Sports, Orthopedic and Emergency Imaging Fellowship


Goal:

The Sports, Orthopedic and Emergency Imaging Fellowship in The Department of Diagnostic and Interventional Imaging is designed to train radiologists in the multimodality, real-time diagnostic imaging environment of Sports and Orthopedic medicine, as well as providing high-level Emergency Imaging training at one of the busiest level I trauma centers in the country.

Length of Program:

12 months.

Qualifications:

The candidate must have completed a diagnostic radiology residency. The candidate should be eligible to obtain a Full Texas Medical license.

We are unable to support J1 or H1B visas, and hence unable to entertain overseas applicants with visa restrictions.

Positions Available:

Currently applications are accepted for 2 positions starting July 2016.

Clinical Emphasis:

Fellows in Sports, Orthopedic and Emergency Imaging spend most of their time at our specialized outpatient Sports and Orthopedic medicine center, working closely with Orthopedic Surgeons, Rheumatologists and general medicine physicians in the care of their patients. The program is part of a contracted team of physicians for the Houston Rockets, and University of Houston. Emphasis is placed on clinical examination skills, high-resolution magnetic resonance imaging, and interventional skills, including arthrograms of all joints, visco-supplementation, ultrasound, CT and fluoroscopically-guided joint and tendon injections, nuclear synovectomy procedures in hemophiliacs, and biopsies. Plasma rich platelet (PRP) injections under imaging guidance are also performed. Additionally, fellows will participate in joint meetings with the Rheumatology service, allowing an in-depth discussion of both the patients and their imaging findings. Fellows also participate in meetings with Orthopedic and Sports surgery, evaluating intra-operative arthroscopic images and their correlation with pre-operative MRI findings. Intra-operative orthopedic experience will also be provided for our fellows, allowing them to work directly with the orthopedic surgeons, and allow a more in-depth appreciation for the critical imaging findings that will alter operative approaches and subsequent procedures. Fellows will also participate in the teaching of residents as they rotate through the service.

Fellows will participate in 2 blocks of dedicated trauma imaging, at one of the busiest level 1 trauma centers in the country. We have a multimodality imaging approach that emphasizes radiography, CT, and fluoroscopy. Fellows work as a member of the trauma team for the evaluation of the severely injured patients, performing necessary procedures, and reading images in real-time. Fellows participate in weekly Emergency Medicine and Trauma Surgery conferences, serving as a consultant. Education of radiology, orthopedic, and emergency medicine residents is a priority of our section, and fellows participate in this mission.

Program Highlights:

As part of the fellowship a rotation is provided at UT’s MD Anderson Cancer Center, supplementing the fellow’s Sports and Orthopedic Medicine knowledge with a block of dedicated bone and soft tissue tumor imaging. Emphasis is placed on both plain film and MR diagnosis of benign and malignant musculoskeletal tumors, as well as the subsequent complex post-operative follow-up and surveillance of these patients.

Two elective blocks are provided to the fellows outside of the department, which may be used depending upon the fellow’s objectives and career goals.

Research in Sports, Orthopedic and Emergency Imaging is an area of excellence in our department. Multiple areas of potential research are available in Sports Medicine and Emergency Imaging. Presentation of research material at national conferences is both encouraged and supported by the department. Dedicated research can also be performed at the state of art MRI research division of the department of Diagnostic and Interventional imaging based off the University Medical school.

Fellows may be promoted to Instructor in the Department of Diagnostic and Interventional Imaging midway through their training. This change in status allows increased clinical responsibility (average of one day of faculty responsibility) with a corresponding increase in salary. This also provides valuable experience for independent practice, and experience in supervising residents.

Facilities, Faculty, and Equipment:

Memorial Hermann-Texas Medical Center (TMC) is a 1082-bed tertiary care facility with an emphasis in trauma care and transplant surgery. Memorial Hermann is the primary teaching hospital for UT Houston Medical School.

In early 2007, Memorial Hermann opened an outpatient medical plaza within the very busy Texas Medical Center, including a dedicated Outpatient Imaging Center. The imaging center is self-contained, with both 1.5T and 3T MRI, CT, US, mammographic, radiographic, fluoroscopic and nuclear medicine facilities on site. The outpatient center itself is home to multiple specialties, including orthopedics, rheumatology, and general medicine. The clinical Sports Medicine Institute is currently undergoing a dramatic expansion, with significant increase number of dedicated orthopedic specialists who specialize in the care of high-end sports athletes, as well as joint replacement, physical therapy, and general orthopedics.  We are looking forward to the continually expanding educational opportunities this will provide, including continued increases in both imaging and interventional procedures. The inpatient facility of the main hospital has a full gamut of multiple MRIs, CTs, interventional suites, ultrasound and fluoroscopy, providing exposure to the inpatient population.

The Memorial Hermann Texas Medical Center Emergency Center is one of the busiest Level 1 Trauma Centers in the country, being one of only two Level 1 Trauma Centers in a region of 9 million people. Memorial Hermann is also the only Level 1 Trauma Center in the region with a helipad, accepting critical patients from within a 150 mile radius.

The LBJ county hospital provides valuable experience in imaging of both inpatient and outpatient joint imaging pathology. The county hospital has been expanding with a new ER and outpatient facilities, and continues to expand its scope and services. Fellows benefit from imaging and procedures at the county hospital, which exposes them a unique patient population in a large inner city county hospital.

UT M.D. Anderson: The nations premier cancer hospital with extensive accolades and vast experience. Rotating in MD Anderson musculoskeletal radiology section guarantees a fellow exposure to virtually every known bone and soft tissue tumor, it's diagnosis and management.

Faculty:

O. Clark West, M.D., Section Chief
Manickam Kumaravel, M.D., Director of Musculoskeletal Imaging and Program Director
Nicholas Beckmann, M.D.,
Ronald Bilow, M.D.,
Amanda Mignon Jarolimek, M.D.,
Suresh Cheekatla, M.D.,
Naga Ramesh Chinapuvvula, M.D.,
Sean Johnston M.D.,
Susanna Spence M.D.,
David Zelitt, M.D.

Career Opportunities

Practice opportunities for Sports, Orthopedic and Emergency Imaging radiologists are excellent. As a fellow finishing this fellowship, you will be extremely confident in clinical application of imaging in sports and orthopedics. You will have the confidence to discuss and deliberate with orthopedic surgeons any imaging scenario. Training in a county hospital also provides knowledge base to deal with imaging of large inner-city population. In addition, the high-end skills provided in this program are highly marketable for those interested in pursuing partnership track in private practice.

The program can also be modified to emphasize trauma / emergency radiology , by increasing the number of rotations in the ER based on the interests of the candidate. There are less than 7 dedicated emergency imaging fellowships in the country, which leads to unique opportunities for future careers as Emergency radiologists.


Program Director:

Manickam Kumaravel, M.D.

6431 Fannin Street, MSB 2.130B
Houston, Texas 77030
Telephone: 713-704-0100
Fax: 713-704-5413

Contact:

Ms. Maria Prado
Senior Staff assistant
Sports, Orthopedic and Emergency Imaging Fellowship Coordinator
6431 Fannin Street, MSB 2.130B
Houston, Texas 77030
Telephone: 713-704-0100
Fax: 713-704-5413
Maria.C.Prado@uth.tmc.edu