Radiology CME

Radiology for the Non-Radiologist
March 14-18, 2011 (8:00am-12:15pm) Location: Hyatt Regency Sarasota, Florida 20 AMA PRA Category 1 Credits™ 20 CME Credits - AAFP ACEP ACOG Mainpro-M1 (Canadian Physicians)	Course #SEMLA-2520110314 Price: $645.00 - $795.00

by Adam R. Guttentag, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Radiology; Director, General Radiology, and Section Chief, Thoracic Radiology, Albert Einstein Medical Center, Philadelphia, PA; Ryan J. Smith, M.D. - Albert Einstein Medical Center; Staff Radiologist; Philadelphia, PA and Susan L. Summerton, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Radiology; Director, Medical Student Education, and Section Chief, Gastrointestinal Radiology, Department of Radiology, Albert Einstein Medical Center, Philadelphia, PA.

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to choose the appropriate ordering of x-rays, CT scans or MRI studies; employ interpretation skills that will improve patient outcomes resulting from recognition of normal vs. abnormal vs. poor technique; identify x-ray pathology that is commonly seen, commonly missed and how to prevent the latter in the clinical setting. This activity is expected to result in improved competence in making appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.

When indicated in the specific objectives, emphasis will be on ACR Appropriate Criteria and evidence-based medicine with a focus on diagnosis, treatment and when to refer. There is a need for practitioners to maintain their skills in “first-read” x-ray interpretation, which are most needed in emergency rooms and urgent care environments. Since Radiology is one topic in which practice and repeated exposure improves skills and outcomes, this course was designed and intended for all practitioners at the level of a practicing physician.

Day 1 Basic Chest X-Ray Interpretation. Radiology of the Pleura: Effusion, Pneumothorax and More. Abdominal Radiography. Evaluation of Skeletal Trauma.

Day 2 Women’s Imaging. Oncologic Imaging. Pulmonary Nodule: Evaluation and Follow-Up. Imaging the Mediastinum and Heart.

Day 3 Back Pain Imaging. Evaluation of Patients with Suspected Pulmonary Embolism. Upper Extremity Trauma. Lower Extremity Trauma.

Day 4 Site Specific Approach to Abdominal Pain. Basics of Ultrasound. Acute Brain and Cervical Spine Pathology. IV Contrast and Radiation: What a Clinician Should Know.

Day 5 MRI of Large Joints – Knee, Shoulder and Hip. CT Angiography: Carotids, Aorta and More. Diagnostic Imaging of Acute Abdominal Issues. Evaluation of Hematuria and Flank Pain.

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Radiology for the Non-Radiologist
March 14-18, 2011
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES

Day 1

Basic Chest X-Ray Interpretation - Upon completion of this session, the participant should be able to:

1.	Develop a systematic approach to looking at a chest radiograph.
2.	Assess a chest radiograph for technical factors that may hide or simulate disease.
3.	Determine whether a chest radiograph demonstrates air space disease and localize it in the lung.
Radiology of the Pleura: Effusion, Pneumothorax and More - Upon completion of this session, the participant should be able to:
1.	Detect pleural effusion on a chest radiograph in its various manifestations.
2.	Analyze a CT scan of the chest for findings that differentiate simple from complex pleural effusion.
3.	Distinguish pneumothorax from other findings that may simulate it on a chest radiograph.
Abdominal Radiography - Upon completion of this session, the participant should be able to:
1.	Determine if an obstruction series shows a normal bowel gas pattern.
2.	Differentiate a small bowel obstruction from a large bowel obstruction.
3.	Order appropriate views in order to detect bowel perforation.
Evaluation of Skeletal Trauma - Upon completion of this session, the participant should be able to:
1.	Evaluate pediatric elbow radiographs.
2.	Order the appropriate imaging studies in suspected child abuse.
3.	Determine when imaging studies are not helpful in the setting of acute trauma.

Day 2

Women’s Imaging - Upon completion of this session, the participant should be able to:

1.	Order appropriate imaging studies for patients who present with breast problems.
2.	Determine which imaging modalities are most useful for breast cancer screening.
3.	Determine which studies are most helpful in evaluating pelvic pain.
Oncologic Imaging - Upon completion of this session, the participant should be able to:
1.	Demonstrate an understanding of the utility of PET/CT in oncologic imaging.
2.	Recommend CT colonography for colon cancer screening in the appropriate clinical setting.
3.	Discuss advantages and disadvantages of current colon cancer screening methods.
Pulmonary Nodule: Evaluation and Follow-Up - Upon completion of this session, the participant should be able to:
1.	Evaluate pulmonary nodules using a variety of radiographic techniques.
2.	Assess pulmonary nodules for features that reliably exclude malignancy.
3.	Use evidence-based guidelines regarding appropriate intervals for nodule follow up.
Imaging the Mediastinum and Heart - Upon completion of this session, the participant should be able to:
1.	Develop an approach to analyzing the mediastinum on chest radiography.
2.	Specify which cardiac structures normally form various portions of the mediastinal outline on chest radiography.
3.	Develop an appropriate differential diagnosis for a mediastinal mass based on location.

Day 3

Back Pain Imaging - Upon completion of this session, the participant should be able to:

1.	Differentiate patients who need immediate imaging for back pain from those who should be treated without imaging.
2.	Discuss the utility of various forms of imaging for specific lumbar pathologies.
3.	Analyze a radiologist’s report of lumbar imaging with respect to the patient’s specific symptoms.
Evaluation of Patients with Suspected Pulmonary Embolism - Upon completion of this session, the participant should be able to:
1.	Develop an algorithm for use of imaging in evaluation of patients with possible thromboembolic disease.
2.	Discuss advantages and disadvantages of various imaging techniques in PE evaluation.
3.	Integrate d-Dimer testing into evaluation of patients with suspected pulmonary embolism when appropriate.
Upper Extremity Trauma - Upon completion of this session, the participant should be able to:
1.	Order the appropriate radiographic views in the setting of acute trauma.
2.	Detect common injuries of the upper extremity on conventional radiographs.
3.	Determine which upper extremity injuries typically require surgical consultation.
Lower Extremity Trauma - Upon completion of this session, the participant should be able to:
1.	Determine which radiographic studies to order based on suspected injury.
2.	Analyze routine radiographic studies of the lower extremity.
3.	Apply the Ottawa Decision rules when assessing patients with lower extremity trauma.

Day 4

Site Specific Approach to Abdominal Pain - Upon completion of this session, the participant should be able to:

1.	Identify which diagnoses are most likely given the site of the patient’s presenting abdominal pain.
2.	Order appropriate radiographic studies based on the location of presenting symptoms.
3.	Describe and recognize radiographic signs of common causes of abdominal pain.
Basics of Ultrasound - Upon completion of this session, the participant should be able to:
1.	Discuss basic ultrasound physics.
2.	Determine in which settings an ultrasound would be the most appropriate study to order.
3.	Recognize the most common indications for utilizing ultrasound.
Acute Brain and Cervical Spine Pathology - Upon completion of this session, the participant should be able to:
1.	Distinguish stable from unstable cervical spine injuries.
2.	Use evidence-based guidelines to determine which trauma patients do not need acute brain or cervical spine imaging.
3.	Illustrate various locations where acute intracranial hemorrhage may be seen on CT.
IV Contrast and Radiation: What a Clinician Should Know - Upon completion of this session, the participant should be able to:
1.	Determine which patients are at increased risk for adverse reactions to intravenous iodinated contrast for CT.
2.	Describe current understanding of adverse patient reactions to Gadolinium containing MRI contrast materials.
3.	Describe factors leading to increased radiation exposure to patients from medical imaging.
4.	Select appropriate tests to order so as to minimize patient radiation dose without sacrificing diagnostic accuracy.

Day 5

MRI of Large Joints – Knee, Shoulder and Hip - Upon completion of this session, the participant should be able to:

1.	Recognize commonly used terminology in radiographic reports related to musculoskeletal MRI.
2.	Differentiate when to order shoulder MRI with and without arthrography.
3.	Integrate MR imaging appropriately into evaluation of patients with symptoms of large joint pathology.
CT Angiography: Carotids, Aorta and More - Upon completion of this session, the participant should be able to:
1.	Integrate CT angiography appropriately in evaluation of patients with suspected carotid stenosis.
2.	Select appropriate tests to order for patients with suspected acute aortic syndromes.
3.	Integrate modern CT angiographic techniques into evaluation of suspected visceral and peripheral artery disease.
Diagnostic Imaging of Acute Abdominal Issues - Upon completion of this session, the participant should be able to:
1.	Identify and determine the cause of small bowel obstruction.
2.	Evaluate computed tomography to identify the findings and complications of diverticulitis.
3.	Order appropriate studies to evaluate gastrointestinal bleeding.
Evaluation of Hematuria and Flank Pain - Upon completion of this session, the participant should be able to:
1.	Determine which studies are most appropriate and helpful in evaluating flank pain.
2.	Determine which studies are most appropriate and helpful in evaluating hematuria.
3.	Recognize abnormalities on ultrasound and computed tomography in patients with flank pain and/or hematuria.

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