The Diagnostic Imaging division 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 nine ultrasound units and both prone and upright stereotactic biopsy capability, 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
Deanna L. Lane, M.D., Program Director for Breast Imaging
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
Trainees must have completed an ACGME approved residency training program in diagnostic radiology. All trainees must be able to obtain an appropriate permit or license issued by the Texas Medical Board. Foreign applicants must be Board eligible in their country of origin and must have received USMLE certification (or equivalent) and passed steps 1, 2CK, 2CS, 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.
- The trainee will spend six months in mammography/ultrasound, two months in MRI, two months in procedures, one month in screening and one month in an elective. 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. The fellow will gain responsibility over the year for the consultation service with clinicians. The workweeks consist of four working days, one academic day.
- The trainee will be expected to perform needle radioactive see localization procedures, and to perform 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. The trainee will also be expected to do several types of localization procedures including wires, radiation seeds, Magseeds and Savi scout devices.
- In breast MRI, the fellow will be responsible for protocoling the individual cases and then interpreting the findings with faculty. Additional responsibilities will include planning and performing associated MRI guided biopsies.
- Trainees will be expected to correlate image-guided biopsy results with the mammographic sonographic, and MRI findings in a weekly case review conference. Trainees will also participate in three multidisciplinary breast cancer conferences each week.
- During the fellow’s one month elective, the trainee will rotate in one week blocks through services in Radiation Oncology, Surgical Oncology, Pathology, and Cancer Prevention.
- 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 is responsible for “call” on a rotating basis, but no more frequently than every third or fourth weekend. This involves coverage of all Emergency CT, US exams, CT Head and Neck. All trainees in Diagnostic Radiology will participate in the on-call pool.
- Physical requirements are those related to visual perception, communication and manual dexterity.
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.
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.
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.
How to Apply
The Breast Imaging Fellowship Match will take place in March for the upcoming year's appointment. The match is sponsored by the Society of Breast Imaging and it will be managed by the National Resident Matching Program. In order to become a fellow, you must register with the Radiology Match, of which Breast Imaging is a part.
Apply to this program using the DISCOVER online application system.
All applicants must have completed an ACGME approved (or equivalent) residency training program in diagnostic radiology and be board-certified or eligible by the American Board of Radiology.
Required application materials include:
- A curriculum vitae
- Medical school transcripts
- Residency program director’s recommendation
- Three letters of reference
- A personal statement
- Interviews will be required
MD Anderson Cancer Center is committed to encouraging good health and staying true to our mission to end cancer. If you are applying for a GME fellowship or residency program starting on or after July 1, 2016, please be advised that MD Anderson will have instituted a tobacco-free hiring process as part of its efforts to achieve these goals. If you are offered an appointment, you will be subject to a Pre-Employment Drug Screen for tobacco compounds in compliance with applicable state laws. If you do not pass the urine drug screening which includes testing for tobacco compounds, you CANNOT be appointed at MD Anderson. Should you fail to meet this contingency, MD Anderson will withdraw your offer of appointment for the academic year. You may reapply for the following academic year, but there are no guarantees that you will be offered a position as many of our programs are already filled for several years out.