UW Radiology

Neuroradiology

INTRODUCTION

The University of Washington Neuroradiology fellowship program filled for the 2022-2023 program year.

If you are interested in training, please contact Bill Freeberg at freeberg@uw.edu. All applicants must have completed a diagnostic radiology residency and USMLE Step 3 to be eligible for consideration. We participate in the fellowship match administered by the National Residency Match Program (NRMP), and fellowship candidates may apply for the program through ERAS.

The University of Washington Department of Radiology offers nine ACGME-accredited spots for training in a one-year neuroradiology fellowship. Our training program provides a well-balanced clinical, research and teaching curriculum. The second-year fellowship is optional and highly encouraged to those pursuing an academic career in neuroradiology. Applicants for this fellowship must be board eligible or certified in diagnostic radiology and must have applied for a medical license in the state of Washington prior to the start of this fellowship. Trainees may start the fellowship while the state application is in process.

For foreign nationals, we will only be able to confirm appointments with a J1 visa status, unless there are special circumstances. For foreign nationals currently on an H1 visa, we will be able to extend the visa through our institution. If you are a foreign national, please note that we will request that you enter the country at least two weeks prior to the start of the fellowship in order to adequately process your appointment, approve your state medical license and complete all documentation in order for you to begin the fellowship program on the approved start date.
 
On occasion, the second-year fellowship position (non-ACGME) is available for external candidates (depending on how many first-year fellows wish to stay for an optional second year, or if the position was filled through the Match). Additionally, we offer one-year neurointerventional (NIR) training as an acting instructor. If you have questions about the NIR fellowship, please email Dr. Danial Hallam, Director of Neuro-Interventional Radiology at dhallam@uw.edu. Please note that the NIR fellowship is full through 2023-2024, and we are not accepting applications at this time.

Outside the match period, all diagnostic neuroradiology fellowship applications may be emailed to freeberg@uw.edu, and should include:

  1. Complete Application Form
  2. Personal statement
  3. Copy of your curriculum vitae
  4. Three reference letters
    1. One of these letters should be from a residency program director or chairman
  5. Copy of medical school diploma
  6. Copies of USMLE 1, 2 and 3 scores
    1. Foreign medical graduates must provide copy of the clinical skills test score result
  7. Copy of ECFMG certificate (if applicable)

 

The neuroradiology fellowship program director is Dr. James Fink. If you have any questions regarding fellowship application, please contact the program administrator:

Bill Freeberg
freeberg@uw.edu
University of Washington
Department of Radiology, Box 357115
1959 N.E. Pacific Street
Seattle, WA 98195-7115
TEL: 206-598-5130, FAX: 206-598-8475

Please contact the NRMP office at (202) 862-6077 to request application materials to the match. We adhere to the NRMP match guidelines.

 

Why consider a Neuroradiology fellowship at University of Washington?

1) A multi-site hospital system with wide range of pathological cases
2) Flexible scheduling of angio time depending on interests of each fellow with opportunity for neurointerventional exposure as a first-year diagnostic neuroradiology fellow
3) Incredibly nice faculty with collegial environment
4) Extensive opportunity to work with faculty with diverse research interests
5) Protected 20% academic time for fellows
6) Infrastructure to mentor fellows’ research projects
7) Seattle is one of the most beautiful cities in US with boating, hiking, and great summers
8) 45 minutes to Snoqualmie Ski Resort
9) Extremely supportive fellowship program director

FACULTY

The neuroradiology section is under the direction of Dean Shibata, MD, and consists of 15 full-time neuroradiology faculty, nine first-year neuroradiology fellows, and one second-year fellow that functions as an attending radiologist. The faculty have differing clinical and research interests in neuroimaging and, thus, complement each other. This assures a teaching faculty with a broad array of experience and expertise that serves to support a well-balanced educational program for the fellow in training.

CORE CLINICAL CURRICULUM

The neuroradiology fellowship program provides strong clinical training in the performance and interpretation of all aspects of neuroimaging including multivoxel MRS, fMRI, MR perfusion, high resolution MR neurogram, as well as CTA, CT perfusion. Fellows gain extensive experience and a high level of proficiency in cerebral and spinal angiography, myelogram, spine injection, as well as CT guilded biopsy.

Specialized training (under the direction of Dr. Basavaraj Ghodke) in a broad array of neurointerventional techniques forms an integral part of the training program, including coiling of cerebral aneurysms, occlusion of AVM utilizing injectable glue, angioplasty for vasospasms, balloon occlusion of intracranial vascular abnormalities, particulate embolization of tumors, endovascular angioplasty/stenting of carotid and intracranial vessels, thrombolytic therapy for acute stroke, and vertebroplasty.

Our neuroradiology fellowship offers extensive exposure to head and neck radiology and pathology with integral collaborative work with Otolaryngology, Radiation Oncology, and Ophthalmology departments. Pediatric neuroradiology training is provided at Seattle Children’s Hospital by Drs. Francisco Perez and Dennis Shaw.

The one-year fellowship consists of adult neuroradiology core rotations divided as:
40% University of Washington Medical Center reading room (includes reading cases from the Seattle Cancer Care Alliance and the UW Roosevelt Clinic
40% Harborview Medical Center reading room
20% Neuroangiography (diagnostic and interventional) at Harborview Medical Center

Beyond these core clinical rotations there is a four-week rotation at Seattle Children’s Hospital (which includes pediatric neuroradiology), approximately one day/week academic time with no clinical duties, and one week of elective (examples: learning MRI advanced postprocessing, observing on a surgical service, additional time at Childrens, etc)

Call, on average, occurs one in every eight days, and consists of giving preliminary reads on urgent MRI scans from home and rarely coming into the hospital for an urgent neuroangiography/NIR case. Usually the neurointerventional fellow will do the acute stroke intervention cases while the first-year neuroradiology fellow will do the urgent diagnostic cerebral angiograms (relatively infrequent). The day after call is scheduled as post-call with no clinical duties.

Neuroradiology teaching conferences occur on Tuesday and Friday mornings. They are teleconferenced between UWMC and HMC.

Examples below of DTI (preoperative planning for pons cavernoma) and FMRI (visual activation for preoperative assessment of cortical dysplasia) performed on our Harborview 3T Siemens (DTI) and UWMC 3T Philips (FMRI) scanners

EDUCATIONAL PROGRAM

In addition to clinical procedures, the neuroradiology fellowship program offers several intradepartmental and interdepartmental conferences. These include radiology department teaching conferences, neuroradiology/neuropathology correlation conferences, neuroscience grand rounds, neurosurgery clinical conferences and Brain tumor board, as well as head and neck tumor board. Neuroradiology fellows play a vital role in all of the clinical conferences. Neuroradiology fellows give one didactic lectures to the residents per year.

Weekly neuroradiology teaching conferences are provided on Tuesdays and Fridays mornings teleconferenced between our two main hospitals (UWMC and Harborview).

Additionally, the fellows are expected to participate in clinical research projects. First-year fellows will be provided, on average, one academic day per week, during which time they will be expected to develop and carry out a research project. This research often results in publications in peer-reviewed journals and presentations at major medical meetings. Fellows are expected to publish at least one paper per year. Basic science research facilities and funding are also available for fellows to pursue projects in the radiology research laboratories.

The fellowship program is registered with the American Society of Neuroradiology, and is fully accredited by the Accreditation Council for Graduate Medical Education. Successful completion of the fellowship fulfills all of the requirements necessary for obtaining a Certificate of Added Qualification in Neuroradiology and membership in the American Society of Neuroradiology.

FELLOWSHIP STIPEND AND BENEFITS

The stipend for the first year of fellowship (R6) will be $76,128 for fiscal year 2021-2022. The stipend for the second-year fellows is variable and commensurate with the duties and responsibilities of this position. Trainees are covered by the medical and dental insurance programs. Professional malpractice insurance coverage is also provided. There are three weeks of paid vacation time allotted. In addition, meeting time and money for travel expenses may be provided for presentation of a research paper at a major medical meeting. Program trainees are provided an additional $2,600/year as an educational stipend.

ABR ALTERNATE PATHWAY

An alternate four-year pathway is available for international medical graduates. This pathway provides an opportunity to complete four years of radiology training and then become eligible to sit for the American Board of Radiology (ABR) board certification examinations. For more information about this opportunity click here.

The University of Washington provides equal opportunity and education without regard to race, creed, color, national origin, sex or handicap according to Title 6 of the Civil Rights Act of 1964, Title 9 of the Educational Amendments of 1972, and Section 504 of the Vocational Rehabilitation Act of 1973, Section 799A and 855 of the Public Service Act.