Musculoskeletal Imaging Fellowship
Empowering Through Education
The Musculoskeletal Imaging Division in the Department of Radiology at University Hospitals Cleveland Medical Center, in collaboration with Case Western Reserve University, consists of eight full-time, fellowship-trained radiologists and offers a comprehensive one-year clinical fellowship with two fellows accepted per year.
Our division has a long-standing excellent relationship with the orthopedic surgery and rheumatology departments. We perform a large number of advanced imaging studies, including over 50 magnetic resonance imaging (MRIs) a day, throughout a health system comprising 15 hospitals and over 35 outpatient imaging centers.
Training Excellence Through Advanced Imaging
Our program offers a comprehensive clinical training with a large volume of advanced imaging studies. Through our collaboration with University Hospitals Sports Medicine Institute we perform a large number of sports imaging cases. We provide imaging interpretation services for the Cleveland Browns, Cleveland’s professional NFL team, as well as to a host of college and high school teams in the region.
University Hospitals Seidman Cancer Center is a major referral center for orthopedic oncology, and we interpret a large number of bone and soft tissue tumor imaging studies and perform a large number of imaging-guided biopsies and treatments for musculoskeletal tumors.
We provide interpretations of advanced imaging studies for University Hospitals Rainbow Babies & Children’s Hospital, which is a part of the UH health system, training our fellows in pediatric musculoskeletal imaging as well.
In addition, University Hospitals Cleveland Medical Center is a Level 1 trauma center, giving the opportunity to our fellows to see a wide variety of trauma cases.
Although our fellowship is clinical and there is no requirement for completion of a research project, there are numerous research opportunities for interested fellows, with several clinical projects in tumor imaging and sports medicine and clinical trials in conjunction with Philips on the spectral detector CT.
Our fellows may contribute to publishing review articles and educational projects as well.
Educational Opportunities Through Conferences and Departmental Grand Rounds
Fellows participate in monthly divisional journal clubs and weekly divisional resident conferences. Fellows prepare and present at weekly sarcoma tumor board. They may also attend weekly departmental grand rounds by the radiology and the orthopedic departments.
There are opportunities to teach radiology residents, orthopedic residents, sports medicine fellows and medical students rotating through the department. Fellows are encouraged to give lectures and board reviews to the radiology residents.
Clinical Work Rotation Opportunities
A typical day for a fellow starts at 8 a.m. and ends at 5 p.m. The workflow includes the following:
- Going over cases with the attending
- Performing imaging-guided biopsies
- Previewing MRIs
- Protocoling MRI cases for the following day
Fellows rotate an average of one day per week through our bone radiography and emergency department rotation, where they interpret radiographs as an attending and have supervising and teaching responsibilities with residents rotating through. Fellows are not required to read cross-sectional imaging or cover other divisions beyond musculoskeletal imaging.
Musculoskeletal Imaging Call Schedule
Fellows take call for the Musculoskeletal Imaging division in a frequency of 1:5 weeks. Call is subspecialty-based and includes reading radiographs and giving preliminary reads for advanced studies. The volume is approximately 80-100 radiographs per weekend and these are predicated by the resident on call.
There is no call requirement outside the musculoskeletal division.
Our department offers moonlighting opportunities at a competitive pay to interested fellows to cover late evening shifts for the emergency radiology division. The majority of our fellows take advantage of this opportunity.
Benefits with the Musculoskeletal Fellowship Program
Fellowship benefits include salary at a PGY6 level, four weeks of paid vacation and $1,750 in CME funding along with additional employee benefits as detailed under the Graduate Medical Education Office's Salary and Benefits section.
Recruitment of Ideal Candidates
We aim to train highly motivated and dedicated applicants from throughout the country. The ideal candidate has a strong work ethic, is internally driven and is a team player.
Interested applicants should send the following documents:
- Curriculum Vitae
- Personal statement
- Three letters of recommendation
Please email required documents to Christos Kosmas, MD. Alternatively, documents may be sent by regular mail to the address below.
Current Musculoskeletal Imaging Fellows
Stephen Snodgrass, DO
Harika Tirumani, MD
Christos Kosmas, MD
Assistant Professor of Radiology
Division of Musculoskeletal Imaging
University Hospitals/Case Western Reserve University
11100 Euclid Avenue
Cleveland, OH 44106
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