Elective Program

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Department: MERAD-Radiology
Course: 526-Abdominal Imaging

Course Director: L. Alexandre R. Frigini, M.D.
Course Faculty: Carlos A. Farinas, M.D.,L. Alexandre R. Frigini, M.D.,Babak Toulabi
Elective Location: BTH
Elective Offered Terms:
Months: 1B,1C,2A,2B,3A,3B,3C,4A,4B,4C
Two Week Periods:
Min. Number of Students: Max:  1
Elective Type: Clinical
Matriculating prior to fall 20158
Matriculating fall 2015 and beyond4
Pre-requisites: MERAD 506 or MERAD 200
Open to US Visiting Students: Yes
Open to International Visiting Students: No
Grading: H,HP, P, MP, F Narrative Evaluation
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): Monday - Friday; 8 a.m. - 5 p.m. Inpatient Ward:
Night Call: No Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: No Surgery:
Course Description & Learning Objectives:
Readings: Squires Fundamentals of Radiology, Ch. 11-14. Students are expected to work with both residents and attendings to get exposed to the different form of abdominal imaging, and their varying uses. The course is focused on learning the appropriate ordering of studies and image interpretation of common abdominal imaging modalities.

Class: The student will be assigned an appropriate power point presentation. The student is encouraged to attend resident conferences and multidisciplinary oncology conferences.

Learning Activities
1) KUB/Fluoroscopy: Use a systematic search pattern for interpreting an abdominal plain film; understand when to order supine vs. upright vs. decubitus KUB (3.7); describe what a patient experiences during a GI fluoroscopic procedure (6.2); understand indications for the different fluoro procedures (3.7, 3.9); describe clinical scenarios where GI endoscopy would be more appropriate than a fluoroscopic radiologic procedure.
2) Ultrasound: summarize the benefits and limitations of US as an imaging modality (2.1, 3.7); list clinical scenarios in which US may be preferable to CT or MRI (3.7, 3.9); describe the role of US in the workups (2.1, 3.7, 3.9); list diagnostic and therapeutic procedures that are commonly performed with US guidance (2.1, 6.1).
3) Abdominal CT/MRI: categorize different tissues from most to least opaque on CT (2.1); understand how HU and density values ca help differentiate between competing diagnostic possibilities (2.1); recognize abdominal organs on cross sectional imaging studies (2.1); understand how abdominal imaging protocols are tailored to specific imaging indications; understand how the following basic MRI imaging parameters affect the image: T1/T2, fat suppression, diffusion restriction (2.1); construct the appropriate imaging algorithm for common diagnostic scenarios (3.2, 3.7, 3.9).

Evaluation Methods
Grade based on written evaluations and verbal feedback (to the course director) by attending physicians and residents. Students will also prepare a power point presentation of a case they experienced while on the rotation. The grade is composed of clinical performance (50%) and quality of the presentation (50%).

When and Where to report on first day of service:
8:00 AM, BT Rad. Dept., US area, 1st Flr. - Wear professional clothing with your white coat (no scrubs).
For additional information regarding this elective contact:
Contact Name: Becky Baxter
Contact Phone: 713-798-6362
Contact Fax: 713-798-8359
Contact Location: Main BCM - Anderson Building - Basement - Radiology Education Office - Room 022E
Email: beckyb@bcm.edu
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