Pediatric Radiology Fellowship

Clinical Services  Teaching   Other Fellowship Information

 The Pediatric Radiology section is housed in the McGovern-Davidson Children’s Health Center . Over 65,000 diagnostic examinations are performed on pediatric patients every year. Duke University is a level 1 trauma center, and over 7,000 radiographic examinations are performed in the emergency department yearly. We have a close working relationship with the pediatric surgical subspecialties including general and transplant surgery, neurosurgery, orthopedic surgery, cardiothoracic surgery, urology and otolaryngology. Duke University is a world leader in pediatric bone marrow transplantation, and fellows will be exposed to a spectrum of imaging of bone marrow candidates, from the evaluation of patients prior to transplantation to the complications associated with transplantation and immunocompromise. The fellowship is fully ACGME accredited.

FACULTY:
The pediatric radiology faculty is fully subspecialty board certified (CAQ), with individuals participating in research, writing and in pediatric radiology education and health policy on a nationwide level. For more complete details on the faculty, please see Physicians page.

CLINICAL SERVICES

RADIOGRAPHS:
Pediatric fellows will be exposed to a spectrum of disease processes ranging from routine outpatient pediatric clinic imaging to the radiographic management of extremely preterm infants. Fellows will participate in daily radiology rounds with the neonatal and pediatric intensive care unit teams.

FLUOROSCOPY:
Fellows will gain extensive experience in pediatric fluoroscopy, particularly of the gastrointestinal and genitourinary systems. Fellows will also participate in fluoroscopic interventions, including intussusception reductions, esophageal dilations and the maintenance/manipulation of enteric feeding tubes. Radiation dose reduction techniques and strategies are emphasized.

ULTRASOUND:
Ultrasound is an important tool in the pediatric radiology armamentarium. Fellows will be exposed to a wide range of abdominal, vascular and small parts (thyroid and testicular) ultrasound. Fellows will also receive exposure to neonatal intracranial and spinal ultrasound

CT: 
Useful for the evaluation of thoracic, abdominal, pelvic and extremity pathology, fellows will protocol, interpret and staff out both traditional CT as well as special CT examinations including CT angiography. Emphasis will be placed on techniques to reduce radiation exposure while maintaining diagnostic quality.

MRI:
Fellows will protocol, interpret and staff out pediatric MRI for the evaluation of musculoskeletal, abdominal, thoracic and cardiovascular processes, including MRA/MRV.

INTERVENTIONAL SERVICE:
The pediatric radiology section performs image guided biopsies and percutaneous drainages, generally using sonographic guidance. Fellows can expect to participate in biopsies of the kidney, liver and thyroid as well as abscess drainage procedures. Fellows will also participate in hip joint aspirations and occasionally joint injections.

NEURORADIOLOGY:
Fellows will participate in neonatal intracranial and spinal ultrasound. Fellows will also participate in the pediatric neuroradiology conference and will act as a consultant for the rounding pediatricians and intensive care units.

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Teaching

TEACHING RESPONSIBILITIES:

Pediatric Imaging Case Conference to the radiology residents on service twice a month.

  • Morning Conference to radiology residents – up to two times per year
  • Hot Seat Conference (unknown case conference) to radiology residents – up to two times per year
  • Interesting Case Conference: once every 1-2 weeks
CONFERENCES:
There are a variety of pediatric conferences during the course of the month for which fellow participation is encouraged.
  • Radiology Grand Rounds – Thursday 7:30 – 8:30 am
  • Tumor Board – Multidisciplinary Conference (Hematology, Oncology, Radiology and Pathology) 2nd/4th Tuesday at 4 pm
  • Neurology/Neurooncology Tumor Board – Multidisciplinary Conference – alternates with Tumor board every second Tuesday
  • Pediatric Neuroradiology – Thursday 8:30 – 9:30 am
  • Pediatric Urology conference – Monday 5:30 pm monthly
  • Pediatric Surgery and GI conference – monthly
  • Pediatric Pulmonary Medicine Conference – quarterly
  • Pediatric Radiology Resident Teaching Conference Tues-Thurs 12-1 pm
  • Trauma Multidisciplinary Conference – 3rd Friday at 7:30 am
  • Rheumatology Conference – 2nd and 4th Thursday at 1:00 pm
  • Pediatric Morning Report – Pediatric resident conference, sometimes with radiology participation Monday, Wednesday and Thursday 8:00 – 9:00 am
  • Piedmont Pediatric Radiology Society – interesting case conference approximately 2-3 times/year
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ACADEMIC TIME:
Fellows are given one afternoon a week of protected academic time. Fellows are expected to use this time for preparation of resident teaching conferences or scientific investigations. Fellows participate in ongoing research projects in the section. Fellows are given additional meeting time and are reimbursed when presenting research at either the Society of Pediatric Radiology (SPR) meeting or at the Radiological Society of North America (RSNA) meeting.

OFFICE SPACE AND SECRETARIAL SUPPORT:
Pediatric Radiology Fellows have a shared office for use during academic time. Fellows are provided with a computer with Information Technology support.

Candie Stewart is the secretary for the Pediatric Radiology section, who can provide support for fellows for academic projects.

CALL COMMITMENTS:
Fellows are expected to take call with attending backup approximately one week a month. During this week, the fellow acts as the primary resource for the in-house radiology residents for questions regarding imaging recommendations and protocols. Fellows are expected to perform after hours interventions under the supervision of the attending on call, including emergent fluoroscopic examinations and intussusception reductions. On both Saturday and Sunday mornings when on call, it is expected that all pediatric imaging examinations will be interpreted by the fellow and attending on call.

VACATION:
In accordance with ACGME guidelines, fellows receive 20 days vacation per academic year. Five of these days will be granted during the Christmas/New Year’s break at the discretion of the director, with the remaining 15 days spread throughout the year. There are provisions for maternity leave at the discretion of the fellowship director.

BENEFITS:
As members of Duke University housestaff, fellows are provided with subsidized health care, free parking and access to the housestaff workout facility in the basement of the parking garage. Information is available upon request.

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