Residents in the Radiology Residency Program at Bryn Mawr Hospital will gain a broad yet thorough exposure in all aspects of diagnostic imaging and radiological medicine.
Special procedures/interventional radiology
There are at least three blocks of required experience in interventional radiology and special procedures. The full range of procedures performed within our department includes uterine fibroid embolization, kyphoplasty, venous ablation, arteriography, angioplasty, stent placement, thrombolysis, biliary drainage, percutaneous nephrostomy, dialysis, venous access placement and care, and TIPS. Percutaneous biopsies are performed using the imaging modality appropriate to the specific case. This includes stereotactic core breast biopsy. All procedures are closely supervised by a faculty member.
A one block cardiology imaging rotation is required in the fourth year. This takes place at Lankenau Medical Center in the cardiology department. The resident is expected to participate in cardiac CTA and MRI interpretation and be present during cardiac catheterizations and percutaneous cardiac interventions. Pediatric cardiology imaging is included during rotations at St. Christopher's Hospital for Children and A.I. DuPont Hospital for Children. Residents also learn pediatric and adult echocardiography during these rotations.
There are approximately four blocks of rotation in body/chest CT and two blocks of rotation in body/musculoskeletal MRI during the residency. Most rotations are at Bryn Mawr Hospital and some at Lankenau Medical Center. A dedicated trauma CT rotation block is available during the third year at Paoli Hospital. Residents may also request additional time in any of these subspecialties as mini-fellowships during their fourth year. There are currently thirteen multidetector row CT scanners and nine 1.5 Tesla MRI units across Bryn Mawr Hospital, Paoli Hospital and Lankenau Medical Center and their associated outpatient centers.
There are at least four blocks of required neuroradiology during the residency. These rotations include experience in interpretation of CT, MRI, and myelogram examinations. All studies are interpreted with an attending neuroradiologist. Exposure to fluoroscopy guided lumbar puncture, myelography and other neurovascular and spine interventions is obtained during Interventional Radiology rotations.
There are four blocks of required rotation at Bryn Mawr Hospital and Lankenau Medical Center. At both institutions, the ultrasound experience is hands-on. Obstetrical ultrasound is learned both within the department as well as during a dedicated rotation with the Bryn Mawr Hospital Maternal Fetal Medicine subspecialists.
Four months of nuclear medicine are mandated by the American Board of Radiology, with instruction provided at Bryn Mawr Hospital. The residents learn through monitoring studies in the morning and interpretation of completed studies in the afternoon under the supervision of an attending radiologist.
American Institute of Radiologic Pathology
This is an excellent didactic course offered by the American College of Radiology in Bethesda, Maryland and attended by residents in residency programs from across the country and worldwide. The emphasis is on understanding the underlying gross pathology that results in the appearance on diagnostic imaging created by many pathological processes. It provides an excellent review of much of the basics in Radiology and is excellent preparation for the ABR Core Exam. Bryn Mawr Hospital Radiology Residents attend this during the third year.
St. Christopher's Hospital for Children and the Alfred I. DuPont Hospital for Children are the primary institutions for our two blocks of required pediatric radiology. Residents may also elect to complete a third block at either of these hospitals. Rotations include weekend call but no overnights. Bryn Mawr Hospital also has a Pediatric Emergency Department, Pediatric Inpatient Unit and Neonatal Intensive Care Unit. Interpretation of pediatric imaging studies is also part of the resident experience at Bryn Mawr Hospital.
The required three blocks rotation in fluoroscopy includes a wide range of single and double contrast GI examinations and genitourinary examinations. Arthrography is performed as part of the Interventional Radiology rotation. Some exposure to plain film radiography also occurs during these blocks. There is an additional two block rotation in plain film interpretation during the first year that can also be revisited as a mini fellowship during the fourth year.
A minimum of three months (mandated by the ABR and ACGME) is spent in women’s imaging / mammography. These studies are performed and interpreted in the Bryn Mawr Hospital Comprehensive Breast Center with three state-of-the-art Digital imaging units and three ultrasound units. Breast MRI interpretation is part of this rotation. Pre-surgical needle localization procedures are performed, as well as MRI, ultrasound and stereotactic core and excisional breast biopsies.
During the residency, there is an 80-hour required course which includes general radiologic physics, nuclear medicine physics, radiobiology, MRI physics, computer physics, and instrumentation and radiation safety.