Radiology Program

The Medical Education department under the leadership of the Director works to ensure that our system of postgraduate medical education is established according to the internationally acceptable criteria and meet all the requirements of the College of Physicians and Surgeons Pakistan (CPSP).

Program Director Message

Dr. Madiha Saeed Wahla

Alhamdulillah, in Shifa, we have a highly equipped Radiology department having state of the art CT scanners, MRI machines, Interventional Radiology unit, Ultrasound unit, Fluoroscopy and Nuclear medicine all under one roof, along with a number of qualified and experienced Radiologists. Our residency programme is fully recognized by CPSP and is well structured with daily teaching sessions, Clinico-radiological meetings and periodic written, OSCE and viva evaluations based upon CPSP exam format and residents are encouraged to do research. We welcome our residents and wish them a very meaningful and fulfilling stay.   

Year 1:

  • Gets himself/herself registered with CPSP before 31st July.
  • Primarily responsible for history taking and patient assessment in all sections of radiology.
  • Develops basic understanding of anatomy, physics, techniques and study protocols related to all sections of radiology.
  • Performs and reports procedures/ cases under direct supervision.
  • Prepares and submits his synopsis.
  • Contributes interesting cases to department library.

 

Year 2:

  • If first year resident not available, second year resident will be responsible for history taking and patient assessment.
  • Performs simple ultrasounds and x rays under indirect supervision and takes guidance for more complex exams/ other modalities from senior residents and radiologists.
  • In Angio/intervention rotation (which starts from 2nd year) has to be fully involved in patient’s counseling, consenting, initial work-up, assessment and post-procedural care. Learn commonly used and emergency medications (Indication, Dosage and complications) in VIR.
  • Gets his synopsis approved preferably during second year.
  • Contributes interesting cases to the department library.

 

Year 3:

  • Has increased responsibility to monitor and guide junior residents for proper functioning of the department
  • Performs most ultrasounds and x rays and fluoroscopy under indirect supervision and takes guidance for more difficult cases/ other modalities from senior residents and radiologists.
  • Clears his IMM examination.
  • Starts working on his dissertation and preferably submits it before start of fourth year.
  • Contributes interesting cases to the department library.

 

Year 4:

  • Functions as an independent specialist.
  • Supervises juniors as required.
  • Seeks help from consultants when needed.
  • Gets his dissertation approved
  • Contributes interesting cases to the department library
  • Program Director
  • Associate Program Director 
  • Chief Resident
  • Program Coordinator

Research Activities:

  • Every resident should be assigned to write 1 to 2 case reports / original articles during residency.
  • Each resident is expected to do at least one presentation in international / national radiological / other conference and at least three posters in his / her tenure of residency.
  • All this activity should play an important role in annual resident evaluation / promotion.

 

Miscellaneous Activities:

  • Maintain log book.
  • Submit all his / her presentations and teaching films to the departmental collection. 

Junior Residents R 1 and R2:

  • Patient care is utmost priority.
  • Take histories in CT / MRI.
  • Obtain informed consent in CT/MRI or in any other interventional procedure.
  • Work in close coordination with immediate seniors.
  • Attend the physician request of CT / MRI / U/S first and then coordinate with the senior residents.
  • R2’s will have more responsibilities in call hours regarding all the above described work.
  • He / she will do the U/S and then ask the senior to check the findings.
  • Should show the administrative skills to manage the work in the dept. and guide / supervises the radiographers and junior residents and taking guidance from senior residents as necessary.
  • During the last 3 months of R2 training, on call R2 will further act as an independent resident and will be under cover of a senior resident preferably R 4. He / she will do the most of the work firstly including opinion on complex CT / MRI and then get those findings checked by immediate seniors at the same moment.
  • Should try to follow preferably all radiological opinions / reports of on call hours’ patient or at least follow positive cases.

 

SENIOR RESIDENT R 3 / R 4:

  • As they are the senior residents they will have the primary responsibility of work load management / patient care.
  • Also have the responsibility of guidance / monitoring of junior on call residents to complete the floor work in a very professional way.
  • Senior resident will be the in charge of the radiology dept. in on call hours and his / her professional approach should reflect in working style.
  • Monitor work of junior residents and should be involved in U/S, CT, MRI and general reporting along with junior.
  • Give opinion on X-rays, CT, and MRI etc. to the other dept. colleagues when they asked for it and seek help from faculty directly when necessary.
  • Perform U/S guided interventional procedures under direct / indirect supervision.

Written and viva examination

  • General Radiology, physics and Nuclear Medicine tests which comprise short Essay questions and/or MCQs.
  • OSCE and/or VIVA of the particular section in general radiology.
  • Accumulated results reviewed per year.

 

Performance at Department Academic Rounds

  • Punctuality.
  • Behavior and attitude towards work/patient care.
  • Working co-operation with the colleagues and staff.
  • Quality of Resident presentation, Journal club and case presentation
  • Presentation style
  • Content

 

Each system is assessed by a written test, OSCE and/or VIVA.

WRITTEN TEST FORMAT:

Written test is composed of 3 short essay questions and/ or MCQs.

OSCE FORMAT:

Comprises of 10 cases related to topic.
Format of OSCE sheet:

  • Name of Resident
  • Name of Radiological Exam
  • Technique used
  • Findings
  • Diagnosis/differential Diagnosis
  • Any further radiological investigation.


 VIVA FORMAT:

Comprises of three films/ cases/ 3 minutes each.

Code of conduct and Disciplinary Policy for Disciplinary Issues:

  • Any compromise in patient care, lack of professional attitude and due respect to radiology staff, colleagues and seniors will be strictly dealt with.
  • Initially verbal counseling will be given.
  • If the offences continue, a written reprimand will be issued and punishments as per discretion of residency director will be given.
  • For serious offenses – Residency may be terminated.

ANATOMY:

  • Anatomy for Diagnostic Imaging.   (S.P. Ryan, M.M.J. McNicholas.)
  • Abrahams Atlas of Imaging

PHYSICS:

  • Christensen's Physics of Diagnostic Radiology/Bushong   
  • Farr

PROCEDURES:

  • Guide to Radiological Procedures Chapman.

POSITIONING:

Clark/ Finley/Eisenberg

TEXT BOOKS FOR RADIOLOGY:

Primer of Diagnostic Imaging.

Textbook of Radiology and Imaging:
Dr. David Sutton MD FRCP FRCR

  • Radiology Review Manual. Dahnert.
  • Aids to Radiological Differential Diagnosis  
    Stephen Chapman, Richard Nakielny.

Each resident does an average of one night in four on-calls within the Hospital premises, although occasionally one night in three or two may be necessary.

Residents are evaluated by faculty every month, based on their rotation. Feedback is provided by the Programme Director and Coordinator, every 3 months.
Annual TOACS and Year end PGME exams are conducted. In addition, formative assessments based on assorted topics may be arranged every 2-3 months.

Candidates are required to fill on-line application form. Please follow the steps mentioned below:
1. Register yourself by defining user name and password.
2. After your account is created, you will need to login to fill the Application Form. Programs offered will be displayed after registration.
3. A candidate can apply for only one program at a time.
4. Candidate may partially fill the form and save it on-line for resuming filling out the form later using login credentials.
5. Once the on-line application form is filled and submitted, candidate would be able to take a printout.
6. The hard copy of the on-line application form along with the required documents mentioned in the Application Form must be submitted to the PGME Office, Medical Staff Affairs either personally, through friends/relatives or through reliable courier service.

7. Check your junk emails (in case of email not received).

If there is still confusion, then follow these Steps

Step 1. Register yourself
Step 2. Check your email address and click on the received link
Step 3. Login
Step 4. Fill the Profile necessary information
Step 5. Submit
Step 6. Ok
Step 7. Online Application Form
Step 8. Select Program or Medical Officer
Step 9. Select specialty
Step 10. Submit
Step 11. Print application form.

All residents are encouraged to get involved in audits and research projects, however research project as per CPSP requirements is mandatory for all.

  • MBBS or equivalent.
  • One-year House Job
  • FCPS Part 1
  • Candidates applying for the program must have completed their M.B.B.S. from a recognized institution, one year of internship (House job) and should have cleared their F.C.P.S. part I examination.
  •  skills