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Fellowship in Cardiothoracic Radiology
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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.

   
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.
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.
   

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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