Neuroradiology Rotation

Click here for a list of staff neuroradiologists.

During the years of training and on a specific rotation to neuroradiology, the resident should meet the following objectives.

  1. A basic knowledge of the physics and principles of x-rays, ultrasound, MRI, PET, radionuclide imaging and CNS related applications/techniques.
  2. Demonstrate a working knowledge and correlation between sagittal, coronal, and horizontal brain anatomy and radiologic imaging, CT scan and MRI.
  3. Discuss the evolution of extra-vascular blood as seen on MRI.
  4. Thoroughly interpret skull and spine x-rays, CT scans, CT angiograms, formal angiograms, MRI and MR angiograms, myelograms and ultrasound.
  5. Discuss the indications, techniques and complications of interventional neuro-radiologic procedures.
  6. Discuss the concepts of functional imaging, SPECT scans, intra-cranial Doppler and MEG

During the rotation, all residents should fulfill the Royal College’s CanMEDS Competencies.

COMMUNICATOR:

  1. Establish relationships with patients and families, especially with regards to neuroradiological procedures and obtaining consent.
  2. Be able to review history and physical exam to aid in neuroradiological diagnosis and pertinent to neuroradiological procedures
  3. With appropriate supervision discuss relevant diagnostic information obtained with patients and family.
  4. Be able to share and present information in a timely fashion with other health care providers involved in management of neurologically ill patients.
  5. To understand effective and efficient reporting of radiological findings

COLLABORATOR:

  1. Work/collaborate effectively in an interdisciplinary team which may include technicians, anesthesiology, nursing, interventional neuroradiologist (neurosurgeons/neuroradiologist), especially for interventional cases.
  2. Consult appropriately particularly when other sub-specialists in radiology are required
  3. Take part in educational activities and teaching, be able to present neuroradiology at neurosurgical correlative rounds, stroke rounds, and epilepsy rounds
  4. Be able to share workload and duties appropriately

MANAGER:

  1. Effectively utilize and allocate finite resources, be aware of managing patient waitlists for neuroradiology.
  2. Manage own time, education and personal life for a balanced lifestyle
  3. Utilize non clinical time for research and educational activities
  4. Triage patients who require emergent and urgent neuroradiological diagnosis such as stroke and trauma.
  5. To appreciate the appropriate decision making process determining the appropriateness for various invasive and non-invasive neuroradiological tests/procedures

HEALTH ADVOCATE:

  1. Recognize findings and incidental finding on neuroradiology which may require timely management and communicate these findings
  2. Communicate priorities for neuroradiologial tests with requesting physicians.
  3. Contribute to overall patient outcome though advocating for patients requiring prompt action based on their neuroradiology.
  4. Facilitate return of patient to community/alternate care through prompt neuroradiological procedures.

SCHOLAR:

  1. Participate in rounds and educational activities, be able to present at neurosurgical correlative rounds, stroke rounds, stereotactic rounds, seizure rounds.
  2. Use non clinical time to help satisfy personal learning needs
  3. Apply principles of critical appraisal to medical information, be involved in neuroradiology rounds/journal club
  4. Facilitate patients, student and peer learning
  5. Contribute to development of new knowledge, be actively involved in Neuroradiology research projects, particularly when neurosurgical management is required.

PROFESSIONAL:

  1. To foster collegial relationships with Neuroradiology staff, CT/MR/Angio technicians and nurses.
  2. To gain familiarity with operations and communications in the Angiogram suite.
  3. To develop through observation and practical experience tactics of discussion with patients and families with respect to challenging diagnosis and complications related to neuroradiological procedures, and obtaining consent for these procedures.
  4. Show appropriate respect for opinions of other health care providers
  5. Be able to appraise and identify own limits with respect to knowledge and patient care, and when to ask for assistance and consult effectively