Diagnostic Radiology Residency - Library Photo 2020The first two weeks of training are purely didactic, consisting entirely of lectures in basics of radiology, radiation protection, and handling of emergency situations (particularly contrast reactions). The next six weeks are spent in abbreviated two-week rotations in ultrasound, computed tomography, and fluoroscopy. The remainder of the clinical rotations are in four-week blocks incorporating the usual subspecialties of diagnostic radiology. Many rotations are modality-based rather than organ-system based, which we feel reflects the way radiology is actually practiced.

Yale New Haven Hospital and NewYork-Presbyterian Morgan Stanley Children's Hospital rotations, outpatient center rotations (advanced women’s imaging), and a one-month American Institute for Radiologic Pathology rotation are scheduled during the first, second, third, and first half of fourth year.

In their third and fourth years, residents have elective blocks, which can be used for additional  clinical  rotations  or  research.  It  should  be  noted  that  clinical  rotations  are  selected and arranged in order to facilitate and enhance each resident’s training and education; they are not based on merely fulfilling necessities of clinical coverage.

After  passing  the  CORE board  exam,  residents  may  elect  to  perform  one  or  more  mini-fellowships.

There are two learning conferences daily, usually a morning lecture and midday case conference. Most conferences are given by Norwalk Hospital’s faculty, but we also incorporate  guest  lecturers,  all  luminaries  in  their  fields,  including topics such as Pediatrics, Cardiac, Chest, GU, Ultrasound, MSK, and GI. The majority of lectures and teaching cases are stored on the hospital shared drive which are easily available for residents to review. A course in radiation physics and radiation biology is offered twice a week throughout the first year.

Interdisciplinary conferences with other departments are also held regularly,  usually on a monthly basis. As a Memorial Sloan Kettering cancer treatment site, we currently have joint conferences with pulmonary medicine, hepatobiliary and gastrointestinal surgery, gyn-oncology, heme-oncology, neurosurgery, breast oncology, and gastroenterology. Residents prepare and present cases for these interdisciplinary conferences on a weekly or monthly basis.

We  feel  residents  should  be  encouraged,  but  not  forced,  to  participate  in  research  during  residency  training.  We  are  aware  that  four  years  is  a  relatively  short  time  to  become a competent clinical radiologist and to receive board certification. Almost all of  our  graduates  go  on  to their desired  fellowship  positions,  and  for  some,  that  may  be  a  more  appropriate  time  to  become  seriously  involved  in  research.  However,  it  does  seem  that at least some involvement in investigation makes one a more critical reader and a more well-rounded physician. Accordingly, we try to encourage scholarly pursuits, but recognize that some individuals have greater interest and abilities in certain areas than  others.  We  require  only  that  each  resident  prepare  at  least  one  paper  suitable  for publication during their four years of training. Most residents do more than this and some have prepared and published numerous projects.

Time is made available for research and investigation during electives and during research rotations at Norwalk Hospital and at Yale New Haven Hospital. Norwalk Hospital pays travel expenses for residents attending conferences for purposes of presenting a paper or exhibit.

We  have  an  Interdisciplinary  Research  Committee—which  oversees  and  coordinates  projects involving various departments, a departmental research advisor, and a hospital-wide research coordinator, biostatistician, and other support staff as needed.

Residents begin taking call after 12 months of training, and after passing an oral and practical examination in required skills. 

CT scans performed after 10:00 p.m. are interpreted by attendings via teleradiology. Residents provide preliminary interpretations of scans performed before 10:00 p.m., but if clinical volume is high, or if the resident should be involved with some other clinical  activity, studies  are  interpreted  by  teleradiology.  Residents  cannot  become  “backed up” or fall behind. This system allows residents to develop critical clinical skills to become an independent radiologist without excessive stress or exhaustion.

Two radiology attendings are always on call, one for general and one for interventional radiology. The on-call radiology attendings are happily and readily available for immediate consultation if the on-call resident requires assistance or has questions. Furthermore, because of the provided hospital housing, remote access to the PACS imaging network, and the close network we have as a radiology residency, senior residents are readily available for assistance and advice.