Trauma and Emergency Radiology
The 1-year position is spent working in the 9-member Trauma and Emergency Radiology Section, which serves the R Adams Cowley Shock Trauma Center (STC) and University of Maryland Medical Center Emergency Department (ED).
The STC is the Primary Adult Trauma Resource Center for Maryland and admitted 8628 patients in fiscal year 2012. Most patients are from Baltimore City, or the surrounding counties, and present with either blunt or penetrating injuries. In addition, a large number of trauma patients and critically-ill non-trauma patients from all over the state are transferred to STC. There is a 13-bay admitting area and a recently completed critical care tower with an overall total of 133 beds, including 36 ICU beds. The Trauma Radiology facility is located adjacent to the trauma admitting area and includes portable digital radiography, two MDCT scanners (40- and 64-slice, upgrades in progress), and a reading room with three ergonomic PACS workstations. All workstations have TeraRecon post-processing capabilities. MRI (1.5T and 3.0T) is situated in the main Radiology department within a separate wing of the medical center. Patients admitted to STC stay within the center with the section radiologists following each patient throughout his or her hospital course.
The Adult ED is a recently expanded 50-bed facility separate from the trauma center that includes 12-bed observation and 11-bed ambulatory units. The ED served 54,000 patients, primarily from Baltimore City, in fiscal year 2012. It covers primarily minor traumatic, non-traumatic emergency, and walk-in patients. The imaging facility within the ED includes a 256-slice MDCT, two free-standing direct radiography units, ultrasound, portable radiography, and a reading room with five ergonomic PACS workstations. The separate pediatric ED wing is not served primarily by the section.
The section faculty and fellows provide 24/7 coverage of the Adult ED and STC with emphasis placed on radiography, CT, and MRI. They also provide evening STAT Radiology services for three additional Baltimore-area hospitals via teleradiology during a separate evening shift. The fellow is an integral participant in the section’s clinical activities and works with graduated independence, including evening, weekend, and overnight coverage, as experience permits. Daily teaching of medical students and radiology residents assigned to the section is a fundamental part of the fellow's responsibilities.
The program includes a strong teaching commitment and includes weekly conferences with both the Emergency Medicine and Trauma Surgery services, as well as a weekly intra-section case conference held with radiology residents. If desired, up to two 1-2-week electives in Neuroradiology, Ultrasound, and/or Pediatric Radiology can be arranged. The fellow is expected to conduct 2-3 didactic lectures or case conferences for the radiology residents. Participation in clinical research is strongly encouraged but not mandatory.
One or two fellows are hired each year. Applicants must have passed ABR core exam, or be ABR certified, and meet the requirements for Maryland licensure.
The interim section director is Clint W. Sliker, MD, and the fellowship coordinator is Alexis Boscak, MD.
This page was last updated: August 13, 2013