Clinical Education

clinical education curriculumThe New York Medical College Radiology residency has revamped its curriculum to reflect the recent changes to the American Board of Radiology (ABR) accreditation process. The curriculum is comprised by 36 months of core subspecialty rotations during the first three years prior to the CORE examination, which is administered by the ABR at the end of the third year of radiology training. The core subspecialties through which the residents rotate during their first three years are: pediatric radiology, body CT, body MRI, musculoskeletal, chest, neuroradiology, mammography, ultrasound, nuclear medicine, and interventional radiology. During the fourth year, residents have elective time and the flexibility to rotate through any available subspecialty. Residents thus benefit from consistent one-on-one interaction with subspecialty-trained attendings.

on-call responsibilitiesCall Responsibilities

The on-call experience at Westchester Medical Center allows residents to practice independent decision-making while acting as the first-line consultant to various medical and surgical services. As mentioned earlier, WMC is a Level 1 Trauma and Tertiary Care Center where residents are exposed to a vast array of cases covering every point in the spectrum of pathology. The most memorable cases are invariably the ones that come up during evening or overnight call.

The call schedule has been recently adjusted in response to the new format of the board exam entering the 2013 year. Residents begin taking in-house call starting their second year of residency. We utilize a short call and night float system.

The on-call resident is responsible for providing preliminary reports on all emergency department plain films and all CT scans performed during their call shift. We take pride in our residents’ ability to take independent call and do not utilize teleradiology services. The in-house resident always has back-up available if needed, provided round-the-clock by the on-call neuro and body attending radiologists. In addition, there is an on-call interventional radiologist available at all times. We fully comply with ACGME duty hour regulations, with the average resident work week ranging from 55-60 hours.

The learning experience at the workstation is supplemented by high yield hour-long daily conferences at 12:30pm. Noon conferences are planned based on a curriculum set by the academic committee and cover every topic that the residents are expected to have mastered prior to taking the CORE examination at the end of the third year and beyond. Practical physics applications are embedded into each lecture given by our faculty members. In addition, each Tuesday morning didactic lecture is given by the department’s physicist in accordance with a 12-month curriculum reviewed by the academic committee. The conferences tend to be didactic at the beginning of the year and then gradually transition to hybrid case/didactic conferences as the year progresses. Each month, there is Radiology equivalent “mortality & morbidity” noon conference to discuss and review missed cases by resident on call. There is also a monthly journal club session which is supervised by an attending faculty member. Grand Rounds are given monthly by nationally and internationally recognized visiting professors from top academic institutions across the country.

Multidisciplinary tumor boards are held every Wednesday morning at 7:00 A.M., and each radiology resident is assigned to a three-week block during each academic year. The resident is expected to prepare and present the image findings for each case discussed at the meeting. During individual rotations, residents are expected to attend the following specialty-specific meetings: liver tumor board during Body MRI and Interventional Radiology rotations, gynecology tumor board during the Body MRI rotation and the weekly neurosurgery conference during the Neuroradiology rotation.

All third year residents attend the American Institute for Radiology Pathology (AIRP) four-week course in Silver Springs, Maryland. The tuition is paid for by the department, and a $1500 stipend is available for living expenses. The department also covers tuition for all third and fourth year residents to attend either the annual Head to Toe conference held at NYU or RSNA. Residents are reimbursed the expenses of additional conference during their four years. Furthermore, all residents are encouraged to be actively involved in research throughout their residency and present their works at national/international meetings.

research-conferenceOur Department encourages all residents to engage in academic research, and opportunities to do so are plentiful. For any research endeavor accepted for presentation at a national meeting, the Department pays all associated expenses and provides the time to attend the meeting. Over the years, our residents have presented at many national meetings across the country, including those held by the Radiological Society of North America, American Roentgen Ray Society, American Society of Neuroradiology, Society of Nuclear Medicine, and the Association of University Radiologists. These are a few examples of our recent research publications: