Women's Imaging Fellowship (MSH-UHN-WCH)

Supervisor: Dr. Supriya Kulkarni

This one-year fellowship includes breast, obstetric and abdominal/gynecologic imaging. 80% of the fellowship is clinical and 20% is dedicated to research. 

Fellows rotate through 5 hospital sites:

  • Mount Sinai Hospital (MSH)
  • Princess Margaret Cancer Centre (PMCC)
  • Toronto General Hospital (TGH)
  • Toronto Western Hospital (TWH)
  • Women's College Hospital (WCH)

The Women's Imaging fellowship consists of:

  • 6 months breast imaging
  • 2 months obstetrical imaging
  • 4 months abdominal imaging (2 months body MRI, 2 months body CT/US).

Breast Imaging:

The fellowships are recognized and listed on the Society of Breast Imaging (North America). Our training program reflects the Breast Imaging Fellowship Curriculum published (2013) by the education committees of ACR and SBI.

Mammography & Ultrasound: The total number of screening/diagnostic mammograms performed across the three Breast Imaging Centers is over 200 per day. Each site performs an average of 15 – 20 diagnostic ultrasounds per day. All 3 of our centers are authorized center for provincial average risk and high risk screening program through the Ontario Breast Screening Program, Cancer Care Ontario.

Breast MRI and intervention: Approximately 60-80 Breast MRI are performed per week. Opportunities for interventional procedures include: stereotactic and ultrasound guided core biopsies (both 14G core and vacuum assisted), stereotactic and ultrasound guided pre-operative and diagnostic needle localizations, ultrasound guided diagnostic and therapeutic needle aspirations ,galactography, MRI guided vacuum assisted biopsy and localization procedures, as well as multimodality guided (stereotactic, US and MRI) marker/clip deployment. There are approximately 3-5 MRI guided interventions per week.

Abdominal Imaging:

There may be some flexibility in the obstetrical and abdominal imaging rotations, and there may be the opportunity to spend a week in the abdominal imaging biopsy centre and prostate centre, depending on the interest of the candidate and our ability to accommodate. 

Obstetric Imaging: The obstetrics rotation is spent in the MSH CEOU (Centre for Excellence in Obstetrical Ultrasound), which is a multidisciplinary centre where radiologists work closely with obstetricians and geneticists.  The obstetrical population includes routine first and second trimester obstetrical imaging (early pregnancy, nuchal translucency and anatomic studies) and a high-risk referral population.  Depending on the interest of the fellow there is the opportunity to become involved with fetal MRI.

Abdominal Imaging: The abdominal rotation offers comprehensive training using multimodality cross-sectional imaging including CT, US and MRI.  The combination of state-of-the-art equipment, large volume of patients and range of pathology, as well as the dedicated abdominal faculty makes this an outstanding learning opportunity. Exposure to transplant imaging, subspecialty oncology and complex pathology.During the year, there are many educational and multidisciplinary rounds in all areas.

On Call:

There are 6 months of abdominal call.  Call is divided amongst the fellows resulting in approximately 3 weeks of call per fellowship year.  Fellows always have staff backup. There is no call during the breast rotation.

Research:

20 % dedicated research time; fellows are expected to produce a minimum of one manuscript during the fellowship. Presentation of research work at international scientific conferences is financially supported and encouraged. There are numerous opportunities for fellows to develop or continue research within the Abdominal and Breast Imaging Division.  We offer on-site clinical research facilities with many dedicated research staff.  Additionally, interdisciplinary work is also encouraged with several projects performed in collaboration with the other divisions.

Holidays:

Two work weeks (10days) per 6 month block of your fellowship.  (Total 4 work weeks for 12 months)

Conference leave:

One week upon approval.

(Expense [$2000 CAD] paid if presenting an original paper that has not been presented elsewhere)

Fellows are granted one full day a week of protected academic time and are required to complete and submit an academic paper by the end of the fellowship.  There are many interesting research opportunities available, in breast, obstetrics and abdominal imaging.

Positions available:  3 per year