Mount Sinai West/Brodsky and Mount Sinai St. Luke's
  • Faculty representative: Dr. Karen Lee
  • Schedule:
    • Monday, Tuesday:  West
    • Wednesday, Thursday:  SL
    • Friday:  West
  • Location:
    • Radiology Associates West (Brodsky)
      • 425 West 59th Street, 6th floor, Suite 6C, New York, NY 10019 
      • 212-523-8333 
    • Mount Sinai St. Luke's
      • 1111 Amsterdam Avenue, 3rd floor, New York, NY 10025
      • 212-523-4000 

Mount Sinai Union Square (DUS)
  • Faculty representative: Dr. Ami Shah
  • Location: 
    • 10 Union Square East, 4th floor, Suite 4L, New York, NY 10003 
Mount Sinai Chelsea 
  • Faculty representative: Dr. Lisa Abramson
  • Location: 
    • 325 West 15th Street, 1st floor, Mammography Suite, New York, NY 10011


MS Union Square (DUS)
  • Multidisciplinary breast conference every Monday 8:00 - 9:00 AM. 
  • Residents on rotation should attend

Annual Mount Sinai conference 
  • October 1-3, 2018
  • Excellent topics from some of the leaders in the field
  • Course syllabus

  • One day dedicated to breast during annual conference

The New York Breast Imaging Society (NYBIS)
  • 5 CME lectures per year and the lecture schedule 
  • Mount Sinai Hospital 
    • Goldwurm Auditorium
    • 1425 Madison Avenue at 98th street)
    • 6:00 - 8:00 pm
  • NYBIS would love to have more resident involvement and each year we elect a resident liaison. Please contact Karen Lee for more information about joining NYBIS


  • Used at SL
  • Request access by emailing CHP-RIS

  • Used at RAW (Brodsky) and CAM
  • Login
    • For access, put in email address and hit forgot password to reset
    • If email is unknown, email


Junior residents (R1, R2s)
  • Read the BI-RADS atlas, mammo section at minimum but ideally mammo and sono sections before starting first week
  • Read MRI section by second rotation 
  • Watch a mammo being performed 
  • Scan as much as possible real time
    • Spend time with the tech watching them scan and then scan after tech finishes while tech presents case to attending
    • Introduce yourself to the patient & ask her permission to scan while tech & attending are checking
  • Preview the screens
    • Decide if you want to give a BI-RADS 0, 1 , or 2
    • Then observe attending read out
    • Once you’re comfortable with the dictation software, you can start pre-dictating as well
  • Observe procedures
    • Once you see a few, put sterile gloves on so you can get familiar with the equipment 
    • Ie. try firing the biopsy gun before attending uses it to biopsy

Senior residents (R3, R4s)
  • Screening numbers: need 240 in six months 
  • Diagnostic cases 
  • Procedures under supervision 
  • MRIs

All years
  • Email CHP-RIS name and MRN number whenever you dictate a case and notice priors with “0” images in PACS requesting priors be sent to UV 
  • Keep a list of the cases you give a “0” to so you can track cases that ttending may change more easily in your nuance list
  • Track the ones that attending also agrees to give a BI-RADS 0 and follow up the outcomes--great way to learn
  • EPIC access is essential 
    • Consults are a great way to learn: pre-dictate with attending supervision/guidance
  • Consent cases for procedures AFTER you have been oriented and observed
    • Be sure you know what procedure you are consenting for and have confirmed with the procedure attending that getting consent is appropriate
    • Consent: “Imaging guided biopsy of left/right breast with tissue marker” or “Imaging guided localization of left/right breast”
    • Time out form-> more specific: “Stereotactic/Ultrasound/MRI guided biopsy/localization Right/Left breast calcifications/mass/clip [LOCATION] with tissue marker” 
    • Ask about medication and metal allergies, blood thinners/bleeding issues 
    • Procedures are all done under sterile conditions, minimal risk of infection & bleeding, plenty of local anesthesia (lidocaine) will be given (may feel a “pinch & burn”). After breast is numb, will feel pressure but should not feel anything sharp. If feel something sharp, let us know
    • For MRI biopsies: let patient know there is a possibility (about 10%) biopsy will be cancelled if the area cannot be reproduced (i.e. doesn’t enhance) 
    • Marking clips are placed to mark all biopsies – if patient is refusing tissue marker get attending. (bottom line is that we will not do biopsy without marker but detailed discussion should be done by fellow or attending) 
    • Unless you are fluent in another language and have hospital approval to consent in that language, get consent by phone with the assistance of a translator from Pacific interpreters. Write the interpreter’s name and ID# on the consent form. It will have to be dictated onto the report. 
  • Post procedure instructions 
    • Shower after 24 hours 
    • No soap, lotions, etc on steri-strip. Steri-strip should fall off in 5 days. If not, can remove it on 6th day 
    • Limit overhead motion or anything that moves the breast for 24-48 hours 
    • Tylenol as needed for pain 
    • Ice 15 min on, 15 min off for first day 
    • Wear a sports bra/tight bra after procedure and it may be more comfortable to sleep in it the first night 
    • Soreness and bruising expected post procedure


For residents graduating in 2014 and later:
  • There is a proposed policy pending FDA approval:  "Physicians who 
    • 1) successfully complete a diagnostic radiology residency program in 2014 (or later)
    • 2) have interpreted or multi-read at least 240 mammographic examinations under the direct supervision of an interpreting physician in any 6-month period during the last 2 years of this residency
    • 3) have passed their certifying board's core exam by the end of their residency are otherwise exempt."
  • After graduation you need to read 960 cases within 24 months to maintain certification, otherwise you need to requalify. Also, you will need 15 mammography CME hours in 36 months


  • There is a breast imaging attending on call who is available to answer patient questions and concerns at all times
  • The attending on call is listed on the on call schedule


  1. BI-RADS Atlas, 5th edition
  2. Ikeda, Breast Imaging: The Requisites 
  3. Cardenosa, Breast Imaging Companion 
  4. Tabar and Dean, Teaching Atlas of Mammography 
  5. Cardenosa, Breast Imaging (Core Curriculum series) 
  6. Dershaw, Imaging-guided Interventional Breast Techniques 
  7. Morris and Liberman, Breast MRI: Diagnosis and Intervention 
  8. Stavros AT. Breast ultrasound. Philadelphia, Pa: Lippincott Williams & Wilkins, 2003 
  9. Shah and Mandava, Breast Imaging: A core Review

RadRez Administrator,
May 17, 2018, 9:03 AM