Fellow Goals
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- Achieve a comprehensive understanding of all areas of neuroradiology including:
- Brain - normal anatomy and pathology imaging
- Spine and spinal cord - normal anatomy and pathology imaging
- Head and neck - normal anatomy and pathology imaging
-
Fulfill requirements for CAQ; see CAQ list.
- Improve skills to a level of comfort with independence in procedures: Know
indications, risks, complications
--Total, full dose myelography
--Low dose CT/myelography;
--Angiography:
-----Evaluation of carotid/vertebral/arch
-----Cerebral Angiogram: Aneurysm, AVM, WADA
- Familiarity with pituitary sampling and neurointerventional procedures-paricularly
indications, risks
- Scrub in with Dr. Kumpe and Dr. Huddle in a variety of Neuro-Interventional
cases. Neurointerventional will be a separate fellowship. Familiarity rather
than technical competence is the goal.
- Adult Neuroimaging:
--The fellow will develop competency in interpreting imaging studies of the
brain, spine, and "head & neck"
--The fellow will gain knowledge and understanding of the neurologic diseases
affecting the adult population, and of the neoplasms affecting this population
--The fellow will understand the indications for the various neuroimaging
studies, and be able to recommend the appropriate study and perform the appropriate
study for a given clinical question
- MR
--Knowledge of reasoning behind standard pulse sequences
--Should be able to explain to resident basic sequence design
--Basics of magnet design - surface coils vs. body coils
--Diffusion MRI basics
--Very good understanding of MRA methods, why a particular approach is utilized
--Know how to surface render/MIP/multiplanar reconstructions
--MR contrast issues-safety, excretion,etc
- CT
--CT Physics - be able to review with residents basic physics relevant to
CT including safety (dosing) issues
--Image reconstruction
--Understand the basics of helical/spiral scanning
- Peds-Neurimaging:
--Monthly Wednesday am pediatric neuroradiology at TCH
--The fellow will spend every Wednesday morning at Children's Hospital
--The fellow will gain knowledge and proficiency in interpreting studies of
the head, spine and vasculature of the pediatric patient
--The fellow will gain knowledge and proficiency in understanding the neurologic
disease, neolasms and congenital lesions found in this patient population.
- Neuropathology
--brain cuttings are very important for fellowship year
--develop general knowlege of brain tumor histology(at neuro- tumor board
conf).
- Knowlege of Literature-develop skills in critical reading of the
neuroimaging literature
--Should routinely read AJNR, selected use of other journals (Neurology,neurosurg,etc)
--Regular Journal Club sessions will be held, with articles chosen by the
faculty, but discussion led by the fellow
- Research: Reseach is encouraged, but it is understood that gaining
clinical competence is the goal of a 1 year fellowship. However, if a 2 year
fellowship is pursued, a research project should be developed that can be
completed by the end of the fellowship. Discuss with faculty.
- Lectures: A fellowship provides an excellent opportunity for you
to develop 2 good lectures in an area of interest , that you will be able
to build upon after ferllowship.
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Ed Escott and Jack Simon, April 2003