How To Support The Next Generation of Radiologists and Grow the Profession, The Rad Room (8-25-22)
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Hello and welcome to noon conference hosted by
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MRI online. Noon conferences are free Radiology lectures
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case-based micro learning courses across all key Radiology
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so specialties.
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Today we're so excited to welcome the rad room boundaries and Advisory
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board for discussion on how to support the next generation
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of Radiologists and grow the profession.
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The rad room was founded as a resource for Med students thinking about
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Radiology as a career looking for radiology opportunities or
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preparing Radiology residency applications.
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Today's talk will include a discussion on why the
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rad room was created current and upcoming and current
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and upcoming projects. The team is working on and the importance
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of supporting recruiting and mentoring students exploring a
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career in Radiology.
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There will also be a short Q&A after the talk. So please use the
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Q&A feature to submit your questions with that. We
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are ready to begin. Today's panel discussion the rad room. Please take
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it from here.
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So thank you so much for joining us. We're so happy that MRI
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online invited us. So I'll do a very quick introduction
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of the people that will be presenting today. I'm actually
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Lau. I'm joined by the hill and a rune who
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are both co-founders of the rad room and then we have two of our excellent advisors
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here with us today, Dr. Faraji and Dr. Juan and
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so we'll be doing a few different sessions today and
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walking you through the rad room medical education
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and recruiting medical students into Radiology.
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So without further Ado we'll get started.
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So before we
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talk about or while we're talking about why we
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made the rad room. I think it's really important for us to identify
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some of the key barriers that students face when
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they're interested in Radiology. So one of the major
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problems that students have is that it's really difficult to
2:00
find information about Radiology as a
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career and I think that there's some really great people in
2:06
the field, especially Dr. Awan who has really made
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it their mission to increase the exposure
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that medical students have Dr. Faraji
2:15
through the medical student courses as well. But in
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general it's really difficult to find all of the information that
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you need to successfully apply to Radiology a second
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problem is about learning Radiology during medical school. So
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if you ask a student, you know, where would you find information about
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hypertension? Most of them can list one to three
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resources that are go to resources where they
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go to find that if you ask them the same question about
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Radiology many students won't have
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A resource in mind that they would
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go to use to either Radiology reference and the
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third issue that most medical students face is
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connecting to the Radiology Community. It is such
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a Vibrant Community, but it's also very small and I think
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students have difficulties identifying how to
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get connected whether that's through events or conferences or
3:03
organizations, and it's difficult navigating
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that for the first time.
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So what is the rad room the rad room is our response to
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the barriers at medical students face that when they're
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interested in either exploring or going into
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a career and radiology and how this happened is
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actually sahil in a room and I
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met at ACR this year and what we notice as we
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walked we're walking around and talking to other students is that students knew
3:30
about really great resources, but we all
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knew about different resources. So they'd say like are you going to
3:36
for instance suggest conference and you're
3:39
like, what is that or you go to the next student and they're like having you
3:42
watch soccer or one's videos like he's great the next student like
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who is that? So it's difficult every student
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knew about something really great. But what they didn't have is
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one place to bring it all together and that's what we're trying to accomplish through.
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The rad room is we created a
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website that has all of the Radiology resources a
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Twitter where we can keep students up to
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date and really connect and then what's really trying to create a
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sense of community where students can go
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And they can connect with faculty attendings and
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residents, but they can also collect connect with their future
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peers and their colleagues and really lean on each
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other and grow in that community.
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So who who are we I've kind of just a little bit. So hello, everyone
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and I are the founders. We have our excellent Advisory
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Board Dr. Juan Dr. Cook, Dr. Froggi and
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Dr. Gupta. And how do we use our Advisory
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board? So our Advisory Board it really is our sounding board for all
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of this. They've offered their endless support. We need that we couldn't do
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this alone. It takes a village and we didn't want to we don't
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want to go in this blindly. We know that there's excellent people within
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radiology and we need to tap into that resource. So we identify
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these individuals we ask them to you know,
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give us advice share ideas with us and collaborate
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with us and this really great project and I think that their support
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has been fun than mental to our success and watching
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this project. We've also recently recruited a resident
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board which serves a very similar function at the
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resident level. So we're so excited to have everybody on board with us.
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And what is our mission? So our mission with was creating
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the rad room is to uplift the next generation of Radiologists.
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So we're again providing resources. We're connecting
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those opportunities that exist and we're also creating new opportunities
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and we're also increasing the sense of
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community among medical students now, I'll hand
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it off to room to explain how
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Great. Thank you Ashley. So to touch on one of
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the first slides there that actually highlighted the barriers
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to Radiology the way we thought to
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address that with all the amazing resources out. There was to create a
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tab for the exploration of Radiology on our website.
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So if you were click on the we'll go
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on the website and click on the explore tab that this
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is where you would this is what you would see and so starting out.
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We just have videos that cover the wide breath and
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then go into more depth into Radiology. So we talk
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about, you know, just exploring the field is just
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an initial career and then we highlight why radiology and
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we have a familiar face here on this video on the
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why Radiology side on the top row fourth
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video to the right doctor Awan for why he chose a specialty and
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so getting unique perspectives from various attendings,
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um across multi-specialties in radio
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multiple subspecies and Radiology really great way for students to
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see what they might connect with. We have videos that
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cover a day in the life of the resident of a resident and
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Then videos focused in the subspecialties of radiology. So
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whether you're just exploring an interest or you realize Radiology
6:39
for you, we really feel like this tab is a
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great place to for any medical student with an inkling of interest in
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Radiology to start out with so moving on
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to the next tab, Ashley or slide.
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So learning Radiology, so, you know, let's say
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you find maybe whether your first year you have Dr. Faraji and
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lecture and you have an interest in Radiology. The next
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thing is you want to start learning the basics. So we created
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a learn tab, which we aggregated tons
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of resources that we've heard from fellow students
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ourselves, you know, for example
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MRI online here we added them as well because there's excellent resources
7:17
on your webs on your platform. And so really
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whatever interest you have on they cover
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a wide breadth of topic. So radio PDA
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great for when you're on a rotation on and
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what I really like about the learn tab is that it
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just really covers all aspects of Life as a radiologist. So like
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even within MRI online the reading room
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section that you guys have you can learn about finances as
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a medical student transitioning to a resident and so and it's
7:44
specific to Radiology which there are different Financial practical
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challenges that come with that. So it's a great
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place for students and even
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Residents to find excellent information. I think as we
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progress we're going to build more resin focused education in
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the coming years. So next slide,
8:02
please and then opportunity so
8:05
is actually touched on you know for any student pursuing
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an interest in Radiology. One of
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the first things you should probably do is sign up
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for the ACR because it's a free membership for students. And
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so we have that very prominently featured and rsna
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after all these are great organizations that
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provide further material and Exploring Careers and
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radiology and they also have conferences that
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are free for students. And so we don't have
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a slide on this exactly but within the opportunities tab on
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our website, we also have scholarships for these or
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conferences. So it's a great way to not
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only you know, just be a free member of these organizations but also
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find opportunities for funding your travel because obviously we
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know as a medical student you're in a lot of many of us
8:50
there in a lot of debt and so anything to help attend these
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conferences
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Is great and so we don't just list organizations, but
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we also list opportunities within these organizations. So I
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feel is really great about the site because it really
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lets students, you know, not just explore but also facilitated
9:05
happening with tangible scholarships and
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resources to find money from
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various other organizations. So I think this
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is something that we do pretty well nice perfect
9:17
and then, you know knowing about these events.
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So right now it's residency application season,
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so our events calendar focuses on highlighting
9:26
educational events. So for example, the MRI
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online noon sessions, excuse the Central
9:32
Time Zone on here, but you know 12 Eastern and you
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know, we have educational events listed
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throughout the field of radiology. We list open houses
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for various residency programs. And we also
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list our own webinar series here, which we
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have had for thus far and transitioning to
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the next slide so far. The residency webinar has
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been
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I'm fairly. Well, we're hosting it for
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40 Diagnostic Radiology residencies. And we've
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had over a thousand students register for the webinar series. It's
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been pretty successful. We've been averaging around 160 to
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200 attendees every sessions and
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it's really a nice way for us to serve on our platform as bridging
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point for programs to get to applicants.
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And that's really what our goal is to make programs more
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accessible for applicants and applicants more accessible
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to programs and I think on that note I think Sahel
10:23
will transition us to our future focuses.
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Yeah, thank you ruin. So cream. This platform was very
10:30
important to us. But it didn't mean anything if we weren't able to get in
10:33
the hands of the people that we wanted to have it which were
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medical students. So the biggest Outreach method
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we use was social media, which I think many people are familiar with and here's
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just a quick screenshot of our Twitter analytics
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page over the past month. So just to highlight
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a few key points here our tweet Impressions basically meaning
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the number of people who are seeing or content. Is that 225,000 which
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is pretty good for a platform that's only been around for I think
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two months now and especially our profile visits of
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80 almost 80,000 people. So it's good to know that
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what we're creating is actually getting the hands of people and they
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actually want to come to our profile see what other opportunities and
11:10
content we're creating for them next slide,
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please.
11:15
But then we will want to know is every medical student really on
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social media or is there another way to Target medical students? So
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what we did was we actually looked at
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our followers and a lot of the medical students that did follow
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the rad room on Twitter include what medical school they were
11:30
at. So we had this idea what if we created student volunteers at
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each of these medical schools and basically their
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role was to help disseminate information about the
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router room and other educational opportunities that we find
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scholarships things like that. And so
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we reached out to these students and we had in over
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overwhelming amount of students who wanted
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to become part of the rad room to share the mission of spreading radiology
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and informing people about how incredible the
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field is. So we have about 120 students volunteers representing
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over a hundred different medical schools. So now
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that we had this we want to know well is that
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actually working so include at the bottom is a pie
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chart of the Radiology residency webinar series that Arun
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was talking about earlier and we saw that 54% of
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A registrants learned about us through social media, but 35% actually
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learned through our student volunteer network. So that
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was basically our proof of concept saying what we're doing
12:24
here is actually working but in particular in this
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webinar series is very geared towards fourth year
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medical students who are applying. So seeing that we were able to reach about 40%
12:33
of 1,000 applicants. So about 400
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students who are primarily fourth years meant that if we
12:39
were to expand it to more educational opportunities, especially for
12:42
students. We're trying to learn more about Radiology early on who
12:45
would have a wider audience to Target. Hopefully even better
12:48
turn out next slide, please.
12:51
So here's just a quick screenshot about the number
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of users we have as far as countries go
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for the Radiology room Comm our website platform as
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you guys can see we're not just limited to the United States. I
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mean, we are reaching globally and a lot of that is due
13:06
to the combined efforts of our social media and student volunteer network.
13:09
Your goal was to be as inclusive as possible. So
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it's great to see that our average are actually working and we are
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reaching people no matter where they are next slide, please.
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Still really our long-term Vision, you know as we would allude
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to Arun Ashley and I are all applicants this year for
13:25
residency. So next year when we match it, we're gonna become
13:28
very busy and probably won't be able to dedicate the amount of time that we're
13:31
giving to the platform right now. So what we
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want to do is we want to expand include more medical students at
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the end of the day. We want us to be a platform LED bias
13:40
students for students creating content that they feel students
13:43
needs to have. So that's why we're very excited to be expanding
13:46
the right room team and here in the short future. We're
13:49
actually going to be creating a med student subcommittee to basically
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represent all the different moving components. We
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have in the rad room between our website our social
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media platform our webinars series our
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new mentorship network that we're launching and there's a
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lot of exciting things going on and we are very excited to bring on
14:07
his main medical students as we can and at the end of the day
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we want to play an emphasis on inclusivity. We don't want to be
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a platform that just creates content. We want to hear from medical students about
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what they think they need to have and Radiology.
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So for example, we had someone reach out to was saying it'd
14:22
be great. If you guys had more content for International Medical graduates DL
14:25
students. Those were underrepresented in medicine,
14:28
and we've actually been working with them, and we just launched that
14:31
material on our platform recently. So we want to
14:34
hear your ideas. If you have a great idea, please feel free to reach out to
14:37
us through email DM us on Twitter, you know, we're really available
14:40
and we want to hear those great ideas and provide the platform
14:43
to share with everyone next slide, please.
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So, please follow us and keep supporting us our websites include
14:50
on the left hand side. Www.the radiologyroom.com, you
14:53
know, as we mentioned throughout this presentation, whether you're
14:56
a medical student wants to learn more about Radiology preparing for
14:59
the match or if you're an educator who has a
15:02
great resource that they want to get out to the community, you know,
15:05
please use our platform. We are more than happy to include all
15:08
those things and include on our platform is Dr. Juan's
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Med Ed page on YouTube, which is an invaluable
15:14
resource, whether you want to learn about Radiology for
15:17
the first time, you're a student who's just trying
15:20
to get ready for the match or just looking for general education material. So
15:23
highly recommend you guys subscribe to his page and above
15:26
all please follow all of us on Twitter. I think that's probably where all
15:29
of us are the most active are handle is at
15:32
the rad room Dr. Juan at Awan rad and Dr.
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Faraji at sports rad dog doctor why I'm
15:38
Dr. Faraji in particular doing a fantastic job. Just playing
15:41
educational content out there sharing interesting cases,
15:44
you know, the latest things and medical education.
15:47
And the up-and-coming things and Radiology literature. So
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highly recommend that you guys follow so now
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I'd like to hand things off to Dr. Owan Who will talk more
15:56
about Radiology recruitment.
15:59
Hi everyone. Thank you so much. Sahil, and thank you. First of
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all to MRI online for hosting us
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and I really want to give a shout out before I begin
16:08
just to the rad room to actually Arun and
16:11
sahil, you know the work that they've done is just amazing and
16:14
incredible. I mean if you take there's nothing like what they've
16:17
done out there, right? So, you know, I really hope that
16:20
everyone supports them supports their mission,
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you know, just you know, they're helping so many
16:26
people. I mean, I think all three of them deserve a spot
16:29
in the Radiology residency just based on what they've done here. Right? So I'm just
16:32
can't say enough about the work that they've really done. So
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I really do hope that you guys check it out and support it,
16:38
but I'm here to really talk about you know,
16:41
why Radiology is the best field in medicine
16:44
and I wholeheartedly believe that and you know some barriers to
16:47
recruiting Radiology residents and I think I want
16:50
to give three main reasons why I think Radiology is,
16:53
you know, the best field and the first is is that it really drives
16:56
your intellectual curiosity.
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And you know for someone like me, you know, I I'm a person that's very
17:02
cerebral. I like figuring things out, you know
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often I see Radiology is kind of being a detective
17:08
and I think you know trying to figure out what you know,
17:11
a study is and what it's not so it really appeals to your
17:14
intellectual curiosity and you know figuring things
17:17
out if you're always on the tip of your toes when you're
17:20
reading cases so, you know, there's nothing I saw
17:23
in medicine like that, you know, even you know, in medicine
17:26
internal medicine when you are making, you know, a differential,
17:29
you know, in in Radiology, you're really doing
17:32
it all the time like from eight to
17:35
five where you know, however long you're working right? So I think that you know,
17:38
that's something that's really special about Radiology good thing
17:41
is is that you really are able to tap into
17:44
every aspect of patient care in in radio apology. You
17:47
know, the hospitals rely on Radiology. I
17:50
mean scans are being done left and right right. So no
17:53
matter whether you're a general surgeon Internal Medicine pediatrician neurosurgeon.
17:56
I mean, everyone is order.
17:59
And you're able to impact all fields of
18:02
medicine, right? I don't know that any other field can say that quite frankly, right?
18:05
So, you know, we're able to interact with everyone even you
18:08
know on the procedural side, right? Like we are, you know
18:11
constantly doing procedures Interventional Radiology. That's literally all they're
18:14
doing even me as a muscular Radiology. I'm doing
18:17
you know join aspirations join injections. I'm doing
18:20
ultrasound guided to my biopsies CT guided bone
18:23
biopsies. I mean I if there's so much versatility to Radiology,
18:26
you know, whether you want to read studies do procedures talk
18:29
to patients. It's all there for you everything that
18:32
you want to do is there for you and
18:35
Radiology. I think that's a really key aspect of it
18:38
and the third thing that I want to highlight in the final
18:41
thing about why Radiology so indispensable is that there's so
18:44
much flexibility in radiology and you know, in terms of Lifestyle, I
18:47
think that's important, you know, as you know, we're not many of us
18:50
are not married to our Fields where married to you know our spouses,
18:53
you know, and you know, I'm I'm married I have
18:56
four kids and you know, it allows me the flexibility to
18:59
Have a life. You know, I'm you know, I get to
19:02
enjoy time with my family and you know,
19:05
I think that's really important. The other thing is that you know, as as a
19:08
practicing Muslim, you know, I have to pray five times a day. I can
19:11
do that, you know very easily, you know being right because
19:14
you have the flexibility to you know, take five or ten minutes at offer out
19:17
of your schedule to go. I can go into a room I can pray and then
19:20
I can come back and I can I can read study so, you know, and that's
19:23
true for all people of all different types all faiths
19:26
or anything, you know, if you're a female and obviously
19:29
I'm not a female but you know, you know, obviously, you know, if you
19:32
want to have a family you need to you know, spend time
19:35
with your kids raise your kids you need to breastfeed that flexibility
19:38
is there for you to do that, you know, and I know that
19:41
a lot of females appreciate that aspect of radiology so,
19:44
you know, I think there's a lot of flexibility and Radiology
19:47
that may not necessarily be present in some other
19:50
fields in medicine. So I think those three reasons really make, you
19:53
know Radiology just a quintessential specialty, you
19:57
know in medicine and
19:59
It can't be said enough.
20:01
No kind of moving on to why how Recruitment and
20:04
barriers to recruitment. I think there are several.
20:08
and one is
20:09
People just don't know about Radiology, right? Let's just
20:12
be honest. Like I'll give my own example. I was a student
20:15
at George Washington University. I had no clue about
20:18
Radiology Radiology was not an elective or
20:21
that was required or a clerkship that was required even
20:24
here at University of Maryland where I teach and I I help
20:27
run the Radiology courtship. It's not a mandatory
20:30
elected so half of University of Maryland Medical students
20:33
don't even go through Radiology. I mean now we are the most popular
20:36
elective at University Maryland half of the students take it
20:39
but the other half don't right so they may not have any real
20:42
or major exposure to Radiology myself alone.
20:45
When I was a fourth year. I actually wanted to
20:48
be cardiac cardiothoracic surgeon for a while. And then
20:51
I wanted to kind of go into optimology all the way until August
20:54
of my fourth year and then I actually took Radiology
20:57
as an elective at GW because I was
21:00
like, oh I want to really cushion year. I want I just want to push month.
21:03
You know what I mean? Like, I just want to get through this before the match then I took
21:06
radiation. I was like Blown Away by Radiology man. This is
21:09
amazing.
21:09
Right, like I want to do this. So I'm and I completely
21:12
changed trajectories. I changed really late. Like literally at this time of
21:15
my fourth year. You can imagine like you guys probably already all have your Eros
21:18
done. I had to rechange everything because I was like, I
21:21
need to go into Radiology because this is the field for me, right? So had
21:24
I not done that month. I would never have seen it. I would
21:27
never have you know, it would it this changed my whole life right now.
21:30
I'm a radiologist. I absolutely love this field.
21:33
So, you know, I think there needs to be more exposure to Radiology.
21:36
You know, one way we can do that is by encouraging Radiology
21:39
be mandatory. It's not mandatory and at least
21:42
50% of medical student medical school so that can
21:45
be something that that can be pushed.
21:47
The other thing which I think you know, Dr. Faraji is gonna talk about a
21:50
little bit is, you know, even when Radiology is
21:53
being done, you know, what medical students do it.
21:56
They're not really getting the flavor of radiology and what
21:59
I mean by that is that a lot of them are passive observers, like, you know,
22:02
it's it's hard to appreciate Radiology when you're not doing Radiology. So
22:05
like you could be sitting in the reading room with me and watching me dictate
22:08
cases, but you may think it's boring because you're actually physically
22:11
not doing the work. You're just watching me do the work so that
22:14
can also be a challenge for recruitment because
22:18
people may not understand how awesome Radiology is right.
22:21
So one way to alleviate that is to
22:24
give
22:25
Medical students the autonomy to look at cases maybe provide them
22:28
with like scrollable cases through Paxman or
22:31
some other venues where they can kind of look through cases think
22:34
about the cases and actively participate in
22:37
Radiology. Then they will see and realize what the field
22:40
in the specialty is all about.
22:43
Final and third barrier to
22:46
recruitment that I want to talk about is just the misnomers and
22:50
the you know, the propaganda about Radiology that's out there
22:53
that is completely false. So one major thing
22:56
these days is AI and artificial intelligence and how artificial intelligence
22:59
is gonna take away all radiology jobs, and
23:02
this could not be further from the truth. So I've
23:05
been hearing this nonsense for 20 years and I
23:08
still have a job. And in fact, I think I'm more busier now
23:11
than I ever have been in my career. Like I'm reading more studies.
23:14
I'm called upon to do more things. I think Dr. Faraji
23:17
will probably say the exact same thing. There's just
23:20
so much you doing really in fact
23:22
AI is not gonna replace us, it's actually an augment
23:25
our field so, you know AI is gonna allow our work to
23:28
be more efficient so that we're able to do things at a
23:31
higher level and we're able to train people at a higher level.
23:34
We'll be able to educate medical students and residents at
23:37
a higher level. So it's actually gonna be doing the exact opposite. It's
23:40
gonna be augmenting our career. So it's
23:43
certainly not going to be taking away any jobs not anytime
23:46
soon. I don't think ever so I think rest
23:49
assured that that misnomer is completely false. So
23:52
that's all I have before. I passed the
23:55
Baton to the wonderful and Incredible Dr. Faraji
23:58
the super talented Dr. Faraji, please take
24:01
a look at the Med Ed page that YouTube page,
24:04
please subscribe to the channel. There's tons of us Emily tutorials
24:07
residency match tips and you know,
24:10
just MRI, even MRI tutorials and msk cases
24:13
that I think all of you guys will benefit from so without further Ado
24:16
Dr. Faraji.
24:20
Thank you, Dr. Juan from one of the
24:23
best introductions I've ever been given. So I appreciate that and
24:26
I do want to Echo some of the things that Dr. One,
24:29
you know touched on first and foremost again,
24:32
thanks to the MRI online for hosting us and
24:35
having such a smooth introduction
24:38
to the platform and making this
24:41
as technologically easy as
24:44
possible. So thank you for that and then again obviously to
24:47
a ruin so a hill and Ashley so so impressed
24:50
with you know, just started with the conversation. I had with
24:53
the room several months ago about his interest in radiology
24:56
and then next thing I know, you know, here we
24:59
are with this amazing platform that you guys have provided
25:02
for medical students and just you know,
25:05
early Learners trainees and Radiology who
25:08
are interested in Radiology to give them and compile all the resources about
25:11
the field as much as possible and to one and to
25:14
one space. So that's that's super awesome and a very
25:17
impressed the initiative that you've all take it.
25:20
Make this happen. So yeah, so I just
25:23
want to touch on a few things. Yeah. Yeah Naveed faraji. I'm
25:26
a musculoskeletal radiologist also here in
25:29
Cleveland, Ohio and pretty new to
25:32
the game. This is my beginning of my third year here as
25:35
an attending radiologist. So but I wanted to
25:38
touch on medical student education that's been the
25:41
large part of my career thus far thankfully and it's
25:44
one of the more gratifying parts of my job. So I
25:47
really enjoy doing it and I'm happy to be here
25:50
to discuss it with you all and you know, we've discussed
25:53
some of the issues, you know facing Radiology
25:56
as far as getting early Learners
25:59
and medical students interested and you know, I've had some experiences
26:02
that have helped I think that may
26:05
set an example going forward and how to get medical students
26:08
interested early. And as long as we're sharing our
26:11
own experiences my sisters a radiologist and I
26:14
think as a high schooler like senior year, maybe you're
26:17
even in college I shadowed her and I was
26:20
Definitely sure at that point. I did not want to be a
26:23
radiologist and as Dr. Juan kind
26:26
of alluded to and one of the more common analogies are
26:30
metaphors I hear is that you know watching, you
26:33
know Radiologists is kind of like watching someone play
26:36
video games, you know, it's you know, it's very it can
26:40
be it's not as fun. Really. I mean you're watching somebody play
26:43
video games and you're not really actively thinking you're not getting the
26:46
adrenaline rush I guess or or you're not actively involved
26:49
and it's easy to kind of detach yourself from that
26:52
situation so it can be difficult to
26:55
engage people even if they think they're interested in radiology
26:58
and then they're their first experience is just kind of shadowing a
27:01
Radiologists is not always the
27:04
most engaging kind of atmosphere. So there are
27:07
things we can do to make it more engaging and hopefully, you
27:10
know conjure up a little bit more interest amongst those
27:13
people. So so how to best
27:16
expose medical students in the preclinical years.
27:19
So that's where I've
27:20
A lot of experience and so I'm very fortunate.
27:23
You know, I meant, uh, we have a relationship with
27:26
Case Western Medical School. And
27:29
when I was a resident here one of
27:32
my attendings Dr. Carr and Herman along with
27:35
an anatomist there at case kind of established a
27:38
curriculum for their Anatomy course, so for first
27:41
and second year early second year medical students, they have
27:44
this longitudinal Anatomy course called garlic which stands for
27:47
gross anatomy radiology and living anatomy And
27:50
basically, so while they're learning gross anatomy,
27:53
let's say of the shoulder and elbow then
27:56
in that same day, they'll come
27:59
to a radiology lab where that we have multiple monitors
28:02
and they're paired and tour groups of
28:05
two or three where they have their own kind of Imaging monitors and then
28:08
they will go over that same Anatomy using Imaging.
28:11
All right, and I'm gonna do a little
28:14
demonstration in a bit on how we kind of do that,
28:17
but I have found that exposing
28:20
Call students in a Hands-On fashion along with
28:23
their gross. Anatomy course has kind of parlayed into
28:26
interest in people in
28:29
doing Radiology, but also kind of a deeper understanding
28:32
of radiology for people who aren't really interested. There's plenty of
28:35
people who know they want to do Orthopedics or or neurosurgery or
28:38
internal medicine or emergency medicine. But as
28:41
we've kind of alluded to over the duration of this talk,
28:44
it's super super important for everybody to have some
28:47
sort of understanding of radiology because while
28:50
Radiologists, you know in general are very good at our jobs,
28:53
you know, we we are human and mistakes are made and it's
28:56
always best for the patient to have two pairs of eyes kind of on those
28:59
images and also,
29:01
Not even that but just to understand the appropriate Imaging
29:04
modalities and
29:07
exams to order for each clinical indication, which is
29:10
very important for all clinicians to know, you know,
29:13
what's the best test for the patient with this symptom or
29:17
this Chief complaint? You know, so so not only
29:20
are we using these sessions to
29:23
teach people Anatomy. I teach the students
29:26
Anatomy as it pertains the various organ systems that we're learning on that particular day,
29:29
but also we're using it
29:32
to kind of teach everybody the appropriate Imaging modality
29:35
or imaging test to to answer
29:38
whatever the clinical question is for that
29:41
patient. So an example like right upper quadrant pain
29:44
and you know patient if you're concerned for cholecystitis, for
29:47
example, you know, right upper quadrant
29:50
ultrasound is the best test. You don't want to get a CT. For example MRIs
29:53
probably Overkill unless you
29:56
know, there's other findings on an ultrasound but the cheapest and best
29:59
modality to answer that question. It's
30:01
Something we also teach so throughout this process,
30:04
you know, they're going through cases of normal Anatomy to
30:07
familiarize themselves with the anatomy. There are
30:10
also prompted with various pathology or clinical
30:13
questions, like, okay. So what is the best
30:16
Imaging modality for this? So it's it's not
30:19
only just memorizing an atomic structures but also applying
30:22
them in a you know, in a clinical fashion to
30:25
kind of get the wheels turning you know, and their brains
30:28
early on in their training. So so I
30:31
found that that experience has yielded a
30:34
lot of interest in Radiology some
30:37
people come and maybe you know, they they decide it's not
30:40
for them, but I can only tell you that I've had
30:43
resulted in relatively regular conversations
30:46
with medical students, which I
30:49
generally try to plan for my drive home. So, you know,
30:52
it's a nice easy transition to the way home. But so that's
30:56
been a really gratifying experience and something I've been doing for a couple
30:59
years now and I intend to continue to do
31:01
And hopefully we're working on ways to
31:04
kind of share that experience with the Radiology community.
31:07
So hopefully we can get more Radiologists kind of.
31:11
Incorporated with anatomists at
31:14
various medical schools and trying to get that preclinical experience
31:17
available early on in
31:20
addition to that. We have a pre-clinical medical
31:23
student rotation. So we do
31:26
have our clinical rotation which is you know, m3's and m4s.
31:29
But we do offer a select group of m1s and
31:32
m2's, you know, two week electives
31:35
to come to radiology and kind of get
31:38
that exposure early on because as Dr. Juan kind of
31:41
alluded to it. It's not a core clerkship for
31:44
a lot of medical school. So
31:47
So in order to get people, you know in the
31:50
door early on we kind of allow for
31:53
this elective to get people engaged and familiar with
31:56
our specialty and provide and you
31:59
know an early exposure experience so they can decide maybe in M3
32:02
or M4. I want to take a take an
32:05
elective, you know, so
32:08
so I think it's been a great experience for the students and both
32:11
in the anatomy side and both on the preclinical clerkship side. I
32:14
know where I trained for medical school we did have a radiologist but
32:17
as mostly didactic, so it was didactic lectures
32:20
kind of showing images chest x-rays
32:23
how to read chest x-ray and and that actually
32:26
have it has its place but I think it's kind of
32:29
been showing that like flip classroom models and more Hands-On immersive
32:32
education have been, you know,
32:35
been a little bit more engaging and a
32:38
little bit more successful and kind of retention and things like that. So
32:41
I would encourage to try to
32:44
get as much hands on experience as possible and hopefully
32:47
we can facilitate that for for other medical
32:50
schools throughout the country and throughout the
32:53
world.
32:55
Getting people involved in reading room on rotations
32:58
can be challenging and students ask me.
33:01
What's you know, what's the best way for me to make a good
33:04
impression on a rotation and it's
33:07
you want to kind of put yourself in the mind of
33:10
the radiologist so things that you can look at and kind of
33:13
comment on or like what are what is the clinchief complaint or
33:16
where's the clinical indication for this case? So reading cases
33:19
in a vacuum is is not always
33:22
is infrequently the best way to read a
33:25
case It's always important to keep in mind the clinical context of the
33:28
case. So, you know, you can you know, ask probing questions
33:31
or look at the clinical indication and just think to
33:34
yourself. Okay on this rotation, like let's say I'm an internal
33:37
medicine and same example somebody comes in for right upper quadrant pain.
33:40
It's you know, usually they're concern for Cola cystitis.
33:43
What are the Imaging findings of that what laboratory examinations
33:46
might you look up to to suggest
33:49
if the patient has cholecystitis or if
33:52
they have kind of back up a bile and things
33:55
like that. So those are various, you know things you
33:58
could do but you also have to it's kind of nuance right you want to demonstrate interest
34:01
and you want to be engaged but at
34:04
the same time you don't want
34:07
and the radiologist always has a job to do they have cases
34:10
they have to read so it's kind of a delicate balance between being engaged
34:13
and interested but not
34:16
Overly, so I guess it can become that that's
34:19
the challenging part, but I would start by being engaged
34:22
in interested in see and see how things go from there.
34:25
And so to so great ways
34:29
to interface and the reading room are working, you know, the residents, right?
34:32
So you can always as medical students kind of enter, you
34:35
know talk to the residents kind of interface
34:38
with the residents get some information from them gleaning some
34:41
information so that you're prepared. You know, if you do when they do
34:44
go staff that case with the attending you can you know have something
34:47
valuable to say about the case or some feedback
34:50
to give so I'll maybe this
34:53
is a good place for me to transition and share my screen kind of
34:56
show an example of kind of what we do and ways
34:59
that people this will stop other
35:02
screen sharing. Do I want to continue I do I really do
35:05
I'm gonna go to here. Okay. So so
35:08
let's say we're at the hopefully you
35:11
guys can see Flora images and a PowerPoint,
35:14
right? Okay, perfect. So this is an example of one GI block
35:17
that will do GI again as gastrointestinal Imaging
35:20
and this is you know, my name so they'll
35:23
have this PowerPoint on one screen and
35:25
Have this series of patient images
35:28
on another screen. Okay. And so
35:31
this is I'm there and this is
35:34
also a great way for me to get met a residence in
35:37
our program involved in education. So usually I'll take two students
35:40
over two residents over there with me. So these
35:43
students have multiple people that they can ask questions. They're just
35:46
because there's about 30 people in the session. So one person
35:49
is insufficient to answer all the questions that a first year medical student
35:52
might have these sort of cases.
35:54
So, you know we talked about various Imaging modalities esophagrams
35:57
small ball follow throughs enemas CTS,
36:00
for example a little you know, so this
36:03
is all background information. They're going to get to background information. They
36:06
can read this ahead of time. They can read this on the day of but various
36:09
types of contrast agents for these types
36:12
of exams to kind of familiarize people with you know
36:15
indications for contrast, you know, oral contrast
36:18
or and what types of conscious can be
36:21
because this is all very pertinent to you know, surgical subspecialties as
36:24
well. You know, why to give one contrast agent
36:27
over another so we give some
36:30
background information but really and then some background Anatomy
36:34
We show some images on a normal esophagram. But really let's go
36:37
to the first task. So then they're facing the task, you
36:40
know, so find this case. So these are all patient cases from
36:43
you know, our clinical service here at uh, they've
36:46
all been anonymized scrubbed of the the data
36:49
and they're just here for the patients for
36:52
the students to use. So we're going
36:55
to scroll through this image and look at the you know, look at the
36:58
flow of contrast from the mouth through the esophagus to
37:01
the gastroesophageal junction. So, you know, and it's
37:04
giving some background information because you know, we use
37:07
in Radiology terms part of this whole training process is look
37:10
learning the lingo the language and we use terms like
37:13
density or radio lucency, you know,
37:16
so I try in my in my conversations with
37:19
students to give the technical term that we would use what
37:22
I call the smart way to say it and then
37:25
also the basic way to say it or this thing appears more
37:28
black or this thing appears more white. So I use them both just so
37:31
they can understand what I'm talking about. I always encourage the
37:34
Utilization of the proper terminology and so
37:37
now we're just following the contrast go through the
37:40
various parts of the esophagus and looking at the
37:43
various outlines of anatomic structures. So for example
37:46
here, this is our epiglottis closing over
37:49
the trachea, which is this radiolucency or
37:52
white thing that's anterior to the esophagus and we're looking at the
37:55
peristalsis of contrast through the esophagus. This
37:58
is a normal esophagam. There's no strictures. There's no
38:01
issues here and you know, we show the
38:04
various projections of in
38:07
here's the aortic Arch that's kind of displacing this
38:10
off against a little bit to the right but that's also normal and the
38:13
stomach so this is the students are doing this
38:16
on their own. Basically. I'm just there begging somebody
38:19
to ask me a question essentially. So I always that's one
38:22
thing I encourage them to do is to ask questions,
38:25
right if don't perseverate over something try to solve it
38:28
yourself see if it's in the PowerPoint. If it's not just feel
38:31
free to ask questions and even if you're just curious
38:34
About something, you know, please just ask because we
38:37
were here to make sure that you're understanding everything and
38:40
they really only have 35 minutes to go through all this
38:43
so part of it is that it's only a finite a lot amount of
38:46
time to get through all these images and you can imagine how many
38:49
questions might arise in that time.
38:51
So, you know and then we go through more cases
38:54
small ball follow throughs and there will be again additional cases
38:57
for them to look at. So this is a
39:00
small ball follow through just for the sake of
39:03
driving the point home RF abd-001. So
39:06
they so that's the other thing. I show them
39:09
not only are they learning Anatomy but they're learning like what it basic
39:12
packs or die com viewer might
39:15
look like right and the various things we can
39:18
do in a in a dicom viewer. So if
39:21
we go here we can see these images of
39:24
this patient swallowing contrast going
39:27
into the stomach, you know, we can see the first and second portions
39:30
of the duodenum and then we start to see the feathery jejunum
39:33
pattern, but they're also learning. Okay, I
39:36
can you know, I can measure lengths of
39:39
things on a pack station, you know, and I
39:42
can zoom I can invert images. I can
39:45
we talk a little bit about on CTS for example various
39:48
window, you know windowing is also a
39:51
way
39:51
Look at the same anatomy in a different
39:54
way. So if we go here, this is an abdominal window, but
39:57
we can go to the Bone window which is the best window every musculoskeletal radiologist
40:00
knows the bone Windows where it's at.
40:03
So then we can see the bones a little better. So
40:06
a little bit about physics a little bit about technology a lot about anatomy
40:09
and a lot about like clinical situations where this
40:12
kind of information can be pertinent to
40:15
them. And I found that this has parlayed and
40:18
at least a lot of conversations with medical students, which
40:21
hopefully will parlay into more, you know,
40:24
people interested in radiology and more people
40:27
going into radiology and I've only been doing this for a couple
40:30
years, but my hope is after a few years. We can look at
40:33
the data before implementing this Anatomy curriculum
40:36
and after implementing this Anatomy curriculum
40:39
and see has a truly parlayed and into more
40:42
people going into Radiology or not.
40:45
I mean, there's a lot of variables to consider as to why that
40:48
may or may not have been the case, but it's
40:51
interesting to look at nonetheless. So
40:55
A little bit about social media, too. I'm gonna stop sharing here.
40:58
I think I know how to do that is a stop
41:01
sharing already.
41:03
Or is it still sharing? So sharing the okay?
41:07
Stop share, there it is. Okay, so
41:11
a little bit about social media. I did give a grand rounds
41:14
to my department on social media one time and you
41:17
know, there's a lot of papers if you can read about it, but
41:20
just anecdotally social media has been an exceptional amazing
41:23
way Twitter specifically for me about a
41:26
way to interact with others
41:29
in the specialty both.
41:31
Students and trainees residents and and
41:34
attendings as well. You know, I can't met Dr.
41:37
Juan via Twitter admit Dr. Kalia who
41:40
had joined us at some point on Twitter. So as a
41:43
junior attending it's been a great way for me to interface
41:46
with a lot of you know, people using social
41:49
media kind of
41:52
arranging meetups at conferences and stuff like that has been really it's
41:55
been useful for that. I personally try to post a
41:58
lot of cases like practical things that come across every
42:01
day to to one kind of
42:04
educate other residents and students and
42:07
people around the world about, you know, types of
42:10
cases that at least I see in my clinical practice. But also
42:13
it's another way to kind of share my genuine
42:16
intellectual curiosity Dr.
42:19
Juan was kind of touching on that about how you know Radiology is
42:22
really great for people who have an intellectual
42:25
curiosity and a very cerebral and you know,
42:28
I'm posting things because I generally have
42:31
Save them like, oh that's a great case or that's very interesting or
42:34
it was initially puzzling and then as it became
42:37
more clear after biopsy and things like that.
42:40
So other people in the world are facing these same
42:43
situations same cases, so it's
42:46
great to to provide information although anecdotal
42:49
and end of one in these particular cases. It can
42:52
be useful to see other other places having
42:55
similar cases and questions as you and
42:58
also to provide some some
43:01
informative information for you
43:04
know, residents and medical students who are looking potentially
43:07
to go into Radiology, but I always try
43:10
to you know, go like tweet
43:13
to like Rheumatology because I have a
43:16
lot of interaction with rheumatologists and Pediatrics and
43:19
sports medicine and you know an Orthopedics
43:22
there's a lot of ways that we interact with all
43:25
these people and I try to make sure that I keep them all involved
43:28
because you know, we're all working together.
43:31
There to provide those care possible for patients. So I will
43:34
stop there and I guess we can
43:37
you know, it looks like there's some questions we could answer but
43:40
I appreciate it again. Everybody's time and listening to
43:43
me talk for the past 10 or 15 minutes.
43:54
But what's the best way to go about answering these should we?
43:59
I think some of them might be geared more towards the rad room
44:02
core faculty here
44:05
Arun actually and sahil.
44:09
Yeah, so if you want to go ahead and just pick a few and then read them
44:12
allowed, that would be great. Great.
44:16
Okay, how about I'll read them and then we can decide who's
44:19
going to answer them. I'll start with the first one. So great question.
44:23
How do we help new generation of Radiologists to
44:26
learn upcoming areas, like preventative Radiology
44:29
or pelvic floor sonography a faculty
44:32
both and I'd like to extend my support and academic programs
44:35
on these topics and help learning these for the Radiology
44:38
residents or others.
44:41
I can try to answer at least what my perspective would
44:44
be on that and you know, I think
44:48
kind of interfacing. Yeah with the with people in
44:51
the educational I guess
44:54
platform and that specific institution. So if we
44:57
want to help residents learn, I guess
45:00
getting plugged into the residency there or if you want
45:03
to help the medical students kind of understand the basics of
45:06
these modalities or when they might be best to
45:09
use getting plugged in with maybe an anatomy
45:12
Professor or maybe a specific clinical rotation
45:15
there and offering your services in general.
45:18
I find that, you know, the medical schools and
45:21
residencies are pretty interested in
45:24
having.
45:25
Guest lecturers and people who are
45:28
interested in education have an opportunity to educate others,
45:31
you know, so, you know, not everybody is
45:34
interested in whenever somebody is it's definitely a resource
45:37
that most places want to take advantage of so, I would start
45:40
by reaching out to those various faculty or
45:43
whether it's on the residency level or the medical school
45:46
level and offering your services and offering to
45:49
give a talk. I think it's the best way and then you know,
45:52
Dr. Juan has shown this too, but if you have
45:55
You know YouTube content or if you have electric you'd like
45:58
to record or something and put it on YouTube. You can always share that content
46:01
on a Twitter page or with a platform
46:04
like the Red Room where you know
46:07
information can be shared to a larger group of
46:11
people and there's there's other platforms like
46:14
the MRI online that is also sometimes, you
46:17
know, often having educational material distributed so
46:20
you can make it virtually and see, you know,
46:23
distributed to other organizations and see if
46:26
it catches on or locally. You can kind of
46:29
interface with residents residency programs and medical schools would
46:32
be my best advice for that.
46:35
Anybody else?
46:37
Or I can move on to the next question.
46:40
Okay. Do you
46:43
have any members in Africa specifically in Ethiopia? Do
46:46
you have that information readily available to you?
46:50
Yeah, so I guess the question is really about do we
46:53
have any people from ethiop using our platform or
46:56
do we have a members of our team? So in terms of the first part we
46:59
have any people from Ethiopia the answer is yes. I just took
47:02
a look at our Google analytics page and we have about 20 people in Ethiopia
47:05
there using your platform. So it's great to see that. You know,
47:08
our reach is going all the way there in terms of the members of
47:11
our team as far as student volunteers for maybe any medical schools
47:14
there. We currently don't so if the person asking this question
47:17
is a medical student or even an educator at a medical school.
47:20
If you have a student you think might be interested in serving as
47:23
the rad room student volunteer for your institution. Please have
47:26
them reach out to us. You know, our Twitter is at the rad
47:29
room. Our email is the Radiology room at gmail.com. We love
47:32
to talk to them and maybe get them in that role.
47:36
Excellent. And is there
47:39
a certain subspecialty of radiology that you think is good
47:42
introduction to Radiology for someone new to the field and how
47:45
do we lower the intimidation barrier?
47:49
So I would say Radiology in
47:52
general is very it's it's complex. Right? We
47:55
have a lot of different stuff Specialties neuro Radiology, you know
47:58
thoracic, you know msk Interventional breast, you
48:01
know, the list goes on and on and it can be very tough to
48:04
and even intimidating as you stated to learn
48:07
all of it, hence. That's why this is a residency and that's why
48:10
it takes four years and sometimes five or six years when
48:13
you do a fellowship. It's not very easy to master. But with that
48:16
said, I think that you know as a medical student,
48:19
you know, it's often nice just
48:22
to get the fundamentals, you know, maybe just learning about you know
48:25
chest, you know chest x-ray or you know abdominal extra,
48:28
you know, these are some of the more fundamental studies that we do
48:31
so, you know, you have to start somewhere obviously,
48:34
unfortunately and you know,
48:36
Oftentimes that's the best place to start because that's more
48:39
General that you know, most patients get
48:42
chest exercised when they come in the Ed or you know, when they come in for Imaging
48:45
so it's it's always start. It's always great to start
48:48
generally in terms of lowering the bar. I think that just
48:51
comes from the Educators right that comes from you know, I always
48:54
tell my medical students, you know, when I'm asking questions, like I'm
48:57
not expecting any of you guys to get this question. Right? Right. And if
49:00
you do it's a plus it's it's great. Like, you know, I, you
49:03
know kudos to you so, you know, I think that expectation needs
49:06
to be set by the people that are teaching courses and by the
49:09
people, you know, those that are actually educating so, you know, because
49:12
we understand that, you know, this is not these aren't things that you really learned
49:15
in medical school, right? You know, this is not it's it's a new
49:18
vocabulary. It's a new language that you're learning when you come into the Radiology
49:21
reading group when you come into the rad room, you know, literally, you know,
49:24
you're you're literally learning a new language.
49:27
So, you know, if those expectations are set you're
49:30
there to have fun you're there to learn that that's that's
49:33
all we can do.
49:35
Yeah, but go ahead Ashley. I
49:38
was gonna say I can add from a student perspective. I think I'm on
49:41
my fourth Radiology rotation right now. Just keep
49:44
on going back. But I agree that that
49:47
test radiograph is such a great place for students to start
49:50
not only is it it's actually think it's
49:53
one of those challenging things to really nail down but I
49:56
do think that conceptually it's really easy
49:59
for a student to understand and they're pretty short checklist of things that
50:02
they could go through and look for and then there
50:05
they should be pretty familiar with the clinical indications that
50:09
are but with that being said, I do think that students can
50:12
be challenged to see all of the things and I think that that's
50:15
a really makes Radiology. So interesting is
50:18
that I didn't know going into medical school that there
50:21
were so many Subs Specialties and there were so many options available.
50:24
So really anybody with any interest could find
50:27
a career in Radiology because there's so much available and I think
50:30
that it is nice for students to at least know that
50:33
those subscribe exist, even if they're not
50:35
reading those
50:37
reading those are helping to read those types of studies. I will
50:40
say that now I'm in my fourth month of my Radiology rotation
50:43
of the same preceptors that they've taught
50:46
me me MRI, so nothing is nothing's off
50:49
the table. So I think that and I also think
50:52
that Dr. Froggy check mentioned something really important earlier is that
50:55
learning the language is is difficult. But if
50:58
you also supplement that with what it means in layman's
51:01
terms, I think that makes it really approachable for students
51:04
and they can understand, you know, bright versus dark or this
51:07
is what I'm looking at. This is what it is our I just look for
51:10
this simple like sign or you know, I think
51:13
something that's really interesting. It's a PC sign and SVO like
51:16
so I was I was watching a resident scroll scroll
51:19
through images. I thought oh, how is he finding that the transition
51:22
point so fast. He's like, oh, I'm just looking just for
51:25
the CCS. I was like, oh, wow, so simple so really breaking
51:28
it down into those simple components. I think any such specialty
51:31
can be a virtual.
51:34
And just briefly piggyback as far
51:37
as so there's one part of this question is how do
51:40
we lower the intimidation barrier?
51:43
And I kind of you know as a student and
51:46
Resident I kind of struggled with that myself, you know, the chairperson
51:49
can be very intimidating and various, you know, Well published
51:52
Radiologists and stuff can be very intimidating and
51:55
I think you can lower it by just kind of as attending making
51:58
yourself approachable by
52:02
kind of letting your personality show a little bit. You know, it doesn't
52:05
we obviously are here we're professionals. We want to provide
52:08
the best care possible from the patients. But if you can
52:11
kind of let your personality show throughout Staffing sessions
52:14
talk about like random things like stranger things
52:17
or the new Game of Thrones show that came on our
52:20
you know in my office. I've got a big
52:23
LeBron poster and bunch of calves bobbleheads. Yes.
52:26
I'm like a radiologist. I'm a professional
52:29
but I'm real person who likes calves and
52:32
the Browns and just things that every day people like
52:35
so I think the more relatable you can be can and
52:38
talk about your personality and interests gardening whatever
52:41
it is can kind of help train you
52:44
feel a little bit more comfortable because then
52:47
you become I guess a little bit more relatables my husband
52:50
my experience I feel
52:53
Okay.
52:54
I'll move on we're kind of running out of time. It'll try
52:57
to answer as many as possible. Next one is what permissions you
53:00
need from your institution to post patient images. Is there some
53:03
time that needs to elapse they would be anonymous and
53:06
do you have your students into a
53:09
residents put together the cases to post?
53:14
briefly so for myself
53:16
my institution advises that basically as long
53:19
as there's no, you know protected health information on the
53:22
slide or there's no way that the patient can
53:25
identify that that slide is that so
53:28
even if there's no Phi but it's a very rare diagnosis that
53:31
just came in, you know, there's only one and all of Cleveland
53:34
or something like that. That's probably something that's not you may
53:37
want to withhold from posting but in general as
53:40
long as there's no Phi and it's something relatively common and you're
53:43
not giving too much clinical information for someone
53:46
to be able to identify that person is themselves. My institution
53:49
is pretty okay with that. It seems that to be
53:52
that seems to be relatively universally true. Oh on
53:55
Twitter as far as my and I don't
53:58
really have students or residents put together cases to
54:01
post on social media encourage them to post
54:04
things if they find it interesting and I don't definitely don't deter it.
54:07
But I just, you know kind of share my own experience and
54:10
give some tips as to why they should consider joining
54:13
and posting but
54:16
It's up to them. I guess if they want to or not.
54:20
Anybody else for that question?
54:23
Okay, one method to reinforce.
54:26
The idea is Imaging is the natural extension of the physical exam.
54:29
That is great point and very true. We also as part of
54:32
that Anatomy thing I was talking about the third part of the anatomy curriculum is
54:35
the physical exam and
54:38
point of care ultrasound
54:40
I think just to add to that doctor faraji. Not
54:43
only is it an extension? Unfortunately, or
54:46
fortunately these days it has
54:49
become the replacement for the physical exam, you know,
54:52
so and what I mean by that is that everyone is getting scanned like often times
54:55
people will come into the Ed.
54:57
They won't even have been seen and they're already there's
55:00
already a CT tool that PE on that patient, right?
55:03
So, you know, and this is why there's just such a radiologist become
55:07
so ubiquitous. Then we're getting constantly more and more
55:10
studies because you know for some especially in busy environments Radiology
55:13
that is replacing the physical exam.
55:16
So not only is it an extension in many ways. It's replacing
55:19
you know for good or bad. Yeah. That's
55:22
definitely true. I can't tell you how many times I've called
55:25
to ask for some clinical information about a
55:28
patient that the response was. I have not seen this
55:31
patient yet, but I'm already reading the exam. So, you know,
55:35
it's good for the safety of our profession and the
55:38
longevity of our profession, but it's I guess
55:41
not ideal in other ways.
55:44
So how about connecting radial residence
55:47
to faculties working groups to enhance their interest in any
55:50
new domain?
55:53
So what are ways to connect residents or to
55:56
faculty or working groups to enhance their interest?
55:59
And any new areas. Yes, so
56:02
we um in terms like the rad room
56:05
like our vision. So we have a large resident following and obviously
56:08
we've built a site up as you know, medical students and
56:11
so built resources as we've seen, you know,
56:14
kind of selflessly to what we're doing. We do
56:17
Envision that because we have a large resident following we're gonna plan
56:20
to expand include resources and opportunities for
56:23
residents. I can Envision, you know, I I can see
56:26
on a radiology rotation like our ones face a
56:29
big a steep client hail to climb in terms
56:32
of understanding and so much material. So there's great resources
56:35
that exist out there like rad Discord, but we
56:38
definitely Envision, you know, aggregating resources again for residents to
56:41
find a home for you know, whether it's a
56:44
just a place for discourse it like share difficulties facing
56:47
adjusting to Radiology residency resources
56:50
that have worked honky decks. There's
56:53
a whole host of ways. We can expand the
56:56
rad room for residents and that's definitely something we envision
56:59
Doing as we continue to grow our platform and we
57:02
already have a ton of resins on board. So obviously all
57:05
the applicants that follow us. They are hoping
57:08
to become Radiology residents. So as they move on
57:11
so will we as a website? So that's something we definitely
57:14
have until I don't know if Ashley or solve anything else to add to that.
57:21
I would just add that you can always you know, join various Radiology
57:24
organizations. I know the Aur
57:27
Association of University radiologist has like
57:30
a mentorship work group that I'm helping out with that a lot
57:33
kind of pairs residents and trainees with
57:36
similar interested attendings that
57:39
are looking or willing to Mentor somebody
57:42
and research and stuff like that. So those sort of organizations getting
57:45
involved in another way to kind of have organized.
57:48
pairing of people with similar interests
57:52
In case you were wondering Dr. Faraji is the head of
57:55
that auf mentally working through so I just wanted to
57:58
give him a shout out. So he's done a great job in in sort of
58:01
pairing people, you know residents, you
58:04
know other attendings, you know medical students
58:07
to others and it's an important group and you know, just want
58:10
to give a shout out to Dr. Faraji for that great work. Thanks for
58:13
the opportunity.
58:16
As for MRI online folks do should we
58:19
keep going through the questions or is there a timeline we need to abide by
58:22
or no, feel free to answer as many questions as you'd
58:25
like. All right. There's just a few left. So we'll power through
58:28
if that's okay with everybody.
58:31
Okay, are there any natural skill sets passions or
58:34
strengths that you think lend themselves well to a
58:37
career in Radiology.
58:39
So I think some of the things that I think we
58:42
look for in Radiology trainees or residents is really
58:45
things related to professionalism. So, you
58:48
know, it's
58:49
you can always train people. You
58:52
know what I mean? If you don't know what pneumo
58:55
peritoneum is I can teach you that but I can't necessarily
58:58
teach you to be very respectful or to teach you
59:01
to have a lot of enthusiasm or a passion for for
59:04
the field. So those are the things those
59:07
intrinsic qualities of professionalism, which is
59:10
often referred to as the hidden curriculum the hidden curriculum
59:13
in in medicine or Radiology are some of the most important
59:16
things and you know, if you look at you know, when I write
59:19
letters and recommendations for people, I'm not posting about. Oh,
59:22
you got it to 70 on us family I'm saying this guy
59:25
Arun is of extremely professional person. He's respectful. He's
59:28
kind he loves the field. These are
59:31
the things that I'm emphasizing these things that are more important, right? So those are
59:34
things are that that can be very important, you know
59:38
when you do a career in Radiology
59:41
And I'll just kind of add that I have
59:44
found that the most successful residents are the things like
59:47
it's very simple things that separate like an amazing resident
59:50
from like a good resident is the level of
59:53
you know, initiative and self-discipline. So
59:57
for example, you know Radiology it's easy
60:00
to come to work in like sit next to your attending and look
60:03
look at images and then they tell you what to say and then
60:06
you put it in a rapport and then you go home and you know play video
60:09
games or watch Netflix and I encourage everybody to
60:12
do those things. But before doing that go home
60:15
and read for an hour about whatever you saw
60:18
that day, so I find the best, you know that's presents
60:21
that are most successful or the ones that I can easily differentiate that
60:24
they're very very strong fund of knowledge are
60:27
ones that very deliberately and diligently on
60:30
a daily basis or maybe five out of seven days a week go home
60:33
and follow up on reads or
60:36
cases that they saw read a little
60:39
bit about it read an article about it go back.
60:41
To things that you sent your attending and make sure that they
60:44
didn't change any of your verbiage if they did why so these
60:47
people these kind of trainees that follow up and our
60:50
self-driven and self-motivated to to
60:53
maybe make a new website. For example, that's geared
60:56
towards medical students. Those are the types of people that you
60:59
know, nobody asked them to
61:02
do this. Nobody prompted them do this. They just went and did it, you
61:05
know, and that type of person who's kind of independent and
61:08
following up and those sort of things. I find in general
61:11
have the most success Radiology. So
61:14
I would encourage you to do that if you
61:17
become a radiology resident if you're not already,
61:21
Um, okay.
61:24
Going to apply next year International medical student, but these
61:27
days unavailability of those rotations to all medical students. What
61:30
do you suggest? How can one get into the field
61:33
or shadow?
61:34
To start with yeah, it is
61:37
tough. I will say so for example in our institution, we've got
61:40
like undergraduate local students and
61:43
then we have medical students and then you know, so we tend
61:46
to give priority to those that are already locally integrated
61:49
within the Consortium at least in the medical school or the
61:52
college that we're affiliated with.
61:55
So it can be tough and then there's always especially with
61:58
covid now, there's a limit to reading room capacity and things
62:01
like that, but I would encourage all of these
62:04
like platforms one is like reaching out or emailing, you know,
62:08
coordinators of various Radiology departments about
62:11
who you know, how you can get into the
62:14
reading room and it may take 50 25
62:17
emails before one grants you
62:20
the opportunity, you know, that's just unfortunately the nature of
62:23
the situation or interfacing with Radiologists. You see on
62:26
social media you can you know DM them and say hey I'd really
62:29
love to come do a rotation for a couple weeks that you're
62:32
institution. Can you direct me to the right person to email
62:35
or things like that? So I would check out
62:38
a lot of academic Radiology websites for
62:41
various departments, and usually they'll
62:44
have a contact hopefully on there for you. But if they do not then you
62:47
know, you can try other means to find
62:50
that contact information and you just got to get a lot
62:53
of emails out there and hope for the
62:55
Best I guess it is a little bit easier later in the year. I will
62:58
say so July August September. There's a
63:01
lot of local people who are getting ready to you know
63:04
apply and we give priority to the people who
63:07
are already integrated in the system. But later in the year
63:10
after application season has ended it becomes
63:13
a little bit more, you know.
63:16
Open I guess to other opportunities. So that's maybe a
63:19
little timeline piece of advice. I can
63:22
give you.
63:23
Yeah, just at that real quickly the right room actually hosted a
63:26
International Medical graduate webinar earlier this year.
63:29
We actually have that posted on our website under our webinars
63:32
Tab and it featured two International Medical graduates who
63:35
successfully matched into Radiology one this past
63:38
cycle and then the other one is actually a doctor wants institution. I
63:41
believe you he's currently in R3 so we
63:44
highly recommend you check that out. You know, we feel a lot of questions really
63:47
got some great advice from those too. So definitely recommend
63:50
that resource
63:52
And I just put it in the chat right now. So if you
63:55
want to curious check it out it's there.
63:59
Yeah, and then also like becoming a research fellow at any
64:02
of these institutions that has research fellows is a good
64:05
way to get your foot in the door. And then from there forming
64:08
relationships with faculty and
64:11
individual Radiology program can also be
64:14
useful. I would say
64:16
Okay, three more for IMG is
64:19
one of the best ways to show off in the pre-match period as we did not
64:22
have the opportunity to participating clinical rotations during medical school this
64:25
participation in a limited number of clinical rotations during
64:28
post-doc compensate for this and in other words the strong
64:31
participation and social media can that compensate someone
64:34
for a lack of physical clinical rotation during medical school?
64:39
I guess I could just say on my given my
64:42
role is in that associate program director.
64:45
It is useful when I'm looking at an application if I
64:48
can put a name or face to
64:51
that name and the best way to do that. One of the good ways to do that is from Twitter,
64:54
you know and social media if you're posting content
64:57
and involved in
65:00
the Radiology Community or if you're involved in some of
65:03
these, you know organizations. I that's
65:06
a good way to interface with people, you know,
65:09
again kind of research experiences as
65:12
far as research fellowships. It is difficult for an
65:15
IMG to match. I don't have the numbers in front
65:18
of me but in general without having like an abundance
65:21
of clinical or translational research
65:24
beforehand depending on
65:28
the situation, obviously every situation is different but
65:31
for example, like anecdotally we
65:34
had a International Medical graduate here
65:37
doing research in a different lab and a radiomics lab
65:40
at our institution and through that I work with
65:43
him on a project and then
65:45
We spoke back and forth. He shattered me
65:48
a couple times and then you know from there he met with our program
65:51
director and things like that. So being on site can really help.
65:56
But that's yeah, but yeah, if
65:59
if you can't do that then I think getting your
66:02
name and your interest out of your
66:05
social media on Twitter platforms can in part
66:08
compensate, but I would not expect it to fully compensate
66:11
for lack of like a interpersonal relationship.
66:14
I would say is a strongest way
66:17
to do that.
66:20
And okay, I'm gonna move on as well AI
66:23
become inclusive and already algae residency programs.
66:26
as the educational curriculum
66:30
I would Hazard to say yes, it's you know,
66:33
it's getting there already and we're you know,
66:36
every many institutions are starting to do some basic
66:39
AI research and Radiologists are leading
66:42
the way and in that research. So that's an also a
66:45
good indicator that AI is not going to take our jobs thankfully but
66:48
yes, it will
66:51
become inclusive. I anticipate more and more so as the
66:54
years progress.
66:57
This next one looks like one for the rap room folks. How
67:00
can students become involved with projects or
67:03
other opportunities created by the radram?
67:07
Yes, so we're gonna be announcing a pleather opportunities
67:10
coming in the near future very subcommittees that
67:13
you know task whether webinar organizations for
67:16
the coming years projects. I'm sure
67:19
Ashley's gonna touch on for this next question. We have coming up, you know
67:22
for whether it's women in Radiology International Medical
67:25
graduates. There's a whole host of initiatives and
67:28
we're gonna really separate the work and announce opportunities for
67:31
students to pursue. So just keep your eye out follow
67:34
us on Twitter at the rad room and you will get all
67:37
the updates there when these positions start becoming
67:40
available.
67:43
And I'll take the last question. What advice do you have for do medical
67:46
students interested in Radiology? So I am a
67:49
do student. I go to AP still out of Arizona and I'm at
67:52
California Campus. And so I definitely
67:55
have some funds of experience in this this little
67:58
realm I would say that something that Dr.
68:01
I was texting a Arun as a
68:04
hill during your presentation doctor froggy so that I wish I went Dr. Faraji's
68:07
campus because it seems like
68:10
that's such great opportunities. My school had some of those same opportunities
68:13
within didactics and I you know, I've obviously been able
68:16
to 15 irritation, but I would say just just using
68:19
that interest in Radiology to really drive you
68:22
to make those connections. So whether or not
68:25
that's like bringing up with Dr. Faraji's idea to your
68:28
academic Staffing if you're intoxicants or reaching
68:31
out to local radiologist to see how you can Shadow during the
68:34
preet, you know pre clinical years during clinical years. It
68:37
can be a challenge to find a rotation, but I would say
68:40
to just be persistent so
68:43
Try to use all this stuff on briefly with work for me was I reached out
68:46
to all of the local Radiology organizations Association and
68:49
companies that are near to me and I
68:52
also use my connections with other Specialties all the
68:55
doctors know each other. So if you know a family medicine doctor, they
68:58
might know radiologist, they definitely talk to the radiologist so or what
69:01
actually I would actually worked well for me is
69:04
that during my impatient rotation then I went down to the Radiology room
69:07
with literally any question I had and just try
69:10
to build relationships and I got a rotation that way so I would
69:13
just take advantage of things you do have and see you know,
69:16
how I can work out and then just don't be afraid to you know, ask I think
69:19
people love to know you're interested in a field that is a huge
69:22
complement and nobody's gonna you know get mad
69:25
at you for asking and if they don't know they might know somebody that has an
69:28
opportunity available for you, so don't be
69:31
afraid and then as far as getting involved, I think it's the same for
69:34
all students whether you know MD and I am G. But just
69:37
to reach out to these organizations and try to get involved try
69:40
to you know attend event so you can all of
69:43
Things make a difference and help you not only you know become part
69:46
of community, but learn more about radiology and know that it's you know a
69:49
great choice for you. So I just recommend trying as
69:52
much as you can nobody has a perfect application and so
69:55
just do as much as you can I think that's what you Dr. Roshe
69:58
have anything to add? No, I just agree
70:01
don't be deterred. If you get a couple knows the first thing, you know
70:04
while I'm very interested in Dr. Juan is very interested in
70:07
many Radiologists are super super interested in education and having people to
70:10
Mentor it's not for everybody. So it may
70:13
be that the first one or two people you ask, you know,
70:16
or they have like a bunch of research projects that they're just
70:19
too stressed out or something. But you know, you will find someone that
70:22
is interested. I would just encourage you to keep trying and don't be discouraged. It's
70:25
not you it's me type thing, you know.
70:29
All right. I think you all answered all of those questions. So thank
70:32
you so much for being here. I learned a lot and thanks
70:35
to all for your participation and earn in conference a reminder that you
70:38
can access the recording of today's conference and all our other previous student
70:41
conferences by creating a free MRI online account.
70:44
If you'd like access to our Mastery series courses case series and
70:47
much more educational content with a limited see me. You
70:50
can sign up for a free seven day trial of our premium membership.
70:53
Be sure to join us next week on Thursday, September 1st at
70:56
12:00 p.m. Eastern time for a lecture with Dr. Michael Lev from
70:59
Mass General Hospital on Advanced ctmr Imaging
71:02
for stroke patient treatment. You can register for
71:05
that lecture on our website and follow us on social media at the MRI online
71:08
for updates and reminders on upcoming noon conferences. Thanks
71:11
again, and have a great day.
Omer Awan, MD, MPH, CIIP
Associate Professor of Radiology
University of Maryland School of Medicine
Navid Faraji, MD
Assistant Professor, Musculoskeletal Imaging and Anatomy
University Hospitals of Cleveland
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