager. During time out of their assigned section, residents will notify the technologist and attending radiologist which resident will be providing coverage while the assigned resident is out of his/her assigned section.
      • All cases must be reviewed with the attending physician. All cases reviewed should be dictated prior to leaving the department at the end of the day.
      • Communicate any significant or unexpected findings that could alter patient management to the ordering physician. Dictate concise reports that rapidly answer the clinical question at hand. Please utilize the “ACR Standard for Communication: Diagnostic Radiology” as a guideline. Dictate into the report that the ordering physician has been informed of significant finding(s) and indicate the date and time.
      • Residents are to communicate with the patient’s attending on an as needed basis and serve as a consultant to the referring physician, never criticizing and taking every opportunity to complement the referring physician. Residents will give the referring physician the benefit of the doubt when there are disagreements over patient care since the referring doctor has benefit of the patient’s clinical milieu. If, after thorough review of all clinical data, the resident feels strongly that an examination has been ordered inappropriately the resident is to then bring the matter to the attention of the attending radiologist.
      • Residents will learn to use all imaging equipment and become competent with techniques, (e.g., scanning in US, use of image processors in Nuclear Medicine, CT,PET/CT, digital angiography, MRI, imaging workstations, etc.). Reading users manuals for the imaging equipment will greatly help the resident in understanding their use.
      • When performing any procedure, the resident must document in his or her report that the procedure has been performed under the direct supervision of an attending physician who is skilled and credentialed in the procedure. The Program Director may request continued supervisory status of the resident in any procedure at the request of a department member. It is the resident’s responsibility to document the procedures and obtain documentation of supervision of the procedure and to notify the Program Director of the successful completion of competency requirements for procedures.
    4. EDUCATION - MISCELLANEOUS[+]
      • The topic and abstract of the residents exhibits required by the AOCR will be submitted to the Program Director before the time it is required to be submitted. Dates of submission will be per AOCR requirements. Please refer to the AOCR Guidelines for Preparation of a Scientific Exhibit near the end of this manual for additional useful information. It is required that you submit an electronic format of your abstract followed by a signed copy to the AOCR. Residents are strongly encouraged to use their exhibit material to produce a publishable paper to be submitted to the Department of Medical Education at OSUMC.
      • Each resident is required to take the AIRP course. Each resident is required to take two to three months of Pediatrics out rotation. One can be with DIA in Tulsa because of Pediatric Fellowship trained Radiologist in the group. The resident is responsible for cooperating with the Program director in arranging the rotation and any needed paperwork. Currently, OSUMC has affiliation agreements with The Children’s Mercy Hospital in Kansas City, MO.
      • Residents are required to submit monthly logs in New Innovations of conferences attended/given, textbook/journal reading performed, and participation in primary procedures.
      • Residents must be BLS/ACLS certified and sedation/analgesia credentialed. Residents not ACLS certified will be given one year to become certified.
      • Residents are encouraged to use their abilities to stimulate the learning of students and other house staff assigned to the Department of Radiology. This may include teaching at the PACs monitors, reviews of current medical literature, making reading assignments, or case presentation assignments to residents and house staff working with the resident. Senior residents will rotate through Cardinal Health (nuclear pharmaceutical laboratory) to learn techniques of preparation of radiopharmaceuticals and the quality control procedures necessary, as per NRC requirement. This involves attending sessions at the local radiopharmaceuticals laboratory for one to two days. The attendance must be documented in the resident’s logs and signed by the Director of Nuclear Medicine.
  • WORK HOURS Enter description here.
    • There is no call in this residency. There are scheduled night shifts and weekend shifts. DIA has attendings on 24 hours a day/7 days a week/ 365 days a year. Residents are not required to provide preliminary reports without attending review of the imaging studies. Day time hours are 7am to 5pm. Night shift hours are from 9pm to 5am. One resident works the night shift and weekend day shift.
    • The Program Director/Chief Resident are responsible for developing the resident’s work schedules. The schedules will not be final until initialed by the Program Director. The Program Director is the final arbiter of disputes concerning resident schedules. Scheduled changes due to emergencies, conferences, etc. must be approved by the Chief Resident and Program Director - all changes must be documented.
    • It is the Program Director responsibility to ensure that call and work assignments adhere to the Work Hour Policies instituted by the AOA/AOCR.
    • The night and weekend shift resident is responsible for the exams that are done on callback. Certain examinations will require the resident to personally obtain history and physical information from the ordering physician and/or the patient in order to validate the indication for the examination and make sure the examination is an appropriate examination for the indication. The resident also needs to exclude contraindications. Before the interventional radiology team is called in, the resident must exclude GFR less than 60, history of severe contrast reaction, anticoagulation status, determine if the patient is combative and unable to be safely/effectively imaged before the team is called. The indication for the exam and a sense for the urgency will be communicated to the technologists.
    • If the Chief Resident is not able to be contacted, the Program Director will handle the Chief Resident responsibilities.
  • MOONLIGHTING POLICY Enter description here.
    • Any professional clinical activity (moonlighting) performed outside of the official residency program may only be conducted with the written permission of the program administration (DME/Program Director).
    • A written request by the resident must be approved or disapproved by the Program Director and DME and be filed in the institution’s resident file. All approved hours are included in the total allowed work hours under AOA policy and are monitored by the institution’s Graduate Medical Education Committee. This policy is published in the institution’s house staff manual.
    • Failure to report and receive approval by the programs may be grounds for terminating a resident’s contract.
    • If moonlighting is permitted, all moonlighting will be inclusive of the 80 hours per week maximum work limit and must be reported.
  • RESIDENT RESPONSIBILITIES The following section defines specific year level job description. It is meant as a guideline as different residents have different levels of capability.
    1. CHIEF RESIDENT(S) RESPONSIBLITIES[+]
      • Default position for the PGY 4 residents. Will be PGY5 next academic cycle.
      • Regulate day-to-day cohesiveness and help identify issues that need to be addressed by the Program Director.
      • Attend monthly Chief Resident and Educational Committee Meetings.
      • Help regulate on time arrival and attendance to daily educational scheduled activities to be documented on the attendance sheet and in New Innovations.
      • In charge of assigning residents to Tumor Board (if needed) and any other conferences.
      • In charge of assigning residents to journal club monthly.
      • In charge of rotating medical students, interns and residents. Also assigns them to a radiology resident or service each day or week.
      • Making sure every resident submits an equivalent of 1 case a week.
      • In charge of giving lectures to interns/residents during the year for other programs.
      • Scheduling call and help with rotation assignments on qQenda in conjuction with the Program Director.
    2. EXPECTATIONS & DISCIPLINE[+]
      • Professional, courteous, encouraging and a team player. Continue to learn how to become a complete physician and competent radiologist.
      • Being on time to the scheduled sessions is required to continue to reinforce the importance of structured education. Consequences will therefore be in place if to many times a resident is late or misses educational sessions.
      • Allowed tardies or absentees prior to discipline actions are 3 times every year. Tardies are considered more than 5 minutes late to an educational session:
      • Discipline action:
      • One weekend call days (2 days from 7am to 5pm) for every 4th tardy. Weekends will first be taken from other fellow PGY5’s then progresses equally down to PGY2’s.
      • Exceptions to being on time or in attendance:
      • You are on vacation or sick.
      • Legitimate emergency (to be approved later by the Program Director)
    3. VACATION[+]
      • OSUMC contract allows for 20 days paid time off which includes sick days and vacations.
      • Vacations must be pre-approved by the Chief Resident and Jeremy Fullingim, D.O. via e-mail or qGenda (preferred).
      • For emergencies and unavoidable urgent responsibilities (unless abused), notification must be made either to the Program Director or any of the Chief Residents.
      • A total of 3 “half days” will not count toward vacation in an academic year. In order for you to take a half day you must log a dictated case on the day that you are taking a “half day”. After 3 “half days” are taken in the academic year, then leaving early from your allocated duties without attending approval will result in a vacation day. “Half days” are not to be abused by taking them just because you want the day off. “Half days” should be taken for emergencies or need for early departure out of town. I understand this can be abused but this is put in place to aid primarily in unforeseen need to be gone for part of the day or an inability to have flight or departure times after 5pm.
      • Vacation sheets will need to be filled out and then signed by the Program Director and Chief Resident for the Office of Medical Education. Forms will need to be given to Christa Arnold. Everyone is encouraged to utilize all of their vacation days. Vacations will recorded in qGenda which will allow accurate count of vacation days used.
      • Minimum number of residents assigned to OSUMC is 4 (2 onsite and 2 at imaging centers). Unless there is an emergency, vacation will not be granted for residents asking for time off that will make the department numbers go below 4 residents.
      • Built in vacation days that do not count toward PTO include July 4th, Labor Day, Thanksgiving (2 days), Christmas Day, New Years Day, Easter (2 days), Memorial Day.
      • PGY3’s cover July 4th, Labor Day and Memorial Day with the included weekend.
      • Thanksgiving and Easter are divided between residents for coverage. 4 Residents will only be assigned to Thanksgiving and the rest to Easter due to Easter not a recognized weekday Holiday like Thanksgiving.
      • Per OSUMC policy, residents must take 1 week (4 days) of vacation off for either Christmas week or New Years week and to be divided equally between the residents. Seniors can save vacation days for the end of the academic year.
      • Maternity leave is recognized by OSUMC, however, paternity leave is not.
      • Professional days are only to be used for residents needing time to travel and interview for jobs or fellowships. Additionally, 3 professional days at the end of the PGY5’s year are built in for a transition time needed to transition to fellowship or job location.
    4. BOARD PREPARATION AND CONFERENCES (COUNT FOR ELECTIVE TIME)[+]
      • Board preparation (8 weeks during residency)
        • 1 week off prior to Physics boards
        • 3 weeks off prior to Written boards
        • 4 weeks off prior to Oral boards
      • Conferences
        • 1 week long conference a year not counted toward PTO for PGY2 through PGY4 residents.
        • 2 week long conferences for PGY5 residents.
  • JOB DUTIES Enter description here.
    • Resident supervision[+]
      • Residents at all levels are always supervised by faculty, not upper level residents. Following the ACGME-mandated levels of supervision, attendings will provide “direct supervision” during performance of and interpretation of all radiology imaging studies for all PGY1-5 residents.
      • Attendings will demonstrate to residents how to perform various radiology studies during GI/GU, interventional, ultrasound, nuclear medicine and fluoroscopy rotations. In addition, attendings will demonstrate to residents how to protocol various studies using US, CT and MR imaging. Residents will take an active role in daily protocols. Residents will demonstrate competency in these hands on areas (see goals and objectives for specific rotation milestones/competencies) and their competency will be documented as milestones in their radiology portfolios.
      • Reading out imaging studies at the PACS station & learning how to interpret images, document results in a written report, understand when to make contact with physicians regarding imaging study protocols/results, know how to use on line resources and textbooks within a specified time period must be done with the resident & the attending working together. Residents are also taught various methods of dictation for cases and are given regular feed-back on their dictations.
      • Residents will dictate radiology reports that will be reviewed by the supervising attending radiologist. The resident report will only be made available to the clinicians caring for patients after the attending radiologist has reviewed the study.
      • Interventional procedures are performed with an attending present to instruct & inform the resident on exactly how to perform the procedure safely. Residents are also taught indications for various exams, how to obtain informed consent, and how to interpret these studies.
      • Residents will be instructed in radiation and contrast administration safety by an attending radiologist. They will be given simulation situations in order to evaluate their ability to deal this these issues if they arise.
      • ”Indirect supervision with direct supervision immediately available” will be provided to PGY2-5 residents regarding only a few selected procedures that have been previously approved to be perfomed by the Program Director. Indirect supervision does not occur when interpreting exams.
      • Each attending teaches residents through one-on-one daily interaction at the PACS station, in the imaging suites throughout the department of radiology, as well as during conferences.
    • PGY 2
      • Clinical Diagnosis Management:
        The resident screens requested examinations for proper indications, identifies contra-indications and suggests alternatives, and obtains relevant information if indication is unclear. The resident displays basic understanding of examination and procedure protocols, including trauma ultrasound, recommends basic examinations and procedures, supervises and screens patient sedations, performs Pre-procedural consultations and orders, performs Post-procedural orders and follow-up, performs preliminary reports, performs Final report* (with faculty only), performs dictation of basic reports.
      • Clinical Non-Invasive Management:
        The resident performs (after relevant rotation experience) the basic Gastrointestinal Radiology Procedures, Genitourinary Radiology Procedures, Computed Tomographic Procedures, and Ultrasound Procedures, including Trauma ultrasound, Magnetic Resonance Imaging Procedures, Nuclear Medicine Procedures.
      • *Clinical Invasive (Operative Management):
        The resident performs (after relevant rotation experience) the basic Angiographic Procedures: Learns venous and arterial accesses, Interventional Procedures: Simple biopsies and drainages, performs basic activities during daily rounds. The resident learns materials to be used, avoidance and management of complications, performs myelograms, arthrograms (including MR arthrograms). Performs Joint aspirations. Performs Pediatric Gastrointestinal Procedures, and Pediatric Genitourinary Procedures. Performs Nuclear Medicine: Calculates iodine therapy doses for malignant and benign thyroid disease. Calculates palliative doses for pain treatment.

      [*Requires Direct Supervision by a Teaching (Faculty) Physician.]

    • PGY 3
      • Clinical Diagnosis Management:
        The resident screens requested examinations for proper indications. Identifies contra-indications and suggests alternatives. Obtains relevant information if indication is unclear. Displays more advanced understanding of examination and procedure protocols. Recommends more complex examinations and procedures. Supervises and screens patient sedations. Performs Pre-procedural consultations and orders. Performs Post procedural orders and follow-up. Performs Preliminary reports. Performs Final report* (with faculty only). Performs Dictation of more complex reports.
      • Clinical Non-Invasive Management:
        The resident (after relevant rotation experience) performs more complex Gastrointestinal Radiology Procedures, Genitourinary Radiology Procedures, Computed Tomographic Procedures, and Ultrasound Procedures including trauma ultrasound. Performs Magnetic Resonance Imaging procedures, Nuclear Medicine procedures.
      • *Clinical Invasive (Operative Management):
        The resident (after relevant rotation experience) performs more complex Angiographic Procedures: performs cerebral angiograms. Performs Interventional Procedures: more complex biopsies and drainages, gastrostomy, etc., proposes work-up of inpatients and outpatients with faculty. Performs myelograms, arthrograms (including MR arthrograms). Performs Joint aspirations and Pediatric Gastrointestinal Procedures. Performs Pediatric Genitourinary Procedures. Performs Nuclear Medicine: Calculate iodine therapy doses for malignant and benign thyroid disease. Calculates palliative doses for pain treatment.

      [*Requires Direct Supervision by a Teaching (Faculty) Physician.]

    • PGY 4
      • Clinical Diagnosis Management:
        The resident screens requested examinations for proper indications. Identifies contra-indications and suggests alternatives. Obtains relevant information if indication is unclear. Displays advanced understanding of examination and procedure protocols. Recommends complex examinations and procedures. Supervises and screens patient sedations. Performs pre-procedural consultations and orders. Performs Post procedural orders and follow-up. Performs Preliminary reports. Performs Final Report* (with faculty only). Performs Dictation of complex reports.
      • Clinical Non-Invasive Management:
        The resident (after relevant rotation experience) performs complex Gastrointestinal Radiology Procedures, Genitourinary Radiology Procedures, Computed Tomographic Procedures, and Ultrasound Procedures including Trauma ultrasound. Performs Magnetic Resonance Imaging Procedures, Nuclear Medicine Procedures.
      • *Clinical Invasive (Operative Management):
        The resident (after relevant rotation experience) performs complex Angiographic Procedures: Intraoperative angiograms, starts routine vascular interventions. Performs Interventional procedures: Starts routine non-vascular interventions. Performs Myelograms, Arthrograms (including MR arthrograms). Performs Joint aspirations and Pediatric Gastrointestinal Procedures, Pediatric Genitourinary Procedures. Performs Nuclear Medicine:calculates iodine therapy doses for malignant and benign thyroid disease. Calculates palliative doses for pain treatment.

      [*Requires Direct Supervision by a Teaching (Faculty) Physician]

    • PGY 5
      • Clinical Diagnosis Management:
        The resident screens requested examinations for proper indications. Performs Arthrograms (including MR arthrograms). Performs Joint aspirations. Obtains relevant information if indication is unclear. Displays thorough understanding of examination and procedure protocols. Recommends examinations and procedures. Supervises and screens patient sedations. Performs Pre-procedural consultations and orders. Performs Post-procedural orders and follow-up. Performs Preliminary reports. Performs final report*(With faculty supervision and approval). Performs Dictation of reports.
      • Clinical Non-Invasive Management:
        The resident (after relevant rotation experience) performs Gastrointestinal Radiology procedures, Genitourinary Radiology procedures, Performs Computed Tomographic procedures, and Ultrasound procedures including Trauma ultrasound. Performs Magnetic Resonance Imaging Procedures. Performs Nuclear Medicine procedures.
      • *Clinical Invasive (Operative Management):
        The resident (after relevant rotation experience) performs Angiographic Procedures: Initiation of patient evaluation and preparation, starting all cases and active participation in the organization and function of the Interventional Radiology section. Performs Interventional procedures. Performs Myelograms, Arthrograms (including MR arthrograms). Performs Joint aspirations. Performs Pediatric Gastrointestinal procedures, and Pediatric Genitourinary procedures. Performs Nuclear medicine: Calculates iodine therapy doses for malignant and benign thyroid disease. Calculates palliative doses for pain treatment. Declares and documents brain death (radiologists must concur). This test is performed "on call". The resident may give a preliminary report.

      [*Requires Direct Supervision by a Teaching (Faculty) Physician]

  • AOCR SCIENTIFIC EXHIBIT GUIDELINES
    1. GUIDELINES[+]
      All research projects are strongly advised to meet one of the following criteria:
      • A single case presentation of a first reported case or other unusual manifestations of a disease which will add to the medical literature, which must include review of the literature and discussion (acceptable only if of publishable quality). Resident is required to have an expert in the field review prior to submission to the Scientific Exhibit Committee for Approval.
      • A report of an original clinical research study approved by the institutional review board.
      • Set of case presentations and discussion, which challenges existing concepts of diagnosis or treatment and thus recommends further investigation.

      Research projects should have a sound, scientific methodology that clearly presents its results and conclusions. It is important to demonstrate the reproducibility of the findings. The research project should contribute or make a difference in the field of radiology.

      The methods and materials section should specify exact figures regarding the study population and the method of sample collection.

      The results and conclusion should draw on the clinical significance of the study and directly follow the research goals given in the hypothesis.

      Where applicable, IRB approval should be noted in the abstract and poster.

      Scientific exhibits will be accepted in two forms:
      • Poster type exhibit should be printed and mounted on the poster board (or light cardboard) of dimensions of 4’H x 8’W (outside measurements including frame).
      • Multi-media electronic exhibit. The resident must be aware that he/she is solely responsible for providing electronic media equipment (computer, monitor). College takes no responsibility for safety of such equipment.

      Abstracts or Single Case Presentation Approval Forms must be submitted by the due date as stated for the two categories. The full text of the exhibit as well as a 75-100-word summary is due 5 weeks prior to the Annual Convention and must be submitted on the AOCR Exhibitor Form. Exhibitor Forms that are past the due date will be assessed a penalty as follows: 1-6 days = $250; 7-13 days = $350; 14-20 days = $450; 21-27 days = $550. If Exhibitor Forms and fees are not received within 27 days of the due date, the exhibit will not be allowed to be displayed at the Annual Meeting that year.
    2. RESIDENTS PRESENTING TO FULFILL RESIDENCY REQUIREMENTS[+]
      Within the first year of residency training, the resident should submit a written proposal to the program director for review and approval. By the beginning of the second year of training the resident should start evaluating the data and preparing an abstract. All projects must be performed and prepared under the supervision of the program director or another physician approved by the program director. Choose research that asks meaningful scientific questions and maintains the importance of reporting positive results. Select a topic in which you will be able to gather sufficient amount of data. A review of the literature will not be accepted.

      First author must be the resident who submitted the poster for residency credit; however, all attending physicians who mentored the project should also be listed as authors. Although more than one resident may participate in the project, only ONE resident may receive credit to fulfill the residency research requirement. The poster presentation must include radiographic images.

      A resident must present a scientific exhibit no later than the Annual Meeting of the resident’s third year of training to fulfill the residency training requirement. The exhibit must be displayed and judged at an Annual Meeting of the College.

      Research projects of a single case presentation must meet one of the following criteria: (1) first report of a case; (2) unusual manifestation of a disease which will add to medical literature; or (3) a change in the method of diagnosis and/or therapy. Single case presentations are due January 15 of a resident’s second year of training. The Single Case Presentation Approval Form can be found on the AOCR website at http://www.aocr.org/residency/documents_forms.asp.

      Abstracts for all other research projects are due May 15 of a resident’s second year of training. Abstracts must be submitted in scientific format, i.e., Objectives, Methods, Preliminary Results, and Preliminary Conclusion. The length of an abstract should not exceed 250 words. The Abstract Submission Form can be found on the AOCR website at http://www.aocr.org/residency/documents_forms.asp.

      Do not include photographs, references or acknowledgements in the abstract, but include preliminary data on 5-10 patients. All abstracts must be signed by the program director indicating his/her review and approval prior to submission to the AOCR. If your study is not complete by the time an abstract is due, submit a sample of the data and indicate that the abstract represents preliminary findings.

      The Scientific Exhibits Committee will review your abstract and accept or reject it. If your abstract is rejected, you will be given comments for revision and your revised abstract is due September 1.

      After abstract has been accepted, begin planning layout of the exhibit. Most academic institutions have medical (graphic) arts departments that will help you immensely at this stage. Do not overcrowd the exhibit with data. The point should be clear within 5 minutes of viewing. Select best illustrative cases with high quality images. There is no need to show all cases. Graphic summaries of data can also be included. Professional illustrations and drawings add appeal to an exhibit but be sure to give credit where due. Include a few recent references on the topic of interest.

      Exhibits will be evaluated at the Annual Meeting and must meet minimal criteria established by the committee as listed on the Evaluation Form. An exhibit must score 70 or above to fulfill the residency training requirement.

      Exhibits must be fully set up during all exhibit hours or credit will not be received. Prepare to attend the Annual Meeting and answer questions of the attendees at a time designated by the AOCR. Attendance fee is waived for the residents, but be prepared to cover own expenses. Inquire at least 2 months in advance, if your OSUMC program/ Osteopathic Founders Foundation will provide funding. If you are unable to attend, delegate a co-author, mentor, or a colleague familiar with your work.

      Cash awards and plaques will be presented to the first, second and third place winners in this category.
    3. EXHIBITS NOT BEING PRESENTED AS A RESIDENCY REQUIREMENT[+]
      Abstracts of the exhibits are due September 1 prior to the Annual Convention. Abstracts must be submitted in scientific format, i.e., Objectives, Methods, Preliminary Results, and Preliminary Conclusion. The length of an abstract should not exceed 250 words. The Abstract Submission Form can be found on the AOCR website at http://www.aocr.org/residency/documents_forms.asp.

      Exhibits must be fully set up during all exhibit hours. Prepare to attend the Annual Meeting and answer questions of the attendees at a time designated by the AOCR.

      A plaque will be presented to the first place winner in this category.
    4. SCIENTIFIC EXIHBIT EVALUATION FORM[+]
      PRESENTATION OF MATERIAL (30)

      Basic Exhibit construction (5)
      All expected components should be present, clearly laid out, and easy to follow. The background should be unobtrusive. The figures and tables should be appropriate and labeled correctly. The title of the exhibit, authors and institution affiliation(s) should be clearly displayed at the top of the poster.

      Image quality (10)
      The radiographic images should be clear and adhere to CMS regulations regarding the confidentially of the patient.

      Quality of printed materials (5)
      The text should be concise, legible, and free of spelling or typographical errors.

      Orderly presentation of material (10)
      The sequence of information should be evident.

      COMPLETENESS OF ILLUSTRATIVE MATERIAL PRESENTED (25)

      Selection of included illustrative material according to importance of the topic (15)
      The main goal of the project should be represented by radiographic images with or without graphs/charts.

      Exhibit space assignment according to importance of the topic (10)
      The major elements of the research project should be obvious to the viewer within the first few seconds of viewing the exhibit.

      WRITTEN DESCRIPTION OF MATERIAL PRESENTED (20)

      Clarity of description (10)
      Objective/Hypothesis should be logical and presented clearly. Background information should be relevant and summarized well. Connections to previous literature and broader issues should be clearly stated. The goal of the project should be stated clearly and concisely and show clear relevance beyond project.

      Methods should be thoroughly explained including why particular methods were chosen. Clear discussion of controls or comparative groups; all appropriate controls or comparative groups should be included.
      Results should include substantial amount of statistically significant and reproducible data sufficient to address the hypothesis. Presentation of data should be clear, thorough, and logical.

      Conclusions should be reasonable and strongly supported with evidence. Conclusions should be compared to hypothesis and their relevance in wider context should be discussed.

      Inclusion of current references (bibliography) (10)
      All references should be listed in chronological order with appropriate cross-reference notations.

      APPLICABILITY OF MATERIAL (25)

      Originality (10)
      The basis of the hypothesis should originate from the author and not replicate information that has already been documented.

      Current relevance (5)
      The data presented should be relevant to radiology issues today.

      Clinical significance (10)
      The results should contribute to the practice of radiology.

    OSUMC Resident Exhibits

  • PRIOR MANUALS AND FORMS Enter description here.

INSTITUTIONAL POLICIES AND PROCEDURES