The curriculum at Jacobi Medical Center is designed to give radiology residents graduated responsibility as they progress through their training. The six core rotations are neuroradiology, emergency radiology, fluoroscopic procedures and imaging, chest and body CT imaging, ultrasound and nuclear medicine. Elective rotations offered are pediatric imaging, interventional radiology, musculoskeletal imaging, mammography and body MRI imaging.
Each weekday begins with an hour-long didactic lecture beginning at 8:00 am. After the morning lecture, residents report to their assigned rotations and then re-convene again at 12:30 pm for another hour-long didactic lecture. Following the afternoon lecture, residents once again return to their assigned rotations until the end of the day, typically until 5:00 pm.
Call is broken up into short and long calls. Short call, which occurs on weekdays, is covered by a single resident from 5:00 pm until 9:00 pm. Long call, also covered by a single resident, lasts from 9:00 pm until 8:00 am (9:00 am on the weekends and holidays) the following morning. Long call is organized using a night float system where a single resident will typically cover 5-7 nights in a row, depending on scheduling constraints. Weekend days and holidays are covered by an individual resident from 9:00 am until 9:00 pm.
After satisfactorily completing an accredited internship, radiology residents at Jacobi Medical Center begin on the first Monday in July as a PGY-2. The first two weeks of training are a structured orientation during which time new residents are given dedicated lectures by faculty and senior residents with a focus on basic radiology principles. Following the two week orientation, each new resident will spend three continuous weeks cycling through each core rotation, with the first two being paired with a senior resident and the third dictating under the supervision of an attending radiologist. Starting in August, new residents take “junior call” with a senior resident on weekday evenings from 5:00 pm to 9:00 pm on a weekly basis. Starting in October, new residents will take additional “junior call” on weekend days from 12:00 pm to 9:00 pm. By April, first year residents are expected to take short call independently. As per ACGME regulations, first year residents do not take overnight call. Approximately 5% of call (not including “junior call” shifts) is shouldered by the first year radiology residents.
Unique aspects of the second year curriculum include independent long call, attendance of a weeklong MRI physics course taught by Dr. Michael Lipton, and rotations in mammography and opportunity. Approximately 50% of call, including seven weeks of night float, is shouldered by the second year radiology residents.
Unique aspects of the third year include a focus on preparing residents for the American Board of Radiology’s Core exam which include attendance of the American Institute of Radiologic Pathology month-long pathology correlation course. Additionally, accommodations are made in order to allow third year residents to interview for fellowship positions. Approximately 30% of call, including four weeks of night float, is shouldered by the third year radiology residents.
Unique aspects of the fourth year include rotations in PET-CT imaging at Montefiore Hospital and mini-fellowships where residents are able to focus on areas of radiology of personal interest. Approximately 15% of of call, including two weeks of night float, is shouldered by the fourth year radiology residents.
Early Specialization in Interventional Radiology
In 2018, Jacobi Medical Center’s ACGME application to become an Early Specialization in Interventional Radiology (ESIR) accredited program was approved. ESIR allows diagnostic radiology residents to gain an added level of structured experience in interventional radiology. Following graduation from the diagnostic radiology residency, residents who have completed the ESIR tract may enter an independent one-year residency position in order to complete their training in interventional radiology and become dual-board certified in both diagnostic and interventional radiology. Diagnostic radiology residents not pursuing ESIR are still required to experience required interventional radiology rotations.
In order to guarantee that residents satisfy both the case volume and diversity criteria established by the Society of Interventional Radiology, ESIR tract residents will have interventional radiology rotations at both Jacobi Medical Center and the Jack D. Weiler Hospital, which is also located on the Albert Einstein College of Medicine medical campus. Jacobi Medical Center will be able to accommodate up to two residents from each graduating class to pursue the ESIR tract.
Unfortunately, Jacobi Medical Center does not offer independent one-year residency positions for completion of an interventional radiology residency and so our graduating diagnostic radiology residents must complete their training at a separate institution.