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Radiology

R101
General Diagnostic Radiology
Jason Hoffmann, MD

Course Description: This elective in Diagnostic Radiology familiarizes the student with imaging procedures, their importance in the diagnostic armamentaria, and help them develop an intelligent approach to ordering imaging studies. The student will understand the physical consequences to the patient. The impact, both financial as well as utilization of increasingly scarce and expensive resources, will be emphasized. Communication between the requesting physician and the radiologist will be discussed with a focus on what each wants from the other and how to best serve the patient. The student will achieve sufficient understanding of common imaging studies to be able to engage in a more meaningful dialog with the radiologist consultant. The student will attend didactic lectures specifically for the students and participate in procedures that will enable the student to better understand the stress patients have to endure in these procedures as well as give the student a better three dimensional idea of imaging anatomy. The student will participate in image interpretation in an active manner. In addition, the student may undertake a research project with one of the faculty members. Such a project may require additional time and/or ongoing work after the elective is complete. If suitable, the project may be submitted for publication.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Radiology Clerkship preferred
Accepted Applications: Stony Brook Medicine; MD; DO

R103
R103A
Interventional Radiology
Nicholas Georgiou, MD

Course Description: The Division of Interventional Radiology (IR) supports all departments throughout NYU Winthrop Hospital. Three fellowship-trained Interventional Radiologists work in the division, which provides inpatient, outpatient, and emergency department services. NYU Winthrop’s IR section is actively involved in all aspects of patient care, ranging from clinic visits, immediate pre-procedure patient evaluation, procedures, and post-procedural management. All imaging modalities are used in pre-procedural evaluation and procedural planning. Most of the IR procedures are performed under ultrasound, fluoroscopy, or CT scan guidance.

The Interventional Radiologists are trained to perform the full gamut of IR procedures, including venous access, percutaneous biopsy and fiducial marker placement, percutaneous drainage tube placement, inferior vena cava filter placement and removal, interventional oncology procedures (chemoembolization, radioembolization, radiofrequency/cryo/microwave ablation), TIPS placement and revision, percutaneous biliary drain placement, portal vein embolization, uterine artery embolization, dialysis fistula and graft angiography/angioplasty/stenting, peripheral arterial and venous angiography and angioplasty/stenting/thrombolysis, and varicose vein laser ablation. This is not a complete list, but highlights the variety of cases performed by the IR division.

The elective is open to third or fourth year medical students. Generally, it is expected that most interested third year medical students would complete a two-week rotation. Fourth year medical students interested in applying for radiology residency may consider a four-week elective rotation. However, rotation lengths can be altered on a case-by-case basis. The medical students on service (maximum of two per rotation) will join the Interventional Radiologists and residents on service for patient rounds, clinic visits, and procedures. Students will have ample opportunity to scrub for procedures and become actively involved in performing procedures. Students will also have the opportunity to attend at least three multi-disciplinary conferences per week. The IR attending physicians will also give lectures to the students throughout their rotation, covering a wide range of basic IR procedures and topics. Students will be expected to give a brief (8-10 minute) presentation at the end of their rotation, on an IR topic of their choice.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Diagnostic Radiology Preferred
Accepted Applications: Stony Brook Medicine; MD; DO

R104
Multidisciplinary Approach to Breast Cancer
Irina Rapoport, MD
Frank Monteleone, MD

Course Description: This elective is designed to introduce the student to diagnosis and management of breast cancer. Observation and participation in breast imaging and intervention comprise about half of the elective. Multiple imaging modalities are utilized for the care of patients, including mammography, ultrasound, and MRI studies. Additionally the student will be exposed to the interventional procedures, such as pre-operative needle localization for patients undergoing excisional biopsy or lumpectomy, stereotactic, ultrasound, and MRI guided biopsies. The student will rotate in Breast Surgery (in both the operating room and the surgical breast clinic) and in Oncology breast clinic. During the rotation, the student will have the opportunity to become acquainted with Radiation Oncology and with Pathology. Attendance at a weekly interdepartmental conference (breast tumor board) provides additional exposure to the interrelationship of clinical disciplines in patient care.

Duration: 2 weeks
Max: # Students: 1
Pre-requisite: Radiology Clerkship
Accepted Applications: Stony Brook Medicine; MD; DO

R105
R105A
Musculoskeletal Radiology Elective
Costas Stavrakis, MD

Course Description: Musculoskeletal symptoms are amongst the most common chief complaints in both the routine outpatient office setting, as well as to the emergency department in the pediatric and adult populations. It is for this reason that the NYU Winthrop Hospital radiology department has developed a comprehensive musculoskeletal rotation which is available to both third and fourth year medical students for either 2 or 4 week elective blocks. Medical students during this elective will shadow a fellowship trained musculoskeletal attending radiologist and will review diagnostic exams (x-ray, CT, MRI and US), as well as participate in various musculoskeletal interventions including bone and soft tissue biopsies, ultrasound-guided diagnostic and interventional exams, and arthography.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Radiology Clerkship preferred
Accepted Applications: Stony Brook Medicine; MD; DO

R106
Neuroradiology
Donald Price, MD

Course Description: The Neuroradiology elective consists of daily imaging review sessions in CT and MR imaging. Additionally, there will be review of neuroradiologic interventions, i.e. CT myelography and head, neck and spine angiography. Emphasis will be placed on head and neck and neuroanatomy in the various imaging modalities, including detailed reviews of the pertinent vascular anatomy (CTA and MRA techniques are utilized and reviewed on a daily basis). Clinical case material is reviewed in consideration of differential diagnoses and indications for further diagnostic evaluation. Weekly combined conferences are held with the neurology and neurosurgery clinical services. Once familiar with imaging anatomy, and clinical indications for procedures, students may observe these procedures under the direct supervision of faculty.

Duration: 2 weeks
Max: # Students: 1
Pre-requisite: Radiology and Neurology Clerkship
Accepted Applications: Stony Brook Medicine; MD; DO

R107
R107A
Pediatric Radiology
Naomi Strubel, MD

Course Description: The division of Pediatric Radiology supports Pediatrics at NYU Winthrop Hospital, including the inpatient, outpatient and emergency department services. All imaging modalities are utilized for the care of pediatric patients, including plain film, ultrasound, CT, MRI and nuclear medicine studies. Additionally, there is an active fluoroscopy schedule consisting of upper and lower GI studies and voiding cystourethrograms. The elective is open to third or fourth year medical students for either 2 or 4 week rotations. Students will join radiology and pediatrics residents rotating on service and will attend daily clinical work rounds in the NICU and on the general pediatrics ward, weekly pediatrics grand rounds and daily radiology resident conferences. Additionally, students will participate in daily 'at the boards' teaching sessions with the pediatric radiologist. There will be ample time for individual projects for the interested student.

Duration: 2 or 4 weeks
Max: # Students: 2
Pre-requisite: Radiology Clerkship preferred
Accepted Applications: Stony Brook Medicine; MD; DO

R110
Clinical Radiology Research and Education
Douglas Katz, MD

Course Description: The purpose of this radiology research elective (typically 1 month in length, but potentially longer) is for the 4th year medical student (from SUNY at Stony Brook or from an outside medical school) to conduct a clinical research project or projects. Such an elective has already existed for some time in our Department, and we have hosted multiple medical students over the past decade in this capacity. Since the student will work very closely with a faculty mentor (Dr. Ortiz or Katz, but potentially another faculty member), the student will be expected to meet with the potential mentor prior to approval of the elective, and to choose an appropriate project or projects. The expectation is that the student will spend the entire month in the Hospital/Department working on such a project, and that the student will also attend as many departmental 7:30 and noon teaching conferences as possible (other than Monday/Tuesday am physics). Given the constraints of completing a meaningful project in one month, the expectation is that the student will continue to work with the attending mentor until the project is completed, which may require additional after hours work and work following formal completion of the rotation. Past projects have ranged from preparation of educational/teaching materials, to preparation of case reports and review articles, to preparation of peer-reviewed clinical research and education posters as well as scientific abstracts for presentation at regional, national, and international radiology meetings. Past projects have led to student authorship of abstracts and publications. The student may also be involved in multi-institutional projects as well as projects collaborating with other departments/divisions within the Hospital.

Duration: 4 weeks
Max: # Students: 1
Pre-requisite: Radiology Clerkship preferred, Brief meeting with Course Director
Accepted Applications: Stony Brook Medicine; MD; DO