Trauma and Emergency Radiology

The fellowship position in Trauma and Emergency Radiology is spent working in the 8-member Trauma and Emergency Radiology Section, which serves the R Adams Cowley Shock Trauma Center (STC) and the University of Maryland Medical Center (UMMC) Emergency Department (ED).

The STC is a level I Trauma Center and the primary adult trauma resource center for the state of Maryland, treating 6213 new patients in fiscal year 2014, with admissions arriving by ambulance or helicopter from throughout Maryland after blunt or penetrating injury. The trauma center also includes a busy soft tissue infection service and critical care receiving unit (CCRU). The CCRU is a facility in which many patients transferred to the UMMC with complex, non-traumatic critical care conditions requiring the highest levels of clinical service, including stroke, cerebral aneurysm, thoracoabdominal and peripheral vascular emergencies, and ARDS, are evaluated prior to transfer to other specialized ICU’s. The Trauma Radiology facility is located adjacent to the trauma admitting area and includes portable digital radiography, two MDCT scanners (Philips 64-slice and 40-slice, upgrade to Siemens FORCE dual-energy in progress), and a reading room with three ergonomic PACS workstations. All workstations have TeraRecon post-processing capabilities. Patients admitted to the STC are followed throughout their course to discharge as well as in outpatient clinic, with imaging at all stages (i.e., acute, subacute, long-term follow-up) the responsibility of the Section.

The Adult ED is a 50-bed facility physically separate from the trauma center that includes 12-bed observation and 11-bed ambulatory units. The ED served 52,500 patients, primarily from Baltimore City, in fiscal year 2014. It covers primarily minor traumatic, non-traumatic emergency, and walk-in patients. The imaging facility within the ED includes a 256-slice MDCT, research 3T MRI unit, two free-standing direct radiography units, portable radiography, ultrasound, and a reading room with five ergonomic PACS workstations. The separate pediatric emergency department wing is served primarily by the Pediatric Radiology section.

The section faculty and fellows provide 24/7/365 in-house coverage of the STC and UMMC ED with emphasis on radiography, CT, and MRI. 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.

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. Daily teaching of medical students and radiology residents assigned to the section is a fundamental part of the fellow's responsibilities. 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.

If desired, up to two 1-2-week electives in Neuroradiology, Ultrasound, and/or Pediatric Radiology can be arranged to supplement the fellowship.

One or two fellows are hired each year. Applicants must have passed ABR core exam, or be ABR certified, and meet requirements for Maryland licensure.

The section director is Clint W. Sliker, MD, and the fellowship coordinator is Alexis Boscak, MD.

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