You are on page 1of 32

M C P S

Membership of College of Physicians & Surgeons Pakistan

DIAGNOSTIC
RADIOLOGY
PY
Prospectus
CO
CE
I
FF
O
;GDD=?= G>
H@QKA;A9FK 9F<
KMJ?=GFK
H9CAKL9F
TABLE OF
CONTENTS

The College 1

Introduction 3

MCPS examination 4

General Regulations 5

Examination schedule 7

Syllabus 10

Useful Addresses and Telephone Numbers 27


THIS IS AN EVOLVING DOCUMENT.

The College of Physicians and Surgeons Pakistan


would appreciate any criticism, suggestions,
advice from the readers and users of this document.
Comments may be sent in writing or by
e-mail to the CPSP at:

National Directorate Residency Program (NDRP)


College of Physicians and Surgeons Pakistan (CPSP)
7th Central Street, Defence Housing Authority, Karachi-75500.
ndrp@cpsp.edu.pk

Composed by:
Syed Faisal Babar
Department of Medical Education

Published: December, 2010

COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN


7th Central Street, Defence Housing Authority, Karachi-75500.
Phone No. 99207100-10 UAN: 111-606-606 Fax No. 99266432
THE COLLEGE D
I
A
The College was established in 1962 through an G
ordinance of the Federal Government. The objectives/ N
O
functions of the College include promoting specialist S
practice of Medicine, Surgery, Obstetrics & Gynaecology T
and other specialties by securing improvement of I
C
teaching and training, arranging postgraduate medical,
surgical and other specialists training, holding and R
conducting examinations for awarding postgraduate A
degrees of the College, admission to the Fellowship of D
I
the College, and to provide for research.
O
L
Since its inception, the College has taken great strides in O
the direction of improving postgraduate medical and G
Y
dental education in Pakistan. Structured training
programs along with criteria for accrediatation of training
institutions, and for the appointment of supervisors and
examiners have now been developed. The format of
examinations has evolved over the years to achieve
objective and reliable methods of assessment. The
recognition of the standards of College qualifications
nationally and internationally, has enormously increased
the number of trainees, and consequently the number of
training institutions and the supervisors. This increasing
demand coupled with advancement in medical sciences
has gradually increased the number of fellowship
disciplines to fifty three and of membership to eighteen.

The average number of candidates taking CPSP


examinations each year is over 22,500. The College
conducts examinations for FCPS I (11 disciplines), IMM,
FCPS II (53 disciplines), MCPS (18 disciplines) and
DCPS (2 non-clinical disciplines). 1
PROSPECTUS MCPS
D To coordinate the training and examination, and to
I
provide assistance to the candidates undergoing training
A
G at places other than Karachi; College has established 12
N Regional Centers and five Provincial Headquarter
O
S
Centres in the country. The five Provincial Headquarter
T Centers in addition to organizing the capacity building
I workshops/short courses also have facilities of libraries
C
and I.T.
R
A
It is important to note that in the overall scenario of
D
I health care delivery service, out of the total functioning
O and registered health care specialists in the country,
L
over 85% have been provided by the CPSP. The College
O
G strives to continue its efforts in making its courses and
Y training programs evidence and need based so as to
meet international standards as well as to cater to the
specialist healthcare needs not only for this country but
also for the entire region.

2
PROSPECTUS MCPS
INTRODUCTION D
I
A
The College of Physicians and Surgeons Pakistan has G
N
always designed its postgraduate training programs
O
keeping in consideration the national and international S
needs. In Pakistan attempts have been made to improve T
I
the health status of the people through availability of
C
trained personnel, adequate supply of medicines and
establishment of greater number of health facilities. R
A
However, much more needs to be done in this respect. D
I
The main health related problems facing Pakistan are O
L
preventable communicable and non-communicable O
diseases, severe malnutrition and high incidence of birth G
Y
resulting in high infant and maternal mortality. It is
evident from the dismal health related statistics that
efforts should be directed at improving healthcare
facilities at the primary and secondary care levels. A
need was therefore felt to train a group of mid level
specialists who can provide quality services at these
centers. The curriculum and training for MCPS have
been developed to achieve this objective.

This booklet provides information to the trainees and


supervisors regarding training requirements and
assessment strategy for the MCPS in
Diagnostic Radiology.

3
PROSPECTUS MCPS
D
I
MCPS EXAMINATION
A The College conducts MCPS examination in the
G
following 18 disciplines:
N
O
S
T 1. Anaesthesiology 10. Ophthalmology
I
C 2. Clinical Pathology 11. Oral Surgery

R 3. Community Medicine 12. Orthodontics


A
D
I 4. Dermatology 13. Otorhinolaryngology
O
L 5. Diagnostic Radiology 14. Paediatrics
O
G
6. Family Dentistry 15. Periodontology
Y

7. Family Medicine 16. Prosthodontics

8. Obstetrics & Gynaecology 17. Psychiatry

9. Operative Dentistry 18. Pulmonology

4
PROSPECTUS MCPS
GENERAL REGULATIONS D
I
The following regulations apply to all candidates entering A
for MCPS examination: G
N
O
Candidate will be admitted to the examination in the S
name (surname and other names) as given in the MBBS T
degree. CPSP will not entertain any application for I
C
change of name on the basis of marriage/ divorce / deed.
R
REGISTRATION AND SUPERVISION A
D
All trainings must be supervised, and trainees are
I
required to register with the RTMC within 30 days of the O
start of the training for MCPS. In case of delay in L
registration, the start of training will be considered from O
G
the date of receipt of application by the RTMC.
Y
Registration forms are available with RTMC and at the
Regional Centers. The forms can also be downloaded
from the CPSP Website. Training is compulsorily
monitored by an approved supervisor who is a CPSP
fellow or a specialist with relevant postgraduate
qualifications and requisite experience, approved by
CPSP and registered with the RTMC.

APPROVED TRAINING CENTRES


Training must be undertaken in units, departments and
institutions approved by the College. A current list of
approved institutions is available on the College
website: www.cpsp.edu.pk

DURATION OF TRAINING
The duration of training for MCPS is two years; MCPS
examination can be taken only after completion of the
specified training and other requirements. 5
PROSPECTUS MCPS
D
I
MANDATORY WORKSHOPS
A All candidates will attend following Mandatory
G
Workshops and present certificate of attandence before
N
O they can be allowed to take the MCPS examination:
S
T 1. Introduction to Computer and Internet or exemption
I test thereof
C
2. Communication Skills
R
A ELIGIBILITY REQUIREMENTS FOR
D
I MCPS EXAMINATION
O
L ● MBBS or equivalent qualification registered with the
O PMDC.
G
Y
● One year house job in an institution recognized by
the CPSP.

● Registered with the Registration and Training


Monitoring Cell (RTMC).

● Completed two years of registration with RTMC


training under an approved supervisor in an
institution recognized by the CPSP. A certificate of
completion of training must be submitted, verifying
that the rotational training in the specified disiciplines
for the required period has also been undertaken.

● Submitted attested logbook.

● Submitted certificates of attendance of mandatory


workshops.

6
PROSPECTUS MCPS
EXAMINATION SCHEDULE
D
I
A
● The MCPS theory examination in Diagnostic
G
Radiology are held twice a year.
N
O
● Theory examinations are held in different cities of the S
country depending on the number of candidates at a T
center. Presently the centres are Abbottabad, I
Bahawalpur, Faisalabad, Hyderabad, Islamabad, C
Karachi, Lahore, Larkana, Nawabshah, Multan,
R
Peshawar and Quetta. The College’s decision to hold
A
theory/clinical examinations depends on the number D
of candidates in a city and candidates will be I
informed accordingly. O
L
● Clinical examination will be held for only those O
G
candidates who qualify in theory.
Y

● English is the medium of examination for the


theory/practical/clinical and viva examinations.

● Any change in the centres, dates and format of the


examination will be notified by the College before the
examination.

● Each successful candidate in the MCPS examination


shall be granted MCPS diploma after successful
qualification of exams and being elected by the
College Council upon payment of registration fee and
other dues as per rules of the College.

● A competent authority appointed by the College has


the power to debar any candidate from any
examination if it is satisfied that such a candidate is
not a fit person to take the College examination for
using unfair means/misconduct or other disciplinary
reasons. 7
PROSPECTUS MCPS
D
I EXAMINATION FEE
A ● Fee deposited for a particular examination shall not
G
be carried over to the next examination in case of
N
O
withdrawal/absence/exclusion.
S
T ● Application along with the prescribed examination fee
I and required documents should be submitted latest
C
by the last date notified for the purpose before each
R
examination.
A
D ● The details of examination fee and fee for change of
I centre, subject, etc. shall be notified before each
O
examination.
L
O
G ● All fee are payable by bank draft/pay order made out
Y to the “College of Physicians & Surgeons Pakistan”.
Personal cheques and postal orders are not
accepted. However fee can be paid in cash at the
accounts department of the CPSP at Karachi or at
specified branches of UBL in most cities.

Refund of fee
● After submitting an application for examination, if a
candidate decides not to appear, a written request for
the same should be submitted up to the last date of
the receipt of application. In such cases the refund is
admissible to the extent of 75% of fee only. No
request for refund will be accepted after the last date
of receipt of the application.

● In case the application for examiantion of a candidate is


rejected by the CPSP, 75% of the examination fee will
be refunded, after deducting 25% as processing
charges. No refund will be made, for fee paid for any
8 other reason, e.g. late fee, change of centre/subject fee.

PROSPECTUS MCPS
FORMAT OF EXAMINATION
D
I
The MCPS examination in Diagnostic Radiology A
G
comprises of:
N
I. Theory O
Two written papers: S
T
Paper I 10 SEQs 3 hours I
Paper II 10 SEQs 3 hours C

R
Physics will be covered in Paper One. A
D
II. Clinical I
O
Film reporting session: L
20 films to be reported in 100 minutes. O
G
Y
Table viva:
03 Stations (two examiners on each table).
30 minutes on each table.

Only those candidates who qualify in theory will be called


for viva examination.

9
PROSPECTUS MCPS
D
I
SYLLABUS
A The outline of various topics given in this syllabus is a
G guide to what at the moment are considered to be
N
O
important topics which the candidate is expected to
S know. This is to help both the candidate and the
T examiner in defining the minimum boundaries of MCPS
I examination.
C
1. Radiological Anatomy
R 2. Physics
A 3. Protection
D
4. Film Technique
I
O
5. Special Technique
L 6. Clinical Radiology
O 7. Nuclear Medicine
G
Y
1. RADIOLOGICAL ANATOMY
Chest and back
Thoracic contents:
Diaphragm, surface relation, principle thoracic contents,
great vessels, esophagus, lungs, pleura, heart and aorta.
Abdominal contents:
Stomach, duodenum, small and large intestines, liver,
gall bladder, spleen etc.

Head and neck:


Thyroid, salivary glands, eyes, ear, nasal cavities,
mouth, pharynx, larynx, vessels and nerves.
Brain and its associated vessels, subarachnoid space
and spinal cord, vertebral column, muscle movements.

Genitourinary system:
Kidneys, ureter, bladder, female and male pelvic organs.

10 Cross sectional and multiplannar anatomy.

PROSPECTUS MCPS
2. PHYSICS D
I
1. Fundamental Physics of Matter and Radiation A
a. Basic physics G
Fundamental properties of matter and radiation N
decay. Interactions of ionising radiation with matter O
S
b. Radiation Hazards and Dosimetry
T
Biological effects of radiations I
Risks of radiation C
Principles of radiation protection
- Justification R
- Optimisation A
D
- Limitation
I
Absorbed dose, equivalent dose, effective dose O
and their units L
O
2. Practical Radiation Protection G
a. General Radiation Protection Y

b. Radiation protection of the patient including


pregnant women, infants and children
c. Radiation protection of staff & members of the public
d. Use of radiation protection devices

3. Statutory Requirements and Non-Statutory


Recommendations

4. Diagnostic Radiology and Radionuclide


Radiology
a. Diagnostic Radiology
Production of X-rays
- General tubes
- Mammography
Radiological image
Factors affecting radiation dose & image quality
Quality assurance and quality control
Conventional film processing
Digital Film Processing
Computers in Radiology 11
PROSPECTUS MCPS
D b. Fluoroscopy and Fluorography
I Image intensification
A
Operator controlled variables
G
N Measurement of image quality
O Factors affecting radiation dose & image quality
S c. Computed Tomography Scanning (Introduction)
T Basic physics of CT
I
Factors affecting radiation dose & image quality
C
d. Patient Dosimetry
R Methods
A Diagnostic reference levels (including high dose
D techniques)
I Magnitude and measurements
O
e. Radionuclide Imaging (Introduction)
L
O Fundamentals of diagnostic use
G Properties of radiopharmaceuticals
Y Factors affecting radiation dose & image quality
Radiation protection requirements for
- Conception, pregnancy and breastfeeding
- Arrangements for radioactive patients
- Keeping of radioactive substances
- Disposal of radioactive waste

5. Cathode Rays
Production of cathode rays. Construction of cathode ray
tubes (CRT). Penetration and absorption, velocity.
Secondary and scattered electrons. Production of
roentgen rays.

6. Production and Properties of X-rays


The Roentgen tube, general properties. diffraction of
roentgen rays by crystal. Roentgen spectrum.
Characteristics of radiation. Absorption of roentgen rays.
Reflection and refraction.
Secondary rays:
- scattered radiation, Compton effect
12 - characteristic radiation
PROSPECTUS MCPS
7. Production of ionization D
I
Measuring instruments. Exposure time. Valves, rectifiers A
and high tension generators and transformers for G
N
Diagnostic Radiology. O
S
T
8. Measurements of X-Rays I
C

Quality measurements R
- Voltage - Spectrometer A
D
- Anode material - Filtration I
O
L
Radioactivity O
Alpha, beta and gamma rays: their detection, uses and G
Y
properties.
Radioactive changes, radioactive equilibrium, absorption
coefficient, half-life periods, dose meters, isotopes,
atomic structure.

X-ray Tube
Cooling of X-ray tube, rotating anode tubes, focal spot,
rating of tube.

Practical Application of X-rays and Diagnostic


Imaging
Positioning equipment, diaphragm, fluorescent and
intensifying screens, image intensifier, localization,
tomography.
Grids, its lead contents, types etc.
Basic principles of ultrasound, CT scan and MRI. 13
PROSPECTUS MCPS
D
I
3. PROTECTION FROM X-RAYS
A A. General considerations
G
N Maximum permissible dose.
O
Shielding from direct radiation.
S
T
I
C
Protection from scattered radiation:
Clinical Applications of Protective materials including
R
A design construction and implementation of radiological
D installations.
I
O
L B. Protection from X-rays
O General recommendations: definition, rooms for x-ray
G
Y apparatus, making of protective devices, tube
enclosures.

C. Recommendations of the Advisory


Committee on x-ray and radiation
protection

4. FILM TECHNIQUES
X-ray film, physical characteristics, characteristic curve,
film processing. Contrast and definition in x-ray film.
Development and temperature, development and fixing
solutions, developing equipments, dark room, tank
development. Errors in exposure, faulty techniques.
Geometrical effects on film: magnification, distortion,
penumbra, blurring.
Digital processing and use of computers in radiology.
Positioning in Radiology.
14
PROSPECTUS MCPS
5. SPECIAL TECHNIQUES D
I
(Basic Knowledge) A
G
Conventional Tomography, Cine radiography, N
Angiography. O
S
T
Special investigations of CNS. Myelography. Basics of I
CT and MRI. C

R
Diagnostic Procedures A
D
I
CNS Myelography O
Eye Dacrocystography L
O
Foreign body localization G
GIT Sialography Y

Barium and contrast studies


Respiratory system Pleural aspiration
Hepatobiliary system Ultrasonography
Cholangiography
Drainage procedures
Genitourinary Excretory urography
Cystography
Urethrography
Hysterosalpingography
Ultrasonography (including obstetrics)
Drainage procedures
CVS Limb Venography
Doppler of peripheral vessels.

15
PROSPECTUS MCPS
D
I
6. CLINICAL RADIOLOGY
A OBJECTIVES: At the end of two years residency, the
G resident should be able to:
N
O Breast
S ● understand and identify breast pathology and
T clinical practice relevant to clinical radiology
I
● understand and identify radiographic techniques
C
employed in diagnostic mammography
R ● understand and identify the principles of current
A practice in breast imaging and breast cancer
D
screening
I
O ● understand and identify the proper application of
L other imaging techniques to this specialty (e.g.
O ultrasound, magnetic resonance imaging and
G
radionuclide imaging)
Y
● Radiation Protection, International and PNRA
Regulations, etc.
● identify normal vs. abnormal anatomic structures
● discuss technical and physical factors unique to
the production of a mammogram.
● make a preliminary review of mammogram films
advise the technologist on the need for
additional views
● establish a plan for follow-up protocol for
probably benign lesions.
● select cases for appropriate ultrasound
examination.
● interpret ultrasound examinations.
● read and dictate mammograms of common
breast disease and is well versed with use
of BIRADS
● observe and perform under supervision breast
biopsy and localization; is knowledgeable about
the equipment used for breast imaging and
16 quality assurance issues.
PROSPECTUS MCPS
Heart D
I
● show knowledge of cardiac & great vessel
A
anatomy, pathology and practice relevant to G
clinical radiology. This includes ischaemic heart N
O
disease, valvular disease, congenital diseases
S
and pericardial pathologies. T
● understand and identify the manifestations of I
C
cardiac disease demonstrated by conventional
radiography R
● report plain radiographs & CT performed to A
D
show cardiac disease I
O
L
Chest
O
● comprehend respiratory anatomy and clinical G
practice relevant to clinical radiology Y

● identify the manifestations of thoracic diseases


as demonstrated by conventional
radiography and CT
● identify the application of radionuclide
investigations to chest.
● report plain radiographs performed to show
chest disease & identify anatomy and significant
pathology as seen on CT. This includes alveolar
lung disease, interstitial lung diseases,
atelectasis, airway and obsturctive diseases,
mediastinal masses and mediastinal / hilar
lymph node enlargement, solitary and multiple
nodules, changes related to trauma, chest wall,
pleura and diaphram and congenital anomalies.
● observe and perform under supervision image-
guided biopsies of lesions within the thorax
17
PROSPECTUS MCPS
D Gastrointestinal (including Liver, Pancreas & Spleen)
I
● identify gastrointestinal anatomy and clinical
A
G practice relevant to clinical radiology
N ● identify the radiological manifestations of disease
O within the abdomen on conventional radiography,
S
T
contrast studies, ultrasound and CT.
I ● identify the applications, contraindications and
C complications of relevant interventional procedures
● discuss the proper clinical and radiologic
R
A indications for most of the contrast examinations
D related to gastrointestinal diseases.
I ● applies the knowledge of the physiologic
O
L
properties, proper concentrations and proper
O indications for the use of all relavant contrast
G material and pharmocologic agents.
Y
● recognize the normal radiographic appearance
of the structures of the GI tract
● describe and/or discuss gastrointestinal tract
pathology in specific detail
● perform and report transabdominal ultrasound
and CT of the gastrointestinal system and
abdominal viscera
● demonstrate basic knowledge of the equipment
to be used for fluoroscopy and CT techniques for
the various procedures; plus radiation safety
features of the machines, and proper radiation
safety techniques

Musculoskeletal including Trauma


● applies the knowledge of musculoskeletal
anatomy and variants and clinical practice
relevant to clinical radiology
● identify the manifestations of musculoskeletal
disease including trauma as demonstrated by
conventional radiography, nuclear medicine,
18 CT and basic MRI
PROSPECTUS MCPS
● discuss basic bone physiology and pathology D
● list and describe the basic principles of I
A
examination of musculoskeletal studies.
G
● state the indications for computed tomography, N
plain tomography, MRI and bone scans. O
● Describe the use of equipement, indications, S
contraindications besides the basic techniques T
used for identifying, characterising the osseous I
C
lesions
● Perform basic interventional procedures R
relavant to skeletal radiology. A
D
Neuro-Radiology / Head and Neck Imaging including I
O
Ent/ Eye and Dental
L
● applies the knowledge of neuro-anatomy of O
head and neck and clinical practice relevant to G
neuro-radiology Y
● identify the manifestations of CNS, ENT/Eye and
Dental disease as demonstrated on conventional
radiography, relevant contrast examinations,
ultrasound, CT, conventional and advanced
imaging, myelography including CT / MRI.
● aware of the applications, contraindications and
complications of invasive neuro-radiological
procedures
● aware of the application of ultrasound with
particular reference to the thyroid and salivary
glands and other neck structures
● aware of the application of radionuclide
investigations with particular reference to the
thyroid and parathyroid glands
● demonstrate a proficient knowledge of the
anatomy of the head and neck, spine & central
nervous system, given normal neuro images
● demonstrate a thorough knowledge of the
vascular anatomy of the central nervous system,
given an appropriate film 19
PROSPECTUS MCPS
D ● interpret information of a given appropriate
I
A neuroradiology plain film
G ● discuss the basic principles of CT and
N
O MRI physics relavant to neuroradiology
S ● describe in considerable detail, CT and MRI
T
I imaging protocols
C
● report plain radiographs in the investigation of
R neurological disorders
A
D
● report plain radiographs and CT performed to
I show ENT / Eye and Dental diseases
O
L performing and reporting relevant contrast
O examinations (e.g. including video barium
G
Y swallows, sialography and dacrocystography)
● perform and report ultrasound of the neck
(including the thyroid, parathyroid & salivary glands
● supervise and report cranial and spinal CT
and MRI essentially related to acute
emergencies
- screen, prescribe, and supervise routine
neuro-imaging procedures
- supervise and screen imaging patient
- demonstrate proficiency in performance and
interpretation of myelograms
● observe carotid ultrasound including Doppler
● report brain CT under supervision and
independently
● observe or gain experience in performing
20 ultrasound of the eye

PROSPECTUS MCPS
Obstetrics and Gynaecology D
● apply the knowledge of obstetric and I
gynaecological anatomy and clinical practice A
G
relevant to clinical radiology
N
● apply the knowledge of the physiological
O
changes affecting imaging of the female S
reproductive organs. T
● apply the knowledge of the changes in fetal I
anatomy during gestation and the imaging C
appearances of fetal abnormality including use
of doppler R
A
● report imaging including CT & MRI performed
D
to show obstetric and gynaecological disorders I
● perform and report transabdominal and O
endovaginal ultrasound in gynaecological L
disorders O
● perform and report procedures used for G
assessment of infertility and pelvic insufficiency, Y
besides pelvic and obstetrical interventions.

Uro-Radiology
● know urinary tract anatomy and clinical practice
relevant to clinical radiology
● know the manifestations of urological disease as
demonstrated on conventional radiography,
ultrasound, CT and MRI. Familiarity with the
current application of radionuclide and
molecular imaging concerning kidneys, ureters,
bladder, prostate, seminal vesicles,
scrotum/testes.
● use contrast media effectively.
● recognize the normal radiographic and pathologic
appearance of the structures of the
Genitourinary tract
● given an appropriate radiograph, demonstrate
a basic knowledge of radiologic abnormalities of
the Genitourinary tract
● describe or discuss Genitourinary tract
pathology in specific detail.
21
PROSPECTUS MCPS
D Paediatric Radiology
I
A
● apply the knowledge of pediatric anatomy and
G clinical practice relevant to clinical radiology
N
O
● apply the knowledge of disease entities
S specific to the pediatric age group and their
T
clinical manifestations relevant to clinical radiology
I
C ● apply the knowledge of disease entities
specific to the pediatric age group and their
R
A manifestations as demonstrated on conventional
D
radiography, ultrasound, contrast studies and
I
O also in CT scan, MRI and radionuclide
L
investigations for the most common pathologies
O
G ● identify abnormalities associated with head and
Y neck, chest, abdomen and pelvis including
genitourinary system, skeletal, metabolic and
endocrinologic abnormalities.
● describe the proper procedure related to use of
fluoroscopy in infant/older child
● establish bone age on the basis of radiographic
findings
● report imaging performed in pediatric trauma /
NAI; perform transcranial pediatric ultrasound

Vascular Intervention
● apply the knowledge of vascular anatomy and
clinical practice relevant to interventional radiology
● demonstrate familiarity with the indications,
contraindications, pre-procedure preparation
(including informed consent), sedation and
anesthetic regimes, patient monitoring during
22 procedures and post-procedure patient care
PROSPECTUS MCPS
● demonstrate familiarity with procedure and post- D
procedure complications and their management I
A
for common vascular and nonvascular
G
interventions. N
● perform and report Ultrasound (including O
Doppler) for venous and arterial pathologies and S
T
has essential knowledge of use of CT/MRI I
angiographies. C
● demonstrate familiarity with the equipment and
techniques used in vascular, biliary, and renal R
A
interventional techniques D
I
7. NUCLEAR MEDICINE O
The candidate should have training in Nuclear Medicine L
for 6 weeks, which should be certified by the Supervisor. O
G
Y

23
PROSPECTUS MCPS
D
I
GENERAL PROFESSIONAL
A DEVELOPMENT
G
In addition to the radiological knowledge the trainee will
N
O
also be expected to attain an appropriate level of
S knowledge in:
T ● clinical conditions in which radiology has a role
I in diagnosis and/or treatment
C ● applied pathology and physiology where it
contributes to a better understanding of
R
A radiological signs and methods of investigation
D ● those aspects of clinical medicine and pathology
I which are essential to the safe and effective
O conduct of interventional procedures
L
● current trends and recent advances in
O
G
clinical radiology
Y ● medical ethics
● communication (breaking bad news, consent,
communication with colleagues, etc.)
The trainee will develop skills as part of his/her general
professional development in:
● teaching
● clinical audit
- clinical effectiveness
- clinical risk management including
discrepancy review
- quality standards

Health informatics
The trainee should:
● develop core skills in information technology,
especially the ability to perform basic
word- processing, and to access computerized
medical databases, electronic mail systems and
the internet
● keep abreast of developments in information
24 management relevant to radiology

PROSPECTUS MCPS
PROCEDURES D
I
The clinical skills, which a member in the respective A
specialty must have, are varied and complex. The level G
of competence to be achieved is indicated as follows: N
O
S
1. Observed
T
2. Assisted
I
3. Performed under supervision C
4. Performed under indirect supervision
5. Performed independently R
A
Competency Chart D
Procedure Year 1 Year 2
I
O
Cases Level Cases Level
L
GI - Contrast studies 30 1/2/3 50 4/5 O
I.V.U. 50 1/2/3 50 4/5 G
T-Tube Cholangiogram 10 1/2/3 10 3/5 Y
Sinogram/ Fistulogram 10 1/2 10 3/4
Checking of radiograph/ 500 1/2/3 500 3/5
Film Reporting
Urethro/Cystogram 20 1/2/3 30 4/5
E.R.C.P/PTC. 01 1/2/3 04 4/5
Hysterosalpingography 20 1/2/3 30 4/5
Myelography - - 05 1/2/3/4
Sialography - - 03 1/2/3/4
Dacrocystography - - 03 1/2/3/4
Antegrade Urography - - 02 1/2/3/4
Venography - - 05 1/2/3/4
Ultrasound all systems 250 1/2/3 250 4/5
Obs. US 200 1/2/3 100 4/5
Doppler ultrasound - - 20 1/2/3
Aspirations, drainage - - 10 1/2/3
procedures biopsies
CT 10 1/2/3 40 4/5
Mammography - 1/2/3 20 4/5
Rotation to Nuclear Medicine SIX WEEKS
25
PROSPECTUS MCPS
D
I
LOGBOOK
A Trainees are required to maintain a logbook in which
G entries of all academic / professional work done during
N the period of training should be made on daily basis and
O
should be signed by the supervisor. Completed and duly
S
certified logbook will form a part of the application for
T
I
appearing in MCPS Diagnostic Radiology examination.
C
The College reserves the right to alter/amend any
R rules / regulations.
A Any decision taken by the College on the interpretation
D of these regulations will be binding on the applicant.
I
O
L
O
G
Y

26
PROSPECTUS MCPS
USEFUL ADDRESSES
AND TELEPHONE NUMBERS
D
1. Regional Offices of the CPSP I
A
MUZAFFARABAD LAHORE
G
CMH Muzaffarabad Next to INMOL, Hospital N
Azad Kashmir New Muslim Town, Block-D O
TEL: 058810 - 43307 Lahore. S
FAX: 058810 - 43902 UAN: 042-111-666-666 T
Email: ssgr-brehman@cpsp.edu.pk TEL: 042- 9231320-8 I
FAX: 042- 9231327 C
ABBOTTABAD Email: rc_lahore@cpsp.edu.pk
Ayub Hospital Complex R
Abbottabad A
MULTAN
TEL: 0992-383330 D
Nishtar Medical College,
Email: rc_abbottabad@cpsp.edu.pk I
Distt. Jail Road, Opp Circuit House,
O
Multan.
PESHAWAR L
Hayatabad Medical Complex UAN: 061-111-666-666 O
Phase IV, Hayatabad, TEL: 061-9200946, 9200952 G
Peshawar Email: rc_multan@cpsp.edu.pk Y
UAN: 091-111-666-666
TEL: 091-9217011, 091-9217320-1 BAHAWALPUR
FAX: 091-9217062 Quaid-e-Azam Medical College
Email: rc_peshawar@cpsp.edu.pk Bahawalpur
TEL: 062- 9250461
ISLAMABAD Email: rc_bahawalpur@cpsp.edu.pk
P.I.M.S, Ravi Road, Sector G- 8/ 3
Islamabad. NAWABSHAH
UAN: 051-111-666-666
Peoples Medical College for Girls
TEL: 051-9262590-1,
Nawabshah
FAX: 051-9262592
TEL: 0244-9370271, 9370479
Email: rc_islamabad@cpsp.edu.pk
FAX: 0244-9370478
FAISALABAD Email: rc_nawabshah@cpsp.edu.pk
Punjab Medical College
Faisalabad LARKANA
UAN: 041-111-666-666 Chandka Medical College
TEL: 041-9210131, 9210366-8 Larkana
FAX: 041-9210224 TEL: 074 – 9410726
il:rc_faisalabad@cpsp.edu.pk Email: rc_larkana@cpsp.edu.pk

27
PROSPECTUS MCPS
D HYDERABAD QUETTA
I Adjacent to Sir Cowasji Jehangir
A Near Cenar Hospital,
Institute of Psychiatry,
G Hyderabad, Sindh. Off: Brewery Road, Quetta
N TEL: 022-3860056
O FAX: 022-3860057 TEL: 081-9213434 & 081-2913435
S Email: rc_hyderabad@cpsp.edu.pk Email: rc_quetta@cpsp.edu.pk
T
I KARACHI
C
2. Departments of CPSP Karachi OVERSEAS CPSP CENTRES
R UAN – 021-111-606-606 3. Saudi Arabia
A
RIYADH
D ● Examination (FCPS Part I)
99207100 -10 Ext: 311 Saudi Commission for Health
I
Specialities,
O
● Examination (FCPS Part II) Diplomatic Quarter,
L 99207100 -10 Ext: 215 P.O. Box 94656
O
Riyadh -11614, KSA.
G ● Department of Medical TEL: 966-1-4822415 Ext: 156/141
Y Education
99207100 -10 Ext: 305 966-2-6401000 Ext: 25843
Email: medexam5@scfhs.org
● Registration, Training &
Monitoring Cell 4. Nepal
99207100 -10 Ext: 320 KATHMANDU
For further Information: T.U. Institute of Medicine
Phone: 99207100-10 Maharajganj, Kathmandu,
UAN 111-606-606 Nepal
Facsimile: 99266450 TEL: 977-1- 416224
Website: www.cpsp.edu.pk Email: cpsp@healthnet.org.np

28
PROSPECTUS MCPS
D
I
A
G
N
O
S
T
I
C

R
A
D
I
O
L
O
G
Y

29
PROSPECTUS MCPS

You might also like