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Training future radiologists is central to the mission of the Mass General Department of Radiology. Chairman Emeritus James H. Thrall, MD, discusses our commitment to education and the key role residents and fellows play within the department. Watch now >
The Department of Imaging at Massachusetts General Hospital, Harvard Medical School accepts three fellows per year for a one year fellowship in thoracic imaging, thoracic intervention and cardiac imaging. The Thoracic and Cardiac Imaging Fellowship consists of 9 months of fellowship training in diagnostic thoracic imaging and intervention, and 3 months of dedicated fellowship training in cardiac imaging.
The fellowship offers extensive training in digital inpatient chest radiography, digital outpatient chest radiography, thoracic CT, dual energy CT of the thorax, 3D imaging, thoracic PET/CT, thoracic MRI, thoracic PET/MRI, thoracic intervention (thoracic biopsy and ablation), cardiac CT, cardiac CTA, and cardiac MRI. The Divisions of Thoracic and Cardiac Imaging are supported by a dedicated 3D lab that provides 3D data sets for advanced visualization and diagnosis. The thoracic imaging training occurs in the Division of Thoracic Imaging under the direction of Dr. Jo-Anne Shepard and the dedicated thoracic imagers of the Division of Thoracic Imaging. The cardiac imaging training occurs under the direction of Dr. Brian Ghoshhajra, Dr. Udo Hoffman and the dedicated cardiac imagers of the Division of Cardiovascular Imaging. Massachusetts General Hospital is a 1057-bed tertiary care hospital, with multiple intensive care units, including a burn ICU, neuro ICU, medical ICU, surgical ICU, cardiac surgical ICU and cardiac ICU. In addition, Mass General is a level-one trauma center, burn center, and transplant center (including heart and lung transplantation). Mass General is a major oncology referral center with high volume Medical Thoracic Oncology, Pulmonary Interventional and General Thoracic Surgical Services. Through the Pulmonary and Infectious Disease Services we are consulted on a multitude of interesting pulmonary diseases. The Thoracic Division alone performs over 100,000 imaging examinations / year and provides a concentrated experience in both usual and unusual medical and surgical conditions of the thorax. The Division of Thoracic and Cardiovascular Imaging Divisions work collaboratively with exceptionally strong medical, surgical and subspecialty services. Three months of dedicated cardiac imaging training in cardiac CT, cardiac CTA and cardiac MRI is incorporated into the fellowship. The Division of Cardiovascular Imaging performs coronary artery calcium scoring, cardiac CTA, cardiac CT for morphology and function, and cardiac MRI for a variety of clinical indications. While in the Division of Cardiovascular Imaging, fellows work closely with and receive teaching from experienced and dedicated cardiac imagers.
Cardiothoracic Imaging Fellowship Curriculum1
Training in Thoracic and Cardiac Imaging at MGH incorporates all modalities of thoracic and cardiac imaging including: digital inpatient chest radiography, digital outpatient chest radiography, thoracic CT, dual energy CT of the thorax, 3D imaging, thoracic PET/CT, thoracic MRI, thoracic PET/MRI, thoracic intervention (thoracic biopsy and ablation), cardiac CT, cardiac CTA, and cardiac MRI. Fellows rotate through the various clinical assignments of the Thoracic and Cardiovascular Imaging Divisions including: inpatient chest radiography, outpatient chest radiography, thoracic CT, thoracic MRI, thoracic PET/CT, thoracic intervention, cardiac CT and cardiac MRI.
The members of the Thoracic Division perform >300 percutaneous needle aspiration biopsies/year in a dedicated interventional CT scanner, with on-site cyto-pathology support. Fellows will learn:
Fellows may also participate in radiofrequency ablation (RFA) for both primary lung malignancies and metastatic disease to the chest.
Fellows are taught to consult with primary care physicians and subspecialists with increasing independence throughout the fellowship year. By the end of the year, fellows learn to be expert consultants in cardiac and thoracic imaging through a variety of conferences and through daily clinical experience.
In addition to the clinical experience and teaching that occurs daily, didactic teaching is also provided:
Fellows are given opportunities to develop their own clinical educator skills during fellowship. Fellows are given the opportunity to present a lecture at the thoracic mini-course, give resident case conferences, and present research material at national meetings.
The Division of Thoracic Radiology maintains a current library of the major imaging and clinical textbooks in Thoracic and Cardiac Imaging. Fellows are encouraged to borrow and use these resources. The Division also owns DVDs which are useful in preparation for the cardiac board exam. The Division also maintains a large teaching file of exceptional cases from the last 10 years of clinical practice. This material is invaluable for teaching file material and lectures. Almost all major journals are available electronically on line. The hospital library and Harvard Medical School library are also available if additional reference material is needed.
A wealth of clinical conferences occurs at the Massachusetts General Hospital in which the Divisions of Thoracic and Cardiac Imaging serve a vital multidisciplinary role:
Fellows receive 20 vacation days per year. Time for attendance at national meetings may be granted at the discretion of the Division Director for presentation of research, abstracts or educational exhibits.
Fellows receive faculty feedback and mentoring throughout the fellowship year. Fellows are formally evaluated every 3 months and provided feedback on their progress. Fellows also formally evaluate the faculty, the program and the degree to which educational objectives are being met twice a year. Every 4 months, formal meetings with the Program Director and assistant program director are conducted to mentor fellows, ensure educational goals are being met and adjust the program to career objectives (when appropriate).
1. Society of Thoracic Radiology Core Curriculum in Thoracic and Cardiothoracic Imaging, 2012.
The Thoracic and Cardiac Divisions have active clinical research programs. The faculty participates in RSNA, ARRS, STR, NASCI and Fleischner Societies. At the Massachusetts General Hospital, abundant opportunities exist for scholarly activity including: educational exhibits, review articles, book chapters and original research. Fellows are expected to participate in clinical research projects in conjunction with the staff.The department provides secretarial assistance and the support of the Radiology Educational Media Service (REMS) in preparation of exhibits, presentations, and manuscripts. Assistance with statistical analysis is available through the Massachusetts General Hospital Institute for Technology Assessment. Departmental support is provided to fellows for presentation of research at major medical meetings. Dedicated academic time may be assigned to fellows who demonstrate a research commitment (1day/wk).Research interests in the Divisions of Thoracic and Cardiac Imaging are extensive and include:
The MGH Thoracic and Cardiac Imaging Fellowship is currently accepting applications for the 2017-2018 and 2018-2019 years. To apply please complete and send the following:
To apply or for questions regarding the fellowship, please contact Matthew D. Gilman, MD, Associate Fellowship Director.
U.S. Mailing Address:Jo-Anne Shepard, MDMassachusetts General HospitalDivision of Thoracic ImagingDepartment of Radiology55 Fruit Street, Founders 202Boston, MA 02114
Phone: 617-724-4254Fax: 617-724-0046
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