Radiology and Diagnostic Imaging

Pediatric Radiology Fellowship Program

Please note that the Pediatric Radiology Fellowship Program is currently looking for 2017-2018, 2019-2020 and 2020-2021 candidates

Pediatric radiology involves all aspects of pediatric diagnostic imaging. Modalities are:

 
Radiography
Fluoroscopy
Ultrasound
Computed tomography
Magnetic resonance imaging
 

 
The field would not generally be considered to include angiography or Nuclear Medicine Imaging, although Nuclear Medicine, and in particular PET, will in future have important applications in pediatric imaging.
Procedures in pediatric imaging maybe guided by fluoroscopy, CT or US. These may be performed by an interventional radiologist or pediatric radiologist.

Responsibility:
The Fellow will be primarily responsible to the Mentor(s) for this Fellowship position (Dr. R. Bhargava). Ultimately responsibility is to the Academic Chair (Dr. D. Emery).


Scope of practice at the University of Alberta and Stollery Children's Hospital
The Pediatric Radiology & Diagnostic Imaging department at the Stollery Children's Hospital in Edmonton provides a complete range of diagnostic services. There is a broad patient base, including oncologic, cardiac and transplant cases.
Magnetic Resonance Imaging
There are approximately 50 pediatric MRI cases performed per week between two sites. The fellow will be scheduled in MRI 1-2 days per week, supervising and reporting 10 - 15 cases per day. In addition to this, the Fellow will be exposed to/have access to cases reported by residents/staff with ample opportunity for discussion of interesting findings. The MRI service includes neurologic, body, cardiac and MSK imaging.
The Fellow should achieve a minimum of 1000 MRI cases, read as primary interpreter.
Fluoroscopic Procedures
Fluoroscopy involves the full range of upper and lower GI studies as well as VCUG, sinograms, sialograms and other contrast procedures.
The Fellow is scheduled in fluoroscopy 1-2 days per week and is expected to perform 10 - 20 procedures per week.
The Fellow should perform a minimum of 500 fluoroscopic procedures.
Computed Tomography
The Fellow will read pediatric CT scans 1-2 days per week (combined rotation with US). CT cases are comprised of a variety of emergency, oncologic and outpatient cases.
The Fellow should achieve a minimum of 500 read CT cases.
Ultrasound
The Fellow will be scheduled in ultrasound 1-2 days per week (combined rotation with CT). The fellow will supervise studies performed by technologists as well as scan cases personally. Cases include abdominal imaging, neonatal head ultrasound, and vascular studies. There are occasionally MSK studies. Common ultrasound guided procedures include liver biopsies and abscess drainage.
The Fellow should read/perform a minimum of 500 ultrasound cases.
Radiography
The Fellow will be scheduled to read plain films 1-2 days per week (rotation is combined with fluoroscopy). This includes rounds with the PICU and NICU staff, as well as outpatient and emergency films.
The Fellow should read a minimum of 2500 plain film studies.

Graduated Responsibility
At the beginning of the year, the Fellow is expected to observe a number of procedures and scans being performed and interpreted by staff. Within a week or two, the Fellow is expected to participate in the performance and reporting of these studies. By the end of the first quarter, the fellow should be performing the common imaging guided procedures unsupervised and be able to teach residents how to perform the procedures. In MRI, CT and Ultrasound, the first several weeks will require some adjustment of the Fellow to our scanning procedures and protocols. By the end of the first quarter, the Fellow should be supervising and reporting the cases with minimum supervision and by the 4 th quarter should be capable of supervising services at staff level. ALL scans and procedures are double read by a member of staff which provides an excellent opportunity for teaching and feedback.
On Call responsibilities
The Fellow will take call at a staff level in general radiology, pediatric radiology and pediatric fluoroscopy at the University of Alberta Hospital site. The bulk of this is plain film radiography and involves checking emergency films reported by the resident and intensive care/general inpatient plain film radiography. The Fellow is expected to start taking call two months after arrival and will be on-call for a total of 8 weeks in the remaining 10-month period. This is to include one long holiday weekend.

Education/Teaching
Continual Viewerside Education:
All scans or procedures are double read by a member of staff, which provides extensive one on one teaching. The Fellow will find a significant part of the day is occupied in reviewing cases.
Didactic teaching:
Didactic teaching will be provided to the fellow by members of the Pediatric Radiology Division on an intermittent basis.
The Fellow is expected to be involved in seminars/lectures to be given to the residents and medical students. Over the course of the year this includes:
3-4 interesting case rounds to residents
4-6 staff rounds with various clinical departments
Tumor board rounds once per week
1 or 2 lectures to the residents through the course of the year.
One presentations of Grand Rounds to the department
The Department of Radiology has a Journal Club and the Pediatric Radiology Division is responsible for this once a year.
Monthly meetings:
The pediatric subgroup meets on a monthly basis to review clinical practice and discuss subgroup related issues.
Clinical meetings:
The pediatric radiologist have noon meetings/rounds with the emergency, respiratory, gastrointestinal, surgical and ENT staff to discuss interesting cases and issues related to diagnostic imaging in their specialties.
Radiology rounds:
Pediatric Radiology Rounds (teaching/tutorials) for the Residency Training Program are every second Monday morning at 0730. The Fellow is expected to attend these rounds which are conducted/chaired by a staff radiologist. Occasionally staff may not be available and in this situation the fellow is expected to provide rounds. The Fellow is also invited to attend other departmental rounds when available.
Teaching file:
At present individual members of the Pediatric Division maintain their own teaching file material. The Fellow is expected to assist with the gathering of clinical teaching material. The Fellow is also expected to submit one case to the Department of Radiology Teaching File per month.
Clinical audit:
Hitherto, the Pediatric Radiology Division has not performed a specific clinical audit but looks forward to doing this on an annual basis in the future.

Research
The Pediatric Radiology Division is involved in active research, performed primarily by Dr. Noga and Dr. Bhargava.The fellow will be involved in at least two research projects. Typically this involves one clinical review and one laboratory investigation. Both should be submitted for publication before yearend and presented at national and/or international meetings. The Fellow is encouraged to bring forward ideas for research projects before commencing the post or on arrival.
Journals that scientific papers would most likely be submitted to include:
Canadian Association of Radiologists Journal
Radiology
American Journal Roentgenology
Pediatric Radiology
Clinical Radiology
British Journal of Radiology
European Journal of Radiology
Investigative Radiology
Journal of Magnetic Resonance Imaging
Scientific meetings:
Canadian Association of Radiologists Annual Scientific Meeting
Radiological Society of North America Annual Scientific Meeting
American Roentgen Society Annual Scientific Meeting
Society of Pediatric Radiology Annual Scientific Meeting
At the end is a list of research projects which are currently underway or being considered with excellent opportunity for further development.
The current expectation for research for clinical fellows is submission by the Fellow of at least one first authored scientific presentation and at least one first authored scientific publication.

Progress
The Fellow and staff of the Pediatric Radiology Division follow the progress of the individual fellow and the program. This includes:
Daily logbook kept by Fellow of all procedures performed.
Logbook kept by Fellow of interesting cases.
Minutes of all meetings.
Quarterly reports submitted to Fellowship Program Director to include status of clinical and research progress.
Terminal report at the end of each fellowship year to Fellowship Program Director and academic chair.
Certificate of successful completion.
 

Please contact Bobbie Kostuk at bobbie.kostuk@ualberta.ca for further information regarding the application process.