DIAGNOSTIC RADIOLOGY RESIDENCY PROGRAM The University of Iowa

DIAGNOSTIC RADIOLOGYRESIDENCY PROGRAM

The University of Iowa Hospitals and Clinics

UIHC

• Iowa’s only tertiary care center• level I trauma center• only radiology residency program

in the state of Iowa

UIHC• University of Iowa Hospitals and Clinics

ranks overall as one of "America's Best Hospitals" with 12 of the hospital's specialties listed among the nation's top 50 in an annual survey published by U.S. News & World Report magazine.

UIHC• Unique

–largest teaching hospital–state hospital–financially sound–geographically privileged–large referral area

UIHC Services• inpatient beds = 763

• intensive care= 79• acute care = 582• minimal care = 102

• ambulatory patient specialtydiagnostic clinics = 281

UIHC Patient Services• patient admissions = 50,324• total patient days of care = 198,565• clinic visits = 853,468• ETC visits = 31,626• major surgical cases = 20,644• minor surgical cases = 69,236

UIHCHuman Resources

• staff physicians / dentists = 754• resident physicians / dentists = 470• fellow physicians = 191

VA Medical Center

• affiliated institution linked to UIHC• 140 beds• 3 residents / month• full radiological experience• convenient

UIHCDepartment of Radiology

• Residents in training– diagnostic = 32– nuclear medicine = 3– fellows in training = 13

• MSK - 4• Neuro - 3• Neuro Interv - 2• Body – 3• Vasc Interv - 1

UIHCDepartment of Radiology

• radiographic examinations:• annual examinations = 213,995

– diagnostic = 156,627– PET scans = 2,235– CT = 35,071– MRI = 12,349– Nuclear medicine = 7,713

Radiology Residency Program

GOALS:

1. Patient Care2. Resident Education3. Research


• 32 residents total– 33 PGY 2-5 residents by July 2005

• 4 year program• NRMP designation (S)• training limited to UIHC

– VAMC- 5 months


• Resident Education– conferences – subspecialty rotations

• busy reading rooms– introductory radiology course– board prep courses


• Resident Instruction– daily noon conferences– morning case conferences– interdisciplinary conferences– board prep– R1 introductory course– journal club– AFIP


• Education Curriculum– core curriculum

• CD-ROM - “one-stop shopping”• Lecture presentations & educational

materials in Resident network folder.– noon didactic conferences

• two year curriculum• introductory lecture series


• Noon Conference– daily (M - F)– resident based– introductory lecture series– 2 year curriculum– didactic/case


• Morning Case Conferences– Monday : Ultrasound/IR/ Mammo– Tuesday : Body/GU– Wednesday : Neuro– Thursday : Chest/Nuc Med– Friday : MSK/ Peds


• Introductory Radiology Course– R1 class– Brant & Helms textbook

• provided by the department– 6 months long (July-Dec)

• 2x per week– Faculty led discussions


• Resident Rotation Schedule– subspecialty-based rotations– predicated upon oral exam (ABR)– 4 weeks in duration– hands-on experience (few fellows)

• Call– Night float rotation for long call (junior)– Short Call (senior)

Resident Rotations• Chest• Peds• Body CT• GI/GU• Neuro/ H&N• Musculoskeletal• Nuclear Medicine• Ultrasound

• Peripheral Angio• Neuro Angio• NonInvasive Angio• Mammography• Body MR• Cardiovascular• PET• Elective

Residency Program• On-line reading

– all clinic films are read on PACs • pt takes hard copies to clinic

– voice activated dictation system• by the time the pt is seen in clinic

a report is on the system

• Result– faculty present in reading room all day– increases opportunities for informal teaching– builds camaraderie


• Board Prep Conferences– Mock oral board conferences

• April, May– Saturday am “mock” orals

• May– Physics review and RAPHEX exam– Radiation Biology lectures– ACR inservice examination


• Research– 2 to 3 months ( dedicated )– R3 research presentations– departmental support ( meetings, $ )– in existence since 1983

Department of Radiology• Equipment

– CT: 5 multidetector• ETC

– 5 MR (CV)• ETC• 3 Tesla

– new IR & NIR rooms– PET (1989)

• 2 CT/PET– PACS/ voice recognition

Departmental Library• full time librarian• 2984 volumes• 98 Journal titles• core book collection• PCs• ACR files

Residency Program• Benefits

– R1 Salary = $ 41,430– 15 days vacation

• + 5 personal days– Health care @ UIHC for residents &

dependents provided at no cost– Free pharmaceuticals– RSNA (dues and meeting)– Disability insurance coverage– 40K Life insurance


• Recent Program Changes– option of “virtual AFIP”

• $ to purchase books, computer, and/or other educational related materials

– R1 introductory course– PET, Non-invasive angio, and elective

rotations added to rotation schedule


• board performance• changes ?• life after residency


• Unique Attributes– cohesive & well rounded– wealth of pathology– superior equipment– national reputation– geographically privileged

What about the town?

IOWA CITY• Population = 62,380 (Iowa City)

15,123 (Coralville)• Median age = 24.8• Median household income = $62,900• Offering big-city amenities along

with small-town hospitality, Iowa City has it all. Nestled in the heart of the Midwest, it has long served as a locus for culture, education, variety and fun.

“Top Ten Rankings”

• Outside magazine ranks Iowa City No.10 on list of college towns

• The Milken Institute ranked IC the No. 1 small metro community

• USA Today listed IC as the third best-educated city in the nation

“Top Ten Rankings”• Men’s Journal ranked IC the sixth-

most sexy, healthy and safe place to live

• The AARP named IC the sixth-best college town in which to retire

• Expansion Management magazine ranked IC the No. 11 metro area for companies to relocate or expand

Health & Medicine

DIAGNOSTIC RADIOLOGY RESIDENCY PROGRAM The University of Iowa