Each rotation lasts four weeks. There are 52 rotations in the four years of radiology training.
First-year residents rotate through general radiology, including chest, gastrointestinal/genitourinary, ultrasound, nuclear medicine, musculoskeletal, neuroradiology, body imaging, and pediatric radiology. The remainder of the year entails additional rotations in these core modalities. There is usually a rotation in chest, two GI/GU rotations, one emergency radiology/night float, one MRI, one nuclear medicine, one CT neuro, one CT body, one pediatric radiology, one ultrasound, and one MSK/MRI rotation.
Second-year residents spend four weeks in special procedures, including angio/interventional and neuroradiology. Mammography is also introduced this year. Residents receive additional training in diagnostic radiology by again rotating through general radiology and fluoroscopy, body imaging, nuclear medicine (including nuclear cardiology), musculoskeletal, and emergency/night float.
There is one rotation in chest, one GI/GU, two musculoskeletal (one MSK/CT B, one MSK/MRI), one MRI/CT head, one nuclear medicine rotation, one pediatric radiology, two vascular/interventional, one ultrasound, two emergency radiology/night float, and one mammography rotation.
The third-year resident attends a four-week course at the American Institute of Radiologic Pathology in Silver Spring, Maryland. Reasonable living expenses up to $3,500 are covered. Additional training is received in angio/interventional and neuro interventional procedures as well as perinatal ultrasound, pediatric, musculoskeletal, and MRI imaging. The resident continues to refine his/her skills in chest imaging and gastro/genitourinary fluoroscopy.
The resident has another chest rotation, one GI/GU, perinatal ultrasound, mammography, MSK/MRI 2, MRI/CT H 3, MRI/CT B 3, one pediatric radiology, two angio/interventional, and one nuclear medicine.
During this year, the resident completes his/her training in nuclear medicine, cardiology, and mammography. After discussion with the program director, the resident may also elect to do one month of additional training in an area of special interest in diagnostic radiology.
In the fourth year, the resident has a third ultrasound rotation, a GI/GU rotation, chest, nuclear medicine, cardiology, a third mammography rotation, MRI/CT B (4), MSK/MRI (4), MRI/CT B (4), and an elective rotation. The elective rotation is usually done in the resident's chosen area of fellowship training.
Initially, first-year residents observe faculty, perform procedures, interpret film, and dictate reports. As residents become more proficient with techniques and film interpretation, and under the direction of the faculty, residents are permitted to dictate preliminary reports, monitor exams, and perform procedures under direct supervision. All final reports are checked and signed personally by the faculty.
By the second and third years of training, the residents are given more responsibility commensurate with their individual level of maturity, achievement, skills, and experience in performing radiological procedures, film interpretation, and reporting. Resident assignments are based on assessment of each individual's abilities and progress in order to achieve an appropriate balance between patient care standards and promotion of each resident's competence and initiative. However, even for senior residents, all films are reviewed and reports are checked and signed by the faculty.
During the fourth year, residents function with greater independence. They are encouraged to take on responsibility for teaching of medical students and may assist in junior residents' training under faculty supervision.