Breast Imaging Fellowship
The Division of Diagnostic Imaging at MD Anderson Cancer Center is currently accepting applications for fellowship positions in breast imaging to begin in July of each year. The fellowship offers extensive clinical experience in screening and diagnostic mammography, breast ultrasound, breast MRI, breast pathology and interventional procedures. We perform approximately 40,000 breast-related imaging examinations annually.
The program is a multidisciplinary fellowship with a focus on screening/diagnostic evaluations, consultations and image-guided biopsies which allows 20% academic time for research. We are a state-of-the-art filmless department equipped with 11 digital mammography and seven ultrasound units and a prone stereotactic biopsy table, as well as access to both 1.5 T and 3.0T MRI units for both screening/diagnostic cases and interventional procedures.
Jessica Leung, M.D., Chief, Section of Breast Imaging
Mark Dryden, M.D., Program Director for Breast Imaging
Goals and Objectives
The objectives of the Breast Imaging Fellowship are to:
- Educate trainees in the advanced interpretation of mammography, breast ultrasound, breast MRI and in the accompanying image-guided biopsies
- Educate trainees in the epidemiology, diagnosis, pathology and therapy of breast cancer including screening for breast cancer and identification patterns of recurrence of malignant breast tumors
- Provide an opportunity for participation in academic research with the case material and resources of MD Anderson Cancer Center
- Familiarize trainees with federally-mandated regulations relative to mammography with peer review standards and daily quality control measures
Criteria for Selection of Trainees
Trainees must have completed a United States residency training program in diagnostic radiology and must be board certified or eligible by the American Board of Radiology by the start of the fellowship. Foreign applicants must be board eligible in their country of origin and must have received USMILE certification and passed steps 1, 2 and 3.
Selection will be supervised by the program director and the section chief of breast imaging with the consultation of other faculty members in the sections of Breast Imaging and Ultrasound. A minimum of zero and a maximum of three fellows will be appointed for each year. Materials solicited for review will include a CV, medical school transcripts, residency program director’s recommendation, three other letters of reference and a personal statement. Interviews will be required.
The University of Texas MD Anderson Cancer Center is an equal employment opportunity employer.
Duties and Responsibilities of Trainees
The trainee will rotate in mammography, breast ultrasound (US), breast MRI and procedures. In mammography, responsibilities will consist predominantly of supervision and interpretation of screening and diagnostic mammography cases. All cases reviewed by the fellow will be checked by a faculty member and then reported by the fellow. It is expected that the number of cases prepared and the responsibility level of the trainee should increase over the year.
The trainee will be expected to perform needle localization procedures, galactography and stereotactic core-needle biopsies with graded levels of responsibility, including planning the procedure, consenting the patient and communicating the results to the patient and physician.
In breast ultrasound, the fellow will scan the patient after the technologist and will present the findings to the faculty. The findings will then be reviewed and dictated by the fellow. In addition, after satisfactory training, the fellow will be allowed to perform ultrasound-guided procedures (fine-needle aspirations and core biopsies) under the direct guidance of the faculty.
Trainees will be expected to correlate image-guided biopsy results with the mammographic and sonographic findings in a weekly case review conference. Trainees will also participate in a biweekly multidisciplinary breast cancer conference.
The trainee will have one day a week off the clinical schedule for academic pursuits. It is the responsibility of the trainee to identify a project early in the year and to complete a potentially publishable paper by the end of the year. Presentation of the research material at a national meeting is encouraged. The trainee will be responsible for several weekend call duties during the year depending on the clinical schedule.
Breast imaging and ultrasound faculty will provide supervision on all cases interpreted by a trainee. Initially, procedures will be closely supervised; however, it is expected that for mammography, less faculty involvement will be required as the year progresses.
Duration of the Training Program
One year is the average length of the training program. An optional second year will be available in some cases for the trainee to pursue a more in-depth experience in breast imaging and to further explore research opportunities in breast imaging. A more flexible tailored program will be possible in this second year with increased independence in clinical areas.
Evaluations of the trainees will be performed quarterly during the year by means of a standardized form with ample space and encouragement for comments. The program director will meet with the trainees informally to discuss their progress. The trainees will also evaluate the program at the end of each year by filling out a form as well as meeting informally with the program director to discuss their experiences in the program.
No specialty board certification is available through the ABR for breast imaging. However, the ABR has granted one-year credit toward board eligibility in diagnostic radiology for foreign medical graduates who have completed the one-year fellowship. This program meets the requirements and recommendations of the Society for Breast Imaging (SBI) for breast fellowships.
How to Apply
Complete the online application form, and send with a current curriculum vitae to:
Mark Dryden, M.D.
Division of Diagnostic Imaging
The University of Texas MD Anderson Cancer Center
1515 Holcombe Blvd, Unit 1350
Houston, Texas 77030
Education Office: 713-792-8182
Sr. Administrative Assistant to Dr. Dryden