Clinical training in the department of radiology at Baylor University Medical Center at Dallas (BUMC) provides progressive, supervised responsibility for patient care. The one-year fellowship is composed of 13 four-week rotation blocks. This includes:
Seven rotation blocks of Body MRI
Three rotation blocks of Musculoskeletal Imaging
The remaining three blocks allow the fellow to choose electives
Elective rotations typically chosen include:
If desired, additional MSK or Body Imaging experience may be obtained during one of the elective rotation blocks.
DUTIES & RESPONSIBILITIES
In general, the fellows should arrive no later than 7:30 a.m. each morning. Fellows usually leave the department between 5 and 5:30 p.m. Some rotations require that fellows arrive early (usually related to teaching or working conferences) or stay late (occasional emergent case). The program director will always ensure that rotation responsibilities do not detract from fellows’ overall educational experience. The various duties and responsibilities will vary depending on the rotation. These will be explained on the first day of each rotation. The staff, fellows and residents all work as a team.
On-call responsibilities include:
One weekend in four, 8 a.m. to 4 p.m.
Two shifts per calendar month in the BUMC Emergency Department reading room, 5 to 11 p.m.
Additional shifts in the BUMC Emergency Department reading room may be garnered for pay
Back-up beeper call
The Body MRI rotation will cover all Body MRI applications, including:
Male and female pelvis
The Body MRI rotation is conducted on the Baylor campus in the Sammons Cancer Center, 7th Floor.
As BUMC is a quaternary center with a high-volume liver transplant center, fellows obtain unrivaled liver MRI experience. This includes the imaging spectrum of acute and chronic liver disease and their treatments, such as:
Orthotopic liver transplant
The evaluation of living liver donation candidates
The close collegial ties of radiology with the liver transplant clinic gives fellows unparalleled clinical exposure with world-class hepatopancreaticobiliary surgeons, oncologists and radiation oncologists with real-time case review affording fellows invaluable insight into clinical decision making. This experience is bolstered with biweekly liver tumor conferences.
Fellows gain exposure to MR elastography, as BUMC was the first site in the nation to employ this technique commercially. Biweekly pancreas cyst conference and evaluation of pancreatic islet cell transplant patients round out the fellows’ upper GI experience.
Fellows obtain ample exposure to luminal bowel evaluation as our MR enterography practice supports the Baylor Inflammatory Bowel Disease Clinic, and MR defecography has taken on a larger role in dynamic pelvic imaging.
Fellows will become seasoned in the MR evaluation of rectal cancer staging and restaging, to include participation in biweekly rectal cancer conference. Clinical research in these arenas is encouraged.
Much of the MSK rotation is conducted on the Baylor campus in the Baylor Diagnostic Imaging Center (BDIC) in the Medical Office Pavilion.
The vast majority of the training is one-on-one individual attention with a fellowship-trained staff reading the large volume of MRI and Musculoskeletal cases. MSK teaching is targeted at not only case interpretation, but optimizing MR protocol design and standardized reporting. The outpatient training experience includes arthrogram procedures.
Among the referring clinicians are nationally renowned shoulder and hip surgeons. Fellows have the opportunity to be participating members of the monthly bone and soft tissue tumor conference. In addition to sports and oncologic MSK experience, fellows receive ample training in utilizing MRI for infection diagnosis. There is an optional monthly foot and ankle conference.
FACILITIES AND RESOURCES
Examinations are acquired on 16 magnets located on the Baylor campus and in the surrounding community, with a combination of Siemens and General Electric machines, both 1.5T and 3.0T.
In support of Baylor clinical care efforts and research, the Baylor Health Sciences Library located on campus provides library services and online access to many electronic resources, including:
Access to STAT-dx is provided to all radiology residents and fellows.
We have developed a "Professionalism in Radiology" lecture series. The purpose of this lecture series is to identify the non-clinical professional development needs of the BUMC radiology residents and create relevant educational offerings so that participants will gain the knowledge and skills necessary to demonstrate the level of professionalism and leadership required for effective performance in today's practice settings.
This is a valuable adjunct to the fellowship training. We hope that this assists our residents and fellows in making a seamless transition into a career in the world of clinical or academic medicine.
The annual Sears Seminar in Radiology and the Baldwin lecture series provide fellows with exposure to luminaries in current radiology topics.
The radiology faculty is committed to fostering an environment of intellectual curiosity and such scholarly endeavors as clinical research. Many opportunities exist within the institution for presenting scholarly activities, including multidisciplinary, intradepartmental or interdepartmental conferences. Case report presentations and involvement in departmental continuous quality improvement teams is also encouraged.
If a fellow’s research project is accepted for presentation at a major radiology meeting, the radiology research fund will cover reasonable expenses and time to attend will be granted after coordination with and approval by the program director.