Rotations

The residency consists of a total of 55 rotations, including three as PGY-1. These rotations are segmented in four-week blocks. The table below reflects the number of rotations (in parentheses) for each area.

Conventional Radiology	Senior Electives (5)
Gastrointestinal Radiology (2.5)	Body MRI (2.5)
Neuroradiology (3)	Genitourinary Radiology (2.5)
Ultrasound (3)	Mammography (3)
AFIP (1.0)	Body Computed Tomography (3)
Chest (3)	Nuclear Radiology (4)
Musculoskeletal (3)	Research Elective (1)
Pediatric Radiology (3)	Cardiovascular (1)
Magnetic Resonance Imaging (3)	Emergency Radiology (2)
Interventional Radiology (4)	Night Float (2.5)

PGY-1 Clinical Year

The first year of radiology residency at Scott & White is a clinical year consisting of six months of internal medicine with rotation through the general internal medicine hospital service and subspecialty internal medicine services. Three months of surgery are included with rotations such as vascular surgery, trauma and one month is also spent in our Emergency Department. The remaining two months are spent in the Department of Radiology. This year will provide valuable clinical experience for the residents to enhance their subsequent radiology training.

PGY-2 through PGY-5 Years

In the PGY-2 year, residents are introduced to the basic techniques of fluoroscopy and image interpretation. Following a period of observation, residents begin performing fluoroscopic examinations with staff supervision. Second-year residents also rotate through GI/GU radiology, chest radiology, emergency radiology, musculoskeletal radiology, neuro CT, ultrasound, MRI, nuclear medicine, pediatric radiology and body CT.

Training in mammography includes exposure to screening mammography, diagnostic mammography, needle localization, stereotactic and ultrasound guided needle biopsies. At least three months are devoted to breast imaging.

Residents are eligible to take the American Board of Radiology Physics written examination at the end of their PGY-2 year of radiology training. With changes to the timing of the ABR exam, residents will take a core exam at the end of the PGY-4 year.

Residents are given more independence and instruction in more advanced procedures in the PGY-3 and PGY-4 years. During this period of time, residents work closely with six neuroradiologists and five interventional radiologists. Four fully equipped angiography suites (including two biplane neuroangiography units), five CT scanners and four magnetic resonance imaging scanners provide opportunities to learn the most sophisticated radiologic procedures.

The PGY-3 and PGY-4 years also provide ample opportunity for training in body imaging. A minimum of three months is spent in the ultrasound section, where residents gain experience in abdominal ultrasound, pelvic ultrasound including transvaginal sonography, obstetrical ultrasound, vascular ultrasound, small parts imaging and pediatric imaging. Three months training in body computed tomography allows for experience in thoracic and abdominal imaging and includes exposure to standard computed tomography as well as advanced cross sectional imaging. Substantial experience in body MRI is available during two and half months of training on the Body MRI rotation as well as three months at musculoskeletal radiology.

During the PGY-4 year, residents attend the AFIP Radiology Course in Washington, D.C. The institution pays for the residents' travel and registration fee and continues the resident salary during the course. A generous housing allowance is also provided to assist in the expense of room and board for the six-week course.

Also, during the PGY2 through PGY-5 years, residents spend four months in the Division of Nuclear Radiology which is staffed by two full-time physicians who are certified in nuclear medicine by the American Board of Nuclear Medicine. Their professional expertise is combined with excellent equipment to provide high quality training in performing various procedures and the interpretation of those procedures, including radionuclide therapy and PET/CT scans.

The final year is devoted to further training in advanced procedures, including cardiovascular radiology, which includes interpretation of Cardiac MRI and Coronary CTA. Residents in their fifth year also have ample time to prepare for the written and oral boards as they are eligible for the American Board of Radiology oral examination at the conclusion of their fifth year of radiology training.

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