First-year residents rotate through general radiology, including chest, fluoro, ultrasound, nuclear medicine, body imaging, neuroradiology, musculoskeletal, and pediatric radiology. There are usually two fluoro rotations, two body imaging rotations, two neuroradiology, two nuclear medicine, two ultrasound rotations, a chest, a musculoskeletal, and a pediatric rotation. Baby call begins after January in the first year with some 5 to 8 p.m. call, and later on during the first year of training, some weekend day call. There is no independent call the first year of radiology.
Second-year residents have five weeks of night float from Saturday to Thursday. When on night float week, the resident works on Saturday and Sunday from 8 p.m. to 8 a.m. with the day shift covered by another resident. Monday through Thursday, the resident works from 8 p.m. to 8 a.m. Second-year residents also spend four weeks in special procedures, including angio/interventional and mammography. Residents receive additional training in diagnostic radiology by again rotating through fluoroscopy, body imaging, nuclear medicine (including nuclear cardiology), musculoskeletal, and pediatric imaging.
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 $3,200 are covered as well as registration in the amount of $1,800. The third-year resident also attends a board review course with the hospital reimbursing $1,000 of those expenses. Additional training is received in angio/interventional and neuro interventional procedures as well as body, musculoskeletal, and MRI imaging.
During the fourth year, the resident completes training in mammography, perinatal, nuclear medicine, and cardiac. 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.