Category Archives: Residency Productivity ‘Hacks’

Radiology residents have so much to learn in so little time. These blog posts document how I try to keep on top of it all.

5 Tech Tips Before Starting Radiology Residency

After a well-deserved celebration, the medical students who matched into radiology this year will realize what they’ve known all along – it will be a little more than a full year before they would start the actual residency they signed up for.

In many training programs, this post-match, pre-July-1 time is when the attention starts to focus on the folks who matched last year, those who will be starting in three months. Personally, April was when I also began to both getting psyched about starting a new residency program and getting nervous about preparing.

This post is about buying technology for those who are fixing to start radiology residency this year.

1. Find out If Your Program Has a Computer Fund

Any form of technology is a serious investment for a resident, as a computer can easily cost you a 2-week paycheck.

Before you buy anything, find out if your residency program provides funding for new computer and/or textbooks.

If it does, then great! It is then worth finding out when you can start using it. For instance, my residency program requires that you be officially working – i.e. July 1 – before you are eligible for the professional funding.

2. Get at Least One Portable Computer/Device

A paper in Academic Radiology states that having ready access to technology will become increasingly important in education.

The PACS stations at some hospitals provide unlimited access to the web and are outfitted with modern web browsers and office tools, but others may provide heavily filtered web access with minimal applications. Unless you are certain that your situation is the former, it would be worth having some form of portable computer/device.

Which form factor you decide to go with – tablet, ultrabook, regular notebook, or phablet – is a personal choice. Just keep in mind that the things you might end up using them for:

  1. Take notes during conference
  2. Look up a diagnosis or finding on Radiopaedia.org or one of its commercial competitors
  3. Integrate with electronic medical records – some institution’s EMR would ask that your device meet some security feature requirements
  4. Access the digital edition of a textbook
  5. Touch up a slides presentation for journal club or case conference

3. Get a Twitter Account

Social media is becoming increasingly important in radiology. Any national radiology conference you attend will have a strong Twitter presence, and many people are also on LinkedIn.

Since one of your tasks during the residency is to learn about the most pressing issues in the radiology community at large, becoming familiar with tools like Twitter can be tremendously helpful.

Also, if you start now, you can grab all the cool names before someone else gets them.

4. Avoid EInk Readers for Radiology Books

Radiology textbooks are expensive. It is made worse by the fact that there are so many of them! You will need a book for each subspecialty to really learn the nuances of each rotation.

Unfortunately, eInk readers are just not good enough for images on radiology. Kindle Paperwhite, for example, sports only 16 shades of grey. Reading the same books on a tablet like the iPad, Nexus 9, or Kindle Fire is a different experience, owing to the markedly improved contrast resolution over eInk.

However, be careful that sometimes Kindle or EPUB format books compress images so much that the quality is visibly degraded.

This is not to say electronic books are bad. Buying electronic books can be a good way both to save Benjamins and to reduce the weight of your bag if you load them on a tablet instead of carrying the hardcover incarnations.

EInk readers are great, and I love my Kindle Paperwhite. They are just not for radiology images.

5. Decide If You Want to Pay for an Anatomy Resource

If you are anything like me, you would find memorizing anatomy in a vacuum nearly impossible. Incidentally, it is also one of the most important funds of knowledge to acquire as a first year resident.

Therefore, it is sometimes worthwhile to have access to a good anatomy resource for use on-service. There are free resources like HeadNeckBrainSpine neuroradiology and XRayHead for MSK MRI. e-Anatomy by IMAIOS is an atlas that has some free content but is mostly a paid resource.

At some point you will have to decide whether free resources are sufficient for your needs. Your institution may provide access to a paid resource already, or your professional funding may cover it. If you have to pay out-of-pocket, consider the possibility of sharing an account with a co-resident (make sure you are not violating the user agreement, though).

Conclusion

Radiology residents use more technology than possibly more than other specialty residents from devices, educational resources, to social media. Ultimately how much technology plays a part in your training is a personal preference. However, keeping some of the above points in mind may help you avoid making bad purchase mistakes and be more prepared for July 1.

On The NRMP Residency Match, And What People Meant by “It’ll All Work Out”

The optimal solution of the NRMP match algorithm is deceptively simple, but its implication for the lives of applicants is anything but simple.

Three years ago, my then-girlfriend and I sat down and parsed through what would become the most important determinant of our lives moving forward.

Because we attended different medical schools, we carried on a long distance relationship for five years. The NRMP match was more than just a residency choice. It was also a solution that could finally close our distance and take the relationship forward again.

The ranked list seemed like the most difficult decision we had to make. There were so many variables, each with differing levels of importance.

match

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When We Care, We Share – But Where?

As radiologists, why keep a blog yourself when academic journals, professional blogs, or even newspapers offer a wealth of outlets to share your thoughts?

In a blog post, Arjun Sharma observes that the multitude of places to express his opinions a confounding option. Then, he and I exchanged a few emails seeking an answer.

Photo Source: www.jenniferjillharman.com

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SPIE 2015 Talks Big [data]

This past weekend, I had the opportunity to attend the SPIE Medical Imaging conference held in Orlando, FL. My visit was cut short to a single full day, but it was enough to learn a great deal.

The meeting is divided into different tracks, each a themed conference with a keynote speaker, paper presentations, and a workshop. Attendees are free to switch from room to room to attend different topics. These are generally engineers, physicists, computer scientists, as well as industry leaders in imaging technology like IBM and Siemens. I spent most of my day in the PACS and Medical Informatics (9418) conference.

SPIE Medical Imaging conference is held in Orlando FL this year

SPIE Medical Imaging conference is held in Orlando FL this year

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Tips on Putting Thoughts into Writing

Writing is an excellent stress reliever – and, according to New York Times, modulates one’s self-narrative.  This is true even if you are bad at it!  (Who has two thumbs and can barely keep “your” and “you’re” straight?)

Recording thoughts is also an excellent exercise in staying focused.  I am a very distractible person, frequently leaving sentences un

© Mats Tooming | Dreamstime Stock Photos

© Mats Tooming | Dreamstime Stock Photos

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Do Your Research Before Doing Your Research

Recently I had an idea.  Something just clicked when I least expected it – of course!  Why didn’t I ever thought of that before?  A simple research question.  A simple way to answer it.  Helpful contribution to knowledge.  I began to assemble the idea by writing it down, into outlines and paragraphs, thinking through all the possibilities.

Then it occurred to me to use PubMed.  It turns out that although I didn’t “ever thought of that before,” someone else clearly did.   It was a good paper.  So there was that.

Every now and then we all stumble upon an idea so good, so exciting, so cool that we want to pursue it and make it our life’s goal – a research focus, a project, a new company.

Just be careful that someone else might have had that epiphany too.  Last year. Find out what happened to that idea before starting yours.

Before the End of the Day

Radiology Education

Credit: arztsamui from freedigitalphotos.net

 

“Before the end of the day,” a staff radiologist placed a gentle but firm hand placed on my shoulder a few months into my first year in residency, “we should talk about your report.”  I felt a dull tugging in my stomach, worried that something had gone seriously wrong – an incorrect diagnosis, a poorly phrased finding, an embarrassing lapse in voice recognition leaving out the “no” in front of “evidence of cancer.”  Maybe I was completely off-base, having seen a finding that did not exist and perhaps called it “highly suspicious.”  Maybe the ordering physician called my attending on her personal cell phone to complain.

Maybe it was the patient who called.

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The Gorilla Detection Exercises at Dawn – A Theory of Radiology Nightfloat

As a rite of passage as well as part of the regular work schedules of a radiologist, a resident trainee must take on the role of independent interpretation for exams that come into the hospital at night.  I happen to work at a place where attending backup is readily available by phone, but an attending radiologist is not in-house at night.  This provides an abundance of learning opportunities.

After finishing one week of radiology night duties as one of two trainees, I’ve begun to think how the progression of the night always seem to follow some pattern, and what that means for a radiologist trainee on call.

Pareto-Efficient

First, it’s probably useful to introduce the concept of a pareto-efficient curve. The curve explains the relationship between two desirable but partially mutually exclusive qualities.  For example, a radiologist wants to be very fast at interpreting studies.  A radiologist also wants to provide very high quality interpretations.  Alas, we cannot do both at the maximal capacity.  One might imagine the relationship between the two to look like this:

pec1

Standard pareto-efficiency curve

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3 Ways To Build Better To-Do Lists (3 of 3)

This is a continuation of a thread of posts (part 1, part 2).

3.  Put the whole project on a list and off your mind, or don’t use one at all.

Computers are simple creations.  Despite dramatic advances in artificial intelligence – and the ensuing debate on what constitutes “intelligence” – our multi-core, multi-gigahertz processing machines touting terabytes of storage can’t make a decision that it wasn’t programmed to do.  Continue reading

3 Ways To Build Better To-Do Lists (2 of 3)

This post is part of a series (part 1 | part 2 | part 3)

2. if something needs to be done at a certain time, make it a calendar event, not a TODO ITEM.

Computer are actually incapable of recognizing time. When you tell the computer to “wait 1 second,” it actually converts 1 second to the number of CPU cycles to wait before executing your code.  This means that if another program suddenly tries to execute high priority code right before your timer is up, the CPU will go run their code and leave your program hanging to dry.   Continue reading