Body Imaging Fellowship Training Program
Body imaging Fellowship is a two-years appointment in a joint fellowship program at the centers accredited by the Saudi Commission for Health Specialties .
Body imaging is one of the broadest areas in the radiological sciences. The diversity of clinical disciplines served by this subspecialty area is a testament to this fact. Disciplines such as gastroenterology, general surgery, urology, gynecology, oncology, nephrology, endocrinology, transplant surgery, and vascular surgery all interact extensively with radiologists who perform imaging examinations in this area.
This diversity underscores the need for highly trained body imaging specialists capable of answering the often complex clinical questions posed during the management of patients being treated within these clinical disciplines. This program aims at taking a major step toward fulfilling this goal.
To afford high level training and ensure subspecialty competency in all aspects of adult body imaging; thereby enabling the graduates to function as local and national references in the diagnosis and radiological evaluation of pathological processes of the adult abdomen and pelvis. The graduates should become resources for advanced subspecialty multidisciplinary medical care and education in this field.
Acquire knowledge of relevant embryological, anatomical, pathophysiological, biochemical and clinical aspects of gastrointestinal and genitourinary (GI/GU) diseases.
Obtain in-depth understanding of the major imaging techniques relevant to GI/GU diseases.
Grasp in-depth knowledge of the indications, contra-indications, complications and limitations of surgical, medical and radiological interventions and procedures pertaining to the GI/GU systems.
Master clinical knowledge relevant to medical and surgical GI/GU disease so that the fellow may confidently discuss the appropriate imaging strategy for the clinical problem with the referring clinician.
Obtain a detailed knowledge of current developments in the specialty.
Acquire direct practical exposure with appropriate graded supervision in all forms of current GI/GU imaging procedures.
Acquire appropriate competency and accuracy in the selection, performance, supervision and reporting of GI/GU imaging investigations and minor imaging-guided interventions.
Understand and practice appropriate Islamic medical ethics and undertake an attitude of accepted professional conduct that shall be applied throughout the fellow's subsequent medical career.
To be admitted to the Saudi Body Imaging Subspecialty Program, a candidate must complete the general admission requirements as stated in PGME website in addition to the following:
Possess a Saudi Specialty Certificate in Radiology or its equivalent (which is approved by the Saudi Commission) or have at least successfully completed the written component to the Saudi Specialty Certificate in Radiology.
Be licensed to practice medicine in Saudi Arabia.
Successfully pass the interview for this particular subspecialty.
Register as a trainee at the Saudi Commission for Health Specialties.
Training shall be full time. Trainee shall be enrolled for the entire two-year period.
Training shall be conducted in institutions accredited for training by the Saudi Board of Radiology and the subspecialty of Body Imaging.
Training shall be comprehensive and include all aspects designated in the structure and content of the program.
Trainees shall be actively involved in patient care with gradual progression of responsibility.
Trainees shall abide by the other training regulations and obligations set by the Saudi Board of Radiology and the Saudi Commission for Health Specialties.
Centers will be accredited to participate in the program based on the fulfillment of several criteria which include but are not limited to the following:
The imaging department has an established subspecialty body imaging section
The section has a minimum of two subspecialty certified radiologists in body imaging.
The volume of patients is sufficient (see Appendix 1).
The imaging equipment is of satisfactory standard (see Appendix 2).
The department is already accredited for residency training in radiology.
Methods of Instruction/Training
The program objectives shall be achieved through all of the following:
Demonstration of proper indications, protocols, techniques and procedures.
Direct supervision of fellows during performance of their duties with appropriate feedback afforded.
Provision of opportunity for consultation with senior staff to solve clinical problems.
Discussion of methods of investigation, diagnosis and management of various clinical problems during readout sessions.
Conducting unknown case tutorials, both by and for the fellow.
Review of reports dictated by the fellow prior to verification with the provision of verbal instruction when significant errors are found.
Provision of guidance and assistance during performance of research projects.
Fellows will be permitted four weeks of annual leave during the program in addition to only one of the two Eid vacations (7-10 days). Fellows will not be permitted to take leaves during the fluoroscopy rotation. A maximum of two weeks of vacation may be taken during rotation through any specific service modality. Leave requests must be submitted well in advance. One week of appropriately justified emergency leave and one week of properly confirmed study leave may be allowed during the program.
Evaluation & Certification
Fellows' clinical performance, professional attitude and assimilation of knowledge will be regularly evaluated by mentoring staff members. Periodic (every three months) written evaluations (Appendix 4) will be obtained from concerned staff and summarized by the fellowship director into a single form that will be reviewed and signed by the fellow. These evaluations will be reviewed by the fellowship training committee periodically to identify aspects that may require further emphasis or counseling. Attendance at didactic activities will also be monitored.
Provided that evaluations and attendance are satisfactory, the fellow will be required to undergo an OSCE examination at the end of the first year in order to be promoted to the second year. At the end of the second year, the fellow must pass both a written and an oral examination. The examination committees will be formed by the subspecialty committee of the Saudi Commission.
Upon satisfactory completion of the above requirements, the Saudi Commission for Health Specialties will confer upon the trainee the official certification of the subspecialty training program.
Minimum average workload requirements for recognition of the training center for subspecialty rotational training in body imaging (deficiencies may be complemented by rotations at other institutions):
|CT scan & CT angiography
|MRI & MR angiography
Minimum equipment requirements for recognition of the training center for subspecialty rotational training in body imaging are:
Ultrasound: Probe frequencies ranging between 3.5-12 MHz, color and power Doppler capabilities.
CT scan: Multi-detector scanner (16 detector rows or more), radiation dose modulation, and power injector are indispensable. Non-ionic IV contrast media must be available.
MRI: 1.5 T or above scanner with phased array body coil. Basic spin-echo, gradient-echo & fat suppression sequences, in addition to 3D angiographic sequences are a must. Diffusion weighted capabilities are highly recommended. A power injector and ECG & respiratory-gating facilities are mandatory.
Flouoroscopy: Standard digital fluoroscopic capabilities as well as various barium and water soluble contrast agents are required.
3D postprocessing workstation: capable of all basic techniques for reformations and angiographic rendering is essential.
Dr. Badr Almutairi
Assistant Professor of radiology at KSAU-HS
Body imaging Consultant KAMC.
King Abdulaziz Medical City-CR, MNG-HA
P.O. Box 22490 Riyadh 11426, K.S.A.
Mail Code 1222
Tel. No. +966 1 8011111 Ext. 13275
Fax No. +966 1 8011111 Ext. 11411