About This Fellowship

Overview

The Division of Musculoskeletal Imaging and Intervention 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.

Curriculum - Clinical Rotations

Departmental and Inter-departmental conferences

Fellows and residents rotating at the Division of Musculoskeletal Imaging and Intervention 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.

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.

Image-guided Biopsies

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.

Image-guided Radiofrequency Ablation

Mass General has pioneered the use of radiofrequency energy for image-guided therapy and is a major destination for noninvasive treatment of osteoid osteoma. Approximately one or two CT-guided osteoid osteoma radiofrequency ablations are performed monthly, providing a unique opportunity for our fellows to gain experience in this advanced treatment modality. We also perform CT-guided radiofrequency ablation and cryoablation for osseous and soft tissue malignancies.

MR & CT Imaging

The Department of Radiology at Mass General is a fully digital environment, with a complete PACS, allowing image review and analysis at multiple different locations, regardless of point of origin. We have state-of-the-art MRI and CT equipment both at the main campus and at our satellite facilities (Charlestown, Waltham). This network generates around 10,000 musculoskeletal MR examinations per year including MR arthrograms and approximately 1,200 CT examinations per year. Sports medicine and oncology consultations on MR imaging obtained at non-Mass General sites provide additional exposure to interesting and complex cases.

Musculoskeletal Ultrasound

Sonography of the musculoskeletal system is an exciting new modality recently implemented at Mass General. We utilize the most advanced US technology available 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.

Plain-film Interpretation

The Division of Musculoskeletal Imaging and Intervention 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 musculoskeletal modalities. Our fellows have plain-film rotations concurrently with interpretation of advanced modalities, providing well-balanced training in musculoskeletal diagnosis.

Spine and Joint Interventional Procedures

The Division of Musculoskeletal Imaging and Intervention plays a major role in image-guided pain treatment at Mass General. An excess of 2,000 fluoroscopy- and ultrasound-guided spine and joint injections per year are performed at our dedicated fluoroscopy unit on Yawkey 6. Our fellows have extensive exposure to all types of procedures involving the spine (e.g., epidural injections, cervical and lumbar selective nerve root blocks, cervical and lumbar facet injections, sacroiliac joint injections, rhizotomy) and joints (arthrograms, joint aspirations and injections).

The Musculoskeletal Institute at the Yawkey Center for Outpatient Care

In October 2004, the Division of Musculoskeletal Imaging and Intervention moved to the new Yawkey Building, located adjacent to the Mass General main campus. The move 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 musculoskeletal radiology offices and interpretation area have enhanced our ability to provide state-of-the-art medical care for patients with musculoskeletal disorders.


Research Experience

There are numerous opportunities for fellows to develop research in the Division of Musculoskeletal Imaging and Intervention. Current cutting-edge research efforts involve artificial intelligence (AI), clinical applications of muscle 1H-MR spectroscopy to metabolic disorders and muscle atrophy, and technical aspects of 3.0-Tesla imaging in diagnostic interpretation of spine and joints. 

How to Apply

Selection Process

The Musculoskeletal Imaging and Intervention Fellowship is participating in the match for 2021-2022 cycle. Please see the Society for Skeletal Radiology website for more details.

Timeline

Beginning October 1, 2019, you can submit your application for 2021-2022 positions.

The selection process involves an initial assessment of your application materials (see below). Selected applicants will be invited for one-day interviews with division staff members and will have the opportunity to get acquainted with our program, working environment and facilities. Interviews will occur between December 2019 and March 2020.

The number of fellowship positions varies from year to year (up to 6 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 in 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 documents other than those listed below to avoid 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.

You may send your application documents separately provided you only send 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. Compile these required documents:

2. Follow these formats:

Curriculum Vitae [PDF]
Personal statement: State why you are interested to pursue a Musculoskeletal Imaging and Intervention Fellowship position at Mass General. Do not exceed one page, use single space, font Arial 11 or Times 12, with one-inch margins. Please include your USMLE scores for Step 1, 2, and 3.

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