Trauma and Emergency Radiology

Emergency Radiology Fellowship

The University of Maryland Medical Center’s Trauma and Emergency Radiology section is accepting applications for fellowships in Emergency Radiology for:

Academic year 2017-2018, and Academic year 2018-2019.

The goal of the Emergency Radiology fellowship is to train radiologists who will be experts in the use of medical imaging to acute illnesses and injuries in a busy, fast-paced environment that typifies contemporary Emergency Radiology practice.  Upon completion of the fellowship, the trainee will be prepared for either academic or non-academic practice in a rapidly growing and evolving field.

The Trauma and Emergency Radiology section provides most diagnostic imaging services to the R Adams Cowley Shock Trauma Center (STC) is the adult level I trauma center for all of Maryland.  Because the section’s coverage of STC includes patients who are admitted to the hospital and followed as outpatients, the trainee’s experience is not limited to the patient’s acute presentation. He/she will have experience with trauma patients through the full course of injury recovery, as well as a number of complications, including fat embolism syndrome, bowel obstruction, and pulmonary embolism.

Though a highlight of the program, trauma is not the sole focus of the fellowship.  The section also covers the University of Maryland Medical Center Adult ED, which is physically separate from the trauma center and deals patients presenting with primarily non-traumatic and minor traumatic disease, such as acute appendicitis, pneumonia, and low-energy extremity fractures. The section also covers the Critical Care Receiving Unit (CCRU), an 8-bed facility that serving as an ingress point to the medical center for patients transferred to UMMC with a spectrum of severe, non-traumatic conditions, such as brain attack, cerebral aneurysm, aortic dissection, and complicated acute pancreatitis.

The section interprets studies that encompass the entire patient, including brain, spine, and vascular. Studies interpreted included radiographs, CT, CTA, MRI, and MRA.  Technology at the section’s disposal includes dual-source DECT, 64-MDCT, 256-MDCT, portable DR, free-standing DR, and MRI (3T & 1.5T).  Two reading rooms are situated in the trauma admitting area and ED, respectively. 

The fellow participates in all clinical activities of the section, including coverage of evenings, nights, and weekends.  With increasing experience and competency, the fellow is given gradually more clinical responsibility and independence. 

The section is committed to teaching and participates in weekly conferences with both the Emergency Medicine and Trauma Surgery services. The fellow is expected to supervise residents at the PACS station, as well as participate in radiology resident education, which includes a total of 2-3 didactic lectures or case conferences. 

Though not mandatory, participation by the fellow in research is strongly encouraged to participate in research activities, and, when possible, protected academic time may be provided to work on an approved project. 

If desired, up to 2-3 two-week electives in Neuroradiology, Ultrasound, and/or Pediatric Radiology can be arranged to augment the fellowship.

The University of Maryland Medical Center’s Department of Radiology hires 1-2 fellows to participate in its Emergency Radiology fellowship every academic year. The typical application cycle spans late 2nd-year to early 3rd-years of Radiology residency.

Applicants must have passed ABR core exam, or be ABR certified, and meet requirements for both Maryland licensure and credentialing at the department’s affiliated facilities

Please direct inquiries to the fellowship coordinator, Alexis Boscak, MD, or the section’s administrative assistant, Brenda Gilchrist.

The University of Maryland, Baltimore is an Equal Opportunity, Affirmative Action employer. Minorities, women, individuals with disabilities, and protected veterans are encouraged to apply.

Overview of the Trauma and Emergency Radiology Section

The Trauma and Emergency Radiology section is part of the Department of Radiology at the University of Medical Center (UMMC), which is a quaternary referral center that includes the R Adams Cowley Shock Trauma Center (STC), an urban emergency department (ED), a Comprehensive Stroke Center, and a large number of intensive care beds. The section’s faculty and fellows provide 24/7/365 in-house coverage of the STC and UMMC ED with emphasis on radiography, CT, and MRI. Clinical volume is high, and the breadth of the section’s clinical coverage results in its involvement with patients presenting with a wide spectrum of traumatic and non-traumatic emergent conditions.

Most of the section’s service is provided to patients at the R Adams Cowley Shock Trauma Center, which is Maryland’s designated Primary Adult Resource Center for trauma, which mandates clinical services and resources greater than those needed for level I trauma center designation. The center’s wide catchment area includes most of Maryland, in addition to parts of Delaware, Pennsylvania, and West Virginia. Due to the STC’s large catchment area, which includes urban, suburban, and rural areas, patients present with a wide spectrum of injuries, including complex polytrauma, resulting from a variety of different injury mechanisms.

In addition to serving acutely traumatized patients in STC’s Trauma Resuscitation Unit (TRU), the section is responsible for all diagnostic imaging performed for in-patients and outpatients under the care of the Trauma Surgery service. The section also serves the center’s busy soft tissue infection service and critical care receiving unit (CCRU), which is an 8-bed facility that serves as the point of entry into the medical center for many critical care patients transferred to UMMC. Patients in the CCRU suffer from a number of complex, non-traumatic conditions, including brain attack, cerebral aneurysm, aortic dissection, mesenteric ischemia, acute limb ischemia, and ARDS.

The Trauma Radiology facility is located adjacent to the trauma admitting area (i.e., TRU) and includes portable radiography, two CT scanners (Philips 64-MDCT & Siemens Force DECT) and a reading room with three PACS workstations. All clinical workstations have TeraRecon and syngo.via post-processing capabilities.

The section also serves the Adult ED, a 50-bed facility physically separate from the trauma center where patients present with primarily non-traumatic and minor traumatic disease, such as acute appendicitis, pneumonia, and low-energy extremity fractures. The imaging facility within the ED includes a 256-slice MDCT, two free-standing direct radiography units, portable radiography, ultrasound, and a reading room with five PACS workstations. A separate pediatric emergency department is served primarily by the Pediatric Radiology section.

Section members are recognized nationally and internationally as experts in the areas of Trauma and Emergency Radiology. Members routinely publish book chapters and peer-reviewed research, lecture at national society meetings. Locally, the section actively participates in the education of trainees in Trauma Surgery, Emergency Medicine, and Critical Care Medicine, in addition to Diagnostic Radiology. The section enjoys close relations with Trauma Surgery and Emergency Medicine with whom it works closely both clinically and academically.

Currently, the section consists of 8 members (1 part-time): Clint W. Sliker, MD (section director); Krystal Archer-Arroyo, MD; Uttam Bodanapally, MBBS; Alexis Boscak, MD (fellowship director); David Dreizin, MD; Thorsten Fleiter, MD; Stuart E. Mirvis, MD (section director, emeritus); and K. Shanmuganathan, MBBS.

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