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Cairo University Faculty of Medicine

Course Specification for MD Degree in Diagnostic

and Intervention Radiology Advanced Radiology

Program on which the course is given: MD Degree in Diagnostic and Intervention

Radiology. .

Department offering the program: The Diagnostic and Intervention Radiology

Department.

Course Code : RAD924AR

Major element of program: Advanced Radiology.

Department offering the course: Diagnostic and Intervention Radiology department.

Academic year: 2011-2012

Credit points: 20

Course coordinators:

Prof. Youssriah Yahia Sabri

Assist. Prof. Mohammed Shahin

Dr. Iman Hamdy Ibrahim

Dr. Rania Zeitoun

Dr. Dalia Salah El Mesidy

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I. Aim of the course:

The aim of the course is to enable the specialized candidates in the medical field of

diagnostic radiology to achieve satisfactory levels of knowledge and clinical background

in all sub-specialties in radiology practice, interact with community problems, respect

ethical values according to community culture, and promote their medical standards

through engaging in continuing medical education. The program also aims to introduce the

candidate to the scientific medical research.

II. Intended learning outcomes:

1-knowledge and understanding: by the end of the program the candidate should:

a) Distinguish the basic radiological appearances of different cardiac, chest,

gastrointestinal, genitourinary, cranial, musculoskeletal, angiographic and head and neck

pathologies using different diagnostic modalities.

b) Identify and discuses different diagnostic modalities in radiology needed to diagnose the

nature of different cardiac, chest, gastrointestinal, genitourinary ,cranial, musculoskeletal,

angiographic and head and neck lesions.

c) Identify the management of procedural complications.

d) Describe different diagnostic modalities for diagnosing various lesions in cardiac, chest,

gastrointestinal, genitourinary, cranial, musculoskeletal, angiographic and head and neck.

2- Intellectual Skills: By the end of the program the candidate should be able to:

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a) Develop skills and audit methodology that are necessary to structure and perform

research and audit under appropriate guidance.

b) Review published articles critically and to perform effective literature searches on a

given topic.

c) Interpretation of the effective application of research findings in every day practice will

be also required.

3- Professional and practical skills: by the end of the program the candidates should

be able to:

a) Apply the different procedures competently and independently in cardiac, chest,

gastrointestinal, genitourinary, cranial, musculoskeletal, angiographic and head and neck

b) Attaining experience in non interpretative skills (risk management, patient safety,

recognition and management of contrast reaction).

4- General and transferable skills: by the end of the program the candidates should

be able to:

a) Participation in reporting different radiological examinations of cardiac, chest,

gastrointestinal, genitourinary, cranial, musculoskeletal, angiographic and head and neck

which are done during the general through put of the normal working day of the

department of diagnostic and intervention radiology.

b) Performing any routine radiological procedure in cardiac, chest, gastrointestinal,

genitourinary, cranial, musculoskeletal, angiographic and head and neck that might be

booked during a normal working day.

c) Attendance at end conducting clinico-radiological conferences and rmiltidisciplinary

meetings.

d) Competence at reviewing studies of heart, chest, gastrointestinal tract genitourinary

system, neuroradiology, musculoskeletal system,

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angiography and head and neck on a workstation and familiarity with digital image

manipulation and post processing.

e) Teaching and training. Appraising and assessing.

f) Working with colleagues:

o Treating colleagues fairly,

o Working in teams,

o Leading teams, o Arranging cover,

o Taking up appointments.

o Sharing information with colleagues,

o Delegation and referral,

o Assessing conduct or performance of colleagues.

g) Relationships with patients

o Obtaining consent.

o Respecting confidentiality.

o Maintaining trust.

o Good communication.

h) Probity:

o Dealing with problems in professional practice,

o Handing complaints and formal inquiries.

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III. Course contents:

Compulsory courses; one academic year (30 weeks Starts October)

20 credit points

item

Credit points total

Radiology Course a. Neuro-radiology

b. Head and neck radiology

c. Musculoskeletal radiology

d. Cardiothoracic radiology

e. Gastrointestinal radiology

f. Genitourinary radiology

g. Vascular imaging&

intervention

h. Breast imaging

i. Pediatric radiology

j. Specific entities: intensive care, ER and oncologic

radiology

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2

2

2

2

2

2

2

2

2

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IV. Teaching methods:

A. Lectures: see timetable

B. Tutorials:

In each of the specialized radiology imaging units, weekly tutorials (at least 3 weekly) are

arranged to:

" Discuss different radiology cases (images interpretation, possible differential

diagnosis and final diagnosis)

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C. Presentations:

Each of the specialized radiology imaging units directs a weekly scientific meeting to

present:

Challenging cases presentations (at least 3 radiology cases)

Each case presentation includes:

a) Radiology images

b) Relevant clinical data

c) Differential diagnosis

d) Final diagnosis

• Scientific presentation for an advanced imaging technique and its applications

D. Journal club:

In each of the specialized radiology imaging units, a weekly meeting is held to

review recent research studies and articles

E. Assignments:

Candidates are assigned to contribute in the weekly scientific meetings in the

department through sharing in cases presentation and discussions

Lectures Timetable:

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Course

Items

Teaching

hours

Credit

points

Number

of

lectures

Radiology

Course

Neuro-radiology

I. CNS infection

II. MRS

III. supralentorial tumours

IV. posterior fossa tumours

V. craniocervical junction

VI. MRdiffusion and perfusion

VII. The spinal cord

Head and neck radiology

I. Orbit

II. Paranasal sinuses

III. Larynx

IV. Petrous bone

V. Thyroid gland

Musculoskeletal radiology

I. Metabolic and endocrine bone disorders

II. Tempro-mandibular joint

III. Spine

IV. Shoulder joint

V. Wrist joint

VI. Ankle joint

Cardiothoracic radiology

I. Diffuse infiltrative lung disease

II. Tumours of lungs and pleura

III. Inflammatory lung lesions

IV. Consolidation and collapse

V. Hepatopulmonary axis

VI. Vascular lung lesions

VII. Airway diseases

VIII. Mediastinum

IX. Chest wall

X. Diaphragm

XI. Cardiology: plain films

Gastrointestinal radiology

I. Acute abdomen and abdominal Trauma

II. Pancreatic lesions

III. Spleen

IV. Salivary glands

V. Barium studies

VI. Stomach and duodenum

VII. Esophagus, pharynx

VIII. Small bowel lesions

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6

6

6

2

2

2

6

6

6

6

6

5

5

5

5

5

5

3

3

3

1

2

3

3

3

3

3

3

2

2

2

2

6

2

2

1

1

1

1

3

3

3

3

1

1

1

3

3

3

3

3

2

2

2

2

2

2

2

2

2

1

1

2

2

2

2

2

2

1

1

1

1

3

1

1

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IX. CT of biliary tract

X. CT liver focal lesions

XI. MRI liver

XII. MRCP

XIII. Peritoneum and mesentry

pathology

Genitourinary radiology

I. Imaging techniques of the urogenital

system

II. Contrast agents

III. Congenital anomalies

IV. Stones and obstructive uropathy

V. Urinary tract scintigraphy –MR

Urography

VI. Parenchyma! renal disease

VII. Imaging of suprarenal lesions

VIII. Cystic diseases and tumours of the

kidneys

IX. Renal transplant –Ureteric pathology

X. Hematuria, renovascular hypertension,

traumatic lesions

XI. Urinary bladder, neurogenic bladder,

urinary incontinence

XII. Prostate and seminal vesicles

XIII. Urethra-scrotal lesions- male infertility

XIV. Ovarian and adnexal lesions

XV. Imaging of the pelvic floor

Vascular imaging& intervention

I. Techniques and materials for diagnostic

and therapeutic angiography.

II. Vascular lesions

III. Percutaneous tumour ablation

IV. Renal intervention radiology

V. Interventional neuroradtology

VI. Doppler and duplex

VII. PTC and PTD

Breast imaging

I. BIRADS Lexicon interpretation

II. Benign breast lesions

III. Malignant breast lesions

IV. MRI breast

V. HSG and multimodality approach to

uterine mass lesions

VI. Multimodality approach to

ovarian and adenexal mass lesions

VII. CT of female pelvis

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2

2

2

2

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

6

6

4

4

4

6

2

1

3

3

3

3

3

3

3

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

1

3

3

2

2

2

1

1

1

2

2

2

2

2

2

2

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I. Benign uterine , ovarian and adnexal lesions

II. Malignant uterine , ovarian and

adnexal lesions.

X. Obstetric ultrasound

XI. Imaging of the placenta

Pediatric radiology

I. Pediatric musculoskeletal system

II. Pediatric cardiology

III. Pediatric GUS

IV. Pediatric head and neck

V. Pediatric spine

VI. Pediatric neuroradiology

VII. Pediatric GIT

VIII. Pediatric chest

Specific entities: intensive care, ER& oncologic

radiology

I. Skeletal trauma

II. Spinal trauma

III. Cerebrovascular stroke

IV. Coronary lesions-CT coronary angiography

V. Pelvic trauma

VI. Role of radiology in oncology

VII. Acute abdomen :US,CT

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2

3

6

4

4

4

4

4

4

4

4

4

4

4

4

6

1

1

2

1

2

3

2

2

2

2

2

2

2

2

2

2

2

2

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Film Reading 300 10 150

V. Teaching and learning facilities:

Lecture halls:

1. A well-designed conference room for weekly meetings with data show and projection

capabilities that allow cases to be viewed directly from the PACS.

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2.3 Rooms for small groups

Audio-visual aids:

Data shows

Radiology imaging library

Digital library

PACS

Computer lab

List of references:

Essential books:

Textbook of Radiology and Imaging (Button)

Grainger & Allison's Diagnostic Radiology

Primer of Diagnostic Imaging

Chapman & Nakielny's Aids to Radiological Differential Diagnosis

Recommended books:

Diagnostic imaging series

Osborn's Brain: Imaging, Pathology, and Anatomy

Periodicals:

Radiographics

Radiology

American journal of radiology

European journal of radiology

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British journal of radiology

Websites:

www.radiopaedia.org

www.auntminnie.com

www.learningradiology.com

www.radiology education.c

VI. Supervision and Monitoring of the Training Program

According to the faculty of medicine, Cairo university Bylaws for M.D. training programs

a logbook will be kept for each candidate to document his/her participation in different

scientific activities. The head of the department allows the candidates to undergo the final

examination when they complete their training program and collect the credit points

needed.

VII. Assessment:

A: Assessment Tools:

M.D Radiology Exam

Two written exams:

Paper 1: short essays (3 hours)

Paper 2: multiple choice questions (3 hours)

Oral exam and practical exams in two separate days.

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B: Assessment Schedule:

The written exam will be held in May/November every year (two consecutive days).

Day one: Radiology paper 1 (3 hours.

Day two: Radiology paper 2 (3 hours).

This will be followed by the practical and oral exams (multiple examiners) in two

separate days.

C: Weighing Of Assessment: Marks allocated to courses.

Written

Oral

Practical

Total

250 per paper

(total 500)(50%)

250 (25%)

250 (25%)

1000 (100%)

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Course directors

Remarks:

• It is mandatory to pass the written, oral and practical exams.

• Passing mark for the two written papers together is >60%.

• Passing mark for oral and practical exams together is >60%.

Prof. Youssriah Yahia Sabri

Dr. Iman Hamdy Ibrahim

Date of approval by department council April 2015

Head of Department

Prof. Ashraf Salah Selim