Building on the unique vision of training pediatric surgeons in the fundamentals of interventional radiology and image-guidance, the fellowship will introduce and develop the use of imaging modalities in the practice of pediatric surgery. This knowledge and skill set will enable the fellow to bring imaging into the operating room in ways not typically seen in pediatric surgery. It will also advance collaboration, enable research and develop innovative relationships with interventional radiology thereby dissolving barriers between the two groups. These advances in image guidance should target patient safety, advance minimally invasive techniques, and improve outcomes of patient care.
The fellow will work with pediatric radiology, pediatric surgery and interventional radiology teams at Michigan Medicine. They will gain expertise in image-guided surgery and minimally invasive techniques that are both innovative and unique in the pediatric surgery world.
The fellowship will include an academic project that will be worked on throughout the year, resulting in the submission of one or more papers contributing to the literature in the area of IGS in pediatric surgery, in addition to the following rotations:
- Sim center needle guidance training and IR training: This rotation is to develop needle guidance ultrasound skills to a level that the fellow can fully participate in ultrasound procedures in the other rotations and gain expert hand-eye skill in ultrasound needle guidance. This will consist of various exercises with ultrasound blue phantom blocks. The fellow will also make use of the general IR simulators in the sim center.
- Diagnostic radiology for ultrasound: This rotation will serve as development of ultrasound knowledge with machines, settings, visual and mental identification of structures and artifacts, principles of ultrasound and development of an internal three-dimensional construct.
- Diagnostic radiology for MR and CT: The rotation focuses on understanding of physics and sequence consideration of MR, and it will largely serve to increase the fellow’s knowledge and understanding of MRI, the basic physics and sequences and their properties in order to use asynchronous and real-time MR guidance in surgery
- Pediatric interventional radiology rotation: This rotation will serve to develop knowledge and skill level in pediatric IR procedures including but not limited to vascular access, biopsy, drainage and wire and catheter use.
- Adult interventional radiology rotation: This rotation will serve to expose the fellow to advanced adult IR procedures, particularly biliary, gastrointestinal and vascular. This will not be meant to provide independent competency in these procedures but to expose and understand the procedures, anatomy and modalities (especially fluoro, wires and catheters) used.
- Operating room at the C.S. Mott Children's Hospital for IGS related operations: This rotation is meant to introduce the current hybrid procedures used at the C.S. Mott Children's Hospital. This experience is meant to promote innovative thinking and encourage future exploration of development of use of image-guidance in the OR.
The fellow will also participate in the patient management conference, vascular malformations conference, pediatric portal hypertension conference and pediatric tumor board at the C.S. Mott Children's Hospital.
Research & Academic Opportunities
The fellow will contribute to ongoing research in image-guided surgery (IGS) at the University of Michigan. This can be done in a number of ways including continuing or finishing on-going projects and helping to develop a center for IGS at Michigan Medicine. They should also develop independent research during the fellowship, bringing new technologies or techniques to the combination of pediatric surgery and interventional radiology while taking part in propagating the knowledge and innovation from the IGS center by submitting at least one abstract to a major surgical or interventional radiology conference. The fellow will also will identify and complete a project in quality improvement in addition to helping to organize and participate in local and national courses in image-guided surgery.
How to Apply
Please email the program director at [email protected] to learn more about the application process.