In-house Conference Instructions

EVERY WEEK

R1 CORE

• Weekly conference for R1s given by upper level Radiology residents at MSW

• Seamless: only the presenter & R1's

• R2-R4: upload your PPT to the Shared Drive
  
  

NOON REPORT

• Weekly noon report: on weeks without JC/RP/QI

  • Residents should keep a personal log of interesting cases encountered on call 

  • Peer to peer teaching in a non-threatening, casual environment

• R1-R4 presenter

  • Present interesting cases on PACS (recommend R1-friendly/R2 call prep-related cases in first half of the year, and any interesting cases for the rest of year)
    
    

TUMOR BOARD (TB)

• GI fellow liver conference (labelled "TB" on Amion) 

• Once a month 

• Covered by the Body CT S resident (preferably an R2-R4 who has had Body MR). 

• The cases for tumor board will be emailed by GI fellow. You should go over these cases with an attending before the conference to (1) present the cases with PACS or powerpoint, and (2) be ready to address questions from clinicians.  

ONE-TIME CONFERENCES

R4 Lecture

• R4 only

• Lunch (Seamless): only the R4 presenter. NOT attendees

• 20-25 minute duration for each R4 presenter (a 1 hour total slot, split with another R4). 
  Usually presented in the 2nd half of the academic year (unless ESIR, may be earlier).

• Self-selected topic

  • Some suggestions below:

    • An interesting project/initiative you worked on during MSW residency

    • An advanced educational topic within your fellowship/subspecialty (imaging interpretation, a new modality, current research summary, etc.)

  • DO NOT do a "how to approach boards" lecture! A "how-to" boards prep will be given by Chiefs as a separate session.

• Self-selected mentor/preceptor 

  • Prior to the actual presentation day, make sure you review your slides with them! 

• Email MSWChiefs@mountsinai.org with your chosen topic & cc your chosen mentor/preceptor 

MONTHLY

QI

QI conference will take place the fourth Thursday of every month. 

Lunch is provided through Seamless for presenter & all attendees.

Presenter: An R2-R4  (no R1s).  This is a graduation requirement and must be done at least once!

Format as follows (note there are 5 separate slide decks to keep track of):

• 15-20 min: 

  • Deck #1, 2, 3: Current QI metrics, decks made by administration. #1-2 is Morningside-West and #3 is BI dept. In order to get these...see below.
    
    1-2 weeks prior to your date, send an email to (can cc MSWChiefs@mountsinai.org):
    
    For Deck #1-2 Morningside-West

<James.Fox@mountsinai.org> AND
<Amy.Strach@mountsinai.org> AND
<Serafin.Ayllon@mountsinai.org> 

For Deck #3 BI: 

<Shari.Fernandez@mountsinai.org>

• • Review these 3 decks with Dr. Friedman.

    • The metric we use is "Complete to Preliminary"

    • You MUST correct any errors - bars used in graph are usually misaligned

• 20-25 min: Deck #4, your slides; QI topic decided with Dr. Friedman. Goal: Review current hospital quality measures, and then present an article that explores a quality improvement or safety topic.

  • Think about issues that have come up on rotations/call shifts, your own quality improvement project(s). Or, after looking through resources below first for potential articles, you can ask Dr Friedman, your seniors/Chiefs for topics. 

    • JACR: Quality Improvement articles

    • RSNA: List of updated QI topics, good article source

    • Additional reading: ACR summary / overview of QI

    • Prior topics have included: 24-hour attending coverage, phone call interruptions, feedback, multiple casualty incidents, neuroradiology resident vs. attending read discrepancy, etc.

• 10-15 min: Deck #5, your slides. Discussion, usually with QI cases from Dr. Friedman.

  • Dr. Friedman will usually contact you with cases (you should download key images in advance onto a set of slides). 

    • If you don't hear from Dr. Friedman on cases, email him! 

    • Make sure you click "Overlay/Annotations" to anonymize the patient data!

    • If unsure about image selection or anonymizing/saving images, feel free to review the case(s) with a senior or Chief.  

  • Also when presenting the case, keep the case anonymous and do not mention specific attending or resident names.

AFTER CONFERENCE: Presentations should be added to Quality Improvement Conferences folder (in the appropriate year subfolder) in the G drive. Try to use a consistent file naming system

Remember: If it's your own project, these presentations can count towards the ACGME graduation requirement .... AND can be converted to a presentation at a national meeting (e.g. ACR)

RESEARCH MEETING
(on hold / attendings only)

• Will review the status of ongoing projects, ideas for new projects, converting presentations to publications, etc.

• Before submitting an abstract, please review the submission with Dr. Kamath.

• When an abstract is accepted, plan on presenting your presentation at our research meeting before the national meeting.

• Once an abstract is accepted, please notify all authors and Dr. Kamath so that our residency website can be updated. Dr. Kamath will not sign a travel authorization form unless this is done. 

• Please submit your travel authorization form ASAP.

ROTATES Q7 WEEKS

RADPATH

• Held every 7 weeks on Thursday, as part of the rotating Thursday noon conference curriculum by the radiology department where we discuss 2 cases which are ideally selected by the residents. 

• If the resident is unable to find a case, the attending will suggest a case. We invite a pathology resident to present the path findings and the path diagnosis. 

• Make sure one of you contacts the pathology resident 2 weeks in advance to make sure they prepare the slides

• Pathology Chiefs Emails: mswslpathchiefs@mountsinai.org 

• You can look up Pathology results on Epic.

  • Alternative/dated method: The pathology department’s reporting system for their studies is PathResults. To get a personal login, fill out an IT Help ticket for pathresults.chpnet.org

Format (usually 2 radiology residents, 1 pathology resident):

• 15 minutes per radiology resident: You should discuss

  • patient clinical presentation

  • key findings/descriptors of your case on all relevant radiology modality(s) (whether the ideal modalities were used or not; you can use Google or StatDx if you do not have ideal images for alternate modalities), and 

  • present at least 3 differential diagnoses based on the radiological findings, and how to distinguish them

• 10-15 minutes for pathology resident: 

  • The pathology resident will present pertinent histology slides via PPT.

  • The pathology resident then (hopefully!) gives us the pathology answer / correlates. 

AFTER CONFERENCE: Presentations should be added to the appropriate folder in the G drive. The pathology powerpoint portions should also be added

• G:\Dept\RAD1\Rad\SLR RESIDENTS AND FELLOWS\SLR Residency\SLR Resident Conferences\SLR RADPAT

• A great outcome of a resident presentation would be to generate a case report
  
  
  

JOURNAL CLUB (DR or IR)

• Two residents each present a recent scientific article every 7 weeks on Thursday (DR) (1 article per resident for total of 2 articles) as part of the rotating Thursday noon conference for the MSW Radiology program, or (IR) may also present on a VIR-Chief- assigned Monday (if on VIR rotation). 

  • Note: This article SHOULD ***NOT*** be a review article or pictorial essay (common in Radiographics or AJR Pictorial Essay articles).

FOR IR JC:

• Dr. Fischman will send you an assigned IR article on Thurs/Fri before your assigned Monday. If this does not happen, or if you would like a jump-start, please contact the IR Chiefs or Dr. Fischman directly).

• Format overall is the same as DR JC - scroll down.

FOR DR JC:

• 1-4 weeks before your assigned date: Before journal club, you will be emailed a reminder with the name of an attending who will proctor the journal club. If this does not happen, or if you would like a jump-start, please contact the DR Chiefs to find out who your proctor will be.

  • Article should be in the assigned attending's field. Two options for article selection:

    • An attending or Chief can assign you an article, or

    • You can find one you would like in that attending’s field.  

      • Tips: Look in "New articles" under the top journal in the attending's field - if you are unsure what those journals may be, look under the Radrez "Research" tab for names of journals with high impact factors.

      • If looking on your own, make sure you run it by the Chiefs or proctoring Attending first!

• The week of your presentation (ideally on Monday):

  • • Send out your chosen article to the group.

• Day of your presentation: Presentation should be ~30 minutes.

FORMAT FOR BOTH IR/DR JC

The entire session will total 1 hour.

As there are 2 residents, plan each talk (1 article per person) to be ~25 min, allowing ~5 min for questions. 

The guideline format of the presentation is as follows:

• 1. What is the article’s objective? (background/history)

  2. Methods

     • What is the design of the study; e.g., Case Series, Case Control, Randomized.  Is this retrospective or prospective?  Are the controls appropriate?

     • How was data measured/collected?

     • Who are the subjects?  Is this explicitly stated?  Is there selection bias?

     • Interventions:  What procedures were performed?

     • How was data analyzed?

  3. Results:  What are the authors’ significant  findings?  Comment (if you can) on the appropriateness of their statistical evaluation.  Is there internal consistency in the data

  4. Conclusions:  What are the authors’ major conclusions?  Are the results generalizable?  Are they justified from the data?  Do the conclusions support the objectives of the paper? What type of contribution to the field does this paper make?  Can you relate it to other literature on this topic? Do the results make teleological/biologic sense?

     • Study limitations (author): summarize the limitations of the study as noted by the authors. 

  5. Additional limitations: please try to come up with your own criticisms of the paper. (you should consider touching base with the attending before your presentation for this.

     • i.e.  Any author conflict-of-interests?

  6. Miscellaneous Comments/Considerations:  

     • Organization and writing style:  Is the paper logically organized and clearly written;  is it easy to follow?

     • How could this paper be strengthened?  

     • Did you learn anything from this paper?  

     • Was the discussion informative?  

     • Was this paper published in a major and/or peer review journal, a minor journal, or a throw-away journal? 

     • Does it help you in your practice -- will it alter practice in any way or does it support what you are currently doing?

AFTER CONFERENCE: Presentations should be added to the appropriate folder in the G drive.

• A great outcome from your review would be a letter to the editor.