MCPS Radiology

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DIAGNOSTIC

RADIOLOGY

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The College 1 Introduction 3 MCPS examination 4 General Regulations 5 Examination schedule 7 Syllabus 10

Useful Addresses and Telephone Numbers 27

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Composed by:

Syed Faisal Babar Department of Medical Education

Published: December, 2010

COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN

7th Central Street, Defence Housing Authority, Karachi-75500. Phone No. 99207100-10 UAN: 111-606-606 Fax No. 99266432

THIS IS AN EVOLVING DOCUMENT. The College of Physicians and Surgeons Pakistan

would appreciate any criticism, suggestions, advice from the readers and users of this document.

Comments may be sent in writing or by e-mail to the CPSP at:

National Directorate Residency Program (NDRP)

College of Physicians and Surgeons Pakistan (CPSP) 7th Central Street, Defence Housing Authority, Karachi-75500.

[email protected]

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D I A G N O S T I C R A D I O L O G Y

THE COLLEGE

The College was established in 1962 through an ordinance of the Federal Government. The objectives/ functions of the College include promoting specialist practice of Medicine, Surgery, Obstetrics & Gynaecology and other specialties by securing improvement of teaching and training, arranging postgraduate medical, surgical and other specialists training, holding and conducting examinations for awarding postgraduate degrees of the College, admission to the Fellowship of the College, and to provide for research.

Since its inception, the College has taken great strides in the direction of improving postgraduate medical and dental education in Pakistan. Structured training programs along with criteria for accrediatation of training institutions, and for the appointment of supervisors and examiners have now been developed. The format of examinations has evolved over the years to achieve objective and reliable methods of assessment. The recognition of the standards of College qualifications nationally and internationally, has enormously increased the number of trainees, and consequently the number of training institutions and the supervisors. This increasing demand coupled with advancement in medical sciences has gradually increased the number of fellowship disciplines to fifty three and of membership to eighteen. The average number of candidates taking CPSP examinations each year is over 22,500. The College conducts examinations for FCPS I (11 disciplines), IMM, FCPS II (53 disciplines), MCPS (18 disciplines) and DCPS (2 non-clinical disciplines).

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To coordinate the training and examination, and to provide assistance to the candidates undergoing training at places other than Karachi; College has established 12 Regional Centers and five Provincial Headquarter Centres in the country. The five Provincial Headquarter Centers in addition to organizing the capacity building workshops/short courses also have facilities of libraries and I.T.

It is important to note that in the overall scenario of health care delivery service, out of the total functioning and registered health care specialists in the country, over 85% have been provided by the CPSP. The College strives to continue its efforts in making its courses and training programs evidence and need based so as to meet international standards as well as to cater to the specialist healthcare needs not only for this country but also for the entire region.

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INTRODUCTION

The College of Physicians and Surgeons Pakistan has always designed its postgraduate training programs keeping in consideration the national and international needs. In Pakistan attempts have been made to improve the health status of the people through availability of trained personnel, adequate supply of medicines and establishment of greater number of health facilities. However, much more needs to be done in this respect. The main health related problems facing Pakistan are preventable communicable and non-communicable diseases, severe malnutrition and high incidence of birth resulting in high infant and maternal mortality. It is evident from the dismal health related statistics that efforts should be directed at improving healthcare facilities at the primary and secondary care levels. A need was therefore felt to train a group of mid level specialists who can provide quality services at these centers. The curriculum and training for MCPS have been developed to achieve this objective.

This booklet provides information to the trainees and supervisors regarding training requirements and assessment strategy for the MCPS in Diagnostic Radiology.

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MCPS EXAMINATION

The College conducts MCPS examination in the following 18 disciplines: D I A G N O S T I C R A D I O L O G Y

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1. Anaesthesiology 2. Clinical Pathology 3. Community Medicine 4. Dermatology 5. Diagnostic Radiology 6. Family Dentistry 7. Family Medicine

8. Obstetrics & Gynaecology 9. Operative Dentistry 10. Ophthalmology 11. Oral Surgery 12. Orthodontics 13. Otorhinolaryngology 14. Paediatrics 15. Periodontology 16. Prosthodontics 17. Psychiatry 18. Pulmonology

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GENERAL REGULATIONS

The following regulations apply to all candidates entering for MCPS examination:

Candidate will be admitted to the examination in the name (surname and other names) as given in the MBBS degree. CPSP will not entertain any application for change of name on the basis of marriage/ divorce / deed.

REGISTRATION AND SUPERVISION

All trainings must be supervised, and trainees are required to register with the RTMC within 30 days of the start of the training for MCPS. In case of delay in registration, the start of training will be considered from the date of receipt of application by the RTMC. Registration forms are available with RTMC and at the Regional Centers. The forms can also be downloaded from the CPSP Website. Training is compulsorily monitored by an approved supervisor who is a CPSP fellow or a specialist with relevant postgraduate qualifications and requisite experience, approved by CPSP and registered with the RTMC.

APPROVED TRAINING CENTRES

Training must be undertaken in units, departments and institutions approved by the College. A current list of approved institutions is available on the College

website: www.cpsp.edu.pk

DURATION OF TRAINING

The duration of training for MCPS is two years; MCPS examination can be taken only after completion of the

specified training and other requirements.

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MANDATORY WORKSHOPS

All candidates will attend following Mandatory Workshops and present certificate of attandence before they can be allowed to take the MCPS examination: 1. Introduction to Computer and Internet or exemption

test thereof

2. Communication Skills

ELIGIBILITY REQUIREMENTS FOR

MCPS EXAMINATION

● MBBS or equivalent qualification registered with the

PMDC.

● One year house job in an institution recognized by

the CPSP.

● Registered with the Registration and Training

Monitoring Cell (RTMC).

● Completed two years of registration with RTMC

training under an approved supervisor in an institution recognized by the CPSP. A certificate of completion of training must be submitted, verifying that the rotational training in the specified disiciplines for the required period has also been undertaken.

● Submitted attested logbook.

● Submitted certificates of attendance of mandatory

workshops. D I A G N O S T I C R A D I O L O G Y

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7 EXAMINATION SCHEDULE

● The MCPS theory examination in Diagnostic

Radiology are held twice a year.

● Theory examinations are held in different cities of the

country depending on the number of candidates at a center. Presently the centres are Abbottabad, Bahawalpur, Faisalabad, Hyderabad, Islamabad, Karachi, Lahore, Larkana, Nawabshah, Multan, Peshawar and Quetta. The College’s decision to hold theory/clinical examinations depends on the number of candidates in a city and candidates will be informed accordingly.

● Clinical examination will be held for only those

candidates who qualify in theory.

● English is the medium of examination for the

theory/practical/clinical and viva examinations.

● Any change in the centres, dates and format of the

examination will be notified by the College before the examination.

● Each successful candidate in the MCPS examination

shall be granted MCPS diploma after successful qualification of exams and being elected by the College Council upon payment of registration fee and other dues as per rules of the College.

● A competent authority appointed by the College has

the power to debar any candidate from any examination if it is satisfied that such a candidate is not a fit person to take the College examination for using unfair means/misconduct or other disciplinary reasons.

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8 EXAMINATION FEE

● Fee deposited for a particular examination shall not

be carried over to the next examination in case of withdrawal/absence/exclusion.

● Application along with the prescribed examination fee

and required documents should be submitted latest by the last date notified for the purpose before each examination.

● The details of examination fee and fee for change of

centre, subject, etc. shall be notified before each examination.

● All fee are payable by bank draft/pay order made out

to the “College of Physicians & Surgeons Pakistan”. Personal cheques and postal orders are not accepted. However fee can be paid in cash at the accounts department of the CPSP at Karachi or at specified branches of UBL in most cities.

Refund of fee

● After submitting an application for examination, if a

candidate decides not to appear, a written request for the same should be submitted up to the last date of the receipt of application. In such cases the refund is admissible to the extent of 75% of fee only. No request for refund will be accepted after the last date of receipt of the application.

● In case the application for examiantion of a candidate is

rejected by the CPSP, 75% of the examination fee will be refunded, after deducting 25% as processing charges. No refund will be made, for fee paid for any other reason, e.g. late fee, change of centre/subject fee.

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9 FORMAT OF EXAMINATION

The MCPS examination in Diagnostic Radiology comprises of:

I. Theory

Two written papers:

Paper I 10 SEQs 3 hours

Paper II 10 SEQs 3 hours

Physics will be covered in Paper One.

II. Clinical

Film reporting session:

20 films to be reported in 100 minutes.

Table viva:

03 Stations (two examiners on each table). 30 minutes on each table.

Only those candidates who qualify in theory will be called for viva examination.

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SYLLABUS

The outline of various topics given in this syllabus is a guide to what at the moment are considered to be important topics which the candidate is expected to know. This is to help both the candidate and the examiner in defining the minimum boundaries of MCPS examination. 1. Radiological Anatomy 2. Physics 3. Protection 4. Film Technique 5. Special Technique 6. Clinical Radiology 7. Nuclear Medicine 1. RADIOLOGICAL ANATOMY

Chest and back

Thoracic contents:

Diaphragm, surface relation, principle thoracic contents, great vessels, esophagus, lungs, pleura, heart and aorta.

Abdominal contents:

Stomach, duodenum, small and large intestines, liver, gall bladder, spleen etc.

Head and neck:

Thyroid, salivary glands, eyes, ear, nasal cavities, mouth, pharynx, larynx, vessels and nerves.

Brain and its associated vessels, subarachnoid space and spinal cord, vertebral column, muscle movements.

Genitourinary system:

Kidneys, ureter, bladder, female and male pelvic organs. Cross sectional and multiplannar anatomy.

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2. PHYSICS

1. Fundamental Physics of Matter and Radiation

a. Basic physics

Fundamental properties of matter and radiation decay. Interactions of ionising radiation with matter b. Radiation Hazards and Dosimetry

Biological effects of radiations Risks of radiation

Principles of radiation protection

- Justification

- Optimisation

- Limitation

Absorbed dose, equivalent dose, effective dose and their units

2. Practical Radiation Protection

a. General Radiation Protection

b. Radiation protection of the patient including pregnant women, infants and children

c. Radiation protection of staff & members of the public d. Use of radiation protection devices

3. Statutory Requirements and Non-Statutory Recommendations

4. Diagnostic Radiology and Radionuclide Radiology a. Diagnostic Radiology Production of X-rays - General tubes - Mammography Radiological image

Factors affecting radiation dose & image quality Quality assurance and quality control

Conventional film processing Digital Film Processing

Computers in Radiology

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b. Fluoroscopy and Fluorography Image intensification

Operator controlled variables Measurement of image quality

Factors affecting radiation dose & image quality c. Computed Tomography Scanning (Introduction)

Basic physics of CT

Factors affecting radiation dose & image quality d. Patient Dosimetry

Methods

Diagnostic reference levels (including high dose techniques)

Magnitude and measurements e. Radionuclide Imaging (Introduction)

Fundamentals of diagnostic use Properties of radiopharmaceuticals

Factors affecting radiation dose & image quality Radiation protection requirements for

- Conception, pregnancy and breastfeeding

- Arrangements for radioactive patients

- Keeping of radioactive substances

- Disposal of radioactive waste

5. Cathode Rays

Production of cathode rays. Construction of cathode ray tubes (CRT). Penetration and absorption, velocity. Secondary and scattered electrons. Production of roentgen rays.

6. Production and Properties of X-rays

The Roentgen tube, general properties. diffraction of roentgen rays by crystal. Roentgen spectrum. Characteristics of radiation. Absorption of roentgen rays. Reflection and refraction.

Secondary rays:

- scattered radiation, Compton effect

- characteristic radiation D I A G N O S T I C R A D I O L O G Y

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7. Production of ionization

Measuring instruments. Exposure time. Valves, rectifiers and high tension generators and transformers for Diagnostic Radiology.

8. Measurements of X-Rays

Quality measurements

- Voltage - Spectrometer

- Anode material - Filtration

Radioactivity

Alpha, beta and gamma rays: their detection, uses and properties.

Radioactive changes, radioactive equilibrium, absorption coefficient, half-life periods, dose meters, isotopes, atomic structure.

X-ray Tube

Cooling of X-ray tube, rotating anode tubes, focal spot, rating of tube.

Practical Application of X-rays and Diagnostic Imaging

Positioning equipment, diaphragm, fluorescent and intensifying screens, image intensifier, localization, tomography.

Grids, its lead contents, types etc.

Basic principles of ultrasound, CT scan and MRI.

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3. PROTECTION FROM X-RAYS

A. General considerations

Maximum permissible dose. Shielding from direct radiation.

Protection from scattered radiation:

Clinical Applications of Protective materials including design construction and implementation of radiological installations.

B. Protection from X-rays

General recommendations: definition, rooms for x-ray apparatus, making of protective devices, tube enclosures.

C. Recommendations of the Advisory Committee on x-ray and radiation protection

4. FILM TECHNIQUES

X-ray film, physical characteristics, characteristic curve, film processing. Contrast and definition in x-ray film. Development and temperature, development and fixing solutions, developing equipments, dark room, tank development. Errors in exposure, faulty techniques. Geometrical effects on film: magnification, distortion, penumbra, blurring.

Digital processing and use of computers in radiology. Positioning in Radiology. D I A G N O S T I C R A D I O L O G Y

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5. SPECIAL TECHNIQUES

(Basic Knowledge)

Conventional Tomography, Cine radiography, Angiography.

Special investigations of CNS. Myelography. Basics of CT and MRI.

Diagnostic Procedures

CNS Myelography

Eye Dacrocystography

Foreign body localization

GIT Sialography

Barium and contrast studies

Respiratory system Pleural aspiration

Hepatobiliary system Ultrasonography

Cholangiography Drainage procedures

Genitourinary Excretory urography

Cystography Urethrography

Hysterosalpingography

Ultrasonography (including obstetrics) Drainage procedures

CVS Limb Venography

Doppler of peripheral vessels.

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6. CLINICAL RADIOLOGY

OBJECTIVES: At the end of two years residency, the

resident should be able to:

Breast

● understand and identify breast pathology and

clinical practice relevant to clinical radiology

● understand and identify radiographic techniques

employed in diagnostic mammography

● understand and identify the principles of current

practice in breast imaging and breast cancer screening

● understand and identify the proper application of

other imaging techniques to this specialty (e.g. ultrasound, magnetic resonance imaging and radionuclide imaging)

● Radiation Protection, International and PNRA

Regulations, etc.

● identify normal vs. abnormal anatomic structures

● discuss technical and physical factors unique to

the production of a mammogram.

● make a preliminary review of mammogram films

advise the technologist on the need for additional views

● establish a plan for follow-up protocol for

probably benign lesions.

● select cases for appropriate ultrasound

examination.

● interpret ultrasound examinations.

● read and dictate mammograms of common

breast disease and is well versed with use of BIRADS

● observe and perform under supervision breast

biopsy and localization; is knowledgeable about the equipment used for breast imaging and quality assurance issues.

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Heart

● show knowledge of cardiac & great vessel

anatomy, pathology and practice relevant to clinical radiology. This includes ischaemic heart disease, valvular disease, congenital diseases and pericardial pathologies.

● understand and identify the manifestations of

cardiac disease demonstrated by conventional radiography

● report plain radiographs & CT performed to

show cardiac disease

Chest

● comprehend respiratory anatomy and clinical

practice relevant to clinical radiology

● identify the manifestations of thoracic diseases

as demonstrated by conventional radiography and CT

● identify the application of radionuclide

investigations to chest.

● report plain radiographs performed to show

chest disease & identify anatomy and significant pathology as seen on CT. This includes alveolar lung disease, interstitial lung diseases,

atelectasis, airway and obsturctive diseases, mediastinal masses and mediastinal / hilar lymph node enlargement, solitary and multiple nodules, changes related to trauma, chest wall, pleura and diaphram and congenital anomalies.

● observe and perform under supervision

image-guided biopsies of lesions within the thorax

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Gastrointestinal (including Liver, Pancreas & Spleen)

● identify gastrointestinal anatomy and clinical

practice relevant to clinical radiology

● identify the radiological manifestations of disease

within the abdomen on conventional radiography, contrast studies, ultrasound and CT.

● identify the applications, contraindications and

complications of relevant interventional procedures

● discuss the proper clinical and radiologic

indications for most of the contrast examinations related to gastrointestinal diseases.

● applies the knowledge of the physiologic

properties, proper concentrations and proper indications for the use of all relavant contrast material and pharmocologic agents.

● recognize the normal radiographic appearance

of the structures of the GI tract

● describe and/or discuss gastrointestinal tract

pathology in specific detail

● perform and report transabdominal ultrasound

and CT of the gastrointestinal system and abdominal viscera

● demonstrate basic knowledge of the equipment

to be used for fluoroscopy and CT techniques for the various procedures; plus radiation safety features of the machines, and proper radiation safety techniques

Musculoskeletal including Trauma

● applies the knowledge of musculoskeletal

anatomy and variants and clinical practice relevant to clinical radiology

● identify the manifestations of musculoskeletal

disease including trauma as demonstrated by conventional radiography, nuclear medicine, CT and basic MRI

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● discuss basic bone physiology and pathology

● list and describe the basic principles of

examination of musculoskeletal studies.

● state the indications for computed tomography,

plain tomography, MRI and bone scans.

● Describe the use of equipement, indications,

contraindications besides the basic techniques used for identifying, characterising the osseous lesions

● Perform basic interventional procedures

relavant to skeletal radiology.

Neuro-Radiology / Head and Neck Imaging including Ent/ Eye and Dental

● applies the knowledge of neuro-anatomy of

head and neck and clinical practice relevant to neuro-radiology

● identify the manifestations of CNS, ENT/Eye and

Dental disease as demonstrated on conventional radiography, relevant contrast examinations, ultrasound, CT, conventional and advanced imaging, myelography including CT / MRI.

● aware of the applications, contraindications and

complications of invasive neuro-radiological procedures

● aware of the application of ultrasound with

particular reference to the thyroid and salivary glands and other neck structures

● aware of the application of radionuclide

investigations with particular reference to the thyroid and parathyroid glands

● demonstrate a proficient knowledge of the

anatomy of the head and neck, spine & central nervous system, given normal neuro images

● demonstrate a thorough knowledge of the

vascular anatomy of the central nervous system,

given an appropriate film

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● interpret information of a given appropriate

neuroradiology plain film

● discuss the basic principles of CT and

MRI physics relavant to neuroradiology

● describe in considerable detail, CT and MRI

imaging protocols

● report plain radiographs in the investigation of

neurological disorders

● report plain radiographs and CT performed to

show ENT / Eye and Dental diseases performing and reporting relevant contrast examinations (e.g. including video barium swallows, sialography and dacrocystography)

● perform and report ultrasound of the neck

(including the thyroid, parathyroid & salivary glands

● supervise and report cranial and spinal CT

and MRI essentially related to acute emergencies

- screen, prescribe, and supervise routine

neuro-imaging procedures

- supervise and screen imaging patient

- demonstrate proficiency in performance and

interpretation of myelograms

● observe carotid ultrasound including Doppler

● report brain CT under supervision and

independently

● observe or gain experience in performing

ultrasound of the eye

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Obstetrics and Gynaecology

● apply the knowledge of obstetric and

gynaecological anatomy and clinical practice relevant to clinical radiology

● apply the knowledge of the physiological

changes affecting imaging of the female reproductive organs.

● apply the knowledge of the changes in fetal

anatomy during gestation and the imaging appearances of fetal abnormality including use of doppler

● report imaging including CT & MRI performed

to show obstetric and gynaecological disorders

● perform and report transabdominal and

endovaginal ultrasound in gynaecological disorders

● perform and report procedures used for

assessment of infertility and pelvic insufficiency, besides pelvic and obstetrical interventions.

Uro-Radiology

● know urinary tract anatomy and clinical practice

relevant to clinical radiology

● know the manifestations of urological disease as

demonstrated on conventional radiography, ultrasound, CT and MRI. Familiarity with the current application of radionuclide and

molecular imaging concerning kidneys, ureters, bladder, prostate, seminal vesicles,

scrotum/testes.

● use contrast media effectively.

● recognize the normal radiographic and pathologic

appearance of the structures of the Genitourinary tract

● given an appropriate radiograph, demonstrate

a basic knowledge of radiologic abnormalities of the Genitourinary tract

● describe or discuss Genitourinary tract

pathology in specific detail.

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Paediatric Radiology

● apply the knowledge of pediatric anatomy and

clinical practice relevant to clinical radiology

● apply the knowledge of disease entities

specific to the pediatric age group and their clinical manifestations relevant to clinical radiology

● apply the knowledge of disease entities

specific to the pediatric age group and their manifestations as demonstrated on conventional radiography, ultrasound, contrast studies and also in CT scan, MRI and radionuclide

investigations for the most common pathologies

● identify abnormalities associated with head and

neck, chest, abdomen and pelvis including genitourinary system, skeletal, metabolic and endocrinologic abnormalities.

● describe the proper procedure related to use of

fluoroscopy in infant/older child

● establish bone age on the basis of radiographic

findings

● report imaging performed in pediatric trauma /

NAI; perform transcranial pediatric ultrasound

Vascular Intervention

● apply the knowledge of vascular anatomy and

clinical practice relevant to interventional radiology

● demonstrate familiarity with the indications,

contraindications, pre-procedure preparation (including informed consent), sedation and anesthetic regimes, patient monitoring during procedures and post-procedure patient care

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● demonstrate familiarity with procedure and post-procedure complications and their management for common vascular and nonvascular

interventions.

● perform and report Ultrasound (including

Doppler) for venous and arterial pathologies and has essential knowledge of use of CT/MRI angiographies.

● demonstrate familiarity with the equipment and

techniques used in vascular, biliary, and renal interventional techniques

7. NUCLEAR MEDICINE

The candidate should have training in Nuclear Medicine for 6 weeks, which should be certified by the Supervisor.

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GENERAL PROFESSIONAL

DEVELOPMENT

In addition to the radiological knowledge the trainee will also be expected to attain an appropriate level of knowledge in:

● clinical conditions in which radiology has a role

in diagnosis and/or treatment

● applied pathology and physiology where it

contributes to a better understanding of radiological signs and methods of investigation

● those aspects of clinical medicine and pathology

which are essential to the safe and effective conduct of interventional procedures

● current trends and recent advances in

clinical radiology

● medical ethics

● communication (breaking bad news, consent,

communication with colleagues, etc.)

The trainee will develop skills as part of his/her general professional development in:

● teaching

● clinical audit

- clinical effectiveness

- clinical risk management including

discrepancy review

- quality standards

Health informatics

The trainee should:

● develop core skills in information technology,

especially the ability to perform basic word- processing, and to access computerized medical databases, electronic mail systems and the internet

● keep abreast of developments in information

management relevant to radiology

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PROCEDURES

The clinical skills, which a member in the respective specialty must have, are varied and complex. The level of competence to be achieved is indicated as follows:

1. Observed

2. Assisted

3. Performed under supervision

4. Performed under indirect supervision

5. Performed independently

Competency Chart Procedure Year 1 Year 2

Cases Level Cases Level

GI - Contrast studies 30 1/2/3 50 4/5 I.V.U. 50 1/2/3 50 4/5 T-Tube Cholangiogram 10 1/2/3 10 3/5 Sinogram/ Fistulogram 10 1/2 10 3/4 Checking of radiograph/ 500 1/2/3 500 3/5 Film Reporting Urethro/Cystogram 20 1/2/3 30 4/5 E.R.C.P/PTC. 01 1/2/3 04 4/5 Hysterosalpingography 20 1/2/3 30 4/5 Myelography - - 05 1/2/3/4 Sialography - - 03 1/2/3/4 Dacrocystography - - 03 1/2/3/4 Antegrade Urography - - 02 1/2/3/4 Venography - - 05 1/2/3/4

Ultrasound all systems 250 1/2/3 250 4/5

Obs. US 200 1/2/3 100 4 / 5 Doppler ultrasound - - 20 1/2/3 Aspirations, drainage - - 10 1/2/3 procedures biopsies CT 10 1/2/3 40 4/5 Mammography - 1/2/3 20 4/5

Rotation to Nuclear Medicine SIX WEEKS

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LOGBOOK

Trainees are required to maintain a logbook in which entries of all academic / professional work done during the period of training should be made on daily basis and should be signed by the supervisor. Completed and duly certified logbook will form a part of the application for appearing in MCPS Diagnostic Radiology examination.

The College reserves the right to alter/amend any rules / regulations.

Any decision taken by the College on the interpretation of these regulations will be binding on the applicant.

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27 USEFUL ADDRESSES

AND TELEPHONE NUMBERS

1. Regional Offices of the CPSP

MUZAFFARABAD CMH Muzaffarabad Azad Kashmir TEL: 058810 - 43307 FAX: 058810 - 43902 Email: [email protected] ABBOTTABAD

Ayub Hospital Complex Abbottabad

TEL: 0992-383330

Email: [email protected]

PESHAWAR

Hayatabad Medical Complex Phase IV, Hayatabad, Peshawar UAN: 091-111-666-666 TEL: 091-9217011, 091-9217320-1 FAX: 091-9217062 Email: [email protected] ISLAMABAD

P.I.M.S, Ravi Road, Sector G- 8/ 3 Islamabad. UAN: 051-111-666-666 TEL: 051-9262590-1, FAX: 051-9262592 Email: [email protected] FAISALABAD

Punjab Medical College Faisalabad UAN: 041-111-666-666 TEL: 041-9210131, 9210366-8 FAX: 041-9210224 il:[email protected] LAHORE

Next to INMOL, Hospital New Muslim Town, Block-D Lahore. UAN: 042-111-666-666 TEL: 042- 9231320-8 FAX: 042- 9231327 Email: [email protected] MULTAN

Nishtar Medical College,

Distt. Jail Road, Opp Circuit House, Multan.

UAN: 061-111-666-666 TEL: 061-9200946, 9200952 Email: [email protected]

BAHAWALPUR

Quaid-e-Azam Medical College Bahawalpur

TEL: 062- 9250461

NAWABSHAH

Peoples Medical College for Girls Nawabshah

TEL: 0244-9370271, 9370479 FAX: 0244-9370478

LARKANA

Chandka Medical College Larkana

TEL: 074 – 9410726

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HYDERABAD

Adjacent to Sir Cowasji Jehangir Institute of Psychiatry, Hyderabad, Sindh. TEL: 022-3860056 FAX: 022-3860057 Email: [email protected] KARACHI 2. UAN – 021-111-606-606 ● Examination (FCPS Part I) 99207100 -10 Ext: 311

● Examination (FCPS Part II)

99207100 -10 Ext: 215

● Department of Medical

Education

99207100 -10 Ext: 305

● Registration, Training &

Monitoring Cell 99207100 -10 Ext: 320 For further Information: Phone: 99207100-10 UAN 111-606-606 Facsimile: 99266450 Website: www.cpsp.edu.pk

QUETTA

Near Cenar Hospital, Off: Brewery Road, Quetta

TEL: 081-9213434 & 081-2913435 Email: [email protected]

3. Saudi Arabia RIYADH

Saudi Commission for Health Specialities, Diplomatic Quarter, P.O. Box 94656 Riyadh -11614, KSA. TEL: 966-1-4822415 Ext: 156/141 966-2-6401000 Ext: 25843 Email: [email protected] 4. Nepal KATHMANDU

T.U. Institute of Medicine Maharajganj, Kathmandu, Nepal

TEL: 977-1- 416224

Departments of CPSP Karachi OVERSEAS CPSP CENTRES

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