Diagnostics Radiology Residency Program
The Residency Program in Diagnostic Radiology is a fully accredited four-year program leading to specialty certification by the American Board of Radiology. Established in 1991, it is one of 23 physician training programs sponsored by Madigan Army Medical Center, a 200 plus bed hospital and multi-specialty outpatient medical facility at Joint Base Lewis McChord, Washington. The program is affiliated with the University of Washington and Seattle Children’s Hospital, and provides a comprehensive clinical experience in all imaging modalities and radiology subspecialties. The didactic curriculum includes morning teaching conferences and lunch time lectures. Participation in clinical research or other scholarly activity is a requirement for graduation. Over the previous twelve-year period, 100% of the program’s graduates have passed initial board certification testing during residency and have gone on to serve successfully as general radiologists and fellowship-trained subspecialists in other Army Medicine hospitals and in private practice.
At any given time, there are approximately 17 residents-in-training and the program admits up to five new residents to PGY-2 training each year; two to three are typically PGY-1 transitional interns proceeding directly into residency under continuous five-year contracts.
Residents are typically assigned two-to four-week blocks to one of the following subspecialty areas of radiology:
During year four, residents rotate at Harborview medical center in Seattle on a 6 week emergency Radiology rotation. Harborview Medical Center is “the only designated Level I adult and pediatric trauma and verified burn center in the state of Washington, Harborview serves as the regional trauma and burn referral center for Alaska, Montana and Idaho”.1 In addition, fourth year residents rotate at Seattle Children’s Hospital on an 8 week Pediatric Radiology Rotation.
Nuclear medicine, including cardiac, PET, PET-CT
Cardiovascular Radiology including CT and MR
Morning Case Conference:
(Tuesday-Friday, 7:30am - 8:30am): This resident-led one hour case conference trains residents to generate mental models of pathology, identify pertinent findings, correlate images with the clinical presentation and construct a concise but complete differential diagnosis.
(Daily, 12:00pm - 1:00pm): Daily didactic sessions constitute the fundamental core of the teaching program and include lectures from staff members which covers fundamental topics about each subspecialty.
Radiology Pathology Correlation:
Thursday conferences are devoted to radiology pathology correlation for oncologic patients. Residents rotating in the Interventional Radiology, Breast, Thoracic, and Body sections will present pertinent pathologic imaging findings at multidisciplinary conferences. Residents rotating in neuroradiology are able to present at weekly multidisciplinary neurology and ENT conferences. Additionally there are quarterly multidisciplinary musculoskeletal oncologic and Pediatric Surgery conferences in which residents are able to present.
Residents have opportunities to present at other departments' grand rounds, including Emergency Medicine and General Surgery Grand Rounds
During the second year of residency, the department releases residents from clinical duties to attend a fully-funded four-day emergency radiology course at the University of Washington in Seattle, WA.
Emergency Radiology Course:
Physics Review Course:
Third year residents attend a fully-funded one week physics review course of their choosing, typically in San Diego, CA.
American Board of Radiology Core Exam Review Course:
Third year residents attend a fully-funded one week Core Exam review course of their choosing.
American Institute of Radiologic Pathology (AIRP) Course in Radiologic Pathology:
During the third year of residency, the department releases residents from clinical duties to attend the four-week course in Washington, D.C. The four week course is fully-funded including lodging and per diem.
Call Schedule covers three phases:
- July of Year 1 – September of Year 1: Swing Shift Buddy Call: Junior Residents are paired with a senior resident and learn the basics of emergency and inpatient imaging.
- October of Year 1 – June of Year 1: Swing Shift: Junior Residents work with a staff radiologist to cover inpatient and emergency studies.
- January of Year 2 – June Year 4: Night Float: Senior Residents will cover approximately four to six weeks of nights each year during years two, three, and four. These shifts are performed independently with staff at home and available by phone.
Residents are able to attend national conferences including Radiological Society of North America (RSNA), American Society of Emergency Radiology (ASER), and others where they present their original work. During the past few years Madigan residents have been well represented at these meetings with over 50% of residents attending and presenting original work at the week-long 2019 RSNA conference in Chicago, IL.
- 7:30 am - 8:30 am: Morning case conference
- 8:30 am - 12:00 pm: Clinical responsibilities
- 12:00 pm - 1:00 pm: Didactic conference
- 1:00 pm - 4:00 pm: Clinical responsibilities