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Department of Radiology (2015)

C400J Diagnostic Radiology (Jacobi Medical Center)
This four week elective in Diagnostic Radiology can be taken any time after the required two week Radiology Clerkship.  Its purpose is to familiarize the student with imaging procedures, their important in the diagnostic armamentaria, and with an intelligent approach to order imaging studies and filling out imaging consultation requests in a manner that will aid the radiologist in making as precise a diagnosis as possible. The student will understand the physical consequences to the patient and final impact on society of specific imaging studies. The student will achieve sufficient understand of common imaging studies to be able to engage in a more meaningful dialog with the radiologist consultant. The student will attend didactic lectures specifically for the students and participate procedures will enable the student to understand the stress patients have to endure in these procedures as well as give the student a better three dimensional idea of imaging anatomy. The student will participate in image interpretation in an active manner. The student will be assessed by the attendings and residents with whom they interact, and a quiz may be given at the completion of the elective. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Robert Friedman, MD
Contact: Ms. Laurene DiUbaldo, 718-918-5158 or
Modules: All except 1B
Maximum: 6
On the first day students should report to Jacobi Medical Center, Building #1, Room – 4N15

C501 Pediatric Radiology (Jacobi Medical Center)
The pediatric radiology elective serves primarily to acquaint the student with an appropriate clinic-radiological approach to problem solving in the pediatric patient, based on knowledge of normal, departures from normal, and familiarity with radiologic tools and methods.  About half the time is spent working along with one of the pediatric radiology faculty members either in patient care or in tutorial.  The remainder of the time is spent in conference or carrying out library-research assignments.

Harold S. Goldman, MD; or 718-918-4968
Einat Blumfield, MD;  
Modules: All except 1A, 1B, 2A & 2B
Maximum 2
On the first day students should report at 8:15AM at Jacobi,Building 6, 3rd Floor(3rd Fl, D 19).
Student should contact Dr. Goldman for meeting location and time 2 weeks prior to the start of the elective.

C507 Emergency Radiology (Montefiore Medical Center-Moses)
**Not Offered to Visiting Students**
This elective will cater to the student with particular interest in Radiology, Emergency Medicine or Emergency Radiology. The student will learn and work “one on one” with an attending Emergency Radiologist. The Montefiore Emergency Radiology Division interprets all overnight Emergency Department radiology studies performed within the three Montefiore hospitals, from a central reading room on the Moses campus. Acute inpatient studies are also interpreted from this location. Between 225 and 300 studies are interpreted per night, with studies spanning all modalities (plain film, CT, ultrasound and MR) and all sub-specialties (chest, abdominal, neuro, musculoskeletal).

Learning objectives:
Understand the role of imaging in the workup of Emergency Department patients and recommend appropriate imaging for these patients. Identify common patterns of injury in musculoskeletal trauma, such as fracture and dislocation. Identify common chest radiography findings in pneumonia, pleural effusion and heart failure. Identify common abdominal CT patterns of inflammatory disease, such as appendicitis and colitis. Identify common abnormal findings on head CT such as hemorrhage, hydrocephalus and stroke. Describe the goals of ultrasound diagnosis such as DVT, ectopic pregnancy and cholecystitis.

Learning experience:
The rotation will be divided into 2 modules: 2 weeks of clinical work and 2 weeks for a scholarly pursuit. During the 2 weeks of clinical work, work-hours will be 9PM-2AM on weeknights. (No weekend or holiday responsibilities). All cases from the Weiler and North Division Emergency Departments will interpreted in conjunction with the student. The student will also participate in interesting imaging from the Moses and the Children’s Hospital. The motivated student will have the opportunity to work independently on imaging studies and attempt to make imaging based diagnoses independently.During the two weeks of scholarly pursuit, the student will write up a case (likely one encountered during the clinical 2 weeks) or write a review on an Emergency Radiology topic. Although this need not be submitted for publication, mentorship will be available for this purpose and will be an added benefit for students applying in the fields of Radiology or Emergency Medicine.

Method of student feedback and evaluation:
Students will work with one of six attendings during each of the two clinical weeks of the rotation and will receive a mid-rotation evaluation and an end of rotation evaluation from him or her. Students will have their scholarly work graded and feedback will be given.

On the first day students report to:
MMC, Moses division Chest/Emergency Radiology Reading Room, Gold Zone, Ground floor on the first Monday at 9PM

Josh Dym, MD
Max: 1 student
Modules: All

C508 Emergency Radiology (Jacobi Medical Center)
The emergency radiology elective is designed to familiarize the student with all imaging modalities of use in acutely ill patients. This will include the interpretation of emergency room x-ray and CT scans of acutely ill patients. In addition the student will observe all further procedures carried out on the admitted patient as well as attend all radiology conferences.  This elective will include about half time with the attending radiologist reviewing studies performed on ER patients, one fourth of the period will be spend with house staff and one forth in conference with radiology residents and attendings. In addition, the student may be asked to research any ongoing projects in emergency radiology.

Robert Friedman, MD
Contact: Ms. Laurene DiUbaldo, 718-918-5158 or
Modules: All
Maximum 2
On the first day students should report to Jacobi Medical Center, Building #1, Room – 4N15

C509 Musculoskeletal Radiology (Montefiore Medical Center) 
**Not Offered to Visiting Students** 
The Musculoskeletal (MSK) Radiology elective is a 4-week rotation designed to expose the student to radiography, magnetic resonance imaging (MRI), computed tomography (CT), and ultrasound in the evaluation of orthopaedic and rheumatologic disorders.  At the end of the rotation the student will be able to diagnose many common abnormalities such as fractures, osteoarthritis, meniscal tears and ligament injuries.  A typical day includes case interpretation sessions with the MSK team from 9 a.m. – 12 noon and from 2 – 3 p.m., followed by independent study.  Contributions and questions from the medical student are welcome during the interpretation sessions.  The student has the option of attending the radiology resident conferences on various topics from 12:30 – 2 p.m.  There is no specific required reading however the student is asked to prepare a short PowerPoint presentation to show at the end of the rotation reviewing the clinical features and imaging findings in an MSK disease or disorder (topic is student’s choice).

The course director will complete the standard medical student evaluation form at the end of the rotation.

Elective director:  
Beverly A. Thornhill, M.D.
(718) 920-7755 
Administrative support: Lourdes Sicignano,, 718 920-4872
Maximum # of students per module: 1
Modules elective is available:  All
On the first day students report to the Musculoskeletal (“Bone”) Reading Room, main floor of Moses at 9 a.m. 


C510 Neuroradiology (Montefiore Medical Center)
The Neuroradiology elective consists of daily film review sessions in CT and MR cross sectional imaging in addition to review of neuroradiologic diagnostic and therapeutic special procedures, including myelography, angiography, stroke intervention, endovascular embolization and pain management.  Emphasis is placed on head and neck and neuroanatomy in the various imaging modalities, with detailed review of the pertinent vascular anatomy visualized by CTA and MRA. Clinical case material is reviewed daily with the neurology inpatient and consult teams in consideration of differential diagnoses and indications for further diagnostic evaluation, including advanced MR imaging studies.  Weekly combined conferences are held with the neurology and neurosurgery clinical services, and there are two training level conferences held weekly. Weekly adult and pediatric neuro and head and neck tumor boards are also covered.  Once familiar with imaging anatomy, and clinical indications for procedures, students may observe these procedures under the direct supervision of faculty.

Measurable learning objectives of elective:
- Imaging anatomy of the CNS
- Basic principles of CT, MR imaging
- Indications for common clinical scenarios requiring CNS imaging
- Clinical correlation of imaging findings in the CNS

Learning experience:
- Students participate in cross sectional imaging interpretation , including discussion of indications, findings and differential diagnosis, as well as "next step" management.
- Students are assigned reading pertinent to discussions, with "report back"
- Students are expected to attend daily radiology resident teaching conferences from 8-9 am and 12 30-2 pm in Binswanger Auditorium, unless otherwise engaged in neuro specific activities (tumor boards, etc)

Method of student feedback and evaluation:
AECOM standard evaluation

Jacqueline A Bello, MD, FACR
718 920 4030
Administrative support: Milly Ruiz,, 718 920 8272
Maximum: 1-2
Modules: all
On the first day students report to: Binswanger Auditorium at 8 am for general radiology conference; 9 am neuroradiology reading room 


C511 Ultrasound Radiology (Montefiore Medical Center/Weiler Hospital)
This elective will serve to familiarize the student with Ultrasound scanning techniques and image interpretation. Emphasis will be on acquiring anatomical concepts and an appreciation of how pathology departs from normal. The student will be expected to first observe scanning in the examining room, and then to acquire hands on skill in performing the ultrasound examinations.  Approximately half the time will be spent with the attendings and fellows in film interpretation and conferences. Correlation between ultrasound, other imaging modalities, and pathology will be made if it is appropriate. There will also be opportunity for the student to engage in research if desired.

Mordecai Koenigsberg,
Modules: All
Maximum: 2 students
Students must contact Dr. Koenigsberg for meeting time and location.  


C512 Multidisciplinary Approach to Breast Cancer: Imaging, Surgery, Oncology, Radiation and Pathology (Jacobi Medical Center)
Offered by M. David, MD with faculty in Surgery, Plastic Surgery, Pathology, Oncology and Radiation Oncology.  This elective is designed to introduce the student to diagnosis and management of breast cancer.  Observation and participation in breast imaging and intervention (mammography, ultrasound, and MRI with Dr. David) comprise about half of the elective.  The student will rotate, at least once weekly, in Breast Surgery (in both the operating room and the surgical breast clinic, with Dr. Maria Castaldi), Plastic Surgery (with Dr. Ralph Liebling), and in Oncology breast clinic (Dr. Tarek Elrafei).  Several times during the rotation, the student will have the opportunity to become acquainted with Radiation Oncology (Dr. William Bodner, Weiler Hospital) and with Pathology (Dr. Nichelle Simmons).  Attendance at a weekly interdepartmental conference provides additional exposure to the interrelationship of clinical disciplines in patient care.  Additionally, an opportunity to participate in Breast MRI clinical research is provided for interested students.

Miriam David, MD
718-918-4600 or 718-918-4634  
Maria Castaldi, MD  
Modules: 1B, 2B, 3B, 4B, 5B, 6B
Maximum 1 student
Students must contact Dr. David prior registration of this elective.  On the first day of the elective, the student should meet in Room 3D-42, JMC, Building 6 at 9AM 


C600 Radiology Subinternship (Montefiore Medical Center)
**Visiting Students Require Approval ** 
This four week elective in diagnostic radiology can be taken any time after the required two week Radiology clerkship. This elective allows the student access to daily film interpretation in the subspecialty of their choice and, if desired by the student an active part in the procedural aspects of Diagnostic Radiology. Daily morning and afternoon teaching conferences are held. Teaching cases and reading materials supplement the teaching program.  All effort will be made to accommodate the student in his/her choice of subspecialty or subspecialties. He/she may participate in general radiological interpretations, conferences and seminars. The student will be assessed by the attending with whom they interact. In addition, they will be required to deliver a 15-minute oral presentation on the radiological manifestations of a topic of their choice.  In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Learning objectives and experience: depends on student’s concentration

Method of student feedback and evaluation: Written and oral feedback based on performance including oral presentation at end of elective 

Marjorie W. Stein, MD
Contact: Ms. Lourdes Sicignano, 718-920-4872, 
Modules: All except 1B, 2A
Max: 4
On the first day report to Gold Zone main floor -radiology administration office, room G133 at 9AM 

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