http://uwmsk.org/residents/ 2026-05-29T08:38:54-07:00 http://uwmsk.org/residents/ http://uwmsk.org/residents/lib/tpl/dokuwiki/images/favicon.ico text/html 2012-04-03T01:54:29-07:00 http://uwmsk.org/residents/doku.php?id=absences_and_leave_policy&rev=1333443269&do=diff Radiology Residency Leave Policies Reference from UW Radiology Residency Leave Policies General Leave Guidelines * Please coordinate all leave through Program Coordinator Savannah Goodwin <savg@uw.edu> during MSK rotation. Leave arranged through attendings or other administrative staff will not be considered. text/html 2012-04-03T01:54:29-07:00 http://uwmsk.org/residents/doku.php?id=arthrograms&rev=1333443269&do=diff Arthrograms * Arthrograms are performed at HMC and UWMC Roosevelt. * Arthrography Tutorial: awesome online video arthrography tutorials * MRI Arthrography General Information: MRI Arthrogram. * Medication Policy for arthrograms: MSK Medication Policy text/html 2012-04-03T01:54:30-07:00 http://uwmsk.org/residents/doku.php?id=biopsies&rev=1333443270&do=diff Biopsy * CT-guided bone and soft tissue biopsies are performed at HMC. * General information : Percutaneous Musculoskeletal Needle Biopsy Requirement for biopsies If not on anticoagulation, blood tests have to be updated for: * outpatients: within the last 3 months * inpatients: within 1 week text/html 2019-12-30T10:43:51-07:00 http://uwmsk.org/residents/doku.php?id=conference_schedules_and_coverage_during_conferences&rev=1577731431&do=diff Conferences at HMC A. Mandatory * Noon conferences at Harborview (Everyday); the dedicated musculoskeletal radiology case conference is every Wednesday at noon in the HMC Nelson Conference Room * Thursday afternoon resident lectures at UWMC (Every Thursday) text/html 2012-04-03T01:54:30-07:00 http://uwmsk.org/residents/doku.php?id=criteria_for_critical_results_and_process_for_reporting_calling_of_results&rev=1333443270&do=diff Criteria for critical results General Policy Critical results :Needs Login MSK Specific Cases * Septic arthritis * Necrotizing fasciitis * Acute infection (Osteomyelitis, Soft tissue abscess) * Non accidental trauma * Bone tumor * Acute fracture Process for reporting/calling of critical results text/html 2019-12-27T11:10:14-07:00 http://uwmsk.org/residents/doku.php?id=evaluations_and_examinations&rev=1577473814&do=diff Evaluation Criteria * Medical Knowledge * Patient Care * Communication * Professionalism * Practice-Based Learning and Improvement * Systems-Based Practices * Daily Performance * Rotation 2&3 : HMC noon conference presentation text/html 2012-04-03T01:54:30-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_case_review_rate._worklists._participation_in_procedures&rev=1333443270&do=diff Rotation 1 Rotation 2 Rotation 3 text/html 2012-04-03T01:54:30-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_interactions_with_consultants_and_other_housestaff._service_focus._owning_the_problem_versus_passing_the_buck&rev=1333443270&do=diff Expectations for interactions with consultants and other housestaff Helpful articles * Quality Initiatives in Radiology: President’s Address from the Opening Session of RSNA 2006: Strengthening Professionalism Radiographics January-February 2008 28:7-11; doi:10.1148/rg.281075200 * Establishing a Program to Promote Professionalism and Effective Communication in Radiology Radiology March 2006 238:773-779; doi:10.1148/radiol.2383041849 text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_interactions_with_patients&rev=1333443271&do=diff Expectaions for Interactions with Patients Helpful articles * Quality Initiatives in Radiology: President’s Address from the Opening Session of RSNA 2006: Strengthening Professionalism Radiographics January-February 2008 28:7-11; doi:10.1148/rg.281075200 * Establishing a Program to Promote Professionalism and Effective Communication in Radiology Radiology March 2006 238:773-779; doi:10.1148/radiol.2383041849 text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_interactions_with_technical_and_support_staff&rev=1333443271&do=diff Expectations for interactions with technical and support staff Helpful articles * Quality Initiatives in Radiology: President’s Address from the Opening Session of RSNA 2006: Strengthening Professionalism Radiographics January-February 2008 28:7-11; doi:10.1148/rg.281075200 * Establishing a Program to Promote Professionalism and Effective Communication in Radiology Radiology March 2006 238:773-779; doi:10.1148/radiol.2383041849 text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_reading_and_knowledge_level._a_rotation_reading_list&rev=1333443271&do=diff Required reading for Rotation 1 (HMC) * UW MSK website providing essential knowledge of Musculoskeletal radiology * “Skeletal Radiology: The Bare Bones” by Chew Required reading for Rotation 2&3 (ROS) * UW MSK website providing essential knowledge of Musculoskeletal radiology text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_teaching_file_review_and_dictation&rev=1333443271&do=diff Dictation Helpful articles * Language of the Radiology Report: Primer for Residents and Wayward Radiologists AJR 2000; 175:1239-1242; PMID: 11044014 * Style Guidelines for Radiology Reporting: A Manner of Speaking AJR 2003; 180:327-328 ; PMID: 12540425 Teaching files MSK teaching files in Mypacs : Needs Login text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=expectations_for_understanding_of_imaging_equipment_operation&rev=1333443271&do=diff Expectations for understanding of imaging equipment operation Basic understanding is required using fluoroscopy, US, CT, and MRI. text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=extravasation_policy&rev=1333443271&do=diff Extravasation Policy 1) Background: Certain patients are at increased risk of extravasation: elderly, infants and children, patients with altered consciousness, severely ill, debilitated or altered circulation in the limb. Intravenous lines in the hand, wrist, ankle and foot, or lines that have been in place for more than 24 hours. text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=guidelines_for_iodinated_contrast_and_renal_impairment&rev=1333443271&do=diff Guidelines for iodinated contrast and renal impairment * Use this protocol in conjunction with the UW Medicine laboratory estimated GFR (eGFR by MDRD). This should be through the patient’s laboratory results. * If the eGFR is unavailable, use the GE slide rule to estimate the GFR (based on the Cockroft Gault Equation (may overestimate the GFR in patients with ascites, and very obese patients.) text/html 2012-04-03T01:54:31-07:00 http://uwmsk.org/residents/doku.php?id=handling_of_patient_informed_consent_and_preps&rev=1333443271&do=diff Arthrograms * Please refer MRI Arthrogram general information: MRI Arthrogram. Biopsy * Please refer MSK Biopsy general information : Percutaneous Musculoskeletal Needle Biopsy text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=handling_of_procedure_related_complications_and_specimens&rev=1333443272&do=diff Page Printed from the Harborview Emergency Radiology Web Site <http://depts.washington.edu/uwerad/> * Treating Contrast Reactions :Needs Login * Extravasation Policy :Needs Login text/html 2020-01-07T18:47:48-07:00 http://uwmsk.org/residents/doku.php?id=home&rev=1578451668&do=diff UW Musculoskeletal Radiology Residents' Manual Herein you will find the operating manual for your MSK rotations. MSK Curriculum * Rotation 1 * Rotation 2 * Rotation 3 Procedures * Arthrograms * Biopsies * Medication Policy MSK Section Policies * Responsibility and Supervision Policy * Procedures for protocoling cases and checking protocols with attendings/fellows * Handling of procedure related complications and specimens * Handling of patient informed consent and pre… text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=hours_of_expected_attendance_and_coverage._process_for_signing_out&rev=1333443272&do=diff Hours of expected attendance 8 AM -- 6 PM Coverage * MSK unread worklist : ROS * Ortho unread worklist : HMC Singing out * Resident's read out and sign out should be supervised by attendings at ROS * Resident's read out and sign out should be supervised by attendings or fellows at HMC text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=how_to_set_up_hanging_protocols_and_other_personal_customizations_of_pacs_ris._how_where_to_get_further_training_from_it&rev=1333443272&do=diff How to set up hanging protocols and other personal customizations of PACS/RIS. How/where to get further training from IT. IT Webpage : * INFORMATION SYSTEMS ::Needs Login * PACS-RIS-VR text/html 2020-05-19T13:12:26-07:00 http://uwmsk.org/residents/doku.php?id=medication_policy&rev=1589919146&do=diff MSK MEDICATION POLICY * Medication policy should be administered with the referring MD's approval. * Patient should call his/her physician who prescribed the medications. Blood Thinners Procedures NSAIDS, AspirinCoumadinOthers*Arthrograms text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=mri_arthrogram&rev=1333443272&do=diff MRI Arthrogram * What is an MRI arthrogram? * Why is an MRI arthrogram being done? * How is the procedure performed? * What the Radiology Department Needs to Know * After Your MRI Arthrogram * Obtaining Your Test Results 1. What is an MRI arthrogram? text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=percutaneous_musculoskeletal_needle_biopsy&rev=1333443272&do=diff Percutaneous Musculoskeletal Needle Biopsy (Bone or Soft tissue Lesion Biopsy through the Skin) What is a biopsy? A biopsy is a procedure performed to remove tissue or cells from the body for examination under a microscope. Percutaneous (through the skin), image-guided musculoskeletal biopsies provide an accurate, rapid, and cost-effective method for helping clinicians diagnose benign and malignant musculoskeletal lesions. Various imaging modalities can be used to target the lesion, including … text/html 2012-04-03T01:54:32-07:00 http://uwmsk.org/residents/doku.php?id=phone_etiquette&rev=1333443272&do=diff Etiquette Reference from UW Radiology Residency policy Dress Code You are expected to dress professionally at all times. Lab coats are provided, and laundered, by the department so you are encouraged to wear them. Addressing Attendings In general, address attendings as they prefer. Begin by addressing them by last name and if they ask you to use their first name, then respect their preference. It may be intimidating at first, but some of them will ask you to do that when you first meet. Be … text/html 2012-04-03T01:54:33-07:00 http://uwmsk.org/residents/doku.php?id=procedures_for_protocoling_cases_and_checking_protocols_with_attendings_fellows&rev=1333443273&do=diff Protocol CT, and MRI exams * Protocol CT, and MRI exams when fellows are not available. * Reference books(Binders) are available at reading rooms - MSK CT“, “MSK MRI” protocols. * Online MSK protocols are also available. <http://uwmsk.org/protocols/> * Centricity has text/html 2012-04-03T01:54:33-07:00 http://uwmsk.org/residents/doku.php?id=radiation_and_other_safety_practices&rev=1333443273&do=diff Radiation and other safety practices * Gadolinium and renal impairment:Needs Login * Guidelines for iodinated contrast and renal impairment :Needs Login * Radiation in Pregnancy :Needs Login Helpful articles * Improving Patient Safety: Effects of a Safety Program on Performance and Culture in a Department of Radiology AJR 2009; 193:165-171; DOI:10.2214/AJR.08.2086 * National Council on Radiation Protection and Measurements Report Shows Substantial Medical Exposure Increase Radi… text/html 2012-04-03T01:54:33-07:00 http://uwmsk.org/residents/doku.php?id=responsibility_and_supervision_policy&rev=1333443273&do=diff Responsibility and Supervision Policy * Rotating residents are responsible for reading the Ortho unread worklist at HMC and the MSK unread worklist at ROS. * All the reports should be supervised by attendings or fellows at HMC and attendings at ROS. text/html 2020-05-19T13:14:01-07:00 http://uwmsk.org/residents/doku.php?id=rotation_1&rev=1589919241&do=diff Rotation 1 During the first year of radiology residency at UW (R2), all residents rotate through Musculoskeletal Radiology at Harborview. The resident is expected to run the musculoskeletal service, making sure that exams are dictated, future exams are protocoled, procedures are performed, and consultations are given. text/html 2020-01-10T15:53:59-07:00 http://uwmsk.org/residents/doku.php?id=rotation_2&rev=1578700439&do=diff Rotation 2 During the second through third year of radiology residency at UW (R3-4), all residents rotate through Musculoskeletal Radiology at Roosevelt. The resident is expected to run the musculoskeletal service, making sure that exams are dictated, future exams are protocoled, procedures are performed, and consultations are given. text/html 2020-01-10T15:53:34-07:00 http://uwmsk.org/residents/doku.php?id=rotation_3&rev=1578700414&do=diff Rotation 3 During the second through third year of radiology residency at UW (R3-4), residents rotate through Musculoskeletal Radiology at Roosevelt, Children’s Hospital or VA. The resident is expected to run the musculoskeletal service, making sure that exams are dictated, future exams are protocoled, procedures are performed, and consultations are given. text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=see_abbreviations&rev=1333443274&do=diff Abbreviations * Accreditation Council for Graduate Medical Education (ACGME) * Residency Review Committees (RRC) * Patient care (PC) * Medical knowledge (MK) * Practice-based learning and improvement (PBL) * Interpersonal and communication skills (ICS) text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=start&rev=1333443274&do=diff a page that goes nowhere... text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=timely_handling_of_er_and_stat_cases_plus_how_to_identify&rev=1333443274&do=diff Timely handling of ER and STAT cases plus how to identify * Report plain, and cross sectional studies from theMSK UNREAD WORKLIST (ROS) and the ORTHO UNREAD WORKLIST (HMC) * ER AND STAT cases are marked with red bomb icons * Report STAT ER cases within 30 minute window in preliminary format, and call the ER with the results(ROS) text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=title_for_a_wiki_post&rev=1333443274&do=diff content for a wiki post text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=treating_contrast_reactions&rev=1333443274&do=diff Treating Contrast Reactions 1. URTICARIA: A. Mild urticaria and prutitis – Observation and H-1 antihistamine (diphenhydramine- 25-50mg PO/IM/IV) B. Severe urticaria * ADD – IV fluids (normal saline, Lactated ringers) * Epinephrine (1:10,000)- 0.1mg – IV slowly text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=unique_concepts_of_professionalism_for_radiologists&rev=1333443274&do=diff Professionalism Helpful articles * Quality Initiatives in Radiology: President’s Address from the Opening Session of RSNA 2006: Strengthening Professionalism Radiographics January-February 2008 28:7-11; doi:10.1148/rg.281075200 * Establishing a Program to Promote Professionalism and Effective Communication in Radiology Radiology March 2006 238:773-779; doi:10.1148/radiol.2383041849 text/html 2012-04-03T01:54:34-07:00 http://uwmsk.org/residents/doku.php?id=use_of_dictation_templates_and_other_dictation_reporting_practices_unique_to_section&rev=1333443274&do=diff Dictation templates Commisure : * Autotext (HMC) Use - <https://depts.washington.edu/uwerad/wordpress/?page_id=59> * Every study is supposed to come up with a default template Imagecast : * MSK defaults (ROS) <http://depts.washington.edu/pacshelp/> will come up for cross sectional studies. * Otherwise, in the dictation window, click text/html 2012-04-03T01:54:35-07:00 http://uwmsk.org/residents/doku.php?id=worklists_functions&rev=1333443275&do=diff Worklist * Report plain, and cross sectional studies from the MSK UNREAD WORKLIST (ROS) and the ORTHO UNREAD WORKLIST (HMC)