Professional Documents
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DIAGNOSTIC
RADIOLOGY
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Prospectus
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TABLE OF
CONTENTS
The College 1
Introduction 3
MCPS examination 4
General Regulations 5
Examination schedule 7
Syllabus 10
Composed by:
Syed Faisal Babar
Department of Medical Education
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.
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
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.
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.
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
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.
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.
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.
Genitourinary system:
Kidneys, ureter, bladder, female and male pelvic organs.
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
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.
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.
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
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
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