The Diagnostic Neuroradiology Fellowship runs over 12 months

The Fellowship comprises:

  • ~40 weeks of core fellowship
    • 5 MRI sessions
    • 2 CT CNS / H&N sessions
    • 1 academic session
    • 2 general sessions (CT / US / emergency)
  • 5 weeks annual leave
  • call / out-of-hours
    • night shift: 2 - 3 weeks per year, followed by equal number of ‘off roster weeks’ (which can be concatenated with annual leave)
    • weekend days: approximately 6 - 8 individual weekend days per year (8am - 7pm)
    • evenings: approximately 15 - 20 evening shift per year (1pm - 10:30pm) preceded by a morning off
  • weekly academic session
  • multiple weekly multidisciplinary clinical meetings

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

  • ~1200 MRI Studies (range is between 1000 to 1900)
  • 1000 CT
  • ultrasound / plain films etc... as per general sessions

MRI sessions

  • sessions: 5 per core week
  • reporting scans and reviewing them with rostered consultant according to sub-specialty
    • brain including: advanced analysis: fMRI, perfusion, spectroscopy
    • spine
    • head and neck
    • note: although not the focus of this fellowship there is scope to report some MSK studies, particularly when the MRI fellow is on leave / nights or otherwise unavailable.
    • note: The amount of body MRI performed is not sufficient to support more than one fellow. As such abdominal / body MRI may be reported only when both the body and MRI fellows are on leave / nights or otherwise unavailable.
  • protocolling studies
    • this should be performed first thing in the morning (8 - 8:30am) and immediately after lunch (2-2:30pm)
  • supervising the inpatient scanner
    • responsible for reviewing scans / protocols as necessary
    • responsible for managing emergency add-ons

CT (CNS / H&N component) sessions

Duties:

  • sessions: 2 per core week
  • reporting scans
  • help general general registrar protocolling studies and supervising the scanner as appropriate
  • during these sessions the studies that should be reported are:
    • brain
    • CTA COW / Perfusion
    • sinuses
    • head and neck
    • spine
  • any study with significant abnormality / of interest should be reviewed with neuroradiologist

Clinical 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.Although the following meetings are the 'routine' meetings attached to your fellowship, on occasion you will be required to take clinical meetings for other units, not necessarily related to your fellowship. This is mainly the case at the start of the academic year while the new first year registrars are finding their feet.

Neuro-oncology meeting

  • frequency: weekly (Mon 8:30)
  • consultant: PP / FG / (PMD) / (PJM) / (CG)
  • attendance: fortnightly (alternating with MRI fellow)
  • role when attending: preparing / running the meeting:

Combined neuroscience meeting

  • frequency: weekly (Mon 12:00)
  • consultant: PP / FG / (PMD) / (PJM - neurovascular component) / (CG)
  • attendance: weekly
  • role when attending: spectator; occasionally preparing / running meeting in the later in the year

Combined neuroradiology-neuropathology meeting

  • frequency: monthly (part of combined neuroscience meeting Mon 12:00)
  • consultant: FG
  • upload cases selected by pathologists to Radiopaedia.org RMH account (view past meetings here)

Neuropsychiatry meeting

  • frequency: monthly (2nd Thurs each month 11:00)
  • consultant: FG
  • attendance: at fellows discretion
  • role when attending: spectator

Head and neck cancer MDM

  • frequency: weekly (Wed 7:15)
  • consultant: PP
  • attendance: fortnightly (alternating with MRI fellow)
  • role when attending: preparing / running the meeting

Epilepsy meeting

  • frequency: weekly (Thurs 16:00)
  • consultant: EL / (CG)
  • attendance: monthly (if interested can upscale this to fortnightly at fellows discretion)
  • role when attending: preparing / running the meeting

Neurovascular film review meeting

  • frequency: weekly (Fri 8:00)
  • consultant: PJM / RJD
  • attendance: weeks at fellow’s discretion
  • role when attending: spectator

Stroke meeting

  • frequency: weekly (Tue 15:00)
  • attendance: rarely - only when no other registrars available to take it
  • 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 mandatory, 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 MRI service
  3. involvement in teaching registrars

Quarterly review

Each quarter 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, possible ways of improving the fellowship.

These will occur roughly in April, July, October, January.