Carlos Restrepo - Cardiac Imaging (Radcases Plus Q&A)

The ability to assimilate detailed information across the entire spectrum of radiology is the Holy Grail sought by those preparing for their trip to Louisville. As enthusiastic partners in the Thieme RadCases series who formerly took the examination, we understand the exhaustion and frustration shared by residents and the families of residents engaged in this quest. It has been our observation that despite ongoing efforts to improve Web-based interactive databases, residents still find themselves searching for material they can review while preparing for the radiology board examinations and remain frustrated by the fact that only a few printed guidebooks are available, which are limited in both format and image quality. Perhaps their greatest source of frustration is the inability to easily locate groups of cases across all subspecialties of radiology that are organized and tailored for their immediate study needs. Imagine being able to immediately access groups of high-quality cases to arrange study sessions, quickly extract and master information, and prepare for theme-based radiology conferences. Our goal in creating the RadCases series was to combine the popularity and portability of printed books with the adaptability, exceptional quality, and interactive features of an electronic case-based format.

The intent of the printed book is to encourage repeated priming in the use of critical information by providing a portable group of exceptional core cases that the resident can master. The best way to determine the format for these cases was to ask residents from around the country to weigh in. Overwhelmingly, the residents said that they would prefer a concise, point-by-point presentation of the Essential Facts of each case in an easy-to-read, bulleted format. Differentials are limited to a maximum of three, and the first is always the actual diagnosis. This approach is easy on exhausted eyes and provides a quick review of Pearls and Pitfalls as information is absorbed during repeated study sessions. We worked hard to choose cases that could be presented well in this format, recognizing the limitations inherent in reproducing high-quality images in print. Unlike other case-based radiology review books, we removed the guesswork by providing clear annotations and descriptions for all images. In our opinion, there is nothing worse than being unable to locate a subtle finding on a poorly reproduced image even after one knows the final diagnosis.

The electronic cases expand on the printed book and provide a comprehensive review of the entire subspecialty. Thousands of cases are strategically designed to increase the resident's knowledge by providing exposure to additional case examplesfrom basic to advancedand by exploring Aunt Minnie's, unusual diagnoses, and variability within a single diagnosis. The search engine gives the resident a fighting chance to find the Holy Grail by creating individualized, daily study lists that are not limited by factors such as radiology subsection. For example, tailor today's study list to cases involving tuberculosis and include cases in every subspecialty and every system of the body. Or study only thoracic cases, including those with links to cardiology, nuclear medicine, and pediatrics. Or study only musculoskeletal cases. The choice is yours.

As enthusiastic partners in this project, we started small and, with the encouragement, talent, and guidance of Tim Hiscock at Thieme, we have continued to raise the bar in our effort to assist residents in tackling the daunting task of assimilating massive amounts of information. We are passionate about continuing this journey, planning to expand the cases in our electronic series, adapt cases based on direct feedback from residents, and increase the features intended for board review and self-assessment. As the National Board of Medical Examiners converts the American Board of Radiology examination from an oral to an electronic format, our series will be the one best suited to meet the needs of the next generation of overworked and exhausted residents in radiology.