The Musculoskeletal Radiology Fellowship is a non-ACGME program, requiring a 1 year commitment. Candidates must be Board Certified or Board Eligible radiologists and eligible for an unrestricted Oregon state medical license prior to beginning the fellowship. Candidates for fellowship are selected through the Musculoskeletal Fellowship Match. You can get additional information about the match and registration from the above link to the Society of Skeletal Radiology website.
The MSK section is composed of four full-time faculty members and two fellows. OHSU is home to multiple state of the art CT and MRI scanners; the vast majority of joint imaging is performed on 3T scanners. The program has two fellowship positions and offers a comprehensive education in all facets of musculoskeletal radiology. The fellowship aims to produce well-rounded musculoskeletal radiologists in a collegial environment who are expert diagnosticians and interventionalists. These aims are achieved through a combination of teaching, clinical work and ample opportunities for research including protected academic/meeting time.
The diagnostic Musculoskeletal service interprets a large number of imaging studies daily, including radiography, MRI, CT, and ultrasound. The diverse case mix includes high-end sports MR and an active bone and soft tissue sarcoma service (Knight Cancer Institute). Fellows work side-by-side with attendings, reviewing cases throughout the day and receiving one-on-one teaching, gradually assuming more responsibilities as the year progresses. In addition to interpreting studies, fellows also develop a deep understanding of MRI and CT protocols by tailoring examinations for each patient, working closely with technologists to modify protocols according to specific clinical questions and troubleshooting challenging scenarios.
The section also performs a large number of procedures each week, including fluoroscopic-guided therapeutic injections/aspirations and MR arthrography, CT-guided biopsies/interventions including spine, miscellaneous injections, RF (radiofrequency) ablation, and ultrasound-guided biopsies/interventions. Fellows are an integral part of this service and work closely with referring clinicians to decide on appropriate plans of action and patient management.
The Musculoskeletal section is actively engaged with referring clinical colleagues and our fellows are often the first line of communication between services. These critical relationships are maintained and strengthened through weekly Rheumatology-Radiology and Orthopedic Oncology-Pathology-Radiology conferences and bimonthly Orthopedic Sports Medicine-Radiology conferences which provide valuable insight into the needs of referring providers as well as feedback on imaging interpretation and procedures. In addition to daily clinical teaching and multidisciplinary conferences, the MSK fellowship curriculum includes a monthly lecture series dedicated to covering highly subspecialized topics to ensure our fellows have as complete an education as possible. Finally, the fellowship training is supplemented with journal club, arthroscopy correlation, biopsy rad-path correlation and hands-on ultrasound didactics.
Fellows leave the program well-prepared for both private practice and academic settings with strong procedural skills, a balanced fund of knowledge and a solid framework for approaching even the most difficult problems in musculoskeletal imaging.