Radiology Rotation Goals and Objectives ... - Orlando Health

Radiology Rotation Goals and Objectives
Emergency Medicine Residency Training Program Curriculum
Orlando Regional Medical Center
Goals:
1. Develop the ability to evaluate, diagnose, stabilize, and treat the orthopedic patient.
Objectives:
1. Demonstrate effective communication with patients, their families, and professional
associates (*ICS).
2. Demonstrate respect, compassion, and integrity (*PR).
3. Demonstrate the ability to perform an appropriate history and physical exam (*PC).
4. Demonstrate the ability to develop an appropriate differential diagnosis and treatment
plan (*MK).
5. Demonstrate appropriate clinical decision making skills (*PC).
6. Demonstrate the ability to accurately interpret orthopedic radiographs (*PC)
7. Demonstrate procedural skills, particularly reduction and splinting, that are technically
proficient with level of training (*PC).
8. Learn the basic resources available for the care of the orthopedic patient (*SBP).
9. Learn the appropriate information resources (i.e., textbooks, handbooks, online resources,
etc.) available for care of orthopedic patient (*PBL).
10. Master a systematic approach to the interpretation of radiographs of the spine, including the
cervical, thoracic, and lumbar spine. (MK, PC)
11. Master a systematic approach to the chest x-ray taken for the evaluation of traumatic and nontraumatic
conditions. (MK, PC)
12. Master a systematic approach to the abdominal radiographs. (MK, PC)
13. Learn to identify and appreciate the clinical significance of the various fractures of the pelvis and
extremities. (MK, PC)
(* denotes core competency area: PC-patient care, MK-medical knowledge, ICS-interpersonal and
communication skills, PR-professionalism, SBP-systems based practice, PBL-practiced based learning and
improvement)
Methods:
Clinical Activities:
This one month rotation will be spent at Orlando Regional Medical Center during the
intern year. Supervision will be by the orthopedic surgery housestaff and/or faculty in compliance
with the medical center’s policy on “Housestaff Supervision”. The intern will be assigned to the
Orthopedic Trauma team and have the same roles and responsibilities of other orthopedic interns,
with the exception of limited operative duties. The intern is expected to attend and participate in
morning rounds with the team and attend the daily Orthopedic Conference when not conflicting
with ED Conference time. The intern will be expected to perform an initial evaluation on all
orthopedic consults in the E.D. from 6:30 a.m. to 5:00 p.m., Monday-Friday, as well as, during
weekend and overnight call. The intern will attend orthopedic clinics as well. Current ACGME
work duty hour regulations will be adhered to.

Description of clinical experiences: EM-1 residents spend one week reading radiographs with Dr. Michael
Zucker, Professor of Radiology and Chief, Division of Emergency Radiology. Each day all radiographs
taken in the Emergency Radiology suites (located within the Emergency Medicine Center) are reviewed by
Dr. Zucker and radiology resident. As the films are reviewed, the pertinent findings and diagnostic criteria
are discussed in an interactive manner with the emergency resident.
Description of didactic experiences: Multiple impromptu didactic sessions occur daily. There is a human
skeleton, a variety of radiology texts, and an extensive teaching file of radiographs for further education.
Residents are free to devote part of each day to other radiology specialties including ultrasound, CT, chest,
bone, and pediatric.
Didactics:
Attend all regularly scheduled E.M. conferences (Tuesday & Thursday, 7a-9:30a) and
Orthopedic conferences when not conflicting with EM conferences. Emergency Medicine
residents are required to maintain a 70% overall minimum conference attendance to planned E.M.
educational experiences.
Recommended Reading:
Review independently:
1. Lawrence’s Essentials of Surgical Specialties
Chapter 7: Orthopedic Surgery
2. Rosen’s Emergency Medicine: Concepts and Clinical Practice (5 th ed.)
Section III: Orthopedic Injuries
3. The Clinical Practice of Emergency Medicine (3 rd ed.), Harwood-Nuss
Part VI: Orthopedic Injuries
4. Robert/Hedges: Clinical Procedures in Emergency Medicine (3 rd ed.)
Section 7: Musculoskeletal Procedures
Evaluation:
1. Daily feedback by supervising orthopedic house staff and/or faculty.
2. Formal written evaluation of resident at end of rotation by orthopedic house staff and/or
faculty (see evaluation scale and sample evaluation form below).
3. Written evaluation of rotation by E.M. resident.
4. Formal testing on annual ABEM in-service exam and departmental quizzes on topics
addressed on rotation and didactics.
5. Annual curriculum review by program director, faculty and residents.
Evaluation process: Ongoing evaluation occurs in the one-on-one interactions with Dr. Zucker during the
rotation. A formal written evaluation is completed by Dr. Zucker at the end of the rotation.
Feedback mechanisms: Ongoing feedback occurs in the one-on-one interactions with Dr. Zucker during the
rotation. Feedback is also provided during the quarterly sessions with either the individual’s faculty
advisor or one of the residency directors.

Emergency Medicine Resident Evaluation
Radiology Rotation
Resident Name:_______________________________________ Date:____________________
Please evaluate the resident’s performance on the following rotation objectives:
Evaluation Scale:
• Unacceptable (Often falls short of reasonable expectations, cause for real concern.)
• Marginal (In general meets reasonable expectations but occasionally falls short.)
• Acceptable (Always meets reasonable expectations and occasionally exceeds them. Most
merit this rating.)
• Very acceptable (Usually exceeds reasonable expectations but is not really outstanding.)
• Outstanding (Far exceeds reasonable expectations. Only a few will merit this rating.)
1. Communicates effectively with patients, their families, and professional associates (*ICS):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
2. Demonstrates respect, compassion, and integrity (*PR):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
3. Performs an appropriate history and physical exam (*PC):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
4. Develops an appropriate differential diagnosis and treatment plan (*MK):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
5. Demonstrates appropriate clinical decision making skills (*PC):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
6. Demonstrates the ability to accurately interpret orthopedic radiographs (*MK):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
7. Demonstrates procedural skills that are technically proficient with level of training (*PC):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
8. Understands the basic resources available for the care of the orthopedic patient (*SBP):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
9. Utilizes appropriate information resources (i.e., textbooks, handbooks, online resources, etc.),
when applicable, for care of patient (*PBL):
Unacceptable:___ Marginal:___ Acceptable:___ Very acceptable:___ Outstanding:___
10. Successful completion of rotation? Yes___ No___
(* denotes core competency area: PC-patient care, MK-medical knowledge, ICS-interpersonal and
communication skills, PR-professionalism, SBP-systems based practice, PBL-practiced based learning and
improvement)
Comments and signature on back of page

Comments:
Faculty name/signature:___________________________________________________________
(Thank you and please return to Salvatore Silvestri, MD, EM Program Director)