Diagnostic Radiology Residency Senior Electives

Aside from 4 weeks of nuclear medicine and 2 weeks of call, the entire fourth year is elective time so that residents may engage in mini-fellowships and extraclinical training.

Clinical Electives/Mini-Fellowships

Abdomen
  • Advanced Abdominal Imaging with Focus on MRI: Focus on MRI image acquisition techniques, MRI protocol optimization, and interpretation of abdominal and pelvic MRI
  • Advanced Abdominal Interventions: Includes dedicated time on the tumor ablation service, cross-sectional interventional radiology (CSIR), and in the Advanced Multimodality Image Guided Operating (AMIGO) suite
Breast
  • Focuses on all aspects of breast imaging and interventional procedures, including screening and diagnostic mammography, breast ultrasound, breast MRI, breast biopsies, and radioactive seed localizations
Cancer Imaging
  • Additional time at Dana Farber Cancer Institute (DFCI) with options to focus on general diagnostic cancer imaging, molecular imaging in PET/CT, and translational clinical cancer imaging
Cardiac/Vascular
  • Includes rotations in vascular CT/MR, cardiac CT, and cardiac MRI. Interested residents will also obtain training in nuclear cardiology
ER
  • Includes exposure to the full breadth and depth of Emergency and Trauma Radiology in a diverse patient population in varied environments. Residents play a crucial role in the diagnostic imaging of patients in the emergency room and serve as integral members of the care team to help guide immediate management decisions through interaction with Emergency Medicine, the trauma team, and consulting specialists in trauma surgery, neurology, orthopedics, cardiothoracic, vascular, and plastic surgery.
IR
  • Residents who have matched into DR but discover an interest in IR during training have two main options:
    • Independent IR Residency: Residents may apply and match into a two-year Independent IR residency to begin upon completion of the DR residency (5 year DR residency plus 2 years of IR residency)
    • Early Specialization in Interventional Radiology (ESIR) pathway: Qualified second-year DR residents may apply to the BWH ESIR pathway, which includes dedicated time in the fourth year to rotations in IR and IR-related rotations that will help satisfy the IR procedure requirements to become eligible to match into an advanced (2nd year) position in a one-year Independent-IR program to begin upon completion of the DR and ESIR training (4 years DR residency, 1 year ESIR, 1 year IR residency)

BWH also offers a separate Integrated Interventional Radiology Residency.

MSK
  • Advanced MSK Imaging and intervention: Includes rotations throughout all aspects of musculoskeletal imaging and intervention, including radiographs, CT/MRI, biopsy, and arthrograms. While on an interventional service, the resident will in most cases be the primary operator in each procedure, after basic competencies are met.
  • MR-focus extended rotation: Emphasizes advanced training in interpretation of musculoskeletal MRI, including sports, arthritis, trauma, and tumor imaging. Included in the extended rotation will be dedicated time to shadow an MR technologist, observe image acquisition, and understand the rationale for MR protocol selection. There will also be opportunity to perform and interpret MR arthrograms of common exams including hip and shoulder. If the MR-focus extended rotation resident desires, there will always be an optional opportunity to read musculoskeletal radiographs as well.
Neuro
  • This elective aims to provide concentrated neuroradiology exposure to enhance further future training in ACGME accredited neuroradiology fellowships. Residents will spend time interpreting, protocoling, and consulting on all types of imaging cases, and will also assist on LP and myelo service.
  • Off-site rotations such as Massachusetts Eye & Ear and Boston Children’s Hospital can be arranged separately with the institution and can be tailored to individual interest
  • Advanced procedures such as cryo-ablation, biopsies, and spine injections can be arranged with the subspecialized procedure staff depending on individual interest and time commitment
Nuclear Medicine
  • This elective is designed to provide advanced experience in general nuclear medicine and PET/CT imaging through protocoling and performance of nuclear medicine studies including ensuring quality control, consultation with referring physicians, and participation in intra- and interdepartmental patient care and educational conferences.
  • For more information on the dual DR/NM pathway.
Pediatrics
  • Electives can be done at Boston Children’s Hospital, with rotations including: fluoroscopy, ultrasound, chest/cardiovascular imaging, abdominal/oncologic imaging, musculoskeletal imaging, fetal/neonatal imaging, nuclear medicine/PET, neuroradiology, and interventional radiology
Thoracic
  • This elective provides experience in all aspects of thoracic radiology including interpretation of CXR, thoracic CT and MRI, and interventional experience in lung, mediastinal, pleural, and chest wall biopsy.
  • Three tracks include: Diagnostic Thoracic Imaging, Thoracic Intervention, and Thoracic Imaging and Intervention
Ultrasound
  • This elective offers a rich opportunity to continue to develop hands-on scanning expertise in all areas of ultrasound and to improve diagnostic ability and procedure guidance
  • Rotations can be taken in a combination of weeks in radiology on L1, high risk OB, and the vascular lab. Assignments will be based on individual interests

Extraclinical Electives

Business and Management Leadership Track
  • This election is intended to provide the resident with formal leadership development training. Largely resident-driven, possible opportunities for leadership development include the ACR Radiology Leadership Institute annual Leadership Summit, courses through Harvard Medical School, and Harvard Macy Institute professional development courses.
  • The elective will culminate in a leadership final project
Center for Evidence Based Imaging (CEBI) Informatics Track
  • The evidence-based informatics fellowship is integrated with the ACGME - accredited clinical radiological fellowship at the BWH. The fellow is expected to complete at least one year of clinical fellowship in a subspecialty of radiology during the course of their training, and another year of fellowship at CEBI, with specific focus on evidence-based imaging and imaging informatics. The CEBI year can be integrated into the fourth year of radiology residency.
  • For more details, please see https://www.brighamandwomens.org/radiology/research/cebi/education-and-training-healthcare-biomedical-informatics
Center for Clinical Data Science
  • Fourth year residents have the opportunity to work at the MGH & BWH Center for Clinical Data Science (CCDS), where they can collaborate with machine learning scientists, data engineers, and software engineers to explore the use of artificial intelligence in clinical radiology.
  • For more information, see https://www.ccds.io/
Clinician-Educator Track
  • This elective is geared towards residents with a passion for medical education that seek formal training and experience in the field. The elective is built upon 7 major themes: 1) learning theory, 2) hands-on teaching, 3) curriculum design, 4) evaluation & feedback, 5) mentorship 6) educational leadership and 7) research. Each section has a set of learning objectives and assignments. The elective is intended to comprise 12 weeks, though can be shortened based on timing and the particular interests of the resident. Throughout the elective, the trainee will generate a teaching portfolio to build upon throughout his or her career.
Global Health Track
  • Fourth year residents have the opportunity to participate in radiology work abroad. For more information, see our Humanitarian Efforts page.

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