New Application - ACGME · Web viewWill residents prepare and present clinically- or...

New Application: Interventional RadiologyReview Committee for Radiology

ACGME

Note: Some information requested in this application applies only to Independent programs, and other information applies only to Integrated programs. If not specifically designated, the requested information applies to both Independent and Integrated formats. Institutions applying for both Independent and Integrated programs must answer all items on the form.

PROGRAM FORMAT

1. Indicate the requested program format. [PRs Int.D.1. and Int.D.2.]

(Check both boxes if you are applying for both an Independent and Integrated program.)Independent format (2 years) ☐Integrated format (5 years) ☐

2. Indicate the number of existing residents/fellows in the diagnostic radiology (DR) and (if applicable) vascular and interventional radiology (VIR) program(s) in Table A below:

Existing Training Numbers

DR ResidentsVIR Fellows(if applicable)

PGY-2 #PGY-3 #PGY-4 #PGY-5 #PGY-6 #Total Complement # #

3. Indicate the total number of planned resident positions for the diagnostic radiology program, integrated interventional radiology program, and/or independent interventional Radiology program (if applicable) in Table B below:

Planned Resident Positions

Diagnostic Radiology

Independent Interventional

Radiology

Integrated Interventional

Radiology PGY-2 # #PGY-3 # #PGY-4 # #PGY-5 # #PGY-6 # #PGY-7 #Total Complement # # #

a) Total diagnostic radiology [diagnostic radiology (PGY-2-5) + integrated interventional radiology

Interventional Radiology Updated: 08/2016©2016 Accreditation Council for Graduate Medical Education (ACGME) of 23

(PGY-2-4)] .................................................................................................................................= #

b) Total interventional radiology [integrated (PGY-5,6) + independent (PGY-6,7)]........................= #

Explain how the institution will manage/fill resident positions for its integrated interventional radiology and independent interventional radiology programs:Click here to enter text.

PROGRAM PERSONNEL AND RESOURCES

Program Director

1. Will the program director be provided the equivalent of at least 20 percent protected time in order to fulfill the responsibilities inherent to meeting the educational goals of the program? [PR II.A.1.b)].........................................................................................................................................☐ YES ☐ NO

2. Briefly describe how the program director will ensure that resident case logs are submitted annually in accordance with the format and due date specified by the Review Committee. [PR II.A.4.q)]

Click here to enter text.

3. Will the program director review resident case log data semiannually for accuracy? [PR II.A.4.r)].........................................................................................................................................☐ YES ☐ NO

Faculty

1. Will at least one interventional radiology faculty member have hospital admitting privileges? [PR II.B.7.].......................................................................................................................☐ YES ☐ NO

2. Will faculty members always be available for back-up when residents are on night, weekend, or holiday call? [PR II.B.9.]..................................................................................................☐ YES ☐ NO

3. Will faculty members review all radiologic images and sign all resident reports within 24 hours? [PR II.B.10.].....................................................................................................................☐ YES ☐ NO

4. Will faculty members provide didactic teaching and direct supervision of resident performance in peri-procedural patient management, and of the procedural, interpretative, and consultative aspects of interventional radiology? [PR II.B.11.].........................................................................☐ YES ☐ NO

5. Will faculty members supervise all percutaneous image-guided invasive procedures? [PR II.B.12.].........................................................................................................................................☐ YES ☐ NO

6. Briefly describe Interventional Radiology Division participation in dedicated interventional radiology outpatient clinics. [PR II.B.13.]


7. Integrated Programs:

a) Provide the name of the designated physician faculty member responsible for the educational content of each of the non-interventional subspecialty areas. Also specify the percent of his/her practice time that will be spent in the subspecialty, and how each individual will demonstrate commitment to the subspecialty. [PRs II.B.14.a); II.B.14.b) – b).(1).(a)-(e)]


Subspecialty area

Name of faculty member

(Subspecialty Chief)

Estimated percentage of time

dedicated to subspecialty

Commitment demonstrated to the

subspecialty*Abdominal radiology Click here to enter

text.# % Click here to enter

text.Breast radiology Click here to enter

text.# % Click here to enter

text.Cardiothoracic radiology


# % Click here to enter text.

Musculoskeletal radiology



Neuroradiology Click here to enter text.


Nuclear radiology Click here to enter text.


Pediatric radiology Click here to enter text.


Ultrasonography Click here to enter text.


*Indicate by number all that apply:1. Current subspecialty certification (CAQ)2. Fellowship training3. Three years of subspecialty practice4. Membership in a subspecialty society5. Publications and presentations in the subspecialty6. Annual CME credits in the subspecialty7. Participation in Maintenance of Certification with emphasis on the subspecialty area

b) Will an assistant or associate program director (APD) that is clinically active in diagnostic radiology be appointed? [PR II.B.14.c)].....................................................................☐ YES ☐ NO

If NO, explain.Click here to enter text.

Other Program Personnel

1. Will the program have a dedicated program coordinator? [PR II.C.1)]............................☐ YES ☐ NO


2. Will at least one qualified interventional radiology technologist be on duty or available at all times? [PR II.C.2.].......................................................................................................................☐ YES ☐ NO

3. Will nursing support adequate to prepare, monitor, and recover patients be available? [PR II.C.3.].........................................................................................................................................☐ YES ☐ NO

a) Will nurses competent to administer moderate sedation also be available? [PR II.C.3.a)]...................................................................................................................................☐ YES ☐ NO


b) Will physician extenders (nurse practitioners or physician assistants) be involved in interventional radiology section clinical care activities or resident training? [PR II.C)]...................................................................................................................................☐ YES ☐ NO

If YES, explain the role of the physician extenders.Click here to enter text.

Resources

1. Briefly describe resident access to personal or shared office space, conference space, and computers. [PR II.D.1.a)]


2. Briefly describe the availability of modern imaging equipment and procedure rooms with adequate space to permit the performance of all radiologic and interventional radiologic procedures, including vascular and non-vascular invasive imaging and image-guided interventional radiological procedures. [PR II.D.1.b)]


3. Will imaging modalities include the following? [PR II.D.1.c)]

a) Computed tomography..............................................................................................☐ YES ☐ NOb) Digital subtraction angiography.................................................................................☐ YES ☐ NOc) Fluoroscopy...............................................................................................................☐ YES ☐ NOd) Magnetic resonance imaging.....................................................................................☐ YES ☐ NOe) Radionuclide scintigraphy..........................................................................................☐ YES ☐ NOf) Ultrasonography........................................................................................................☐ YES ☐ NO

4. Will fluoroscopic and digital imaging equipment be high resolution and have digital display with post-procedure image processing capability? [PR II.D.1.c).(1)]......................................☐ YES ☐ NO


5. Will rooms in which interventional procedures are performed be equipped with physiologic monitoring and resuscitative equipment? [PR II.D.1.d)]..................................................☐ YES ☐ NO

6. Will facilities for storing catheters, guide wires, contrast materials, embolic agents, and other supplies be adjacent to or within procedure rooms? [PR II.D.1.e)].................................☐ YES ☐ NO


7. Briefly describe the availability of patient recovery and holding areas. [PR II.D.1.f)]


8. Briefly describe available space and facilities for image display, image interpretation, and consultation with other clinicians. [PR II.D.1.g)]



9. Will an interventional radiology clinic or outpatient office, separate from the procedure rooms, be available for patient consultations and non-procedural follow-up visits? [PR II.D.1.h)]...☐ YES ☐ NO

a) Will this space be conducive to patient privacy and conducting physical examinations? [PR II.D.1.h).(1)].........................................................................................................☐ YES ☐ NO


10. Will access to a teaching file be available? [PR II.D.2.]...................................................☐ YES ☐ NO

11. Integrated Programs: Will there be a minimum of 7,000 radiologic examinations per year per resident for all planned interventional radiology residents in the PGY-2-4 in addition to all planned diagnostic radiology residents listed in Table B above? [PR II.D.3.a).(2)].......................☐ YES ☐ NO

Patient Population

Will residents be exposed to a patient population with a diversity of pathologies, including: [PR II.D.3.b).(1)]

a) Arterial diseases........................................................................................................☐ YES ☐ NOb) Visceral arterial disease.............................................................................................☐ YES ☐ NOc) Aortic disease............................................................................................................☐ YES ☐ NOd) Peripheral disease.....................................................................................................☐ YES ☐ NOe) Cancer ......................................................................................................................☐ YES ☐ NOf) Gastrointestinal disorders..........................................................................................☐ YES ☐ NOg) Gynecologic disorders...............................................................................................☐ YES ☐ NOh) Hepatobiliary disease................................................................................................☐ YES ☐ NOi) Endocrine disease.....................................................................................................☐ YES ☐ NOj) Musculoskeletal disease............................................................................................☐ YES ☐ NOk) Pulmonary disease....................................................................................................☐ YES ☐ NOl) Venous disease.........................................................................................................☐ YES ☐ NOm) Urologic disorders......................................................................................................☐ YES ☐ NO

Support Services

1. Will pathology and medical laboratory services be regularly and conveniently available to meet the needs of patients? [PR II.D.4.a)].....................................................................................☐ YES ☐ NO

a) Will laboratory services be available 24 hours a day? [PR II.D.4.a).(1)]...................☐ YES ☐ NO

2. Will diagnostic laboratories for the non-invasive assessment of peripheral vascular disease be available? [PR II.D.4.b)]...................................................................................................☐ YES ☐ NO

3. Will the Sponsoring Institution provide laboratory and ancillary facilities to support research projects? [PR II.D.4.c)]....................................................................................................☐ YES ☐ NO


APPOINTMENT OF FELLOWS AND OTHER LEARNERS


If the Sponsoring Institution currently sponsors an ACGME-accredited diagnostic radiology residency program, how will the program director ensure the program in interventional radiology does not dilute or detract from the educational opportunities available to residents in the diagnostic radiology residency? [PR III.D.2.]


EDUCATIONAL PROGRAM

Didactic Sessions

1. Is the core didactic curriculum documented? [PR IV.A.3.a)]...........................................☐ YES ☐ NO

2. Does the core didactic curriculum include the following core content areas of interventional radiology? [PR IV.A.3.b)]

a) Focused history and physical examination? [PR IV.A.3.b).(1)].................................☐ YES ☐ NO

b) Health care team coordination? [PR IV.A.3.b).(2)]....................................................☐ YES ☐ NO

c) Informed consent for interventional radiology procedures? [PR IV.A.3.b).(3)]..........☐ YES ☐ NO

d) Inpatient care? [PR IV.A.3.b).(4)]...............................................................................☐ YES ☐ NO

e) Interventional radiology clinic? [PR IV.A.3.b).(5)]......................................................☐ YES ☐ NO

f) Medical conditions relevant to interventional radiology? [PR IV.A.3.b).(6)]...............☐ YES ☐ NO

g) Pharmacology relevant to interventional radiology? [PR IV.A.3.b).(7)].....................☐ YES ☐ NO

h) Procedural sedation for interventional radiology procedures? [PR IV.A.3.b).(8)]......☐ YES ☐ NO

i) Recognition and initial management of intra- and peri-procedural emergencies? [PR IV.A.3.b).(9)].......................................................................................................☐ YES ☐ NO

3. Provide a representative schedule of interdepartmental conferences. [PR IV.A.3.d)]


4. Briefly describe planned resident participation in conferences. [PR IV.A.3.g)]


a) Will residents be provided with protected time to attend all scheduled lectures and conferences? [PR IV.A.3.g).(1)].......................................................................................................☐ YES ☐ NO

b) Will residents be provided with:

Independent Programs:

Two hours of conferences/lectures per week? [PR IV.A.3.g).(2).(b)]........................☐ YES ☐ NO


Integrated Programs:

(1) Five hours of conferences/lectures per week during the PGY-2-4? [PR IV.A.3.g).(2).(a)]............................................................................................☐ YES ☐ NO

(2) Two hours of conferences/lectures per week during the PGY-5-6? [PR IV.A.3.g).(2).(a)]............................................................................................☐ YES ☐ NO

c) Will resident attendance at conferences/lectures be documented? [PR IV.A.3.g).(3)]...................................................................................................................................☐ YES ☐ NO


d) Briefly describe how the resident teaching experience will include active participation in educating diagnostic radiology residents, and if appropriate, medical students and other professional personnel, in the care and management of patients. [PR IV.A.3.g).(4)]


Interventional Radiology Didactic Content

1. Will morbidity and mortality related to the performance of interventional procedures be reviewed regularly and documented? [PR IV.A.3.h).(1)].................................................................☐ YES ☐ NO


a) Will residents participate in this review during each year of the program? [PR IV.A.3.h).(1).(a)]...................................................................................................................................☐ YES ☐ NO

b) Will morbidity and mortality reviews be conducted at least monthly during each year of the program? [PR IV.A.3.h).(1).(b)]..................................................................................☐ YES ☐ NO



a) Will residents participate in this review during the PGY-5-6? [PR IV.A.3.h).(1).(a)]. .☐ YES ☐ NO

b) Will morbidity and mortality reviews be conducted at least monthly during the PGY-5-6? [PR IV.A.3.h).(1).(b)]..................................................................................................☐ YES ☐ NO

c) If NO, explain.Click here to enter text.

2. Will residents prepare and present clinically- or pathologically-proven cases at departmental conferences? [PR IV.A.3.h).(3)].......................................................................................☐ YES ☐ NO



Integrated Programs – Diagnostic Radiology Subspecialty Didactic Content

1. Will there be a didactic component for each of the non-interventional subspecialty areas, including the following for both pediatric and adult patients? [PR IV.A.3.i).(1).(a)]

a) Anatomy.....................................................................................................................☐ YES ☐ NOb) Disease processes....................................................................................................☐ YES ☐ NOc) Imaging......................................................................................................................☐ YES ☐ NOd) Physiology.................................................................................................................☐ YES ☐ NO

Explain any NO responses.Click here to enter text.

2. Will each of the designated subspecialty chiefs organize a series of intra-departmental lectures that cover topics in his/her subspecialty area? [PR IV.A.3.i).(2)]............................................☐ YES ☐ NO

3. Will didactic instruction include the following subjects as they relate to nuclear medicine? [PR IV.A.3.i).(3)]

a) Diagnostic radiologic physics, instrumentation, and radiation biology [PR IV.A.3.i).(3).(a)]...................................................................................................................................☐ YES ☐ NO

b) Patient and medical personnel safety (e.g., radiation protection) [PR IV.A.3.i).(3).(b)]...................................................................................................................................☐ YES ☐ NO

c) The chemistry of byproduct material for medical use [PR IV.A.3.i).(3).(c)]................☐ YES ☐ NO

d) Biologic and pharmacologic actions of materials administered in diagnostic and therapeutic procedures [PR IV.A.3.i).(3).(d)]................................................................................☐ YES ☐ NO

e) Topics in safe handling, administration, and quality control of radionuclide doses used in clinical medicine [PR IV.A.3.i).(3).(e)]....................................................................................☐ YES ☐ NO

4. Will didactic instruction or work experience in nuclear medicine include the following? [PR IV.A.3.i).(4)]

a) Ordering, receiving, and unpacking radioactive material safely, and performing the related radiation surveys........................................................................................................☐ YES ☐ NO

b) Safe elution and quality control (QC) of radionuclide generator systems..................☐ YES ☐ NO

c) Calculating, measuring, and safely preparing patient dosages.................................☐ YES ☐ NO

d) Calibration and QC of survey meters and dose calibrators.......................................☐ YES ☐ NO

e) Safe handling and administration of therapeutic doses of unsealed radionuclide sources (i.e., I-131)............................................................................................................................☐ YES ☐ NO

f) Written directives.......................................................................................................☐ YES ☐ NO

g) Response to radiation spills and accidents (containment and decontamination procedures)...................................................................................................................................☐ YES ☐ NO


h) Radiation signage and related materials...................................................................☐ YES ☐ NO

i) Using administrative controls to prevent medical events involving the use of unsealed byproduct material......................................................................................................................☐ YES ☐ NO

Patient Care

1. Indicate the settings and activities in which residents will competently perform the following under close, graded responsibility and supervision. Also indicate the method(s) that will be used to assess competence.

Competency Area Settings/Activities Assessment Method(s)Provide patient care through safe, efficient, appropriately utilized, quality-controlled diagnostic and/or interventional radiology techniques[PR IV.A.5.a).(1).(a).(i)]

Click here to enter text. Click here to enter text.

Practice using standards of care in a safe environment, attempt to reduce errors, and improve patient outcomes[PR IV.A.5.a).(1).(a).(ii)]


Take a patient history and perform an appropriate physical exam[PR IV.A.5.a).(1).(a).(iii)]


Communicate indications for, contraindications for, and risks of radiologic and interventional procedures, and understand the medical and surgical alternatives to those procedures[PR IV.A.5.a).(1).(a).(iv)]


Provide appropriate pre-procedural and follow-up care related to interventional radiology, including inpatient rounds and post-procedure follow-up management of outpatients via clinic visits[PR IV.A.5.a).(1).(a).(v)]


Participate in the multidisciplinary approach to continuity of procedure-related care[PR IV.A.5.a).(1).(a).(vi)]


Apply radiation safety principles in performing interventional procedures[PR IV.A.5.a).(1).(a).(vii)]


Administer pharmacologic Click here to enter text. Click here to enter text.


Competency Area Settings/Activities Assessment Method(s)agents, including sedatives, analgesics, antibiotics, and other drugs commonly employed in conjunction with endovascular, invasive, and non-vascular procedures[PR IV.A.5.a).(1).(a).(viii)]Consult with patients and referring physicians regarding the indications for, and risks, expected outcomes, and appropriateness of interventional radiology procedures[PR IV.A.5.a).(1).(a).(ix)]


Formulate a treatment plan, including appropriate additional work-up, consultations, and procedural recommendations, to include risk assessment, consideration of other treatments, and delivery of care in a collaborative model, when appropriate[PR IV.A.5.a).(1).(a).(x)]


Provide follow-up communications with referring physicians[PR IV.A.5.a).(1).(a).(xi)]


Recognize and treat or refer for treatment of complications of interventional radiology procedures, including contrast reactions[PR IV.A.5.a).(1).(a).(xii)]


2. Indicate the settings and activities in which residents will demonstrate the ability to interpret imaging appropriate for their educational level, including demonstration of competence in the following areas of patient care. Also indicate the method(s) that will be used to assess competence.

Competency Area Settings/Activities Assessment Method(s)Planning, executing, and assessing the adequacy of interventions based on independent review of plain film, ultrasound, computed tomography (CT), magnetic resonance (MR), and nuclear medicine studies[PR IV.A.5.a).(1).(b).(i)]


Interpreting images obtained Click here to enter text. Click here to enter text.


Competency Area Settings/Activities Assessment Method(s)during the performance of interventional procedures, and skillfully integrating the imaging findings into the procedure[PR IV.A.5.b).(1).(b).(ii)]Modifying and directing the intervention based on these interpretations, and demonstrating their use in aiding the determination of procedural endpoints[PR IV.A.5.b).(1).(b).(iii)]


3. Will residents maintain current certification in advanced cardiac life support? [PR IV.A.5.a).(2).(a)].........................................................................................................................................☐ YES ☐ NO

4. Indicate the settings and activities in which residents will demonstrate the ability to competently perform all medical, diagnostic, and surgical procedures considered essential. Also indicate the method(s) that will be used to assess competence.

Competency Area Settings/Activities Assessment Method(s)Applying low-dose radiation techniques for both adults and children[PR IV.A.5.a).(2).(b)]


Use of needles, catheters, guide wires, balloons, stents, stent-grafts, vascular filters, embolic agents, biopsy devices, ablative technologies, and other interventional devices[PR IV.A.5.a).(2).(c)]


Clinical judgment and technical ability to perform complex vascular and non-vascular image-guided interventions on a sufficient variety of patients and pathological conditions to allow for competent post-graduate practice[PR IV.A.5.a).(2).(d)]


5. Will each resident participate in a minimum of 1000 invasive imaging and image-guided vascular and non-vascular interventional procedures? [PR IV.A.5.a).(2).(d).(i)]............................☐ YES ☐ NO

a) Will this experience include both adult and pediatric interventional procedures? [PR IV.A.5.a).(2).(d).(i).(a)]........................................................................................☐ YES ☐ NO

b) Briefly describe how residents will be trained in pediatric interventions.



6. Provide the data requested below regarding the number of procedures performed institution-wide at each site that will participate in the program from the most recent 12-month period. For additional sites, duplicate the table as necessary. Please note that procedures listed below should be initial or de novo procedures, and should not include tube changes, revisions, etc. [PR IV.A.5.a).(2).(d).(i).(b) and (c)]

Exam ** Site #1 Site #2 Site #3 Site #4Non-invasive Vascular ImagingCTA/MRA Abdomen/Pelvis # # # #CTA/MRA Extremities # # # #CTA/MRA Chest # # # #Lower Extremity Arterial Segmental Evaluation # # # #

Subtotal # # # #AngiographyCarotid/Cerebral Arteriography # # # #Extremity Arteriography # # # #Mesenteric/Renal Arteriography # # # #Dialysis Graft/Fistula Evaluation # # # #

Subtotal # # # #Arterial Vascular InterventionArterial Angioplasty # # # #Arterial Stent Placement # # # #Lower Extremity Arterial Revascularization # # # #

Peripheral Thrombolysis/Thrombectomy # # # #Embolization – TACE # # # #Embolization – Radioembolization # # # #Embolization – UFE # # # #Embolization – Other # # # #Aortic Stent Graft # # # #Carotid Stent Placement # # # #Stroke Thrombolysis # # # #

Subtotal # # # #Venous Vascular InterventionsTIPS – Initial Placement # # # #Port Placement # # # #Tunneled Catheter Placement # # # #IVC Filter Placement # # # #Venous Ablation # # # #Venous Thrombolysis # # # #Hemodialysis Intervention # # # #

Subtotal # # # #Nonvascular InterventionBiopsy # # # #Chest Tube Placement # # # #


Exam ** Site #1 Site #2 Site #3 Site #4Initial Nephrostomy/Nephroureteral Tube Placement # # # #

Initial Biliary Drainage Catheter Placement # # # #

Initial Percutaneous GI Tract Tube Placement # # # #

Abscess Drainage # # # #Tumor Ablation # # # #Vertebroplasty/Kyphoplasty # # # #

Subtotal # # # #

Total of all IR procedures listed above # # # #

Clinical ActivitiesInpatient Interventional Radiology Admissions by Interventional Radiology Service (to include 23-hour stay)

# # # #

New Outpatient Interventional Radiology Clinic Visits # # # #

**These exams are defined by CPT codes. For a current list of relevant CPT codes, see the Society for Interventional Radiology Coding Update.

For any areas with low volumes, explain how the program plans to provide residents with experience in those areas:Click here to enter text.

7. Integrated Programs: Indicate the settings and activities in which residents will demonstrate competence in the following areas of patient care. Also indicate the method(s) that will be used to assess competence.

Competency Area Settings/Activities Assessment Method(s)Competently perform, under preceptor supervision, at least three therapies involving oral administration of I-131 in quantities less than or equal to 33 millicuries (mCi), and at least three therapies in quantities greater than 33mCi[PR IV.A.5.a).(2).(f)]


Participate in patient selection, obtaining informed consent, understanding and calculating the administered dose, counseling of patients and their families on radiation safety issues, and patient follow-up[PR IV.A.5.a).(2).(f).(i)]


Competently perform interpretation/multi-reading of



Competency Area Settings/Activities Assessment Method(s)the minimum number of mammograms within the specified time period as designated by the U.S. Food and Drug Administration (FDA)’s Mammography Quality Standards Act (MQSA)[PR IV.A.5.a).(2).(a).(g)]Competently acquire and interpret conventional radiography, CT, magnetic resonance imaging (MRI), and nuclear radiology examinations of the cardiovascular system (heart and great vessels), including studies performed on both adults and children[PR IV.A.5.a).(2).(a).(h)]


Medical Knowledge

1. Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which residents will demonstrate competence in their knowledge of the following areas. Also indicate the method(s) that will be used to assess competence.

Competency Area Settings/Activities Assessment Method(s)Interventional radiology clinical and general didactic content[PR IV.A.5.b).(1)]


Clinical and basic sciences related in interventional radiology, including: [PR IV.A.5.b).(2)]Anatomy[PR IV.A.5.b).(2).(a)]


Physiology[PR IV.A.5.b).(2).(b)]


Pathophysiology of the hematological, circulatory, respiratory, gastrointestinal, genitourinary, musculoskeletal, and neurologic systems[PR IV.A.5.b).(2).(c)]


Relevant pharmacology[PR IV.A.5.b).(2).(d)]


Patient evaluation[PR IV.A.5.b).(2).(e)]


Management skills[PR IV.A.5.b).(2).(f)]


Diagnostic techniques[PR IV.A.5.b).(2).(g)]




Competency Area Settings/Activities Assessment Method(s)Diagnostic radiologic physics and radiation biology[PR IV.A.5.b).(3).(a)]


Patient and medical personnel safety (e.g., radiation protection, MRI safety)[PR IV.A.5.b).(3).(b)]


Appropriate imaging utilization (proper sequencing, cost-benefit analysis[PR IV.A.5.b).(3).(c)]


Fundamentals of molecular imaging[PR IV.A.5.b).(3).(e)]


Biologic and pharmacologic actions of materials administered in diagnostic or therapeutic procedures[PR IV.A.5.b).(3).(f)]


Use of needles, catheters, and other devices employed in invasive, image-based diagnostic and therapeutic procedures[PR IV.A.5.b).(3).(g)]


Socioeconomics of radiologic practice[PR IV.A.5.b).(3).(h)]


2. Briefly describe how residents will be educated to demonstrate competence in their knowledge of radiologic/pathologic correlation. [PR IV.A.5.b).(3).(d)]


Practice-based Learning and Improvement

1. Briefly describe one planned learning activity in which residents engage to identify strengths, deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set learning and improvement goals; and identify and perform appropriate learning activities to achieve self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)


2. Briefly describe one planned quality improvement activity or project that will allow residents to demonstrate the ability to analyze, improve, and change practice or patient care. Describe planning, implementation, evaluation, and provisions of faculty member support and supervision that will guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)


3. Briefly describe how residents will receive and incorporate formative evaluation feedback into daily


practice. (If a specific tool is used to evaluate these skills, have it available for review by the site visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)


4. Briefly describe one example of a learning activity in which residents engage to develop the skills needed to use information technology to locate, appraise, and assimilate evidence from scientific studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400 words)

The description should include: Locating information Using information technology Appraising information Assimilating evidence information (from scientific studies) Applying information to patient care Conducting a comprehensive literature search


5. Briefly describe how residents will participate in the education of patients, families, students, residents, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)


6. Briefly describe how residents will evaluate their personal practice, utilizing scientific evidence, best practices, and self-assessment programs with the intent of practice improvement. [PR IV.A.5.c).(9)] (Limit response to 400 words)


7. Briefly describe how residents will demonstrate a skill set that allows them to access, interpret, and apply best scientific evidence to the care of patients (evidence-based medicine). [PR IV.A.5.c).(10)] (Limit response to 400 words)


8. Briefly describe how residents will demonstrate, on an ongoing basis, an awareness of radiation exposure, protection, and safety, as well as of the application of these principles in imaging. [PR IV.A.5.c).(11)] (Limit response to 400 words)


Interpersonal and Communication Skills

1. Briefly describe one learning activity in which residents develop competence in communicating effectively with patients and families across a broad range of socioeconomic and cultural backgrounds, and with physicians, other health professionals, and health-related agencies. [PR IV.A.5.d).(1)-(2)] (Limit response to 400 words)



2. Briefly describe one learning activity in which residents develop their skills and habits to work effectively as members or leaders of a health care team or other professional group. In the example, identify the members of the team, responsibilities of the team members, and how team members communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400 words)


3. Briefly describe how residents will be provided with opportunities to act in a consultative role to other physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)


4. Briefly describe how residents will be provided with opportunities to maintain comprehensive, timely, and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)


5. Briefly describe how residents will be provided with opportunities to competently demonstrate, under close, graded responsibility and supervision with progressive responsibility, the generation of formal consultation reports and procedural reports. [PR IV.A.5.d).(6)] (Limit response to 400 words)


Professionalism

1. Briefly describe the learning activity(ies), other than lecture, by which residents develop a commitment to carrying out professional responsibilities and an adherence to ethical principles, including: compassion, integrity, and respect for others; responsiveness to patient needs that supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society, and the profession; and sensitivity and responsiveness to a diverse patient population, including to diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. [PR IV.A.5.e).(1)-(5)] (Limit response to 400 words)


2. Briefly describe how residents will be provided with opportunities to demonstrate compliance with institutional and departmental policies, including HIPAA, the Joint Commission, patient safety, and infection control. [PR IV.A.5.e).(6)] (Limit response to 400 words)


Systems-based Practice

1. Describe the learning activity(ies) through which residents achieve competence in the elements of systems-based practice: working effectively in various health care delivery settings and systems, coordinating patient care within the health care system; incorporating considerations of cost-containment and risk-benefit analysis in patient care; advocating for quality patient care and optimal patient care systems; and working in interprofessional teams to enhance patient safety and care quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)



2. Describe an activity that fulfills the requirement for experiential learning in identifying system errors and implementing potential systems solutions. [PR IV.A.5.f).(6)] (Limit response to 400 words)


3. Briefly describe how residents will be provided with opportunities to systematically analyze problems, develop solutions, implement solutions, and evaluate the effectiveness of the intervention at the departmental, institutional, local, or national levels. [PR IV.A.5.f).(6).(a)] (Limit response to 400 words)


4. Briefly describe how residents will be provided with opportunities to demonstrate an understanding of how the components of the local and national health care system function interdependently, and how changes to improve the system involve both groups and individuals. [PR IV.A.5.f).(7)] (Limit response to 400 words)


5. Briefly describe how residents will be provided with opportunities to function as consultants for other health care professionals, and act as a resource for information regarding the most appropriate use of imaging resources and efforts. [PR IV.A.5.f).(8)] (Limit response to 400 words)


6. Briefly describe how residents will be provided with opportunities to follow standards of care for practicing in a safe environment, attempting to reduce errors, and improving patient outcomes. [PR IV.A.5.f).(9)] (Limit response to 400 words)


Curriculum Organization and Resident Experiences

1. Will residents participate full-time in clinical and didactic activities at all levels of education, including the final year of the program? [PR IV.A.6.a)]...................................................................☐ YES ☐ NO

2. Will resident participation in on-call activities occur throughout the program? [PR IV.A.6.b)].........................................................................................................................................☐ YES ☐ NO

3. Briefly describe how residents will be provided with education and specific clinical time dedicated to the performance and interpretation of non-invasive vascular testing, including vascular ultrasound studies, physiologic vascular tests, MR angiograms, and CT angiograms. [PR IV.A.6.d)]


a) Will these studies be documented in the residents’ case logs? [PR IV.A.6.d).(1)]....☐ YES ☐ NO

4. Briefly describe how residents will be instructed in proper use and interpretation of laboratory tests and methods that are adjunctive to vascular and interventional procedures, including the use of physiologic monitoring devices, non-invasive vascular testing, and non-invasive vascular imaging. [PR IV.A.6.e)]



5. Briefly describe how residents will have supervised progressive responsibility in a dedicated interventional radiology clinic, including the admission and routine procedure-related inpatient care of interventional radiology patients, discharge planning, and procedure-related follow-up. [PR IV.A.6.f)]


6. Will residents maintain a Resident Learning Portfolio? [PR IV.A.6.h)]............................☐ YES ☐ NO

a) Will the Resident Learning Portfolio include, at a minimum, documentation of the following?

(1) Patient Care

12 rotations in diagnostic radiology prior to assuming independent, in-house, on-call responsibilities [PR IV.A.6.h).(1)].........................................................................☐ YES ☐ NO

(2) Integrated Programs : Case/Procedure Logs

(a) Resident participation in therapies involving oral administration of I-131, which must include the date, diagnosis, and dose of each I-131 therapy [PR IV.A.6.h).(2)].......................................................................................................................☐ YES ☐ NO

(b) Resident interpretation/multi-reading of the number of mammograms [PR IV.A.6.h).(3)].......................................................................................................................☐ YES ☐ NO

(3) Case/Procedure Logs

Resident experience in the performance, interpretation, and complications of vascular, interventional, and invasive procedures, including image-guided biopsies, drainage procedures, angioplasty, embolization and infusion procedures, and other percutaneous interventional procedures [PR IV.A.6.h).(4)]........................................................☐ YES ☐ NO

(4) Medical Knowledge

(a) Conferences attended, courses/meetings attended, and self-assessment modules completed [PR IV.A.6.h).(5)]..........................................................................☐ YES ☐ NO

(b) Compliance with regulatory-based requirements in nuclear medicine and breast imaging [PR IV.A.6.h).(6)]............................................................................................☐ YES ☐ NO

(c) Performance on the yearly objective examination [PR IV.A.6.h).(7)].............☐ YES ☐ NO

(5) Practice-based Learning and Improvement

Evidence of a reflective process that must result in the annual documentation of an individual learning plan and self-assessment [PR IV.A.6.h).(8)]..........................☐ YES ☐ NO

(6) Interpersonal and Communication Skills

Formal assessment of oral and written communication [PR IV.A.6.h).(9)]..........☐ YES ☐ NO


(7) Professionalism

(a) Compliance with institutional and departmental policies (e.g., HIPAA, JCAHO, patient safety, infection control, dress code, etc.) [PR IV.A.6.h).(10)].......................☐ YES ☐ NO

(b) Status of medical license, if applicable [PR IV.A.6.h).(10).(a)]......................☐ YES ☐ NO

(8) Systems-based Practice

A learning activity that involves deriving a solution to a system problem at the departmental, institutional, local, or national level [PR IV.A.6.h).(11)]........................................☐ YES ☐ NO

(9) Scholarly Activities

Demonstration of scholarly activity, such as publications, announcement of presentations [PR IV.A.6.h).(12)]...............................................................................................☐ YES ☐ NO


1. Will residents receive a minimum of 24 interventional radiology or interventional radiology-related rotations during the two-year residency? [PR IV.A.6.c)]..................................................☐ YES ☐ NO

2. Briefly describe what interventional radiology-related rotations (outside of the interventional radiology section proper) will be a standard part of the interventional radiology curriculum rotations. Specify rotations within the Radiology Department, and those outside of the Radiology Department, and identify during which PGY these rotations will occur. [PR IV.A.6.c)]


3. Will residents be provided one rotation in critical care? [PR IV.A.6.c).(1)]......................☐ YES ☐ NO

If YES, in which PGY will this take place?Click here to enter text.


Will the integrated program curriculum consist of five years of diagnostic and interventional radiology education under the direction of the program director? [PR IV.A.6.j)]...................................☐ YES ☐ NO

a) How many hours of didactic (classroom and laboratory) education in nuclear medicine under the direction of an authorized user (AU) will the program provide? [PR IV.A.6.j).(5)].....................[ # ]

b) Will residents have a minimum of 700 hours of experience in clinical nuclear medicine? [PR IV.A.6.j).(6)].........................................................................................................☐ YES ☐ NO

c) Will residents be provided education in the core subjects pertaining to diagnostic radiology (e.g., medical physics, physiology of contrast media, etc.) prior to taking the American Board of Radiology Core Examination? [PR IV.A.6.j).(9)]........................................................☐ YES ☐ NO

d) Will residents receive a minimum of 24 interventional radiology or interventional radiology-related rotations during the five-year residency? [PR IV.A.6.c)]................................☐ YES ☐ NO


e) What interventional-related rotations (outside of the interventional radiology section proper) will be a standard part of the interventional radiology curriculum rotations? Specify rotations within the Radiology Department and those outside of the Radiology Department. In which PGY will these rotations take place? [PR IV.A.6.c)]


f) Will residents be provided one rotation in critical care? [PR IV.A.6.c).(1)]................☐ YES ☐ NO

If YES, in which PGY will this take place? Click here to enter text.

Resident Scholarly Activities

1. Briefly describe how the program will provide training in critical thinking skills and research design. [PR IV.B.2.a)]


2. Briefly describe how resident scholarly projects will be evaluated. [PR IV.B.2.b).(3)]


3. Will the program provide opportunities for research in new technologies? [PR IV.B.2.c)].........................................................................................................................................☐ YES ☐ NO


EVALUATION

Formative Evaluation

1. How will the program ensure that assessment for resident responsibility or independence is based upon knowledge, technical skills, and experience? [PR V.A.2.b).(5)]


2. Will the program ensure that the semi-annual evaluation includes a review of the following? [PR V.A.2.b).(6)]

a) Global faculty evaluations (all competencies) [PR V.A.2.b).(6).(a)]...........................☐ YES ☐ NO

b) Multi-source evaluations (for interpersonal skills/communication and professionalism) [PR V.A.2.b).(6).(b)]...................................................................................................☐ YES ☐ NO

c) Resident ability to take independent call [PR V.A.2.b).(6).(c)]...................................☐ YES ☐ NO

d) The Resident Learning Portfolio [PR V.A.2.b).(6).(d)]...............................................☐ YES ☐ NO

Faculty Evaluation


Will faculty members receive annual feedback from resident evaluations? [PR V.B.3.a)]....☐ YES ☐ NO


Specialty-Specific Instructions

Interventional Radiology-Related Rotation Goals and Objectives [PR IV.A.6.c)]An interventional radiology-related rotation is a training experience that does not take place within the Interventional Radiology Division and is not supervised by qualified interventional radiologists. Interventional radiology-related rotations are intended to provide the resident with experience and training in core interventional radiology procedures that are performed outside of the interventional radiology section-proper or to provide additional clinical or procedural experience relevant to interventional radiology.

Submit goals and objectives for each interventional radiology-related rotation. Append these goals and objectives to the “Attachment: Competency Goals and Objectives and Faculty Evaluation of Residents” file upload requested in the Common Application in ADS.


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