Thank you for your interest in Lahey Hospital & Medical Center’s Diagnostic Radiology Residency Program. We pride ourselves on training residents to be confident, skilled, successful radiologists.
Lahey Hospital & Medical Center is a medium-sized tertiary care facility with an array of residency programs, and is a primary teaching facility for Tufts University School of Medicine. The institution has received acclaim for its approach to patient care, as evidenced by its ranking as one of the nation’s 100 Top Hospitals in an independent study by Truven Health Analytics™, and as discussed in a recent Boston Globe editorial: Lahey Health finds a cost-saving model that works. Due to Lahey’s reputation as a renowned referral center for surgical subspecialties, our residents are exposed to an exceptional, complex case load rivaling or surpassing other institutions. Lahey’s Diagnostic Radiology Residency Program is uniquely positioned to train excellent radiologists, whether they choose to enter private practice or pursue academic careers.
In addition to excellent training, our program provides an atmosphere that is conducive to intellectual and professional growth. We recognize that four years of training is a significant investment of your time, and we want to make your residency an enjoyable experience. Our residents have collaborative working relationships with the attendings and each other. In addition, the town of Burlington is conveniently located a short distance from the city of Boston and offers easy access to the mountains and ocean.
Regardless of your ultimate career path, the Lahey Hospital & Medical Center Diagnostic Radiology Residency will give you the skills necessary to be a successful practicing radiologist.
Jalil Afnan, MD
Diagnostic Radiology Residency Program
Assistant Professor of Radiology, Tufts University School of Medicine
Jaclyn Therrien, DO
Assistant Program Director
Assistant Professor of Radiology, Tufts University School of Medicine
About Lahey Hospital & Medical Center and the Department of Diagnostic Radiology
Lahey Hospital & Medical Center is a 317-bed combined inpatient and outpatient medical center in Burlington, Massachusetts, a suburb 20 miles northwest of Boston. Lahey Clinic Medical Center, North Shore, is a smaller, satellite facility located in Peabody. Over the past 80 plus years, Lahey has acquired an international reputation as a tertiary care referral center. Currently, more than 450 staff physicians offer diagnostic and treatment skills in all specialties of medicine and surgery. This combined population received over 300,000 radiologic examinations at Lahey facilities in the past year. The Radiology Department became filmless in 2003 with the installation of a Picture Archiving and Communications System (PACS). A voice activated dictation system was installed in 2003.
The Department of Diagnostic Radiology is composed of 41 radiologists, including seven dedicated neuroradiologists, five interventionalists, two neurointerventionalists and multiple specialists in all areas of radiology including chest, bone and joint, genitourinary, gastrointestinal and breast radiology. Two physicists are also in our radiology department. All members of the radiology staff are clinically oriented, working side by side with the radiology resident on the various resident rotations.
The 20-member residency in Diagnostic Radiology at Lahey is approved by the Accreditation Council for Graduate Medical Education for four years in training and is designed to lead to certification in diagnostic radiology by the American Board of Radiology. We were granted full accreditation in 2009, and are scheduled to have our next review in 2019. A year of internship or its equivalent must be completed before beginning the residency program. Internships are offered at Lahey in Medicine or Surgery. Training programs offered by Lahey Clinic include Radiology, Medicine, General Surgery, Colon & Rectal Surgery, Urology Residency, Plastic Surgery Residency as well as Fellowships in Gastroenterology, Pulmonary-Critical Care, Cardiology and Vascular Surgery. There are rotations from Boston-based programs to the Clinic in the areas of ENT, Neurology, Infectious Disease, Hematology/Oncology, Gynecology, Orthopedics, Anesthesia, Pathology and Emergency Medicine.
What to Expect
During their training, residents become accomplished in techniques of basic radiography, fluoroscopy, film interpretation, and radiation protection. Residents are closely supervised with increasing participation and responsibilities as the individual resident develops more skills. Residents are also first to assist in all procedures. With the exception of a fellowship in Interventional Neuroradiology and Breast Imaging, there are no fellowships within the department.
Lahey Hospital & Medical Center, Burlington was approved as a Level II Trauma Center in 1997. In addition to routine CT studies including brain, spine, extremities, chest and abdominal cases, we perform state-of-the-art CT and MR angiography (neurovascular, cardiac, and peripheral vascular imaging). A dedicated 3-D imaging laboratory allows for the manipulation of images to better serve our referring clinicians. We have also recently installed similar software at all radiology PACS stations; these have allowed for tremendous hands on training for residents in the use of 3-D post-processing software. Residents also have the opportunity to train in advanced subspecialty imaging, often reserved for fellows in other departments (ie, CT Colonography, breast MRI, lung screening, etc).
At the beginning of your radiology career, you will be faced with numerous challenges, not the least of which is getting up to speed in a technologically advanced and exceptionally broad field. Our goal is to make the transition as smooth as possible. During the first few days, orientations to the hospital and to the department will take place – you will learn little things like where to park, how best to get to work, as well as more important tasks like how dictate and navigate PACS. The vast majority of the didactic noon conferences during the months of July and August are geared to our new residents. During your first few rotations, every attempt will be made for you to be paired with a more senior resident so that you may better adapt to your new work flow, environment, and colleagues. As you go further on in your rotations and training, the natural progression will be for you to obtain more independence from your senior residents. Beginning in November, one of the first years will begin the ER shift (all first year residents will rotate through core imaging rotations such as Ultrasound, CT, Abdomen, Plain films, and Neuro CT prior to starting the ER shift). All first year residents will also rotate through Interventional Radiology, MSK, Neuro MRI, and Nuclear Medicine. In addition to gaining broad based knowledge, much of the first year is geared towards preparing you for your independent call responsibilities, which will begin during your second year of radiology training. At the end of the first year, residents are expected to take a “competency examination” which requires interpretation of anonymized ER cases to be sure that residents are competent to take independent call.
Early in your second year, you will begin your 2 week (6 days each week) Night Float (NF) rotations and help cover the 12 hour weekend shifts. Your independent call responsibilities will keep you busy this year – expect 4-6 wks of NF and 21 weekend shifts during the course of the year. You will also be covering the ER rotations until the next crop of 1st residents are ready to begin. In addition to the ER and NF rotations, expect rotations in Abdomen, Neuro MRI, Cardiovascular, Thoracic, Mammography, Nuclear Medicine, Ultrasound, and Research. In the second half of your second year two members of the class will do their Children’s Hospital Rotations. During your second year, we would also like you to concentrate a bit more on your required research, as well as your ACGME mandated quality improvement projects. You will continue to be active in training your fellow residents and medical students both at your rotations and during conferences.
It is during your third year of training that residents will be taking the first step of their American Board of Radiology (ABR) Examinations. All residents now have their core examination at the end of their third year (to include both clinical and physics examinations) at the end of the third year of training. Our program and training will give you all the resources necessary to pass your examination.
The third year residents will still have call responsibilities during the year, although we anticipate a break from these duties leading up to your board exam at the end of the year. In the first half of the third year, residents who did not rotate through Children’s Hospital during their second year will go.
Third year residents will also attend the 4-week American Institute for Radiologic Pathology (AIRP). Tuition and travel expenses are covered by our radiology department. Additional rotations include Mammography, Nuclear Medicine, Ultrasound, Abdomen, Interventional, Neuro MRI, Cardiovascular, Neuro CT, MSK, and 4 weeks of Obstetrical Ultrasound (at the Brigham and Women’s Hospital).
Given the change in Board Structure, the senior residents beginning with the graduating class of 2014 will be able to have focused senior level training in up to four subspecialties, including general radiology. All senior residents are also required to participate in call (small # of weekednd shifts, as well as 2 weeks of night float). At Lahey, we have undergone a slow transition to the requirements set forth by the ABR. Currently, all senior residents are allowed up to 10 blocks of elective time – some choose to concentrate on certain subjects, while others prefer more broad training, depending on their interest. Following some of the recommendations put forth by the Association of Program Directors (APDR) restructuring committee in their article published in the Journal of the American College of Radiology (JACR), entitled “Challenges and Opportunities in Restructuring Radiology Residencies: The APDR Residency Restructuring Committee Report” in addition to night float responsibilities, all seniors under the new ABR format will also rotate through Mammography and Nuclear Medicine.
AIRP / AFIP
All residents are expected to attend the American Institute for Radiologic Pathology (AIRP – which has replaced the previous AFIP course), for 4 weeks. Tuition is fully funded by the department, and travel expenses/housing is covered (up to $2,000).
Residents will be provided with their own fluoroscopy aprons.
All residents have access to StatDx, an exceptional online teaching resource for residents, and all junior residents also have access to RadPrimer, another online teaching resource produced by Amyrsis.
In terms of physics training, you will receive a series of in-house physics lectures during your training. In addition, all residents will be funded to attend the Walter Huda Physics courses, designed to give basic physics instruction as well as attend a review course typically held in downtown Boston, designed to help prepare radiology residents for the Physics portion of their ABR examination.
Residents are also funded to attend one board review of their choosing. Residents will also be funded to attend at least one presentation if presenting (maximum $1500), with additional reimbursements predicated on submission of prior academic work for publication. One resident per year will also be funded to attend the ACR annual conference in Washington, DC.
Our visiting professor lecture series is no in its seventh year, and includes invited local and national experts in radiology giving an hour didactic conference preceded or followed by a case-based review geared to our residents.
Multidisciplinary conferences occur on a daily basis, and generally occur in the mornings before start of daily rotations. This includes: Monday – Thoracic Oncology/Pulmonary, Tuesday – Vascular Surgery; Wednesday – Pulmonology, Genitourinary (GU) and ENT (depending on the week); Thursday – Gastrointestinal (GI); Friday – ER, Neurointerventional, Neuroradiology (depending on the week). Residents on specific rotations may also attend multidisciplinary conferences in Breast Imaging, GI Oncology, Neurosurgery, and GU Oncology. Journal clubs occur on a recurring basis throughout the year, and require active resident participation. Senior residents will critically present journal articles on a variety of topics, with ensuing discussion amongst other residents and staff.
Our residents also present cases at other multidisciplinary conferences, including combined conferences with Pulmonology and Urology residents, as well as team rounds with the SICU residents. This is a great opportunity to meet and discuss cases with other residents and clinicians.