• OVERALL EDUCATIONAL GOALS FOR OSUMC RADIOLOGY RESIDENCY PROGRAM Enter description here.
    The principal goal of the OSUMC Diagnostic Radiology Residency Program is to meet or surpass the requirements of the AOA/AOCR in conjunction with the requirements of the ACGME Radiology Residency Review Committee in training competent, caring osteopathic radiologists who possess the knowledge, skills and competencies necessary to:

    • Pass the three core AOBR exams during residency
    • Pursue a fellowship, enter private practice or begin an academic career.
    • Practice radiology according to the standards set by the AOBR, AOCR/ACR and other
    • professional organizations.
    • Participate in life-long learning and quality improvement.


    These goals are accomplished by:

    • Achieving ACGME milestones in radiology residency training.
    • Providing supervised graduated exposure to varied case material.
    • Delivering an educational program that consists of clinical teaching and performance feedback
    • that is supplemented with conferences, case discussions, ACR syllabi, journal clubs/articles,
    • morbidity and mortality conferences, business and research training.
    • Providing teaching and experiences that enable residents to master the 6 ACGME core
    • competencies, meet specialty milestones and gain confidence in image interpretation,
    • consultation, and performance of procedures expected of a practicing diagnostic radiologist.
    • Resident participation in scholarly activity through medical student teaching; presentations at
    • departmental and interdisciplinary conferences, regional or national meetings; peer-reviewed
    • publications or presentations of original research; and membership in professional & scientific
    • societies.
    • Active participation in quality improvement activities.


  • ACGME CORE COMPETENCIES AND PRACTICE PERFORMANCE MEASUREMENTS Enter description here.
    The RRC for Diagnostic Radiology has developed definitions for the six General Competencies to explain the expectations for each competency area in terms of the teaching and practice of Diagnostic Radiology. The RRC has also listed evaluation modalities (Practice Performance Measurements) that are suitable for each competency area. For each competency, the RRC has indicated by an asterisk(*) those evaluation modalities that programs will be required to implement. For example, for the Patient Care competency, at a minimum programs are expected to utilize global faculty evaluations and case/procedure logs to evaluate resident attainment of the competency. The Practice Performance Measurements that do not have an asterisk are suggested methods of assessment. Programs may use any of these, and the RRC encourages programs to develop their own assessment methods as well.
  • PATIENT CARE
    Competency definition
    Provide patient care through safe, efficient, appropriately utilized, quality-controlled diagnostic and/or interventional radiology techniques and effectively communicate results to the referring physician and/or other appropriate individuals in a timely manner.

    Practice Performance Measurements
    *1. Global faculty evaluation (to include evaluation of knowledge about safety issues such as radiation dose, MRI safety, correct patient- exam-site verification, use of standard abbreviations)

    *2. Case/procedure logs (to be included in the resident learning portfolio)
    3. OSCE (Objective Standardized Clinical Examination) or direct observation of selected procedures and other critical processes (such as obtaining informed consent)
    4. 360 degree evaluations
  • MEDICAL KNOWLEDGE
    Competency definition
    Engage in continuous learning using up to date evidence and apply appropriate state of the art diagnostic and/or interventional radiology techniques to meet the imaging needs of patients, referring physicians and the health care system.

    Practice Performance Measurements
    *1. Global faculty evaluation (which includes the 6 competencies)
    *2. Yearly objective test (e.g., mock oral boards, ACR in-service test, ABR written examination)
    3. Resident learning portfolio (including documentation of conferences attended, courses attended, self-assessment modules completed, etc.)
    4. Journal club to evaluate skills in accessing, interpreting and applying best evidence in the radiology literature to patient care.
  • PRACTICE BASED LEARNING AND IMPROVEMENT
    Competency definition
    Participation in evaluation of one's personal practice utilizing scientific evidence, "best practices" and self-assessment programs in order to optimize patient care through lifelong learning.

    Practice Performance Measurements
    *1. Global faculty evaluation
    *2. Resident learning portfolio (to include utilization of self-assessment modules)
    3. Documentation of participation in departmental QI/QA and regulatory activities
  • INTERPERSONAL AND COMMUNICATION SKILLS
    Competency definition
    Communicate effectively with patients, colleagues, referring physicians and other members of the health care team concerning imaging appropriateness, informed consent, safety issues and results of imaging tests or procedures.

    Practice Performance Measurements
    *1. Global faculty evaluation
    *2. 360 degree evaluations
    *3. Evaluation of quality of reports

    4. OSCE or direct observation of communication issues (e.g., informed consent, speaking with patients about adverse events or outcomes of imaging tests, consultation with referring clinicians)
  • PROFESSIONALISM
    Competency definition
    Commit to high standards of professional conduct, demonstrating altruism, compassion, honesty and integrity. Follow principles of ethics and confidentiality and consider religious, ethnic, gender, educational and other differences in interacting with patients and other members of the health care team.

    Practice Performance Measurements
    *1. Global faculty evaluation
    *2. 360 degree evaluations

    3. Verify status of medical license, if appropriate 4. Documentation of compliance with institutional and departmental policies (e.g., conference attendance, HIPPA, JCAHO, dress code)

  • SYSTEM-BASED PRACTICE
    Competency definition
    Understand how the components of the local and national healthcare system function interdependently and how changes to improve the system involve group and individual efforts. Optimize coordination of patient care both within one's own practice and within the healthcare system. Consult with other healthcare professionals, and educate healthcare consumers, regarding the most appropriate utilization of imaging resources

    Practice Performance Measurements
    *1. Global faculty evaluation
    *2. Documentation of resident participation in analysis of systems-based problem
    *3. Resident learning portfolio (to include documentation of active participation in multi-disciplinary conferences)


  • OSUMC RADIOLOGY RESIDENCY PROGRAM OVERVIEW Enter description here.
    The educational program for the Radiology Residency consists of clinical rotations, our academic curriculum, and scholarly activities. While each of these programs is designed to address a different set of goals, all are under the direction of the Residency Program Director and are orchestrated to accomplish our common mission effectively through an organized set of objectives.
  • COMPETENCY BASED GOALS AND OBJECTIVES Enter description here.
    Overall program objectives are designed within the framework of the ACGME-defined Core Competencies. In order to achieve an appropriate level of competence in each area, we have designed specific activities and methods for assessment. We have constructed an outline that illustrates our approach to addressing each of the competencies. In each case, we define the area of competency, list the skill objectives in the area and educational programs offered, and methods to assess resident progress. Residents keep the form as well as assessment checklists in their Educational Portfolio and this basic outline becomes the structure for documenting their educational experiences. Their experiences are discussed with the Program Director during semi-annual performance review sessions.
  • CORE COMPENTENCIES Enter description here.
    Patient Care:
    • To produce radiologists that provide patient care through safe, efficient, appropriately utilized, quality-controlled diagnostic and/or interventional radiology techniques and effectively communicate results to the referring physician and/or other appropriate individuals in a timely manner. Our residents learn how to provide a meaningful contribution to patient care. 
    Medical Knowledge:
    • To acquire and synthesize medical knowledge in all Radiology subspecialties, using an organized approach.
    • To engage in continuous learning and apply appropriate state of the art diagnostic and/or interventional radiology techniques to meet the imaging needs of patients, referring physicians, and the health care system.
    Professionalism:
    • To commit to high standards of professional conduct, demonstrating altruism, compassion, honesty and integrity. 
    • To follow principles of ethics and confidentiality and consider religious, ethnic, gender, educational and other differences in interacting with patients and members of the health care team.
    Interpersonal and Communication Skills:
    • To communicate effectively with patients, colleagues, referring physicians and members of the health care team concerning imaging appropriateness, informed consent, safety issues, and results of imaging tests or procedures. 
    Practice Based Learning and Improvement:
    • To develop the habits of life long learning and improvement through an understanding of the performance improvement process, journal reading and analysis, and research methods and performance.
    Systems Based Practice:
    • To understand how the components of the local and national healthcare system function interdependently and how changes to improve the system involve group and individual efforts.
    • To optimize coordination of patient care both within one’s own practice and within the healthcare system.
    • To consult with other healthcare professionals, and educate healthcare consumers, regarding the most appropriate utilization of imaging resources.
    Osteopathic Philosophy and Osteopathic Manipulative Medicine:
    • To recognize clinical situations where OMM is appropriate
    • To show understanding of somato-visceral relationships and the role of the musculoskeletal system in disease
    • To provide accurate structural diagnosis
    • To perform appropriate OMT as a procedural skill when given the opportunity
    • To take each patient’s illness into account when dealing with that individual
    • To provide osteopathic health care services using behavioral medicine when applicable
    • To advocate for patient’s welfare, autonomy, and quality of care
  • THE TOOLBOX Enter description here.
    • 360-degree evaluation instrument
    • Chart stimulated recall oral examination
    • Checklist evaluation
    • Global rating of live or recorded performance
    • Objective structured clinical examination
    • Procedure, operative, or case logs
    • Patient surveys
    • Portfolios
    • Record review
    • Simulations and models
    • Standardized oral examination
    • Standardized patient examination
    • Written examination

OSUMC APPLIED CORE COMPETENCIES FOR OVERALL PROGRAM

  • PATIENT CARE
    Definition
    Provide patient care through safe, efficient, appropriately utilized, quality-controlled diagnostic and/or interventional radiology techniques and effectively communicate results to the referring physician and/or other appropriate individuals in a timely manner.

    Skills
    • Gather essential and accurate information about patients.
    • Develop a diagnostic plan based on the clinical questions and relevant clinical, radiologic, and pathologic information.
    • Oversee diagnostic imaging to ensure adequacy of studies performed.
    • Counsel patients concerning preparation for diagnostic testing.
    • Demonstrate a basic understanding of electronic patient information systems.
    • Demonstrate the ability to use the Internet as an educational instrument to expand medical knowledge.
    • Demonstrate knowledge of the levels of ionizing radiation related to specific imaging procedures and employ measures to minimize radiation dose to the patient.
    • Perform radiologic examinations appropriately and safely, assuring that the correct examination is ordered and performed.

    Education (with Graduated Faculty Supervision and Feedback)
    • Practical experience in developing a differential diagnosis and management plan based on clinical data, imaging findings, and other medical test results.
    • Instruction and experience in computer applications in radiology
    • Active participation in journal reviews to determine the effectiveness of diagnostic imaging for specific diagnostic questions.
    • Graduated responsibility in performing radiologic procedures.
    • Didactic and online instruction on patient care and radiation safety including fluoroscopic techniques.
    • Preparation and presentation of radiologic cases to other members of the health care team.
    • Participation in HIPPA, mandatory hospital training, interdepartmental, conferences, lectures and discussions.

    Assessment
    • Procedure / case logs
    • Direct observation by faculty of invasive procedures
    • 360 degree evaluation (monthly formative faculty evaluation, quarterly technologist evaluation, biannual patient surveys, yearly formative peer review, education committee, biannual program director/self assessment evaluation)
    • Documentation of completion of patient safety and fluoroscopic techniques modules
    • Documentation of competency in core IR, US and fluoroscopy procedures
    • Maintenance of licensure status
  • MEDICAL KNOWLEDGE
    Definition
    Engage in continuous learning using up-to-date evidence and apply appropriate state of the art diagnostic and/or interventional radiology techniques to meet the imaging needs of patients, referring physicians and the health care system.

    Skills
    • Demonstrate sufficient knowledge of medicine and apply this knowledge to radiologic studies in a clinical context to generate meaningful differential diagnoses.
    • Demonstrate progressive acquisition of radiologic knowledge.
    • Demonstrate knowledge of principles of research design and implementation.
    • Generate a clinically appropriate diagnostic treatment plan.
    • Demonstrate the ability to use all relevant information resources to acquire evidence-based data.
    • Understand how radiologic equipment can be used to generate appropriate and diagnostic images.

    Education
    • Didactic lectures and self-directed learning on the science and practice of radiology, including physics, radiation biology, and radiation protection
    • Various learning activity – AIRP, BLS/ACLS/PALS, reading assignments including Rad Primer, review of cases and teaching files
    • Participation in departmental and interdepartmental case conferences.
    • Participation in the clinical activities of the radiology department.
    • Departmental, online or institutional training programs on research design and implementation.

    Assessment
    • Presentation and analysis of scientific articles at Journal Club
    • ACR In-Training examination scores
    • Rad Primer assignment tests
    • Written AOBR examination (Physics and Radiology)
    • Oral AOBR examination
    • 360 degree evaluation (monthly formative faculty evaluation, quarterly technologist evaluation, biannual patient surveys, yearly formative peer review, education committee, biannual program director/self assessment evaluation)
  • PRACTICE BASED LEARNING AND IMPROVEMENT
    Definition
    Participation in evaluation of one's own personal practice utilizing scientific evidence, "best practices" and self-assessment programs in order to optimize patient care through lifelong learning.

    Skills
    • Analyze practice experience and perform practice-based improvement in cognitive knowledge, observational skills, formulating a synthesis and impression, and procedural skills.
    • Demonstrate critical assessment of the scientific literature.
    • Demonstrate knowledge of evidence-based medicine and apply its principles in practice.
    • Use multiple sources, including information technology, to optimize lifelong learning and support patient care decisions.
    • Facilitate the learning of students, peers, and other health care professionals.

    Education
    • Critical assessment of scientific literature through journal clubs, clinical conference, and independent learning.
    • Didactic lectures and online modules on the assessment of scientific literature, study designs, and statistical methods.
    • Teaching of students, peers, and other health care professionals, with graduated supervision and feedback from supervising faculty.
    • Active participation in departmental, institutional or Diagnostic Imaging Associates private group quality assurance or quality improvement activities with faculty supervision.
    • Development, with mentorship, of a radiology research project, either using original research material or literature review

    Assessment
    • Scholarly activity projects
    • Personal Performance Review form/Resident Portfolio
    • ACR in-service examination
    • Written AOBR examination
    • Critique of Journal Club presentations
    • Procedure log
    • 360 degree evaluation (monthly formative faculty evaluation, quarterly technologist evaluation, biannual patient surveys, yearly formative peer review, education committee, biannual program director/self assessment evaluation)
  • INTERPERSONAL AND COMMUNICATION SKILLS
    Definition
    Communicate effectively with patients, colleagues, referring physicians and other members of the health care team concerning imaging appropriateness, informed consent, safety issues and results of imaging tests or procedures.

    Skills
    • Provide a clear and informative written radiologic report, including a precise diagnosis whenever possible, a differential diagnosis when appropriate, and recommended follow-up or additional studies when appropriate.
    • Provide direct communication to the referring physician or appropriate clinical personnel when interpretation reveals an urgent or unexpected finding and document this communication in the radiologic report.
    • Demonstrate effective skills or face-to-face listening and speaking with physicians, patients, patients’ families, and support personnel.
    • Demonstrate appropriate telephone communication skills.
    • Demonstrate skills in obtaining informed consent, including effective communication to patients about procedures, their alternatives, and possible complications.

    Education (with Graduated Faculty Supervisions and Feedback)
    • Participation as an active member of the radiology team by communicating face-to-face with clinicians, answering the telephone, providing consultations, problem solving, and decision making.
    • Core Curriculum sessions and online modules
    • Active participation (preparing and moderating) in multidisciplinary conferences.
    • Practical experience in dictating radiologic reports, with critique.

    Assessment
    • 360 degree evaluation (monthly formative faculty evaluation, quarterly technologist evaluation, biannual patient surveys, yearly formative peer review, education committee, biannual program director/self assessment evaluation)
    • Oral AOBR examination
    • Direct observation by faculty of invasive procedure patient encounters
    • Direct daily feedback from faculty regarding radiology reports dictated
  • PROFESSIONALISM
    Definition
    Commit to high standards of professional conduct, demonstrating altruism, compassion, honesty and integrity. Follow principles of ethics and confidentiality and consider religious, ethnic, gender, educational and other differences in interacting with patients and other members of the health care team.

    Skills
    • Demonstrate altruism: put the interests of patients and others above self-interest.
    • Demonstrate compassion: be understanding and respectful of patients, their families, and the staff and physicians caring for them.
    • Demonstrate excellence: perform responsibilities at the highest level and continue active learning throughout one’s career.
    • Be honest with patients and all members of the health care team.
    • Demonstrate honor and integrity: avoid conflicts of interest when accepting gifts from patients or vendors.
    • Interact with others without discriminating on the basis of religious, ethnic, sexual, or educational differences and without employing sexual or other types of harassment.
    • Demonstrate knowledge of issues of impairment (ie, physical, mental, and alcohol and substance abuse), obligations for reporting of impaired physicians, and resources and options for care of self- impairment or impaired colleagues.
    • Demonstrate positive work habits, including punctuality and professional appearance.
    • Demonstrate an understanding of broad principles of biomedical ethics.
    • Demonstrate principles of confidentiality with all information transmitted during a patient encounter.

    Education
    • Discussion of conflicts of interest and the ethics of conducting research during departmental or institutional conferences and daily clinical work.
    • Training programs on the issues of harassment and discrimination.
    • Didactic presentations on the recognition and management of the “impaired physician.”
    • Participation in hospital-sponsored core curriculum educational activities (eg. Lectures, Web-based programs).
    • Didactic lecture or training program on the broad principles of medical ethics.
    • Risk Management Course
    • Medicare Compliance Ethics Instruction

    Assessment
    • 360 degree evaluation (monthly formative faculty evaluation, quarterly technologist evaluation, biannual patient surveys, yearly formative peer review, education committee, biannual program director/self assessment evaluation)
    • Conference attendance logs
    • Resident self-assessment.
    • Written and Oral AOBR examinations
    • Direct observation by faculty of invasive procedure patient encounters
  • SYSTEM-BASED PRACTICE
    Definition
    Understand how the components of the local and national healthcare system function interdependently and how changes to improve the system involve group and individual efforts. Optimize coordination of patient care both within one's own practice and within the healthcare system. Consult with other healthcare professionals, and educate healthcare consumers regarding the most appropriate utilization of imaging resources.

    Skills
    • Demonstrate the ability to design cost-effective care plans based on knowledge of best practices.
    • Demonstrate knowledge of the sources of financing for health care in the United States, including Medicare, Medicaid, the Department of Veterans Affairs and Department of Defense, public health systems, employer-based private health plans, and patients’ personal funds.
    • Demonstrate knowledge of basic health care reimbursement methods.
    • Demonstrate knowledge of the regulatory environment, including state licensing authority, state and local public health rules and regulations, and regulatory agencies such as the Centers for Medicare and Medicaid Services and the Joint commission for the Accreditation of Healthcare Organizations

    • Demonstrate knowledge of basic practice management principles, such as budgeting, record keeping, medical records, and the recruitment, hiring, supervision, and management of staff.

    Education
    • Attendance and active participation in departmental and multidisciplinary conferences to discuss the imaging evaluation of specific diseases and the most appropriate and cost-effective methods for establishing a diagnosis.
    • Interaction with department administrators and knowledgeable faculty to gain an understanding of the costs of diagnostic examinations and the influence of the type of payer system on reimbursement.
    • ACR/APDR/Rad Primer online modules on billing, standards, appropriateness criteria, business issues, financial and legal issues.
    • Membership and active participation in local and national radiologic societies.
    • Participation in interdepartmental Internal Reviews
    • Hospital / school / department committee service

    Assessment
    • Monthly faculty evaluations
    • Written AOBR examination.
    • ACR in-training examination.
    • Attendance logs for multidisciplinary conferences.
    • Documented membership and participation in radiologic societies and other health care organizations.
    • Participation in evaluation of faculty, department and residency program.
    • Documentation of attendance and participation in M&M, QI/QA conferences.