On the first day of the elective please page course instructor Dr. Gunjan Malhotra, pager 22092. She may not be present in the bone reading room. We look forward to having you on Musculoskeletal Radiology and hope that it will be a rewarding experience.
Currently this rotation is divided into two main areas, Inpatient and Outpatient. The student will alternate between these two areas, as these are quite different, and on some days will have the benefit of partaking in both.
Inpatient Bone encompasses a multimodality approach to musculoskeletal pathology. The student will be exposed to magnetic resonance imaging, arthrography, interventional techniques such as aspirations and biopsies, computed tomography, ultrasound, and plain radiographs.
The main emphasis on Outpatient Bone is plain radiography, including both rheumatologic and orthopedic patient populations.
Expectations on the part of the student
Musculoskeletal Radiology encompasses a wide range of modalities and disease processes. Therefore, if the student has a special interest in a modality or area of bone radiology (such as Medsport, Orthopedics, or Rheumatology), this should be brought to my attention. The student's schedule may be altered to fulfill any specific interests.
The workday starts at 8:00 AM in both Inpatient and Outpatient Bone. There is usually a resident Noon Conference at 12:00 PM - 1:30 PM, with a schedule posted daily. Following Noon Conference, the workday will resume at approximately 1:30 PM.
On Outpatient Bone, the student will be expected to review the films with the resident/fellow before the cases are officially staffed. The Off-Campus Satellite films will be reviewed first (films are in the Inpatient reading room on B1), followed by the remainder of the outpatient examinations (currently located in Taubman). In the late afternoon, the outpatient staff will also be reading the musculoskeletal studies which are ordered as correlative imaging for Nuclear Medicine bone scans.
On Inpatient Bone, the day usually starts with the review of plain radiographs (located in the inpatient reading room). Thereafter, depending on the day of the week, different imaging modalities will be encountered. Many procedures are performed, so there will be ample opportunity for the student to participate.
The student will be expected to keep a record of interesting cases during the week. The patient name, hospital ID number, brief history, and pathologic correlation (if available) should be documented in a book which will be provided.
Many conferences are given, including a daily resident noon conference, 7:30 a.m. Wednesday Musculoskeletal Conference (please check Musculoskeletal staff for location). Grand Rounds is usually scheduled on Wednesday at 5:00 p.m. in the MCHC Auditorium (Room F2305 in old Mott). Attendance at all Bone conferences is mandatory, and optional at other conferences.
The following will be your tentative schedule for this elective:
Monday - Inpatient; most of MRI's performed
Tuesday - Outpatient
Wednesday - Inpatient; most of ultrasounds performed
Thursday - Inpatient; arthrograms and Rheumatology conference
Friday - Outpatient