Bootcamp
Day 1
The ACR has made a guide for R1 residents.
http://www.acr.org/~/media/ACR/Documents/PDF/Membership/RFS/2015_RFS_Guide_Final.pdf
Homework
Do Rad Safety and Fluoro Safety modules (in PEAK), send PDFs to Keith and keep for your own records.
Radiation Safety
Fluoro Safety
5 ways to reduce dose to yourself and patient
Collimate
Use pulsed fluoro
Minimize patient to II distance
Be mindful of the source of the x-rays (the patient)
(Have you ever had a dental X-ray and they put lead on the front of you? What is going on?)
If you are the second person in the room, either stand between the first operator and the patient or take advantage of the fact that exposure decreases with distance squared.
Become familiar with our fluoro time policy and the sheet we give patients with more than 30 min fluoro time.
For the interested student be able to explain why it is distance squared.
hint: what is the area of the surface of a sphere?
Societies
Sign up for:
RSNA
ACR
ARRS
ASNR
SIR
We will sign you up (and pay) for NYRS and expect you to attend the monthly meetings. As noted they have a quiz and give prizes.
https://nyrs.memberclicks.net/
There is a fall meeting (this year October 18-20, 2017. R1s typically go one day. Chiefs will make the schedule.
Future Topics
Contrast
Homework
review package insert for omnipaque
review the ACR contrast manual
http://www.acr.org/quality-safety/resources/contrast-manual
Review our patient questionnaire.
for iodinated contrast:
Risk of death/"life threatening reaction"
"Exceedingly rare" with LOCM
0.01 to 0.02 percent serious reactions (from ACR Contrast Manual 2008 1:5000 to 1:10,000 (from a pre 2010 ACR contrast manual ? not in 2022,2010 versions) 8/22
Review our contrast extravasation form
for gado:
Risk of death/"life threatening reaction"
0.001 to 0.01 percent 1:10,000 1:100,000 (p. 83) (checked 8/22)
Know the difference between nonionic and ionic contrast
What situation is it critical to give the right contrast?
Review GFR calculators and know about pitfalls
https://sites.google.com/site/neuroradiologyprimer/neuroradiology/techniques/mr/mr-safety
Discuss our injection credentialing form
Discuss our patient questionnaire.(not consent)
Discuss our contrast extravasation form
Transition of Care/Incident Reports
Homework
review resident manual
Review occurrence form
Discuss occurrence form
Research
Homework
Complete CITI modules
see RADREZ http://www.radrez.com/home/research
Social Media
Homework
Review MS social media policy
Strongly consider the following:
twitter follow @amykpatel , @ACRRFS for starters
Linked-in
doximity
Informed Consent
Semiannual reviews
5 reports, at least one procedure
Action Items/skills
IV credentialling
Vitrea MIPs
Join:
RSNA
ACR
ARRS
ASNR
Start ABR account
"transcript" of PGY1 year