Your clinical training will cover all subspecialty areas of diagnostic radiology. You will participate in radiological examinations, interpretations and interventional procedures while on rotations in every subspecialty.
Following is a list of the rotations that diagnostic radiology residents experience:
(Note that the total number of weeks does not equal four years due to multiple rotation offerings.)
|Musculoskeletal Radiology (including MRI)
|Hospital Radiology (ER/Inpatient General Radiology, CT, US, and procedures)
||20 weeks |
||9 weeks |
||4 weeks |
||4 weeks |
|Elective (depending on 4th year rotation choices)
During the first year, you will participate in film interpretation, special procedures and fluoroscopy under the direct supervision of a staff radiologist. The major emphases are on:
- Musculoskeletal radiology
- Thoracic radiology
- Computed tomography (CT)
- Gastrointestinal radiology
- Hospital Radiology Including Procedures
Audiovisual materials, didactic lectures, round table discussions, independent study, film packets and case discussions are included.
PGY-2 & PGY-3
As a second- and third-year resident, you will take rotations through all radiological subspecialties. While you still work under staff supervision, you will have greater responsibility. In addition to a rotation in cardiac radiology, you will revisit subspecialty areas, working at a more independent level.
In your third year you will attend the American Institute for Radiological Pathology Course in Silverspruce, MD. Mayo Clinic will pay the tuition and subsidize housing expenses for this popular off-campus experience.
In the fourth year you will be given more responsibility for performing and interpreting examinations. Ten weeks of elective time are provided for you to gain additional expertise in areas of your choice. Most residents choose electives in computed tomography, ultrasonography, interventional radiology, neuroradiology and/or MRI. You also may develop a unique elective course in a specific area of interest.
Fourth year residents will be given the option of continuing with twelve 4-5 week rotations. In addition they can choose up to three, three month, elective rotations to gain additional experience in areas of your choice. There are three required one month rotations during the 4th year, including mammography, hospital radiology, and nuclear medicine.
Clinical conferences, formal courses, seminars, small discussion groups, journal clubs and one-on-one instruction are all an integral part of the Diagnostic Radiology Residency. This educational environment includes:
- Introductory course for first-year residents
- Noon Didactic and case conferences (five days per week) given by residents, staff and visiting professors. An additional Friday morning case conference is given weekly.
- Physics/radiobiology course
- American Institute for Radiological Pathology
- Faculty-assisted research seminars
- Several weekly and monthly subspecialty multidisciplinary conferences
- Small discussion groups, journal clubs, one-on-one instruction
- Board review course
- Diagnostic Radiology Library (ACR & Institution teaching files, texts, periodicals, electronic educational media) with interactive study stations
There are several components to the physics education program for residents:
- Imaging and Radiation Safety Orientation: A course offered which presents basic principles of each imaging modality and radiation safety.
- Radiological Physics Course: A course covering radiation physics, diagnostic imaging, radiation biology and radiation protection. The Department of Diagnostic Radiology's faculty medical physicists teach the course.
- Physics Written Board Review: A series of interactive review sessions offered to residents prior to taking the ABR core exam.
- Informal physics consultation: The Diagnostic Radiology Department's medical physicists are available to residents for consultation and assistance regarding topics such as clinical imaging principles, research project design and implementation and radiation safety issues.
Radiology Teaching File and library
The Mayo Clinic Radiology Teaching File contains pathologically proven cases that are worked-up, researched and entered into the permanent file for resident education. The American College of Radiology teaching file is included as part of the electronic teaching file system. The department's library contains computers for residents and fellows, proprietary database search software, extensive audiovisual materials, and a large collection of pertinent journals and textbooks.
There is at least one hour-long radiology teaching conference each day. The conferences encompass all aspects of radiology and include radiology/pathology correlation, resident case conferences, staff case conferences, didactic lectures, visiting professor lectures and satellite teleconferences. There are several additional weekly and monthly subspecialty multidisciplinary conferences in which residents participate.
You will prepare case-of-the-week presentations developed from material you present at conferences. These will include a summary of the pertinent diagnostic imaging procedures of an interesting case, an in-depth discussion of that case and a current bibliography.
Case review sessions
At various times during your residency, you will spend several hours each week with a consultant viewing cases that are designed to build interpretive skills. The cases will be thoroughly discussed by the presenting staff in an informal setting. Areas covered include:
- Musculoskeletal radiology
- Thoracic/cardiac radiology
- Gastrointestinal radiology
- Nuclear medicine
- Pediatric radiology
- Genitourinary radiology
- Vascular/interventional radiology
You will have the opportunity to teach Mayo Medical School students, visiting students from other medical schools, junior residents and other residents spending elective time in diagnostic radiology. Normally, this includes discussing cases from the Radiology Teaching File and assisting with daily assignments in film interpretation.
All diagnostic radiology residents are required to present two seminar projects during their residency. Your seminar projects will focus on the topics of your choice. The seminar is a 30-minute lecture/presentation prepared under the direction of a consulting staff advisor.
These seminars usually are based on a review of Mayo Clinic's experience with a particular disease or the investigation of a new technology as it relates to a particular problem. Recent seminar topics have included:
- Accuracy of enhanced MRI in detection of recurrent lumbar discs
- Diagnosis of pulmonary embolism by fast CT
- Hepatic cavernous hemangioma: re-evaluation of CT criteria
- MR flow measurements to screen for chronic mesenteric ischemia
- Intraoperative ultrasound after carotid endarterectomy
All residents also participate in additional research projects during their training. Residents are expected to have at least one publication or presentation during their training. In addition, all residents will participate in a practice quality improvement project.
Your call schedule will vary by individual rotation. Mayo follows the recommendations of the Accreditation Council for Graduate Medical Education.
To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your residency. Your supervising faculty member will formally evaluate you after each clinical rotation. In addition, you will regularly evaluate the faculty to ensure that your educational needs are being met.
Radiology's education committee continually monitors the Diagnostic Radiology Residency. Elected junior and senior resident representatives are active members of this committee.
You will meet periodically with various faculty members, administrators and the training program director to discuss your professional goals. Mayo recruits many of its staff physicians from its own training programs. Thus, when you successfully complete the Diagnostic Radiology Residency, job opportunities may be available at one of Mayo's group practices. Mayo's vast alumni network is an asset and resource, providing opportunities in both academic radiology and private practice.
The Diagnostic Radiology Residency prepares graduates for all types of employment opportunities. Most residents have performed fellowships following graduation although a few entered directly into private practice employment. Mayo Clinic Florida has been very successful at placing residents in high quality fellowship programs at some of the most prestigious institutions in the country. Graduates have accepted positions in the following fellowship programs in the past:
- Mayo Clinic Florida — Musculoskeletal Imaging
- Mayo Clinic Florida — Cross Sectional Imaging
- Mayo Clinic Arizona — MR Imaging
- Stanford University — MR Imaging
- University of Wisconsin — Musculoskeletal Imaging
- Hospital for Special Surgery — Musculoskeletal Imaging
- University of Maryland — Cross Sectional Imaging
- Emory University — Cross Sectional Imaging
- Harvard / Massachusetts General Hospital — Interventional Radiology
- University of Wisconsin Milwaukee — Interventional Radiology
- Vanderbilt University — Interventional Radiology
- University of South Florida — Interventional Radiology
- Duke University — Pediatrics
- UCLA — Neuroradiology
- Duke University — Mammography
- Northwestern University — Mammography