Overview

The Radiology residency provides four years of training in Diagnostic Imaging. Appointments are held jointly as a resident at Beth Israel Deaconess Medical Center (BIDMC) and as a clinical fellow at Harvard Medical School (HMS). There are 8 residency positions available annually.

Integrated IR/DR
Residency Pathway
In light of the recent designation by the ABMS of Interventional Radiology (IR) as a separate specialty and the nationwide phasing out of the traditional fellowship pathway, we are introducing a dedicated IR residency program that combines a strong foundation in Diagnostic Radiology (DR) with training in IR. Beth Israel Deaconess Medical Center is offering two positions for this Integrated Pathway beginning with the 2017 Match. 
Please review our full brochure

With a central role in clinical service, teaching, and research, the Radiology Department performs over 400,000 radiologic examinations each year. The department provides radiography, CT, ultrasound, MRI, nuclear medicine, mammography, angiography, and interventional radiology services to both the medical center as well as our affiliated health care facilities. A radiology research and animal laboratory is housed adjacent to the Radiology Department. There are over 70 full-time and part-time clinical diagnostic radiologists, 10 additional research faculty, plus 30 clinical and post-doctoral research fellows. All residents, fellows, and faculty have appointments at Harvard Medical School. All radiologic studies are interpreted under the supervision of staff radiologists. Our nuclear medicine program is a part of the Joint Program in Nuclear Medicine at Harvard Medical School.

Our department prides itself on being supportive of its residents and places strong emphasis on the quality of teaching-both in didactic lectures and in individual case-based teaching.

Training Program Curriculum

With the advent of recent changes in residency training, the curriculum has recently been revised so that residents undertake a course of study that will permit them to obtain expertise not just in clinical subspecialties but also in other key areas such as research, education, global health, quality improvement, and health policy. Radiologic physics has been integrated into daily didactic sessions. In addition, many didactic sessions utilize audience response technology, video-recording, and iPad technology.

There are nine formal sections in the department:

  • Abdominal imaging
  • Breast imaging
  • Cardiovascular and interventional radiology (CVIR)
  • MRI
  • Musculoskeletal imaging
  • Neuroradiology
  • Nuclear medicine
  • Ultrasound
  • Thoracic imaging

Most non-angiographic interventional procedures are performed by the respective services. Residents rotating through these sections are provided with reading suggestions and material. Academic rotations are made up of thirteen 4-week blocks annually. At the end of each rotation residents receive written evaluations and have the opportunity to evaluate the staff.

guy in front of screen, nukeFirst year rotations emphasize fundamentals and common radiologic examinations in preparation for inpatient and emergency department responsibilities. Prior to taking call, all first year residents rotate through abdominal imaging, breast imaging, emergency radiology, fluoroscopy, musculoskeletal imaging, neuroradiology, nuclear medicine, thoracic imaging, and ultrasound. First year residents also participate in a year-long national Radiology Leadership Initiative program that focuses on healthcare economics.

During the second year, residents continue to gain experience in these sections, performing and interpreting more advanced examinations and interventions as their levels of expertise increase. Additional rotations in more specialized topics occur throughout the second through fourth years, including interventional radiology, MRI, head and neck imaging, and pediatric radiology. In addition, all residents participate in our Friday morning practice management and leadership curriculum that provides them with essential non-interpretative skills.

"Away" rotations during the second and third years of training include:

  • Three months of training in pediatric radiology at the Boston Children's Hospital during the second year.
  • One month program in radiologic-pathologic correlation at the American Institute of Radiologic Pathology (AIRP) sponsored by the American College of Radiology in Silver Springs, Maryland, during the third year.
  • One month rotation at the Massachusetts Eye and Ear Infirmary in head-and-neck radiology during the third year.

Upon completion of the second year of residency training, residents select an area of academic focus for their fourth year that will guide choices for the 3-month mini-fellowships and the other 1-2 months of elective time. In addition, each fourth year resident participates in a week-long online informatics course focused on the informatics systems that underlie the daily workflow in radiology.

Our Unique Educational Tracks

Currently, multiple tracks are offered as follows:

  • Clinical
  • Education
  • Research
  • Global health
  • Information technology
  • Quality improvement
  • Health policy/health economics

Each of these tracks has specific curricular offerings and educational goals which consist at a minimum of a didactic component and a research project. Most of the tracks are linked to specific educational endeavors. For example, a resident selecting the global health track typically will enroll in the global effectiveness curriculum offered by the Harvard School of Public Health and will spend up to one month abroad providing clinical radiology services and undertaking a global health project. A resident selecting the education track often will pursue advanced training in educational theory and adult learning by participating in the Harvard Macy Program for Physician Educators or the BIDMC Academy CME Educator’s course and undertake an educational project based at BIDMC or Harvard Medical School. A resident choosing the research track will participate in grant writing workshops and delve deeply into a research project of their choice, hopefully even being successful at securing grant funding.

No matter which career track, the expectation is that every resident will have the opportunity to undertake a substantial project during residency that will culminate in presentation at a national meeting and/or publication [see resident/faculty accomplishment section for further details]

A representative curriculum for the first three years is composed of the following 4-week blocks:

  • Abdominal imaging: 3 blocks
  • Angiography: 3 blocks
  • Breast Imaging: 2 blocks
  • Cardiac imaging: 1 block
  • ED/Night Float: 3 blocks
  • Head and Neck Imaging: 1 block
  • MRI: 2 blocks
  • Musculoskeletal: 3 blocks
  • Neuroradiology: 3 blocks
  • Nuclear medicine: 3 blocks
  • Pediatric Imaging: 3 blocks
  • Thoracic radiology: 3 blocks
  • Ultrasound: 3 blocks
  • AIRP: 1 block
  • Vacation: 3 blocks

A representative curriculum for the fourth year of residency would be:

  • Mini-fellowship 1: 3 blocks
  • Mini-fellowship 2: 3 blocks
  • Elective: 1-2 blocks
  • Breast Imaging: 1 block
  • Nuclear imaging: 1 block
  • ED/Night Float: 1-2 block
  • Departmental Coverage: 1 block
  • Vacation: 1 block

Education

Resident teaching conferences occur daily Monday-Thursday, between 7:30 - 9 a.m. Many of the sections provide their sessions in 1-2 week blocks in an effort to provide residents the opportunity to focus in one area for a period of time. Overall, these sessions are evenly divided between "hot seat" case review and didactic lectures. Some of the lectures utilize audience response technology. Residents are expected to attend these morning conferences, with coverage for clinical services provided by staff and fellows during these times. On Fridays, sessions cover practice management, leadership and non-interpretative skills, many of which are covered on the core examination and others of which are important to future success in practice.

Diagnostic Radiology Lecture In addition, the radiology residency begins with a one-month course for first-year residents to learn essentials of radiology as we recognize that residents who enter our program come to us with varied experiences in medical school. Right from the first day on clinical service, residents learn how to approach cases and how to communicate the important radiologic findings.

Radiologic physics is fully integrated into the morning conferences with dedicated sessions given by both physicists and practicing radiologists. In addition, the Department continues to support residents to attend a local physics board review course during the third year of training.

Weekly multidisciplinary and specialty conferences are conducted in the Radiology Department in conjunction with these services:

  • Cardiology
  • Gastroenterology
  • Urology
  • Neurology
  • Surgical oncology
  • Orthopaedic surgery
  • Cardiothoracic surgery
  • Pulmonology

Active participation of residents in many of these conferences serves as an optimal way to understand how imaging findings are integrated into patient management. This experience translates into stronger clinical radiologists. Daily teaching sessions are also held in the Division of Nuclear Medicine.

BIDMC has a weekly grand rounds series that covers a wide variety of topics related to radiologic imaging. Approximately once a month, there is an invited visiting professor to the department who gives a formal grand rounds lecture and a resident board review. In addition, some of our clinical faculty and faculty from other departments provide lectures. Finally, once a month, more senior residents present interesting cases from the Department, which offers a great opportunity to develop teaching skills as we all participate in peer observation during these sessions, a technique whereby we provide feedback to each other about the teaching that took place.

As befits any great medical city, many conferences are held at other local institutions. Meetings of the New England Roentgen Ray Society are held bi-monthly on Friday afternoons. Staff coverage during these times is provided so that residents may attend these meetings. Seminars and lectures in radiology are also held at adjacent Longwood Medical Area institutions. Other major medical centers in the city are the Brigham and Women's Hospital, Boston Medical Center, Massachusetts General Hospital, and Tufts/New England Medical Center. Many national meetings and post-graduate courses are also held at local hotels.

Contact Information 
Robert Shaw
Residency & Fellowship Coordinator
Department of Radiology
330 Brookline Avenue, Sherman 231
Boston, MA 02215
Tel: 617-667-3536
Fax: 617-667-3513
Email: rmshaw@bidmc.harvard.edu