VU. PROGRAMCONTENT. \- B. Obstetrics and Gynecology. ,---J- Abdominatr and pelvie preeedures. A. Breast diseases

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3 VU. PROGRAMCONTENT A. Breast diseases \- B. Obstetrics and Gynecology C. Physics as applied to mammography, ultrasound, CT, MRI D. Radiation protection E. Use of drugs in radiology, including sedation F. Diagnostic Imaging 1. Breast imaging (mammogram, ultrasound and MRI) 2. Breast interventional,---j- Abdominatr and pelvie preeedures

4 Ultrasound guided core biopsies and FNA Cyst aspiration Wire or needle localization Galactography Digital mammography and stereotactic core biopsy are imminent G. Women's Body Imaging \riil F'ACILITIES \./ 1. Ultrasound of normal and high-risk Imagingand Ob/Gyn Departments 2. Ultrasound of abdominal-pelvic gynecological diseases 3. CT abdominal-pelvic gynecologic studies 4. MRI abdominal-pelvic gynecologic studies 5. MRI obstetrical studies 6. Fluoroscopy: hysterosalpingogram 7. Image guided procedures sueh as hysterosonography 8. PET scan in evaluating gynecological and breast malignancies and lesions 9. Gamma cameras for evaluating gynecological and breast malignancies for metastases and sentinel node 10. BMD studies for osteoporosis A. The facilities used will be those of the Department of Radiology, Section of Ultrasound and High Risk Section of the Ob/Gyn Department at King Faisal Specialist Hospital and Research Center (KFSH&RC). These comprise several ultrasound units with color Doppler capability, multislice and helical CT scans. There are three (3) high field MRI scanners, one high-resolution PET scanner and an acquired CT PET scanner, several gamma cameras, a mammography unit and an acquired digital mammography unit. Also, an Ultrasound unit dedicated for breast imaging is in place. Extensive experience will be gained in evaluating the Iarge number of obstetric, gynecologic and breast cases in this largest referral center. A BMD machine is available and a new one has been acquired for these studies. Currently the number of consultant radiologists in the Abdominal section is seven (7) and in Mammography section it is three (3). B. Librarv Factlities The Hospital Health Sciences Library has excellent facilities with current journals and a wide range of textbooks. There is a small departmental library for on-line consultations, with access to a few major radiological j ournals.

5 Tgghi4g-Resources. A teaching file of images referable to all aspects of Women's Imaging will be made available for use by Fellows. This file will be indexed, and coded and is currently maintained. The updating of the teaching file will be one of the responsibilities of the Fellow. Conferences. A wide range of clinical conferences is conducted by the Department of Radiology and Department of Ob/Gyn. Multidisciplinary conferences are conducted for diseases of the breasts, gynecologic malignancy, high-risk pregnancies and abdominal-pelvic diseases in general. EVALUATION Written evaluation of the Fellow will be made: A. During their first 3'd and 9ft month, by the Program Director. B. At appropriate intervals, by the clinical supervisors of each rotation. C. After completion of the Fellowship year, the Fellow will sit for a final end-ofyear examination. D. The end-of-year examination will be evaluated by a committee, including the Program Director, the Department Chairman, and two members of the Defaftment's consultant staff appointed by the Chairman. Evaluation of each rotation will be made by the Fellow in writing. Fellows will be subject to the same disciplinary procedures as other Hospital employees and trainees and will have access to grievances and appeal processes in common with other trainees. X. PROMOTION A Fellow's advancement from first year to second year is contingent upon professional performance and personal growth, as evaluated by the Program Director and the Department Chairman in collaboration with Section staff.

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