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CURRICULUM OVERVIEW

The radiology residency program at the Jacobi Medical Center provides four years of training in all aspects of diagnostic imaging. The Jacobi Medical Center, a major teaching hospital of the Albert Einstein College of Medicine, is a level-one trauma center with approximately 500 beds.

With a central role in clinical services, teaching of medical students, and research, the radiology department services both the Jacobi Medical Center and the North Central Bronx Hospital, which make up the North Bronx Health Network. All radiologic studies are interpreted under the supervision of attending radiologists. Our department prides itself on working in a collegial and supportive atmosphere, with an emphasis on didactic lectures and individual case-based teaching.

First year rotations are designed to teach the fundamentals of radiologic examinations needed in preparation for taking call. The first 2 months consists of orientation, where first-year residents are paired with senior residents in order to facilitate learning. All first year residents then rotate through emergency radiology, abdominal imaging, fluoroscopy, musculoskeletal imaging, neuroradiology, nuclear medicine, thoracic imaging, ultrasound, pediatrics, and interventional radiology. First years are taught in a supportive and collegial atmosphere, and are encouraged to attend and actively participate in clinical conferences. Introductory physics lectures begin in the first year, and physics instruction is also integrated throughout their clinical rotations.

During the second year, residents begin to take independent call without a senior resident. This opportunity affords the resident more autonomy as their expertise increases. Second year rotations are designed to specialize in more advanced areas of musculoskeletal imaging (MRI), neuroradiology, and breast imaging (including breast MRI). All second year residents attend a specialized 1 week introductory MRI physics course at the Gruss Magnetic Resonance Research Center. The MRRC is a 19,000-square-foot facility on the main (Resnick) campus of the Albert Einstein College of Medicine of Yeshiva University. The MRRC specializes in all aspects of MR modalities, including functional and structural MRI, diffusion tensor imaging and tractography, MR spectroscopy, chemical shift imaging, and arteriography, and we are currently expanding our research collaborations with investigators in other Einstein departments and the Montefiore Medical Center.

During the third year, residents gain further expertise in advanced imaging examinations. Under the supervision of attending radiologists, third year residents are encouraged to actively participate in clinical conferences, tumor board, and other presentations throughout the medical center. All residents are required to attend the four week program in radiologic-pathologic correlation at the Armed Forces Institute of Pathology (AIRP) in Silver Spring, Maryland. During the third year, specialized review conferences are geared for the American Board of Radiology Core examination.

Fourth year residents select three areas of academic specialization which will represent three "mini-fellowships" designed to gain advanced expertise. Mini-fellowships can be done at the Jacobi Medical Center. Additionally, two, 1-month long electives can be arranged at the Montefiore Medical Center or another academic institution depending on resident preference and specific training needs. Elective time can also be used for intensive research projects.

CURRICULUM DETAILS:

The Department of Radiology's Diagnostic Radiology Residency curriculum fully complies with the requirements of the American Board of Radiology. Residents are typically assigned in four-week blocks in one of the following subspecialty areas of radiology:

  • Neuroradiology
  • Cardiothoracic Imaging
  • Body Imaging, including CT and MR
  • GI fluoroscopy
  • Ultrasound, including obstetrical ultrasound
  • Nuclear Medicine, including cardiac and PET-CT
  • Vascular and Interventional Radiology
  • Pediatric Radiology
  • Musculoskeletal Radiology
  • Breast Imaging, including mammography, MR, and interventional breast procedures
  • Emergency Radiology

Individual years include:

  • First Year:
    • Two weeks of dedicated orientation blocks in chest, body, fluoroscopy and emergency radiology, which introduces new residents to fundamental concepts needed to start taking call.
    • Buddy call with a senior resident and an attending - approximately 3-4 times a month.
  • Second Year:
    • One week dedicated MRI physics course.
    • Seven weeks of Night Float, typically taken in two-week blocks.
  • Third Year:
    • Four weeks at the AIRP course in Silver Spring, MD.
    • Four weeks of Night Float.
    • Two weeks of PET/CT at our outpatient Nuclear Medicine Facility.
    • Study and preparation time for the Core Exam while balancing goal directed learning and ongoing participation on clinical services.
  • Fourth Year:
    • One week dedicated MRI physics course.
    • Extensive elective time.
    • Two weeks of Night Float
    • One week to attend the RSNA or another scientific meeting.
    • Additional time on Mammography, Nuclear Medicine and PET/CT.

CALL RESPONSIBILITIES:

Each first year resident takes evening and weekend buddy call with a senior resident and an attending approximately three to four times a month. Responsibilities given to junior residents gradually increase so that they function at or near fellowship level by the fourth year. Independent call begins at the beginning of the second year of residency with evening, weekend and night float calls. Evening and weekend call involves working alongside our radiology attending. Night call gives the resident distinct autonomy and independence. Nonetheless, there is continuous expert backup by subspecialist attendings that are available at all hours for consultation via teleradiology.

Residents are responsible for reading and dictating all emergency, trauma, and urgent care radiographs, ultrasounds, CT's and MR's.