Resident training is centered at Dartmouth-Hitchcock Medical Center. This is integrated with offsite rotations at the White River Junction, VT Veterans Administration Hospital, a three-month rotation in Pediatric Radiology at Boston Children's Hospital (BCH), and a four-week course in radiologic-pathologic correlation at the American Institute for Radiologic Pathology (AIRP) of the ACR in Silver Spring, MD.
|Rotation||Neuro||IR||Nuc Med||Fluoro GI||MSK|
|Rotation||US||US/Fluoro GI||MSK/Fluoro GI/US|
Notes: Orientation = Institutional and departmental orientation followed by start of clinical rotation (usually Chest, Body, Neuro, Fluoro GI, or US); Fluoro GI = 7 weeks, US = 7 weeks, MSK = 6 weeks.
|Rotation||MSK||US||IR||Night Float||BCH Peds|
|Rotation||BCH Peds||BCH Peds||VA|
|Rotation||MSK||Fluoro GI||IR||Night Float||VA|
|Rotation||Vasc US*||Nuc Med||US|
Notes: *Vascular US = 2 weeks; 2 weeks other clinical rotation
|Rotation||Nuc Med||Mammo||Fluoro GI||Chest/Cardiac||Body|
|Rotation||Neuro||Clinical Rotation||Clinical Rotation||Clinical Rotation||Elective|
Notes: *2 weeks NF, 2 weeks VA
Required clinical rotations are Nuclear Medicine and Mammography. Scheduling of fourth year clinical rotations is largely individualized, tailored to the residents's interests/future subspecialty training. All residents do 4 weeks of Fluoro GI and at least two weeks of Night Float and VA; most will also do 4 weeks of Chest/Cardiac, Body, Neuro. Elective clinical roations include additional time in the aforementioned subspecialties, as well as MSK, US, IR, and Vascular US.
Electives from which to choose include: clinical subspecialty concentration, clinical readiology electives (Global Health, Emergency Radiology, Community Radiology), 2-week rotations with clinical specialties (breast, neurology/neurosurgery, orthopedics), and nonclinical electives (business/leadership, clinical educator tract, informatics, research).
The first year begins with an introductory period to the general principles of diagnostic radiology and radiographic technique, including introductory lectures by faculty. The resident’s year is comprised of 4-week rotations in Chest, Nuclear Medicine, and VIR; two 4-week rotations in Body CT/MRI and Neuroradiology; 7 weeks in both Ultrasound and Fluoroscopy with an emphasis on gastrointestinal and genitourinary radiology; and 6 weeks in Musculoskeletal radiology.
During the second year, the resident rotates at the Veterans Affairs Hospital, consisting of two 2-week rotations.
The resident also spends 3 months at Boston’s Children’s Hospital, which provides a superb core foundation in pediatric radiology to complement the pediatric radiology experience at DHMC. Dartmouth-Hitchcock has a two-bedroom furnished apartment in the Galleria, which is immediately adjacent to BCH for our residents. Dartmouth-Hitchcock has a two-bedroom furnished apartment for our residents in the Galleria, which is immediately adjacent to BCH.
The remainder of the year consists of four-week rotations in the subspecialty divisions of radiology at DHMC, with the resident gradually assuming responsibility for specific imaging services as their skills and experience increase. Night Float also begins in the second year, with two 2-week rotations.
During the third year, the resident continues with four-week clinical rotations at DHMC, including two 2-week rotations on Night Float and at the VA. The resident participates in the four-week AIRP course at the ACR in Silver Spring, MD, which provides an organizational framework for disease processes, classified by organ system, and also provides a radiologic-pathologic correlation. Accommodations, travel, and food expenses are covered by GME and the department. The resident also attends three national review courses (expenses also covered by the department) in preparation for the ABR Core Examination.
Fourth year (DR)
The resident assumes greater levels of responsibility for managing individual services. Required clinical rotations include 4-week rotations in Mammography and Nuclear Medicine as per MQSA and NRC requirements, as well as Night Float and VA, each of which will not exceed 4 weeks. The fourth-year resident is allowed up to 12 weeks of elective time, which may be spent pursuing a variety of both clinical and non-clinical opportunities. The resident may spend 2-3 months in a clinical radiology subspecialty. Additional clinical and non-clinical electives include:
Clinical radiology electives:
- Community Radiology
- Emergency Radiology
- Global Health Radiology
Two-week rotations with clinical specialties. These currently include:
- Comprehensive Breast Program (for those pursuing a breast imaging fellowship)
- Neurology/Neurosurgery (for those pursuing a neuroradiology fellowship)
- Orthopedics (for those pursuing a musculoskeletal fellowship)
Non-clinical electives (mentored by faculty):
- Business and Leadership
- Clinician-Educator Track
- Radiology Informatics
Fourth year (IR)
The first year of IR residency includes rotations at DHMC, with three of the four-week rotations dedicated to mammography and nuclear medicine to fulfill the MQSA and NRC requirements, as well as a four-week Night Float rotation. The remainder of the year consists of IR and IR-related rotations, including an ICU rotation and 1-2 other clinical rotations. There is an elective month for research or additional clinical or IR exposure of interest to the trainee.
Fifth year (IR)
The fifth-year resident assumes greater levels of responsibility for managing the IR service and for the performance of procedures. DHMC clinical rotations include two dedicated rotations on the Vascular Surgery service, where the resident participates in interventions for aneurysmal and peripheral vascular disease. Additional dedicated rotations include pain medicine and Neuro-Interventional Radiology, as well as two potential elective months.
Radiology physics instruction begins in the first year of residency under the direction of physicist William Sensakovic PhD. This consists of a 3 month weekly WebEx session with Dr. Sensakovic during the first year of residency (“Foundations”) and two 3 month weekly WebEx sessions during the second year of residency (“X Ray Modalities and Advanced Modalities”). All these sessions are interactive and include pre-course work required reading and a post-course exam. Our third year residents participate in Dr. Sensakovic’s 4-day online review course in April/May before the June ABR Core Exam. Dr. John Weaver, our on-site physicist, also performs a series of hands-on labs in Mammography, Fluoroscopy, CT and Nuclear Medicine.