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. Candidates with American Board of Radiology or equivalent board certification will be given preference.

Positions Available:

No positions are available for 2014 or 2015. Currently no applications are accepted.

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 Houston Comets. 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 is 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 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 mid and upper level residents as they rotate through the service.

Fellows will participate in 2–3 months 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 flouroscopy. 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:

An additional rotation is provided at UT’s MD Anderson Cancer Center, supplementing the fellow’s Sports and Orthopedic Medicine knowledge with a month 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 rotations (1 month each) 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.

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.

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 LBJ county hospital also provides valuable experience in imaging of both inpatient and outpatient joint imaging pathology, and as the program continues to expand its scope and services, future fellows will also have the benefit of imaging and procedures at the county hospital.

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.

O. Clark West, M.D., is the chief of Emergency and Trauma Imaging. Dr. West completed his radiology residency at the Mallinckrodt Institute of Radiology (MIR) in 1992. He did a combined Trauma/Musculoskeletal fellowship at the Maryland Shock-Trauma Center and MIR, and then joined the MIR faculty. In 1997, Dr. West was recruited to UT-Houston and became Section Chief in 1999. In 2009, Dr. West was promoted to Vice Chair of the Radiology Department.  He is author of more than 25 articles and book chapters on emergency and trauma imaging, and a highly sought-after speaker at national meetings. He is actively involved in the American Society of Emergency Radiology, and has served in multiple official capacities for that body, including serving as president of the ASER from 2006-2008, recently stepping down to take a more active role in the UT Houston Radiology Department. He has been awarded the great honor of becoming an ACR fellow, and also received a Gold Medal Award from the ASER in 2009. He continues to devote himself to the education of residents, fellows and practicing radiologists in the field of emergency medicine.

Manickam Kumaravel, M.D., is the program director for the Sports, Orthopedic and Emergency Imaging Fellowship. He completed residencies in Orthopedics & Trauma with General Surgery, Cardiothoracic Surgery, Accident and Emergency (including Hand Surgery) and Radiology in the UK. He completed mini –fellowships in Musculoskeletal Radiology and Interventional Radiology in Aberdeen, UK, before a Trauma and Emergency Radiology fellowship at the University of Texas Health Science Center in Houston. He joined our ER/ MSK faculty in 2006, and has worked to further resident education and imaging of high-end sports injuries. He has unique perspective of Sports and Orthopedic imaging due to his clinical exposure in the respective specialities. He is board certified in Surgery and Radiology from the UK. His expertise is in musculoskeletal intervention , particulary in the use of ultrasound guided procedures.

Ronald Bilow, M.D., completed his diagnostic radiology residency at Santa Barbara Cottage Hospital Medical Education Program in California in 2001. He completed his Emergency Radiology fellowship at The University of Texas Health Science Center at Houston in 2002. He further enhanced his musculoskeletal knowledge with a fellowship at the renowned University of California San Diego under Donald Resnick, MD. Dr. Bilow has been a member of this faculty since 2002, with exception of his fellowship time spent in San Diego and an additional 2 ½ years in private practice between 2007 and 2010. He is very active with the American Society of Emergency Radiology, where he has served as the Website Editor and Education Committee Co-Chair or Chair since 2004. He is also a member of the ASER ByLaws and Executive Committees.

Amanda Mignon Jarolimek, M.D., completed her radiology residency at UT-Houston in 1998 and her fellowship in Emergency Radiology in 1999. Dr. Jarolimek has published multiple articles and book chapters in the field of Emergency and Trauma Imaging, and continues to further investigation mesenteric and bowel injuries, as well as skull base fractures associated with internal carotid artery injuries and optic neuropathy.

Suresh Cheekatla, M.D., completed his radiology residency at the Post Graduate Institute of Medical Education and Research in Chandigarh, India in 2005. He completed a fellowship in Emergency and Trauma Radiology at Harborview Medical Center, Seattle, WA in 2008.

Naga Ramesh Chinapuvvula, M.D., completed his radiology residency in Nizam`s Institute of Medical Sciences and Owaisi Hospital and Research center, Hyderabad, India, in 2001. He completed his fellowship in Emergency and Trauma Radiology at Harborview Medical Center, Seattle, WA in 2008.  Dr.Chinapuvvula is working on active vascular extravasation in the trauma setting.

Latifa Gharbaoui M.D., completed her radiology residency at Mohamed V University in Rabat, Morocco in 2004. She completed a Musculokskeletal Imaging fellowship at Hopital Cochin and Hopital Saint Antoine in Paris, France in 1992. She received additional certifications in Maxillofacial radiology, MR and US imaging at the same time.

David Zelitt, M.D., completed his radiology residency at the UT Health Science Center at Houston, followed by an Imaging Fellowship at UT Houston. He is a valued faculty member in both the body imaging and ER/MSK sections at UT Houston.

Career Opportunities

Practice opportunities for Sports, Orthopedic and Emergency Imaging radiologists are excellent. Unfilled faculty positions exist across the nation. 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 emphaize trauma / emergency radiology based on the interests of the candiate. There are less than 7 dedicated emergency imaging fellowships in the country, which  leads to unique oppurtunities for future careers as Emergency radiologists.


Program Director:

Manickam Kumaravel, M.D.

The Sports, Orthopedic and Emergency Imaging Fellowship Coordinator
6431 Fannin Street, MSB 2.130B
Houston, Texas 77030
Telephone: 713-704-0100
Fax: 713-704-5413

Travel Information