Training Program of Pediatric Radiology Orientation
Duration: Two months in the first, second and fourth academic years
Target group: Radiology residents
Setting: Educational ward of radiology
Professors: Professor of the department- Dr. Alamdaran and educational technologists of Dr. Sheykh Hospital
At the end of the program, residents should acquire sufficient knowledge and skills in pediatric radiology orientation.
Goals of First-Year Residents in Pediatric Radiology Rotation
· Be familiarized with embryology and natural evolutionary process of different systems of human body in childhood, particularly bone modeling, bronchial gap, and intestinal rotation.
· Know radiologic indications of congenital anomalies of different systems in human body.
· Be familiarized with basic principles of cardiovascular resuscitation.
· Be able to insert catheters fit into the bladder of male and female children with regard to their age.
· Be able to perform radiographic procedures with single or double contrast agents and fluoroscopy (such as barium enema, voiding cystourethrogram [VCUG], upper gastrointestinal [UGI], and intravenous pyelogram [IVP]) in pediatrics, and interpret the obtained results.
· Know the causes of choosing different radiographic techniques with single or double contrast agents and fluoroscopy (such as barium enema, VCUG, UGI, and IVP) in pediatrics.
· Be able to provide physicians with initial consults in choosing techniques of pediatric radiology (considering allergies and effectiveness).
Goals of Third and Fourth-Year Residents of Pediatric Radiology Rotation
Senior residents should know and be able to interpret the radiologic indications of pediatric diseases, particularly the following items. Meanwhile, the importance of acquiring the ability to perform and interpret the results of the following items is emphasized:
1. Invagination (causes, radiologic diagnosis, and treatment (hydrostatic reduction- pneumatic)
2. Hirschsprung’s disease
3. Common pediatric chest diseases (causes of respiratory distress in neonates [causes of increase or decrease of lung capacity], congenital lung diseases, and round pneumonia), and respiratory tract (croup and epiglottitis, bronchitis or asthma or aspiration, and foreign bodies)
4. Radiologic procedures regarding the infection of genitourinary system of children (sonography indications, Voiding Cystourethrogram (VCUG) or intravenous pyelogram [IVP]), bladder and urethritis diseases (neurogenic bladder, Posterior urethral valve [PUV], and anterior urethral valves [AUV])
5. Radiologic procedures regarding high and low ileus of children
6. Analysis of sonographies of gastroesophageal reflux, malrotation and volvulus, and hypertrophic pyloric stenosis
7. Bone traumas (fractures of torus, greenstick, ping pong, Salter-Harris, and child abuse suspected fractures)
8. Causes of acute abdomen in children (gastroenteritis, lymphadenitis, apandesis, appendicitis, blockage, invagination, and other uncommon causes)
9. Differential diagnosis of abdominal masses (kidney, retroperitoneum, and liver), and pelvic, liver and mediastinal, head and neck, brain, and pediatric body parts’ masses
10. Pediatric pneumothorax and pneumoperitoneum presentations
11. Sonography of brain and hip (joint effusion and developmental dysplasia of the hip [DDH])
12. Method of assessing skeletal dysplasia, genetic disorders, and metabolic diseases
13. Recognizing CT scan techniques with low dose and interpretation of pediatric brain MRI (tumor, infections, seizure and evolution delay)