Educational Goals and Objectives of the University of Washington

ROTATION 1

Medical Knowledge Based Objectives: At the end of the rotation, the resident should be able to:

1. Describe pertinent normal anatomy in an MSK radiograph.

2. Be familiar with the commonly used musculoskeletal radiographic projections and the purpose of each.

3. Recognize and describe, in a systematic fashion, radiographic findings in an MSK radiograph.

4. Provide an accurate description of a fracture involving either the peripheral or axial skeleton.

5. Identify, with a high level of accuracy, most types of bone fractures.

6. Describe the stages of fracture healing

7. Discuss the imaging findings of septic arthritis, osteomyletis, and metastatic diseases.

8. Evaluate orthopedic follow-up imaging.

9. Discuss the imaging findings of post-operative orthopedic hardware complications.

10. State the indications for CT, MRI, arthrography, and bone scans in MSK imaging.

Technical Skills: At the end of the rotation, the resident should be able to:

1. Interpret and dictate at least 40 MSK radiographs per day.

2. Participate actively in MSK conferences

3. Function as a consultant for radiographic evaluation of basic MSK radiographs.

Required reading:

1. Chew, Felix. Skeletal Radiology- The Bare Bones. Williams and Wilkins

ROTATION 2

Medical Knowledge Based Objectives: At the end of the 2^nd rotation, the resident should be able to:

1. Discuss the imaging findings and provide an appropriate differential diagnosis for:

a. Articular diseases

b. Benign and malignant bone tumors

c. Metabolic and endocrine diseases

d. Pagets, AVN, anemias

e. Soft tissue lesions

f. Common Congenital syndromes

2. Know the normal MRI anatomy of the knee and shoulder

3. Recognize basic internal arrangement of the knee on MRI

4. Diagnose rotator cuff tear on MRI

Technical Skills: At the end of the 2^nd rotation the resident should be able to:

1. Function as a consultant for conventional radiographic evaluation of MSK pathology and for planning of MSK imaging to solve a particular problem

2. Perform at least one shoulder and hip arthrogram/injection after fellows and senior residents have had sufficient opportunity.

Required Reading:

1. Fundamentals of Skeletal Radiology. Clyde Helms, WB Saunders

2. Arthritis in Black and White. Ann Brower. WB Saunders

ROTATION 3

Medical Knowledge Based Objectives: At the end of the third rotation, the resident should be able to:

1. Protocol MR and CT imaging studies based on the clinical information

2. Interpret with competence MR imaging studies of the shoulder, pelvis, knee, and foot/ankle

Technical Skills: At the end of the third rotation, the resident should be able to:

1. Act as the primary consultant for MSK imaging studies

2. Participate actively in teaching of junior residents, residents from other services, and medical students.

3. Competently perform placement of needles into various joints for arthrography, aspiration and injection.

4. Teach the skill of arthrography to junior residents.

Required Reading:

1. Musculoskeletal MRI. Phoebe Kaplan, et al. WB Saunders

Name: Felix S. Chew, M.D., Section Director