Musculoskeletal Radiology Fellowship Program 2009
Clinical Curriculum
The curriculum provides clinical and didactic experience covering the full continuum of musculoskeletal radiology, including but not limited to:
- Plain Film Interpretation:
Fellows initially observe the daily interpretation of cases performed by the attending faculty, learning the fundamentals of plain film interpretation, familiarization with protocols, and distinguishing normal from abnormal x-ray findings.
- Computed Tomography:
The fellow assumes increasing responsibility for planning, monitoring and interpreting CT scans, and performs procedures under direct supervision. The fellow reviews completed cases and reviews exams with an attending radiologist. The fellow is directly involved with protocols for CT exams including post-procedural care, interpretation and dictation, reviews teaching files and attends radiology conferences related to CT.
- Ultrasonography:
Fellows initially observe interpretations and dictations related to musculoskeletal ultrasound examinations. Important teaching points related to study protocol and basic interpretation are emphasized. The fellow attends conferences in rheumatology and orthopedics, reviews teaching files, and participates in procedures performed by the attending radiologist, supplemented by didactic lectures.
- Magnetic Resonance Imaging:
This includes one-on-one teaching, formal didactic lectures and conferences, including multi-disciplinary conferences. There is substantial experience in MR arthrography and good exposure to MRI of all joints in a wide variety of clinical conditions for fellows to enhance their interpretation skills.
- Nuclear Radiology:
Fellows have an opportunity to participate in reading sessions with nuclear medicine attending physicians. The training includes PET and SPECT CT for bone scanning, including new technologies in sodium fluoride (F18) using PET CT.
- Interventional Techniques: Fellows initially observe the interpretation and dictation of interventional techniques, then participate in image-guided procedures and gain extensive experience in procedures involving the spine and joints. Fellows preview cases and form initial interpretations to be discussed with the attending radiologist. A gradual increase in the responsibility for interpretation and protocol of cases is given as warranted. The interpretation of studies and performance of procedures is enhanced and supplemented by teaching conferences and didactic lectures.
- Bone Densitometry: Fellows have an opportunity to participate in bone densitometry scanning in nuclear medicine to diagnose and formulate treatment options for medical conditions related to bone loss. The fellow attends departmental and interdepartmental conferences, and participates in readouts and consultations in nuclear medicine.
Call provides continuity of patient care experience over a 24-hour period. Call consists of weekend day coverage. An assigned radiologist is on-site at all times.
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