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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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