Contact Information

Office of the University Registrar


Uniformed Services University of the Health Sciences
Office of the University Registrar
4301 Jones Bridge Road, A1041
Bethesda, Maryland 20814-4799

Fourth-Year Clerkship Coordinator

Mrs. Xochilth J. Torres
Fourth-Year Coordinator / Registrar Assistant
Phone: (301) 295-3448
E-mail: xochilth.torres@usuhs.edu

Course Descriptions by Department- Radiology

RDR4110, Radiology Clerkship
RDR4120, Special Studies/Radiology Clerkship
RDR4140, Interventional Radiology
Advanced Clinical Rotation in Radiation Oncology

Course #: RDR4110, Radiology Clerskhip
Course Type: C
Department: RDR
Duration: 4 weeks
Hours: 5
(Letter/Pass/Fail): P
 
Description: The 4th year radiology elective is a 4 week course designed to provide the student with an understanding of radiology that will benefit them in their internship year. The course will focus on emergency and ICU film interpretation. The first 2 weeks of the course will consist of rotating through the radiologic specialties in combination with didactic lectures. The second 2 weeks will focus on the student's particular area of interest. For example, if a student in going into pediatrics, they will spend that time in the pediatric radiology section.

Goals and Objectives:
During this 4 week course, the student will:

  • Become and "educated consumer" of radiology consultations. Will learn what radiologic examinations are available, their strengths and weaknesses, and what is the appropriate study to order for a particular scenario.
  • DDevelop an approach to the radiologic evaluation of the acute patient.
  • Understand the fundamentals of emergent evaluation of radiographs of the acute abdomen, chest trauma, skeletal trauma, pediatric trauma, and head injury.

Student Grading:
The radiology elective is pass/fail. The student's grade represents a combination of the following:

  • Performance in developing and presenting an imaging teaching case.
  • Performance on an oral examination related to their field of interest.
  • Performance on a written examination given the last week of the course.
  • Attendance and punctuality

Comments: Radiotherapy, Nuclear Med., CT, Ultrasound, GI, GU, Neuroradiology, Chest imaging, etc.

Sites: SAMMC, MAMC, NMCSD, TAMC, WHASC, WRMMC, DGMC, NMCP


Course #: RDR4120, Special Studies/Radiology Clerkship
Course Type: C
Department: RDR
Duration: 4 weeks
Hours: 5; Prerequisite Radiology Clerkship RDR 4110
(Letter/Pass/Fail): P

Description: This is a four week extension to the standard radiology elective, and is not a substitute for the general elective. This program must be arranged on an individual basis between the student and the on-site coordinator with the approval of Dept. of Radiology at USUHS.

Sites: SAMMC, MAMC, NMCSD, TAMC, WHASC, WRMMC, DGMC, NMCP


Course #: RDR4140, Interventional Radiology
Course Type: C
Department: RDR
Duration: 4 weeks
Hours: 5; No Prerequisite course required
(Letter/Pass/Fail): P

Description: This is a hands-on experience in basic interventional techniques following the standard radiology elective. Students will participate in daily morning conferences, patient rounds and cases. Didactic lectures and learning of new and more advanced procedures will be available. Exposure to a variety of techniques to include arteriography, venography, venous access, biliary and genitourinary interventions, etc.

This program must be arranged on an individual basis between the student and the on-site coordinator with the approval of Dept. of Radiology at USUHS.

Comments: Clinical aspects of patient care and active participation in the procedure is encouraged and expected.

Sites: SAMMC, MAMC, NMCSD, TAMC, WHASC, WRMMC, DGMC, NMCP


Advanced Clinical Rotation in Radiation Oncology
Course Type: C

OBJECTIVES The rotating Medical Student will meet the following learning objectives

Medical Knowledge

  • Learn the appropriate diagnostic evaluation, staging and prognosis of the various major cancers (prostate, breast, colorectal, lung, GYN, CNS, head and neck, other GI.) treated with radiation therapy
  • Learn the appropriate indications and use of radiation therapy in the curative setting for the common cancer types
  • Learn the appropriate use of radiation therapy in the palliative setting
  • Understand acute and late term side effect and risk profiles of radiation therapy in the acute and late setting
  • Understand a radiation prescription
  • Understand the basics of simulation, treatment planning and treatment delivery by working with radiation therapists, dosimetrists and physicists
  • Understand the basic concepts of radiation biology

Patient Evaluation and Care

There are 5 basic types of patient encounters in Radiation Oncology: Consultation, Simulation, Treatment Delivery, Status Checks of patient undergoing a course of radiation treatment, and Follow-ups

  1. Consultations:
    • Obtain the relevant history and diagnostic workup and perform physical examinations of the cancer patient
    • Present the relevant details of the H&P and workup to the attending physician. (2-4/week)
    • Formulate a cancer treatment plan with the attending physician.
  2. Simulation and Treatment Planning:
    • Assist in the careful design of a course of radiation treatment during patient simulation and treatment planning
    • Understand the workflow process in radiation planning and the involvement of radiation therapists, dosimetrists and physicists
  3. Treatment Delivery:
    • Observe the delivery of radiation treatment: Linear Accelerator based photon therapy, Electron therapy, High Dose Rate Brachytherapy, Low Dose Rate Brachytherapy; Unsealed radionucliide administration
  4. Weekly Status Checks:
    • Evaluate patients for the acute effects of radiation treatment during weekly status check visits and provide appropriate management of these effects
  5. Follow-ups:
    • Evaluate patients for tumor response, late effects of radiation therapy, and their management.

Expectations

  • Participate in patient evaluation in clinics. The level of student responsibility will be discussed prior to each clinic with the attending. In general, you will be expected to perform complete H&Ps for new patient consultations and to follow at least 1 patient/ week through simulation and treatment planning. While you should develop a plan of care to propose for case based learning with your attending, please do not advise patients without prior discussion with the attending.
  • Attend teaching conferences and tumor boards
  • Morning Conference Presentation: For those doing a 4 week elective, an oral presentation is required at the end of the rotation. The presentation should be based on a case that was seen by the student during the rotation, or on the student's own research in Radiation Oncology (if applicable). The focus should be on the case presentation, the cancer treatment plan including details of the radiation and a concise review of relevant literature. It will be helpful to identify an interesting case during the first 2 weeks of the rotation, and attending assistance and guidance are available. Mentorship and guidance will be provided by the attending, and the topic should be discussed prior to preparation of the presentation.