Goals/Objectives for Residents in Musculoskeletal Imaging

UCSD Medical Center/VA Medical Center

Year 1 rotation

This rotation will typically take place at UCSD Medical Center.

Goals and Objectives:

  • Become familiar with normal anatomy of the skeleton.
  • Learn the typical radiographic manifestations of common musculoskeletal disorders, using conventional radiography and computed tomography.
  • Become aware of basic concepts in orthopedics.
  • Develop observational skills and knowledge relevant to the diagnosis and management of traumatic abnormalities.
  • Develop observational skills and knowledge related to the most appropriate diagnostic imaging strategies for musculoskeletal infections.

Duties:

  • Preview, review and dictate x-rays on outpatient bone board
  • Preview, review and dictate x-rays obtained in trauma unit
  • Observe readouts on inpatient bone board and cross-sectional imaging when time permits
  • Review and sign reports daily

Reading materials:

Harris and Harris.  Cervical Spine Trauma.

            (In library. A recommended book before you start call)

Helms C.  Skeletal Radiology.  (This short textbook is an easy way to obtain an introduction to bone radiology.)

Paul and Juhl.  Section on Skeletal Radiology.  (This material will be covered in the weekly “Paul and Juhl Club” with Dr. Leopold)

Manaster BJ.  Requisites of Musculoskeletal Imaging.

            (In library.  Read some of this during first year, as much as possible)


Year 2 rotation

This rotation will typically take place at UCSD Medical Center.

Goals and Objectives:

  • Develop observational skill and knowledge concerning the target sites and radiographic features of the most commonly encountered arthritides and connective tissue disorders
  • Learn the typical radiographic manifestations of common musculoskeletal neoplasms, including both primary and secondary neoplasia, using conventional radiography, CT and MR
  • Understand the pathophysiology and diagnostic imaging findings of the most common types of metabolic bone disease

Duties:

  • Preview, review and dictate x-rays on outpatient bone board
  • Observe readouts on cross-sectional imaging when time permits
  • Review and sign reports daily

Reading materials:

Manaster BJ.  Requisites of Musculoskeletal Imaging.

            (Try to finish this on 2nd rotation)

Resnick D.  Bone and Joint Imaging.  (For reference use)

            (In main radiology and bone radiology book library)

Rogers LF.  Skeletal Trauma.  (For reference use and reading during call)

            (In Radiology library)

It is strongly recommended that residents try to completely review the ACR teaching file on musculoskeletal disease during their second year.


Year 3 or Year 4 rotation

VA Medical Center

Goals and Objectives:

  • Develop fundamental knowledge and recognition skills for the most frequently encountered metabolic disorders and tumors of the musculoskeletal system.
  • Learn the indications and interpretation skills applicable to cross-sectional imaging, with a particular emphasis on CT during this year.
  • Observe and participate in the performance and interpretation of invasive procedures related to musculoskeletal disease, including arthrography and percutaneous biopsy.

Duties:

  • Preview, review and dictate x-rays on outpatient bone board
  • Observe fellow readouts and MR readouts
  • Perform some basic arthrography, with complete supervision
  • Review and sign reports daily

Reading materials:

Resnick D.  Bone and Joint Imaging.  This textbook covers cross-sectional imaging, invasive procedures as well as the spectrum of bone disease.  It is strongly recommended that the 3rd year resident read as much of this book as possible during the year.)


Year 4 rotation

2 weeks of MSK MR at VA

Goals and Objectives:

  • The 2 week rotation in MR is an integral part of the musculoskeletal rotation
  • Become familiar with normal anatomy of the joints on magnetic resonance imaging by sitting in musculoskeletal MR readouts and reviewing selected portions of the MR teaching file, particularly the knee and shoulder
  • Learn MR manifestations of common musculoskeletal disorders, with a focus on internal derangement of joints
  • Continue learning the indications and interpretation skills applicable to cross-sectional imaging studies on the musculoskeletal system, including US, CT and MR

Duties:

  • Preview, review and dictate VA MR studies daily.
  • Observe readouts of teleradiology MR when time permits
  • Review and sign reports daily

Reading materials:

Manaster MJ.  Requisites of Musculoskeletal Radiology.

Resnick D.  Bone and Joint Imaging.   (By the end of the 4th year, the resident should have read and have a basic comprehension of either Requisites or Resnick))

Resnick D and Kang.  Internal Derangement of Joints.  (Good reference textbook for MR Imaging.)


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