Interventional Radiology

Duration: 4 weeks

Period Offered: All

Distribution of student's time:

• 50% inpatient care
• 25% outpatient care
• 25% conferences/lecture

Enrollment: 3 maximum, upon availability

Prerequisites:

• Open to 3rd and 4th year medical students with completion of 1 core clerkship in Medicine or Surgery

Goals and Objectives:

1. Explain how the listed imaging modalities are used to guide procedures and differentiate when each is used: ultrasonography, fluoroscopy, CT.
2. List the common indications and techniques of the following common IR procedures: central venous access fluid aspiration and drain placement, angiography, percutaneous nephrostomy, percutaneous transhepatic cholangiography, gastrostomy tube placement, percutaneous angioplasty and stent placement, various interventional oncology procedures.
3. Describe to a patient the following procedures: vascular access, angiography, fluid aspiration and drainage tube placement in stomach (gastrostomy), kidney (nephrostomy)
4. Critically assess requests for IR procedures and explain the factors that go into determining if a procedure is necessary and indicated, safe, and able to be performed.
5. Explain and demonstrate the factors used to reduce radiation dose during fluoroscopic and CT interventions

Description of Educational Experiences:

• Participate in daily inpatient rounding with IR team (Staff, Fellows, Residents, MLPs).
• Assist in patient workup, consents, and procedures
  • Review relevant patient history, allergies, mediations, PMH, labs, and pertinent imaging studies. Understand indications for the requested procedure and how it is performed.
• Observe and help radiology technologists and nurses as they set up the room, bring the patients in, position them and prep and drape the field. Understand techniques used to perform the procedure.
• Practice suturing with instruments and one/two hands.
• Attend all IR related conferences – IR didactic, M &M, journal club, Aorta, GI and liver tumor board

Location(s) of Course:

• Henry Ford Hospital, Detroit MI, K3 Interventional Radiology

Resources:

• Kessel, D. Interventional Radiology: A Survival Guide, 3rd Edition
• Kandarpa, K. Handbook of Interventional Radiologic Procedures 5th Edition
• Valji, K. Vascular and Interventional Radiology, 2nd Edition

Evaluation methods:

• Quiz: Students will be given a quiz at the end of the elective. This will cover general aspects of Interventional Radiology such as anatomy, indications, management, etc. It will be both image and non-image based. This will usually take place on the last day of the rotation.
• Presentation: Students are expected to give a 15-20 minute presentation on a topic of their choice during the weekly IR divisional conference. Topics can be anything related to the rotation that is of interest – an interesting case, patient, disease process, or review of new literature regarding a procedure, technique, or disease process.
• Evaluation: A written evaluation will be completed on all elective students. Input is requested from all staff and residents in IR. Students will also be asked to evaluate the rotation.