3 Month Visiting Fellowship

satisfies ACC/AHA guidelines for Level II training Cardiac

• Objectives
• Accreditation
• Program
• Calendar

CT and Cardiac MR $25,000

Location:

Hospital of the University of Pennsylvania
3400 Spruce Street
Philadelphia, PA 19104

About the Program:

The 3-month visiting fellowship is divided into clinical and didactic components. The majority of the clinical component will be spent participating in the busy cardiovascular imaging service in the Department of Radiology. Additionally, up to one week blocks may be devoted to the following optional activities, depending upon the previous experience, training, and interest of each visiting fellow:

1. Cardiac nuclear medicine and stress testing - service run jointly by Department of Radiology and Division of Cardiovascular Medicine
2. Echocardiography and interventional cardiology - Division of Cardiovascular Medicine
3. Vascular interventions - Interventional Radiology and Vascular Surgery
4. Neurovascular imaging and interventions - Neuroradiology section
5. Pediatric cardiovascular imaging - Children's Hospital of Philadelphia

An individualized schedule will be arranged for each participant prior to beginning the fellowship. Please note that not all of the options listed above may be available at all times.

The didactic component, (including the 50 hours required to satisfy the ACC/AHA level 2 guidelines,) will include participation in the didactic portion of the Cardiac CT and Optional one-day Cardiac MR Fellowship which includes one day of Cardiac MR lectures. Visiting fellows are strongly encouraged to schedule their three month visit to overlap with one of these seminar dates, although we will attempt to accommodate those for whom such arrangements are not possible by allowing them to attend the 3 ½ day program either before or after their three month fellowship. However, this cannot be guaranteed. Additional didactic time will be accumulated through attendance at the following teaching programs, among others, at the University of Pennsylvania Medical Center over the three month fellowship:

1. Cardiovascular Imaging Resident Conference - biweekly
2. Interventional Radiology Resident Conference - biweekly
3. Vascular Surgery Conference - weekly, every other week devoted to imaging
4. Department of Radiology Grand Rounds - weekly
5. Department of Cardiology Grand Rounds - weekly
6. Cardiac Nuclear Medicine Conference - weekly
7. Cardiac Catheterization Conference - weekly
8. Adult Congenital Heart Disease Conference – weekly
9. Echocardiography Conference-weekly

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Clinical Cardiovascular Imaging Service:

The cardiovascular imaging section is staffed by dedicated fellowship trained cardiovascular imaging sub-specialists. The CVI section is responsible for supervising and interpreting all cardiovascular CT and MR examinations performed at the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, and Penn Medicine at Radnor, and consults on examinations performed at other institutions within the University of Pennsylvania Health System. Examinations are performed and interpreted utilizing the following equipment:

Hospital of the University of Pennsylvania:

• One Siemens Definition Dual Source 64 slice CT
• One Siemens Sensation64 64 slice CT
• One Siemens Sensation16 16 detector CT scanner
• Siemens Sensation4 4 detector CT scanner (Penn Tower outpatient imaging)
• GE Lightspeed 4 detector CT scanner
• Siemens Avanto 1.5 T MR scanner devoted principally to CVI
• Siemens Sonata 1.5T
• One Siemens TimTrio 3T
• One Siemens Trio 3T
• Siemens Espree
• 2 Siemens Symphony 1.5T scanners (Penn Tower outpatient imaging)
• 2 GE LX platform 1.5T scanners with cardiac capability
• 4 Siemens Leonardo workstations (2 exclusively for CVI, with Circulation)
• 3 Siemens Wizard workstations (attached to 16 and 64 detector scanners)
• 2 GE AW 4.2 workstation (exclusively for CVI)
• GE AW 4.0 workstation (exclusively for CVI)
• Vital Images Vitrea2 workstation (neurovascular imaging)
• Volume Interactions Dextroscope (virtual reality system for medical imaging)
• TeraRecon AquariusNet thin-client (accessible from any PC)

Presbyterian Medical Center

• Siemens Sensation64 CT
• Siemens Sensation4 CT
• GE Imatron 150-XL electron beam CT
• GE HD-Excite MR
• Siemens Wizard workstation
• Siemens Leonardo workstation with Circulation
• GE AW4.0 workstation

Penn Medicine at Radnor

• Siemens Sensation10 10 detector CT
• GE HD-Excite MR
• Siemens Wizard workstation (attached to scanner)

The current case volume is approximately 600 cardiac MR exams, 1500 cardiac CT exams, 3000 CTA, and 2000 MRA exams per year. Cardiac MR and CT volume is projected to double in the next year.

Pediatric exams at Children's Hospital of Philadelphia are interpreted by dedicated pediatric radiologists and cardiologists, and approximately 800 cases per year are performed utilizing the following equipment:

• Phillips 16 detector CT
• Siemens Sensation 64
• Siemens Sonata 1.5T MR
• 2 Siemens Symphony 1.5T MR
• 2 Siemens Trio 3T

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Application Process:

If you are interested in this course, please write to:

Harold I. Litt, MD, PhD
University of Pennsylvania Medical Center
Department of Radiology
3400 Spruce Street
Philadelphia, PA 19104

Please provide background information. If we are able to accommodate you at your preferred time, Dr. Litt will respond with a letter of invitation. At that time, we will ask that you provide two letters:

1. A letter from your current supervisor
2. A letter from whomever will be sponsoring you

If you are coming from overseas, please allow at least three months to obtain a visa to visit the United States for the three month period. Also, our office of Graduate Medical Education requires documentation of immunizations, PPD status, and health insurance for visitors who will spend time in clinical areas.

Two-Four Week Visiting Fellowship

Complete your Level II training requirements with a (minimum) two week visit to HUP's Cardiovascular Imaging Section. Level I training guidelines for Vascular CT and MR can also be met in a four week visit. Physicians will have the opportunity to participate in study acquisition and analysis as well as review and document teaching files at a workstation. Participants will work at individual post-processing workstations and will be provided both live and teaching file case material to complete case requirements with faculty supervision. A letter of certification will be provided for documented cases at conclusion of visit. This two-four week visit is for physicians who have already met their didactic requirements either through a Penn cardiac course or with another institution. Limited enrollment/2 week minimum $2500/week.