The Department of Radiology Wake Forest Baptist Medical Center is currently offering a 1-year clinical fellowship in cardiothoracic imaging for the academic years of 2017-2018 and 2019-2020.
North Carolina Baptist Hospital, the teaching hospital of Wake Forest School of Medicine, is a modern 850-bed referral center (including a 150-bed children's hospital) serving a population of more than 2,000,000 people. It is the only university teaching hospital serving western North Carolina, southern Virginia, and western South Carolina.
The case load in cardiothoracic imaging presents a broad range of the diseases that affect the heart, lungs and mediastinum. More than 250 new cases of lung cancer are seen at our Medical Center yearly. Excellent working relations are maintained with pulmonary medicine, cardiothoracic surgery, hematology-oncology, cardiology and pathology.
Clinical Training Offered
- Computed tomography (CT)
- Magnetic resonance (MR) imaging
Organization of Fellowship
The fellowship is designed to enhance an individual's skills in cardiothoracic medicine and the techniques of imaging chest disease. Assignments to the clinical rotations are made for a minimum of 4 days per week. Clinical days are divided equally between cardiac imaging and thoracic imaging.The assignment includes interpretation of cases, supervision of residents and performance of procedures. One day per week is provided to promote the fellow's research efforts. For those interested in a 2-year fellowship, time may be provided for course work in statistics, for grant writing and for additional research. Publication is strongly encouraged for those pursuing an academic career.
Cardiothoracic Imaging Research
Opportunities available for research activities include case studies, descriptive studies and laboratory studies. We have as members of the Department of Radiology a group of engineers and physicists who are actively engaged in development of magnetic resonance imaging, digital tomosynthesis, teleradiology, and picture archiving and communication systems. In addition, we have resources available in the departments of anatomy, pathology and biostatistics.
Research and development funds are available from the department and from North Carolina Baptist Hospital for meritorious pilot research projects by the fellows.
Description of Program
Three weeks of vacation are given each year. Recognized holidays at North Carolina Baptist Hospital include New Year's Day, Martin Luther King, Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.
The salary is on a par with other nationally recognized fellowships. Additional time off for meetings is given if the fellow presents a paper. Paid attendance at one national meeting per year is provided.
There is no in-house or overnight on-call commitment. The fellow participates in the department-wide schedule for daytime coverage, weekends and evening MR imaging coverage.
The cardiothoracic imaging section provides interpretation of radiographic, computed tomography and magnetic resonance of the thorax. These services for both inpatient and outpatients address, but are not limited to, screening and focused analysis of the wide variety of diseases affecting the hearts and lungs.
Interdisciplinary pulmonary and cardiology conferences are held weekly, and daily conferences are held with intensive care physicians and oncologists. Initially, all work is supervised by the faculty, with a transition to more independent function expected throughout the fellowship.
Other Relevant Information
Work Load (annual figures)
- Chest radiographs (portable and nonportable) 74,000
- Chest CT 12,000
- Chest MR 125
Our services are generally coordinated with clinical services, and we interpret the cardiothoracic radiographs for the intensive care units, internal medicine, pulmonary medicine, thoracic surgery, hematology-oncology and family practice.
Clinical activities are centered in a newly constructed digital reading room, and 2K monitors are used for all interpretations of chest radiographs, CT scans and MR images. Voice recognition software, TeraRecon software and access to the hospital information database are provided at all workstations using a Philips iSite PACS system
- Conventional radiography
- 5 GE Digital Radiology (Consisting of 2 Revolution XQi's, 2 Xrd's, and 1 Definium 8000) units
- 3 Agfa ADC Compact in Main Raidiology
- 2 Agfa ADC CRX85 in the ED
- 1 Kodak CR 800 in the Comprehensive Cancer Center
- 2 ADC Compact Plus in Pediatric Radiology
- 2 ADC Compacts in Medical Plaza - Miller (formerly Comprehensive Rehab)
- 7 GE scanners, 1 State of the Art HD750 64 slice scanner, 1 VCT 64 Slice scanner, and 1 Lightspeed 16 slice scanner in Main Radiology
- 1 Siemens Sensation 64 slice scanner with fluoro capability in Main Radiology
- 3 GE 16 slice CT scanner in Comprehensive Cancer Center
- 2 GE VCT 64 slice scanner in Main ED
- 6 MR scanners, including four 1.5T, one 3T and one 1.5T research scanner
- 2 GE PET/CT scanners including 1 Discover DST 16 slice and 1 Research DST 64 Slice
- 1 GE PET Trace Cyclotron
- Interventional procedures are now performed by the Interventional Radiology section. Cardiothoracic inaging fellows who desire additional experience in performing lung biopsies, pleural drainages and ablations will have the opportunity to participate in these procedures under the guidance of Interventional Radiology.
One to 2 radiology residents staff the chest radiography service on a rotating basis, and an additional resident is assigned to chest CT/MR/special procedures. Three faculty staff the cardiothoracic reading areas daily.
Caron B. Dover, MD, Section Head
Kerry Link, MD
Hollins P. Clark, MD, Fellowship Director
John M. Holbert, MD
Reginald Munden, MD, DMD, MBA
Caroline Chiles, MD
Minimum qualifications for the fellowship include successful completion of a diagnostic radiology residency and the ability to obtain a license to practice medicine in North Carolina. A personal interview is required unless there are exceptional circumstances. We can coordinate interview dates with the other two North Carolina thoracic imaging fellowship programs (Duke and UNC). Applications from suitably qualified foreign medical graduates are welcome.
A completed application consists of the following:
- Completed Fellowship Application
- Curriculum vitae
- Personal statement or letter of interest explaining career choices and goals
- Letter of recommendation from radiology residency program director
- Dean's letter from medical school
- Two additional letters of recommendation
- Photograph (optional, for identification)
- ECFMG certification (foreign medical graduates only)
Completed applications, letters of recommendation, and supporting documents should be addressed to Dr. Hollins Clark. Requests for application materials and inquiries concerning interview arrangements, the receipt of materials, and administrative details of the application process should be addressed to Ms. Sandra Smith.