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Residents will rotate through the three participating London hospitals (University Hospital, Victoria Hospital and St Joseph’s)
PGY1 is a basic clinical year. PGY2-5 rotations are all in diagnostic imaging. The core rotations meet Royal College Specialty Training Requirements and provide experience with all the modalities and body systems. Elective time occurs mainly in PGY5.

PGY1 – First Year Residents

A clinical year designed to strengthen experience in medical, surgical and other specialties. It consists of one block rotations in major medical and surgical disciplines that are relevant to a career in imaging. There are ten mandatory and three elective rotations. No more than 2 of these rotations can be nonclinical.

PGY2 – Second Year Residents

The goals of the PGY2 year are an introduction to the core areas of radiology as well as preparing the resident to begin call, which usually starts in December. Most rotations are one block long. Residents rotate throughout the city and all residents do the same rotation complement (but at different times throughout the year). There are rotations in general radiology, abdominal imaging, chest imaging, bone/musculoskeletal, ultrasound, CT, neuroradiology and an introduction to mammography.

PGY3/PGY4 – Third and Fourth Year Residents

The PGY3-4 years consist of subspecialty radiology rotations covering all the core areas of radiology, plus Nuclear Medicine. Each year there is one mammography rotation.

All residents have the opportunity to attend the four week American Institute for Radiologic Pathology (AIRP) Radiology/Pathology Correlation Course which is usually taken in the PGY4 year. Time for research is permitted at the discretion of the program.

PGY5 – Fifth Year Residents

The focus of the PGY5 year is review, consolidation and exam preparation. Residents are given greater responsibility and at the completion of their residency they should be functioning at the level of a junior consultant. Core rotations include general radiology (3 blocks) and mammography (1 block). Senior residents have considerable flexibility choosing rotations in their final year.

Residents are evaluated for each rotation to assess their progress in each of the CanMEDS competencies. 
There are also 3 objective examinations that residents take each year of residency from PGY2-5:

1) American College of Radiology Examination (PGY2-5)
This is a multiple choice examination, sat in January of each year. The results are returned to the Program Director and resident. Results are given in raw score form, and as a percentile according to the year of study. This serves as a useful guide to general progress, and identifies specific areas where extra work may be needed.

2)  Oral Examinations (PGY2-4)
The staff at the hospitals hold oral examinations at the end of each year for PGY2-4 residents. PGY5 residents receive a large number of practice exams.

3) Objective Structured Clinical Exam (OSCE for PGY2-5)
There are 2-3 OSCEs given annually. Residents rotate from station to station to demonstrate clinical or interpretation skills, communication ability, interview skills, etc.


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