Residency/Fellowship


St. Luke's-Roosevelt
Diagnostic
Radiology Residency
Training Program


General Information
About The Program
Outside Rotations/Electives
Medical Students
Equipment & Facilities
Resident Rotations
Teaching & Conferences
Residency Training Goals
Housing/Parking
Application Procedures



GENERAL INFORMATION

St. Luke's-Roosevelt Hospital Center is the largest voluntary teaching hospital in New York State, being comprised of two sites: St. Luke's Hospital at 114th Street and Amsterdam Avenue, and Roosevelt Hospital at Tenth Avenue and 59th Street. This provides diversity in patient population, illnesses and social problems. (St. Luke's adjacent to Harlem; Roosevelt in Midtown Manhattan). Together, the two hospitals provide much of the medical care for the area of Manhattan extending from 34th to 134th Street, from Central Park West to the Hudson River.

The Radiology Department is a unified Department under the leadership of Michael M. Abiri, M.D., who is also Chairman of Radiology for all the Continuum Hospitals. Jeanne W. Baer, M.D., is Associate Chairman at the St. Luke's site, and Nolan Kagetsu, M.D., Associate Chairman at the Roosevelt Hospital site. Although there are specialty radiologists at each site, integration is accomplished through staff meetings, grand rounds, resident teaching, and cross-coverage.

The attending staff has been carefully selected for its ability to teach and stimulate the inquisitive mind. All attendings have an academic appointment at the College of Physicians and Surgeons of Columbia University or Albert Einstein College of Medicine. Unique specialty interests have brought national and sometimes international recognition to several members of the staff; in particular, Nuclear Cardiology, Body Imaging, Neuroradiology, and Interventional Radiology.


ABOUT THE PROGRAM

St. Luke's-Roosevelt has a comprehensive curriculum with equal emphasis on formal teaching, informal teaching and practical experience, with exposure to subspecialty training and research.

The four-year training program is under the direction of Dr. Nolan Kagetsu, (Neuroradiology) and Dr. Munir Ghesani (Nuclear Medicine). It begins at the PGY II level (requiring a prior year of clinical training) and consists of thirteen 4-week rotations per year, covering all aspects of diagnostic radiology. Residents spend approximately half of their rotations at the Roosevelt site and half at the St. Luke's site.

Resident supervision occurs on a one to one resident-attending relationship for every rotation. An attending is on duty until 11pm from Monday to Friday. Attending consultation is available via PACS from Saturday evening (12am to 7am) to Friday morning throughout the year.

OUTSIDE ROTATIONS/ELECTIVES

Third year residents typically choose to attend the four-week course at the Armed Forces Institute of Pathology (AFIP) in Washington, D.C.

Experience in Pediatric Radiology is obtained by spending one month in their junior year and one month in their senior year at Babies Hospital (Columbia University).

Cardiac Imaging is supplemented with a one-month rotation in the senior year at Beth Israel Medical Center.

Residents can use elective time to work with Dr. Alejandro Berenstein's internationally known neurointerventional radiology team at the Roosevelt site.

Some residents have arranged elective time to work on research projects

MEDICAL STUDENTS

Fourth year medical student electives can be arranged through Columbia University College of Physicians and Surgeons in diagnostic radiology, nuclear medicine, and interventional radiology. Students attend conferences, participate in reviews, and can arrange to be on-call with a radiology resident.

Description of electives:

http://ps.cpmc.columbia.edu/electives/radiology1.html

Instructions for visiting students:

http://ps.cpmc.columbia.edu/students/visiting.html

For more information, please contact:
Naima Pelissier
St. Luke's-Roosevelt Hospital center
Department of Radiology
212-523-4260
npelissier@chpnet.org

EQUIPMENT & FACILITIES

The department is filmless with excellent archiving, conferencing capabilities, and a growing filmless teaching file. Voice-recognition dictation is used throughout the department.

Continuous upgrades of fluoroscopic, interventional, MR, CT, and nuclear imaging equipment have taken place such that patient care and teaching are at the forefront of progress. Access to PET/CT scanning became available in 2005. Areas of growth reflect the intstitutional commitment to support the following programs:

1. Stroke center; multiple sclerosis center.
2. Obesity center including surgery and the newer technique of laporsocopic surgery.
3. Robotics in thoracic and cardiac surgery.
4. Noninvasive treatment of vascular disease including aneurysms and stenosis.
5. Women's specialty centers at both sites.
6. An oncology center.

Volume: 222,000 radiology reports were generated in 2006. This includes: 81,000 from the Emergency Department.


RESIDENT ROTATIONS

Residents rotate through all subspecialty areas of radiology generally in four-week blocks each.

The rotations include:
GI /GU radiology
Chest radiology
Pediatric radiology
Mammography
Ultrasound
MRI
CT
Vascular/Interventional radiology
Neuroradiology
Nuclear Medicine
Cardiovascular radiology
Musculoskeletal radiology
Emergency Room

All work in these areas is reviewed with an attending on a daily basis. In neuroradiology, vascular special procedures and interventional radiology, the clinical evaluation of the patient and the performance of the procedure are under the direct guidance of the attending radiologist.


TEACHING & CONFERENCES

Teaching is organized on a formal and informal basis. In addition to the academic courses in radiologic physics, radiobiology and nuclear medicine, formal clinical teaching includes daily didactic general radiology conferences and three weekly conferences reviewing current cases. Most days there are two radiology conferences and everyday there is at least one. Our teaching program begins with a one month intensive introductory course.

Numerous conferences in other medical disciplines are covered by both a radiology attending and a resident. Residents are gradually given responsibility for presentation of radiology findings at these clinical conferences in order to develop consultative skills.

Practical work with responsibility is an integral part of our concept of resident training. Increasing responsibility for reading films occurs during the four-year training program. At all times, attending diagnostic radiologists are available for individual consultations as well as more formal film review.

The resident trainee also learns to assume administrative responsibility. The resident is responsible for the functioning of the Department at night and on weekends. A senior resident and attending are available at all times on an on-call basis. Thus, we emphasize the need to develop the skills and assume responsibility in the managerial as well as the medical spheres of a radiology department.

Residents are encouraged to work with members of the Department's teaching staff on research projects. Residents presenting papers at national conferences are supported and sponsored by the Department. Regular research conferences, as well as a monthly Journal Club, contribute to the pursuit of such projects. Several papers have been presented at national meetings and published in peer reviewed journals. Special recognition has been awarded by the Radiological Society of North America (RSNA) to residents for their research in neuroradiology and interventional radiology.


RESIDENCY TRAINING GOALS

The goal of the residency-training program is to train well-rounded, highly competent diagnostic radiologists who are equally prepared to practice general diagnostic radiology or to enter into a fellowship which may lead to academic and/or subspecialty radiology careers. Almost all residents from the program continue their training in fellowships around the country.

Recent fellowship appointments
Body Imaging - Memorial Sloan-Kettering Hospital, Duke, Cornell
Interventional - Cornell, Massachusetts General Hospital, University of Pennsylvania
Neuroradiology - Yale, New York University, University of Southern California
Women's Imaging - New York University, University of California San Francisco
Musculoskeletal - Hospital for Special Surgery

HOUSING/PARKING

Residents are guaranteed either hospital housing or parking.

American Board of Radiology

Since 2004, the Oral Board pass rate is 96% (one conditional pass).


APPLICATION PROCEDURES

The Diagnostic Radiology program at St. Luke's/Roosevelt Hospital participates in the National Residency Matching Program with the Electronic Residency Application Service (ERAS). All positions for 2008 have been filled. We are currently recruiting applicants to fill 6 positions at the PGY II level for July 2009.

For further information about our program, please direct your inquiries to:

Nolan Kagetsu, M.D.
Residency Program Director
- OR -
Kim Williams
Residency Coordinator
Department of Radiology
St. Luke's/Roosevelt Hospital Center
Roosevelt Division
1000 10th Ave 4C-12
New York, NY 10019
(212) 636-3379
(212) 636-3380 Fax
kwilliams@chpnet.org