Cross-Sectional Imaging Fellowships
Three types of Fellowships are offered in Cross-Sectional Imaging:
Body (Cross-Sectional) Imaging (2 positions):
- 3 four week blocks each of Body CT, US, Body MR; 1 block elective in other areas (including Mammography, Breast MRI, PET-CT, Chest and IR)
MRI (2 positions):
- 10 four week blocks Body MR; 3 blocks of electives
Cardiovascular Imaging (1 position)
- 6 four week blocks of Cardiovascular MR and CT
- 6 four week blocks of Body Imaging (Body MR, CT, US)
- 1 Block of elective
Elective time is flexible depending on service coverage requirements.
With a new hospital (Smilow Cancer Center) the clinical MRI service includes four 3.0T (Siemens Verio and Skyra) and three 1.5T (Siemens Avanto, Espree, and Aera) scanners within Yale-New Haven Hospital, one off-site 1.5T (GE HD) scanner in a nearby facility, and one 3T (Siemens Skyra) scanner at a separate off-site facility.
The Body MRI service typically reads between 20-30 cases per day and provides the perfect balance between clinical workload, teaching, and hands-on experience.
We do a high volume of Liver MRI for hepatoma screening, as well as transplant evaluations and monitoring of disease following loco-regional therapies such as TACE, RFA, and Y-90 ablation. Other busy clinical programs include MR enterography, imaging of the female pelvis, MRI abdomen/pelvis for cancer staging and surveillance, and MRI prostate for targeted biopsy and tumor surveillance.
Dedicated MR Fellows spend 9-10 four-week blocks in Body MRI and are responsible for running the clinical service with primary responsibility for protocols and initial interpretations. The goal of the fellowship is to provide fellows with the skills necessary to be the “go to” person for MRI issues in their future practices. In addition to clinical knowledge, relevant physics, MR safety, protocol design, and image optimization are included in the curriculum. Rotating Body Imaging Fellows, who spend 3-4 four-week blocks on the service, will also gain the skills necessary to interpret almost any Body MRI case they are likely to see in their future practices.
CT and PET/CT
The CT service presently utilizes six 64 slice scanners and one 16 slice scanner, as well as one 64 slice and one 16 slice PET/CT scanners. Another 64 slice scanner is present in a nearby facility. Fellows supervise and interpret all Body CT exams including CT colonography, CT angiograms, and living donor kidney and liver exams. They will learn and become proficient in performing advance 3D post-processing (Vital Images Vitrea). Radiation dose reduction tools include adaptive statistical interactive reconstruction and prospective cardiac gating.
The US service provides comprehensive training in all areas of ultrasound. Attendings and trainees are physically stationed in the inpatient/outpatient clinic where they provide direct support for 9 ultrasound rooms including checking scans and interacting with patients. Support is also provided for scans performed in the Emergency Department, Transplant Clinic, Vascular Lab and Thyroid Clinic, which are located within the hospital. Fellows have the opportunity to spend time in these clinics as well.
In addition to the standard fare (US of the right upper quadrant, kidneys, gynecology, early OB, carotid arteries, and leg veins), fellows will gain experience in performing more subspecialized exams, such as pre and post transplant renal and liver Doppler, thyroid/parathyroid US, hemodialysis access evaluations, upper/lower extremity arterial Doppler, transcranial and MSK ultrasound. The US rotation includes experience in image-guided biopsy FNA of thyroid nodules and lymph nodes, as well as paracentesis and thoracentesis.
The cardiovascular fellow is responsible for supervising and monitoring all cardiac MRI, cardiovascular MRA (thoracic and peripheral), and coronary CTA examinations; post processing the images on a dedicated cardiac imaging workstation; and generating reports. The fellow will also be responsible for interpreting aortic and certain lower extremity CTAs. Fellows have the opportunity to rotate through nuclear cardiology (SPECT and PET). Post processing software/hardware includes a GE ADW, Vital Images Vitrea, and CMR42 cardiac MR workstations. We perform between 500-600 Cardiac MRI / Thoracic MRA cases per year, including assessment of adult and pediatric congenital heart disease, evaluation of cardiomyopathy and arrhythmia (hypertrophic cardiomyopathy, ARVC, and atrial fibrillation), and evaluation for viability.
Partially paid service component is required in the Emergency Radiology Department. For the 2019-2020 year the requirement is as follows: To fulfill your call commitment, all fellows are expected to cover 12 weekend shifts per year on the Emergency/Teleradiology Service as an attending physician.
[Weekend shifts include Saturday and Sunday day (8:00AM - 5:00PM)]
Fellows are encouraged to, but are not required to, participate in clinical research projects. For those interested in basic research, there is an array of whole body and animal research magnets in a dedicated research MR facility in the Yale University School of Medicine. These include 10 research scanners (with 1.5T, 3T, 4T, and 7T human scanners and 4.7T, 9.4T, and 11.7T small bore animal scanners). There are active research programs in cardiovascular MRI, MR spectroscopy, oncologic imaging, radiation safety, image processing, and contrast agents.
There are bi-monthly departmental Interesting Case Conference, bi-weekly Fellows Lectures (which include didactic sessions on MR physics), and a weekly Body Club where fellows present challenging cases for discussion. Prominent guest speakers present Diagnostic Radiology Grand Rounds every other week from September to May. There are also a variety of interdisciplinary conferences (GI cancer, lymphoma, melanoma, liver tumor board, liver transplant, new GI cancer patient) that fellows can participate in, as well as many other interesting lectures at the medical school and on the Yale University campus.
Fellow Conference Schedule (2019-2020 academic year):
• Tuesday, 12 noon: Fellows Didactic Lecture
• Wednesday, 12 noon: Fellows Didactic Lecture
• Every 2nd Wed., 1pm: Interesting Case Conference
• Thursday 12:30pm: Grand Rounds (every other week Sept.-May)
• Thursday, 9:00am: Body Club
• Twice Monthly 1 hour didactic and hands on MSK US lecture series
Call responsibilities will be shared equitably among all Fellows.
While there is no in-house overnight call for fellows, an MRI beeper call is shared with the senior residents. The “on call” MRI fellow is responsible for interpreting emergency afterhours Body MRI exams (a laptop with PACS access is provided on a rotating basis). Over the past several years there have been, on average, two emergency cases per week. All cases are co-interpreted with staff in real time so fellows are not left alone in the middle of the night.
Fellowship Program Director: Michael Spektor, MD
Yale University School of Medicine and Yale-New Haven Hospital are just a few blocks from the main Yale University campus in New Haven, CT. Yale University offers world renowned art galleries, museums and theaters.
Living accommodations are affordable and readily available in New Haven and surrounding areas including the Long Island Sound Shoreline. New Haven, founded in 1638 and known as the Elm City, combines the urban sophistication of nearby New York City and Boston, with the charm of traditional New England.
More information can be found at info New Haven
Yale-New Haven Hospital (YNHH) was founded in 1826 and is the fourth voluntary hospital in the United States. Today Yale-New Haven Hospital is a 1,541 bed tertiary care hospital spread over two campuses in New Haven, Connecticut with an NCI cancer center, active organ transplant services, surgical oncology, GYN oncology, a Children’s Hospital, and a Heart and Vascular Center.
YNHH has 9,000+ employees, including 1,200 registered nurses and a medical staff of 2,400.
Each year, Yale-New Haven Hospital treats about 40,000 inpatients and registers over 700,000 outpatient visits at its various clinics, including one-day surgery, specialty clinics, the emergency department, the Primary Care Center and others. The main campus includes Yale-New Haven Hospital, Yale-New Haven Children's Hospital, Yale-New Haven Psychiatric Hospital, Smilow Cancer Center and the Saint Raphael Campus.
Current Fellows 2019-20
Rambia Suraj Hitendra, MD
Michal Nowak, MD
Elizabeth Thomas, MD
Application will be accepted beginning August 15, 2019 for the 2021-2022 academic year, (July 1, 2021 – June 30, 2022).
Applications must be submitted and complete by December 1, 2019. Candidates selected for an interview will be contacted via e-mail. Please note that, in accordance with SCARD recommendations, no formal interviews will be conducted before December 1, 2019.
HOW TO APPLY
You must submit your application through the following secure portal. Do not submit your application materials directly to us via email.
The information & documents (please upload PDFs) requested through the portal includes:
- Curriculum Vitae
- Personal Statement - Please limit the personal statement to one page: double spaced and 12 point font Times New Roman.
- UNIVERSAL APPLICATION
- Medical School Transcripts or Dean’s Letter
- 3 letters of recommendation (signed and on official letterhead): One letter must be from the residency program director
- A photograph is requested but not required.
- USMLE Steps I, II and III score
- ECFMG Certificate, if applicable
- Candidates should be eligible or certified by the American Board of Radiology.
- Hold or be eligible for a permanent medical license in Connecticut.
- Must have evidence of valid work authorization.
- Being authorized to work in the United States is a precondition of employment in this Cross-Sectional Imaging Fellowship Program.
- The fellowship program and the department of Radiology and Biomedical Imaging are unable to sponsor applicants requiring a work visa.
Fellowship Program Director
Michael Spektor, MD
Assistant Professor of Radiology, Fellowship Director
Yale University School of Medicine
333 Cedar Street
P.O. Box 208042
New Haven, CT 06520
For further information please contact:
M. Lisa Varipapa, MPH
Cross-Sectional Imaging Fellowship Coordinator