Effectively teach medical imaging and intervention to medical students, residents, technologists and clinical colleagues. Saunders Co.; Hardback; 2006. 2003. Demonstrate awareness of one’s own limitations. Continue to practice scanning techniques, with a strong emphasis on the sonography of various pathologies. Performance below the minimum standard in any domain will be specifically discussed. Despite the critical role historically played by UGI exam in the diagnosis of many disorders of the esophagus, stomach and duodenum, recent technologies have superseded fluoroscopy in many routine assessments of the upper GI tract. Understand the importance of communication with referring physicians including an understanding of when the results of an investigation should be urgently communicated. Mid-rotation written & face to face evaluation. 2003. Actively divide the cases with your colleagues (you do not need to wait for the staff to ask you to pick up those cases). 2nd ed. The resident will learn to correlate clinical, radiological and pathological findings. Case report forms are available from the technologists so you can record your findings for each patient. This schedule ensures the resident has a broad exposure to radiography, CT and MRI. Rad Primer Physics Modules—both the 15 basic and 2 expert modules should be completed during the rotation. Please annotate days post-call, vacation, conference, etc…, - Divide the procedure days with your colleagues (typically the Wednesday go to the senior residents). The ENT radiology allows exposure to a maximum of head and neck imaging. Overview of the rotations -MSK radiology includes plain films, ultrasound, CT, MRI, CT and MRI arthrograms and bone interventions (biopsy, drainage, therapeutic and diagnostic injections guided by the different imaging modalities). Salivary gland scan with Tc_99m Pertechnetate and lemon juice for Sjogren's syndrome, Warthin's tumor and radiation change. Disruptive behavior creates additional stress upon the learning process within our Diagnostic Radiology Residency Program, particularly when our learners feel unsafe to contribute or engage in quality health care delivery and positive educational experiences. (Staff code on Qgenda: USG). Educate and advise on the use and misuse of radiological diagnostic tests and intervention. Elsevier: 2012. To deliver the highest quality of care with integrity, honesty and compassion. Hips? Understand the basic physical principles of diagnostic ultrasound, including the basic physics of sound transmission, transducer design and applications, image formation and interpretation and potential artifacts. Ensure that residents understand and respect ethical and medicolegal issues related to the practice of radiology. The resident will further enhance their skills in the assessment, diagnosis and management of this patient population. These will be in the form of non-supervised cases scanned at the Civic as well as supervised emergency or walking wounded patients at the General campus. Acquire a working knowledge of the various modalities used in cardiovascular imaging, including their scope and limitations. To perform suprapubic and endovaginal ultrasound examinations in pre menopausal and post menopausal women. Depending on the nature of the project, the Residency Training Program may have funds available to pay for some expenses. Recognize when an ultrasound-guided intervention would be detrimental to the health of a patient. A Saunders, 5th ed. The appointed members shall hold office for two years with appointment of new members occurring at the September RTC meeting. The rotation takes place at the Women’s Breast Health Centre on the 5th floor in the Grimes Lodge and at the Riverside Campus of The Ottawa Hospital. To recognize when a CT examination would be detrimental to the health of a patient and educate and advise on the use and misuse of CT. DMCA and other copyright information. The Role of References in Department Strategic Plan Drafting. All too often Iâve seen assistants submit a list of tasks as their objectives. It is up to a person in a secretarial position to ensure that all documents are correctly handled and archived for quick retrieval, that scheduling is done smoothly, that calls are answered and clients are attended to in a prompt manner. To learn to accurately assess one’s own performance, strengths, and weaknesses and obtain staff feedback in these regards. Residents must attend all scheduled rounds and other academic sessions. To understand the advantages and pitfalls of endovaginal ultrasound. Identify the important determinants of health affecting pediatric patients and balance radiation dose with the clinical benefit of an imaging study. Harnsberger. 10:30 and 15:30) A third review session in the late afternoon will often also be required. To obtain an understanding of the formation of CT images including physical and technical aspects, patient positioning, contrast media, and contrast reactions. Mid-rotation written evaluation (optional). Recognize and respond to those issues where advocacy of the mother and/or fetus is appropriate. Atlas of Roentgenographic Measurement; Keats TE., YBMP, 2001. If we ask a group of professionals the difference between objectives and goals you cannot get a smart answer. For the PGY5 resident, the rotation serves as a refresher of plain film interpretation, as well as ultrasound and CT imaging for a variety of acute conditions. The resident is expected to read plain films, perform the required procedures and supplement this with MRI and CT. An outstanding department strategic plan, may it be an HR strategic plan or any strategic plan made and used by other departments, is one that considers the content of the overall business strategic plan of the company and all the other factors that are essential in the successful usage of the document. It is a fact Human Resources has to reflect in HR Processes and Procedures. To develop, implement and monitor a personal continuing education strategy. Bachelorâs Degree for Registered Technologists. Quarterly updates to the Program Director may be provided as requested on activities and outcomes. 3rd ed. For most PGY1 rotations, the resident is responsible to select an evaluator and have him or her complete the on-line evaluation. 993-996. Because of possible problems with the PACS, cases left in “green” status are sometimes accidentally read by someone else. To identify common abnormalities encountered in daily practice and understand basic concepts which relate to gynecological ultrasound. 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. Manage a reasonable clinical caseload during each rotation. Computed Body Tomography with MRI Correlation; Lee, Sagel, Stanley, Heiken; 4th Edition (2005). Team management and coaching are key soft skills for managers. and out patient office, Formulates and completes clear, concise, legible and timely problem-oriented written/dictated consultation notes and discharge summaries, Able to communicate effectively with patients, families and health care team members, Able to set urgency priorities with respect to referrals, Identifies the important determinants of health affecting patients, Recognizes and responds to patient care issues where patient advocacy is appropriate, including within the treatment team and outside services/agencies, Recognizes impact of societal factors on patient health (housing etc), Accepts and acts on constructive feedback, developing a plan to correct gaps in knowledge or skills, Abdominal and vaginal assessment of a labouring patient, Uncomplicated vaginal delivery (supervised), Speculum exam (with PAP smear) and bimanual exam, Demonstrates anatomical and orthopedic knowledge base appropriate for level, Able to perform a focused, accurate and complete history and physical examination, Understands the indications and limitations of various investigative imaging modalities (X ray, US, CT, MRI), Demonstrates an understanding of the basic principles of fracture management, joint replacement and musculoskeletal injury, Able to synthesize clinical information, imaging and tests results for development of appropriate differential diagnosis and management plan for a variety of common problems in the orthopedic patient, Presents the patient’s problems clearly, concisely and correctly in the clinical setting both verbally and in patient’s medical record, Participates in interdisciplinary teams, considering and respecting the opinions of other team members. * Note on CTC days a full day of work would typically be 5-6 CTCs plus AXR and or GIs. Fundamentals of Diagnostic Radiology; Brant, Helms; 3rd Edition (2006). Management goals are to arrange employees into working groups according to their work functions. On your first day of the rotation you should watch at least 1 cardiac CT performed by the technologists. Other Sites (non-TOH) – As Per Individual Rotation arrangements. Additional media training and public speaking opportunities. All research should be done on hospital/university premises unless otherwise specified. All confirmed incidences of disruptive behavior will be managed in a staged response as described in the following ‘Disruptive Behavior Staged Management’ description. The resident will observe and/or assist the technologist as they position the patient and prepare the modality. Record suitable images from a continuous fluoro capture. Effectively and appropriately prioritize professional duties. Emergency Radiology: The Requisites. Educate and advise on the use and misuse of radiological diagnostic tests and intervention. While the resident is a part of the Radiology training program and will be invited to all program activities such as academic half-days, visiting professors, research days and retreats, the duties and responsibilities of the PGY-1 rotations take precedence over the activities in the Radiology department. When you set a goal make sure it is SMART:1. To keep hiring managers from looking right through your resume and your potential, your resume objective needs to be impenetrable. Establish positive relationships and listen effectively, Increase effectiveness of oral and written forms of communication, Accurately elicit and synthesize relevant information, Learn to find common ground on issues and problems, Be sensitive to issues of gender, religion and cultural beliefs, Effectively present medical information to the public or media about medical or education issues, Develop and enhance mentorship skills to mentor new resident and physician leaders, Communicate effectively with a constituency, Participate effectively in an inter-professional healthcare team, Recognize and respect the diversity of roles, responsibilities and competencies of other professionals, including those outside medicine and/or healthcare, Work with others to assess, plan, provide and review other tasks, such as educational work, program review or administrative responsibilities, Describe the principles of team dynamics and respect team ethics, including: confidentiality, resource allocation and professionalism, Work collaboratively with others both within PARO and other organizations, Participate in systemic quality process evaluation and improvement, such as patient safety initiatives, accreditation processes and internal policy review, Describe the structure and function of the healthcare system and the principles of healthcare financing, Set priorities and manage time to balance clinical requirements, outside activities and personal life, Recognize the importance of just allocation of healthcare resources, balancing effectiveness, efficiency and access with optimal patient care, Serve in administration and leadership roles, as appropriate, Chair or participate effectively in committees and meetings, Lead or implement a change in health care, Learn to effectively delegate and empower teams, Respond to the health needs of communities and identify opportunities for advocacy, health promotion and disease prevention, Identify vulnerable or marginalized populations and respond appropriately, Promote the health of individual patients, communities, and populations, Describe how public policy impacts on the health of populations, Identify points of influence in the healthcare system and its structure, Describe the ethical and professional issues inherent in health advocacy, including altruism, social justice, autonomy, integrity and idealism, Describe the role of the medical profession in advocating collectively for health and patient safety, Critically evaluate medical information and its sources, Facilitate the learning of patients, families, students, residents, other health professionals, the public and others, as appropriate, Select effective teaching strategies and content to facilitate learning and accurately disseminate knowledge to physician colleagues, Demonstrate an effective lecture or presentation, Exhibit appropriate professional behaviors, including honesty, integrity, commitment, compassion, respect and altruism, Appropriately manage conflicts of interest, Demonstrate a commitment to patients, the profession and society through participation in profession-led regulation, Recognize and respond to others’ unprofessional behaviors, Demonstrate a commitment to physician health and sustainable practice, Strive to heighten personal and professional awareness and insight, Recognize other professionals in need and respond appropriately. Accurately assess one’s own performance, strengths and weaknesses. Call will be performed on a “shadow call” basis and the resident will be assigned with a senior trainee. During this rotation, the resident will be assigned to an imaging modality and will collaborate with the technologist. Residents will attend 2 days at the Riverside Campus where they will have the opportunity to scan routine MSK cases. Ideally, at least one of the daily review sessions with staff should include a review of some of the resident approved report. The resident should protocol biopsy requisitions at least once a week. Learn the advantages and disadvantages of each. Gain the ability to be an effective teacher of magnetic resonance imaging to medical students, residents, technologists and clinical colleagues. Saunders. Gain an understanding of research ethics. 5. Demonstrate the ability to produce a report to describe the imaging findings, most likely differential diagnoses and recommend further testing and/or management. Willmann JK, Roos JE, Platz A, Pfammatter T, Hilfiker PR, Marincek B, Weishaupt D. Shanmuganathan K, Mirvis SE, Boyd-Kranis R, Takada T, Scalea TM. Gain a basic understanding of the physics of inherent tissue contrast in magnetic resonance images and how to manipulate this contrast. Educate and advise on the use of Nuclear Medicine studies. Head & Neck Imaging. 5. PGY2 – 1 block at each campus 6 block apart. A resident who does not meet the minimum standard is considered to be performing below expectations in that domain. Issues with regards to ethical/religious beliefs will be handled on a case-by-case basis. 3. Rumack & Levine. If there are morning rounds, the resident will start at ~9am since travel from the OGH is necessary after rounds. Friday: picc day or arterial Doppler day at MMI, Aortic aneurysm imaging (conventional and CT angiography), endovascular repair and post-procedure follow-up and complications, Peripheral arterial disease imaging (conventional and CT angiography), endovascular treatment and complications. 4 weeks of the rotation will be at the Riverside Campus in the Gyne US Dept (under the supervision of Cathie Morrisette). The resident will assess CT scans, review these with staff and dictate them daily. This includes lateral, AP and prone right decubitus projections. Cerebral perfusion study or Brain Scan with Tc_99m HMPAO or Tc_99m ECD (flow tracers Tc_99m DTPA, Tc_99m Pertechnetate and Tc_99m glucohepatonate used in the old days) for brain death, Alzheimer's disease and other cerebrovascular diseases, Shuntogram with In_111 DTPA for VP shunt patency, Cisternorgram with In_111 DTPA for normal pressure hydrocephalus and CSF leakage, FDG PET/CT for Alzheimer's disease and other cerebravascular diseases. The assessment of the endometrium, including measurement techniques, normal lining thickness limits in various clinical subgroups, the differential diagnosis for a thickened, heterogenous, or focally abnormal endometrium. ACGME competencies are marked in bold and underlined after each assignment or goal. Ann. To understand and communicate the benefits and risks of ultrasound. We will leave this to the taste and preferences of the users. The definition of radiology-specific KPIs should be a collaborative effort of the radiology department and the hospital administration. Communicate effectively with patients and their families and. The term of the PARO Presidency is 1 year (June 2016-June 2017). Junior rotation-2 weeks of combined cardiac and thoracic radiology (2 weeks in cardiac / 2 weeks thoracic radiology) -PGY2/3. There are multiple components to resident safety, addressed as follows: Residents involved in educational activities (interviewing patients, obtaining informed consent, performing procedures, etc.) Bone and Joint Imaging; Donald Resnick; A Saunders; 3rd ed. Any incidents dealing with intimidation or harassment should be handled as per the program policy on conflict resolution. Gain an organised knowledge base for the wide range of pediatric pathology. Supervise daily scheduled ultrasound examinations consulting the supervising. Recruit students with a demonstrated track of educational excellence into our full-time professional program 2. Educate and advise on the use and misuse of vascular and non-vascular imaging and intervention. Musculoskeletal trauma topics except for Spine were excluded, considering their adequate coverage in the Greenspan’s textbook and Dr. Assaf’s excellent teaching case collection. The following list is to serve as a reference guide. Afternoon: Following radiology lunch rounds, resident will read general Nuclear Medicine scans for the site (Civic or General) to which they are assigned, and review with the onsite Nuclear Medicine physician. There is a close working relationship with respirology, thoracic surgery, oncology and pathology. Attend Neurovascular Rounds every Thursday at 4PM in the C2 Clinic conference room, Civic Hospital. Hunter TB, Taljanovic MS, Tsau PH, Berger WG, Standen JR. Taljanovic MS, Hunter TB, Miller MD, Sheppard JE. Become proficient in performing breast ultrasound. Become proficient in arterial catheterization, perform a normal femoral angiogram and dialysis fistulogram and demonstrate ability in handling catheters and guidewires. - Note – remember that you may request special attention of the staff to clear STATS/HIGH priority cases whenever you feel necessary. Rotating q3-6 months. Gain a basic knowledge of skeletal radiology including arthritides, osteomyelitis, bone ischemia, tumors and metabolic bone disease. Develop confidence in effective consultation, conduct of radiological conferences and ability to present material and lead case discussions. Optional involvement in endometriosis scanning program in DI with Drs. Brody JM, Leighton DB, Murphy BL, Abbott GF, Vaccaro JP, Jagminas L, Cioffi WG. Detailed system based procedures are listed below. Diagnostic Imaging: Emergency. What are the two major generic types? RCPSC Research Manual is available as a resource for residents on the v drive. Review referrals for biopsies and decide on appropriate management with some assistance. You are also encouraged to participate in any ultrasound-guided procedures that are scheduled. 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. Understand the principles of safe and confidential data storage and management. Understand and communicate the benefits and risks of cardiovascular investigation and treatment including population screening. Learn to recognize the physical and psychological needs of patients and their families undergoing radiological investigations and/or treatment, including the needs of culture, race and gender. To communicate effectively with patients and their families the indication and complications of contrast administration and the utility of performing a CT study. Residents on regular Neuroradiology rotations will preferably leave ENT studies for the resident on this rotation. A good exam is a speedy exam. Recognize the physical and psychological needs of the patients and their families undergoing radiological investigations and/or treatment including the needs of culture, race and gender. What are the two major abdominal wall defects? 2008, Lippincott Williams & Wilkins. The remaining indications for UGI include: Since fluoroscopy involves ionizing radiation the radiologist has a duty to assess appropriateness of UGI requests and to direct the request to alternative tests if indicated. This is done by the combined action of the residents, fellows and staff, and it is everyone’s responsibility to manage this task. What are good department goals? Thyroid scan and thyroid uptake for subacute thyroiditis, thyroiditis and thyrotoxicosis. Be punctual and available for consultations and film review. Works and consults with other interdisciplinary team members and clinical colleagues to develop a plan for the orthopedic surgery patient; this may include preoperative and postoperative investigations, treatments and continuing care both in hospital and in ambulatory settings. How is the 4-chamber view obtained? Educate and advise on the use and misuse of imaging. The Diagnostic Radiology Residency Training Committee (RTC) has adopted the CPSO “Guidebook for Managing Disruptive Physician Behaviour” to define and guide the management of unprofessional and disruptive behavior within the residency program1. To possess a sensitivity to the propriety of the female patient undergoing a gynecologic scan and a sensitivity to the psychological reactions following pregnancy loss. 2008. The resident should discuss which day(s) they want to spend there with Dr. Lee. Barrett’s Esophagus: Diagnosis by Double-Contrast Esophagography: Gilchrist AM et al, AJR, Vol 150: pp. Practice breast imaging and intervention ethically and consistent with the obligations of a physician respecting the needs of culture, race and gender. The appropriate people can then be notified. This rotation aims to teach the resident in a graduated fashion the principles of breast cancer screening and to familiarise the resident with diagnostic breast interventional techniques. Adapted from the reading list compiled by McGill University. OMA Physician Health Program (PHP) for members 1-800-268-7215 x2972, PAIRO 24 help line for residents and their families 1-866-HELP-DOC (1-866-435-7362), Monique Beaulne (Resident Well Being) - 737-8473, University of Ottawa Faculty of Medicine Wellness Program (Dr. Gerin Lajoie) 613-562-5800 ext 8507. Additional examples of inappropriate actions/inactions include: a lack of engagement within the health care team; failing to work cooperatively or collaboratively with others; creation of inflexible barriers to requests for assistance; repeatedly failing to answer phone calls and/or pages asking for information and/or service assistance; and, a failure to be available when expected to be present and accountable. It is the expectation that the resident will be able to perform a pelvic and TVUS independently by the end of the rotation. Supervised learning or teaching sessions. The resident should transition to reading higher volumes, protocoling more cases and eventually be able to run a CT service independently. Name 5 major causes of elevated amniotic fluid AFP? Example of Goals and Metrics Goal Metrics Strengthen our hospital relationship Hospital Metrics Decreased length of stay ... Radiology call center Radiology 3D lab (workflow, standardized . CT and MR Imaging of the Whole Body; Haaga, Lanzieri, Gilkeson; 4th Edition (December 2002). Cases are reviewed as a group with the fellows and staff. Nuclear Medicine: Case Review Series Mosby, Paperback, 2010. The resident is expected to assist in more complicated procedures such as angioplasties and embolizations. Other activities constituting unprofessional behavior (intimidation or harassment, unprofessional inter-professional interaction, ethical or privacy transgressions) will also be considered. Civic Campus – Rotating as per BIG supervisor schedule. Assessment of the ovaries and adnexa, including normal appearance, imaging landmarks, and normal and abnormal adnexal solid and cystic structures. Residents will rotate primarily at the Civic Campus with opportunity to rotate through the General Campus if needed (see modality leads). Masui T, Katayama M, Kobayashi S, Sakahara H. Seymour CW, Pryor JP, Gupta R, Schwab CW. Residents will be encouraged to review the ER/STAT cases done overnight for improved exposure to MSK CT while on their MSK rotation. Residents should also refer to the University of Ottawa Postgraduate Medical Education Faculty of Medicine Occupational Health and Safety Policy (Publication pending as of May 2011). (Staff code on Qgenda: PBXG), 3rd Thursday of rotation: report to General Campus ultrasound (Module T). The Table of Contents in the second page has hyperlink functions. The resident will protocol a minimum of 20 cases on CPOE and will review these with the fellow or staff radiologist. What is the clinical significance of each? Demonstrate the ability to teach the plain film findings of cardiac disease to medical students, residents, technologists and clinical colleagues. If the resident has determined that it is unsafe to travel (e.g. Lippincott Williams & Wilkins, 2nd ed. Understand the use of available computer workstations and PACS including the three dimensional work station as it pertains to the practice of magnetic resonance imaging. The last image is a quick single view of the proximal small bowel that excludes malrotation and displays normal early transit. Goals represent outcome-oriented statements intended to guide and measure the organization’s future success. ‘Radiology’ Statistical Concepts Series. Demonstrate the ability to produce a radiologic report to describe the imaging findings, most likely differential diagnoses and when indicated, recommend further testing and/or management. Overall Goal: This selective rotation in radiation oncology is designed to introduce the BCT resident to the specialty of radiation oncology. Residents must participate in safety sessions required and provided by the Postgraduate Medical Education Office and/or Ontario Ministry of Health & Long Term Care including Fire Safety, Workplace Hazardous Materials Information and safety (WHMIS) Infection control, and follow the safety codes of the site where they are training. Present your research at the Annual Research Day. 7. Kawashima A, Sandler CM, Corl FM, West OC, Tamm EP, Fishman EK, Goldman SM. When on rotation, the resident is expected to gain as much technical and clinical experience as possible and either assist or perform the vast majority of angiograms and interventional procedures. Exhibit appropriate personal and interpersonal professional behaviors including accepting constructive criticism. Mosby. Our sponsoring institution's mission is to heal, comfort, educate and discover. Brown ED, Chen MY, Wolfman NT, Ott DJ, Watson NE Jr. Lemos AA, Sternberg JM, Tognini L, Lauro R, Biondetti PR. The HR Goals and Objectives were adjusted by the top management, just because expectations were raised (the top management has risen the bar for HR Professionals). 2017, Ultrasound-Guided Procedures. Perform interventional procedures including fine needle aspiration biopsies of focal thoracic lesions, core biopsies and insertion of pleural drainage catheters. Notify resident and/or other involved physician(s); Discovery process—ask all involved parties to discuss their perspective on the incident; If a resident is named as the disruptive party and the discovery process finds no merit to the accusation, the incident will be expunged from the e-mail records and not recorded in the resident’s file; If the accusation is found to have merit, each party will be invited to meet face-to-face for a discussion of the incident with the Program Director (or Associate PD) acting as a mediator; Obtain a verbal commitment from the disruptive physician that the disruptive/unprofessional behavior will not be repeated; If a resident is named as the disruptive party, the incident will be recorded in the resident’s file; If the accusation is found to have merit, each party will be invited to meet face-to-face for a discussion of the incident with the Site Supervisor(s) and/or the Program Director acting as a mediator; Obtain a written commitment from the disruptive physician that the disruptive/unprofessional behavior will not be repeated; Consider referral to the Office of Resident Wellness to discuss techniques to better manage stress, or other events which may lead to disruptive behaviors; If a resident is named as the disruptive party, and if the incident occurs during an “After-Hours” service period, consider assigning a more senior resident to act as a back-up to future “After-Hours” service periods in an effort to promote positive modeling behaviors; If resident has reliably demonstrated a pattern of disruptive physician behavior, the resident will be presented to the RTC Promotions Subcommittee.
radiology department goals and objectives examples