Abdominal Imaging Fellowship

ABDOMINAL IMAGING FELLOWSHIP PROGRAM

OVERVIEW

The University of Pittsburgh Department of Radiology is one of the nation’s largest and most productive academic radiology departments with approximately 150 clinical faculty performing nearly 2 million procedures annually. The abdominal imaging fellowship at the University of Pittsburgh Medical Center (UPMC) is a 1 year, non ACGME program designed to train radiologists in all aspects of abdominal radiology to acquire the skills, knowledge, and expertise pertinent to multimodality image interpretation and performing interventional procedures. The fellows rotate primarily in week-long blocks at Presbyterian Hospital, the main teaching campus, in ultrasound, CT-MRI, abdominal interventional radiology, and at Shadyside hospital, a 520-bed tertiary care hospital which comprises all of the above modalities with emphasis on oncologic, genitourinary and digestive disorders. Five fellows are accepted into the program every year. Fellows completing the program will be well positioned for either private practice or an academic career.

FACULTY AND EQUIPMENT

There are 14 faculty and 3 full-time physician assistants in the division of abdominal imaging. The fellowship utilizes the main academic campuses including UPMC Presbyterian Hospital, Montefiore University Hospital and Shadyside Hospital. The department is exceptionally well equipped with the latest diagnostic tools. Currently, there are 16 Multidetector CT scanners with CT fluoroscopy capabilities, 13 ultrasound units and 8 high field strength 1.5 and 3.0T magnets. UPMC is equipped with Phillips PACS with integrated teaching file capabilities. Every workstation has access to Vital Images Vitrea.

EDUCATIONAL PROGRAM

The abdominal imaging division is highly supportive of the abdominal imaging fellows and is dedicated to teaching through a formal curriculum and daily instruction at readouts.

A. Learning Objects

  • The abdominal imaging fellow will develop clinical expertise in the diagnosis and treatment of all diseases of the abdomen and pelvis with special emphasis on the following areas: hepatobiliary diseases, oncology, trauma, organ transplantation, pre- and post-operative evaluations, diverse vascular Doppler studies as well as other areas of abdominal and pelvic disease that may be subject to imaging evaluation.
  • Learn the latest advances and protocols in abdominal imaging with emphasis on a practical approach and problem solving to avoid common pitfalls.
  • Become expert at nonvascular image-guided interventions of the neck, chest, abdomen and pelvis.
  • Show progressive knowledge and responsibility in interpretation and performance of studies, though these are done under the supervision of faculty radiologists within the division of abdominal imaging.
  • Develop the ability to teach radiology residents and medical students both informally and through participation in resident case conferences and medical student lectures.

B. Instructional/Teaching Activities

  • Advanced didactic and interactive case-based curriculum contributed to by all the faculty members designed and tailored specifically for the abdominal imaging fellow.
  • Quarterly Journal Club.
  • Regular divisional interesting case conferences where the best cases of the day are presented.
  • Fellow oriented bimonthly interesting case conferences on pelvic MRI and abdominal MRI following a topic based curriculum
  • Interdepartmental Conferences:
    1. Liver Tumor Board
    2. Pancreas Tumor Board
    3. General Tumor Board
    4. Inflammatory Bowel Disease Multidisciplinary Conference
    5. GU Conference
    6. GI Conference
    7. Parathyroid Conference
    8. Grand Rounds
  • The fellows are under the direct supervision of the faculty of the division of abdominal imaging and will be supervised during procedures and interpretation sessions.
  • The fellows will rotate presenting interesting case conferences to the residents.
  • Fellows are encouraged to participate in ongoing research projects or develop their own.

DIVISION RESEARCH INTERESTS

These are varied and include hepatobiliary diseases, such as MR elastography of the liver, gallbladder cancer, hepatocellular carcinoma, pancreatic and gastrointestinal imaging, transplant imaging including multivisceral transplantation, endocrine imaging with focus on thyroid and parathyroid diseases, as well as genitourinary imaging including MR and CT urography.

MRI

The department performs MR of the liver with hepatobiliary contrast agents, MRCP, pancreas, MR enterography, adrenal, kidneys, prostate, and anorectal disease MRI.

CT

High volume of cases focused on focal and diffuse liver diseases, inflammatory and neoplastic conditions of the pancreas, trauma, CT colonography, oncologic inpatient and outpatient studies, broad array of gastrointestinal disorders including CT enterography, acute abdominal conditions, CT angiography, and pre- and post-transplant evaluation. The abdominal division interprets chest CT’s in patients who undergo imaging of the abdomen/ pelvis.

INTERVENTIONAL PROCEDURES

The fellow will have dedicated rotations performing routine and specialized procedures including all image guided percutaneous biopsies and drainages of the neck, chest, abdomen and pelvis utilizing both ultrasound and CT. The division also performs percutaneous radiofrequency tumor ablation, cryoablation and cholecystostomy tube placement.

ULTRASONOGRAPHY

All the major facets of ultrasound are included such as Duplex Doppler ultrasound of the abdomen, transplant Doppler, TIPS evaluation, sonography of abdomen and pelvis with 3-D capability, scrotal ultrasound and neck ultrasound with lymph node mapping. Advanced techniques include ultrasound elastography and volume navigation.

BENEFITS

Benefits include a generous amount of academic and vacation time, conference days, CME stipend, and department lab coats and scrubs. Moonlighting opportunities are available within the department.

APPLICATION FORMS

Click here to download or view the UPMC Fellowship application form. Applications are being accepted on a rolling basis. The applicant must be able to secure an unrestricted Pennsylvania medical and DEA license, be a US citizen or have appropriate visas and have completed an ACGME approved radiology residency. The University of Pittsburgh/UPMC is an equal opportunity, affirmative action employer.

Please submit your completed, signed application with the following supporting materials:

  • Curriculum Vitae
  • Official Medical School Transcripts
  • Copy of USMLE/COMLEX scores
  • 3 letters of recommendation (1 must be from your program director)
  • Personal statement as to why you are interested in this training

To Vivian McBride, the fellowship coordinator:

Mailing Address:
UPMC Presbyterian Shadyside
Radiology Suite 200 East Wing
Division of Abdominal Imaging
200 Lothrop Street
Pittsburgh, PA 15213

Telephone: (412) 647-3550
Fax: (412) 647-7795
E-mail: mcbridevl@upmc.edu


Program Director:

Biatta Sholosh, M.D.
Assistant Professor
Department of Radiology
Division of Abdominal Imaging

Telephone (412) 647-3550
E-mail: sholoshb@upmc.edu