I. Objectives and Goals

• To provide fellows with an in-depth understanding of all the general angiography and interventional radiology being performed today.
• To be able to adequately judge the appropriateness of proposed cases as well as having a basic understanding of surgical and medical alternatives available.
• Fellows should gain the skills necessary to adequately perform a pre-procedural work-up as well as administer post-procedural care.
• They should obtain a working knowledge of the various drugs and contrast agents used in the various procedures.
• Fellows should gain familiarity with many of the materials commonly used, i.e., guide wires, catheters, biopsy needles, drains, etc.
• Finally, fellows should be able to perform most general angiographic and interventional procedures:
  • peripheral arteriogram
  • abdominal and thoracic aortagram
  • some selective arteriograms (renal, celiac, superior & inferior mesenteric arteriogram)
  • peripheral venography and pulmonary angiography
  • inferior venacavagram and filter placement
  • percutaneous needle biopsies of abdominal and thoracic lesions
  • peripheral angioplasty
  • percutaneous biliary drainage with and without stent placement
  • percutaneous abscess drainage
  • peripheral atherectomy and stent placement
  • embolization procedure
  • fallopian tube
  • percutaneous nephrostomy with stent placement

II. Contact & Info

• Duration: 1.5 yrs
• Total Posistions: 2
• Posistions Filled: 2
• Program Director: Monte Harvill, M.D.
• Email:mharvill@dmc.org

III. Teaching Methods

• Daily reading sessions
• Informal rounds of in-house patients
• Actual “hands-on” performance of the daily cases
• Responsibility for the work-up and follow-up of most cases
• Chairman’s teaching conferences
• Staff Lectures on selected topics
• Provide cases for the teaching file referable to Angiography/Interventional Radiology
• Most important, fellows are expected to read extensively from the bibliography provided
• Attend Vascular Surgery conferences
• Attend scientific meetings

DUTY HOURS

IR Fellowship Duty Hours:
Duty hours are 7:00 a.m. – 6:00 p.m., Monday through Friday. Including call covered from home every other weekend, not to exceed 80 hrs per week.

I. Objectives and Goals

Pediatric Radiology Fellowship:

The Detroit Medical Center/Wayne State University Pediatric Radiology Fellowship in the Department of Pediatric Imaging at Children’s Hospital of Michigan is a 1-year ACGME accredited program with 1 funded position that is designed to prepare the trainees both for the ABR/AOBR CAQ in Pediatric Radiology and a successful career in pediatric imaging. This education emphasizes all aspects of pediatric radiology as reflected in the six core competencies.

• To demonstrably train the fellows to have a cognitive knowledge base and enhance their interpretative abilities in Pediatric Radiology;
• To demonstrably train the fellows in all of the imaging modalities that are currently used for pediatric patients at the Children’s Hospital of Michigan ;
• To demonstrably train the fellows to write protocols and techniques for all of the pediatric imaging modalities that are currently used for pediatric patients;
• To enhance the fellows’ teaching skills such that they will feel comfortable participating in the education of residents and medical students in the field of Pediatric Radiology;
• To demonstrably teach the fellows how to prepare and present lectures and other didactic presentations in Pediatric Radiology to their peers, residents, and medical students;
• To demonstrably train fellows in clinical research techniques, such that they will be able to critically review the literature, as well as to complete a research project;
• To demonstrably train fellows such that they obtain sub-specialized experience and knowledge in an area of their selected interest in Pediatric Radiology (for those fellows who remain in the department for a second year); and,
• To enhance the fellows’ communication with their fellow clinicians in all areas of medicine, such that they can learn to function in the role of a clinical imaging consultant.

The methods for attaining these Educational Goals include:

• Graded increasing responsibility for patient care in all areas of pediatric imaging under the direct supervision of staff pediatric radiologists.
• Extensive didactic and clinical educational experience based upon the subspecialty curriculum as endorsed by the Society for Pediatric Radiology (Pediatric Radiology; 25: 403)
• Access to extensive library and resource materials in pediatric radiology as well as extensive clinical interactive conferences with several pediatric subspecialty disciplines.
• Involvement in clinical or basic research.
• Involvement in the education and mentoring of general radiology residents.
• Instruction in issues related to quality assurance and continuing professional development.
• Mentoring in child health advocacy.

II. Contact & Info

• Duration: 1 year
• Total Positions: 1
• Positions Filled: 1
• Program Director: J. Michael Zerin, M.D.

Email: mzerin@med.wayne.edu

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