During the years of training and on a specific rotation to neuroradiology, the resident should meet the following objectives.
- A basic knowledge of the physics and principles of x-rays, ultrasound, MRI, PET, radionuclide imaging and CNS related applications/techniques.
- Demonstrate a working knowledge and correlation between sagittal, coronal, and horizontal brain anatomy and radiologic imaging, CT scan and MRI.
- Discuss the evolution of extra-vascular blood as seen on MRI.
- Thoroughly interpret skull and spine x-rays, CT scans, CT angiograms, formal angiograms, MRI and MR angiograms, myelograms and ultrasound.
- Discuss the indications, techniques and complications of interventional neuro-radiologic procedures.
- 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.
- Establish relationships with patients and families, especially with regards to neuroradiological procedures and obtaining consent.
- Be able to review history and physical exam to aid in neuroradiological diagnosis and pertinent to neuroradiological procedures
- With appropriate supervision discuss relevant diagnostic information obtained with patients and family.
- Be able to share and present information in a timely fashion with other health care providers involved in management of neurologically ill patients.
- To understand effective and efficient reporting of radiological findings
- Work/collaborate effectively in an interdisciplinary team which may include technicians, anesthesiology, nursing, interventional neuroradiologist (neurosurgeons/neuroradiologist), especially for interventional cases.
- Consult appropriately particularly when other sub-specialists in radiology are required
- Take part in educational activities and teaching, be able to present neuroradiology at neurosurgical correlative rounds, stroke rounds, and epilepsy rounds
- Be able to share workload and duties appropriately
- Effectively utilize and allocate finite resources, be aware of managing patient waitlists for neuroradiology.
- Manage own time, education and personal life for a balanced lifestyle
- Utilize non clinical time for research and educational activities
- Triage patients who require emergent and urgent neuroradiological diagnosis such as stroke and trauma.
- To appreciate the appropriate decision making process determining the appropriateness for various invasive and non-invasive neuroradiological tests/procedures
- Recognize findings and incidental finding on neuroradiology which may require timely management and communicate these findings
- Communicate priorities for neuroradiologial tests with requesting physicians.
- Contribute to overall patient outcome though advocating for patients requiring prompt action based on their neuroradiology.
- Facilitate return of patient to community/alternate care through prompt neuroradiological procedures.
- Participate in rounds and educational activities, be able to present at neurosurgical correlative rounds, stroke rounds, stereotactic rounds, seizure rounds.
- Use non clinical time to help satisfy personal learning needs
- Apply principles of critical appraisal to medical information, be involved in neuroradiology rounds/journal club
- Facilitate patients, student and peer learning
- Contribute to development of new knowledge, be actively involved in Neuroradiology research projects, particularly when neurosurgical management is required.
- To foster collegial relationships with Neuroradiology staff, CT/MR/Angio technicians and nurses.
- To gain familiarity with operations and communications in the Angiogram suite.
- 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.
- Show appropriate respect for opinions of other health care providers
- Be able to appraise and identify own limits with respect to knowledge and patient care, and when to ask for assistance and consult effectively