UCSD Musculoskeletal Radiology
bonepit.com
Orientation
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UCSD Musculoskeletal Radiology bonepit.com Orientation |
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How to read the faculty roster
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Below are the pages from the orientation package
June 26, 2007
2007 – 2008 MSK Fellowship Master Schedule
| Name | Jul | Aug | Sept | Oct | Nov | Dec | Jan | Feb | Mar | Apr | May | June |
| Bhardwaj, Grace | ||||||||||||
| Bilow, Ron (5/1/07 – 10/31/07) |
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| Brown, Doug
(2 month Navy fellow) |
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| Buono, Darren | ||||||||||||
| Cheng, Rosalyn | ||||||||||||
| Covert, Sabrina (Canadian) |
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| Gorbachova, Tetyana (12/1/07 – 11/30/08) |
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| Jeras, Vic
(11/1/07 – 7/31/08) 9 mo |
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| Khasgiwala, Vaibhav | ||||||||||||
| McNair, Tracy (Canadian) |
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| McNairy, Matthew | ||||||||||||
| Olofsson, Donald (1/1/07 – 9/30/07) |
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| Sherwood, Scott 3/1/07-8/31/07 |
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| Stewart, Craig | ||||||||||||
| Taysom Danielle
(2 month Navy fellow) |
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| Whang, Tom | ||||||||||||
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13 | 13 | 11 | 11 | 11 | 11 | 11 | 11 | 11 | 11 | 11 | 11 |
Fellow Research Meeting
MSK section Research Meeting
Friday July 20
7:30 am – 8:30 am
VA Medical Center, Conference room
Chaired by Dr. Christine Chung
Potential research topics for the year will be discussed.
Tudor has put the research list of projects on the "fellows current" page behind the username "bonepit" password "boners". If you tell Tudor when you accept a project, he will add your name to the file.
Pending Info
Information will be sent to you from Christine regarding Tuesday morning Cartilage Research Group meeting 11-12 am at Hillcrest 3T MR building.
Information will be sent to you from Christine regarding Thursday morning MR Physics lectures at VA. These will start in August.
SCRIPPS CLINIC RADIOLOGY SCHEDULE
JULY 2007
Monday JULY 2 Mini Pathria
Tuesday JULY 3 Donald Resnick
Wednesday JULY 4 Holiday
Thursday JULY 5 Tudor Hughes
Friday JULY 6 Amil Gentili
Monday JULY 9 Mini Pathria
Tuesday JULY 10 Donald Resnick
Wednesday JULY 11 Christine Chung
Thursday JULY 12 Tudor Hughes
Friday JULY 13 Amil Gentili
Monday JULY 16 Christine Chung
Tuesday JULY 17 Donald Resnick
Wednesday JULY 18 Tudor Hughes
Thursday JULY 19 Tudor Hughes
Friday JULY 20 Amil Gentili
Monday JULY 23 Christine Chung
Tuesday JULY 24 Donald Resnick
Wednesday JULY 25 Donald Resnick
Thursday JULY 26 Mini Pathria
Friday JULY 27 Tudor Hughes
Monday JULY 30 Mini Pathria
Tuesday JULY 31 Amil Gentili
VA Thursday 7:00 a.m. Bone Conference
JULY 5 No Conference
JULY 12 No Conference
JULY 19 No Conference
JULY 26 No Conference
Distribution:
Donald Resnick, Mini Pathria, Christine Chung, Amil Gentili, Tudor Hughes, Nataliya Plyushcheva, Clinical Fellows, Les Sherman – Scripps (Fax—554-2699)
New Resident and Fellow Welcome
&
Sushi Party
Tuesday, July 3rd, 2007
5:00 - 10:00 pm
Martin Johnson House
Scripps Institution of Oceanography
Faculty: $50.00 per couple
Resident/Fellow with Guest: Gratis
RSVP to
Kathy
Kathleen L. Shepherd
Coordinator, Residency & Accredited Fellowship Programs
UCSD Medical Center, Radiology Department
200 West Arbor Drive, San Diego, CA 92103-8756
Phone (619) 543-3534 Fax (619) 543-3746
(she can email you directions)
Computer Info
Bonepit Website
The ultimate source of information about schedules, current events and general info about UCSD Musculoskeletal Radiology
http://www.bonepit.com
http://www.medicine.ucsd.edu/bonepit/
Webmaster : Tudor Hughes
YOU MUST SIGN YOUR REPORTS EVERY DAY.
Please review and edit and sign your reports promptly. We lose large amounts of revenue due to late reports.
You can not sign other peoples’ reports
From UCSD Risk Management
"We also want to draw your attention to the recent national attention given to the potential malpractice liability inherent in proxy signature of radiology reports (Smith and Berlin, American Journal of Roentgenology, 2001, 176, 27-30). We endorse the policy of the Department of Radiology that prohibits the use of proxy signatures. Medicare Conditions of Participation specify that "The radiologist or other practitioner who performs radiology services must sign the reports of his or her interpretations."
Report signing overview
| UCSD/Thornton | VA | Scripps | |
| No-brainer | Talktech | Talktech | |
| Easy | GUI | ||
| Moderate | IDXRAD | VISTA | IDXRAD |
| Challenging | From home via CWP | ||
| Insanely difficult | From home via VPN/CWP | From home |
Signing reports from inside the hospital is highly recommended. Setting up the CWP access from UCSD is doable but will take you some time to get authorization from IT. Setting up the VA VPN so that it actually works can be a frustrating and demoralizing experience.
Easiest thing is to sign reports via Talktech
Sign your reports at the end of readout each day so that they are available for the faculty to sign.
Signing reports at UCSD/Thornton using GUI or IDXRAD
You will need to have codes for IDXRAD. These will be given to you by Kim van Leeuwen, our IDXRAD support person.
Ms. Kim van Leeuwen
619-543-6760
Pager 619-290-3849
kvanleeuwen@ucsd.edu
For detailed instructions on using IDXRAD, see file "IDXRAD instructions from Freidman" on using IDXRAD on your CD.
Signing reports at VA via VISTA
You will need to have access codes for the VA. These will be given to you by Mike Olds, our computer support person for the VA.
Mr. Mike Olds
858-552-8585 x7576
molds@ucsd.edu
For detailed instructions on using VA Vista, see file "Vista instructions from Olds" on your CD.
Signing UCSD reports from the VA
The computer in the main reading room where the body case are read has IDXRAD access.
molds@ucsd.edu
Signing from home
You can sign IDXRAD reports for UCSD Medical Center and Thornton, and the VISTA reports from the VA Medical Center from your home computer. We do not have access to home signing of reports for Scripps at this time. The only way to sign reports from home is via WebCitrix access.
UCSD WebCitrix (no VPN, UCSD proxy must be off)
https://cwp.ucsd.edu/Citrix/MetaFrame/auth/login.aspx
If you have problems logging in or using an application, please contact the
UCSD IT help desk at one of the following numbers:
From an internal phone dial 3HELP (34357)
From an external phone dial (619) 543-7474
VA Webcitrix (VPN must be active, UCSD proxy can be on or off)
http://citrix.san-diego.med.va.gov/Citrix/MetaFrame/site/default.aspx
MSK Conference Overview
| Sunday | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday |
| 7:30 – 8:30 Radiology Grand Rounds Hillcrest |
7:30 – 8:20 Orthopedics Grand Rounds Mercy Hospital |
7:00 – 7:45 Resident MSK conference VA |
7:30 – 8:30 Fellow MSK conference VA |
9:15 – 10:30
Resnick Advanced MR VA |
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| 11:00 – 12:00 Cartilage research meeting Hillcrest 3T |
7:45 – 8:30 MR Physics VA |
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| Resident noon conference | Resident noon conference | Resident noon conference | Resident noon conference | Resident noon conference | ||
| 5:30 – 7:00 Monthly Scripps conference Scripps |
(Conferences fellows normally attend in bold)
From home use
http://www.myairmail.com/C:\MPFiles\Fellows\2006-2007\Orientation\Fellows Chief fellow.doc
June 24, 2007
WANTED: CHIEF FELLOW
Each year, at the end of July, one lucky fellow is elected by his/her peers to be CHIEF FELLOW for the year. There is a great deal of prestige and glamour associated with this position and the competition is fierce. Unfortunately, only one of you is going to able to assume this vaulted/vaunted position….Who will it be?
Duties
Deal with making out the fellow schedule
Send out reminder emails about special events
Deal with as much fellow related stuff as possible
Act as liaison with faculty re fellow issues
Rewards
Power
Scheduling yourself whenever and wherever you want
$1000 cold hard cash
Lavish year end gift
Where Hospitals are Located
The 6 hospitals you will rotate to during your fellowship include the 3 north hospitals (VA, Thornton, Scripps), the central hospital (Children’s) and the 2 south hospitals (UCSD Med Center, and Navy). The area code for the north is 858 and for the south it is 619.
VA Medical Center
3350 La Jolla Village Drive
La Jolla, CA 92037
858-552-8585
bone board #7793
telerad board #7408
Thornton Hospital
9300 Campus Point Drive
La Jolla, CA 92037
858-657-7000
bone board 858-657-6780
Scripps Clinic (Scripps Green Hospital)
10666 North Torrey Pines Rd.
La Jolla, CA 92037
858-455-9100
bone board
858-554-2669
UCSD Medical Center
200 West Arbor Street
San Diego, CA 92103
619-543-6222
bone board
619-543-5277
Naval Medical Center (Balboa Naval Hospital)
34800 Bob Wilson Drive
San Diego, CA 92134
619-532-6400
Bone board
#8680
Children’s Hospital
3020 Children’s Way
San Diego, CA 92123
858-966-5999
bone board
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MEMORANDUM |
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| C:\MPFiles\Fellows\2007-2008\Orientation\Policy Flouroscopy permit 2007.doc | |
| to: | Clinical Fellows Musculoskeletal Radiology |
| from: | Mini Pathria |
| subject: | Fluoroscopy Permits for State of California |
| date: | June 24, 2007 |
IMPORTANT
You need to have a California Fluoroscopy Permit in order to perform fluoroscopy at all California hospitals. This is a MUST have license. If you have not applied for your California Fluoroscopy Permit, you need to do so IMMEDIATELY!! An application was provided to you when you went through your Radiology registration procedure.
If you already have a permit, mail a copy to Paradorn Thiel in the Radiology Business Office at UCSD Radiology 8755.
If you have applied but do not yet have a permit, notify Paradorn at 619-543-7636. He needs to at least have a copy of the application mailed to him on file for JACHO.
If you have lost it — Contact
Radiologic Health Branch/Certification
Department of Health Services
601 N. 7th Street
Sacramento, CA 94234-7320
Musculoskeletal Radiology Fellow Schedule 2007 – 2008
July 2007
Call starts at 7:00 am on Monday and ends at 7:00 am the following Monday.
| Dates |
UH/ CALL |
UH |
VA/ 2nd call |
VA | VA | SCR | SCR | Thorn | Spine | Navy | Peds | Res | Vacation |
| 7/2-7/8 | DB | VK | DO | RB off 2 CS off 5-7 |
NAV TM |
SS | RC SC |
GB | ––––- | MM | TW | RB 2nd CS 5th to 7th |
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| 7/9-7/15 | SS | RC MM |
RB | DB | VK
CS |
DO | TW NAV |
TM | ––––- | SC | GB | ||
| 7/16-7/22 | CS | DO off 20 |
SS | GB | NAV | RB |
SC MM |
RC | TW | TM | VK | DB Paternity DO 20th |
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| 7/23-7/29 | GB | CS | RC | SS off 27 |
NAV
SC |
VK | MM RB off 27 |
DO | TW | DB | TM | RB 27th SS 27th |
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| 7/30-8/5 | RC | NAV | SC | RB off 30 |
DO MM |
TM | CS GB |
DB | TW off 30 |
VK off 30 |
SS | RB 30th VK 30th TW 30th |
Clinical Musculoskeletal Fellow Rotations
2007 – 2008
This handout lists your responsibilities on the rotations you will be assigned to during the year.
On call (see separate on call handout)
There will be 2 fellows on call each week, one primary call person covering all evening emergencies and weekend readouts for UCSD Medical Center and Thornton Hospital, and one person on call as a backup.
The weekend morning call readouts are at 7:00 am both Saturday and Sunday and last about 3-4 hours. This weekend morning call will be with faculty. The afternoon weekend call is usually for 2 hours and will be done solo for fellows that are credentialed. The back-up fellow will need to help when the primary call fellow is a Canadian.
You are on call for a week at a time, from 7 a.m. on Monday until 7 a.m. the following Monday. Your pager must be turned on and with you at all times and you must be easily accessible. Beeper range is approximately 35-40 miles from the UCSD Medical Center.
Call during the week is very light. The resident or technicians may call you for advice. You may be called to provide a protocol for a CT or MR. Rarely, the resident may ask you to come in and review films they do not feel comfortable reading. The most likely reason for being called in is to do a procedure, such as an aspiration of a suspected septic joint. Please go ahead and perform a procedure by yourself if you are credentialed you feel comfortable. Otherwise, call the bone faculty attending on call for that week for advice or assistance. Please do not do a bone biopsy without discussing the case with one of the faculty.
If you trade call, it is your responsibility to notify the attending on call at that time, the front desk of Radiology at each hospital and the hospital operators at each hospital affected about the trade.
VA Hospital
There will be at least 2, and almost always 3, MSK fellows assigned to the VA hospital throughout the year. In addition, there will be an MRI fellow also assigned to the VA as well as a resident rotating on telerad MR. Our research fellows are also based at the VA. You will have the opportunity to interact with radiologists from around the world who come to visit and or do research at the VA.
The VA offers the largest MR experience of the fellowship as all our teleradiology cases are handled at the VA. Teleradiology cases come from multiple sites, with an average of 40-50 MR per day that you will read with faculty. There are busier days when there may be up to 80 cases, so be prepared!
In addition to MR, the fully credentialed VA fellows cover reading for our Mission Valley outpatient site, which only does plain films. You will be paid per case for all the films you read. (rate around $6/case – computer keeps track of who is reading but good idea to keep a rough record for yourself). These have to get read…..promptly.
| VA Workload (residents) | VA: Teleradiology (fellows) |
| VA x-rays | Approx 40-50 MR cases/day |
| VA CT and MR protocols/readouts | Procedures |
| Mission Valley x-rays (credentialed, $$) |
There is a weekly conference at 7:30 am on Fridays with the orthopedic residents. All fellows should select and prepare the interesting cases to be shown. The majority of the cases come from telerad. The fellows discuss these cases and present the conference using PowerPoint.
UCSD Medical Center at Hillcrest
There is normally one fellow assigned to the University Hospital in Hillcrest. For the first several weeks of the year, 2 fellows will be there together to help deal with orientation and learning the hospital system. The hospital is a trauma center and serves a large indigent population. The workload consists of a blend of conventional radiographs and a moderate number of cross-sectional studies. There is a big CT volume, mainly related to acute trauma.
The bone service at UCSD covers the trauma unit all week. Trauma films must be read as soon as they are performed. Please notify the trauma service about any important findings immediately. You must be on your pager and easily accessible. Phone call are incessant.
| UCSD | |
| Outpatient x-rays (share with resident) | Inpatient x-rays (share with resident) |
| Procedures at University Hospital | CT readouts/protocols |
| MR readouts/protocols |
Thornton
There will be one fellow assigned to Thornton hospital. This is a large volume rotation consisting of some plain films, some cross-sectional imaging and a lot of osteoporosis studies. Most of the MR arthrography for UCSD patients is also performed at Thornton hospital.
Films from Orthomed (our outpatient orthopedic clinic) are read at Thornton. The Orthomed clinic will be relocating to Thornton in the fall so volume may go up.
The Thornton fellow is responsible for dictating the bone densitometry studies done at Thornton, and there are lots of them. (4th and Lewis Osteoporosis will be read at Hillcrest). Dr. Hughes is in charge of densitometry and will give you a talk on how to interpret DEXA studies.
Scripps
There will be two fellows assigned to Scripps all year. We will have three fellows there for the first few weeks. It is a very busy rotation. There are numerous radiographs to read (average of 100 per day), plus several cross-sectional studies (approx 20 MR/CT), and an average of 2-3 arthrograms daily. The fellows should review the films and predictate them before reviewing them with one of the bone attendings. You can check with the attending radiologist what time they are planning to stop by that day (usually in the afternoon). After reviewing the x-rays with the attending, you must correct or addend all the films that have a change from your preliminary reading. You must devise an effective and reliable system for correcting your predictated reports.
The bone fellows at Scripps do the arthrograms, which consist mainly of knee, shoulder and hip studies. Please feel free to ask the Interventional radiologists (Harry Knowles or Mohseen Sayeed), or any other radiologist (Shelley Kleinman is very helpful) at Scripps for assistance until you feel comfortable. Many of the arthrograms are for MR arthrography.
Once every couple of months, there is a Thursday evening bone conference at Scripps. Radiologists, orthopedic surgeons and rheumatologists attend the conference. The fellow assigned to Scripps for the week of the conference is responsible for putting the conference together. The fellow needs to gather up 8-12 interesting cases, select the images to be presented, and send them to Dr. Resnick.
Spine
Each fellow will have a one-month rotation with neuroradiology. This rotation is designed to emphasize spine MR, and provide exposure to spine procedures. The primary contact person for this rotation is Dr. Wade Wong in the division of neuroradiology. This rotation will take place largely at the Hillcrest and VA hospitals, though many of the fellows rotate around to the other hospitals depending on the procedure schedule.
Naval Hospital
One fellow will be assigned to attend MR readouts at the Naval Hospital near Balboa Park. They have a large volume of musculoskeletal MR, particularly sports medicine. You will not have clinical privileges for this hospital so you can only act as an observer. The MR readout takes place in the morning, leaving the afternoon free. Please be available on your pager in case one of the other hospitals needs your help.
Children’s Hospital
One fellow will be assigned to pediatric imaging at the Children’s Hospital. They have a large volume of musculoskeletal cases and an excellent teaching file. You will have clinical privileges for this hospital so you can and will dictate, once your credentialing is complete.
Research/Float
Christine Chung is the boss of our research program.
All of you that are interested in research will have some weeks of dedicated research time to work on projects up in the lab or to work on clinical research projects. Those fellows not interested in doing research will remain on the clinical schedule. Research time is an excellent opportunity to do some consolidated work on your projects. It is a good time to set up lab time with Debbie Trudell or to do some MR scanning. Please call Debbie in advance because she has a very busy schedule.
Research time is not meant to be a vacation or a week to do locums. You are expected to be at work daily, to come to the bone conferences and to be available in case you are needed to cover in case of an emergency. The research fellows are our floating personnel that serve as back up if we need help. You must be on your pager and in town and available. Please check your email regularly and keep that pager on in case we need you to work!
Vacation
The chief fellow is the boss of vacation.
You are allowed 20 days of vacation during the year. Vacation is mostly on a first-come, first-served basis, though I make some effort to make sure everyone gets some time off for the major holidays and meetings.
Requests for time off must be submitted by email, I do not accept scraps of paper or verbal requests!! If you can, try to take vacation in blocks of time rather than a day here and there! Single days are allowed, but are more difficult to schedule.
All vacation time you take needs to be on the schedule. You need to let Milton and the chief fellow (or myself until we have a chief fellow) know if you need to go away unexpectedly.
UCSD Medical Center Map
Patella Tilt Measurements
From: Tudor Hughes [mailto:kelly.tudor@prodigy.net]
Sent: Wednesday, June 13, 2007 9:59 PM
Subject: FW: Patella tilt and subluxation measurements - updated
The sports medicine orthopedic consultant; Robert Afra would like patella tilt and subluxation measured as follows:
Two new sequences for knee patella tracking study.
1. Flexion views:
Mid patella single 2.5/3mm axial view @ right angles to patella articular surface (will need to angle gantry) @ 0, 15,30,45 degrees knee flexion, toes pointing straight up. The degree of flexion can be eyeballed with experience, or a goniometer may be employed. The angle can be checked on the lateral scout.
The following 3 radiologist measurements are made on 30 degree angle view only.
Patella tilt: Base line is line between posterior femoral condyles. Line on lateral facet of patella. If angle between these is less than 10 degrees then abnormal.
Lateral trochlear angle: Same base line. Line on lateral side of trochlear groove. Angle greater than 11 degrees is good.
Subluxation: Measured in mm. Draw lines down either side of trochlear groove. Draw bisector of this angle from its apex. Measure distance of patella apex from this line.
2. Gunsight views. Perform whilst the knee is at 30 degrees in the middle of the above series.
Toes pointing straight up. No movement between slices. Knee 30 degrees flexion. ) 0 degree angle gantry. Axial 2.5/3mm cuts from top of trochlea notch/top of patella to bottom of tibial tubercle.
Radiologist to measure "Tibial tubercle to trochlear groove displacement": Draw posterior femoral condyle line as above. Draw line at 90 degrees to this from apex of trochlear groove. Transpose parallel lines to tibial tuberosity. Measure distance difference of the two intersecting points along the line of the condylar line to a fixed point such as the edge of the film and subtract. In other words what is the lateral distance between these two parallel lines one from the tibial tubercle, one from the apex of the trochlea notch, both at right angles to the line between the posterior femoral condyles.
Fellow Travel Expenses Policy
UCSD Musculoskeletal Section
We have limited funds to help cover part of the cost of attending a meeting. These funds are available only if you are presenting work that has been done during your fellowship.
Only current MSK radiology fellows and UCSD Radiology residents will be reimbursed for expenses related to presenting at a meeting. Each resident is eligible for reimbursement for 2 meetings from the Radiology Department travel fund. The MSK section will only pay for residents if the travel fund from the department has been depleted or is unavailable. Medical students will not be reimbursed with section funds.
Fellows and residents will only be reimbursed for travel expenses for meetings at which they are presenting a paper. Each fellow will be reimbursed for only one meeting during the year. If you have alternate sources of funding (e.g. research grant, commercial support), these must be used because our funding sources are limited.
Only meetings held in the United States and Canada will be covered. We will only reimburse expenses for major meetings (RSNA, Roentgen Ray, AUR, SMRM, SCD, ASBMR). Do not assume any other meetings will be reimbursed. If in doubt, check with Dr. Resnick to see if the meeting is reimbursable.
The work being presented must have been done here at UCSD/VA Medical Center. You will not be reimbursed if you attend a meeting to present work done during your residency program at a different institution. Fellows who have graduated and are no longer in the section will not be reimbursed.
Reimbursement will cover economy class round-trip airfare, registration fees and 2 nights of hotel accommodation. We will reimburse additional hotel stay if you are presenting more than one paper and need to stay longer. Meals, taxi fares and incidental expenses will not be reimbursed.
CRITICAL DIAGNOSES WHICH REQUIRE WET READINGS FROM RADIOLOGY
Procedures and X-rays listed below require a STAT page, acknowledgement, and immediate clinical response as necessary or for additional findings that require immediate attention:
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·1 Pneumothorax |
·2 Tension pneumothorax |
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·3 Leaking /ruptured abdominal aortic aneurysm |
·4 Leaking /ruptured abdominal aortic aneurysm |
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·5 Cerebral aneurysm |
·6 Ischemic bowel on CT scan |
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·7 Acute extra-axial collection, including acute subdural and epidural hematoma |
·8 Unstable spine fracture |
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·9 Pneumoperitoneum (not post op) |
·10 Misplacement of tubes or catheters |
|
·11 Massive hemoperitoneum and/or hemothorax on CT or ultrasound |
·12 Unexpected lesion |
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·13 Massive pleural effusion |
·14 Unexpected fracture |
Notification System
1. First call to the referring physician (ordering or covering) using UCSD’s Vocada reporting system.
2. A second call should be initiated using the UCSD paging system or paging operator (x36440) to contact the physician.
3. If no response after 15 minutes, UCSD’s Vocada reporting system will
initiate a second page to the referring physician and a new page to the
referring physician’s back-up.
4. If no response after 1 hour, UCSD’s Vocada reporting system will
initiate a third page to the referring physician and physician’s back-up.
5. If no response after 24 hours, UCSD’s Vocada reporting system will notify the system administrator to contact someone from the referring physician group.
When communicating test results, reporters should document the following in the Impax workstation "iBox" and dictated radiology report:
Name and credentials of reporter
Name and credentials of receiver
Name of test or procedure
Interpretation of test or procedure
Date and time
Policy Regarding Communication of
Preliminary Radiological Findings
(Draft 10-23-04)
The UCSD Radiology Department has acquired the VoiceLink system in order to facilitate and document the communication of preliminary results study interpretations.
FOR NON-EMERGENT FINDINGS WHERE THE HEALTH OF THE PATIENT IS NOT AT IMMEDIATE RISK OR IMMEDIATE MANAGEMENT DECISIONS ARE LIKELY TO BE INFLUENCED BY THE RESULTS:
Radiologists should use the VoiceLink system as their primary means to communicate all significant or unexpected results to the referring physician. Radiologists should state in the final report that a VoiceLink message was sent to the referring physician.
Radiologists should use the VoiceLink system as a primary means to communicate results when a request for "stat reading" or "wet reading" has been submitted by a referring treating physician. Radiologists should state in the final report that a VoiceLink message was sent to the referring physician.
Radiologists should use the VoiceLink system as their primary resource to communicate and document the communication regarding a discrepancy between a preliminary and subsequent reinterpretation of results. Direct communication should be provided in the event that the referring physician does not receive the VoiceLink message in a reasonable period of time. Radiologists should state in the final report that a VoiceLink message was sent to the referring physician.
FOR EMERGENT FINDINGS, WHERE THE HEATLH OF THE PATIENT IS AT IMMEDIATE RISK OR IMMEDIATE MANAGEMENT DECISIONS ARE LIKELY TO BE INFLUENCED BY THE RESULTS
Radiologists should use the VoiceLink system as a supplementary resource when communicated emergent findings to referring treating physicians. In addition to direct communication, an immediate VoiceLink message that includes the preliminary results should be created. Radiologists should include a reference within the initial VoiceLink message that additional attempts will be made to contact the referring physician directly. Radiologists should state in the final report that a VoiceLink message was sent to the referring physician.
If the radiologist is not able to directly communicate with the referring physician or his appropriate designated alternative person, AND the Voicelink message has not been documented as received by the referring physician within a reasonable period of time, additional efforts should be made to communicate the emergent finding directly to the referring physician or his designate. In addition, under extraordinary circumstances, the findings may be communicated to the patient or responsible guardian. Radiologists should state in the final report that a VoiceLink message was sent to the referring physician.
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Bone Section Call Schedule - Weekends 2007-2008 |
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Week |
Bone Call |
Week |
Bone Call |
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July 2 – July 8 |
DR |
March 11 – 16 |
MP |
FOR MOST UP TO DATE |
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July 9 – 15 |
AG |
March 17 – 23 |
DR |
SCHEDULE |
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July 16 – 22 |
CC |
March 24 – 30 |
LC |
CONTACT MILTON ELIOT |
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July 23 – 29 |
TH |
March 31 - April 6 |
AG |
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July 30 – August 5 |
CC |
April 7 – 13 |
CC |
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August 6 – August 12 |
DR |
April 14 – 20 |
TH |
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August 13 – 19 |
AG |
April 21 – 27 |
LC |
CC = CHRISTINE CHUNG |
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August 20 – 26 |
CC |
April 28 – May 4 |
DR |
MP = MINI PATHRIA |
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August 27 – September 2 |
TH |
May 5 – May 11 |
AG |
DR = DONALD RESNICK |
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September 3 – September 9 |
LC |
May 12 – 18 |
CC |
AG = AMIL GENTILI |
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September 10 – 16 |
DR |
May 19 – 25 |
TH |
LC = LINA CHEN |
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September 17 – 23 |
MP |
May 26 – June 1 |
MP |
TH = TUDOR HUGHES |
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September 24 – 30 |
AG |
June 2 – June 8 |
LC |
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October 1 – October 7 |
TH |
June 9 – 15 |
AG |
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October 8 – 14 |
MP |
June 16 – 22 |
DR |
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October 15 – 21 |
DR |
June 23 – 29 |
CC |
||||
|
October 22 – 28 |
LC |
June 28 - July 6 |
TH |
||||
|
October 29 - November 4 |
AG |
Holidays 2007 – 2008 |
|||||
|
November 5 – November 11 |
CC |
July 4 – Independence Day |
DR |
VA / SCR / HC |
|||
|
November 12 – 18 |
TH |
Sep. 3 – Labor Day |
TH |
VA / SCR / HC |
|||
|
November 19 – 25 |
LC |
Oct. 8 – Columbus Day (VA) |
MP |
VA |
|||
|
November 26 – December 2 |
TH |
Nov. 11 – Veteran’s Day |
CC |
VA |
|||
|
December 3 – December 9 |
AG |
Nov. 22 – Thanksgiving |
AG |
VA / SCR / HC |
|||
|
December 10 – 16 |
CC |
Nov. 23 – Thanksgiving |
LC |
HC |
|||
|
December 17 – 23 |
DR |
Dec. 24 - Christmas Eve |
CC |
HC |
|||
|
December 24 – 30 |
LC |
Dec. 25 - Christmas Day |
DR |
VA / SCR / HC |
|||
|
December 31 - January 6 |
MP |
Dec 31 - New Years Eve |
TH |
HC |
|||
|
January 7 – 13 |
DR |
Jan. 1 - New Years Day |
AG |
VA / SCR / HC |
|||
|
January 14 – 20 |
AG |
Jan. 15 – MLK Day |
MP |
VA / HC |
|||
|
January 21 – 27 |
CC |
Feb. 19 – President’s Day |
TH |
VA / SCR / HC |
|||
|
January 28 – February 3 |
TH |
May 28 – Memorial Day |
LC |
VA / SCR / HC |
|||
|
February 4 – February 10 |
LC |
July 4 – Independence Day |
AG |
VA / SCR / HC |
|||
|
February 11 – 17 |
DR |
||||||
|
February 18 – 24 |
AG |
||||||
|
February 25 – March 2 |
CC |
||||||
|
March 3 - March 9 |
TH |
||||||
|
Locations |
VA |
UH |
SCR |
Thorn |
UCSD |
|
Independence Day |
+ |
||||
|
Labor Day |
+ |
||||
|
Columbus Day |
+ |
||||
|
Veteran's Day |
+ |
||||
|
Thanksgiving |
+ |
++A |
++A |
||
|
Christmas |
+ |
||||
|
New Years |
+ |
B++ |
B++ |
||
|
MLK Day |
+ |
||||
|
President's Day |
+ |
||||
|
Memorial Day |
+ |
||||
|
Independence Day |
+ |
||||
|
Holiday plus the day after = ++A |
|||||
|
Hiliday plus the day before = B++ |
Official Holidays 2007-2008
| Holidays 2007 – 2008 |
UCSD/ Thornton |
VA |
Scripps |
Telerad |
| July 4 – Independence Day |
X |
X |
X |
X |
| Sep. 3 – Labor Day |
X |
X |
X |
X |
| Oct. 8 – Columbus Day |
X |
|||
|
Nov. 11 – Veteran’s Day |
?X |
X |
||
|
Nov. 22 – Thanksgiving |
X |
X |
X |
X |
|
Nov. 23 – Thanksgiving Friday |
X |
|||
| Dec. 24 - Christmas Eve |
X |
X |
||
| Dec. 25 - Christmas Day |
X |
X |
X |
X |
| Dec. 26 – Christmas Sales (Boxing Day) |
X |
X |
||
| Dec 31 - New Years Eve |
X |
|||
|
Jan. 1 - New Years Day |
X |
X |
X |
X |
|
Jan. 2 - New Years Holiday |
X |
X |
||
|
Jan. 15 – MLK Day |
X |
X |
||
|
Feb. 19 – President’s Day |
X |
X |
X |
X |
|
May 28 – Memorial Day |
X |
X |
X |
X |
2007-2008 RADIOLOGY FELLOWSHIP PROGRAM
ORIENTATION & TRAINING AGENDA
Friday, June 29, 2007 and Sunday, July 1, 2007
MSK AND CHEST FELLOWS
(Only: R.G. Bhardwaj, D. Buono, F. Chen, R. Cheng, S. Covert, V. Khasgiwala, T. MacNair, M. McNairy, C. Stewart, T. Whang)
| FRIDAY JUNE 29, 2007 |
|
| Location: Hillcrest – Multi-Purpose Facility, Room L-64 | |
|
6:00 – 6:30AM |
Sign-In with
Paradorn Thiel of Radiology Business Office, then Escorted to UCSD Medical Center Auditorium |
| Location: Hillcrest – UCSD Medical Center Auditorium | |
|
6:30 – 11:30 AM |
Senior Clinical
Fellows’ Orientation: with Continental Breakfast -2004 Register with the Office of Graduate Medical Education -2005 Standard of Business Conduct -2006 Comply with UCSD Medical Center Occupational Health Requirements (TB Test)-2007 Benefits program enrollment-2008 Security Picture Badges-2009 Medical Center Parking information |
| Location: Hillcrest – Multi-Purpose Facility, Room L-64 | |
|
11:40 – 12:50 PM |
Radiology
Business Office Orientation -801 Complete New Hire Employee Forms-802 Complete HIPPA Compliance and UCSD Confidentiality forms-803 Distribution of Pagers -804 Distribution of Timekeeping Sheets-805 Medical Center Parking information-806 Complete Provider Relations/Billing Applications |
|
1:00 – 2:00 PM |
LUNCH BREAK
|
|
2:15 – 2:35 PM |
Shuttle to VA Medical Center |
| Location: La Jolla – VA Med. Ctr., 1st Floor, West Wing, Radiology Department | |
|
2:45 – 5:00 PM |
VA Orientation -2010 Meet Milton Elliot, assistant to Dr. Donald Resnick, and escorted to Human Resources-2011 Sign-in process with Human Resources and Employee Health at VA Medical Center |
| Location: @ Any Computer Terminal | |
|
Evening @ Home |
Mandatory Training for Sexual Harassment Policy, Ethics, and Contrast Media |
| SATURDAY June 30, 2007 |
|
| Location: Hillcrest – UCSD Medical Center Auditorium | |
|
ALL DAY Specific times for each training session will be announced on Friday, June 29th |
COMPUTER SYSTEMS Training, including: -2012 PCIS Training-2013 Talk Tech Training with Kim Vanleeuwen and Philip Revilee-2014 UCSD RIS Training with Kim Vanleeuwen-2015 PACS Training with Philip Revilee |
| SUNDAY JULY 1, 2007 |
|
| Location: La Jolla – VA Med. Ctr., 1st Floor Radiology Conference Room | |
|
10:00 AM– 12:00 PM |
MSK Fellows Orientation with Dr. Resnick and Dr. Pathria (Only: ALL MSK ONLY) |
Computer Info: UCSD Proxy Information
June 24, 2007
Why you want to use the proxy server
Using Library Resources from Off-Campus:Many of the library's Web resources are restricted to allow remote use by UCSD faculty, staff, and students. There is an easy way for you to use UCSD resources from home. The solution is a proxy server, managed by Academic Computing Services (ACS). By changing one of the settings in your Web browser, your connection to our resources such as online journals and databases will go through this proxy server, which will "authenticate" you with the providers of these resources on the Web. ACS maintains a very helpful Web page with detailed information on how to set up your Web browser to use the proxy. There are instructions for various Microsoft Internet Explorer and several other browsers. It will take you about 2 minutes to set up the proxy.
Advantage of proxy server
Caches frequently accessed Web sites. This makes it much faster for you to load Web pages that another UCSD user (including you) has looked at recently.
Permits UCSD customers to access Internet services that are restricted to the UCSD community from non-UCSD Internet service providers (such as RoadRunner, AOL, Cox AtHome, etc.).
Web resources that become available include:
Library Databases (http://libraries.ucsd.edu/databases.html)
Electronic Journals (http://libraries.ucsd.edu/ejournals.html)
Reference Sources (http://libraries.ucsd.edu/refshelf.html)
WebBT 2000 UCSD Web-based Training System (http://www-cbt.ucsd.edu)
Among the many restricted resources that become accessible are all MELVYL system/CDL article databases (such as MEDLINE, INSPEC, MLA), hundreds of electronic journals from leading scholarly publishers, Academic Universe, JSTOR, and Web of Science.
UCSD username and password
You need to have a UCSD username and password in order to use the proxy server. Everyone at UCSD is assigned one and Kim van Leeuwen should have given it to you, but you may not have it or know what it is. If you do not know what your UCSD username and password are, or need other proxy-related assistance, contact ACS' Network Operations unit:
http://www-acs.ucsd.edu/
Phone: 534-4060 (10 am – 3 pm)
Walk-in Support Hours: 10am - 3:30pm, Monday thru Friday
Applied Physics & Mathematics Building, room 2113
Their website outlining how to find out what your UCSD username and password is
http://www-no.ucsd.edu/services/netusername.html
Here is their advice on finding out your information
"UCSD faculty and staff : Check with your local system administrator; if they don't know, or you don't have a local computing support staff, you may send electronic mail to postmaster@ucsd.edu, telephone (858) 534-3227, or come to our office (AP&M 1313, open M-F 8-4:30) with a picture ID (preferably your UCSD ID). . However, note that we cannot give out passwords over the phone.
Bottom line – go there to get your stuff!
Setting up the proxy server on your computer
If you are a techno-geek and familiar with proxy servers and do not want to read the instructions, all you need to know is that the proxy address is:
http://webproxy.ucsd.edu/proxy.pl
Otherwise, follow the detailed instructions for various browsers available at
http://www-no.ucsd.edu/documentation/squid/
It won’t take you more than a few minutes.
Computer Info
UCSD Radiology Residency Website
A great source of information about schedules, current events and general info about UCSD Radiology
http://radres.ucsd.edu/
Webmaster : Robert Orth
Computer Info: Using UCSD paging system
If you get paged to a number that looks incomplete
4 digit numbers are from the VA
Call 858-552-8585 and enter extension when prompted
5 digit numbers starting with a 3 are from Hillcrest
Call 858-54- and the number you were paged to
5 digit numbers starting a 7 are from Thornton
Call 858-65- and the number you were paged to
Using Internet Text-Paging system within hospital
All in hospital computers have an icon for Webpaging
You can search by doctor names and look at schedules.
Using Internet paging system from outside hospital
Internet with UCSD proxy set up (full-featured page)
http://webpaging.ucsd.edu
Verizon site
http://www.myairmail.com/
Phone dialing a UCSD pager
Inside Hillcrest/Thornton hospital
Dial 137
Enter last 4 digits of pager
Wait for the beep
Enter your number (please add area code)
Hit #
Outside the UCSD hospitals
1-619-290-####
Wait for beep
Enter your number (please add area code)
Hit # button
Signing reports at the VA
You will need to have access codes for the VA. These will be given to you by Mike Olds, our computer support person for the VA.
Mr. Mike Olds
858-552-8585 x7576
molds@ucsd.edu
You will get 3 codes
Access code:
Verify code:
Signature code:
After log on you will see the following menu. (Choose On-line Verifying of Reports)
CL CLINICIAN MENU (Local) ...
Detailed Request Display
Display a Rad/Nuc Med Report
Draft Report (Reprint)
Indicate No Purging of an Exam/report
On-line Verifying of Reports
Print Selected Requests by Patient
Profile of Rad/Nuc Med Exams
Resident On-Line Pre-Verification
Select Report to Print by Patient
Switch Locations
View Exam by Case No.
Select one of the following: On-line Verifying of Reports (Choose 2 RELEASED/NOT VERIFIED)
Category of Reports to Verify:
V VERIFIED
R RELEASED/NOT VERIFIED
PD PROBLEM DRAFT
D DRAFT
Select one of the following (Choose P PAGE AT A TIME)
How would you like to view the reports?: P// AGE AT A TIME
The report will show up (example below)
DOE,JOHN (111-11-1111) Case No. : 081101-22756 @04:23
CHEST 2 VIEWS PA&LAT Transcriptionist: SULLIVAN,MARILYN K
Req. Phys : IKEDA,REID K Pre-verified : RESIDENT,JOhn
Staff Phys: PATHRIA,MINI (P)
Residents : RESIDENT,JOHN (P)
===============================================================
CHEST 2 VIEWS PA&LAT (RAD Detailed) CPT:71020
Proc Modifiers : None
CPT Modifiers : None
Clinical History:
R/O INFILTRATES
Report: Status: RELEASED/NOT VERIFIED
CLINICAL HISTORY: Rule out infiltrates.
COMPARISON EXAMINATION: 8/3/2001.
FINDINGS: PA and lateral views of the chest demonstrate a stable left pleural effusion with a slight increase in the previously noted small right effusion. A transjugular pacer is again demonstrated unchanged in position with the tip at the caval atrial junction. Subsegmental atelectasis is demonstrated in the right lower lobe.
Impression:
1. Bilateral effusions, left greater than right.
2. Right lower lobe subsegmental atelectasis.
===============================================================
(# left to review) Type '?' for action list, 'Enter' to continue//
At continue prompt you can do one the following below. (If you want to continue, sign report type "c".)
Enter one of the following:
'Print' to print this report for editing
'Edit' to edit this report
'Top' to display the report from the beginning
'Continue' to continue normal processing
'Status & Print' to edit Status, then print report to stop.
(#80 left to review) Type '?' for action list, 'Enter' to continue//
Select one of the following:
V VERIFIED
R RELEASED/NOT VERIFIED
PD PROBLEM DRAFT
D DRAFT
REPORT STATUS: R// V VERIFIED (To sign report)
PRIMARY DIAGNOSTIC CODE: (leave this blank)
Computer Info: Using the Web1000
Mini Pathria
Introduction
PACS
Both UCSD and VA hospital systems use AGFA PACS
Web1000 is Agfa’s Web-browser
You can use the Web1000 to look at cases from home
Web1000 -- Starting up
You need a PC with at least 124 megabytes RAM
You need fast internet access via cable, ISDN, DSL, or T1 line
Do not try this with a phone modem, it is too slow to work
Minimum screen 1024x768 resolution
Minimum 16 bit color
UCSD/Thornton
UCSD/Thornton
Setting up for UCSD/Thornton is EASY, you should get this working in under 5 minutes!!!
UCSD/Thornton: Starting up
You need a 6 digit provider number (if you have a 5 digit number, just add a zero at the beginning) for UCSD and a password
You should get this number at orientation
If you can not find your number, contact person Ms. Kim van Leeuwen at 619-543-6760
UCSD/Thornton: Starting up
Web address is http://pacs.ucsd.edu/Launch
UCSD/Thornton: First time
The first time you log on, you will get a series of scary messages asking you to grant full security rights to Mitra Corporation
You have to hit the "grant" button or it will not work
Use the "remember" button so you don’t get them again
If you typed the right url, you will see a pink web1000 login screen
VA Medical Center
Setting up for VA is not as easy, because you have to track down one of our IT people to give you the software to install to set up the VPN connection to get through the VA firewall
Starting up VA
You need a VA provider number and password
This provider number is different than the one you use for UCSD
Contact person is Mr. Mike Olds VA x7576 molds@ucsd.edu
Setting up for VA
You must install VPN software on your computer to access the VA. There is no web logon across VA firewall without VPN running on your computer.
Installing VA software
Install software on the CD given to you by Mike Olds
Will install VPN software automatically to c:/program files
You should have 2 new directories on your c drive called VPN and VISTA
You should have an icon for VA VPN on your desktop
Once you have installed the VA VPN client
You have to be running the VPN software to be able to use the internet to look at VA cases
Run VPN and enter your VA username and password (the ones given to you by Mike Olds) until you are connected
You will have an icon in your tray telling you that you are connected
Web log-on VA
The URL for VA is http://vhasdcweb1000/
Same scary messages
You will get a series of scary messages the first time
You have to hit the "grant" button or it will not work
Use the "remember" button so you don’t get them again
If you typed the right url, you will see a pink web1000 login screen
Both hospitals: Once you have the pink logon screen
Enter your provider name/number and password in the appropriate boxes
They are different for UCSD/Thornton and VAYou have to hit the "grant" button or it will not work
Click on the connect button
Be patient. If you did everything correctly, a gray screen like the one below will open up by itself
How to actually use the webserver
First things first
The left button specifies patient location
Default is web cache, this is not the best choice
Click on location button
Make sure you have "All locations" selected
"Web cache" only holds cases for 60 days
Occasionally, new cases are not in the cache
You can modify the default in preferences so "All locations" is default
First things first
Make sure the "enable lossy compression" button is highlighted
This makes image loading and viewing much faster
It should be highlighted by default, can modify in preferences
Decide what you want to see
Specific patient, specific modality, specific date?
Narrow search by using either the quick access buttons or the search criteria boxes
Quick access buttons
Use should have quick access buttons to search by ID or name
Using search criterion boxes
Use these to look for specific range of exams
Must use these if you can not remember the patient’s name or ID number
Search criteria
You can search in a variety of other ways, though the body part and location criteria do not same to work on the web
The easiest ways to search are using the name or ID number, ID number is better because trauma patients at Hillcrest have 2 names
Parts of the name and initials do not work!!
Last name alone is fine
No advantage over quick access buttons
How to start search
Once you have selected criteria, click the search button (flashlight)
Wait…. The more you constrain your search, the shorter the wait.
Select patient from list
Single click name of the patient to highlight it
Then click thumbnail, image, or report buttons on top
Select patient from list
Right click name to access choices
Double-click name to go straight to images
Folders
Some patients with multiple exams done at the same time will be listed as a folder
Hit the + to the left of the folder to view study details
Do not double click the name or it will try to load everything, which takes forever...
Open folder
After you hit the + sign, the study details become visible immediately
To view study, click image mode tab on top
Select series
Blue box
Blue box is the series you have selected for viewing
Name of series listed above on MR exams
Can select one or all series
Hit OK button to view series you have selected
Moving through the images
Use sliding number bar to look at images by dragging or by clicking anywhere in the bar
Can also use cine mode to load everything in your cache. Hit cine icon, it will look jerky and be very slow while it loads each image. Go away for a few minutes. Once it has loaded everything, viewing and cine will be smooth.
Rewindowing the image
Hold left mouse button down and scroll across and up and down the image
If that does not work, right click and make sure you have windowing selected on the floating toolbar
Rewindowing all the images
Highlight the link button before you window, that way any rewindowing you do is applied to all the images in that series
Stupidly, the link button is not a default, you need to add it to your toolbar by going into preferences and modifying your toolbars
Saving images
You can save images by clicking the save icon (looks like a floppy disk)
Default save type is jpg
Average file size is 100 kbytes per image
Preferences
There is an icon that looks like this that allows you to set up all your preferences and toolbars
Conferencing
All logged on users are listed
Select the person you want to invite and add them to the invited user list
Hit start
For help go to http://pacs.ucsd.edu/help
C:\MPFiles\Fellows\2006-2007\Orientation\Computer Wireless detailed info setting up Marconi.doc
Marconi wireless network
Subject: Medical Center 802.11b/g Wireless Network Users,
Date: Tue, 25 Apr 2006 07:34:41 -0700
From: "UCSD Healthcare" <ucsd-healthcare-l-relay@UCSD.EDU>
Medical Center 802.11b/g Wireless Network Users,
In order to add additional security to our wireless system, UCSD Medical Center will be changing its 802.11b/g wireless encryption method from WEP to the newer and more secure WPA-PSK. By the end of the month we are asking all wireless users to reconfigure their wireless devices so they use the newer WPA-PSK encryption method when connecting to the wireless network. Guidelines on how to configure your laptop for both encryption methods can be found at
http://uhphone.ucsd.edu/Wireless/Procedures/procedures.htm
To obtain the wireless encryption key, please call the Helpdesk at 619-543-HELP.
The timeline and status of this deployment, as well as other wireless information can be found at
http://uhphone.ucsd.edu/Wireless/WiFi_home.htm
Regards,
Wireless Support Team
From
http://uhphone.ucsd.edu/Wireless/Procedures/Dell-2kXP/Dell-2kXP.htm
Wireless How-To Procedures
Note: Depending on what client software you use to configure your wireless card, WPK-PSK can be referred to by different names. WPA-HOME, WPA-PASSPHRASE and WPA-PERSONAL are the synonymous with WPA-PSK.
Outline of Wireless Profile Configuration Information for WPA-PSK
WPA-PSK Configuration Screen shots for Dell Laptop Windows 2000/XP Systems
Wireless Connection Trouble Shooting Guide
Outline of Wireless Profile Configuration Information for WPA-PSK
The instructions below will provide you with the information you will need to properly configure your wireless client device for UCSD Medical Center's 802.11b/g wireless network.
1.
a. PROFILE NAME (Some client allow for a free text profile name): UCSDHC
b. NETWORK NAME (or SSID): marconi (case-sensitive)
c. ENCRYPTION / AUTHENTICATION: Use WPA-PSK Network Authentication with TKIP data encryption.(
d. NETWORK TYPE: Access Point (sometimes call "infrastructure mode"), in other words your Network access should be to Access Points only , not "any available network" or "computer to computer".
e. Do NOT automatically connect to non-preferred networks.
f. Your network IP address/DNS information should be configured to use DHCP. In the Windows environment, select the Network and Dial-up Connections, then right click on your Wireless Adaptor and choose properties. From the General Tab, scroll-down the components window and high light Internet Protocol (TCP/IP). Next choose Properties. Ensure the IP and DNS settings are:
Obtain an IP address automatically (use DHCP)
Obtain DNS server address automatically (uses DHCP)
h. This completes the configuration. Your wireless client device should discover the "marconi" network
2.
When you connect to the wireless network you must authenticate (login) to the wireless network. You can use your:a. AD login (its the same password you used to login to Weboutlook, Web PCIS and your Outlook client to get your UCSD email).
b. Campus RADIUS login.
To get to the wireless network login screen you MUST start your web browser and connect to any non-secure web site (in other words connect to a http:// website NOT at https:// website). You will be directed to the wireless network login screen automatically (if you are not getting redirected automatically you should close the browser and try one more time. If this does not work see the Trouble shooting section below.
If your wireless device is not setup to handle interactive authentication and you require automatic authentication, your device’s MAC address (sometimes call a physical address) can be configured into the wireless network to auto-authenticate.
Example of DELL Truemobile wireless adapter WPA-PSK configuration:
How do I get to my Windows Wireless Network Connection dialog box like the
one shown below?
1. Get to the Windows Control Panel: Windows 2000 and below: Go to START >
SETTINGS > CONTROL PANEL Windows XP: Go to START > CONTROL PANEL.
2. If in Classic View mode (panel shows a bunch of icons): DOUBLE CLICK ON
NETWORK CONNECTIONS ICON XP View mode (State to Pick a Category): Click on
NETWORK AND INTERNET CONNECTIONS > NETWORK CONNECTIONS ICON.
3. Find the icon that is used for your Wireless Connection, highlight it and
right mouse clink. Choose Properties.
1. Go to your Network and Internet Connection Control Panel Window and Select Network Connections.
2. Find your wireless network adapter, high light it and right mouse click. Choose Properties.
3. High light the TCP/IP protocol and click the properties button, In the ‘General Tab’ ensure ‘Obtain an IP address automatically’ and ‘Obtain DNS server address automatically’ are selected.
4. In the ‘Wireless Networks’ Tab, Clink on the ‘Add’ Button.
5. In the ‘Association’ tab Configure the SSID, Network Authentication, Data Encryption as shown below:
(Pathria note: Type Marconi for the Network name)
6. In the ‘Authentication’ tab, all items should be ‘grayed-out’ as shown below:
7. In the ‘Connection’ tab, select ‘connect when this network is in range’
8. Click on the OK button to save the profile, you should see Marconi as a preferred network.
9. Click on the Advance button in the preferred network section and verify the Network Type is infrastructure (or Access Point).
END OF SECTION
Wireless Connection Process and Trouble shooting Section:
This section is just meant to give the user a basic overview about what is going on when they connect to the UCSD Medical Center's wireless network and provide some trouble shooting guidelines to help locate the problem.
Phase 1: Association - The mobile device’s Radio Card and the UCSDMC Access Point’s radio card establish a connection. What effects this phase is the Network name (SSID), authentication settings and encryption settings and signal strength.
Let's trouble shoot this phase:
|
1 |
Do you have the correct SSID (network name) in your wireless profile? Remember it IS case sensitive. |
|
2 |
Do you have the
correct authentication and encryption method? The encryption key IS
case sensitive and must be exact.
Note: Depending on what client software you use to configure your wireless card, WPK-PSK can be referred to by different names. WPA-HOME, WPA-PASSPHRASE and WPA-PERSONAL are the synonymous with WPA-PSK. |
|
3 |
If the above settings are correct you should see a radio signal that is in the 'good' or better range and the signal strength should be at least 2 times greater than the noise signal on your dell signal strength meter. |
Phase 2: DHCP Request - After successfully associating, the mobile device asks the network for its network IP address and other networking information by using a protocol called DHCP. This request is normally satisfied in about 5 seconds after the radios associate.
Let's trouble shoot this phase:
|
1 |
You can verify
your DHCP request has been satified on your Windows system by go to START >
RUN > Enter "cmd" > In the command window, at the prompt, type "ipconfig".
You should see and IP address of 192.168.160.x, where x is any number between .2 and .254. If you do not have an IP address in this range then "9/10 times" the you are not connected to the network because something is wrong with your wireless profile configuration (see Phase 1 above). If you sure that nothing is wrong with your setup in phase 1, move to another area with wireless coverage that is a few hundred feet away and issue the follow command at the prompt, "ipconfig/renew". This will force another DHCP request to the network. |
|
2 |
If other wireless devices are not working in the same area, report the problem to 3-help and have a trouble ticket opened with the UCSD Medical Center's wireless support team. You will need to provide location and room number, for example "Hillcrest radiology near room 1-121." |
Phase 3: Authentication - Before the wireless gateway system lets you on the network it will require you to authenticate. To get to the authentication website you will need to start up your web-browser. If your default home page is to a "http://" site (as opposed to a https:// site), you will be automatically redirected to the authentication page. If your mobile device can’t interactively authenticate through the web, it can be set up so it will auto-authenticate using your device’s MAC address (you will have to register this address with the wireless network).
Let's trouble shoot this phase:
|
1 |
If your default home page is not and http:// website, you will not get automatically redirected to the wireless login page. Change your default website. On IE, it would be Tools > Internet Options > General Tab > Home Page section. |
|
2 |
Is your browser configured to use a proxy server, if so disable it. On IE, you would go to Tools > Internet Options > Connections Tab > LAN Settings button. Uncheck "automatically detect.." and "Use proxy server...". |
|
3 |
You need to have a valid IP address before this Phase will work, verify that you have a good IP address by referring to Phase 2 above. |
|
4 |
You can try and force a direct connection to the login page by typing the web address is http://192.168.160.1/login.pl |
Phase 4: Bluesocket Role Assignment - If you successfully authenticate, you will be assigned to a role that governs what kind of access you will have on the UCSDHC network. This could range from no-restrictions (except for security restriction already imposed by UCSDHC network) to no-access at all. Medical Center employees are given the same kind of access they have with their personal desktop computers.
Let's trouble shoot this phase:
|
1 |
You can use your AD login (its the same password you used to login to Weboutlook, Web PCIS and your Outlook client to get your UCSD email). For UCSD Medical Center AD password resets please call 3-HELP. |
|
2 |
OR you can use your Campus RADIUS login. Support for Campus RADIUS account information and password resets can be found at http://acs.ucsd.edu/faculty-staff/password.php |
Phase 5: Connected -You are connected to the UCSD Medical Center network governed by your wireless gateway role.
NOTICE: Wireless users are expected to maintain the UCSD Minimum Network
Connection Standards when they have an active VPN account. Details of
these guidelines can be found at http://blink.ucsd.edu/go/networkstandards
(UCSD Policy and Procedure Manual, Section 135-3, Computing Services)
In summary, devices must:
1. Stay current with mandatory and security software patches.
2. Anti-virus Software must be installed and running with the latest virus
definition file.
3. If a service is not necessary for the intended purpose or operation of the
device, that service should not be running.
4. Host-based firewall software should be running on the system.
5. Passwords should not be trivial and treated in a protected manner.
6. Unattended devices should "lock" and require a user to re-authenticate if
left unattended for more than 20 minutes.
END OF SECTION
C:\MPFiles\Fellows\2006-2007\Orientation\Computer Wireless Network at UCSD.doc
June 24, 2007
Computer Info:
Wireless Network at UCSD (Campus, Thornton, Hillcrest)
**You must have your master UCSD network ID and password in order to access the Marconi wireless**
Marconi wireless network
Subject: Medical Center 802.11b/g Wireless Network Users,
Date: Tue, 25 Apr 2006 07:34:41 -0700
From: "UCSD Healthcare" <ucsd-healthcare-l-relay@UCSD.EDU>
Medical Center 802.11b/g Wireless Network Users,
In order to add additional security to our wireless system, UCSD Medical Center will be changing its 802.11b/g wireless encryption method from WEP to the newer and more secure WPA-PSK. By the end of the month we are asking all wireless users to reconfigure their wireless devices so they use the newer WPA-PSK encryption method when connecting to the wireless network. Guidelines on how to configure your laptop for both encryption methods can be found at
http://uhphone.ucsd.edu/Wireless/Procedures/procedures.htm
To obtain the wireless encryption key, please call the Helpdesk at 3-HELP.
Regards,
Wireless Support Team
Once you get the wireless set up on your computer, start your web browser and a box will pop up requesting your UCSD network user name and password. After you enter that info, you will be logged on.
If you want to print out a detailed instruction guide, I have saved the info from the website in a file on your CD. The file is called
Computer Wireless detailed info setting up Marconi.doc
C:\MPFiles\Fellows\2006-2007\Conferences Dr Bradley MR course.doc
June 26, 2007
Dr. Bradley’s MR Course
Dr. Bradley's week-long MR course is held 4 times each year. The course is designed for general radiologists and contains a lot of useful and current MR physics information. The MSK faculty give 4-5 hours of lectures during the course. Please try to attend some of the course if you have free time during the weeks of the course. There is no charge for current fellows to attend (and there is free food!).
The course is held at UCSD Medical Center in the conference room adjacent to Dr. Bradley’s office, located on the 4th floor of the Multi Purpose Building (between the main hospital and the MR building).
Here are the dates for his course during 2007, the 2008 dates are not yet available.
2007
July 9-23, 2007
September 17-21, 2007
2008
Jan 28-Feb 1, 2008
April 14-18, 2008
July 7-11, 2008
Sept 22-26, 2008
For more information, contact Dr. Bradley’s secretary Joanne at 619-543-2890
Sample schedule for Bradley course
Monday, March 7, 2005
8:00–9:00 am Introduction/ Fundamentals of Interpretation Dr. William G. Bradley, Jr.
9:00–10:00 am Determinants of T1 and T2 Dr. William G. Bradley, Jr.
10:00–11:00 am Flow Phenomena Dr. William G. Bradley, Jr.
11:00--12:00 am MRA Dr. William G. Bradley, Jr.
12:00 –1:00 pm LUNCH
1:00 – 2:30 pm Fundamental Physics Dr. Robert A. Bell
2:30– 4:00 pm Practical Physics Dr. Robert A. Bell
4:00–5:00 pm Practical Economics Dr. Robert A. Bell
Tuesday, March 8, 2005
7:30–8:30 am Cranial Nerves Dr. John Healy
9:00–10:00 am Perineural Tumor Spread Dr. John Healy
10:00–11:00 am Hemorrhage Dr. William G. Bradley, Jr.
11:00–12:00 pm MR of the Brainstem Dr. William G. Bradley, Jr.
12:00–1:00 pm LUNCH
1:00 – 3:00 pm Liver Dr. Claude Sirlin
3:00--4:00 pm Tumors Dr. Tudor Hughes
4:00–5:00 pm Wrist Dr. Tudor Hughes
Wednesday, March 9, 2005
8:00–9:00 am Contrast in the Brain Dr. William G. Bradley, Jr.
9:00–10:30 am
Image Optimization Dr. William G. Bradley, Jr 10:30–12:00 am Introduction to K- space & FSE Dr. William G. Bradley, Jr.12:00 –1:00 pm LUNCH
1:00--2:00 pm MSK Tumors Dr. Amilcare Gentili
2:00– 3:00 pm ?
MR Foot Dr. Amilcare Gentili3:00– 4:00 pm Degenerative Spine Dr. Roland Lee
4:00 – 5:00 pm Brain Infections Dr. Roland Lee
Thursday, March 10, 2005
8:00 –9:00 am Periventricular Region Dr. Bradley, Jr.
9:00 –10:30 am Hydrocephalus & CSF Flow Dr. Bradley, Jr.
10:30 –12:00 am MRS Dr. Bradley, Jr.
12:00 –1:00 pm LUNCH
1:00-2:00 pm Postoperative Spine Dr. Roland Lee
2:00-3:00 pm ? Dr. Roland Lee
3:00--4:00 pm Spinal Cord Dr. John Hesselink
4:00-5:00 pm Temporal Lobe/Limbic System Dr. John Hesselink
Friday, March 11, 2005
8:00 –9:00 am Stroke Dr. Bradley, Jr.
9:00 –10:30 am EPI Diffusion & Perfusion Dr. Bradley, Jr.
10:30 –12:00 am 3T & Future of MRI Dr. Bradley, Jr.
12:00–1:00 pm LUNCH
1:00-3:00 pm Female Pelvis Dr. Claude Sirlin
3:00--4:00 pm Breast I Dr. Chris Comstock
4:00–5:00 pm Breast II Dr. Chris Comstock
C:\MPFiles\Fellows\2007-2008\Orientation\Conferences CME courses 2007-2008 pending.doc
June 24, 2007
CME Conferences – 2007-2008
Fellows admitted at heavily discounted rates (no syllabus or CME)
IICME Internal Derangement of Joints
The San Diego IDJ is the week of Feb 19-23, 2008 at the Hotel del Coronado. This is the most advanced MR imaging course and is convenient. We will divide up the week so everyone gets a chance to attend part of the course.
There may be an additional IDJ course in Las Vegas in May 2008. Not yet confirmed.
UCSD Musculoskeletal MR
Las Vegas, NV at the Bellagio runs Thursday, Oct 25 – Sunday, October 28, 2007
Palm Beach, FL at the Breakers runs Monday, Jan 21 – Friday, Jan 25, 2008
UCSD Department of Radiology
Postgraduate Course at Hotel del Coronado, San Diego runs Oct 29-Nov 2, 2007
Resident Review Course at Hotel del Coronado, San Diego runs March 16-21, 2008
For more information on above courses
www.ryalsmeet.com
Bradley MR Course
4 times each year at UCSD Medical Center
July 9-13 and Sept 17-21, 2007
Free for fellows
C:\MPFiles\Fellows\2006-2007\Orientation\Conferences Mercy Conference 2006-2007.doc
June 24, 2007
MERCY CONFERENCES – 2007-2008
Radiology lectures for Orthopedic Grand Rounds morning
Wednesday 7:30 am – 8:20 am
In the Amphitheatre, Mercy Hospital
4077 Fifth Avenue
San Diego, CA 92103
Dates
July 11, 2007 – Dr. Tudor Hugues
September 5, 2007
December 7, 2007
February 6, 2008
May 7, 2008
July 9, 2008
Orthopedic point of contact:
Susi Driscoll
skdriscoll@ucsd.edu
619-543-7247
C:\MPFiles\Fellows\2007-2008\Orientation\Conferences Saturday MSK MR Lectures 2007 pending.doc
June 24, 2007
Saturday MSK MR Lectures Resnick
Fall 2007
Saturday Musculoskeletal MR Lectures, Fall 2007 will start at the end of August or the beginning of September. The schedule is still pending and will be sent to you as soon as it is available. The topics for this year will include knee, and one other joint TBA.
The Saturday conferences will begin at 9:00 a.m. and finish by 10:15 a.m. All will be held in the Front Conference Room at the VA Medical Center.
Attendance at these conferences is open to all residents and fellows and community radiologists. They are not mandatory, but are a great opportunity for you to have more exposure to advanced musculoskeletal MR.
If you need any further information about this, let us know.
Donald Resnick, MD
Professor of Radiology, UCSD
Veterans Administration Hospital
C:\MPFiles\Fellows\2007-2008\Orientation\Conferences Scripps 2007-2008 pending.doc
June 24, 2007
SCRIPPS CONFERENCE – 2007-2008
Thursday 5:30-7:30 PM
In the Evans Conference Room at Scripps
Tentative Dates
Approximately once a month
Dates pending
Points of Contact:
VA - Milton Eliot Secretary to Dr. Donald Resnick
552-8585 x3343
Scripps – Les Sherman Administrative Coordinator/Radiology
Sherman.Les@scrippshealth.org
554-2648
Distribution List:
Fax to Bina (catering 554-6631) Les Sherman
Bone Fellows Bone Staff
Dr. Gary Williams Dr. Steven Copp (Ortho)
Dr. Richard Walker Debbie Warren
Dr. Joel Diamant Bernadette Santos
Dr. Ken Pischel Dr. Lorenzo Pacelli
Dr. Dean Nakadate (Podiatry) Dani Andrews (Rheumatology)
C:\MPFiles\Fellows\2006-2007\Orientation\Conferences Thursday morning.doc
June 24, 2007
The Thursday morning conference schedule is on the bottom of the monthly faculty Scripps schedule
SCRIPPS CLINIC RADIOLOGY SCHEDULE (SAMPLE, HAS CHANGED….)
JULY 2006
Monday JULY 3 Mini Pathria
Tuesday JULY 4 Holiday
Wednesday JULY 5 Amil Gentili
Thurday JULY 6 Donald Resnick
Friday JULY 7 Tudor Hughes
Monday JULY 10 Nataliya Plyushcheva
Tuesday JULY 11 Donald Resnick
Wednesday JULY 12 Amil Gentili
Thursday JULY 13 Mini Pathria
Friday JULY 14 Tudor Hughes
Monday JULY 17 Nataliya Plyushcheva
Tuesday JULY 18 Donald Resnick
Wednesday JULY 19 Christine Chung
Thursday JULY 20 Amil Gentili
Friday JULY 21 Tudor Hughes
Monday JULY 24 Nataliya Plyushcheva
Tuesday JULY 25 Donald Resnick
Wednesday JULY 26 Amil Gentili
Thursday JULY 27 Mini Pathria
Friday JULY 28 Tudor Hughes
Monday JULY 31 Nataliya Plyushcheva
VA Thursday 7:00 a.m. Bone Conference
JULY 8 No Conference
JULY 13 No Conference
JULY 20 No Conference
JULY 27 Amil Gentili
Each fellow will present one Thursday morning didactic conference (on a topic of your choice) during the year. Fellow conferences will start in January. Start thinking about your topic soon and start gathering cases!
| Hillcrest:
619 54(3 6222), Dial out 8, Thornton or Hillcrest to VA 15133 then 4
fig ext Boneboard: 32147, 35277, 33976, 32864. Tudor PA 36148 CT: Reception 36893. Lightspeed 36894. CTI 32571 MRI: Tech 32944 Mobile 19170/19171 Larry 35212, Reading room 32931 Reception 36148 Schedulers 36415 Ultrasound 32620 OP Radiology (Virginia, Oscar) 36854 Central area radiology/Fluoro 33559 Tudor and Mini office 33698 Trauma radiographer 32999 SICU (3SICU) 37428 Transcription: Marcia 37253 Fileroom: Celia, Linda 36586 Susan Ramirez 33943 Glenn Yoshitake 36564 Scheduling: 33405 PACS Rick Hall page 3936, x 19590 Jason Roach page 1188 PACS: Kim 36760, John Forsythe 36765, Michael Crook 32942 Page: 137, last 4, Your number. RTAS: 37140-MRN Resident on call page 5063 ED 32140 ED X-ray tech 32149 Urgent Care 33630/33618 Ortho 36306 Cast room (Tom) 32876 4th and Lewis 19240 DEXA 19240Thornton: 858 65(7 7000), Dial out 8, Thornton or Hillcrest to VA 15133 then 4 fig extBoneboard: 76780 X-sect: 76779 CT: 76667 MRI: Tech 76674 Office 76671 Fluoro tech 76646 Fileroom: 76646. Radiology reception 76640 Cancer Center CT 78797 MRI 26138 Bone density 25318/26146Radiology reception (858 82) 26148 US 26129 VA: 858 552 8585 Dial out 9Bonepit: 858 552 8585 4 7793. Teleradiology x7408 Page 9 1 619 290 last 4, 858 552 8585 7793 Milton: 858 552 8585 4 3343. Debbie: x7058 Reception: x3226 CT: x7796. MRI: x2860 Scripps: 858 455 9100 Dial out 9Boneboard: 858 554 2669 Radiology: 858 554 2626 Navy: 619 532 6400 Dial out 9Radiology reception: x8666 Bone reading room: x8680. MR reading x5696 Children’s Radiology: 858 546 7700 |
