1. RADIOLOGIST TRAINING “THE GOOD, THE BAD, BUT NOT THE UGLY”

2. RADIOLOGY RESIDENCY – MGH N=38

3. APPLICANTS

4. Total Number of Applicants 2000-2010

5. MOST COMPETITIVE RESIDENCIES

8. WHERE DO OUR RESIDENTS COME FROM?

9. CA - 3 AZ TX - 2 NE SD MN MI - 3 IN MO KY FL - 2 NY - 3 MA - 4 CT NJ DC VA - 2 Where are our Residents from?

10. International Residents Nigeria United Kingdom Germany Greece India China - 2

11. Medical Schools Attended 6 6 3 3 2 2 2 2

12. ADDITIONAL DEGREES

13. Current Residents’ additional degrees N=38

14. STANDARD CURRICULUM Core rotations Years 1-3 Focused year March – 3 rd February – 4 th Will change to 4 th year

15. CORE CURRICULUM Nuclear Medicine 4 months Thoracic 3 months Neuroradiology 3 months Pediatrics3 months Vascular3 months Musculoskeletal 2 months Cardiac 1 month

16. CORE CURRICULUM (cont’d) ER2 months Interventional2 months MSK Chest Abdomen

17. CORE CURRICULUM (cont’d) Ultrasound2 months MRI (Body) MSK1 month Chest & Abdomen 1 month MEEI 1 month AFIP4 weeks Breast 3 months

18. ACGME REQUIREMENTS – WHAT’S NEW Era of regulation

19. CURRICULUM - 6 COMPETENCIES Patient care Medical knowledge Practice based learning and improvement Interpersonal and communication skills Professionalism Systems based practice

20. 6 COMPETENCIES Teach Practice performance measures

21. METRICS Faculty evaluations 360 degree evaluations Case procedure logs Objective tests Journal club Scholarly activity Learning portfolio SAMS Multidisciplinary conferences QI activities Non interpretive skills

22. ACGME – DUTY HOURS

23. WHAT OUR RESIDENTS ACCOMPLISH Scholarly Activity Classes 2009 – 2012 (38) Site Visit Data 32 publications, abstracts, exhibits

24. Resident Awards and Leadership Appointments (2000-2010) 6 RSNA RESIDENT RESEARCH AWARDS 2 ACR MOOREFIELD FELLOWSHIPS RESIDENT REPRESENTATIVE RRC 3RESIDENT REPRESENTATIVES MMS--ACR RESIDENT REP RSNA COMMITTEE 2 RESIDENT REPS-AMA

25. AFTER RESIDENCY – WHAT DO THE RESIDENTS DO? 2002 - 2010

26. After Residency- What do they do? Data 2002-2010

27. After Fellowship - What do they do? 2002-2009

28. THE NEW ABR EXAMINATION

29. EOF: Core Exam Overview At 36 months of DR residencyAt 36 months of DR residency Covers all of DRCovers all of DR ComprehensiveComprehensive Must pass every category to qualify for certifying examinationMust pass every category to qualify for certifying examination Level of knowledge expected: basic/intermediateLevel of knowledge expected: basic/intermediate

30. EOF: Core Exam Categories Organ Systems* (10):Organ Systems* (10): Breast, Cardiac, Endocrine/Reproductive, Gastrointestinal, Musculoskeletal, Neuro, Pediatric, Thoracic, Urinary, VascularBreast, Cardiac, Endocrine/Reproductive, Gastrointestinal, Musculoskeletal, Neuro, Pediatric, Thoracic, Urinary, Vascular Modalities (6):Modalities (6): Rad/fluoro, CT, MR, Nuclear/Molecular, US, InterventionalRad/fluoro, CT, MR, Nuclear/Molecular, US, Interventional Fundamentals (2) :Fundamentals (2) : Physics, patient safetyPhysics, patient safety * Clinically relevant anatomy, pathophysiology, etc

31. EOF: Core Exam Effects on Training Programs ABR-RRC meeting yearlyABR-RRC meeting yearly All residents exposed to every clinical category to be testedAll residents exposed to every clinical category to be tested Board prep displaced into 3 rd yearBoard prep displaced into 3 rd year Structure of 4 th yearStructure of 4 th year Smaller programs—may be no changeSmaller programs—may be no change Larger programs—may be competition for highly sought clinical subspecialtiesLarger programs—may be competition for highly sought clinical subspecialties

32. HOW ARE WE PREPARING? Focused year Task force Integration of physics into clinical teaching

33. RESOURCES

35. STATE OF PROGRAM Well regarded Excellent success in match Focused year – advantage Retention of residents as faculty Academic productivity of residents Success finding a position