Expectations

During the third or fourth year of the MD Program curriculum, medical students at the University of Wisconsin School of Medicine and Public Health in Madison will complete a two-week rotation in the Department of Radiology.

Expectations and Schedule

• Students are expected to attend all scheduled lectures and seminars. Lectures and seminars are scheduled Monday-Friday, typically between the hours of 8am and 4pm. Students will be provided with a copy of the schedule and will be notified of changes.
  
  
• Students are required to attend, and document, reading sessions in the reading rooms. Students may select the reading rooms and will be provided with a form for signature by a radiologist. This form will be collected at the end of the rotation.
  
  
• Students must prepare a case report. The report must be based on a current study (i.e. during the rotation) and must include at least one reference. The report will be collected at the end of the rotation.
  
  
• Students must complete the Educational Requirements. This process must be done before grades are awarded.
  
  
• Students are expected to comply with the attendance policy as outlined in the student handbook.

Remediation Policy

Occasionally, students may be identified as demonstrating significant deficits in patient care, communication, or professionalism. The purpose of this policy is to describe a process to identify such deficits in a timely manner, create and monitor a remediation plan, and ascertain an outcome.

Students requiring remediation during the clerkship may be identified in one of these ways:

• Students may self-identify area(s) of need and discuss with clerkship director and/or
  co-director(s)
• Seminar leaders, lecturers, and/or reading room staff my identify area(s) of need

When a need for remediation is identified:

• Clerkship Coordinator, Director, and/or Co-Directors will be notified; in more severe cases the Dean of Students will be involved
• Remediation Plan will be created. The Remediation Plan will:
  • Identify the area of concern
  • Establish impact on patient care and/or learning
  • Describe the monitoring plan and consequences of failure of remediation
  • Note whether or not the remediation plan will become part of the student's permanent record (depending upon severity)

Experience Requirements

During this rotation, you will observe the following in seminars/lectures, reading room sessions and/or assigned reading:

• Abdominal Pain: Students will assist with the evaluation of imaging studies including CT and plain radiographs. They will identify abnormal calcifications, air and fluid collections, vascular abnormalities, and masses. Integrating the history with the images, they will help create a list of appropriate differential diagnoses and suggest the next therapeutic step.
  
  
• Bone Trauma: Students will assist in interpretation of bone and soft tissue abnormalities on radiographs. They will diagnose fractures as well as soft tissue injuries that can mimic fractures. They will assist in requesting appropriate follow-up studies if the initial radiographic images are not diagnostic including MR and image guided procedures.
  
  
• Breast Mass: Students will assist in the evaluation of a breast mass using features on mammography and be able to explain the usefulness of ancillary procedures such as image guided biopsy, breast ultrasound, and MR. Students will also demonstrate an understanding of the importance and difficulties in communicating information about these imaging studies to the patient.
  
  
• Chest Pain: Students will assist with evaluation of CT, MR, and chest radiographs to determine the cause of acute chest pain. Students will assist in determining the appropriate sequencing of studies based on history and physical exam findings that might suggest pulmonary emboli, aortic disease, coronary artery disease, pneumothorax and pneumonia.
  
  
• Shortness of Breath: Students will assist in the evaluation of patients presenting with shortness of breath. Radiographic images as well as CT and MR will be interpreted. Cases will include pneumothorax, pneumonia, CHF, pulmonary emboli, and coronary artery disease. Students will assist with interpretation of life threatening conditions such as tension pneumothorax.