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Residency Training Program
Queen's University has a full training program in Diagnostic Radiology. The
Royal College of Physicians and Surgeons of Canada Specialty Training
requirements in Diagnostic Radiology serve as the framework on which the
program is structured. The program strives to achieve a high standard of
knowledge, skills, and performance consistent with that of a general
radiologist. The training is considered adequate to prepare the trainee for
the general practice of radiology or for further sub-specialty training and
for the specialty examination of the Royal College of Physicians and Surgeons
The processes involved in acquiring the knowledge, skills and attitudes
necessary to become a diagnostic radiologist may vary from one institution to
another. The responsibilities of the Queen's Faculty are to teach, to serve
as role models, and to provide the opportunities for a trainee to acquire the
technical expertise and experience which is essential to his/her academic and
service commitments.
At Queen's we maximize the opportunities to learn from the abundant clinical
material to which we are exposed. We provide an opportunity for all trainees
to be intensively involved in all areas of diagnostic imaging from early in
their training program.
The Royal College of Physicians and Surgeons requires specific periods of training
in each subspecialty area. The Queen's program in Diagnostic Radiology meets
or exceeds the Royal
College requirements in
each subspecialty area.
The Basic Clinical Year (PGY-1 year) is comprised of the following rotations:
Medicine (1 month each of: Hematology/Oncology, Respirology,
Gastroenterology, Neurology); Surgery (1 month General Surgery, 1 month
Gynecology, 2 months Emergency Medicine); Elective (2 months) (recommended:
Orthopedic Surgery, Neurosurgery, Urology, Gynecology/Oncology), Surgical
Pathology, 1 month.
The first two years of Diagnostic Radiology training involve most of the core
rotations (eg. GI, GU, US, CT, MRI, Nuclear Medicine,
Chest, Neuroradiology, Mammography, Cardiovascular and Musculoskeletal). Each
rotation is of one month's duration. Trainees are introduced to most
subspecialties and techniques very early in their training. The established
block rotations are intended to provide a broad based clinical experience
with graded responsibility, development of technical skills, and acquisition
of knowledge.
Rotations are completed at the Kingston
General Hospital and Hotel
Dieu Hospital
and require active participation in organizing and presenting academic
rounds, teaching undergraduate medical students and junior radiology trainees,
and supervising junior residents.
The Pediatric Radiology rotation consists of three months of training at the
Hospital for Sick Children in Toronto.
This is arranged by an inter-university affiliation agreement and occurs in
the third year of training.
A dedicated research rotation is a compulsory component of our program and
occurs throughout years one to three. All residents are expected to plan,
complete and present one project during their training.
The fourth and final year is intended to be a broad based experience. Any
remaining compulsory rotations will be completed and the remaining rotations
are designated as Junior Staff rotations. These are intended to maximize the
experience and exposure of trainees to radiology. There is an intense period
of plain film interpretation. There is ample opportunity to be involved in
special procedures or to broaden one's experience in an area of special
interest. Depending on the degree of experience, knowledge and confidence,
the trainee will work under supervision or independently with consultative
support.
Residents are evaluated throughout their training. There will be a written
assessment at the end of each rotation. Resident reviews are also conducted
each Spring and Fall. There will be compulsory annual participation in the
American College of Radiology In-Training Examination (for residents in their
2nd and 3rd year of training), the RAPHEX Physics Examination (for residents
in Years 1 through 3), and an OSCE examination. Practice oral examinations
are scheduled throughout years one to four with a heavy concentration in the
final year as residents prepare for certification examinations.
The academic program involves many formal and informal rounds, some of which
are interdepartmental rounds. Many of the rounds are organized and conducted
by the trainees themselves. Others are conducted by the faculty. Trainees are
expected to attend the rounds of other departments which are pertinent to
their current rotation.
A comprehensive core curriculum has been developed. This is intended to
provide a sense of direction to the program. The emphasis is on anatomy,
physiology, pathophysiology, classification and staging of diseases. The
cycle requires approximately two years to complete.
A variety of seminars are offered during the 4-year training program. These
include medical ethics, physics, contrast media, research methodology,
quality assurance, hospital administration. The department has an active
Visiting Professor program consisting of three or four 2-day visits during
each academic year.
The program is successful in acquiring positions each year to enable resident
attendance at the six-week Radiologic-Pathology Course at the Armed Forces
Institute of Pathology in Washington,
D.C. This represents the most
comprehensive short course curriculum in the world.
The Department of Diagnostic Radiology of Queen's University is located in
the teaching hospitals of Kingston General
Hospital and Hotel Dieu
Hospital. Following
restructuring in 1997, Kingston General
Hospital has become the tertiary
care centre in Southeastern Ontario. The
hospital has a Neonatal Unit with Level 3 Nursery and is the designated
Trauma Centre. Acute in-patient care is now centralized at KGH. Hotel Dieu Hospital
now focuses on ambulatory care services including out-patient surgery and the
vast majority of principal, secondary and tertiary out-patient clinic
facilities. The two hospitals are well equipped with state-of-the art
radiological equipment including CT, Ultrasound, MRI, angiography and Nuclear
Medicine.
Please note that students who are applying to our Postgraduate Residency
Training Program via CaRMS will be considered for an interview whether they
have completed an elective with us or not.
For more information regarding the Queen's University Diagnostic Radiology residency
training program, contact Lynne Meilleur, Departmental Assistant,
613-549-6666, ext. 1253 or send an email to lb12@queensu.ca
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