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The
Division of Cardiothoracic Radiology offers a one-year fellowship
in cardiothoracic radiology to radiologists having completed a residency
in diagnostic radiology. Three fellowship positions are funded by
the Radiology Department, in addition to self-funded fellows and visiting
international fellows. A second year of fellowship may be possible
for research. Individuals completing the training program will have
achieved a level of expertise making them eligible for either a junior
faculty position in an academic setting or employment by a large private
practice group desiring an associate with expertise in cardiothoracic
radiology. Cardiothoracic radiology comprises approximately one-third
of most private radiology practices. Annually, one-third to one-half
of thoracic radiology fellows in the United States enter private practice
directly after a cardiothoracic radiology fellowship. |
Clinical: Trainees will gain clinical experience in
all aspects of cardiothoracic radiology, including radiography,
computed-tomography (CT) and CT angiography, magnetic resonance
radiology/angiography (MRI/MRA), thoracic interventional procedures
including radiofrequency ablation, and work closely with subspecialists,
such as pulmonary and critical care medicine specialists, cardiovascular
medicine specicialists, general thoracic surgeons, cardiac surgeons
and thoracic oncologists. Particular emphasis is placed on CT and
MR, including advanced reconstruction techniques and cardiac radiology.
A picture archival and communication system (PACS) used in our “filmless”
environment. As a major tertiary referral site for the region, the
comprehensive clinical programs at the University of Michigan Medical
Center cover the spectrum of cardiothoracic disease. The multidisciplinary
programs include the Thoracic Oncology Program of our National Institutes
of Health (NIH)-designated Cancer Center, the Lung Transplantation
Program, the Interstitial Lung Disease Program as a NIH Specialized
Center of Research (SCOR) for Interstitial Lung Disease, Lung Volume
Reduction Surgery Program and the Thoracic Aorta Program. Many of
these programs hold weekly or monthly conferences, during which
the fellows may work with the faculty to prepare and present the
radiology material. |
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| Research:
All fellows are provided ample opportunity and facilities for research,
and are expected to complete and present their work at annual scientific
meetings, as well as publish their findings in the peer-reviewed literature.
The multidisciplinary teams described above that work together to
deliver outstanding clinical care, offer extensive opportunities for
research. Several division members hold master’s degrees in
clinical research design and statistical analysis, a research resource
for the division. A second year of fellowship dedicated mostly to
research is possible, if external funding is secured. |
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Resources available through the Department of Radiology’s Associate
Chair for Research, Isaac Francis MD, include a team of research associates
and seed-money for pilot studies, personnel to assist in identifying
funding sources and preparing grant applications, as well as support
for attending grant preparation workshops. The Department of Radiology
supports the Consortium for Health Outcomes, Innovation and Cost-Effectiveness
Studies (CHOICES)
in the Medical Center, for assistance in with research design, data
management and performing statistical analysis. Through Taubman Medical
Library, UM-MEDSEARCH and PubMed with UM electronic journal links
allow online access to medline, and electronic journal subscriptions
from PCs throughout the medical center and at home, with password
access, to facilitate research. |
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Teaching:
Fellows participate in the teaching of fourth year medical students
and our cadre of 36 diagnostic radiology residents as they rotate
through cardiothoracic radiology. In addition, fellows participate
in introductory demonstrations of how to approach the chest radiograph
given to second year medical students during the respiratory sequence
one day in the fall of each year. Fellows, working with one of the
faculty, prepare and conduct a quarterly peer review conference
assessing missed radiologic diagnoses of the thorax, from which
all division members gain insight into how we interpret images,
and what to keep in mind as we read images in the future. Our media
coordinator assists with image transfer from the PACS system to
our department server, and image manipulation for the preparation
of teaching materials, abstract presentations and publications.
Other Educational
Opportunities: Fellows may choose to participate in classes at the
University of Michigan School of Public Health in preparation for
certification as a "B" reader for pneumoconiosis by the
National Institute of Occupational Safety and Health (NIOSH).
The School of Public Health maintains one of the few standing self-study
syllabi for B-reading, which otherwise are only available for short
periods of time on request from NIOSH. The University of Michigan’s
Center for Statistical Research and Consultation (CSCAR)
offers courses on statistics and the use of statistics programs
for data analysis.
Faculty:
The Cardiothoracic Radiology Division is staffed by 16 highly trained
faculty dedicated to the practice of thoracic radiology, any of
whom were former fellows in our Department. All are members of the
Society of Thoracic Radiology (STR),
three are oral board examiners for the Cardiopulmonary category
of the American Board of Radiology examination, three are elected
members of the Society of Computed Body Tomography / Magnetic Resonance
(SCBT/MR) and one is an elected
member of the Fleischner Society.
Several of the current faculty received career development awards
as junior faculty, including Leslie
Quint from the American Cancer Society, Smita
Patel from the Radiologic
Society of North America, Aine
Kelly and Ella
Kazerooni from the General Electric Radiology Research Academic
Fellowship (GERRAF)
through the Association of University
Radiologists and
Benoit Desjardins from the Whittaker Foundation. One division
member,
Philip Cascade, Chaired the Taskforce on
Appropriateness Criteria for the American College of Radiology
and is a nationally recognized expert in Quality Assurance. Another
division member, Barry
Gross, chairs the Department’s Residency Selection Committee.
For more information on the division members, please link to the
faculty pages.
If you are interested
in applying for the cardiothoracic radiology fellowship, please
download our fellowship application,
and send your application with three letters of recommendation to:
Ella
A. Kazerooni, M.D., M.S.
Director, Cardiothoracic Radiology Division
Department of Radiology
Cardiovascular Center, Rm 5482
1500 East Medical Center Drive, SPC 5868
Ann Arbor, MI 48109-5868
Tel. 734 936-4366
Fax 734 232-5055
ellakaz@umich.edu |
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