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Goals and Objectives - Breast Imaging

 

Educational Goals and Objectives of the University of Washington

Diagnostic Radiology Residency Training
Breast Imaging
 


 

 

Each resident will complete 3 months of training in Breast Imaging during their residency. During the first rotation, the resident will learn the basics of Diagnostic Mammography and Diagnostic Breast Ultrasound and will have the opportunity to observe interventional procedures. During later rotations more attention will be focused on Screening mammography, Interventional Procedures and Breast MR, in addition to Diagnostic Mammography and Ultrasound. The most senior resident on the service will have priority training in Screening, Interventional and MR.

 

DAILY ASSIGNMENTS FOR:

 

2 RESIDENTS ON SERVICE

3 RESIDENTS ON SERVICE

Junior – Diagnostic mammography and ultrasound.

Junior – Diagnostic mammography ultrasound and needle localizations.

Senior – Screening, interventional, and MR.

Middle – Needle localizations (mammo and US), diagnostic mammography and ultrasound.

 

Senior – Screening, interventional and MR.

 

 

DAILY ATTENDING SCHEDULES (2 attendings per day, M-F):

1. Diagnostic mammography, ultrasound and needle localizations.

2. Screening, interventional, MR and BCSC (T and F).

 

DAILY FELLOW SCHEDULE:

Monday: Academic day

Tuesday: Screening, interventional, MR and BCSC.

Wednesday: Diagnostic mammography, ultrasound and needle localizations.

Thursday: Diagnostic mammography, ultrasound and needle localizations.

Friday: Screening, interventional, MR and BCSC.

EDUCATIONAL GOALS AND OBJECTIVES:

Rotation # 1:

Medical Knowledge:

1. Learn fundamentals of mammographic positioning and technique (Video #1), and high resolution breast ultrasound (Video #2). A hands–on review of breast ultrasound will also be given.

2. Learn MQSA-approved BIRADS Lexicon and how to generate a clear report on IDX- RAD.

Practice-Based Learning and Improvement:

1. Learn how to gather clinical and radiological information on patients being seen in the clinic, and how to develop a clinically appropriate diagnostic plan based on the clinical presentation and prior imaging studies

2.. Learn how to problem solve with diagnostic mammography and ultrasound.

3. Learn Radiology-Pathology correlation, and how this impacts patient follow up after biopsy.

Interpersonal and Communication Skills

1. Learn how to provide direct communication to referring physicians (and documentation of communication in report) in terms of providing patient results and consultations.

2. Learn mammography QC.

Rotations #2 and 3:

Medical Knowledge and Technical Skills Objectives:

1. Build on fundamentals learned in rotation #1.

2. Learn mammographic and ultrasound-guided needle localization techniques.

3. Learn fundamentals of mammographic and ultrasound guided needle biopsies.

4. Learn screening mammography techniques.

5. Learn fundamentals of ductography.

6. Learn fundamentals of Breast MR and MR-guided biopsy.

 

 

REQUIREMENTS FOR RESIDENTS:

  1. Arrive by 8 am each day.
  2. Leave Thursdays at 2:30 pm for Radiology Conference.
  3. Attend Breast Cancer Specialty Conference (BCSC) on Tues & Fri 1 – 2 pm.
  4. Complete and sign all exam reports and dictations before leaving.
  5. Create 2 teaching files (each as hard copy and online) per month.
  6. Make sure all biopsy recommendations have been called to the appropriate referring clinician, and document the call in the patient’s exam report.
  7. Make sure all biopsy rad-path correlations are completed and reported. If additional biopsy is required, this must be called to the referring clinician and documented in the patient’s procedure report.
  8. Each resident will participate directly in scanning patients. Male residents must have a female chaperone present when scanning a woman. When ever possible, a female and a male resident will team together when scanning patients to allow the breast center staff to work on their assigned duties.
  9. At the end of each day, review the next day cases and collect information from patient records and referring clinicians as needed.

 

 

MQSA REQUIREMENTS:

The Mammography Quality and Standards Act (MQSA) of 1998 requires that newly graduated, board-certified residents have the following credentials to qualify to interpret mammograms:

  1. 3 months of formal training in mammography (which is the equivalent of 60 Category I CME).
  2. interpret at least 240 mammograms under the direct supervision of an MQSA-qualified interpreter during the last 2 years of residency.

 

RECOMMENDED READING:

  1. University of Washington Breast Imaging syllabus.
  2. Breast Imaging Companion, by Gilda Cardenosa.

 

 

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