The core curriculum for the four-year residency program includes supervised training in all facets of diagnostic radiology, encompassing modality-centered teaching, as well as teaching by organ systems. Several additional elective rotations are offered based on a resident’s interests and career goals.
Residents at Mallinckrodt Institute of Radiology spend the first three years of training rotating through the core curriculum of rotations. Residents are supervised on each of the imaging services by subspecialty-trained faculty who teach image interpretation, image-guided procedures, and more. The goal is that residents will be well-rounded radiologists competent in all areas of diagnostic radiology by the time they take the American Board of Radiology’s core examination.
During the final year of training, residents have the option of completing one or more “selective” rotations based on their individual interests and career goals. The selectives are unique to each subspecialty of radiology. Features vary among the selectives, but many include increased autonomy and responsibility, opportunities for teaching medical students and residents, and opportunities to complete quality improvement, and/or research projects.
A "film preview" system is used on all rotations, with residents carrying out the technical direction and interpretation of all examinations under staff supervision. The readout of films previewed by residents during the workday or on call is a face-to-face interaction between the previewing resident and the attending radiologist. Group readout is rare, allowing a resident the opportunity for one-on-one teaching.
All of Mallinckrodt’s imaging services use a voice-automated dictation system, reducing the turn-around time for imaging results. This system, combined with a large PACS network used on every service, results in prompt and efficient communication with clinicians and optimal patient care.
Daily Noon Conference
A noon-hour departmental conference is held daily under the auspices of one of the subspecialty areas of diagnostic radiology. Each radiology section is responsible for a curriculum of didactic lectures given in the form of a Radiological Society of North America or American Roentgen Ray Society review lecture — specific to resident training. Case-based conferences, visiting lecturers, the physics curriculum, and other educational resources are provided. Each conference is digitally recorded and available for review by MIR residents, fellows, and faculty.
Daily Teaching Conference
A case conference is given each day on nearly every rotation, affording residents additional didactic teaching and the opportunity to practice taking cases in an unknown format. Residents in all years participate. To facilitate learning among residents of varied experience levels, a tiered approach to taking cases is utilized. A first-year resident may only be able to identify the findings in a case, at which point the case is turned over to a more senior resident for discussion of the differential diagnosis and management. In this way, both individual and team learning is emphasized.
Board Review Conferences
Mallinckrodt Institute conducts its own internal review conference series for residents preparing for the American Board of Radiology examinations and independent practice. These lectures are all given by Mallinckrodt/Washington University faculty and visting faculty with expertise in the areas they are teaching, including the physics curriculum.
Night and Weekend Duty
Initiation of call duty is delayed until residents have had sufficient time for basic exposure to the fundamental areas of radiology. At least three radiology residents are on call and in the hospital at all times, including a senior resident who is available for consultation throughout the night. Residents take call for three years during their residency, with a break from call during the months preceding the American Board of Radiology core examination. A night-float system is employed for the majority of overnight call.
For additional information about the Diagnostic Radiology residency program, contact one of the following staff members at (314) 362-2978.
Jennifer Gould, MD
Residency Program Director
For all mailed correspondence, use the following address:
Mallinckrodt Institute of Radiology
510 S. Kingshighway Blvd.
Campus Box 8131
St. Louis, MO 63110