Education : Nuclear Medicine Residency

Program Structure

The resident will spend time in each of the patient care areas learning an integrated approach to radiologic imaging. Broad exposure to varied pathology and patient management problems comes from the large volume and diversity of the patients seen at Jackson Memorial Hospital. There are in-patient and out-patient procedures involving all age groups, from premature infants to the geriatric population.

All procedures and examinations are performed and interpreted by the resident with, or under the direct supervision of, a nuclear medicine faculty member. There is graded responsibility with the resident assuming more autonomy over the course of their training. Along with patient care, the resident receives training in the fundamentals of radiologic medical technology, nuclear physics, radiation biology, radiation protection, and computer applications. In addition, residents will receive basic science training in physics, instrumentation and computer science, radiopharmaceuticals and protocols.
Teaching

During their first year of training, residents are expected to gain competence in Hot Lab agent preparations, quality control, operating of instrumentation, computer analysis of studies (including cardiac and renal), performing physical examinations, participating in stress and pharmacologic studies, and using EKG and other correlative studies. Their responsibilities extend to selection of the appropriate radiopharmaceutical dose, imaging techniques, data analysis, image presentation, review of image quality, defining the need for additional images, and correlation with other imaging modalities such as X-rays, CT, MRI, ultrasound, etc. First year residents will also participate in the therapeutic use of unsealed radiopharmaceuticals.

From years 2 to 3, residents will continue to develop their clinical skills with more emphasis being placed on developing expertise in special procedures such as: PET/CT and SPECT/CT, radiopharmaceutical therapy, computer analysis and special techniques and applications.

Their clinical training will include: general scintigraphic techniques, cardiovascular, renal, pediatric, gastrointestinal, neurologic, etc. They also participate in, and later conduct, therapies of patients with unsealed radiopharmaceuticals. They will also conduct, under supervision, special procedures (cisternography, cystography, diuretic renography, ACE-Inhibition renography, pharmacologic stress testing, and therapy with I-131 and Y-91).

During their training period they will spend a total of 4 months of rotation in cross sectional imaging.

Evaluation

Residents are evaluated throughout the year by all faculty members. A written examination is offered after the completion of the course as part of the evaluation process. A competence based system is used to evaluate the residents. Residents in their final year also appear for an in-service examination conducted by the American Board of Nuclear Medicine.