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With the restructuring of the ABR examinations to test core knowledge at the end of the PGY4 year, radiology residencies have increased flexibility in designing targeted educational experiences for senior residents. We have innovated the educational program for our senior residents by incorporating related clinical months alongside subspecialty-focused radiology rotations to create Areas of Concentration within select modalities. We now offer Areas of Concentration for up to 6 months to all PGY5 residents in our integrated (categorical) residency program. Residents may choose the clinical months from among those previously chosen by our residents, or may identify a faculty member in another specialty to serve as a mentor and evaluator. Residents utilize these Areas of Concentration to prepare themselves for fellowship and practice opportunities, combining related/ useful clinical rotations such as a Cardiology stress lab rotation with Nuclear Medicine, or an ICU/Critical Care rotation with Interventional Radiology. During these clinical-radiologic selectives, senior residents hold responsibilities similar to fellows, including teaching and multidisciplinary board presentations. Challenges faced include shortages of senior residents available to staff other radiology rotations and scheduling logistics to ensure all residents can chose Areas of Concentration within their desired fields.


Presented at the AUR 64th Annual Meeting 2016 Diversity, Inclusion, and Cultural Competency in Academic Radiology March 29 - April 1, 2016 San Diego, California