Division of Abdominal Imaging & Abdominal MRI
Contact Information

Fellowships ONLY
Avril D'Silva
adsilva@toh.on.ca

Fellowships - Abdominal Imaging

Objectives of Training

Fellowship Director: Dr. Shauna Duigenan, MD, FRCPC, Assistant Professor
Fellowship Coordinator: Avril D’Silva adsilva@toh.on.ca

General Objectives

This program provides advanced training in body computed tomography, magnetic resonance imaging, ultrasound, abdominal procedures including FNA and core needles biopsy as well as fluid drainages, and some limited exposure to gastrointestinal and genitourinary fluoroscopy. The aim of the program is to develop subspecialty radiologists with broad-spectrum expertise in abdominal imaging.

80 percent of the fellow's time is spent on the clinical services, interpreting imaging studies, performing image-guided biopsies and aspirations, and assisting in the supervision of radiology residents. 20 percent of the time is dedicated to academic pursuits including research which is provided in the form of an academic day once per week on average.
Dedicated conferences that contribute to fellow education include daily clinical assignments, noon teaching conferences, weekly fellow conferences, weekly multidisciplinary conferences, monthly follow-up conferences, and fellow discussion groups for interesting cases.  Residents are also able to attend a spectrum of advanced CME courses provided by the University Of Ottawa Department Of Radiology as well as visiting professor programs offered throughout the academic year.

Specific Objectives

The fellow is expected to:

  • Perform independently and act as a useful abdominal imaging consultant to clinicians in Ultrasound, CT, MRI and special procedures

  • Perform and interpret non-contrast and contrast enhanced CT scans of the abdomen and pelvis for various indications including lesion characterization, staging malignancies, trauma, abdominal pain, etc.

  • Perform and interpret ultrasound examinations:

    1. Of the abdomen, pelvis, small parts (incl. thyroid gland, testicles), bowel and joints (incl. shoulders) using conventional probes; and

    2. Of the female pelvis, the rectum, the prostate and intra-operative cases using special probes.

  • Supervise MRI examination and

    1. Assess for absolute and relative contraindications;

    2. Protocol each case appropriately;

    3. Performed conjoint procedures such as rectal jelly administration and buscopan administration; and

    4. Supervise technical adequacy and completeness of cases at the technologist request.

  • Perform and interpret MRI examinations of abdomen, pelvis, and vessels

  • Perform ultrasound-guided, fluoroscopic-guided and CT-guided fine-needle aspiration and core biopsies as well as drainage catheter insertions

  • Perform fluoroscopic procedures with barium and feeding tube insertions

  • Assess and treat patients having an anaphylactic reaction or an adverse side effect from any supervised procedure

  • Teach residents and medical students as part of their daily assigned duties

  • Perform and interpret examinations performed on-call

  • Prepare abdominal imaging rounds once a month

  • Attend all abdominal imaging rounds within the department as well as multidisciplinary rounds related to body imaging

  • Attend a full weekly series of lectures prepared specifically for trainees at the fellowship level of expertise

Structure

This is a 12 month fellowship. No split or divided fellowships are offered.

The fellow’s schedule will be made on a monthly basis by the Abdominal Imaging Fellowship Program Director, Dr. Ryan and the scheduling coordinator Margaret Crosbie.

The fellow’s schedule will vary daily, with approximately 1 day spent in each of the following areas:

  1. Ultrasound;
  2. CT;
  3. MRI;
  4. Special procedures (biopsies, drainages); and
  5. Evening plain film reporting ( 1-2 day per month ).

Fellows will participate in the call roster performing call supervision to:

Dr Ryan will formally meet with the fellow every quarter to discuss the fellow’s strengths and weaknesses and address any outstanding issues brought forth by the fellow.

The fellow will also participate in call duty at a rate no greater than other fellows in the Ottawa Hospital Fellowship Programs in the department of Diagnostic Imaging. Call involved supervision of On-Call Residents from the residency training program. This takes place primarily from home through internet connection to the PACS system to discuss cases of concern initiated by the resident. No first call responsibilities are assigned to fellows.

Application Deadline

Academic Year 2018-19 - September 30, 2016

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Last updated: 2016.04.26