Radiology Residency Training Program School of Veterinary

Last Revised: September 30, 2008

Radiology Residency Training Program School of Veterinary Medicine University of Wisconsin-Madison

The University The University of Wisconsin – Madison is ranked 8th among the nations best public universities, with 41,000 students, 45 libraries containing 5.9 million volumes and set on 933 beautiful lakefront acres in the center of the city, adjacent to a 1262 acre arboretum. UW ranks 5th among universities in the amount of money spent on research and development and is 3rd in the number of doctorates granted. The UW Medical School, a short walk from the veterinary campus, is ranked in the top 2 percent of the nation’s major medical centers in 10 medical specialties. The veterinary school is located within view of the largest of Madison’s lakes and adjacent to one of the University’s 2 large recreational facilities.


The City Madison is also home to the seat of state government, providing an eclectic, energized atmosphere. Madison offers both small town charm and a range of cultural and recreational opportunities usually found in much larger cities. And, with four lakes and over 200 parks, it is one of the nation's most scenic cities. It has one of the few free zoos in the nation. Madison consistently ranks as one of the top places in the country to live, work, go to school and play. Built on an isthmus in the midst of four glacial lakes, Madison offers an abundance of activities including sailing, fishing, swimming at thirteen area beaches, boating, dozens of public tennis courts, hiking, biking, (one of the best bike towns in the country), ice skating, jogging and golfing. Hunting, snowmobiling, skiing, sledding and canoeing are also popular.


Radiology Residency Training Program School of Veterinary Medicine University of Wisconsin-Madison Introduction:

a. Objectives The objectives of this training program are to prepare the resident for the ACVR board examination and subsequent academic appointment or private specialty practice. Program is also in compliance with requirements for the European College of Veterinary Diagnostic Imaging examination. Training is provided in small, large and exotic animal species and in research and publication.

b. General nature of the residency program

The University of Wisconsin-Madison, School of Veterinary Medicine offers a 4 year clinical residency training program in veterinary diagnostic imaging. Based on the ACVR requirements of 30 months of supervised clinical training in a 36 month residency, supervised training includes 12 months in small animal diagnostic radiology, 9 months in diagnostic ultrasound (including an in-house 2-week rotation in echocardiography), 3 months in large animal diagnostic radiology and 3 months in computed tomography. The program also includes 1 - 3 months of concentrated training in each of the following: magnetic resonance imaging, nuclear imaging, and radiographic special procedures, as well as 1 month in radiation oncology. All of the above training is completed in the first 36 months of the residency and will be accomplished on site. The resident will be eligible to take the ACVR preliminary (written) exam in September of the 3rd year of residency. Sixteen of the 48 months of training are scheduled for research and writing, elective subspecialty training, outside rotations and studying for the written board exam. Two weeks of vacation are granted annually. The program does not include an advanced degree. c. length of the residency: 4 years.

3 years for completion of requirements to take the board exam, followed by a year of

academic and subspecialty training. d. start date of the residency : on or about July 15. e. size of the residency class:

one per training year; for a total of 4 residents at a time.

Application & Selection


a. Resident selection is through the Veterinary Intern/Resident Matching Program sponsored by the AAVC. For forms, contact that office at 614 228 6599; fax 614 228 1216; email [email protected]

b. An internship or equivalent clinical experience is prerequisite. Selection is based on grades, professional experience and recommendations.

c. Applicants must submit application form, college transcripts (including g.p.a. and class rank) and 3 letters of recommendation.

d. Applications should be sent to the Chair, Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin, 2015 Linden Dr., Madison, WI 53706. The University of Wisconsin-Madison is an equal opportunity employer. Applicants must return a completed Applicant Agreement form and a rank order list, along with application fee to VIRMP, 37 W. Broad St., Suite 480, Columbus, OH 43215.

e. Application deadline to the matching service is on or about December 1.

ACVR Residency Training Program Application Form:

This document is to act as a guide for institutions desiring ACVR accreditation of their residency training program. It should be used in concert with the requirements set out in the ACVR


Essentials of Residency Training document and it follows the headings of that document. It is intended to streamline the application process and help define what information the RSEC needs to evaluate the program. All terms used in this application have same definitions as defined in the Essentials.

II. Objectives: University of Wisconsin Radiology Residency Program

Succinctly state the objectives of the training program.

The objectives of this training program are to prepare the resident for the ACVR board

examination and subsequent academic appointment or private specialty practice. Program

is also in compliance with requirements for the European College of Veterinary

Diagnostic Imaging examination. Training is provided in small, large and exotic animal

species and in research and publication.

III. Training period:

What is the total length of the training program in months? 48

If this is a 4 year program, during what year will the resident be eligible to take the ACVR Preliminary Exam? If the resident is not eligible to take the exam during the beginning of the 3rd year (September), please state the reason. September year 3.

What is the total duration of supervised clinical training in the program? 174 weeks

What are the responsibilities of the resident in the remaining non-clinical portion of the program? Research, study and vacation

IV. Direction and Supervision:

Program Director: Who is the Director of Residency training? Chess Adams

What percentage of this individual’s time is committed to clinical service and teaching of residents? 65

Faculty: Please list the faculty member of the program accepting PRIMARY responsibility for training in each of the following core areas:


Roentgen diagnosis: Faculty: Adams Percentage clinical service: 65

Diagnostic ultrasound: Faculty: Forrest Percentage clinical service: 65

Computed Tomography Faculty: Schwarz Percentage clinical service: 70

Magnetic Resonance Imaging: Faculty: Schwarz Percentage clinical service: 70

Nuclear Medicine: Faculty: Forrest Percentage clinical service: 65

List the names and percentage clinical commitment of additional imaging faculty in the program, and their area(s) of instructional responsibility. For each imaging faculty in the program please provide a one page CV documenting their expertise in the area(s) of assigned responsibility. For each of the specialty colleges listed below please list at least two Diplomates of these colleges who can be expected to regularly interact with radiology residents:

ACVIM Dr. Rebecca Stepien // ACVIM - Cardiology Dr. David Vail // ACVIM - Oncology ACVS Dr. Michael Livesey // ACVS - LA Dr. Paul Manley // ACVS - SA ACVP Dr. Richard R. Dubielzig // ACVP Dr. Howard Steinberg // ACVP

V. Affiliation agreement:

If all of the training will not be accomplished on-site, please attach a copy of the affiliations agreement(s). Include the scope of the training and amount of time the resident will be away from the home institution.

VI. Facilities:


Briefly describe how the program meets the facility requirements.

The section of radiology has 3 small animal diagnostic radiology rooms. One of

these rooms has an 800 mA tube with video fluoroscopy. The second has a 600

mA tube for routine radiography, plus a mobile C-arm for digital fluoroscopy and

subtraction; suitable for angiocardiography. Our third small animal room for

routine thorax and abdomen studies is equipped with a floating table and 500 mA

tube. Separate rooms are dedicated to large animal diagnostic radiology and

diagnostic ultrasonography. The large animal room has an 800 mA high

frequency generator with a ceiling mounted motorized tube stand and integrated

ceiling mounted cassette stand. A portable x-ray machine is available for in-stall

and distal extremity radiography. Both small and large animal rooms are Eklin

digital (DR), with Philips PACS and VetStar RIS, integrated with the HIS.

Ultrasonography equipment includes real-time B-mode imaging with harmonics, all digital beam formers, multiple transducers and pulsed, power and color Doppler.

Helical computed tomography and nuclear imaging suites are located adjacent to the rest of the imaging department. Nuclear imaging equipment consists of a 20” x 4.5” rectangular field of view gamma camera mounted on a specialized stand. The imaging equipment is connected to a computer, allowing dynamic imaging studies and analysis. Our 1.0 tesla MRI unit is in a modular building adjacent to the VMTH.

Radiotherapy is provided by a cobalt isocentric teletherapy facility located in our hospital. Radioactive iodine therapy for hyperthyroid cats is also provided.

VII. Clinical resources:

Indicate the approximate number of patients seen annually by the home institution? 21,351

What is the annual imaging caseload? 8695

Indicate the approximate breakdown of the patient population according to species.


Small animals (canine, feline) 7489

Large animals (equine and food animals) 863

Exotic animals 243

What is the approximate annual imaging caseload of the program in:

Small Animal Radiology: 5324

Large Animal Radiology: 806

Abdominal Ultrasound: 1876

Computed Tomography: 494

Nuclear Medicine: 45

Magnetic Resonance Imaging: 218

Other (specify): Radiotherapy: 110

VIII. Training content:

What percentage of imaging reports are typically available within 48 hours after the examination is conducted in typewritten or electronic form? 95

If your answer is less than 75% please explain how reports are generated and how long it takes for the report to be available for review in typewritten form.

Of the preliminary reports generated from the imaging caseload what percentage are initially produced by the resident? 80

What percentage of resident reports are reviewed by the imaging faculty prior to finalization of the report? 35

When preliminary resident reports are reviewed and edited by the imaging faculty responsible for training, what percentage of the time are two or more faculty present? 5

Please complete the table below

Clinical Assignment Estimated number of cases each resident


experiences during 40 months of clinical assignments

Small Animal Radiology: Annual caseload/12 x mo. assigned = 5990

Large Animal Radiology: 269

Abdominal Ultrasound: 1876

Computed Tomography: 185

Nuclear Medicine: 10

Magnetic Resonance Imaging: 50

Elective (any of above) RO 9

Required elective (specify): Echo 30

Total 8410

Please indicate the course number and unit assignment residents are required to take to meet the educational objectives for formal instruction as outlined in the Essentials in the following: Topic Course number Units

Radiobiology: 410 27 lect

The Physics of: “Physics for Radiology Residents” (medical school):

Diagnostic Radiology: no course # 27 lect

Nuclear Medicine: 7

Ultrasonography: 4 lect

CT: 5

MRI: 9

If your program does not offer formal courses in any or all of these topics please indicate how these educational objectives for each are met. Use attached sheets if necessary.

IX. Research Environment:


Over the last 5 years, what is the average number of peer reviewed publications, on which the IMAGING faculty listed under Direction and Supervision in IV above, are included as authors? 25 / 3 = 8.3 pubs per faculty

What is the number of publications/submissions expected of a resident completing the program? 2

If this is an established program, what percentage of residents have made formal research presentations at the annual ACVR or equivalent national meeting? 100

Is an advanced degree a requirement of the training program? no

X. Educational Environment:

How many lectures or scientific presentations are expected of each resident during the course of their training? 6 to undergrads + 8 resident seminars

XI. Evaluation:

During the program how often is resident performance evaluated in writing? 4

XII. Teaching File:

What is the nature and scope of the teaching file available to residents? Radiology files are maintained for students and residents. Additional radiology teaching sets, and patient file coding systems are in place to assist residents and faculty members for presentations or studying purposes of historical (hard copy) files. The coding system is conventional (by body part and condition).

Seminar and lecture presentations are stored electronically.

How is it maintained/updated? First year resident assists in maintenance of this file. All residents contribute to the teaching file by recording teaching quality studies daily, which are maintained in an indexed digital file on the PACS. Resident seminars are filed in a share file on computer.

XIII. Conferences:

On average how many Known Case Conferences are conducted annually? 42

XIV. Literature resources:

What is the geographic relationship between the nearest medical library and the training program? 4 blocks


XV. Appendix: Provide a clinical schedule for your resident(s). This schedule should provide a weekly or monthly outline of the resident’s clinical responsibilities. This may be in the form of a master schedule or duty roster for your entire radiology section if desired.

weeks: 1 to 4 5 to

8 9 to 12 13-16 17-20 21-24 25-28 29-32 33-36 37-40 41-44 45-48 49-52

1st y resident

Clinics LA SA-U US - LA SA SA-RESEA

SA-RESEA SA LA/CT

SA/CT-SP SA

U-CT/SP US - SA

RES-CT/SP

Teaching:

lectures SA rad

an LA Rad an labs Radiolog Radiolog Radiolog Radiolog

Classwork Radiolog Radiolog Radiolog Radiolog Rad Phys Rad Phys

2nd y resident

Clinics CT/SP MR/NM RESEARCH CT/SP U-SA ECHO/N-U LA/SP U-SA SA

US-CT/SP LA/MR

CT/SP-MR/NM

MR/NM-US

Teaching: /NM

lectures SA rad

an LA Rad An Radiolog labs Radiolog

Classwork Nuc Med R Bio* R Bio R Bio

3rd y resident

Clinics SA-Study Study-U US - SA

U-ELECT RT/CT-U U-SA Elective MR-RT/CT U

CT/SP-US SA SA SA

Teaching: lectures SA rad an LA Rad An Radiolog

labs Radiolog Classwork R Bio* R Bio R Bio Total: yrs 1-3 *R Bio offered alternate years - take once when offered

SA - 50 wks US - 34 Echo-2 CT - 12

SP - 11

ELECT -6

Research - 10 Study - 4

LA - 12 RT - 4 MR - 6 NM - 5

(Vaca - 6)

4th y resident

Clinics MR/NUC-US

SA/SP-US MR/CT/SP RESEAR

LA/SP-CT/MR

Res-MRCT RES - US SA/MR-U

RES-M/CT LA/MR SA - US

MR/NM-US US-Res

Teaching:

lectures SA rad an LA Rad an

labs Radiolog Radiolog Radiolog Radiolog


Classwork Radiolog Radiolog Radiolog Radiolog Total: 4th yr SA - 4 U-14 RESEARCH -12 LA/SpProc/CT/MR/NM -22 (Vaca - 2)

37-40

41-44

45-48

49-52

SA U-CT/SP US - SA

RES-CT/SP

Radiolog Radiolog

Radiolog Radiolog Rad Phys Rad Phys

US-CT/SP LA/MR

CT/SP-MR/NM

MR/NM-US

/NM R Bio CT/SP-US SA SA SA R Bio

LA/MR SA - US MR/NM-US US-Res Radiolog Radiolog Radiolog Radiolog


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Radiology Residency Training Program School of Veterinary