Aquifer Radiology
Aquifer Radiology’s virtual patient cases are realistic case scenarios that demonstrate best practices—helping students develop clinical reasoning skills that bridge the gap from classroom to practice. In an era of the increasing importance of evidence-based decision-making and reliance on imaging, an understanding of the principles and applications of radiology is vital for today’s healthcare professionals. The National Board of Medical Examiners has recognized this by increasing the imaging component of all United States Medical Licensing Examination exams.
The 21 interactive virtual patient cases in Aquifer Radiology deliver on the learning objectives of the Association of Academic Radiology (AAR) and the Alliance of Medical Student Educators in Radiology (AMSER) medical student curriculum.
In collaboration with:

Demo a Case
Demonstration Cases for Public Use
Now Available: Embedded Curricular Threads
New embedded threads provide consistent teaching on interdisciplinary Clinical Excellence topics throughout Aquifer’s core courses. Select Radiology cases include new content woven into our existing cases to highlight key principles in palliative care, trauma-informed care, social determinants of health, high value care, diagnostic excellence, and foundations of telemedicine.
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Key Features
- Created for educators, by educators, utilizing the American College of Radiology (ACR) Appropriateness criteria
- Available for institutional subscription or for direct purchase by individual subscribers
- Access to Aquifer Calibrate: Transformative Assessments for Clinical Learning Mastery, our innovative system for formative assessment, available with your institutional subscription
- Proven pedagogy that standardizes experiences—overcoming geography, seasonality, and accessibility
- Evidence-based, peer-reviewed, and continuously updated content
- Self-assessment questions emphasize key content and enable students to test their knowledge and skills
- A wealth of source material, tools, and full references in each case
- Educator resources, including complete flipped classroom PowerPoint workshops for each case—with speaker notes
- Delivered via the Aqueduct teaching and learning platform, which includes user management options, easy reporting on student progress and course usage, plus tools for creating custom courses to match a specific curriculum
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Course Content
Aquifer Radiology cases teach a patient-centered approach to imaging, foster self-directed and independent study, and build clinical problem-solving skills. The realistic case scenarios teach evidence-based decision making and include excellent interactive radiology resources.
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Curriculum Integration
These cases can be used as a stand-alone radiology course during a radiology clerkship or elective or incorporated into the appropriate clinical clerkships as part of a custom course created in Aqueduct. For example, the women’s imaging cases can be incorporated into an Ob-Gyn clerkship, thus teaching imaging at an applicable time.
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Assessment
Aquifer Calibrate, an innovative system for formative assessments, is available with your Aquifer Radiology institutional subscription. Calibrate combines the concepts of test-enhanced learning and distributed practice to facilitate efficient study planning and self-directed learning for students, and identify at-risk students and curricular gaps for faculty.
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Case List
Radiology 01: 23-year-old Chest – Infection
Radiology 02: 51-year-old – Chest – Masses
Radiology 03: 65-year-old – Chest – Trauma
Radiology 04: 65-year-old – Chest – Vascular and COPD
Radiology 05: 25-year-old – GI – Colon and small bowel
Radiology 06: 42-year-old – GI – Hepatobiliary and pancreas
Radiology 07: 40-year-old – Renal/GU
Radiology 08: 18-year-old and 19-year-old – GI – Trauma
Radiology 09: Neuroanatomy – Trauma
Radiology 10: 40-year-old – Neurovascular and intracranial masses
Radiology 11: 8-week-old – Pediatrics A
Radiology 12: 2-month-old – Pediatrics B
Radiology 13: 59-year-old – MSK – Arthritis, osteomyelitis
Radiology 14: 28-year-old – Pregnancy and infertility
Radiology 15: 43-year-old – Malignancy and screening
Radiology 16: Musculoskeletal trauma
Radiology 17: 65-year-old male – Cardiac and cardiovascular
Radiology 18: Professionalism in Radiology
Radiology 19: 53-year-old – Oncology
Radiology 20: Interventional Radiology – Vascular
Radiology 21: Interventional Radiology – Nonvascular
Workshops
Complete Aquifer Radiology Flipped Classroom Workshops are available for 18 cases—ready to use in your classroom. Each workshop, designed to be completed in a 60-90 minute session, includes a slide deck with images and annotations, speaker notes, and a facilitator guide.
Jeffrey Hogg, MD, FACR
Professor of Radiology, West Virginia University
User Stories
Learn how Aquifer Radiology can benefit medical students, residents, and faculty in your program:
User Story
Learn how Aquifer Family Medicine can benefit medical students and faculty in your program.
David Anthony, MD, M.Sc
Brown University
Other Resources
Best Practices for Using Aquifer Radiology Across the Curriculum
I like that these cases are real-life scenarios and very applicable to the patients I see in clinic with my mentors. I feel just by doing these cases in a few days, my experience in family medicine has improved by leaps and bounds and my mentors can see a marked improvement and change in me, even down to how I interact with patients and present myself. Thank you so much Aquifer, you're a lifesaver!
Aquifer Radiology Course Board
Petra Lewis, MBBS
Course Board: Aquifer Radiology
Role: Editor-in-Chief, Case Author
Cases Authored: Radiology 01: 23-year-old man Chest – Infection, Radiology 02: 51-year-old man Chest – Masses, Radiology 03: 65-year-old man Chest – Trauma, Radiology 04: 65-year-old woman Chest – Vascular and COPD, Radiology 11: 8-week old male – Pediatrics A, Radiology 12: 2-month old female – Pediatrics B, Radiology 13: 59-year-old woman MSK – Arthritis, osteomyelitis, Radiology 14: 28-year-old woman Women’s imaging – Pregnancy and infertility, Radiology 15: 43-year-old woman Women’s imaging – Malignancy and screening, Radiology 17: 65-year-old man – Cardiac and Cardiovascular, Radiology 18: Professionalism in Radiology
Institution: Dartmouth Geisel School of Medicine
Institutional Title: Professor of Radiology and Professor of Obstetrics and Gynecology
Jessica Fried, MD, CIIP
Course Board: Aquifer Radiology
Role: Associate Editor – Adoption & Use Lead
Institution: University of Michigan
Institutional Title: Assistant Professor of Radiology
Siddhartha Gaddamanugu, MD
Course Board: Aquifer Radiology
Role: Associate Editor – Assessment Lead
Former Role: Case Editor
Institution: University of Alabama at Birmingham
Institutional Title: Clinical Associate Professor
Pauline Germaine, DO
Course Board: Aquifer Radiology
Role: Associate Editor – Curriculum Lead
Institution: Rowan University
Institutional Title: Associate Professor of Radiology
Institutional Role: Vice-Chair of Research and Education
Matthew Miller, MD
Course Board: Aquifer Radiology
Role: Associate Editor
Institution: Allegheny Health Network
Institutional Role: Associate Residency Program Director; Breast Imaging Radiologist
Scott Simpson, DO
Course Board: Aquifer Radiology
Role: Associate Editor
Institution: Hospital of the University of Pennsylvania
Institutional Title: Associate Professor of Clinical Radiology
