;GDD=?= G>H@QKA;A9FK 9F<KMJ?=GFK H9CAKL9F

DIAGNOSTICRADIOLOGY

Membership of College of Physicians & Surgeons Pakistan

M C P S

PPrroossppeeccttuuss

OFFICE C

OPY

TTAABBLLEE OOFF CCOONNTTEENNTTSS

The College 1

Introduction 3

MCPS examination 4

General Regulations 5

Examination schedule 7

Syllabus 10

Useful Addresses and Telephone Numbers 27

Composed by:Syed Faisal Babar

Department of Medical Education

Published: December, 2010

COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN7th Central Street, Defence Housing Authority, Karachi-75500.Phone No. 99207100-10 UAN: 111-606-606 Fax No. 99266432

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

1PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

THE COLLEGE

The College was established in 1962 through anordinance of the Federal Government. The objectives/functions of the College include promoting specialistpractice of Medicine, Surgery, Obstetrics & Gynaecologyand other specialties by securing improvement ofteaching and training, arranging postgraduate medical,surgical and other specialists training, holding andconducting examinations for awarding postgraduatedegrees of the College, admission to the Fellowship ofthe College, and to provide for research.

Since its inception, the College has taken great strides inthe direction of improving postgraduate medical anddental education in Pakistan. Structured trainingprograms along with criteria for accrediatation of traininginstitutions, and for the appointment of supervisors andexaminers have now been developed. The format ofexaminations has evolved over the years to achieveobjective and reliable methods of assessment. Therecognition of the standards of College qualificationsnationally and internationally, has enormously increasedthe number of trainees, and consequently the number oftraining institutions and the supervisors. This increasingdemand coupled with advancement in medical scienceshas gradually increased the number of fellowshipdisciplines to fifty three and of membership to eighteen.

The average number of candidates taking CPSPexaminations each year is over 22,500. The Collegeconducts examinations for FCPS I (11 disciplines), IMM,FCPS II (53 disciplines), MCPS (18 disciplines) andDCPS (2 non-clinical disciplines).

To coordinate the training and examination, and to

provide assistance to the candidates undergoing training

at places other than Karachi; College has established 12

Regional Centers and five Provincial Headquarter

Centres in the country. The five Provincial Headquarter

Centers in addition to organizing the capacity building

workshops/short courses also have facilities of libraries

and I.T.

It is important to note that in the overall scenario of

health care delivery service, out of the total functioning

and registered health care specialists in the country,

over 85% have been provided by the CPSP. The College

strives to continue its efforts in making its courses and

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.

DIAGNOSTIC

RADIOLOGY

2PROSPECTUS MCPS

INTRODUCTION

The College of Physicians and Surgeons Pakistan has

always designed its postgraduate training programs

keeping in consideration the national and international

needs. In Pakistan attempts have been made to improve

the health status of the people through availability of

trained personnel, adequate supply of medicines and

establishment of greater number of health facilities.

However, much more needs to be done in this respect.

The main health related problems facing Pakistan are

preventable communicable and non-communicable

diseases, severe malnutrition and high incidence of birth

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.

3PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

MCPS EXAMINATION

The College conducts MCPS examination in thefollowing 18 disciplines:

DIAGNOSTIC

RADIOLOGY

4PROSPECTUS MCPS

1. Anaesthesiology

2. Clinical Pathology

3. Community Medicine

4. Dermatology

5. Diagnostic Radiology

6. Family Dentistry

7. Family Medicine

8. Obstetrics & Gynaecology

9. Operative Dentistry

10. Ophthalmology

11. Oral Surgery

12. Orthodontics

13. Otorhinolaryngology

14. Paediatrics

15. Periodontology

16. Prosthodontics

17. Psychiatry

18. Pulmonology

GENERAL REGULATIONSThe following regulations apply to all candidates enteringfor MCPS examination:

Candidate will be admitted to the examination in thename (surname and other names) as given in the MBBSdegree. CPSP will not entertain any application forchange of name on the basis of marriage/ divorce / deed.

REGISTRATION AND SUPERVISIONAll trainings must be supervised, and trainees arerequired to register with the RTMC within 30 days of thestart of the training for MCPS. In case of delay inregistration, the start of training will be considered fromthe date of receipt of application by the RTMC.Registration forms are available with RTMC and at theRegional Centers. The forms can also be downloadedfrom the CPSP Website. Training is compulsorilymonitored by an approved supervisor who is a CPSPfellow or a specialist with relevant postgraduatequalifications and requisite experience, approved byCPSP and registered with the RTMC.

APPROVED TRAINING CENTRESTraining must be undertaken in units, departments andinstitutions approved by the College. A current list ofapproved institutions is available on the Collegewebsite: www.cpsp.edu.pk

DURATION OF TRAININGThe duration of training for MCPS is two years; MCPSexamination can be taken only after completion of thespecified training and other requirements. 5PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

MANDATORY WORKSHOPSAll candidates wil l attend following Mandatory

Workshops and present certificate of attandence before

they can be allowed to take the MCPS examination:

1. Introduction to Computer and Internet or exemption

test thereof

2. Communication Skills

ELIGIBILITY REQUIREMENTS FORMCPS EXAMINATION

● MBBS or equivalent qualification registered with thePMDC.

● One year house job in an institution recognized bythe CPSP.

● Registered with the Registration and TrainingMonitoring Cell (RTMC).

● Completed two years of registration with RTMCtraining under an approved supervisor in aninstitution recognized by the CPSP. A certificate ofcompletion of training must be submitted, verifyingthat the rotational training in the specified disiciplinesfor the required period has also been undertaken.

● Submitted attested logbook.

● Submitted certificates of attendance of mandatoryworkshops.

DIAGNOSTIC

RADIOLOGY

6PROSPECTUS MCPS

7PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

EXAMINATION SCHEDULE

● The MCPS theory examination in DiagnosticRadiology are held twice a year.

● Theory examinations are held in different cities of thecountry depending on the number of candidates at acenter. Presently the centres are Abbottabad,Bahawalpur, Faisalabad, Hyderabad, Islamabad,Karachi, Lahore, Larkana, Nawabshah, Multan,Peshawar and Quetta. The College’s decision to holdtheory/clinical examinations depends on the numberof candidates in a city and candidates will beinformed accordingly.

● Clinical examination will be held for only thosecandidates who qualify in theory.

● English is the medium of examination for thetheory/practical/clinical and viva examinations.

● Any change in the centres, dates and format of theexamination will be notified by the College before theexamination.

● Each successful candidate in the MCPS examinationshall be granted MCPS diploma after successfulqualification of exams and being elected by theCollege Council upon payment of registration fee andother dues as per rules of the College.

● A competent authority appointed by the College hasthe power to debar any candidate from anyexamination if it is satisfied that such a candidate isnot a fit person to take the College examination forusing unfair means/misconduct or other disciplinaryreasons.

DIAGNOSTIC

RADIOLOGY

8PROSPECTUS MCPS

EXAMINATION FEE● Fee deposited for a particular examination shall not

be carried over to the next examination in case ofwithdrawal/absence/exclusion.

● Application along with the prescribed examination feeand required documents should be submitted latestby the last date notified for the purpose before eachexamination.

● The details of examination fee and fee for change ofcentre, subject, etc. shall be notified before eachexamination.

● All fee are payable by bank draft/pay order made outto the “College of Physicians & Surgeons Pakistan”.Personal cheques and postal orders are notaccepted. However fee can be paid in cash at theaccounts department of the CPSP at Karachi or atspecified 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 forthe same should be submitted up to the last date ofthe receipt of application. In such cases the refund isadmissible to the extent of 75% of fee only. Norequest for refund will be accepted after the last dateof receipt of the application.

● In case the application for examiantion of a candidate isrejected by the CPSP, 75% of the examination fee willbe refunded, after deducting 25% as processingcharges. No refund will be made, for fee paid for anyother reason, e.g. late fee, change of centre/subject fee.

9PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

FORMAT OF EXAMINATIONThe MCPS examination in Diagnostic Radiology

comprises of:I. Theory

Two written papers:

Paper I 10 SEQs 3 hours

Paper II 10 SEQs 3 hours

Physics will be covered in Paper One.

II. Clinical

Film reporting session:

20 films to be reported in 100 minutes.

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.

SYLLABUSThe outline of various topics given in this syllabus is aguide to what at the moment are considered to beimportant topics which the candidate is expected toknow. This is to help both the candidate and theexaminer in defining the minimum boundaries of MCPSexamination.

1. Radiological Anatomy2. Physics3. Protection4. Film Technique5. Special Technique6. Clinical Radiology7. Nuclear Medicine

1. RADIOLOGICAL ANATOMYChest and backThoracic 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 spaceand spinal cord, vertebral column, muscle movements.

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

Cross sectional and multiplannar anatomy.

DIAGNOSTIC

RADIOLOGY

10PROSPECTUS MCPS

2. PHYSICS1. Fundamental Physics of Matter and Radiation

a. Basic physics Fundamental properties of matter and radiation decay. Interactions of ionising radiation with matter

b. Radiation Hazards and Dosimetry Biological effects of radiationsRisks of radiationPrinciples of radiation protection- Justification - Optimisation - LimitationAbsorbed dose, equivalent dose, effective dose and their units

2. Practical Radiation Protection a. General Radiation Protection b. Radiation protection of the patient including

pregnant women, infants and children c. Radiation protection of staff & members of the publicd. 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 - MammographyRadiological imageFactors affecting radiation dose & image qualityQuality assurance and quality controlConventional film processing Digital Film ProcessingComputers in Radiology 11

PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

b. Fluoroscopy and Fluorography Image intensificationOperator controlled variablesMeasurement of image qualityFactors affecting radiation dose & image quality

c. Computed Tomography Scanning (Introduction) Basic physics of CTFactors affecting radiation dose & image quality

d. Patient Dosimetry MethodsDiagnostic reference levels (including high dose techniques)Magnitude and measurements

e. Radionuclide Imaging (Introduction) Fundamentals of diagnostic useProperties of radiopharmaceuticalsFactors affecting radiation dose & image qualityRadiation protection requirements for - Conception, pregnancy and breastfeeding - Arrangements for radioactive patients - Keeping of radioactive substances - Disposal of radioactive waste

5. Cathode RaysProduction of cathode rays. Construction of cathode raytubes (CRT). Penetration and absorption, velocity.Secondary and scattered electrons. Production ofroentgen rays.

6. Production and Properties of X-raysThe Roentgen tube, general properties. diffraction ofroentgen rays by crystal. Roentgen spectrum.Characteristics of radiation. Absorption of roentgen rays.Reflection and refraction.Secondary rays:

- scattered radiation, Compton effect- characteristic radiation

DIAGNOSTIC

RADIOLOGY

12PROSPECTUS MCPS

7. Production of ionization

Measuring instruments. Exposure time. Valves, rectifiers

and high tension generators and transformers for

Diagnostic Radiology.

8. Measurements of X-Rays

Quality measurements

- Voltage - Spectrometer

- Anode material - Filtration

Radioactivity

Alpha, beta and gamma rays: their detection, uses and

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. 13PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

3. PROTECTION FROM X-RAYS

A. General considerations

Maximum permissible dose.

Shielding from direct radiation.

Protection from scattered radiation:

Clinical Applications of Protective materials including

design construction and implementation of radiological

installations.

B. Protection from X-raysGeneral recommendations: definition, rooms for x-ray

apparatus, making of protective devices, tube

enclosures.

C. Recommendations of the AdvisoryCommittee on x-ray and radiationprotection

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.

DIAGNOSTIC

RADIOLOGY

14PROSPECTUS MCPS

5. SPECIAL TECHNIQUES

(Basic Knowledge)Conventional Tomography, Cine radiography,

Angiography.

Special investigations of CNS. Myelography. Basics of

CT and MRI.

Diagnostic Procedures

CNS Myelography

Eye Dacrocystography

Foreign body localization

GIT Sialography

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.

15PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

6. CLINICAL RADIOLOGYOBJECTIVES: At the end of two years residency, theresident should be able to: Breast

● understand and identify breast pathology and clinical practice relevant to clinical radiology

● understand and identify radiographic techniquesemployed in diagnostic mammography

● understand and identify the principles of current practice in breast imaging and breast cancer screening

● understand and identify the proper application ofother imaging techniques to this specialty (e.g. ultrasound, magnetic resonance imaging and radionuclide imaging)

● 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 quality assurance issues.

DIAGNOSTIC

RADIOLOGY

16PROSPECTUS MCPS

Heart

● show knowledge of cardiac & great vessel

anatomy, pathology and practice relevant to

clinical radiology. This includes ischaemic heart

disease, valvular disease, congenital diseases

and pericardial pathologies.

● understand and identify the manifestations of

cardiac disease demonstrated by conventional

radiography

● report plain radiographs & CT performed to

show cardiac disease

Chest

● comprehend respiratory anatomy and clinical

practice relevant to clinical radiology

● 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 thorax17

PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

Gastrointestinal (including Liver, Pancreas & Spleen)● identify gastrointestinal anatomy and clinical

practice relevant to clinical radiology ● identify the radiological manifestations of disease

within the abdomen on conventional radiography,contrast studies, ultrasound and CT.

● identify the applications, contraindications and complications of relevant interventional procedures

● discuss the proper clinical and radiologic indications for most of the contrast examinationsrelated to gastrointestinal diseases.

● applies the knowledge of the physiologic properties, proper concentrations and proper indications for the use of all relavant contrast material and pharmocologic agents.

● 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 forthe 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, CT and basic MRI

DIAGNOSTIC

RADIOLOGY

18PROSPECTUS MCPS

● discuss basic bone physiology and pathology ● list and describe the basic principles of

examination of musculoskeletal studies. ● state the indications for computed tomography,

plain tomography, MRI and bone scans.● Describe the use of equipement, indications,

contraindications besides the basic techniques used for identifying, characterising the osseous lesions

● Perform basic interventional procedures relavant to skeletal radiology.

Neuro-Radiology / Head and Neck Imaging includingEnt/ Eye and Dental

● applies the knowledge of neuro-anatomy of head and neck and clinical practice relevant to neuro-radiology

● identify the manifestations of CNS, ENT/Eye andDental disease as demonstrated on conventionalradiography, 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

DIAGNOSTIC

RADIOLOGY

● interpret information of a given appropriate

neuroradiology plain film

● discuss the basic principles of CT and

MRI physics relavant to neuroradiology

● describe in considerable detail, CT and MRI

imaging protocols

● report plain radiographs in the investigation of

neurological disorders

● report plain radiographs and CT performed to

show ENT / Eye and Dental diseases

performing and reporting relevant contrast

examinations (e.g. including video barium

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

ultrasound of the eye

DIAGNOSTIC

RADIOLOGY

20PROSPECTUS MCPS

Obstetrics and Gynaecology● apply the knowledge of obstetric and

gynaecological anatomy and clinical practice relevant to clinical radiology

● apply the knowledge of the physiological changes affecting imaging of the female reproductive organs.

● apply the knowledge of the changes in fetal anatomy during gestation and the imaging appearances of fetal abnormality including use of doppler

● report imaging including CT & MRI performed to show obstetric and gynaecological disorders

● perform and report transabdominal and endovaginal ultrasound in gynaecological disorders

● perform and report procedures used for assessment of infertility and pelvic insufficiency, 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.

21PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

Paediatric Radiology

● apply the knowledge of pediatric anatomy and

clinical practice relevant to clinical radiology

● apply the knowledge of disease entities

specific to the pediatric age group and their

clinical manifestations relevant to clinical radiology

● apply the knowledge of disease entities

specific to the pediatric age group and their

manifestations as demonstrated on conventional

radiography, ultrasound, contrast studies and

also in CT scan, MRI and radionuclide

investigations for the most common pathologies

● identify abnormalities associated with head and

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

procedures and post-procedure patient care

DIAGNOSTIC

RADIOLOGY

22PROSPECTUS MCPS

● demonstrate familiarity with procedure and post-procedure complications and their management for common vascular and nonvascular interventions.

● perform and report Ultrasound (including Doppler) for venous and arterial pathologies andhas essential knowledge of use of CT/MRI angiographies.

● demonstrate familiarity with the equipment and techniques used in vascular, biliary, and renal interventional techniques

7. NUCLEAR MEDICINEThe candidate should have training in Nuclear Medicinefor 6 weeks, which should be certified by the Supervisor.

23PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

GENERAL PROFESSIONALDEVELOPMENTIn addition to the radiological knowledge the trainee willalso be expected to attain an appropriate level ofknowledge in:

● clinical conditions in which radiology has a role in diagnosis and/or treatment

● applied pathology and physiology where it contributes to a better understanding of radiological signs and methods of investigation

● those aspects of clinical medicine and pathologywhich are essential to the safe and effective conduct of interventional procedures

● current trends and recent advances in clinical radiology

● medical ethics● communication (breaking bad news, consent,

communication with colleagues, etc.)The trainee will develop skills as part of his/her generalprofessional development in:

● teaching● clinical audit

- clinical effectiveness- clinical risk management including

discrepancy review- quality standards

Health informaticsThe 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 management relevant to radiology

DIAGNOSTIC

RADIOLOGY

24PROSPECTUS MCPS

PROCEDURESThe clinical skills, which a member in the respectivespecialty must have, are varied and complex. The levelof competence to be achieved is indicated as follows:

1. Observed2. Assisted3. Performed under supervision4. Performed under indirect supervision5. Performed independently

Competency ChartProcedure Year 1 Year 2

Cases Level Cases Level

GI - Contrast studies 30 1/2/3 50 4/5

I.V.U. 50 1/2/3 50 4/5

T-Tube Cholangiogram 10 1/2/3 10 3/5

Sinogram/ Fistulogram 10 1/2 10 3/4Checking of radiograph/ 500 1/2/3 500 3/5Film 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 1/2/3Aspirations, drainage - - 10 1/2/3procedures biopsies

CT 10 1/2/3 40 4/5

Mammography - 1/2/3 20 4/5

Rotation to Nuclear Medicine SIX WEEKS 25PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

LOGBOOKTrainees are required to maintain a logbook in whichentries of all academic / professional work done duringthe period of training should be made on daily basis andshould be signed by the supervisor. Completed and dulycertified logbook will form a part of the application forappearing in MCPS Diagnostic Radiology examination.

The College reserves the right to alter/amend anyrules / regulations.Any decision taken by the College on the interpretationof these regulations will be binding on the applicant.

DIAGNOSTIC

RADIOLOGY

26PROSPECTUS MCPS

27PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY

USEFUL ADDRESSES AND TELEPHONE NUMBERS

1. Regional Offices of the CPSP

MUZAFFARABADCMH MuzaffarabadAzad Kashmir TEL: 058810 - 43307FAX: 058810 - 43902Email: ssgr-brehman@cpsp.edu.pk

ABBOTTABAD

Ayub Hospital ComplexAbbottabadTEL: 0992-383330Email: rc_abbottabad@cpsp.edu.pk

PESHAWARHayatabad Medical ComplexPhase IV, Hayatabad,PeshawarUAN: 091-111-666-666TEL: 091-9217011, 091-9217320-1FAX: 091-9217062Email: rc_peshawar@cpsp.edu.pk

ISLAMABADP.I.M.S, Ravi Road, Sector G- 8/ 3Islamabad. UAN: 051-111-666-666TEL: 051-9262590-1, FAX: 051-9262592Email: rc_islamabad@cpsp.edu.pk

FAISALABADPunjab Medical CollegeFaisalabadUAN: 041-111-666-666TEL: 041-9210131, 9210366-8FAX: 041-9210224il:rc_faisalabad@cpsp.edu.pk

LAHORE

Next to INMOL, HospitalNew Muslim Town, Block-DLahore. UAN: 042-111-666-666TEL: 042- 9231320-8 FAX: 042- 9231327Email: rc_lahore@cpsp.edu.pk

MULTAN

Nishtar Medical College,Distt. Jail Road, Opp Circuit House, Multan. UAN: 061-111-666-666TEL: 061-9200946, 9200952Email: rc_multan@cpsp.edu.pk

BAHAWALPUR

Quaid-e-Azam Medical CollegeBahawalpurTEL: 062- 9250461Email: rc_bahawalpur@cpsp.edu.pk

NAWABSHAH

Peoples Medical College for GirlsNawabshahTEL: 0244-9370271, 9370479FAX: 0244-9370478Email: rc_nawabshah@cpsp.edu.pk

LARKANA

Chandka Medical CollegeLarkanaTEL: 074 – 9410726Email: rc_larkana@cpsp.edu.pk

DIAGNOSTIC

RADIOLOGY

28PROSPECTUS MCPS

HYDERABADAdjacent to Sir Cowasji JehangirInstitute of Psychiatry, Hyderabad, Sindh.TEL: 022-3860056FAX: 022-3860057Email: rc_hyderabad@cpsp.edu.pk

KARACHI

2.

UAN – 021-111-606-606

● Examination (FCPS Part I)99207100 -10 Ext: 311

● Examination (FCPS Part II)99207100 -10 Ext: 215

● Department of Medical Education99207100 -10 Ext: 305

● Registration, Training & Monitoring Cell99207100 -10 Ext: 320

For further Information: Phone: 99207100-10 UAN 111-606-606 Facsimile: 99266450Website: www.cpsp.edu.pk

QUETTA

Near Cenar Hospital,

Off: Brewery Road, Quetta

TEL: 081-9213434 & 081-2913435

Email: rc_quetta@cpsp.edu.pk

3. Saudi ArabiaRIYADH Saudi Commission for HealthSpecialities,Diplomatic Quarter, P.O. Box 94656Riyadh -11614, KSA.TEL: 966-1-4822415 Ext: 156/141

966-2-6401000 Ext: 25843Email: medexam5@scfhs.org

4. NepalKATHMANDUT.U. Institute of MedicineMaharajganj, Kathmandu, NepalTEL: 977-1- 416224Email: cpsp@healthnet.org.np

Departments of CPSP Karachi OVERSEAS CPSP CENTRES

29PROSPECTUS MCPS

DIAGNOSTIC

RADIOLOGY