ARRS 2022 Abstracts

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E1312. Virtual 6-Week Curricula in Musculoskeletal and Emergency Radiology with Interactive Case Readout Sessions During Covid-19 Pandemic
Authors
  1. Jessica Rotman; Weill Cornell Medical College
  2. Ashwin Asrani; Weill Cornell Medical College
  3. Lily Belfi; Weill Cornell Medical College
  4. James Kazam; Weill Cornell Medical College
  5. Roger Bartolotta; Weill Cornell Medical College
Background
Critical impacts of the COVID-19 pandemic on diagnostic radiology resident education include the need to: (1) create virtual yet interactive methods of teaching and (2) compensate for periodic low volume of elective outpatient imaging. As a combined musculoskeletal/emergency section at a large academic center in New York City, we needed to supplement both areas due to the complete lack of elective musculoskeletal MRI during the initial peak of the pandemic (completely cancelled for several months) and the shift of emergency case volume to predominantly pulmonary imaging (with sharp decrease in trauma-related imaging during lockdown).

Educational Goals / Teaching Points
We created two 6-week-long daily curricula for musculoskeletal and emergency radiology. The musculoskeletal curriculum is designed for first-year radiology residents, and the emergency radiology curriculum focuses on mid-level residents. These curricula ensure that residents see the full spectrum of important cases while on clinical rotation (because even common diagnoses might be absent from a specific resident's rotations purely due to chance). In this exhibit, we present these curricula as well as tips for HIPAA-compliant cataloging of cases and performing interactive virtual resident/attending readout sessions via Zoom. We present resident and attending feedback to provide helpful advice for successful implementation at other institutions.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Daily topics for the first 3 weeks of the musculoskeletal radiology curriculum include: adult trauma (one joint per day with review of anatomy and common injuries), pediatric trauma, spine, arthritis, periosteal reaction, bone tumors, osteochondroses, developmental abnormalities, and metabolic/systemic diseases. These sessions include 10 radiographs per daily module. The latter 3 weeks of the musculoskeletal radiology curriculum focuses on MRI of the knee, shoulder, and ankle (one joint per week with 2 MRIs per daily module). Daily topics for the 6-week curriculum in emergency radiology focus on one clinical indication per day with five cross-sectional exams per daily module. These daily themes span all areas of emergency radiology, including neurologic (e.g., headache, neurologic deficit, atraumatic neck pain, orbital infection, facial infection, facial trauma), musculoskeletal (e.g., ankle/foot trauma, hip MRI, shoulder pain MRI), thoracic (e.g., chest trauma, atraumatic chest pain), and abdominal cases (e.g., cancer complications, first trimester ultrasound, male genitourinary, pediatric abdominal pain).

Conclusion
Resident and attending feedback from these sessions was overwhelmingly positive with several unanticipated benefits. We plan to continue these daily curricula (either in-person or virtually) indefinitely beyond the pandemic.