Abdominal Imaging & Interventions Fellowship
About the Abdominal Imaging Fellowship
The Abdominal Imaging and Interventions Radiology Fellowship at Beth Israel Deaconess Medical Center is a Harvard Medical School-affiliated, one-year ACGME-accredited program consisting of six fellows. This fellowship provides an in-depth abdominal imaging experience utilizing state-of-the-art imaging modalities. Our department prides itself on being supportive of its fellows and places a strong emphasis on the quality of teaching on a person-to-person basis.
We create a rich learning environment in which our fellows actively participate in the management of complex disease processes through multidisciplinary conference presentations, gain a wealth of abdominal interventional training in all cross-sectional modalities, and have innumerable opportunities to teach Harvard Medical School (HMS) students and residents. Academic opportunities include participation in existing and new research projects, with research mentors assigned to all fellows to assist them in navigating a research project from IRB application to manuscript publication.
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August 1, 2022: Programs may begin accepting applications
*November 7, 2022: Virtual interviews may begin
March 31, 2023: Virtual interviews completed
Grace Period: Applicants have until November 14 to accept or decline any offer made before November 14. For any offer made after November 14 the candidate has a 1 day grace period to accept or decline the offer.
*Acceptance Embargo Date:No fellowship may offer acceptances before this date except internal candidates, military candidates, spouses/domestic partners who are applying for any medical fellowship in the same year, and international candidates (non-ACGME or non-RCPS program applicants).
Applicants must have completed a radiology residency program accredited by the ACGME or Royal College of Physicians and Surgeons of Canada by the time they start their fellowship at BIDMC. Applicants must be certified or qualified for certification by the American Board of Radiology and have obtained a Massachusetts medical license by the beginning of the fellowship.
Your application must include your:
- Application form
- Curriculum vitae
- Personal statement
- Letter of recommendation from your program director or current director
- Two additional letters of recommendation
- USMLE scores, steps 1-3/LMCC scores
- Medical school transcript and Dean's Letter
To apply, email the Radiology Education Office (RADfellowship@bidmc.harvard.edu) with all of the requested application materials listed above. For additional questions about the program, please email Dr. Jesse Wei. If you don't receive confirmation of receipt of your application within 3 business days, contact us at 617-667-3524.
In this video, Anuradha (Anu) S. Shenoy-Bhangle, MD, BIDMC Abdominal Imaging and Interventions Fellowship Program Director, virtually introduces several colleagues and spaces across East and West Campus in Boston.
In this video, BIDMC fellows share their insights and experiences from our world-class, Harvard-affiliated Abdominal Imaging and Interventions fellowship program.
In this video, Anuradha (Anu) S. Shenoy-Bhangle, MD, BIDMC Abdominal Imaging and Interventions Fellowship Program Director, shares the mission of this Harvard-affiliated division with prospective fellows.
On behalf of the Beth Israel Deaconess Medical Center (BIDMC) Abdominal Imaging and Interventions Fellowship team, led by Fellowship Director Jesse Wei, MD, we thank you for your interest in our program. The Abdominal Imaging and Interventions Fellowship is a one-year, ACGME-accredited program with six fellows.
With a central role in clinical service, teaching, and research, the BIDMC Department of Radiology performs more than 450,000 radiologic examinations each year. The department provides Radiography, CT, Ultrasound, MRI, Nuclear Medicine, Angiography, and Interventional Radiology services to both the medical center as well as our affiliated health care facilities.
There are over 65 full-time clinical diagnostic radiologists, 20 additional research faculty members, and 30 clinical and post-doctoral research fellows in the department. All residents, fellows, and faculty have appointments at the Harvard Medical School. Our Abdominal Imaging and Interventions Fellows rotate through various imaging modalities and body intervention, with progressive independence as they gain experience over the year. During their training, fellows successfully take independent home calls, actively teach medical students and peers, complete quality improvement projects, participate in multidisciplinary conferences and tumor boards, and pursue research and other scholarly activities. Fellows also are provided the opportunity to develop skills in medical education, health policy, research, and quality improvement.
Graduates of this program are expected to be:
- Clinically exceptional radiologists with solid diagnostic and interventional skills.
- Compassionate and empathetic professionals with strong interpersonal skills and an ability to excel as members of health care teams.
- Valuable contributors to patient care through a broad understanding of the complexities of the U.S. health care system and mastery of essential non-interpretive skills.
Our Clinical Service
In 2019, the Abdominal section interpreted more than 30,000 CTs, 13,000 MRIs, and 50,000 Ultrasounds and performed more than 1,000 CT-guided procedures, 2,800 ultrasound-guided procedures, and 250 MRI-guided prostate biopsies. We use Change Healthcare (McKesson) PACS department-wide with the Conserus Workflow Intelligence solution and Fluency for Imaging dictation system.
Our Facilities at BIDMC
- 11 helical multidetector CT systems, 3 CT scanners with CT fluoroscopy capabilities
- 10- Clinical MRI magnets (8- 1.5T, two 3T) and one 3.0 T translational research magnet.
- 1 PET/CT, 1 SPECT/CT
- 3 full angiography suits for interventional angiography and 2 fluoroscopy suits used for minor procedures
- 1 biplane angiography suite dedicated to diagnostic and interventional neuroangiography and spinal procedures.
- State-of-the-art 3D laboratory with dedicated workstations: GE AW, Vitrea, and TeraRecon.
- 1 experimental small-bore 9.4T MRI magnet for small-animal imaging
A multidisciplinary approach to abdominal fellowship training is emphasized through interaction with other clinical teams at multidisciplinary conferences.
The Abdominal section works closely with several divisions and centers including the following:
BIDMC Cancer Center: which includes the Colon and Rectal Cancer Program, Gastrointestinal Cancer Program, Genitourinary Cancer Program, Gynecologic Cancer Program, Kidney Tumor Program, Liver Tumor Program, Pancreatic Cancer Program, Prostate Cancer Center, and Thyroid/Endocrine Cancer Program.
Gastroenterology, Hepatology, and Nutrition: providing patient care through their Celiac Center; Center for Advanced Endoscopy; Inflammatory Bowel disease Center; Irritable Bowel Syndrome and motility Center; The Liver Center; The Pancreas Center.
General Surgery: The Division of General Surgery treats a wide range of conditions with specialized services including advanced laparoscopic and robotic-assisted surgery, endocrine surgery, and weight loss surgery.
Colon and Rectal Surgery: Colon and rectal surgery experts provide the most advanced treatments for colon, rectal or anal cancer, Crohn's Disease or ulcerative colitis, diverticulitis, hemorrhoids, fistulas, and/or fecal incontinence.
Acute Care Surgery, Trauma, and Surgical Critical Care: BIDMC is a Level-1 Trauma Center that provides exceptional, state-of-the-art, multidisciplinary care for adults who require emergency surgery because of an accident (except burns) or a sudden illness
BIDMC Transplant Institute: Experts from transplant surgery; hepatology; nephrology; immunology; infectious disease; interventional radiology; pathology; psychology; pharmacy; nutrition; social work, and transplant nurse coordinators make up this incredibly dedicated team performing pancreas; kidney, and liver transplants.
Urologic Surgery: A range of conditions including prostate disease, urologic cancers, incontinence, kidney stones, women's urology conditions, infertility, impotence are treated. Treatment options include minimally invasive and robotic-assisted therapies.
Nephrology: The nephrology faculty and fellows work with patients and their families to manage chronic kidney disease, developmental and genetic abnormalities, hemodialysis, hypertension, and peritoneal dialysis. They provide compassionate care to patients with end-stage kidney disease. They also work closely with BIDMC's Transplant Institute to manage pre- and post-kidney transplant care and with the Joslin Diabetes Center to treat kidney-related diabetes complications
Urogynecology: A vast range of conditions including pelvic organ prolapse, urinary incontinence, fecal incontinence, genitourinary fistulae, vaginal atrophy, female sexual dysfunction among others are treated by experts from the field.
Obstetrics and Gynecology: includes management of routine pregnancy and high-risk obstetrics, gynecologic oncology as well as is a center for intimate health and wellness.
Endocrinology: The Division of Endocrinology, Diabetes, and Metabolism provides expertise in a wide range of endocrine disorders, including pituitary, thyroid, and adrenal diseases, obesity, and diabetes. We collaborate closely with the Joslin Diabetes Center.
Cardiovascular Institute: brings together specialists in Cardiovascular Medicine, Cardiac Surgery, and Vascular and Endovascular Surgery to provide you with care for all heart and vascular conditions.
Radiation Oncology: experts from the field treat different types of leukemia, carcinoma, Hodgkin's disease, sarcoma, and cancers of the breast, lung, liver, stomach, throat, etc.
Plastic and Reconstructive Surgery: offers a full spectrum of services, including reconstructive surgery for trauma or cancer patients, breast reconstruction, microsurgery, hand surgery, upper and lower extremity reconstruction, and aesthetic (cosmetic) surgery.
Pathology: involved with the diagnosis of cancer and other major medical conditions through the gross and microscopic examination of tissue samples obtained from surgical procedures and endoscopy (Anatomic Pathology).
Radiology staff and trainees work closely with all the above-described departments.
The mission of our Abdominal Imaging and Interventions Fellowship at BIDMC is to train the next generation of leaders in Abdominal Radiology. Our program is based on the following four cornerstones:
- Clinical Excellence:
We pride ourselves on providing comprehensive world-class patient care. Fellows will develop the clinical knowledge to care for patients through protocoling and interpretation of a variety of CT, MRI, US, and fluoroscopic studies. They will also serve as primary consultants for both inpatient and outpatient services, including participation in the development of treatment plans in multi-disciplinary conferences.
- Procedural Excellence:
Fellows will develop the skills to independently perform a full spectrum of advanced interventional cross-sectional procedures in our state-of-the-art facilities.
- Academic Excellence:
Fellows pursue clinical or translational research with our faculty and participate in the education of our residents and medical students.
- Quality Improvement:
In support of a major mission of our department and our specialty, fellows will be actively engaged in continuous practice performance improvement initiatives.
We are committed to achieving these comprehensive goals by daily, supervised interpretation of abdominal imaging and performance of cross-sectional, image-guided procedures. Daily reviews of interesting cases, weekly didactic sessions, monthly QA conferences, a quarterly journal club, and elective time in related fields broaden the educational experience for the trainee.
Rotations in Abdominal Imaging and Interventions
Diagnostic CT and Fluoroscopy
The Diagnostic CT rotation is a high-volume service shared with residents. The fellow reads a wide range of Oncology CTs; all types of vascular CT angiograms (except neuro); CT Colonography; CT Enterography; CT studies with protocols catered to specific indications such as Multiphase Liver CT; CTA Pancreas, and many others. We have more than 50 CT protocols to choose from, depending upon the clinical indication. Fellows may be consulted by residents for CT protocol guidance. Fellows also participate in interesting CT case rounds and are the first-line consultants for walk-in clinical teams seeking clarification on CT reads. The same reading room is shared with residents performing fluoroscopy, which gives the fellows an opportunity to mentor residents or be the primary operator for fluoroscopic studies.
Body MRI is a high-volume service with a separate fellowship and shared resident rotation. The Abdominal Imaging and Interventions fellows are partnered with our Body MRI fellows, reading a wide variety of chest, abdomen, and pelvic studies encompassing more than 75 different protocols. Trainees receive high exposure to hepatobiliary, pancreatic, enterography, prostate, rectal, perianal fistula, genitourinary, pelvic floor, and vascular imaging. Fellows are also exposed to more specialized techniques such as secretin MRCP and lymphedema staging. Interested fellows can learn to perform in-bore, MRI-guided prostate biopsies, which are performed by our MRI faculty. The rotation includes weekly MRI follow-up case conferences and daily interesting case rounds. Fellows also receive a dedicated 6-8-week MRI physics didactic lecture series taught by the faculty of the Division of MRI Research.
CT and US Interventions
The fellows are trained in a holistic approach to interventions, which includes complete pre-procedure evaluation and consultation with referring clinicians, technical training in complicated approaches and maneuvers, post-procedure follow-up and recommendations, and the management of complications. By the end of their training, fellows are expected to be comfortable performing the following procedures independently:
- US-guided non-targeted liver biopsies
- US- or CT-guided targeted liver biopsy
- US-guided lymph node biopsies: inguinal, axillary, cervical
- CT-guided lymph node biopsies: retroperitoneal, mesenteric, pelvic
- CT-guided lung biopsies
- CT-guided vertebral body or intervertebral disc biopsy
- CT- or US-guided drain placement, including percutaneous cholecystostomy tubes and chest tubes
Fellows also have the option of performing CT- and US-guided ablation therapies in partnership with the Vascular and Interventional Radiology group.
Diagnostic US and US Interventions
This is a combined diagnostic and procedural rotation with a high volume and variety of cases. While residents and an ultrasonography practitioner share the diagnostic work, fellows are the primary operators for procedures except for paracentesis and thoracentesis that the residents on service perform. As described above, fellows will develop expertise in performing a variety of US-guided procedures including biopsies and drainages. They will also learn to navigate all the details of learning how to triage patients for procedures, decide which procedures to perform, and handle post-procedure patient care. The morning half of this rotation is typically spent performing procedures while the afternoon is typically spent reading diagnostic studies. The breadth and depth of diagnostic studies span all types of abdominal ultrasounds, including transplant liver and kidney Doppler studies, as well as soft tissue and small parts ultrasound and non-OB/GYN ultrasounds. Fellows develop obstetric ultrasound expertise on a separate, dedicated US rotation.
Multi-Disciplinary Conference Rotation
The conference rotation is protected time away from clinical rotations reserved for preparation and participation in all the multidisciplinary conferences (MDC) described below. The fellows review cases for MDC with the specific specialist attending in charge of these MDCs and present at most of the conferences. Downtime is available during this week, which is protected for research. This is a unique rotation because:
- we are one of the few fellowships in the nation that offer it.
- it enriches education due to a concentrated volume of positive and high-yield cases.
- it provides the opportunity for interaction with multiple teams taking care of patients.
- It encourages fellows to participate and learn patient management, particularly the care of complex oncology patients, as well as develop confidence in presenting complex cases to experts in the field.
Each fellow has 5 weeks of elective time distributed throughout the fellowship year. Fellows can choose from Research; additional weeks of Body MRI; additional weeks of cross-sectional procedures; Chest and Cardiothoracic Imaging; Neuroradiology; Mammography; and Vascular and Interventional Radiology.
Routine Conferences / Lectures
- Thursday Noon Conference: Held weekly. A mix of didactics; interesting case presentations; journal club; quality improvement; fellow peer-learning presentations.
- MR Physics Lecture Series: Wednesday evenings, held throughout the fall and winter.
- Wednesday evening Fellow Lecture Series: Wednesday evenings, held throughout the spring to the end of the academic year.
- Multidisciplinary Conferences (MDC):
- Pancreaticobiliary: Monday and Friday
- GI Tumor Board: Wednesday
- Gynecology Oncology Tumor Board: Wednesday
- GU Tumor Board: Thursday
- Liver Tumor: Thursday and Friday
- Pelvic Floor: Quarterly
- Lymphatic Surgery: Thursday
- Med-Surg Rounds: Thursday
- Surgical M & M: Four times a year
- Coming soon: Prostate MDC
- 4-5 weekends (5 pm Friday to 8 am Monday) covering inpatient diagnostic CT and MR (except neuro), and CT/US-guided procedures (e.g., drainages, percutaneous cholecystostomy, urgent biopsies). No angiography responsibilities. Fellows must be in house 8 am-6 pm Saturday and Sunday and otherwise can cover the pager from home but be available to come in for urgent procedures.
- Approximately 20 weekday evening 5 pm-11 pm shifts covering inpatient diagnostic CT and MR (except neuro). No procedures.
- Approximately 25 weekday overnight shifts (5 pm-8 am next day) covering urgent after-hour CT/US-guided procedures (no angiography). Fellow covers pager from home but must be available to come in for urgent procedures (very infrequent). The fellow also serves as back-up to an overnight resident if they have questions or need assistance (also very infrequent).
- Fellow works at most one holiday (same as weekend call, in-house 8 am-6 pm, otherwise able to cover pager from home except for urgent procedures).
Our Abdominal Imaging and Interventions faculty are dedicated to training the next generation of radiologists through our comprehensive fellowship program.
After fellowship, our alumni have accepted a broad range of clinical and academic positions at BIDMC and other medical centers and private practices, including:
- Baltimore Washington Medical Center, Glen Burnie, Maryland
- Beth Israel Deaconess Medical Center, Boston, Massachusetts
- Beth Israel Deaconess Hospital–Plymouth, Plymouth, Massachusetts
- Boston Medical Center, Boston, Massachusetts
- Commonwealth Radiology Associates, Massachusetts
- David Grant Medical Center, Travis Airforce Base, California
- Eastern Maine Medical Center, Bangor, Maine
- Emory University Medical Center, Atlanta, Georgia
- Foothills Medical Center, Albert Canada
- Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada
- Henry Ford Hospital, Detroit, Michigan
- King Abdulla Medical City, Makkah, Saudi Arabia
- Lahey Clinic, Burlington, Massachusetts
- Lancaster Radiology Associates, Lancaster, Pennsylvania
- McGill University Health Centre, Montreal, Canada
- Penn State Hershey Medical Center, Hershey, Pennsylvania
- Private Practice, Tucson, Arizona
- Saint Mary’s Hospital, Montreal, Quebec, Canada
- Scarborough Health Network, Toronto, Ontario, Canada
- Sligo General Hospital, Sligo, Ireland
- South Shore Hospital, Weymouth, Massachusetts
- Spectrum Healthcare Partners, Portland, Maine
- Stanford University, Stanford, California
- Tel Aviv Sourasky Medical Center, Israel
- Temple University, Philadelphia, Pennsylvania
- Vincent’s University Hospital, Dublin, Ireland
- UC Davis Medical Center, Sacramento, California
- Upstate Carolina Radiology, PA, Greenville, South Carolina
- XRA Medical Imaging Centers of Rhode Island, Cranston, Rhode Island
- Yale University Medical Center, New Haven, Connecticut
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