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CHEST



SLW & BI CHEST ROTATION

Faculty Representative: Dr. Pfaff

Hours:  8:00 am until attending dismissal

Responsibilities:
    - Outpatient chest CT until 3 pm
    - ER and Inpatient Chest CT until 4 pm

Location:  
- West: 4th floor radiology ballroom (unless otherwise stated)
- PACC: if Dr. Eber is on (Confirm on Qgenda)

The chest phone # from BI (20-3584) should be forwarded to the resident reading station at PACC. The BI attending number (20-2528) should be forwarded to the chest attending.           

Conference:  
             West: Cardiothoracic interdisciplinary conference

GOALS AND EXPECTATIONS

Goals:

· Gain a thorough knowledge of normal thoracic anatomy and be able to recognize normal variants of the: lungs, airways, pleura, heart, aorta, other mediastinal structures, pulmonary arteries, and thoracic osseous structures

· Be proficient in the recognition of pulmonary and other thoracic pathology and be able to formulate a differential diagnosis

· Understand the radiographic appearance and proper positioning of common monitoring devices.

· Learn how to generate a concise diagnostic radiology report

· Communicate effectively with referring physicians, house-staff, and patients

· Obtain relevant patient history from electronic records, dictated reports, and/or by communicating with referring clinicians.

· Understand the appropriate indications for a chest CT and be able to advise referring physicians as to its appropriate use

· Be able to protocol chest CT examinations appropriately

· Understand technical imaging standards, such as proper patient positioning, for all chest examinations

· Be able to recognize and communicate any problems with study quality (including problems with general image quality and with technical performance of examinations)



Expectations:

Protocoling: 

- Protocol all chest CT cases 4 weeks ahead of time. Please direct any protocol questions to the attending.

- Protocol guidelines can be found here under the Chest section. 

- Check the protocol list when you come in at 8 am for any added cases. Throughout the day, you should periodically check the protocol list for any added ED or inpatient cases.


Dictating: 

- Use the structured templates. Standardized dictation templates are available under "MSW" in Powerscribe. 

- Ensure the DLP radiation dosage is reported for all CT cases.

- Pre-dictate all studies as follows:

West: St. Luke's, West, and Chelsea Cancer Center

BI: BI, Downtown Union Square (PH), Brooklyn (KH) for chest CTs. BI inpatient and Downtown Union Square (PH) for chest and abdominal x-rays.All outpatient exams QC'ed and verified by 3 pm should be dictated.

All inpatient/ED exams verified by 3:45pm should be dictated.


Conferences: 

- Resident participation in interdepartmental conferences is strongly encouraged.  These enhance the resident's knowledge of the various clinical problems faced by the pulmonologist, cardiologist, and cardiothoracic surgeon, and form a basis for helping to guide radiologic workup of such problems.