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Program Information

Training Content  


The clinical training will provide for progressive, supervised responsibility for patient care. The fellows will be trained in the performance of breast physical examination, screening and diagnostic mammography, breast sonography, wire localization, specimen mammography, cyst aspiration, image guided needle biopsy of solid lesions, galactography, and magnetic resonance imaging.


The following topics will be included in discussion with the fellows and in his/her formal reading: breast anatomy, physiology, histology and pathology, epidemiology, the mammographic features of benign and malignant lesions, sonography, alternative imaging techniques, invasive procedures, breast cancer therapy, breast cancer in males, the politics of breast imaging, American College of Radiology mammography accreditation requirements, mammography quality control, the data on the efficacy of screening, the physics of mammography, ACR lexicon, and medical legal aspects of breast imaging.

Besides these discussions and informal readings, the fellows will be involved in the performance of quality control procedures. Specifically he or she will spend time with the mammography technologists learning about positioning and how to perform the technical aspects of mammography. The fellows will learn how to perform the basic quality control tests required of the technologists for ACR accreditation. Furthermore the fellows will follow-up on all studies that they interpret as positive. This data will be reviewed every two months. Experience observing breast surgery, pathologic evaluation of breast specimens, and evaluation of patients by radiation oncology for breast conservation procedures will also be required.


The training period will be five days per week for one year or an equivalent. At least 100 mammograms per week will be interpreted by each fellow. 





The fellows will attend the monthly resident breast imaging noon conference and the biweekly multidisciplinary breast cancer conference. The fellow will have primary responsibility for obtaining the images, putting the images in electronic form, and presenting the images at the multi-disciplinary breast cancer conference. The fellows will prepare and present at least two monthly resident noon conferences during the fellowship. The fellows will arrange pathology case reviews with pathology.

During the first month, the program director and the fellows will agree upon a research project to be completed during the fellowship. This project may result in a published journal article, scientific exhibit, and/or scientific presentation at a major meeting (RSNA, RR, ACR, or SBI).


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