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BODY CT


BODY CT ROTATION

FACULTY REPRESENTATIVE: Dr. Barak Friedman


HOURS 8 am until dismissed by attending
LOCATION: 
  • Body CT South Resident: BI Main Reading Room, Linsky 2nd Floor
  • Body CT West Resident: Morningside (3rd Floor - Clark Building) or West ballroom (4th Floor), depends on the site Body CT W attending covers Fluoro "RF" (check QGenda)
CONFERENCES:
  • Body ICC Conference, Thursdays 4 PM
    • 1st Thursday of Month: Systemwide, MSH presents
    • 2nd Thursday of Month: Systemwide, MSW presents (Moderated by Dr. Gnerre)
    • 3rd Thursday of Month: No Conference
    • 4th Thursday of Month: Not Systemwide, MSW only (Moderated by Dr. Roudenko)


GOALS AND EXPECTATIONS

Curriculum:
Refer to this website

RESPONSIBILTIES
  • Protocoling: Please protocol all body CT cases at least 1 week ahead of time. On Friday, cases should be protocoled until the next Friday. Any protocoling questions, if any, can be directed to the attending. Refer to Protocol Guidelines on Dr Friedman's body imaging website. Please check the protocol list as your first task when you come in at 8am for any added cases. Throughout the day, you should periodically check the protocol list for any added ED cases. 
  • Please use structured templates. Standardized dictation templates are available under "MSW" in Powerscribe. Make sure DLP radiation dosage is reported. 
  • Pre-dictate all studies as follows
    • West: Morningside, West, Urgent Care
    • South: BI, Downtown Union Square, Brooklyn, Chelsea Cancer Center, Urgent Care
  • All outpatient exams QC'd by 3:00pm should be dictated. 
  • All inpatient/ED exams QC'd by 3:45pm should be dictated. 
  • Body CT S Resident will perform all Fluoro studies, except the days covered by Dr Rackson
  • Body CT W Resident will perform any Fluoro studies, when Fluoro resident is not onsite
  • Attend Body ICC Conference 

Note: CT colonographies are no longer scheduled at BI. Please email Dr. Kamath if there is one scheduled at BI.









R1 TIPS

  • On your first day of CT: In the am, you should sit with the attending and learn to identify structures, ask questions when you can, and develop a brief foundation for being able to dictate a case on your own. In the afternoon, you can begin to dictate cases on your own, and ask questions as needed. Depending on your skill level, you can review each case as you dictate, or select a time to review a set number of cases at once. 
  • How many cases am I expected to dictate? During your first week, aim to dictate 4-6 CT cases per day. This number should naturally increase as you progress. Depending on the complexity of cases, the number of cases you dictate per day will vary. 
  • Towards the end of your first rotation, and during your 2nd block of CT as an R1, aim to dictate 10-20 cases per day depending on complexity. 
  • Towards the end of R1 year and primarily into R2 year, you should be preparing to build speed along with accuracy in preparation for call. You should aim to independently dictate the full day's CT list (10-30 cases), again depending on complexity. 
  • Please note that these numbers are only meant to guide you. Accuracy should always be prioritized over speed.
  • Try to focus on cases that you find difficult, and challenge yourself, as you will see similar cases on call. Ask the attending any questions you have. Please make sure to look at all imaging planes (axial, coronal, sagittal). 


RESOURCES

  1.  Organ Injury Scaling 
  2.  Adrenal Washout Calculator
  3. E-anatomy
  4. Cornfeld radiology (for identifying anatomy; common and basic cases with anatomy and pathology described in an easy to understand way). 
  5. http://radiology.cornfeld.org/http://radiology.cornfeld.org/
  6. Lieberman Radiology: "The Abdomen" lecture series (a good introduction lecture series)
  7. http://eradiology.bidmc.harvard.edu/interactivetutorials/
  8. Body CT basics lectures by ctisus. (a good introduction lecture series)
  9. https://www.youtube.com/playlist?list=PLzn03IJDMDgBeTME5eufrIKRfzC1Bfnlq
  10. CORE radiology
  11. Fundamentals of Body CT (available on H drive or Levy library) 
  12. Radprimer: Aim to be comfortable with basic objectives by the end of R1 year; intermediate objectives by the end of R2 year 


PROTOCOL TIPS

ORAL CONTRAST Guide for OUTPATIENTS
  • Oral contrast NOT needed:
    • Abdominal pain 
    • Adrenal
    • All CT Angiograms
    • CT Cystogram
    • Gastric protocol
    • Hernia
    • Liver
    • Oncology follow up
    • Pancreas
    • Renal
    • Stonehunt (Kidney Stone)
    • Trauma
    • CT Urogram
    • CT Venogram 
Water can be used instead of oral contrast and given 20 minutes prior to scan.
  • Oral Contrast can be helpful:
    • CT Enterography
    • Suspected appendicitis BMI < 25
    • No IV Contrast -- Give oral contrast on a case by case basis
    • Initial oncology study
    • Rule out GI leak studies
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RadRez Administrator,
Jun 11, 2020, 8:55 PM