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IN-HOUSE CONFERENCE INSTRUCTIONS

Presentation dates are scheduled under "Clinic" on Amion.  It is your responsibility to review your schedule in advance!!!

EVERY WEEK

R1 CORE

  • Weekly Monday 12-1 pm conference for R1s given by upper level Radiology residents at MSW
  • Lunch is provided through Seamless
  • R1: See reading assignment
  • R2-R4: See teaching topic below and upload your PPT to the HDrive
  • Gotowebinar ID: 640-641-643


NOON CONFERENCE

  • Weekly Thursday noon conference presenting all level on-call cases on PACS (non-call cases also welcome)
  • Residents expected to keep a log of cases encountered on call 
  • Peer to peer teaching in a non-threatening environment
  • Lunch is provided through Seamless
  • Schedule

TUMOR BOARD

  • Tumor Board takes place every Thursday from 5-6 pm at either St. Luke's (surgery conference room) or MSW (conference room on 2nd floor, near the megaconference room). 
  • The cases for tumor board will be emailed by Tim Unisa, you should go over the cases with an attending before the tumor board to be ready to address questions from clinicians.  
  • Keep an eye on when tumor boards are cancelled, as they frequently are. 






MONTHLY

QI

QI conference will take place the fourth Thursday of every month. 

Format as follows (note there are 3 separate slide decks to keep track of):
  • 15-20 min: Deck #1, Serafin's slides. Review both SLW/BI dept's current QI metrics.
    • Serafin's office (administration) puts together this quality measurement slide deck; you should receive this deck at least 24 hours before scheduled presentation. If you don't hear from them, you can directly email Serafin (don't forget to cc the Chiefs): Serafin.Ayllon@mountsinai.org
    • Review deck with Dr. Kagetsu or a Chief/senior resident
      • The metric we use is "Complete to Preliminary"
      • You MUST correct any errors - bars used in graph are usually misaligned for e.g. or else you will hear from Dr Kagen. Adjust the scales.
  • 20-25 min: Deck #2, your slides. Review current hospital quality measures, and then present an article that explores a quality improvement/assurance or safety topic
  • 10-15 min: Deck #3, your slides. Discussion, usually with QI cases from Dr. Kagetsu.
    • Dr. Kagetsu will usually contact you with cases (you should download key images in advance onto a set of slides). 
      • If you don't hear from Dr. Kagetsu on cases, email him! 
      • Make sure you click "Overlay/Annotations" to anonymize the patient data!
      • If unsure about image selection or anonymizing/saving images, feel free to review the case(s) with a senior or Chief.  
    • Also when presenting the case, keep the case anonymous and do not mention specific attending or resident names.

AFTER CONFERENCEPresentations should be added to Quality Improvement Conferences folder (in the appropriate year subfolder) in the H drive. Try to use a consistent file naming system

Remember: If it's your own project, these presentations can count towards the ACGME graduation requirement .... AND can be converted to a presentation at a national meeting (especially ACR, abstracts typically due in December).






RESEARCH MEETING (on hold / attendings only)

  • Will review the status of ongoing projects, ideas for new projects, converting presentations to publications, etc.
  • Before submitting an abstract, please review the submission with Dr. Kamath.
  • When an abstract is accepted, plan on presenting your presentation at our research meeting before the national meeting.
  • Once an abstract is accepted, please notify all authors and Dr. Kamath so that our residency website can be updated. Dr. Kamath will not sign a travel authorization form unless this is done. 
  • Please submit your travel authorization form ASAP.

ROTATES Q7 WEEKS

RADPATH

This is a conference held every 7 weeks on Tuesday, as part of the rotating Tuesday noon conference curriculum by the radiology department where we discuss 2 cases which are ideally selected by the residents. 
  • If the resident is unable to find a case, the attending will suggest a case. We invite a pathology resident to present the path findings and the path diagnosis. 
  • Make sure one of you contacts the pathology resident 2 weeks in advance to make sure they prepare the slides
  • You can look up Pathology results on Epic. (if unsure how to access that tab, ask a senior resident or Chief).
    • Alternative/dated method: The pathology department’s reporting system for their studies is PathResults. To get a personal login, fill out an IT Help ticket for pathresults.chpnet.org
Format (usually 2 radiology residents, 1 pathology resident):
  • 15 minutes per radiology resident: You should discuss
    • the clinical presentation (!!! review the chart and patient course),
    • key findings/descriptors of your case on all relevant radiology modality(s) (whether the ideal modalities were used or not; you can use Google or StatDx if you do not have ideal images for alternate modalities), and 
    • present at least 3 differential diagnoses based on the radiological findings, and how to distinguish them
  • 10-15 minutes for pathology resident: 
    • The pathology resident then (hopefully!) gives us the pathology answer / correlates. 

AFTER CONFERENCEPresentations should be added to the appropriate folder in the H drive. The pathology powerpoint portions should also be added
  • H:\Dept\RAD1\Rad\SLR RESIDENTS AND FELLOWS\SLR Residency\SLR Resident Conferences\SLR RADPAT
  • A great outcome of a resident presentation would be to generate a case report


JOURNAL CLUB

  • Two residents present a recent scientific article every 7 weeks on Tuesday, as part of the rotating Tuesday noon conference curriculum. 
    • Note: This SHOULD NOT be a review article or pictorial essay (common in Radiographics or AJR Pictorial Essay articles).

  • 1-4 weeks before your assigned date: Before journal club, you will be emailed a reminder with the name of an attending who will proctor the journal club. If this does not happen, or if you would like a jump-start, please contact the Chiefs to find out who your proctor will be.
    • Article should be in the assigned attending's field. Two options for article selection:
      • An attending or Chief can assign you an article, or
      • You can find one you would like in that attending’s field.  
        • Tips: Look in "New articles" under the top journal in the attending's field - if you are unsure what those journals may be, look under the Radrez "Research" tab for names of journals with high impact factors.
        • If looking on your own, make sure you run it by the Chiefs or proctoring Attending first!
  • The week of your presentation (ideally on Monday):
      • Send out your chosen article to the group.

  • Day of your presentation: Presentation should be ~30 minutes.
    • The guideline format of the presentation is as follows: 

            1.  What is the article’s objective? (background/history)

            2.  What is the design of the study; e.g., Case Series, Case Control, Randomized.  Is this retrospective or prospective?  Are the controls appropriate?

            3.  Who are the subjects?  Is this explicitly stated?  Is there selection bias?

            4.  Interventions:  What procedures were performed?

            5.  Results:  What are the authors’ significant  findings?  Comment (if you can) on the appropriateness of their statistical evaluation.  Is there internal consistency in the data?

      6.  Organization and writing style:  Is the paper logically organized and clearly written;  is it easy to follow?

      7. Study limitations (author): summarize the limitations of the stydy as noted by the authors.

      8. Additional limitations: please try to come up with your own criticisms of the paper. (you should consider touching base with the attending before your presentation for this.

            9.  Conclusions:  What are the authors’ major conclusions?  Are the results generalizable?  Are they justified from the data?  Do the conclusions support the objectives of the paper? What type of contribution to the field does this paper make?  Can you relate it to other literature on this topic? Do the results make teleological/biologic sense?

           10.  Miscellaneous Comments:  How could this paper be strengthened?  Did you learn anything from this paper?  Was the discussion informative?  Was this paper published in a major and/or peer review journal, a minor journal, or a throw-away journal? Does it help you in your practice -- will it alter practice in any way or does it support what you are currently doing???


AFTER CONFERENCE: Presentations should be added to the appropriate folder in the H drive.
  • A great outcome from your review would be a letter to the editor.

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