The Magnetic Resonance Imaging Fellowship program represents the continued commitment of Hospital for Special Surgery to train physicians in the clinical aspects of Magnetic Resonance Imaging (MRI).
For the fellowship in MRI, complex cases will be protocoled and interpreted with an increased exposure to prototype pulse sequences and proprietary post-processing techniques. There will also be more independent case management for all aspects of daily image acquisition, including noncontrast MRI and MR angiography.
There are 9 full-time subspecialty trained musculoskeletal radiology Board Certified attending faculty in the Division of Magnetic Resonance Imaging. All of the radiology faculty are committed to education and are locally, nationally and internationally known and regularly participate in both intra- and inter-departmental conferences. They are consistently invited participants to present original research at formal forums and as visiting professors. The Radiologist-in-Chief and the Chiefs of all the major modality divisions are recognized globally in the radiology, orthopaedic and rheumatologic communities for their innovative research, imaging expertise and their commitment to teaching.
The Department includes The Coleman Center for Musculoskeletal MRI. Approximately 33,000 Musculoskeletal MRI examinations of the axial and appendicular skeleton, including peripheral MR angiography are currently performed on ten (soon to be 12) high field strength units including 1.5T and 3T units. All systems have state of the art gradient performance. MR angiography is used in the screening of orthopaedic trauma, detection of thrombi in post arthroplasty patients, as well as extensive arterial assessment for free tissue transfer. HSS serves as a General Electric test site with continual testing of prototype pulse sequences and surface coils that are not commercially available.
Fellowship experiences include learning proper protocols and appropriate utilization and sequencing for MRI with more comprehensive and independent protocoling and review of the MRI examinations expected as the year progresses. Research is emphasized with exposure to clinical and basic science research mentors. At least one peer reviewed publication is expected with a podium presentation (or high level poster) presentation at a national or international research meeting,
The Magnetic Resonance Fellow does the primary interpretation on cases under the supervision of the Attending Radiologist. All images are reviewed as are the final dictated reports by the Attending Radiologist. The Fellow is expected to provide back-up coverage, consulting with an Attending Radiologist as required and officially dictate the case with the Attending Radiologist.
As the year progresses, the MR fellowship will focus on more independence from the MR attending for image review and pulse sequence programming, as well as an increased participation in the MR division teaching responsibilities for the imaging, orthopaedic and other clinical residents/fellows.
In addition to clinical exposure to routine and complex orthopaedic pathologies, there is a rich academic experience of daily dedicated radiology conferences – all of which are CME-accredited - and multidisciplinary conferences, as well as resident and fellow one on one teaching sessions.
Fellows attend all regularly scheduled weekly conferences which include: Ultrasound tutorials and MRI conferences (Tuesdays); Grand Rounds, which includes Journal Club, interdepartmental conferences including Radiology Pathology correlation, research presentations, quality assurance reviews and outside speakers (Wednesdays); Teaching file conference, which involves review of the cases in the Robert H. Freiberger library (Thursdays); and Fellow presentations-interesting case conference where the fellows present short lectures on a variety of topics (Fridays).
The Musculoskeletal MRI Fellow also participates in the MR training of the sports medicine and shoulder service conference every Thursday.
The Department of Radiology and Imaging was one of the first departments at Hospital for Special Surgery to receive CME accreditation for all of its regularly scheduled conferences.
Fellows have opportunities to attend, participate and conduct radiology, orthopaedic, rheumatology, and physiatry resident and fellow conferences at HSS, NewYork-Presbyterian Hospital, and Memorial Sloan Kettering Cancer Center. The Robert H. Freiberger, MD Academic Center and Library contains a teaching file with examples of common, complex and esoteric musculoskeletal conditions and disorders on x-ray, CT, ultrasound, MRI and Nuclear Medicine.
There are ample opportunities for research and participation in research projects(s) is an expected part of the fellowship. There is also extensive research opportunities and academic mentoring in a supportive atmosphere. There is a nurturing environment for professional growth and development of expertise with monthly research meetings held to assist Fellows in the progression of their research.
The Robert H. Freiberger library has separate cubicles with computers for the fellows for them to do their research. They have free internet access for online research (literature searches). A variety of teaching folders with interesting cases are present on the PACS system for the fellows to review. In addition, a new technically advanced teaching file system is available.
The MRI laboratory, headed by Dr. Potter, is funded by NIH-NIAMS and has three research scientists, providing a rich collaborative environment for translational MRI research.
The fellows have access to the Kim Barrett Memorial Library at Hospital for Special Surgery 24 hours a day, seven days a week. The Library is a well-stocked medical library with emphasis on musculoskeletal medicine including orthopaedics, rheumatology and rehabilitation medicine. The Library’s collection includes over 2,000 monographs and 100 CD-Rom texts in the area of Orthopedics, Rheumatology, Sports Medicine and the Rehabilitation Sciences. The library also maintains an archival collection of monographs that are significant to the history of Orthopedics. The library maintains over 350 active journal subscriptions both electronic and print. The collection includes full runs of most of the premier journals in Orthopedics and related disciplines including: Acta Orthopaedica Scandinavia, Clinical Orthopedics and Related Research, Journal of Bone and Joint Surgery, Pediatrics, Journal of Pediatric Disorders & Techniques and Neurology. Additionally, the library licenses extensive networked resources available throughout the Hospital and affiliated offices.
Recent Fellow research projects have included:
Use of a Biphasic Copolymer Scaffold for the Treatment of Isolated Osteochondral Defects of the Femoral Condyle (presented at the International Cartilage Repair Society)
Platelet Rich Plasma and Autologous Blood: Where Do They Go? (presented at the Radiological Society of North America (RSNA) annual meeting)
Sacral Stress Fractures after Lumbar Fusion (presented at the RSNA)
Comparison of a Fluoroscopic Three Dimensional Imaging System with Conventional Radiography and CT in Detection of Pars Fractures in the Cadaveric Lumbar Spine (selected for presented at the Hospital for Special Surgery Annual Fellows Research Presentation Day)
Magnetic Resonance Imaging of Metal-On-Metal Hip Resurfacing Implants (presented at the International Society for Magnetic Resonance in Medicine (ISMRM)) annual meeting)
MRI Assessment of Wear-induced Synovitis in Hip Arthroplasty (presented at the ISMRM)
Magnetic Resonance Imaging of Arthroplasty: Comparison of MAVRIC and conventional Fast Spin Echo Techniques (presented at the ISMRM)
MR Imaging Findings of Infection Following Knee Arthroplasty: The Positive Predictive Value of a Lamellated Synovitis (presented at the International Skeletal Society (ISS) annual meeting)
Candidates for the Clinical Fellowship must be Board Certified or Board Eligible in Diagnostic Radiology or have foreign equivalent.
A valid license to practice medicine in the State of New York is a Hospital mandate
All application materials must be submitted by June 1 for the corresponding July fellowship start date. Applications missing materials after June will not be considered.
Hospital for Special Surgery is committed to moving towards a common application deadline and notification timeline with, ideally, a formal match. As this is still in flux post discussions at the 40th annual Society of Skeletal Radiology meeting, as of now, we will continue to accept applications for the 2019-2020 fellowship year through June 1, 2017. We will adjust our timeline as soon as a formal match is in place.
Fellowship Application is available for download in both Word and PDF formats.
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