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Training Programs at the Division of Nuclear Medicine,
Mallinckrodt Institute of Radiology

Three training programs are available:

Residency program in nuclear medicine.

This program is intended to lead to board certification in nuclear medicine by the American Board of Nuclear Medicine. The duration of training ranges from one to three years depending on the prior graduate medical education of the trainee.

Visiting fellowship program in nuclear medicine.

This course is intended to offer the practicing radiologist an opportunity to observe and discuss procedures in nuclear medicine, and typically lasts one week.

Visiting fellowship program in PET.

This course is intended to offer the practicing radiologist an opportunity to observe and discuss procedures in positron emission tomography, and typically lasts one week.


This page last updated 7-10-09.

 

 

 

 

 

Residency Program in Nuclear Medicine/Nuclear Radiology

Training Program Director: Henry Royal, M.D.

The Division of Nuclear Medicine has an active nuclear medicine training program approved by the Accreditation Council for Graduate Medical Education (ACGME).  Three to five trainees per year are accepted for a one-, two-, or three-year program depending on prior experience of the trainee. The training is aimed to prepare the residents for certification in Nuclear Medicine by the American Board of Nuclear Medicine (ABNM).  A diagnostic radiologist (who is American Board of Radiology certified or board eligible) will be able to sit for the ABNM examination after completion of one year of nuclear medicine training.  Individuals who have completed training in another specialty or who have completed radiology or nuclear medicine training in another country typically will be eligible for ABNM examination after two years of nuclear medicine training. Those without prior radiology experience will spend three years following a clinical internship completed before beginning nuclear medicine training.

The Division has a large, well-staffed clinical service, and the trainees have extensive clinical and didactic training, as well as opportunities for study and research. The primary research activities of the Division of Nuclear Medicine center around PET, particularly cardiac, oncologic and neurological applications. This research is funded by several grants and, in addition, there is active collaboration with scientists in other Divisions of the Mallinckrodt Institute of Radiology and from many of the other departments in the Medical Center.

Currently, most applicants for this nuclear medicine residency are residents in a radiology training program, or have prior radiology training.

We interview most candidates for residency positions approximately 12 - 18 months before the start of residency training.

Persons interested in applying for this program should contact Jennifer Coleman at (314) 362-2809 or by e-mail to obtain an application.

E - m a i l :       colemanj
(cont.)             @mir.wustl.edu



 


 


 

 

Visiting Fellowship Program in Nuclear Medicine

Mallinckrodt Institute of Radiology
Washington University School of Medicine
Saint Louis, Missouri 63110

Offered in conjunction with
The Office of Continuing Medical Education
Washington University School of Medicine

Our general Nuclear Medicine course provides the Visiting Fellow with the opportunity to become familiar with the technical and clinical aspects of the most commonly performed cardiovascular nuclear medicine studies (gated myocardial perfusion SPECT and cardiac blood pool imaging), as well as a wide range of conventional nuclear medicine procedures.  Although the course is very flexible and can be tailored to meet the needs of each Fellow, our experience suggests that those who have benefited most have had a good foundation in the basic principles of nuclear medicine (such as might be obtained by prior attendance at a didactic course or by reading one of several available textbooks). 

A separate visiting Fellowship with a specific emphasis in positron emission tomography is available (see below).

This fellowship involves the following activities:

·         Attend the daily image interpretation sessions in the Division of Nuclear Medicine (general and/or cardiac).

·         Observe technique of all routine studies.

·         Opportunity for daily discussions with nuclear medicine staff.

·         Review film and computerized teaching files.

·         If desired, attend daily 8:30–9:30 a.m. Nuclear Medicine Division teaching conferences (held on the ninth floor of the Barnes-Jewish Hospital West Pavilion) and 12:00–1:00 p.m. Radiology Department teaching conferences (held in Scarpellino Auditorium on the first floor of the MIR building). A schedule of these conferences to be held during the visit will be provided at the beginning of each fellowship.

·         Access to the Division of Nuclear Medicine library.  Textbooks and journals may be signed out by the Fellow during his or her visit.

All activities are conducted in the Division of Nuclear Medicine on the second floor of the Center for Advanced Medicine (Barnes-Jewish Hospital North Campus) or on the Ninth Floor of the Barnes-Jewish Hospital West Pavilion (South Campus). 

Additional information, including cost and contact information, is listed below.

 

 

Visiting Fellowship Program in PET

Mallinckrodt Institute of Radiology
Washington University School of Medicine
Saint Louis, Missouri 63110

Offered in conjunction with
The Office of Continuing Medical Education
Washington University School of Medicine

This course is intended to offer the practicing radiologist or nuclear medicine physician an opportunity to observe and discuss procedures in Positron Emission Tomography. Staff members in Nuclear Medicine are committed to devoting time to the Visiting Fellow for his or her instruction.

Our PET course provides the Visiting Fellow with the opportunity to become familiar with the technical and clinical aspects of clinical PET and PET/CT.  Although the course is very flexible and can be tailored to meet the needs of each participant, our experience suggests that those who have benefited most have had a good foundation in the basic principles of PET (such as might be obtained by prior attendance at a didactic course or by reading one of several available textbooks). 

The Clinical PET Facility of the Mallinckrodt Institute of Radiology (MIR) has a busy clinical schedule (averaging 15 cases per day).  Most studies are performed on a Siemens Biograph LSO-Dual PET/CT scanner located on the second floor of the Center for Advanced Medicine (Barnes-Jewish Hospital North Campus).  A second Siemens Biograph LSO-40 PET/CT scanner will be installed in late 2007. The facility also has a Siemens Biograph LSO-40 PET/CT scanner and a Siemens/CTI ECAT HR+ scanner, which are used for clinical research studies.  The vast majority of clinical studies involve oncologic imaging performed with F-18 fluorodeoxyglucose (FDG).  However, many radiopharmaceuticals other than FDG (such as C-11 acetate and Cu-60 ATSM) also are used for oncologic research studies.  Approximately 10% of studies are FDG studies of the brain.  Myocardial viability assessment with C-11 acetate is performed occasionally.  Both PET facilities are staffed each day by one attending nuclear medicine physician, a nuclear medicine resident and 1-2  radiology residents, as well as several technologists with dedicated PET expertise, so there is ample opportunity for the Visiting Fellow to have his or her questions answered.

 This fellowship involves the following activities:

·         Attend the daily PET image interpretation sessions (usually beginning in the late morning and continuing throughout the afternoon).

·         Review didactic lectures on PET, available on CD or as PowerPoint files with audio tracks, on computers close to the PET reading room. A large number of these lectures, covering all aspects of PET, are available for use by the Visiting Fellow.

·         Review PET teaching file cases either in digital format (at http://gamma.wustl.edu) or as hard copy films. Additionally, interesting PET and PET/CT cases in digital format are available for review on computers.

·         Observe PET technologists performing patient preparation, positioning, scanning, and reconstruction of the PET images.

·         Review the Division’s PET Procedure Manual and various forms used to schedule patients and to address appropriateness and billing issues.

·         A tour of the Cyclotron Facility can be arranged for those visiting fellows.

·         If desired, attend daily 8:30–9:30 a.m. Nuclear Medicine Division teaching conferences (held on the ninth floor of the Barnes-Jewish Hospital West Pavilion) and 12:00–1:00 p.m. Radiology Department teaching conferences (held in Scarpellino Auditorium on the first floor of the MIR building). A schedule of these conferences to be held during the visit will be provided at the beginning of each fellowship.

The following books are recommended for review, either before or during the Visiting Fellowship.  These books can be borrowed from the Division of Nuclear Medicine library.  Copies of these and other books are available at the PET facility or in the main Division office on the ninth floor of the Barnes-Jewish Hospital West Pavilion.

  1. Bailey DL, Townsend DW, Valk PE, Maisey MN. Positron Emission Tomography. Basic Sciences. Springer; 2005.
  2. Barrington SF, Maisey MN, Wahl RL. Atlas of Clinical Positron Emission Tomograpy. Hodder Arnold; 2006.
  3. Kipper MS, Tartar M. Clinical Atlas of PET with Imaging Correlation. Saunders; 2002.
  4. von Schultess GK. Molecular Anatomic Imaging, 2nd ed. Lippincott, Williams & Wilkins; 2007.
  5. Valk PE, Delbeke D, Bailey DL, Townsend DW,   Maisey MN, eds. Positron Emission Tomography. Clinical Practice.  Springer; 2006.

 

 

Cost

The participation fee is $325.00 per day or $1,450.00 per five days extending Monday through Friday.  In general, only one Visiting Fellow per week can be accommodated in each course. These courses are intended to add to prior knowledge and not meant to create an “expert” in a short time.  Legal insurance restrictions prevent us from allowing direct participation of Visiting Fellows in procedures.

Accreditation

Washington University is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians.

Washington University designates this educational activity for a maximum of 8 hours per day of Category 1 credit toward the AMA Physicians’ Recognition Award.  Physicians should claim only those hours of credit that they actually spent in the educational activity.

Disclosure Policy

It is the policy of Washington University School of Medicine, Office of Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational programs.  All faculty participating in these programs are expected to disclose to the program audiences any real or apparent conflicts of interest related to the content of their presentations.

HIPAA Compliance

Because the Visiting Fellow will have access to protected health information of our patients, Washington University School of Medicine requires that we obtain documented confirmation that the Visiting Fellow has received HIPAA education.  This is necessary in order to comply with the federal Health Insurance Portability and Accountability Act of 1996. This documentation can be supplied at the time the application for the Visiting Fellowship is submitted or at the beginning of the course.  If the Visiting Fellow has never had HIPAA education, or cannot provide documentation of such education, we will request a unique ID# and password from the University Compliance Office that will allow the Visiting Fellow to access the Washington University web-based training. The education modules can then be completed on the web prior to arriving for the Fellowship program. 

Housing

Overnight accommodations arrangements must be made by the participant. A list of nearby hotels is included with the application form.

Application information

Should you care to participate, please contact Jennifer coleman at (314) 362-2809 or by e-mail to obtain an application.

Jennifer Coleman
Division of Nuclear Medicine
Mallinckrodt Institute of Radiology
510 S. Kingshighway Blvd.
St. Louis, MO  63110

E - m a i l :       colemanj
(cont.)             @mir.wustl.edu