UTCVM Radiology Residency Details

Radiology Residents Duties & Schedule SH 08/21/2021

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UTCVM Radiology Residency Details * NOTE THAT SOME EXCEPTIONS/MODIFICATIONS TO THIS OUTLINE MAY BE NECESSARY DUE TO THE CURRENT COVID SITUATION * 4-Year Program with 4th Year Appointment as Clinical Instructor On and Off Clinics Time Year 1-3

30 months of supervised on-clinics time (minimum mandated by ACVR) 6 months (25 weeks) off-clinics time:

o 6 weeks off in the 1st and 2nd year of the residency to study and perform a research project (write a grant proposal and IACUC protocol if applicable, perform research project and evaluate data)

o 6 weeks study time before the Preliminary Examination o 4 weeks off in 3rd year

Up to 2 weeks can be used for an out-rotation. Out-rotation should primarily focus on optimizing

preparation for the Certifying Examination. Decision should be made by December of the 3rd year.

o 6 weeks total vacation time over the first 3 years [10 days/year; cannot be carried over]; vacation time 4th year TBD Vacation should typically be scheduled at least 2 months ahead of

time; and leave forms MUST be submitted and approved before start of leave.

Only one resident at a time is permitted to be on vacation. No vacation time allowed in June of the last year of residency

(Department policy). No vacation time can be scheduled in July and August of the 2nd

year (when the 3rd year resident is off to study and the 1st year resident has just started the program).

Before scheduling vacation time, the resident must receive approval from the section head and the radiologist on clinical duty (if the schedule is already available).

o 3 weeks off for Christmas/New Year’s week (1 week/year) o The section head will keep track of off time. In case of extensive leave

time taken (e.g., sick leave) the number of scheduled off weeks will be reduced to meet minimum on clinics requirements.

Clinical Assignments

Per ACVR requirements, during the 30 months of clinical training, a resident must interpret the following minimum number of studies: Radiology (including fluoroscopy): 4,000; CT: 300; MRI: 200

At UT, radiology residents rotate through 3 clinical services: Radiology, Ultrasound, MRI/CT/NucMed


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Specific Description of Clinical Rotations

1) Radiology The 1st year resident will participate in all clinical student rounds for at least the

first 6 months. Continued participation in rounds afterwards is encouraged depending on clinical schedule.

The resident should be actively involved in all cases unless in rounds or otherwise excused.

Dictations: o The resident will perform and generate reports for all special procedures. o The resident will generate reports for most to all large animal cases. o Small animal studies will be shared between the radiologist on duty and

the resident.

2) Ultrasound The resident should be actively involved in all cases unless he/she is assigned to

echocardiography or otherwise excused. The resident will scan as many cases during the day and generate reports as

deemed appropriate by the faculty on duty. The resident will spend up to one day/week (typically Friday) in

echocardiography but is expected to return to ultrasound if cardiology is not busy. NOTE that this arrangement is likely to change.

With the exception of the first 6 months of residency, the resident on ultrasound is expected to help out the radiology service during the time the radiologist on duty is teaching student rounds.

3) MRI, CT and NucMed The resident is expected to participate in all MRI, CT and NucMed studies and

familiarize himself/herself with the technical aspects as well as the interpretation principles in these modalities.

Generally, the resident is expected to generate most to all reports for these modalities while on service. The number of studies dictated is at the faculty member’s discretion and will depend on the resident’s experience level.

With the exception of the first 6 months of residency, the resident on CT/MRI is expected to help out the radiology service during the time the radiologist on duty is teaching student rounds.

Clinical hours are 8:00 until 6:00PM (Mon-Fri) or until all cases are completed. A reasonable attempt should be made to complete all reports by the end of the day. Residents will obtain faculty approval before leaving at the end of the day.


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Additional Details Regarding Clinical Service

1) Emergency Duty 1st year residents are not scheduled on emergency duty for the initial 1-2 months

of residency but are expected to shadow senior residents and faculty on emergency duty during this time.

Emergency duty is shared equally by all residents. Formal faculty back-up is assigned at all times. The resident is expected to review all overnight and weekend cases early the

following morning. The resident is expected to dictate all emergency cases that occur during his/her

week on duty.

2) Review of Resident Dictations Residents are encouraged to use voice recognition software to assure that all

reports are available for review in a timely fashion. Residents assign faculty initials to each case using the ‘exam code’ option in PACS. The goal is to review all resident reports as soon as possible (maximum within 48 hours).

Cases dictated by residents during the day will be reviewed and approved by the faculty member on radiology duty as soon as possible.

Ultrasound, MRI, CT and Nuclear Medicine reports generated by residents will be reviewed and approved by the respective faculty members on duty, ideally by the end of each day.

Emergency cases dictated by residents will be reviewed by the faculty back-up. Weekend emergency reports have to be available for review Monday AM.

3) 3rd year Resident Service Chief Duty The 3rd year resident will be assigned as service chief for radiology

(approximately 6 weeks) and ultrasound (approximately 6 weeks) blocks. During this time, residents will function as faculty and as such conduct student rounds, supervise junior residents, and assume responsibility for timely generation and finalization of reports.

A radiologist will be assigned as official back-up for each of these weeks and will review and co-sign reports generated by junior residents concurrently on the service. Senior residents may request back-up / second opinion / co-signature any time during their service chief blocks.

4) Radiology Service Coverage While Radiologist in Rounds (typically 8-11

a.m.) For the first 6 months of residency the junior resident will not be assigned. The ultrasound resident is typically responsible for covering this service. If he/she

is ineligible or unavailable, the MRI/CT/NucMed resident will cover. It is the residents’ responsibility to identify alternate coverage (resident on radiology or a radiologist) if both are unavailable.


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5) Image Guided Procedures (Centesis, Fine Needle Aspiration, Biopsy, Intracavitary Chemotherapy etc.)

Ultrasound o First 2 months: Resident is typically observer only; select procedures may

be performed under supervision at discretion of supervising radiologist and dependent on resident experience level.

o Following 4 months: Resident performs select procedures under supervision (faculty discretion).

o Second half of the 1st year and 2nd year: Resident generally performs procedures with faculty supervision; routine procedures may be performed without supervision in select cases (faculty discretion).

o 3rd year: Resident generally performs procedures without faculty supervision. Faculty back-up is provided as needed.

Fluoroscopy, CT, other o All procedures are performed under direct faculty supervision for the first

2 years of residency. 3rd year residents may perform procedures unsupervised but are expected to request faculty assistance in complicated cases.

6) Radiographs Requiring Immediate Evaluation and Cross-Sectional Imaging

Studies Typically, 1st and 2nd year residents are expected to consult with a radiologist on

all imaging studies in patients scheduled to undergo surgery, endoscopy or other procedures immediately after imaging, and on all CT and MRI studies before the animal leaves radiology. Exceptions may be made at the discretion of the attending radiologist (e.g. for routine pre-operative orthopedic radiographs, radiation therapy CT scans approved by a radiation oncologist, or straightforward CT studies e.g. of the nose or spine).

The 3rd year resident may approve these studies without immediate consultation with a radiologist. Faculty back-up is available as needed.

When on emergency duty, residents typically interpret all imaging studies without immediate faculty feedback. However, faculty back-up is available if needed.


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Resident Evaluations

Evaluations are conducted at o 3 months – radiology faculty only o 6 months – radiology faculty and SA + LA faculty o 12 months – radiology faculty only o 18 months – radiology faculty and SA + LA faculty o 24 months – radiology faculty only o 30 months – radiology faculty and SA + LA faculty

The resident mentors will email the evaluation form to the other radiologists. The residency program director will e-mail separate evaluation forms to SA and LA clinicians. If needed, the residency program director will call a meeting of radiology faculty during which the residents’ performance will be discussed.

The resident mentors will then compile the evaluations and discuss the results with their respective mentees.

A signed copy of the summarized evaluation will be maintained by the mentor; one will also be maintained by the residency director.

Evaluations will be circulated by the mentor to the other radiologists. Typical Weekly Schedule Mon

Tue Wed Thu Fri

7:00 MRI Rounds

8:00 House Officer Seminar Series

J Club (once/month), KCC (twice/month), Tumor Boards or Internal Medicine Boards (once/month)

Department Meeting / Section Meeting Residents may arrange book club, study sections etc. if no meeting is scheduled

Interesting Case Rounds (twice/month)

Faculty Rounds (akin to Grand Rounds)


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Mock Exams, KCC, Research, Teaching etc.

1) Preliminary (Written) Mock Exam Assignments

Topic Assigned radiology faculty

Physics Hecht

Pathophysiology Fazio

Anatomy I Hecht

Anatomy II Hespel

Radiation protection and biology / Digital Imaging Fazio

Special procedures Morandi

Ultrasound Hespel

CT Morandi

MR Hecht

Nuclear Medicine Morandi

2) Known Case Conference (KCC) 8-10 AM every other Tuesday in reading room, US room, radiology rounds room,

or via zoom Faculty members are assigned on a rotating basis. Unless on vacation or covering clinics, all faculty members are expected to attend. Typically, cases will be presented in the current format of the certifying board

exam. Other formats may on occasion be used. In preparation for the certifying exam, additional sets of full length KCC will be

given in the last 2-4 weeks before the examination date (at least 1-2 sessions/faculty member).

3) Friday Morning (Faculty) Rounds 30-minute seminars presented by interns and residents. Radiology residents rotate

with other house officers to give presentations (1-2 presentations/resident each year).

A complete draft of the presentation must be completed and forwarded to a faculty member at least 1 week prior to the presentation date.

4) Tumor Boards, Internal Medicine Boards During this approximately monthly seminar series, multiple speakers (typically

residents) from different specialties (Medical Oncology, RO, Clinical Pathology, Pathology, Radiology…) present information on a specific tumor type or disease process. Radiology residents alternate in presenting diagnostic imaging considerations and (if applicable) participate in writing up the imaging section of an associated review paper.


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5) Research Each resident is expected to complete a research project pertaining to diagnostic

imaging, submit the results for presentation at the annual meeting of the ACVR (typically during 3rd year), present the results at an internal meeting at UT (if applicable), and submit a manuscript for publication.

The resident mentor may or may not function as research mentor; the resident is encouraged to discuss possible projects with each faculty member and identify a suitable project.

Additional projects for which collaboration of a radiology resident is requested must be approved by the radiology faculty.

6) Teaching 3rd year radiology course (VMP855; fall semester): The 1st year resident is

expected to attend all lectures, assist in all laboratories, and take all exams and quizzes administered in the frame of the course. Additional assistance in the labs by the 2nd or 3rd year resident may be requested by the responsible instructor.

1st year radiographic anatomy course (VMP817 Small animal, fall semester; VMP 827 Large animal and physics, spring semester): The 1st year radiology resident is expected to review the materials taught in this course (lecture notes and slides and/or lecture capture) during the first month of the residency. The resident is not required to attend the actual lectures during semester, however, he/she may be asked to assist in teaching the labs at the individual instructor’s discretion.

3rd year advanced imaging elective (fall semester): The 1st year resident is expected to attend the lectures. Residents may be asked to participate in the lab offered at radiologist discretion.

Clinical rotations: The 1st year resident is responsible for administering the radiographic anatomy and/or technical quiz given to students at the beginning of the radiology rotation. At the beginning of each radiology rotation, faculty and residents on duty decide which set(s) of rounds and/or review sessions will be given by the resident(s). Residents are responsible for providing one ultrasound lab to the students during each 2-week rotation. Overall, residents are expected to be actively involved in teaching students on the clinical rotation.

7) Other Presentations Additional presentations beyond the ones expected in the program (VM855,

faculty rounds, tumor boards) must be assigned or approved by the radiology faculty. Possible additional presentation venues include in-house seminars (e.g., Monday morning seminar series) or CE courses offered by UT to local practitioners.


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Radiology Residency Schedule 1st year 1st / 2nd year 2nd / 3rd year 3rd /4th year 4th year Jan

1 week off to write grant proposal for resident research project* Second (6 month) evaluation by radiology + clinical faculty

1st week: Nuclear medicine mock exam Fourth (18 months) evaluation by radiology + clinical faculty

Sixth (30 months) evaluation by radiology + clinical faculty

Feb

1 week off

Mar

4th week: Radiation protection/biology and digital imaging mock exam (Objectives 6-10)

4th week: CT and MR mock exam

2 weeks out-rotation

Apr

1 week off

May

1 week off

1 week off 1 week off

Jun

4th week: Special procedures mock exam

1 week off 2nd week: Anatomy mock exam II

Jul

Start date 7/15: 1 week orientation 1 week technician duty

Third (12 month) evaluation by radiology faculty

Off 3 weeks Fifth (24 months) evaluation by radiology faculty

7/15 Clinical Instructor Year begins

7/14 End of Clinical Instructor Year

Aug

1-2 weeks technician duty 2 weeks ultrasound Start regular clinical rotations

Off 3 weeks PRELIMINARY EXAM

2 weeks off (board prep) CERTIFYING EXAM

Sep

Start on call (with formal backup) 4th week: Anatomy mock exam I

3rd week: Pathophysiology mock exam

Oct

First (3 month) evaluation by radiology faculty

2 weeks off for research* Write abstract and paper detailing research results*

Nov

1 week off

Dec

3rd week: Physics mock exam (Objectives 3-5, 11-15)

3rd week: Ultrasound mock exam

Decision re: out-rotation by 3rd year resident

Note: Additional off clinic time consists of 2 weeks / year of vacation and 1 week off for holidays. *Some flexibility in these dates is permitted and necessary. All efforts should be made to complete the research project prior to the preliminary board exam. Explanation of clinical instructor year (4th year of residency) on following page.


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Explanation of Clinical Instructor Year/4th Year of Residency (Dates are approximate):

7/16-8/6: On clinics as service chief 8/9-8/20: Off for board preparation 8/23-8/27: ACVR Certifying Examination 8/30-7/14 (45 weeks total): Clinical rotations as service chief in radiology,

ultrasound and MRI/CT: o 8-10 weeks radiology o 8-10 weeks ultrasound o 8-10 weeks MRI/CT o 8 weeks on clinics elective to focus on area of interest o 8 weeks off clinics time. At least 2 of these should be spent in one or more

of the following areas to allow for professional development: ABLE facilitator Externship e.g. in large animal cross sectional imaging or

interventional radiology Prepare and present lecture(s) or labs in elective courses Attend RSNA conference, relevant veterinary meeting, teaching

conference or grant writing seminar Present at local or national CE conference

Radiology Resident Schedule 2021

Radiology Ultrasound MRI/CT/NM Off time & Others

Monday Friday Radiologist Resident Radiologist Resident Radiologist Resident

28‐Dec‐20 1‐Jan‐21 Fazio DeBow Hespel ‐ Lipe NYD ; Stokowski off4‐Jan‐21 8‐Jan‐21 Fazio Lipe Hespel DeBow Johnson Stokowski off for research

11‐Jan‐21 15‐Jan‐21 Hecht Stokowski Johnson Lipe Fazio DeBow DeBow NucMed Mock Exam18‐Jan‐21 22‐Jan‐21 Hecht DeBow DeSwarte Stokowski Johnson MLK birthday; Lipe off to write research manuscript

25‐Jan‐21 29‐Jan‐21 Hespel Lipe Johnson DeBow Hecht Stokowski1‐Feb‐21 5‐Feb‐21 Hespel Stokowski Fazio Lipe Morandi DeBow

8‐Feb‐21 12‐Feb‐21 Johnson DeBow Morandi Stokowski Fazio Lipe15‐Feb‐21 19‐Feb‐21 Johnson Lipe DeSwarte DeBow Fazio Stokowski

22‐Feb‐21 26‐Feb‐21 Morandi Stokowski Fazio Lipe Hecht DeBow1‐Mar‐21 5‐Mar‐21 Morandi DeBow Hecht Stokowski Fazio Lipe off

8‐Mar‐21 12‐Mar‐21 Fazio Lipe Johnson DeBow Hecht Stokowski15‐Mar‐21 19‐Mar‐21 Fazio Stokowski Johnson Lipe Hecht DeBow

22‐Mar‐21 26‐Mar‐21 Lipe (AH) DeBow DeSwarte Stokowski Hespel Stokowski Radbio Mock Exam29‐Mar‐21 2‐Apr‐21 Lipe (AH) Stokowski Hecht Hespel DeBow Good Friday; DeBow CT/MRI Mock Exam

5‐Apr‐21 9‐Apr‐21 Fazio DeBow Johnson Stokowski Morandi Lipe PdB off call Apr 10‐1112‐Apr‐21 16‐Apr‐21 Fazio Stokowski Johnson Lipe Morandi PdB off to study

19‐Apr‐21 23‐Apr‐21 Morandi Lipe DeSwarte DeBow Johnson Stokowski26‐Apr‐21 30‐Apr‐21 Morandi DeBow Hespel Johnson Lipe SS off to study

3‐May‐21 7‐May‐21 Hespel Stokowski Lipe (CF) Fazio DeBow10‐May‐21 14‐May‐21 Hespel DeBow Lipe (CF) Fazio SS off May 10‐16 (vacation)

17‐May‐21 21‐May‐21 Hecht Lipe DeSwarte Johnson Stokowski PdB off to study24‐May‐21 28‐May‐21 Hecht Stokowski Hespel DeBow Johnson Lipe off

31‐May‐21 4‐Jun‐21 Johnson DeBow SH/AH Stokowski Fazio Lipe Memorial Day 7‐Jun‐21 11‐Jun‐21 Johnson DeBow Lipe (AH) Hespel Stokowski

14‐Jun‐21 18‐Jun‐21 Fazio Stokowski DeSwarte Johnson Lipe PdB off Jun 16‐29 (vacation); PdB off to study 6/14 and 6/15 21‐Jun‐21 25‐Jun‐21 Fazio Lipe Johnson Stokowski Hecht PdB off Jun 16‐29 (vacation); Stokowski Special Procedures Mock Exam

28‐Jun‐21 2‐Jul‐21 Hespel Stokowski Johnson Lipe Hecht PdB off Jun 16‐29 (vacation); PdB off to study 6/30‐7/2 5‐Jul‐21 9‐Jul‐21 Hespel Lipe Fazio DeBow Hecht Stokowski Indep Day; PdB Anatomy Mock Exam II

12‐Jul‐21 16‐Jul‐21 Hecht Stokowski Fazio Hespel PdB off board prep; NEW RESIDENT STARTS; LIPE OFF AND RETURNING AS FACULTY19‐Jul‐21 23‐Jul‐21 Hecht Stokowski DeSwarte Lipe (SH) PdB off board prep; NEW RESIDENT ORIENTATION

26‐Jul‐21 30‐Jul‐21 Morandi Stokowski Lipe (FM) Fazio PdB off board prep; NEW RESIDENT TECH DUTY2‐Aug‐21 6‐Aug‐21 Morandi Stokowski Lipe (FM) Fazio PdB off board prep; NEW RESIDENT TECH DUTY

9‐Aug‐21 13‐Aug‐21 Hecht Stokowski Morandi Monto Fazio PdB off board prep16‐Aug‐21 20‐Aug‐21 Hecht Stokowski Hespel Monto Morandi PdB off board prep

23‐Aug‐21 27‐Aug‐21 Morandi Monto Fazio Stokowski Hespel PdB off board prep‐ ACVR exam (25‐26)30‐Aug‐21 3‐Sep‐21 Morandi Debow Fazio Monto Lipe Stokowski PdB vacation Sep 3‐7

6‐Sep‐21 10‐Sep‐21 Lipe Stokowski Hespel Debow Fazio Monto Labor Day 13‐Sep‐21 17‐Sep‐21 Lipe Monto DeBow (CF) Fazio Stokowski off to study; Stokowski Pathophysiology Mock Exam

20‐Sep‐21 24‐Sep‐21 Fazio Debow Hespel Monto Lipe Stokowski PdB vacation Sep 24 27‐Sep‐21 1‐Oct‐21 Fazio Stokowski Morandi Debow Lipe Monto Monto Anatomy Mock Exam I

4‐Oct‐21 8‐Oct‐21 Hespel Monto Morandi Stokowski Hecht Debow PdB vacation Oct 7‐17 11‐Oct‐21 15‐Oct‐21 Hespel Stokowski Fazio Monto Lipe PdB vacation Oct 7‐17

18‐Oct‐21 22‐Oct‐21 Fazio Monto Lipe ‐ Stokowski ACVR Meeting Oct 20-23 25‐Oct‐21 29‐Oct‐21 Fazio Debow Hespel Morandi Monto Stokowski vacation Oct 25‐31

1‐Nov‐21 5‐Nov‐21 Lipe Monto DeBow (SH) Hecht Stokowski8‐Nov‐21 12‐Nov‐21 Lipe Stokowski DeBow (FM) Morandi Monto off to study

15‐Nov‐21 19‐Nov‐21 Morandi Debow Fazio Stokowski Lipe Monto22‐Nov‐21 26‐Nov‐21 Morandi Stokowski Fazio Monto Hecht Debow Thanksgiving ‐ DeBow on call

29‐Nov‐21 3‐Dec‐21 DeBow (SH) Monto Morandi Hecht Stokowski6‐Dec‐21 10‐Dec‐21 DeBow (SH) Stokowski Lipe Monto Hecht Monto Physics Mock Exam

13‐Dec‐21 17‐Dec‐21 Lipe Monto Hecht Stokowski Hespel Debow Stokowski Ultrasound Mock Exam20‐Dec‐21 24‐Dec‐21 Lipe Monto Hecht ‐ Xmas ‐ Monto on call

27‐Dec‐21 31‐Dec‐21 Hespel Stokowski Fazio ‐ Debow NYD ‐ Stokowski on call 3‐Jan‐22 7‐Jan‐22 Hespel Debow Morandi Stokowski Hecht Monto off for research

10‐Jan‐22 14‐Jan‐22 Morandi Monto Lipe Hecht Debow PdB vacation Jan 10‐1617‐Jan‐22 21‐Jan‐22 Morandi Debow Lipe Monto Hecht Stokowski Stokowski NucMed Mock Exam

24‐Jan‐22 28‐Jan‐22 Fazio Stokowski DeBow (CF or KL) Lipe Monto31‐Jan‐22 4‐Feb‐22 Fazio Monto DeBow (CF or KL) Lipe Stokowski

From: JotFormTo: Hecht, SilkeSubject: We have received your response for ACVR Residency Training Program ApplicationDate: Monday, January 25, 2021 6:36:11 PM

[External Email]

ACVR Residency Training Program Application<

<td id="value_120" class="Institution Name University of Tennessee College of Veterinary

Medicine

Residency ProgramDirector Name Silke Hecht

Residency ProgramDirector Email [email protected]

What type ofresidency program isbeing requested?

Traditional Residency Program

If approved, what isthe proposed start dateof this residencyprogram?

07-15-2021

Succinctly state theobjectives of thetraining program.

The objective of this program is to train thegraduate veterinarian in the specialtyof veterinary diagnostic imaging, including smalland large animal diagnosticradiology, diagnostic ultrasound, computedtomography, magnetic resonanceimaging and nuclear medicine. The ultimate goal isto enable the resident tosuccessfully complete the ACVR boardexamination. The residency is a clinicaltraining program ("pure" residency program) withno academic degree awarded.

What is the totallength of the trainingprogram?

48

What is theanticipated length ofsupervised clinicaltraining a resident willexperience during thisprogram?

36

mailto:[email protected]

mailto:[email protected]

Will the resident(s) inthis program beeligible to take theACVR PreliminaryExam in September oftheir third year?

Yes

What are theresponsibilities of theresident(s) during non-clinical portions of theprogram?

The majority of the off clinics time during the first3 years will be dedicated to study time to preparefor the ACVR Board Examination. The resident isalsoexpected to develop and conduct an originalresearch project under thesupervision and guidance of one or more radiologyfaculty members; write agrant proposal (if applicable); submit an abstractfor presentation at the ACVRAnnual Scientific Meeting; and write a scientificpaper that details the results ofthe project to be submitted to VeterinaryRadiology and Ultrasound or otherpeer-reviewed journal. The 3rd year resident willbe given the option of a 2 week out-rotation. The4th year resident will primarily function as aclinical instructor. He/she be given 2 weeks off toprepare for the Certifying Examination and 8weeks to allow for professional development (gainteaching experience, attend meetings, externships,pursue additional research activities etc.).

Is the applicantResidency Director forthis program preparedto meet theserequirements?

Yes

What percentage ofthe ResidencyDirector’s time iscommitted to clinicalservice at the primarytraining institution?

50

How many weeks peryear will theResidency Director beon clinical service andteaching residents atthe primary traininginstitution?

26

Excluding the

Residency Director,please list all trainingdiplomates who willact as SupervisingDiplomates of thisresidency program.Indicate theapproximate numberof hours per year eachsupervisor will bescheduled on clinicalduty with primarysupport of residentsand, if applicable, anyspecific areas ofinstructionalresponsibility (e.g.trains mostly in smallanimal, trains mostlyin MRI, etc). If a‘SupervisingDiplomate’ positionwill be comprised ofmultiple radiologists,please list the cohortas a single entity orinstitution for thisquestion (e.g.“teleradiologists” orprivate institutionname)

Name: Federica MorandiHours/Year: 960Specific Areas and/or Limitations of InstructionalResponsibility: Provides training in all modalities(form would not allow this field to be blank)

Name: Connie FazioHours/Year: 1200Specific Areas and/or Limitations of InstructionalResponsibility:

Name: Adrien HespelHours/Year: 1040Specific Areas and/or Limitations of InstructionalResponsibility:

If any SupervisingDiplomate position iscomprised of >1radiologist, list eachindividual member ofthe Supervising cohorthere. Indicate theapproximatepercentage of hourseach individual will

contribute to the totalcohort hours listedabove as well as anyspecific areas ofinstructionalresponsibility and/orlimitations in thescope of supervision(e.g. does notparticipate inultrasound instruction;only trains residents inlarge animal, etc).

Name: N/A% of Hours: 100Specific Areas of Instructional Responsibility:Form would not allow me to leave this field blank

Please list all trainingdiplomates who willact as SupportingDiplomates of thisresidency program.Indicate how manyhours per year eachSupporting Diplomatewill be scheduled onclinical duty withprimary support ofresidents and anyspecific areas ofinstructionalresponsibility and/orlimitations in thescope of this support(e.g. only trainsresidents inultrasound, does notparticipate in largeanimal training, doesnot finalize imagingreports, etc).

Name: Marie de SwarteHours/Year: 480Specific Areas of Instructional Responsibility:Provides ultrasound service and resident training 1week/month. Participates in other activities (KCCetc.) during on clinics weeks.

ACVIM MemberName Jennifer Stokes

ACVIM MemberInstitution

University of Tennessee College of VeterinaryMedicine

ACVIM MemberEmail [email protected]

ACVS Member Name Cassie Lux

ACVS MemberInstitution


ACVS Member Email [email protected]

ACVP Member Name Linden Craig

ACVP MemberInstitution


ACVP Member Email [email protected]

What is the maximumnumber of residentsyou will have enrolledin this trainingprogram at any giventime?

4

Digital or ComputedRadiography Yes

Fluoroscopy Yes

Ultrasound withDoppler Capability Yes

MRI Yes

Fan-beam CT Yes

Nuclear scintigraphy Yes

Briefly describe howthis program meets thefacility requirements,including the specifictype of CT and MRIunits available.Explain how yourprogram will trainresidents in modalitiesfor which equipmentis not located on site,providing affiliationagreements ifapplicable. (seeAffiliation Agreementsection at the end ofthis application.)

All modalities (small and large animal radiology,fluoroscopy, ultrasound, CT, MRI and NuclearMedicine), an interventional radiology suite, and alinear accelerator are on site.

Small Animal Radiography and FluoroscopyUnits:1) Philips Digital Diagnost 4.12) CombiDiagnost R90

Large Animal Diagnostic Radiology: Philips CPSuper 100 Generator

Main US unit: Philips Epiq 5 with 5 transducers (+additional units in cardiology, Nuclear Medicine,ICU, and Large Animal)

Computed Tomography: Philips Brilliance (40-slice) CT scanner

Magnetic Resonance Imaging: Siemens Espree1.5T large bore magnet

Nuclear Medicine1) Small Animal GE Starport Gamma Camera with

MiniStand Gantry System2) NuCam Large Animal Rectangular GammaCamera with EquiStand II Gantry System

Additional equipment on site:1) Linear Accelerator: Varian iX2) Interventional cardiology/radiology suiteequipped with Philips C-arm3) Mobile C-Arm: Philips BV 300 Plus Digital C-Arm

What is the averageannual caseload at theprimary institutionover the past 3 years?This number willinclude all patientvisits whether or notthey contribute to theannual imagingcaseload.

19000

What is the averageannual imagingcaseload at theprimary institutionover the past 3 years?Each body regionimaged for a givenpatient (e.g. thorax,abdomen, spine, etc)will count as a singlestudy.

12425

Small animalradiology 5060

Large animalradiology 768

Abdominal ultrasound 2500

Non-abdominalultrasound 246

Computedtomography 732


Nuclear scintigraphy 99

Other (Specify) MRI: 545; Special Procedures: 124

Indicate theapproximate speciesbreakdown of theimaging caseload atthe primary institutionin the followingcategories:

Small animals (canine, feline): 80Large animals (equine, bovine, porcine, etc.): 15Avian, Exotic, and Wildlife animals: 5

Echocardiography Yes

Large animalultrasound No

Nonabdominal smallanimal ultrasound (i.e.cervical,musculoskeletal)

Yes

Food/fiber animalimaging Yes

Exotics imaging Yes

Teleradiology/Referralimaging No

Explain how theresident(s) in thisprogram will gainexperience in any ofthe above types ofimaging cases that areNOT available at theprimary institution.Provide affiliationagreements, ifapplicable. (seeAffiliation Agreementsection at the end ofthis application.)

For clarification of above answers: Large AnimalUltrasonographic Studies arebeing performed by Large Animal Clinicians atUTCVM. Even though radiologyresidents are not typically involved they are givenopportunity to observe studies performed by largeanimal clinicians if interested and time permitting.While LA clinicians would welcome regularparticipation of radiology residents, we have nothad a radiology resident with LA interest in manyyears and the small animal ultrasound caseloadkeeps them busy, so our residents typically elect tostay on the small animal side. LA US studies arebeing sent to PACS and are available for laterreview.We do not have a teleradiology or referral imagingbusiness. However, manycases referred to our institution will come withreferral radiographs and residents are exposed to avariety of techniques and types of imagingperformed in practice (including hardcopy filmsand contrast procedures). They will not generatewritten reports for those cases but will discussthem with in-house clinicians. We do offer CT andMRI outpatient services, and radiology residentsare involved with interpreting the studies anddrafting referral MRI and CT reports for the

referring veterinarians.

What percentage ofthe total imagingcaseload at theprimary institutionresults in a reportwritten by theresident(s) and/ortraining diplomates inthis program?

100

What percentage ofthe preliminary reportsgenerated from theimaging caseload areinitially produced bythe resident(s) in thisprogram?

80

Does this institutionconcurrently supportthe training ofdiagnostic imaginginterns?

No

What percentage ofresident-generatedreports are reviewedby training diplomatesprior to finalization ofthe report?

95

What is the averageturnaround time forresident-generatedpreliminary reports tobe finalized bytraining diplomates?

Less than 24 hours on average. Only exception areweekend cases which may not be finalized untilMonday.

What percentage of allimaging reports(resident anddiplomate generated)is finalized andavailable to requestingclinicians within 48hours after the exam issubmitted forradiologist consult?

100

Small animalradiology 4000

Large animalradiology 500

Abdominal ultrasound 1200

Non-abdominalultrasound 100


Magnetic resonanceImaging 300

Nuclear scintigraphy 50

How many ultrasoundexams will a singleresident perform withradiologist feedbackduring the course ofthe entire program?Scans for which theresident writes areport but does notacquire images areexcluded.

1300

Physics of DiagnosticImaging No

Radiobiology No

Nuclear Medicine No

Ultrasonography No

ComputedTomography No

Magnetic ResonanceImaging No

Other No

Briefly describe theformal courses that areavailable for theresident(s) in thisprogram by indicatingthe institution, coursetitle, course number,and credit hours aswell as any otherrelevant information.For any topics forwhich formal course

The program is not associated with an advanceddegree; therefore there are noformal classes that the residents are required totake for credit. The residentshave assigned topics of focused learning duringtheir residency training. Aradiologist will supervise the learning in theseareas and provide reading listsand guidance. The learning objectives follow theACVR written objectives (nowstudy guidelines), and rigorous written mockexams administered every 2 – 3

work is not providedfor the resident(s),please explain howeducational objectivesin these topics will bemet.

months assure the learning objectives are met. Inaddition to these assignedlearning objectives weekly MRI rounds andbiweekly Nuclear Medicine roundsare held which include review sessions on relevantphysics topics as well ascase based rounds. A schedule of topics andassigned faculty follows. A masterschedule is attached showing timing of theindividual mock exams.

Topic - Assigned radiology facultyPhysics - HechtPathophysiology - De SwarteAnatomy I and II - Hecht/HespelRadiation protection / biology - FazioSpecial procedures - MorandiUltrasound - De SwarteCT - MorandiMR - HechtNuclear Medicine - Morandi

Will the resident(s) inthis program attain anadvanced degree (MS,PhD) at the conclusionof the program?

No

Over the last fiveyears, what is theaverage number ofpeer reviewedpublications on whichthe trainingdiplomates(Supervising andSupportingdiplomates) of thisprogram are includedas authors? (totalnumber ofpublications in last 5years among alltraining diplomatesdivided by the numberof training diplomates)

11

How many peer-reviewed publicationsare expected of aresident completingthe program?

1

If this is an establishedprogram, whatpercentage ofresidents have madeformal researchpresentations at theannual ACVR orequivalent nationalmeeting?

100

Briefly describeif/how residents areencouraged to engagein investigative workand what mechanismsare in place fortraining diplomates tosupport this work.

Residents are told that they are expected to pursuea research project (retrospective/prospective). Anattempt is made to identify a project attractive tothe resident to make it palatable. We are anacademic institution, and radiologists have offclinics time that (among other things) can be usedto supervise/direct resident research. Available inhouse support includes small in-house grants andstatistical support.

How many formalpresentations (e.g.didactic lectures,departmentalseminars, scientificpresentations,Continuing Educationconferences, etc) areexpected of eachresident during thecourse of theirtraining? In general,informal topic rounds,journal club, smallgroup teaching,student labs, andsimilar events shouldnot be included.

6

Briefly describe thetype and extent ofteaching opportunitiesthat are provided tothe residentthroughout thetraining program.

• 3rd year radiology course (VM855; fallsemester): The 1st year resident is expected toattend all lectures, assist in all laboratories, andtake all exams and quizzes administered in theframe of the course. Additional assistance in thelabs by the 2nd or 3rd year resident may berequested by the responsible instructor.• 1st year radiographic anatomy course (VMP817;fall semester): The 1st year radiology resident maybe asked to attend lectures and/or assist in teachingthe labs. Details are to be determined by theradiology faculty.• 3rd year advanced imaging elective (fall

semester): The 1st year resident is expected toattend the lectures. Residents may be asked toparticipate in the lab offered at radiologistdiscretion.• Clinical rotations: The 1st year resident isresponsible for administering the radiographicanatomy and/or technical quiz given to students atthe beginning of the radiology rotation. At thebeginning of each radiology rotation, faculty andresidents on duty decide which set(s) of roundsand/or review sessions will be given by theresident(s). Residents are responsible for providingone ultrasound lab to the students during each 2-week rotation. Overall, residents are expected to beactively involved in teaching students on theclinical rotation.

Additional teaching opportunities are available tothe 4th year resident if interested.

Briefly describe thenature and scope ofthe teaching fileavailable to theresident(s) in thisprogram and how it ismaintained/updated.

An interesting case list is maintained in MicrosoftExcel on a central serveraccessible through radiology and office computers.Interesting cases seen onclinics are entered into this database by residentsand faculty and are groupedaccording to category (e.g. radiographs,ultrasound, etc.). There are currentlyapproximately 10,000 cases in this database whichare accessible through PACS.

Additionally, interesting case files are maintainedby individual radiologists andresidents in their area of interest.

How many KnownCase Conferences areconducted annually?

24

Describe how theresident(s) in thisprogram will attaindirect and consistentmedical library accessand/or how they willaccess research toolsand medical literatureincluding thesuggested referenceslisted in the ACVRPreliminary

The Pendergrass Agriculture and VeterinaryMedicine Library is located in theCollege of Veterinary Medicine TeachingHospital. The University of TennesseeJohn C. Hodges Library (the central campuslibrary) is located within walkingdistance of the Veterinary Hospital. All residentshave online access todatabases and relevant veterinary and humanmedical journals and electronic textbooks.Residents are encouraged to join RSNA and take

Examination studyguide?

advantage of their online teaching materials.

Did all of your currentresidents adequatelycomplete the last 6months of training?

Yes

List the currentmembers of theresident reviewcommittee.

All radiology faculty members equally participatein the residents’ evaluation;there is no separate review committee. The reviewprocess is structured asfollows:o A preliminary evaluation is conducted by theresident mentor after consultation with radiologyfaculty after 3 months. In case of any problems theprogram director and other faculty may be asked toparticipate in the meeting.o A formal written evaluation is carried out everysix months. All radiology faculty complete anevaluation form. In addition, input is solicited fromsmall and large animal clinicians 3 times duringthe program (at 6, 18 and 24 months).o The resident mentor is responsible for compilingthe results and meeting withthe resident to discuss the evaluation (areas ofpositive performance, areas forimprovement, and action plan). In case of anyproblems the program directorand other faculty may be asked to participate in themeeting.

Describe the internalmechanisms in placeat your institution toprotect the resident(s)if personal ororganizationalconflicts arise. Includethe managementhierarchy for residentsand procedures bywhich residents wouldreport workplacemisconduct.

o The department head (Department of SmallAnimal Clinical Sciences) is available forindividual meetings in case of any problems.o The department head solicits annual evaluationsof faculty by residents; theseare anonymous and form part of the annualevaluation materials for faculty.o A veterinary social work service is available tomediate interpersonal conflicts if needed.o In case of serious conflicts human resources mayget involved (luckily that hasnever been necessary for radiology).

The residents would report workplace misconductto the department head and HR.

2020 Number Of Prelim Board Eligible Residents: 1Number of Residents That Took Prelim Exam: 1Number of Residents That Passed On 1st Attempt:1

Number of Residents That Passed After MultipleAttempts: 0Number of Residents That Have Not Passed: 0

2019 Number Of Prelim Board Eligible Residents: 1Number of Residents That Took Prelim Exam: 1Number of Residents That Passed On 1st Attempt:1Number of Residents That Passed After MultipleAttempts: 0Number of Residents That Have Not Passed: 0




2020 Number of Certifying Board Eligible Residents: 1Number of Residents That Took Certifying Exam:1Number of Residents That Passed On 1st Attempt:1Number of Residents That Passed After MultipleAttempts: 0Number of Residents That Have Not Passed: 0





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