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 Positions: 1
- Positions Filled: 1
- Program Director: Monte Harvill, M.D.
- Email:
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
IV. Specific Goals
A. Anatomy – Normal Arterial
1. Aorta & Major Vessels Arising from it
- arch vessels
- celiac axis
- SMA
- Renal a’s
- IMA
2. Peripheral
- upper extremities
- lower extremities
3. Selective
B. Anatomy – Normal Venous
- IVC/SVC and branches
- Deep and superficial Venous systems of lower extremities
C. Patient Care
1. Prior to the procedure:
- pertinent history and physical exam for the indicated study are taken
- appropriately inform the patient of the procedure and risks involved
- appropriate lab studies are done
- appropriate orders (including IV, insulin management , etc) are made
- obtain drugs appropriate to procedure
2. During the procedure:
- routine monitoring parameters
- handling complications
- allergic reactions
- vagal response
- “codes”
3. After the procedure
- post-procedure orders and notes
- appropriate parameters to check when seeing the patient after the study
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
The prirnary educational objective of the Neuroradiology Fellowship Prograrn a Wayne State University is to provide the trainees with an in depth two year comprehensive training experience. The Neuroradiology Fellowship Program offers an in depth exposure to all subspecialties areas within the current practice of Neuroradiology. The Neuroradiology fellows are exposed to a tremendous breadth of clinical material and are supported by an attending staff of Neuroradiologists in a greater than 1:1 ratio.
Another important educational objective of the Neuroradiology Fellowship Program is to have the fellows exposed to and participate in ongoing research projects within the section. Many of these research projects are in conjunction with members ofthe Departments of Neurosurgery, Neurology and Vascular Surgery. The faculty functions both as mentors and project advisors. In fact, it is a requirement of the Neuroradiology Fellowship Program that each fellow submit one paper for publication during his/her fellowship tenure. The final educational objective of the Neuroradiology Fellowship Program is to train the fellows to be able to interact with their referring physicians and function in their future consultative role. This is accomplished during th day to day activities at the hospital. As well, the fellows are an integral part of many interdepartmental conferences such as the NeuroradiologylNeurosurgerylNeuropathology Correlation Conference, Neurosurgical Grand Rounds, Neurology Grand Rounds, Neuro-oncology Conference and the ENT Grand Rounds. The Wayne State University Neuroradiology Fellowship Program sponsors the monthly regional "Interesting Case Conference" attended by all regional Neuroradiology staff and fellows. The Wayne State University program also sponsors the regional bimonthly "Interventional Neuroradiology Conference" designed to illustrate and discuss the latest innovations and developments in the practice of Interventional Neuroradiology. Finally, the weekly "Combined Neuroradiology/Neurosurgery Conference" has been in existence for the past 26 years in an effort to teach the Neuroradiology fellows and Neurosurgery residents.
The ultimate objectives for the Neuroradiology fellows are for them to become excellent Neuroradiologists who will be successful in either an academic or private practice career. Each fellow will be extremely well-trained in all aspects of Neuroradiology, as well as basic Interventional Neuroradiology. The fellows will be able to interact appropriately with referring physicians, patients and their family members. They will be able to triage appropriate imaging examinations. Finally, the Neuroradiology fellows will be able to present original works in a publishable format.
The Neuroradiology Fellowship Program at Wayne State University is quite different than other Neuroradiology programs in the region. It is also these differences that makes the Wayne State University Neuroradiology Fellowship Program a superior program to other similar programs within the region. The Neuroradiology fellowship is based at Harper Hospital. Harper Hospital performs all of the adult MR examinations, angiographic studies, myelograms, interventional neuroradiologic procedures and the majority of the computed tomographic studies at the Detroit Medical Center.
For more information, please call 313 745-3430.
II. Contact & Info
- Duration: 1.5 yrs
- Total Positions: 2
- Positions Filled: 2
- Program Director: Imad T. Zak, M.D.
- Email:
I. Objectives and Goals
The department goals and objectives concerning the fellows are:
1. To demonstrably train an individual to have a cognitive knowledge base in pediatric radiology.
2. To demonstrably train a fellow in all of the imaging modalities currently at
Children's Hospital of Michigan used for pediatric patients.
3. Demonstrably train the fellows so that they can write protocols and techniques for all of the pediatric imaging modalities taught.
4. To enhance the fellow's teaching skills so that he/she will feel comfortable teaching medical students and residents pediatric radiology.
5. To demonstrably teach the fellows how to prepare and give lectures in pediatric radiology to their peers and those who they are teaching.
6. To train the fellow in clinical research techniques so that they may be able to critically review the literature as well as complete a research project.
7. For those who stay two years, the goal is to train the fellow so that he/she is subspecialized in an area of their interest in pediatric radiology.
8. To enhance the fellow's communication with his/her fellow clinicians in all areas of medicine; the fellow should learn the role of a consultant.
The ultimate objectives for our trainees are to either:
1. Practice in a children's hospital doing full-time pediatric radiology with research in pediatric imaging.
2. To allow the trainee to practice part-time pediatric radiology in a general hospital or pediatric unit in a general hospital. He/she will not usually be involved in much research. Compared to other pediatric radiology fellowships in the area, the scope of our program scope is broader and can teach the trainee all aspects of pediatric imaging, i.e., pediatric neuroimaging, angio/interventional, nuclear medicine, and PET scanning.
For more information, please call 313 745-3430.
II. Contact & Info
- Duration: 1.5 yrs
- Total Positions: 3
- Positions Filled: 3
- Program Director: J. Michael Zerin, M.D.
- Email:
Department of Radiology