| Fellowship Director: |
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Sandra A. A. Oldham,
MD, FACR |
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| Department Chair: |
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Susan John, MD |
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| Address: |
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Department of Diagnostic and Interventional Imaging
6431 Fannin Street, Suite 2.026
Houston, TX 77030
Phone: 713-500-7640 |
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| Fellowship Information: |
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Number of positions: 1
Length of fellowship: 1 year
Established in 2005 |
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| Requirements: |
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• Applicants must be either certified by the American
Board of Radiology in Diagnostic Radiology or be Board
eligible.
• Applicants must be licensed in Texas prior
to beginning the Fellowship. |
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| Application: |
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Electronic
Application |
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| What are the duties and responsibilities of the
Fellow? |
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The Fellow will be responsible for the following activities:
on a daily basis, interpreting chest radiographs on ICU and non-ICU
patients, protocoling chest CT requests, interpreting chest CT
scans, including CT angiograms and high resolution chest CT (HRCT). |
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It is expected that the Fellow will also interact with the faculty
in Nuclear Medicine for the interpretation of thoracic PET/CT
scans. |
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The Fellow will rotate for a total of two months through MHH
Heart & Vascular Institute or other hospitals to gain experience
in cardiac imaging. |
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The Fellow will be available for consultation in the reading
room with medical students, residents and faculty of Hermann Hospital.
The Fellow will also be involved in teaching the Radiology residents
on the Thoracic Radiology rotation. |
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The Fellow will be on call for Thoracic Radiology for one week
approximately every five weeks. There will always be back-up for
the Fellow from the Thoracic Radiology faculty if needed. |
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Applicants with a Texas medical license may qualify for additional
clinical responsibilities and a commensurate raise in salary for
work at the instructor level one day per week. |
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This Fellowship is approved by the Texas Medical Board. There
is no subspecialty board for Thoracic Radiology. The Fellow will
be assigned to the Memorial Hermann Hospital Department of Diagnostic
and Interventional Imaging. Depending on the needs and interests
of the Fellow, and availability of funds, the Fellow may rotate
at other institutions. |
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| What are the goals and objectives of the training
program? |
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Goals: Demonstrate learning of the knowledge-based objectives,
demonstrate knowledge of normal and abnormal anatomy and pathology
as it pertains to the chest, accurately and concisely dictate
a chest radiograph, chest CT or MR report, communicate effectively
with referring clinicians and others, obtain pertinent patient
information relative to radiologic examinations, demonstrate knowledge
of the clinical indications for obtaining chest radiographs, special
views, know when chest CT or MR may be indicated, develop skills
in protocoling, monitoring and interpreting chest CT scans, demonstrate
an ability to interpret multiplanar reformatted or 3-D images
of CT or MR studies as appropriate, demonstrate a responsible
work ethic, and participate in quality improvement/quality assurance
activities. |
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Objectives: Demonstrate learning of the knowledge-based objectives;
dictate accurate and concise chest radiograph, chest CT and chest
MR reports; communicate with referring clinicians regarding significant
or unexpected radiologic findings and document who was called,
and the date and time of the call in the dictated report; obtain
relevant patient history from electronic records, dictated reports
or by communicating with referring physicians; assist referring
clinicians with the results of imaging interpretation and the
impact on patient management; appropriately protocol all requests
for chest CT to include thin-section images, high-resolution images,
expiratory images or prone images when appropriate and use of
intravenous contrast, given the patient history; monitor chest
CT exams and determine if additional imaging is needed before
the CT exam is completed, when able; demonstrate the ability to
manage an intravenous contrast reaction that occurs during a CT
examination; act as a consultant for referring clinicians and
recommend the appropriate use of imaging studies; assess diaphragmatic
motion with fluoroscopic “sniff test”; decide when
it is appropriate to obtain help from supervisory faculty; participate
in discussions with faculty regarding operational challenges and
potential systems solutions regarding all aspects of radiologic
service and patient care. |
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Objectives: Demonstrate learning of the knowledge-based objectives;
dictate accurate and concise chest radiograph, chest CT and chest
MR reports; communicate with referring clinicians regarding significant
or unexpected radiologic findings and document who was called,
and the date and time of the call in the dictated report; obtain
relevant patient history from electronic records, dictated reports
or by communicating with referring physicians; assist referring
clinicians with the results of imaging interpretation and the
impact on patient management; appropriately protocol all requests
for chest CT to include thin-section images, high-resolution images,
expiratory images or prone images when appropriate and use of
intravenous contrast, given the patient history; monitor chest
CT exams and determine if additional imaging is needed before
the CT exam is completed, when able; demonstrate the ability to
manage an intravenous contrast reaction that occurs during a CT
examination; act as a consultant for referring clinicians and
recommend the appropriate use of imaging studies; assess diaphragmatic
motion with fluoroscopic “sniff test”; decide when
it is appropriate to obtain help from supervisory faculty; participate
in discussions with faculty regarding operational challenges and
potential systems solutions regarding all aspects of radiologic
service and patient care. |
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| How are the postgraduate residents selected for
the training program? |
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Each Fellow is required to have completed residency training
in Diagnostic Radiology and be, at least, Board eligible. We prefer
the applicant be Board Certified. He or she must also have a current,
valid State of Texas medical license. |
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Thoracic Imaging Fellows are selected by the Fellowship Program
Director. Materials solicited for review include a letter stating
your interest (a personal statement), an up-to-date curriculum
vitae, medical school transcripts, a copy of the American Board
of Radiology diploma, if available, a letter of recommendation
from the applicant’s residency program director plus two
other letters of recommendation, sent to the above address. Candidates
selected for an interview come to UT Houston Medical School for
a formal interview with the Fellowship Director as well as with
other Thoracic Imaging Faculty members. |
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The University of Texas Medical School at Houston is an equal
opportunity employer. |
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| What are the formal educational experiences required?
(i.e. grand rounds, seminars, journal club). What presentations
are required and how often? |
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The Fellow will prepare the radiology portion of the following
conferences as well as attend and participate in the monthly Pulmonary/
Pathology/ Radiology conferences as well as the monthly Pulmonary/Radiology
interesting case conference. The Fellow will also attend the weekly
Pulmonary Grand Rounds. To augment cardiac imaging, the Fellow
will attend local Cardiac Imaging conferences given in the Texas
Medical Center. |
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| What are the research and teaching requirements
of the Fellow? |
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Research: The Fellow will be required to engage in clinical
research and submit at least one poster/exhibit or paper for presentation
at either the Radiological Society of North America (RSNA), American
Roentgen Ray Society (ARRS), Fleischner Society, Society of Thoracic
Radiology (STR) or similar meeting during the Fellowship year.
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Teaching: The Fellow will prepare and deliver at least one monthly
conference to senior medical students on the Radiology 4.001 elective.
The Fellow will prepare and deliver at least one Thoracic Imaging
case conference for the Radiology residents at UTH. The Fellow
is responsible for a monthly Radiology/Pulmonary Interesting Case
conference and a Radiology/Pathology/Pulmonary conference given
monthly. There is also one-on-one teaching of residents and medical
students at the PACS workstations daily. |
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| What type of supervision is provided for the fellow? |
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The Fellow will work side by side with Faculty in the chest
room and will be supervised by that attending faculty. In turn,
the Fellow will supervise Radiology residents in the Chest Room. |
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| How is the fellow evaluated in the training program
and what are the performance standards used? |
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There will be written evaluations twice a year by the Program
Director. Every month, the Fellow’s work and progress will
be discussed by the Fellow and the Program Director informally.
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