The Abdominal Fellowship runs over 12 months

The Fellowship comprises:

  • ~40 weeks of core fellowship
  • 5 weeks annual leave
  • 2 - 3 weeks of night shift, followed by equal number of ‘off roster weeks’ (which can be combined with annual leave)
  • additional call requirements include:
    • approximately 6 - 8 individual weekend days per year (8am - 7pm)
    • approximately 15 - 20 evening shift per year (1pm - 10:30pm) preceded by a morning off
  • weekly academic session
  • multiple weekly multidisciplinary clinical meetings

Stats

  • Core weeks comprise:
    • 1 academic session (see above)
    • 1 session off roster Monday mornings preparing and taking clinical-radiological meetings (see below)
    • 2 MRI sessions
    • at least 2 (up to 4) CT sessions
    • at least 2 US (up to 4) sessions
    • dedicated hepatobiliary interventional sessions if interested

During the year you can expect / will be expected to report and perform:

  • full range of US examinations (including contrast enhanced US, US guided interventional procedures)
  • full range of CT examinations (including CT colonography and CT Inferior epigastric artery perforator maps, CT guided interventional procedures)
  • full range of abdominal MRI examinations (excluding gynaecological MRI exams; strong focus on liver/biliary, MR enterography and rectal cancer staging)

CT sessions

  • sessions: at least 2 per core week
  • reporting inpatient scans as a priority; focus on urgent outpatient scans after this and then select studies of choice after this
    • any study with significant abnormality / of interest should be reviewed with abdominal imaging radiologist
  • protocolling studies
    • this should be performed first thing in the morning (8 - 8:30am) and immediately after lunch (2-2:30pm)
  • supervising the scanner
    • responsible for reviewing scans / protocols as necessary
    • responsible for managing emergency add-ons

MRI sessions

  • sessions: at least 2 per core week
  • reporting scans and reviewing the abdominal MRI studies is the focus of these sessions unless you are the only rostered registrar (ie. not supernumerary)
    • all studies are reviewed with the abdominal imaging radiologists
  • protocolling studies
    • this should be performed first thing in the morning (8 - 8:30am) and immediately after lunch (2-2:30pm) in conjunction with rostered consultant; all body MRI protocols should be made in conjunction with A/Prof damien Stella or Dr Beng Lim
  • supervising the scanner
    • responsible for reviewing scans / protocols as necessary
    • responsible for managing emergency add-ons

US sessions

  • sessions: at least 2 per core week
  • report scans reviewed with sonographer (all cases are given the opportunity to review personally before patient departs unless straightforward vascular case)
  • supervising the US section
    • responsible for reviewing scans as necessary
    • responsible for managing emergency add-ons

Clinical meetings

Hepatobiliary MDM

  • frequency: weekly (Mon 8:00)
  • consultant: RNG/BGL/DLS
  • role when attending: preparing / running the meeting:

Gastroenterology Clinico-radiological Session

  • frequency: weekly (Mon 11:00)
  • consultant:DLS/BGL/RNG
  • role when attending: preparing / running the meeting:

Colorectal Cancer MDM

  • frequency: weekly (Mon 13:00)
  • consultant: DLS/BGL/RNG
  • role when attending: preparing / running the meeting:

Hepatoma MDM

  • frequency: biweekly (Tue 12:00)
  • consultant: RNG/BGL/DLS
  • role when attending: preparing / running the meeting:

Nephrology Surgery Clinico-radiological Session

  • frequency: weekly (Tue 16:00)
  • role when attending: preparing / running the meeting:

Academic session

Each week an academic session is included in the roster. This is not an ‘afternoon off’ but rather a time to prepare meetings / conduct research / reading etc... Presence on campus is not mandated, provided a similar amount of time a week is being spent on activities out of hours. Expectations:

  1. complete at least one study which could be presented at a national or international meeting and ideally lead to a publication
  2. involvement in projects / activities within the department targeted at improving the Abdominal Imaging service
  3. involvement in teaching registrars

Meetings

Meetings form a cornerstone of the fellowship year. They give you access not only to a distilled sub-population of abnormal and clinically demanding cases, but also grant you an insight into the place imaging occupies in modern multidisciplinary management of these patients. Additionally presenting these meetings develops your skills in discussing imaging findings with a group of senior clinicians. These are slightly different according to which fellowship you are doing.
Tri annually review

At the beginning of the year, mid year and at the end of the fellowship an informal meeting with the fellowship director (or equivalent) will occur giving each fellow the opportunity to receive and give feedback on fellowship so far, including how well reciprocal expectations are being met, workload / productivity/rostering and possible ways of improving the fellowship.

These will occur roughly in February, July and January.