Pediatric Radiology

One Month Medical Students Rotating Through Pediatric Radiology C.S. Mott Children’s Hospital

Responsibilities

The responsibilities of the one month medical students rotating through the Section of Pediatric Radiology for the one month sub-speciality elective are as follows:

  1. The medical student’s initial “home base” will be the main reading room (3-611). The student is expected to be present during the interpretation and staffing of plain radiographs and cross sectional studies performed in the main pediatric hospital as well as in the offsite pediatric clinics. The students will also have the opportunity to observe a variety of the fluoroscopic examinations being performed. During the month, each student should have observed a VCUG, an upper GI study, a barium enema, and an airway fluoroscopy study/barium swallow. The student should record the patient's name and registration number, which study was performed, the information that was sought from the study, and what was found. These cases should have been discussed with the resident or attending performing the study. In addition, the student should review body CT and/or MR studies several days during the month with the resident or fellow assigned to CT and/or MR. The list of observed cases should be given to Dr. DiPietro or Dr. Ladino Torres by the end of the rotation.
  2. Students will also participate in the interpretation reading in the ultrasound reading room. Each student should try to spend a few sessions observing how ultrasound studies are performed in the pediatric patient. After a few days, students usually become accustomed to the activities in the section. If you are observing in an area which is quiet at the moment, go to another area which is more active.
  3. The medical student is expected to attend all morning interesting case conferences and other teaching and clinical conferences in this Section as well as the Thursday noon pediatric radiology resident teaching conference in the Main Hospital. There is a morning teaching conference every morning except Mondays.
  4. Each student is expected to prepare a teaching file case as outlined in "Instructions for Preparation of Pediatric Radiology Teaching File Cases". The case will be presented to the Pediatric Radiology faculty, residents, and students on the service. The presentation will usually be made during one of the morning sessions in the last week of the student's rotation. It is best if a case or topic is selected early during the rotation to allow maximum time for preparation. Consult with Dr. DiPietro, Dr. Ladino Torres, or one of the other pediatric radiologists during the selection and preparation of your case. SEE INSTRUCTIONS FOR PREPARATION OF PEDIATRIC RADIOLOGY TEACHING FILE
  5. Students will receive on loan a copy of the textbook “Practical Pediatric Radiology” by Hilton and Edwards for the duration of the rotation. The book will be signed out to the student and it should be returned to Marsha Xedos (3-220) at the conclusion of the month. This book is excellent. Its’ chapter are organized according to clinical problems.
  6. Students are expected to adhere to the University of Michigan Medical School code of dress and are expected to wear their identification badge at all times during their rotation in Pediatric Radiology.

Goals

Important goals of this rotation include:

  1. Appreciate the importance of communication between clinicians and radiologists; the imaging requisition should contain adequate clinical history and the questions to be answered so that the proper study is perform in the proper manner.
  2. Appreciate what various imaging studies entail, what information they can provide, what preparation is needed, and what apprehensions or discomfort they might cause to the patient and his/her family.

Medical students can perform an important function in the department by helping the Radiology residents, fellows and faculty in obtaining clinical and pathological follow-up on interesting cases. This has been greatly facilitated by access to the web in the reading rooms.

The minimum requirements for the Pediatric Radiology elective have been described above. The student meeting these minimal expectations will receive a pass for the elective. High pass and honors grade will be considered for the student who demonstrates extra effort and ability. Interest and initiative are also important. Each student's performance will be reviewed and assessed by the Pediatric Radiology Faculty at the conclusion of the rotation.