CHEST CT

Location & List

Faculty Representative: Dr. Concepcion & Dr. Gupta

Location: Mon-Fri DUS/PACC, 3rd Floor, Radiology Suite 3P
MANDATORY ROTATION @ DUS/PACC Mondays and Tuesdays for modified barium swallow studies with speech pathologists (ie. cannot be at any other site on Mondays/Tuesdays)

PACS worklist: Chest CT

Hours:

8:00 am until attending dismissal - approximately 4:00pm.

Additional duties may require you to stay later than 4:00pm, patient care always comes first. Leave together with co-residents/don't abandon them. Confirm with attendings before leaving.

Responsibilities:

Outpatient studies QC'd by 3 pm
ER and Inpatient studies QC'd by 3:45 pm
Protocol chest CT / CTA studies

Conferences: ALL LINKS (click)

MONDAY 7:30 AM: Transplant
MONDAY 1 PM: Interstitial Lung Disease
MONDAY 4PM: Cardiothoracic Tumor Board
THURSDAY 4PM: Pulmonary Conference
THURSDAY 5PM: MAC Conference

GOALS AND EXPECTATIONS

Goals:

Gain a thorough knowledge of normal thoracic anatomy and be able to recognize normal variants of the: lungs, airways, pleura, heart, aorta, other mediastinal structures, pulmonary arteries, and thoracic osseous structures
Be proficient in the recognition of pulmonary and other thoracic pathology and be able to formulate a differential diagnosis
Understand the radiographic appearance and proper positioning of common monitoring devices.
Learn how to generate a concise diagnostic radiology report
Communicate effectively with referring physicians, house-staff, and patients
Obtain relevant patient history from electronic records, dictated reports, and/or by communicating with referring clinicians.
Understand the appropriate indications for a chest CT and be able to advise referring physicians as to its appropriate use
Be able to protocol chest CT examinations appropriately
Understand technical imaging standards, such as proper patient positioning, for all chest examinations
Be able to recognize and communicate any problems with study quality (including problems with general image quality and with technical performance of examinations)

Expectations:

Protocoling:

PLEASE JOIN WHATSAPP PROTOCOL GROUP (LINK)
Protocol CT chest with contrast cases 1-4 weeks ahead of time. Please direct any protocol questions to the attending.
Protocol guidelines can be found here under the Chest section.
Check the protocol list when you come in at 8 am for any added cases. Throughout the day, you should periodically check the protocol list for any added ED or inpatient cases.

Dictating:

Use the structured templates. Standardized dictation templates are available under "MSW" in Powerscribe.
Ensure the DLP radiation dosage is reported for all CT cases.
Pre-dictate all studies as follows:
- West: Morningside, West, and Chelsea Cancer Center
- BI: BI, Downtown Union Square (PH), Brooklyn (KH) for chest CTs. BI inpatient and Downtown Union Square (PH) for chest and abdominal x-rays.All outpatient exams QC'ed and verified by 3 pm should be dictated.
- All inpatient/ED exams verified by 3:45pm should be dictated.
- Prioritize scans ordered by the following: " MDs Wissam Raad and Daniel Nicastri or NPs Geetika Arora and Karina Aloferdova" for interpretation.

Presentation:

You may be asked to present a short presentation on a topic during the rotation.