Elective & Sub Internship Program
Baylor College of Medicine Elective Program

Elective Courses

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Department: MERAD-Radiology (includes Radiation Oncology)
Course: 526-Abdominal Imaging
Track:

Course Coordinator: Dr. Alex Frigini
Course Faculty: Dr. Rony Kampalath
Elective Location: BTGH
Periods Elective offered:
Min. Number of Students:Max: 2
Course Level: Clinical Elective: Counts toward 32-credit graduation requirement
Credit: 8
Pre-requisites: Must have completed & passed MERAD 506
Visiting Student Elective: Yes
Open to International Students: Yes
Grading: Pass/Fail Only
Faculty Approval: Yes

Time Commitment Percentage of time expected
Regular Hours (Mon-Fri): 8am - 5pm Inpatient Ward:
Night Call: Inpatient consultations:
Number on-call nights: Outpatient clinics:
Weekends: Surgery:
    Laboratory
  Didactic:
  Other:
Statement of Goals:
Course Not Offered: November, December, February, and May 1) Gain a basic understanding of the physics and techniques used in abdominal imaging; 2) Recognize and evaluate abdominal anatomy on imaging studies by using a systemic approach: a) recognize appropriate positions of lines and tubes (NG tube, Dobbhoff), b) Location of various organs and organ systems (Hepatobiliary, Renal, Gastrointestinal, +/- Reproductive; c) Identification of abdominal vasculature (Branches of aorta, Areas that would be affected by the occlusion of an arty; d) Bones (Vertebrae, Ribs, Pelvis); 3) Learn basic abnormal findings: a) KUB (bowel gas patterns, Pneumoperitoneum, Abnormal calcifications, Spine/hips/pelvis, Organomegaly, Mass effect, Ascites); b) CT (Bowel distention, Bowel gas patterns, free fluid in peritoneum, Abnormal calcifications, Renal calculi versus phleboliths, effects of inflammation visualized on abdominal CT; 4) Recognize characteristic findings for common trauma and acute conditions: a) Perforation/free air; b) Hepatic/splenic lacerations; c) Renal trauma; d) Acute appendicitis; e) Cholecystitis; f) Diverticulitis; 5) go through the entire CT and US learning modules located in CT/US inpatient radiology service room 6) Gain an appreciation for and understanding of which imaging modalities to use for the abdomen for different situations: a) When do you use oral contrast?; b) When to order upright vs. decubitus vs. supine KUB?; c) When to order barium or water-soluble contrast images?; d) What does an Upper GI eval? Barium swallow? Esophogram? Small bowel follow through? Contrast enema?; e) When to use IV contrast for CT.
Learning Activities
Readings: Squires Fundamental of Radiology - Chapters 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. Class: There will be one mandatory class. The student will be assigned an appropriate powerpoint presentation.
Evaluation Methods
Grade based on written evaluations by attending physicians and residents, with a minimum of two evaluations (one resident, and one attending). Students will also prepare a powerpoint presentation of a case they experienced while on the rotation. 8am - 5pm Mon-Fri - The Abdominal Organs Conferences - Students are encouraged to attend daily radiology resident noon conferences - Students will be assigned on a weekly basis to the BT/HHS Abdominal CT reading room.
When and Where to report on first day of service:
8:00 AM, Abdominal Imaging Reading Room, BTGH, 1st Floor. 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: BCM-Anderson Bldg-Basement-022E
Address:
Email: beckyb@bcm.edu
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