ACVR Residency Training Program Application Form:

This document is to act as a guide for institutions desiring ACVR accreditation of their residency training program. It should be used in concert with the requirements set out in the ACVR Essentials of Residency Training document and it follows the headings of that document. It is intended to streamline the application process and help define what information the RSEC needs to evaluate the program. All terms used in this application have same definitions as defined in the Essentials.

II. Objectives: University of Wisconsin Radiology Residency Program

Succinctly state the objectives of the training program.

The objectives of this training program are to prepare the resident for the ACVR board

examination and subsequent academic appointment or private specialty practice. Program is also

in compliance with requirements for the European College of Veterinary Diagnostic Imaging

examination. Training is provided in small, large and exotic animal species and in research and

publication.

III. Training period:

What is the total length of the training program in months? 48

If this is a 4 year program, during what year will the resident be eligible to take the ACVR Preliminary Exam? If the resident is not eligible to take the exam during the beginning of the 3rd year (September), please state the reason.

September year 3.

What is the total duration of supervised clinical training in the program?

174 weeks

What are the responsibilities of the resident in the remaining non-clinical portion of the program?

Research, study and vacation

IV. Direction and Supervision:

Program Director:

Who is the Director of Residency training? Chess Adams

What percentage of this individual’s time is committed to clinical service and teaching of residents?

65

Faculty: Please list the faculty member of the program accepting PRIMARY responsibility for training in each of the following core areas:

Roentgen diagnosis: Faculty: Adams Percentage clinical service: 65

Diagnostic ultrasound: Faculty: Forrest Percentage clinical service: 65

Computed Tomography Faculty: Schwarz Percentage clinical service: 70

Magnetic Resonance Imaging: Faculty: Schwarz Percentage clinical service: 70

Nuclear Medicine: Faculty: Forrest Percentage clinical service: 65

List the names and percentage clinical commitment of additional imaging faculty in the program, and their area(s) of instructional responsibility. For each imaging faculty in the program please provide a one page CV documenting their expertise in the area(s) of assigned responsibility. For each of the specialty colleges listed below please list at least two Diplomates of these colleges who can be expected to regularly interact with radiology residents:

ACVIM Dr. Rosemary Henik // ACVIM - Cardiology Dr. David Vail // ACVIM - Oncology ACVS Dr. Michael Livesey // ACVS - LA Dr. Paul Manley // ACVS - SA ACVP Dr. Richard R. Dubielzig // ACVP Dr. Howard Steinberg // ACVP

V. Affiliation agreement:

If all of the training will not be accomplished on-site, please attach a copy of the affiliations agreement(s). Include the scope of the training and amount of time the resident will be away from the home institution.

VI. Facilities:

Briefly describe how the program meets the facility requirements.

The section of radiology has 3 small animal diagnostic radiology rooms. One of these

rooms has an 800 mA tube with video fluoroscopy. The second has a 600 mA tube for

routine radiography, plus a mobile C-arm for digital fluoroscopy and subtraction; suitable

for angiocardiography. Our third small animal room for routine thorax and abdomen

studies is equipped with a floating table and 500 mA tube. Separate rooms are dedicated

to large animal diagnostic radiology and diagnostic ultrasonography. The large animal

room has an 800 mA high frequency generator with a ceiling mounted motorized tube

stand and integrated ceiling mounted cassette stand. A portable x-ray machine is

available for in-stall and distal extremity radiography. Both small and large animal

rooms are digital (DR), with PACS and RIS, integrated with the HIS.

Ultrasonography equipment includes real-time B-mode imaging with harmonics, all digital

beam formers, 10 MHz transducer and pulsed, power and color Doppler.

Helical computed tomography and nuclear imaging suites are located adjacent to the rest of the imaging department. Nuclear imaging equipment consists of a 20” x 4.5” rectangular field of view gamma camera mounted on a specialized stand. The imaging equipment is connected to a computer, allowing dynamic imaging studies and analysis. Our 1.0 tesla MRI unit is in a modular building adjacent to the VMTH.

Radiotherapy is provided by a cobalt isocentric teletherapy facility located in our hospital. Radioactive iodine therapy for hyperthyroid cats is also provided.

VII. Clinical resources:

Indicate the approximate number of patients seen annually by the home institution? 21,351

What is the annual imaging caseload? 8695

Indicate the approximate breakdown of the patient population according to species.

Small animals (canine, feline) 7489

Large animals (equine and food animals) 863

Exotic animals 243

What is the approximate annual imaging caseload of the program in:

Small Animal Radiology: 5324

Large Animal Radiology: 806

Abdominal Ultrasound: 1776

Computed Tomography: 439

Nuclear Medicine: 32

Magnetic Resonance Imaging: 218

Other (specify): Radiotherapy 400

VIII. Training content:

What percentage of imaging reports are typically available within 48 hours after the examination is conducted in typewritten or electronic form? 95

If your answer is less than 75% please explain how reports are generated and how long it takes for the report to be available for review in typewritten form.

Of the preliminary reports generated from the imaging caseload what percentage are initially produced by the resident? 80

What percentage of resident reports are reviewed by the imaging faculty prior to finalization of the report? 35

When preliminary resident reports are reviewed and edited by the imaging faculty responsible for training, what percentage of the time are two or more faculty present? 5

Please complete the table below

Clinical Assignment Estimated number of cases each resident experiences during 40 months of clinical assignments

Small Animal Radiology: Annual caseload/12 x mo. assigned = 5990

Large Animal Radiology: 269

Abdominal Ultrasound: 1776

Computed Tomography: 165

Nuclear Medicine: 6

Magnetic Resonance Imaging: 50

Elective (any of above) RO 9

Required elective (specify): Echo 30

Total 8286

Please indicate the course number and unit assignment residents are required to take to meet the educational objectives for formal instruction as outlined in the Essentials in the following:

Topic Course number Units

Radiobiology: 410 27 lect

The Physics of: “Physics for Radiology Residents” (medical school):

Diagnostic Radiology: no course # 27 lect

Nuclear Medicine: 7

Ultrasonography: 4 lect

CT: 5

MRI: 9

If your program does not offer formal courses in any or all of these topics please indicate how these educational objectives for each are met. Use attached sheets if necessary.

IX. Research Environment:

Over the last 5 years, what is the average number of peer reviewed publications, on which the IMAGING faculty listed under Direction and Supervision in IV above, are included as authors?

25 / 3 = 8.3 pubs per faculty

What is the number of publications/submissions expected of a resident completing the program? 2

If this is an established program, what percentage of residents have made formal research presentations at the annual ACVR or equivalent national meeting? 100

Is an advanced degree a requirement of the training program? no

X. Educational Environment:

How many lectures or scientific presentations are expected of each resident during the course of their training? 6 to undergrads + 8 resident seminars

XI. Evaluation:

During the program how often is resident performance evaluated in writing? 4

XII. Teaching File:

What is the nature and scope of the teaching file available to residents?

Radiology files are maintained for students and residents. Additional radiology teaching sets, and patient file coding systems are in place to assist residents and faculty members for presentations or studying purposes of historical (hard copy) files. The coding system is conventional (by body part and condition).

Seminar and lecture presentations are stored electronically.

How is it maintained/updated?

First year resident assists in maintenance of this file. All residents contribute to the teaching file by recording teaching quality studies daily, which are maintained in an indexed digital file on the PACS. Resident seminars are filed in a share file on computer.

XIII. Conferences:

On average how many Known Case Conferences are conducted annually? 48

XIV. Literature resources:

What is the geographic relationship between the nearest medical library and the training program? 4 blocks

XV. Appendix:

(a) Provide the pass rate for first time, second time, etc for both the preliminary and certifying exams for your residents for the past 5 years. For example, for all residents finishing your program 5 years ago (Year 5), check the appropriate box. Complete the table for residents finishing 4 years ago (Year 4), 3 years ago (Year 3), etc.

Year 5 Year 4 Year 3 Year 2 Year 1 Passed preliminary exam 1st time

xx x x

Passed prelim exam 2nd time

x x

Passed prelim after 2nd time

x

Passed certifying exam 1st time

xx x

Passed certifying exam 2nd time

x

Passed certifying exam after 2nd time

Unsuccessful in

all attempts

(b) Provide a clinical schedule for your resident(s). This schedule should provide a weekly or monthly outline of the resident’s clinical responsibilities. This may be in the form of a master schedule or duty roster for your entire radiology section if desired.

weeks: 1 to 4

5 to

8 9 to 12

13-

16 17-20 21-24 25-28 29-32 33-36 37-400

1st y

resident

Clinics LA SA-U US - LA SA

SA-

RESEA

SA-

RESEA SA LA/CT

SA/CT-

SP SA

Teaching:

lectures

SA rad

an LA Rad an

labs Radiolog Radiolog Radiolog

Classwork Radiolog Radiolog Radiolog

2nd y

resident

Clinics CT/SP MR/NM RESEARCH CT/SP U-SA

ECHO/N-

U LA/SP U-SA SA

US-

CT/SP

Teaching:

lectures

SA rad

an LA Rad An Radiolog

labs Radiolog

Classwork

Nuc

Med R Bio* R Bio R Bio

3rd y

resident

Clinics SA-Study

Study-

U US - SA

U-

ELECT RT/CT-U U-SA Elective MR-RT/CT U

CT/SP-

US

Teaching:

lectures SA rad an LA Rad An Radiolog

labs Radiolog

Classwork R Bio* R Bio R Bio

Total: yrs 1-3 *R Bio offered alternate years - take once when offered

SA - 50 wks US - 34

Echo-

2 CT - 12

SP -

11

ELECT

-6

Research

- 10 Study - 4

LA - 12 RT - 4 MMR - 6

NM -

5

(Vaca -

6)

4th y

resident

Clinics

MR/NUC-

US

SA/SP-

US MR/CT/SP RESEAR

LA/SP-

CT/MR

Res-MRCT RES - US SA/MR-U

RES-

M/CT LA/MR

Teaching:

lectures

SA rad

an LA Rad an

labs Radiolog Radiolog Radiolog

Classwork Radiolog Radiolog Radiolog

Total: 4th yr

SA - 4 U-14 RESEARCH -12

LA/SpProc/CT/MR/NM -22 (Vaca - 2)

37-40

41-44

45-48

49-52

SA

U-

CT/SP US - SA

RES-

CT/SP

Radiolog Radiolog

Radiolog Radiolog Rad Phys

Rad

Phys

US-

CT/SP LA/MR

CT/SP-

MR/NM

MR/NM-

US

/NM

R Bio

CT/SP-

US SA SA SA

R Bio

LA/MR SA - US MR/NM-US US-Res

Radiolog Radiolog

Radiolog Radiolog

NAME

William McChesney Adams III “Chess”

eRA COMMONS USER NAME

POSITION TITLE

Associate Professor and Section Head, Diagnostic

Imaging and Radiation Oncology

Dipl ACVR (Radiology, Radiation Oncology)

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)

INSTITUTION AND LOCATION DEGREE

(if applicable) YEAR(s) FIELD OF STUDY

Iowa State University BS 70 DISTRIBUTED STUDIES

Iowa State University DVM 73 VETERINARY

MEDICINE

Henry Bergh/Memorial—NYC INTERN 73-74 MED/SURG Animal Medical Center—NYC MED RESID 74-75 MEDICINE

University of Pennsylvania RADIOL

RESID 75-78 RADIOLOGY

A. Positions and Honors Excellent teacher ranking — University of Illinois 1982 Assistant Professor— University of Illinois 1978-1982 Assistant and Associate Professor – UNIVERSITY OF WI 1982 - PRESENT Associate Editor, "Veterinary Radiology and Ultrasound" 1986 - 1994. Section Head, Radiology, UW SVM. 2002 – present. Secretary, Radiation Oncology Affiliate of the ACVR, 1999 - 2003. ACVR Board Certification Examining Committee, 1998 - 2001 ACVR Resident Research Award Grant Committee, 2007 – present B. Selected peer-reviewed publications

Crawford JT, Manley PA, Adams WM. Comparison of Computed Tomography, Tangential View Radiography and Conventional Radiography in Evaluation of Canine Pelvic Trauma, Vet Radiol & US, 44:6, 619-628, 2003.

Green EM, Forrest LJ, Adams WM. A Vacuum-Formable Mattress for Veterinary Radiotherapy Positioning: Comparison with Conventional Methods, Vet. Radiol & US, 44:4, 476-479, 2003.

Poirier VJ, Adams WM, Forrest LJ, Green EG, and Vail DM Efficacy of radiation therapy for incompletely excised grade II mast cell tumors. Vet and Comp Onc, 2004. Adams W.M., McAnulty J.F., Bjorling D.E., Green EG, Forrest L.J., Vail D.M, Presurgical accelerated radiotherapy for canine nasal tumors. JAVMA, Sep 2005, Vol. 227, No. 6: 936-941.

Paoloni MC, Adams WM, Dubielzig RR, Vail DM and Hardie RJ. Comparison of Computed Tomography and Radiography Assessment to Histopathologic Findings of Tracheobronchial Lymph Nodes in Dogs with Primary Lung Tumors. JAVMA, Jun 2006, Vol 228, No. 11: 1718-22 Poirier VJ, Adams WM, Forrest LJ, Green EM, Dubielzig RR, Vail DM, Radiation Therapy for Incompletely Excised Grade II Canine Mast Cell Tumors, JAAHA 2006; 42: 430-434 Manley PL, Adams WM, Danielson KC, Dueland RT and Linn KA, Long-term outcome of juvenile pubic symphysiodesis & triple pelvic osteotomy in dogs with hip dysplasia, JAVMA, 2007;230: 206 – 210

Cyclosporine use in multidrug therapy for meningoencephalomyelitis of unknown etiology in dogs. Adamo PF, Rylander H, and Adams, WM. JSAP, 2007;1:1 – 11.

Radiographic determination of proventricular diameter in psittacine birds. Dennison SE, Paul-Murphy JR, Adams WM. JAVMA 2008; 232: 709 – 714.

Last Revised: April 21, 2007

Lisa Jo Forrest Associate Professor of Radiology

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, and include postdoctoral training.)

INSTITUTION AND LOCATION DEGREE (if applicable)

YEAR(s) FIELD OF STUDY

EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, d i l d d l i i )

INSTITUTION AND LOCATION DEGREE

(if applicable) YEAR(s) FIELD OF STUDY

University of California-Santa Barbara, CA BA 1976-1981 Biology

University of Pennsylvania-Philadelphia, PA VMD 1984-1988 Veterinary Medicine

North Carolina State University, Raleigh, NC 1989-1992 Radiology Residency

A. Positions and Honors 1989-1992 Radiology Resident, North Carolina State University, College of Veterinary Medicine,

Raleigh, NC 1992-1994 Clinical Instructor, Radiology, University of Wisconsin, School of Veterinary Medicine,

Madison, WI 1994-1999 Clinical Assist. Professor, Radiology, University of Wisconsin, School of Veterinary

Medicine, Madison, WI 1997-2001 Radiology Section Chief, Depart. of Surgical Sciences, U of WI, School of Veterinary

Medicine, Madison, WI 1998-2003 Associate Editor, Veterinary Radiology and Ultrasound 1999-2005 Clinical Assoc. Professor, Radiology, University of WI, School of Veterinary Medicine,

Madison, WI

1999-present Recognized Veterinary Specialty of Radiation Oncology Exam Committee member 2000-2003 Council Member, American College of Veterinary Radiology 2004-2006 President, Recognized Veterinary Specialty of Radiation Oncology 7/05-present Associate Professor, Radiology, University of Wisconsin, School of Veterinary

Medicine, Madison, WI

2006 Recipient Norden Pfizer Distinguished Teaching Award, University of Wisconsin, School

of Veterinary Medicine, Madison, WI

B. Selected publications (in chronological order) 1. Ballegeer EA, Forrest LJ, Jeraj R, Mackie TR, Nickles RJ. PET/CT for primary lung tumor in a

dog. Vet Radiol Ultrasound. 2006 Mar-Apr;47(2):228-33.

2. Schaefer SL, Forrest LJ. Magnetic Resonance Imaging of the Canine Shoulder: An Anatomical Study, Vet Surg. 2006 Dec;35(8):721-8.

3. Ballegeer EA, Forrest LJ, Dickerson R, Schutten M, Delaney FA, Young KM. Correlation of ultrasonographic appearance of lesions and cytologic and histologic diagnoses in splenic aspirates from dogs and cats: 32 cases (2002-2005). J Am Vet Med Assoc. 2007;230(5):690-6.

4. Forrest LJ. The Cranial and Nasal Cavities – Canine and Feline. In: Textbook of Veterinary Diagnostic Radiology, 5th edition. Thrall DE, editor, Philadelphia, WB Saunders, 2007.

5. Forrest LJ. Diagnostic imaging in Oncology. In: Small Animal Clinical Oncology, 4th edition. Withrow SJ, Vail DM, editor, WB Saunders, 2007.

6. Liptak J, Forrest LJ. Soft Tissue Sarcomas. In: Small Animal Clinical Oncology, 4th edition. Withrow SJ, Vail DM, editor, WB Saunders, 2007.

7. Gutiérrez AN, DeVeau M, Forrest LJ, Tomé WA, Mackie TR. Radiobiological and Treatment Planning Study of a Simultaneous-Integrated Boost for Canine Nasal Tumors using Helical Tomotherapy. Vet Radiol Ultrasound. 2007, 48(6):594-602.

Last Revised: April 21, 2007

Tobias Schwarz Clinical Associate Professor of Radiology

MA Dr.med.vet. DVR DipECVDI DACVR MRCVS EDUCATION & POSTGRADUATE TRAINING: 1988 – 1995 Veterinary Licence, Free University Berlin, Germany

1994 - 1997 Master of Arts, Scandinavian Studies, Free University Berlin 1995 - 1997 Dr. med. vet. (postgraduate degree) , Dept. of Radiology, Free University Berlin 1997 - 2000 Diagnostic Imaging Residency, Glasgow University Veterinary School, UK

2000 Diplomate, European College of Veterinary Diagnostic Imaging (DipECVDI)

2000 Diploma in Veterinary Radiology (DVR), Royal College of Veterinary Surgeons, UK

2003 Diplomate, American College of Veterinary Radiology (DACVR)

POSITIONS/ FACULTY APPOINTMENTS: 2000 - 2002 Lecturer in Radiology, University of Pennsylvania School of Veterinary

Medicine, Philadelphia, PA

2002 - 2005 Assistant Professor of Radiology - Clinician Educator track, University of Pennsylvania School of Veterinary Medicine, Philadelphia, PA

2005 - 2008 Clinical Assistant Professor of Radiology, University of Wisconsin-Madison, Madison, WI

2008 Clinical Associate Professor of Radiology, University of Wisconsin-Madison, Madison, WI

SELECTED RECENT PUBLICATIONS: Schwarz T, Johnson VS, Voute L, Sullivan M (2004):

Bone scintigraphy in the investigation of occult lameness in the dog. Journal of Small Animal Practice 45, 232-237.

Schwarz T, Willis R, Summerfield NJ, Doust R(2005): Aneurysmal dilatation of the right auricle in two dogs. Journal of the American Veterinary Medical Association, 226, 1512-1515.

Reiter AM, Schwarz T (2007): Computed tomographic appearance of masticatory myositis in dogs: 7 cases (1999-2006)

Journal of the American Veterinary Medical Association, 231, 924-930. Taeymans O, Schwarz T, Duchateau L, Barberet V, Gielen I, Haskins M, Van Bree H, Saunders

JH (2008): Computed tomographic features of the normal canine thyroid gland. Veterinary Radiology & Ultrasound, 49, 13-19.

Schwarz T, Johnson V (2008): BSAVA Manual of Canine and Feline Thoracic Imaging. Editor BSAVA, Quedgeley, UK, 396 pages, 875 figures.