Musculoskeletal Imaging

Fellowship Director: Soterios Gyftopoulos, MD
Associate Fellowship Director: Gina Ciavarra, MD

Philosophy

The NYU musculoskeletal (MSK) imaging section is an extremely fertile ground for academic growth. Fellows who excel are successful in taking advantage of the wealth of resources available to them during their year of specialized training. They take an active role in their education and treat their daily work as an opportunity to learn. Fellows’ education is reinforced by the MSK faculty through a combination of daily side-by-side read out sessions, and teaching and didactic conferences. We provide imaging services to the Hospital for Joint Diseases (HJD), New York University Langone Medical Center (NYULMC), and Bellevue Hospital Center, while providing specialized musculoskeletal teleradiology support for many radiology groups.

Our MSK fellows typically rotate through one of three clinical rotations, one week at a time. Every fourth week, the fellows are typically allotted protected academic time that can be used in a variety of different ways including work on current research projects, preparation of weekly internal and interdisciplinary conferences, and observing surgery under the guidance of our colleagues in the department of Orthopaedics. Fellow responsibilities vary by location, and are summarized below:

MRI/CT:

Two fellows are assigned to preview daily cross-sectional cases and review them with assigned staff members. One fellow is stationed at the Hospital for Joint Diseases, while the second is located at the NYU Center for Musculoskeletal Care. Fellows are responsible for protocolling scheduled cases, providing consultation services for clinicians, and teaching residents and medical students along with attending staff.

Procedures:

CT, ultrasound and fluoro- guided interventional services are provided five days a week and include epidural spine injections, facet blocks, myelograms, lumbar punctures, discography, arthrography, percutaneous biopsies, radiofrequency ablation, and therapeutic injections. One fellow is assigned to this rotation per week and is responsible for preparing for and performing interventional procedures in conjunction with the assigned attending, while ensuring that workflow and patient throughput is maintained. The fellow is also responsible for fielding consultations for interventional services from other sections. As with all fellow training, responsibility and independence are incrementally increased as appropriate for their demonstrated level of ability as the year progresses.

Bellevue:

One fellow is assigned to Bellevue per week, previewing all the X-ray and cross-sectional cases, and reading out with the assigned staff member. The majority of the fellow’s x-ray experience will take place here, interpreting cases from the various orthopedic and rheumatogic clinics as well as cases from the emergency room and inpatient services. The fellow is also responsible for fielding all consultations and performing the MSK related interventional procedures.

Academic:

One fellow is assigned to academic per week. The dedicated academic time allotted to our fellows provides the opportunity to experience different types of research with the ultimate goal of preparing them for a future career in academics. This is one of the major strengths of our program and we feel this experience will serve you well, regardless of whether you move onto to a career in private practice or academia. Participating in research is mandatory with opportunities to take part in clinical, transitional, and/or basic science research with the goal of preparing your work for a national meeting and publication in a peer-reviewed journal.

Conferences:

Fellows benefit from daily opportunities to learn in a conference environment. The following are mandatory conferences given every week that are usually scheduled from 730-830 a.m. and take place in the large conference room on the 6th floor of the Center for Musculoskeletal Care:

  • Monday: Fellows' XR/MR didactic conference. One fellow is assigned per week to present unknown cases to their co-fellows and the rest of the section followed by short teaching presentations about each case.
  • Tuesday: Introduction to MSK Imaging series. In the months of July and August, staff members give introductory didactic lectures to the fellows covering the basics of imaging of the major joints and spine. Starting in September, Dr. Ron Adler gives a series of didactic lectures and hands-on ultrasound sessions to the fellows covering the fundamentals of musculoskeletal ultrasound.
  • Wednesday: MSK/Orthopaedic didactics. Staff members from our section give hour-long didactic lectures covering a variety of topics in MSK imaging. Starting in January and interspersed between the radiology themed didactic lectures, our colleagues from the department of Orthopaedics give a series of lectures covering topics in orthopaedics important to the musculoskeletal radiologist. There will be no conference every third Wednesday due to the monthly staff meeting.
  • Thursday: Fellows’ Interesting XR/MR conference. One fellow is assigned per week to present unknown cases collected during the workweek to their co-fellows and the rest of the section followed by group discussion.
  • Friday: MSK Research conference. This is a weekly conference organized by Dr. Greg Chang covering an assortment of MSK related research topics including a regularly scheduled Journal Club.

Additional Conferences:

Grand Rounds (TBA): Monthly Radiology and Orthopedic conferences.

Spine Surgery Conference (Tuesdays):A weekly patient management conference where spine surgeons present interesting cases to an audience of spine surgeons, fellows, and residents. Relevant imaging is reviewed by MSK attending staff and therapeutic options are discussed.

MRI – Arthroscopy Correlation Conference (Tuesdays, TBA): This a conference that correlates the MR and arthroscopic findings of interesting cases collected by the sports medicine orthopedists and MSK radiology staff. This is an opportunity for the radiologists and surgeons to learn from each other with the goal of improving our interpretive skills.

Sacroma Conference (Monthly, TBA):This is a monthly patient management conference where orthopedic oncologic surgeons and pathologists present interesting cases and/or consults are presented. The MSK staff reviews relevant imaging and therapeutic options are discussed.

Call Schedule

The fellows will take call for one week at a time beginning on a Monday night and ending the following Monday morning. There is an attending on back-up call for the week available for consultation. Each weekend, the fellow is responsible for reviewing films from the Hospital for Joint Diseases Intermediate Care Department and reviewing advanced imaging for inpatients.

Vacation/Conference Time

Each fellow is allotted 4 weeks of vacation time. Additional time for conference attendance may be granted for fellows who present their research.

 

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