Musculoskeletal Imaging & Intervention Fellowship
The Musculoskeletal Imaging & Intervention Fellowship is one of the most comprehensive fellowship programs available in the country, providing exposure to all aspects of both diagnostic and interventional bone radiology.
Massachusetts General Hospital Musculoskeletal Imaging (MSK) is proud to offer one of the most comprehensive fellowship programs available in the country. Our staff, the wealth of clinical material and interaction with world-class clinicians provides an opportunity to become exposed to all aspects of both diagnostic and interventional bone radiology. Graduates of our fellowship program have been successful both in academic and private practice careers. Musculoskeletal radiology fellows gain experience in a wide gamut of diagnostic and interventional modalities.
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 >
Clinical rotationsMR imagingThe Department of Radiology at Mass General is a fully digital environment, with a complete PACS (Picture Archival and Communication System), allowing image review and analysis at multiple different locations, regardless of point of origin. We have state-of-the-art magnetic resonance equipment that includes four General Electric Signa 1.5-Tesla scanners and one Siemens Sonata 1.5-Tesla scanner, located at Main Campus. In addition, images generated by two GE 1.5 Tesla scanners at our satellite facilities (Charlestown, Waltham) and Teleradiology cases are available for review via PACS. This network generates around 10,000 musculoskeletal MR examinations per year including MR arthrograms. Sports medicine and oncology consultations on MR imaging obtained at non-MGH sites provide additional exposure to interesting and complex cases.
Spine and joint interventional proceduresThe Division of Musculoskeletal Radiology plays a major role in image-guided pain treatment at Mass General. An excess of 2,000 fluoroscopically-guided spine and joint injections/year are performed at our dedicated fluoroscopy unit on Wang 2. Our fellows have extensive exposure to all types of procedures involving spine (epidurals, selective nerve root blocks, facet injections, sacroiliac joint injections, rhizotomy, vertebroplasty) and joints (arthrograms, joint aspirations and injections).
Mass General is a major referral center for bone and soft tissue neoplasms, providing an outstanding volume of image-guided biopsies for assessment of suspected metastases, primary and recurrent musculoskeletal tumors. Biopsies are performed using CT scanners or sonography, and a wide array of biopsy instruments is available for sampling of lesions. Around 300 image-guided musculoskeletal biopsies are performed per year at our institution.
CT scans are performed using state-of-the-art equipment located at Blake 2 and Yawkey 6, providing a wealth of about 1,200 musculoskeletal exams per year. Currently, six MDCT scanners are utilized for all our clinical studies.
The Division of Musculoskeletal Imaging is responsible for all non-emergent adult musculoskeletal plain radiographs obtained at Mass General, grossing around 30,000 examinations per year. Plain film cases are available through PACS and cover practically the whole spectrum of musculoskeletal disease, representing the basis for interpretation of advanced MSK modalities. Our fellows have plain-film rotations concurrently with interpretation of advanced modalities, providing well-balanced training in musculoskeletal diagnosis.
Musculoskeletal ultrasoundSonography of the musculoskeletal system is an exciting new modality recently implemented at Mass General. We utilize the most advanced US technology available, employing General Electric Logiq 9 units and high-frequency probes for the evaluation of muscle and tendon abnormalities, joint derangements and Morton's neuroma. This service, which includes sonographically guided biopsies and procedures, has steadily grown in the past several years and is part of the fellowship rotations. Furthermore, MSK staff members are involved in ongoing research efforts assessing the utility of 3D-ultrasound reconstructions of rotator cuff and MR-arthroscopic correlations.
Image-guided radiofrequency ablation
Mass General has pioneered the use of radiofrequency (RF) energy for image-guided therapy and is the major destination for noninvasive treatment of osteoid osteoma. Approximately one or two CT-guided osteoid osteoma RF ablations are performed weekly, providing a unique opportunity for our fellows to gain experience in this advanced treatment modality.
The Musculoskeletal Institute at the Yawkey Center for Outpatient CareIn October 2004, the Division of Musculoskeletal Imaging moved to the new Yawkey Building, located adjacent to the Mass General Main Campus. This represents a major breakthrough with the creation of the Musculoskeletal Institute, combining musculoskeletal radiology, orthopedic surgery, rheumatology, and physical therapy in an integrated facility. Additional 3.0- and 1.5-Tesla Siemens MR scanners, two MDCT scanners, two MSK interventional rooms, and ultrasound service adjacent to dedicated MSK Radiology offices and interpretation area have enhanced our ability to provide state-of-the-art medical care for patients with musculoskeletal disorders.
Departmental and inter-departmental conferencesFellows and residents rotating at MSK Imaging participate in several daily and weekly didactic conferences that cover everything from the basics of plain-film interpretation to the most updated concepts on advanced imaging modalities and interventional techniques.
Our Division staff and fellows are very active in conferences with several specialties involved in musculoskeletal disorders. Weekly conferences with oncologic orthopedic surgery, sports medicine, spine surgery and rheumatology provide extensive exposure to complex cases and current management of a wide array of bone and joint disorders.
There are numerous opportunities for fellows to develop research at MSK Imaging. Current cutting-edge research efforts involve clinical applications of muscle 1H-MR spectroscopy to metabolic disorders and muscle atrophy, and the technical aspects of 3.0-Tesla imaging in diagnostic interpretation of spine and joints. Furthermore, several ongoing research projects on MSK MR imaging, applications of MSK ultrasound, body composition changes in HIV, and Gaucher disease provide a wide gamut of possibilities to develop academic endeavors. All fellows have protected academic time and are required to complete an academic or research project during the year, which may range from MSK educational materials to article submission for peer-reviewed journals.
The selection processTimelineBeginning July 1, 2014, you can submit your application for 2015-16 positions.
The selection process involves an initial assessment of your CV, personal statement and letters of recommendation (see below). Selected applicants will be invited for one-day interviews with Mass General MSK staff members and will have the opportunity to get acquainted with our working environment and facilities. The number of fellowship positions varies from year to year (three or four clinical fellows per year).
Foreign medical graduates (FMGs, IMGs)Foreign medical graduates are encouraged to apply for our fellowship. Please note: to be considered for a fellowship position, you must have passed the entire USMLE (Steps 1, 2, 3, CSA and TOEFL) and be eligible for a Full Medical License at the Commonwealth of Massachusetts. Please visit the USMLE and Massachusetts Medical Board for more detailed information.
Guidelines for application materials
Important: Please do not send us documents other than those listed below, as this creates unnecessary paperwork. If other documents are deemed necessary (e.g., medical school transcripts, USMLE score transcripts, residency rotation reports) we will contact you and request the specific documents. We do not require the Universal Fellowship Application Form, so there is no need to send one with your application materials.
You may send your application documents piecemeal, as long as you send only the required documents.
Due to the large number of applications we receive every year, we strongly encourage you to follow these three steps regarding application materials:
1. Required documents:
Curriculum vitae (please see note below regarding format)
Personal statement (please see note below regarding format)
Three letters of recommendation (no specific format)
2. Follow these formats:
Curriculum Vitae (PDF)
Personal statement: State why you are willing to pursue a Musculoskeletal Imaging & Intervention Fellowship position at MGH. Do not exceed one page, use single space, font Arial 11 or Times 12, one-inch margins.
3. Send your application materials to:
Connie Y. Chang, MD
Musculoskeletal Imaging & Intervention, Fellowship Director
c/o Ms. Michelle Cardillo
Division of Musculoskeletal Imaging & Intervention
Massachusetts General Hospital
Department of Radiology
55 Fruit Street, YAW6033
Boston, MA USA 02114
If you wish, you may send your CV and personal statement by email to Ms. Cardillo