Department:   Radiology

 

Elective Title:             Interventional Radiology         RAD 9305

 

Campus:         Northeast                               Location of Elective:  Altru Health System

 

Preceptor(s):              Randall J. Smith, M.D.

 

Period(s) offered and number of students per period:         All periods

 

Purpose:         To expose the medical student to a variety of interventional radiology procedures with the goal of identifying appropriate indications, performing pre-procedural evaluation, performing procedures, and participating in post-procedure care and follow-up.

 

Objectives: Following successful completion of this elective, the student will be able to:

 

1.   Effectively evaluate an Interventional Radiology (IR) patient to determine if he/she is an appropriate candidate for conscious sedation.

 

2.   Identify the imaging modalities used in IR procedures and choose correctly the modality for a given patient and procedure.

 

3.   Interpret basic plain films, fluoroscopic images, angiographic images, ultrasounds, CT scans, MRI scans, and nuclear medicine scans used in evaluating and treating IR patients.

 

4.   Identify appropriate indications for various IR procedures.

 

5.  Perform image-guided vascular access procedures.

 

6.   Perform a thorough H&P to diagnose peripheral vascular disease (PVD) and participate in treatment including conservative management, pre-procedure evaluation, and performance of procedure, post-procedure care, and follow-up care.

 

7.   Perform a thorough H&P to diagnose venous disease and participate in treatment including conservative management, pre-procedure evaluation, and performance of procedure, post-procedure care, and follow-up care.

 

8.   Perform a thorough H&P to diagnose genitourinary tract disease and participate in treatment including conservative management, pre-procedure evaluation, and performance of procedure, post-procedure care, and follow-up care.

 

9.   Perform image-guided biopsies, aspirations, and/or drainages.

       

 

 

Instructional Activities: During this elective, students will be involved in/experience:

 

1.   Reading of Handbook of Interventional Radiologic Procedures by Kandarpa and Aruny, third edition.

 

2.   Direct continuous contact with the preceptor.

 

3.   Observation of and participation in interventional radiology procedures.  This would include all phases from receipt of the consult to post-procedure patient visit.

 

4.   Daily interpretive sessions in IR suite and CT suites.

 

5.   Appropriate documentation (handwritten or dictated notes) of interactions with the patients seen during the elective.

 

Criteria for Grading: During and following this elective, the preceptor will:

 

1.   Judge by direct observation the student’s participation in clinical care of the patients.     

 

2.   Judge by direct observation the student’s level of proficiency in diagnosis and treatment of interventional radiology patients.

 

3.   Judge by direct observation the student’s ability to perform an efficient H&P exam and review the patient’s medical record.

 

4.   Judge by direct observation the student’s ability to work as a member of an integrated health team.       

 

5.   Judge by direct observation the student’s ability to present cases and integrate, assess, and learn  new information.

 

6.   Complete the standard UND 4th year evaluation form with particular attention to the skills obtained in the items listed above under ‘Criteria for Grading’.