Director:
Jo-Anne O. Shepard, MD
Department of Radiology
Founders 20255 Fruit St.
Boston , MA 02114
Phone: 617-724-4256
Fax: 617-724-0046
Email: jshepard@partners.org

Radiologists:
Suzanne Aquino, MD
Salvatore DeLuca, MD
Reginald Greene, MD
Henry J. Llewellyn, MD
Subba Digumarthy, MD
Theresa McLoud, MD
Stephen Miller, MD
Victorine Muse, MD
Amita Sharma, MD
Conrad Wittram, MD

Administrative Assistant:
Ann-Marie Reardon
Phone: 617-724-4254
Fax: 617-724-0046
Email: areardon@partners.org

APPLICATION
Currently we are offering 3 one-year fellowship positions for July 2008. To apply please complete the Fellowship application, and send a personal statement and three letters of recommendation addressed to Dr. Jo-Anne Shepard (see above).  One letter must be from the Residency Program Director. Fellow applicants are encouraged to be ABR eligible and to obtain a full Massachusetts medical license and DEA number prior to start of fellowship.Bonafide candidates will be invited for an interview and tour. To apply please contact Ann-Marie Reardon, Administrative Assistant, areardon@partners.org

DESCRIPTION OF FELLOWSHIP

Goal of Fellowship:
The Thoracic Fellowship provides a cutting edge clinical and research experience in Thoracic and Cardiac diagnosis and Thoracic intervention in preparation for the academic practice of Thoracic Radiology.

Clinical Experience:
The Thoracic Fellowship is a general thoracic imaging fellowship in diagnostic imaging and intervention including dedicated time in cardiac imaging.  Diagnostic modalities include digital imaging of the chest, Thoracic and Cardiac CT, Thoracic and Cardiac MRI, and PET/CT, in a complete PACS environment, including both inpatient and outpatient chest examinations. The Massachusetts General Hospital is a tertiary care hospital, with multiple intensive care units, including a Burn ICU, Neuro ICU, Medical ICU, Surgical ICU, Cardiac Surgical ICU and Cardiac ICU. In addition, the MGH is a level-one trauma center, burn center, and transplant center, including heart and lung transplantation.  The MGH is a major oncology referral center with a busy Thoracic Oncology and General Thoracic Surgical Service.  Through the Pulmonary and Infectious Disease Services we are consulted on a multitude of interesting pulmonary diseases. The Thoracic Division performs over 100,000 imaging examinations / year and provides a concentrated experience in both usual and unusual medical and surgical conditions. The Thoracic Division works cooperatively with exceptionally strong medical, surgical and subspecialty services.

Interventional Experience:
The Thoracic Division performs >300 percutaneous needle aspiration biopsies/year in a dedicated interventional CT scanner, with on-site cytopathology.  All patients are evaluated by an Interventional Nurse Coordinator prior to the procedure, and dedicated interventional nurses administer conscious sedation and post-procedure care. The Division also performs (RFA) radiofrequency ablation for both primary and metastatic disease to the chest.

Research:
The Thoracic Division has an active clinical research program.  Participates in RSNA, ARRS, STR and Fleischner Societies.  Fellows are expected to participate in clinical research projects in conjunction with the staff. The department provides secretarial assistance and the support of the Radiology Educational Media Service (REMS) in preparation of exhibits, presentations, and manuscripts.  Departmental support is provided to fellows for presentation of research at major medical meetings.  Dedicated academic time is assigned to fellows who demonstrate a research commitment (1day/wk).

Teaching:
2-3 radiology residents rotate in Thoracic Radiology at any given time. Radiology Fellows regularly participate in resident education both at the workstation and in resident teaching conferences.

Cardiac:
Dedicated time in cardiac imaging is incorporated into the fellowship.

Conferences:

• Thoracic Mini-Course
  A month long series of noon-time lectures focused on Thoracic Radiology delivered by the Thoracic staff and fellows to MGH residents.  Traditionally, 2 visiting Grand Rounds Speakers are invited yearly.
• Thoracic Radiology Conference
  Weekly conference prepared by the Thoracic CT resident of interesting current CT and MRI cases.
• ICU Rounds
  Daily ICU rounds with Thoracic Radiologists and ICU staff in Medical, Surgical and Cardiac Intensive Care Units.
• Lung Transplant Conference
  A joint conference between Thoracic Radiology and the Lung Transplant Service to discuss transplant candidates, complications and outcome in lung transplant patients.
• PET/CT Conference
  A monthly conference presented to discuss chest and abdominal PET/CT cases.
• Thoracic Surgical Conference
  A weekly conference presented by the Thoracic Surgical Service at which radiological correlation and patient management of thoracic surgical conditions are discussed.
• Thoracic Oncology Conference
  A weekly conference presented by the Thoracic Oncology Conference at which the diagnosis and management of lung, esophageal and other thoracic tumors are discussed.
• Pulmonary Conference
  A weekly conference in which the Pulmonary service reviews radiology studies on their inpatients.
• Thoracic Care Discussion Conference
  A weekly conference at which unknown cardiac and thoracic cases are presented to residents for discussion of findings.
• Pulmonary Grand Rounds
  A weekly conference presented by the Department of Pulmonary and Critical Care Medicine, including case presentation and invited lecturers.
• Infectious Disease Conference
  A conference presented jointly by Radiology and the Infectious Disease Services. Interesting Infectious Disease cases are presented with radiology correlation.
• Post-Graduate Chest Course
  This post-graduate course is presented jointly by the Departments of Radiology at Massachusetts General Hospital and Brigham and Women’s Hospital.  This course is held every other year in November in even years.

Vacation:
4 weeks (20 days)/year

Meetings:
1 week (5 days)/year

Book & Travel Fund:
$500/year

Holiday and Weekend Coverage:
Fellows rotate on weekend and holiday coverage in the Thoracic Division along with the Thoracic Staff.  Internal moonlighting opportunities are available for qualified Fellows in the Thoracic and Emergency Radiology Divisions.