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CHEST


SLW & BI CHEST ROTATION

Faculty Representative: Dr. Meline Hovnanian

Hours:  8:00 am – 4:00 pm
             Outpatient chest CT until 3:00 PM

Location:  
  West Rotation: Mount Sinai West, 4th floor radiology ballroom.

             BI rotation: Mount Sinai Downtown Union Square (PACC)            

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: Please protocol all chest CT cases at least 1 week ahead of time. On Friday, cases should be protocoled until the following Friday. Please direct any protocol questions to the attending. Protocol guidelines can be found here under the Chest section. Please check the protocol list when you come in at 8am for any added cases. Throughout the day, you should periodically check the protocol list for any added ED or inpatient cases.

Dictating: Please use structured templates. Standardized dictation templates are available under "MSW" in Powerscribe. Please ensure that 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 3:00pm 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.



RECOMMENDED READING

References

Recommended Books
  • Felson's Principles of Chest Roentgenology: A Programmed Text by Lawrence R. Goodman
  • Chest Radiology: The Essentials  by Jannette Collins