How to Apply: Fellowships in Breast Imaging
Please Note: We have filled our Breast Imaging Fellowship positions for 2014-15.
How to Apply
To apply, visiand search on posting number 0609601. Complete a candidate profile online and attach a curriculum vitae (CV) and cover letter; the cover letter will serve as your personal statement. Also include a copy of your USMLE scores in writing sample 1 and your ECFMG certification in writing sample 2 if applicable. Candidates must have an MD or equivalent and be ACGME accredited Diagnostic Radiology Residency trained.
International medical graduates are welcome to apply to our fellowships. Fellows are selected on the basis of their medical training, general and academic achievements, and personal qualities. No preference is given to any particular medical school or geographic area, nor is race, sex, or national origin a consideration. International medical graduates need to have a permanently validated ECFMG certificate and have passed USMLE Step 3. They will be offered a visa for the duration of their fellowship.
Please have your references submit three current letters of recommendation directly to:
[For US Postal service delivery]
University of Virginia Department of Radiology and Medical Imaging
Charlottesville, VA 22908
[Physical address (for all other forms of delivery)]
University of Virginia
Department of Radiology and Medical Imaging
1215 Lee Street
Charlottesville, VA 22908
Program Overview and Goals
The overall goal of the Breast Imaging Fellowship Program is to fulfill the three-fold mission of the University of Virginia Health system: To provide excellence and innovation in the care of patients, the training of health professionals, and the creation and sharing of health knowledge.
To that end, the program is designed to enable the Breast Imaging Fellow to accumulate a broad base of medical knowledge, to develop progressively independent interpretive and technical skills under supervision, and to become proficient at accurate clinical decision making and consulting. The fellowship aims to provide teaching and research opportunities for fellows, adjusted to special interests and talents.
At the conclusion of the fellowship, the graduate will have the
foundation to build an academic career in radiology, advance
subspecialty knowledge and skills as an advanced clinical fellow or
instructor, or enter community practice as an expert in breast
As a result of our clinical training and didactic conferences, we expect each Breast Imaging Fellow who finishes training to be able to:
- Be conversant in the BI-RADS lexicon, including the mammography, ultrasound, and MRI sections
- Perceive breast masses, calcifications, and other abnormalities on mammography and determine probability of malignancy; develop an accurate differential diagnosis based on the imaging findings
- Determine appropriate management of mammographic, sonographic, and MR breast abnormalities
- For both standard and problem-solving mammography, describe the technique for obtaining the images, the correct terminology, and the appropriate applications
- Perform breast clinical examinations and correlate with problem-solving mammography
- Perform and interpret breast ultrasound examinations
- Interpret breast magnetic resonance imaging studies; recognize common MR artifacts that affect breast imaging
- Perform and understand the indications and complications of breast interventional procedures including: needle localization using mammographic, stereotactic, ultrasonographic, or MRI guidance; cyst aspiration; fine needle and core needle biopsy with stereotactic, ultrasonographic, or MRI guidance; galactography
- Understand the psychosocial concerns of patients undergoing breast imaging and learn how to deal with these issues; be able to talk with patients who’ve been diagnosed with cancer in an appropriate, supportive manner
- Become familiar with breast pathology and the clinical significance of various benign and malignant lesions
- Understand risk factors for breast cancer, including genetics, and implications for screening mammography, ultrasound, and MRI; be familiar with common methods for measuring breast cancer risk
- Become familiar with community education programs regarding breast cancer awareness
- Determine the elements of quality control and quality assurance programs in Breast Imaging, including the criteria necessary for high quality mammography, breast ultrasound, and breast MRI and the technical problems that impact image quality
- Become familiar with breast imaging literature and current research
- Interpret bone density examinations; understand the basic concepts of etiology, prevention, and treatment of osteoporosis
The University of Virginia is a large tertiary care center in central Virginia. We provide screening and diagnostic mammography, as well as the full range of breast procedures. Mammography is performed at three sites, one of which is staffed by radiologists.
UVA Breast Care Center
- Main site of operations
- All digital operation
- Four mammography units, including two GE Senographe Digital units and two Hologic digital units
- Hologic Tomosynthesis
- Three dedicated breast US units: Two Philips IU 22 ultrasound units, one SuperSonic unit
- Upright GE stereotactic biopsy unit
- Breast specific gamma imaging (BSGI): Dilon camera
- Clinic space for surgical consultation, high-risk clinic, indigent care, benign breast disease clinic, and lymphedema clinic (4 exam rooms and 2 consultation rooms)
Emily Couric Cancer Center
- Newly completed comprehensive cancer center
- Adjacent to the main hospital
- Weekly Tumor Board meetings occur at this location
- No breast imaging occurs at this site
- Adjacent to Women's Center for Midlife Health
- Two mammography units, including GE Senographe Digital and a Hologic digital units
- Images are transported and read at the UVA Breast Care Center
Other Imaging Sites
- Main Hospital: Breast MRI- Seimens 3T. MRI guided biopsy is performed at this site
- Fontaine Imaging Center: Seimens 1.5T Avanto and Espree MRI units. Screening and diagnostic breast MRI
- Northridge Imaging Center: Seimens 1.5T Espree MRI. Screening and diagnostic breast MRI
- Diagnostic Radiology Center in Orange, Virginia, located about 40 minutes from Charlottesville (not staffed by radiologists); GE digital mammography unit
- Outside contracts for mammography reading, including Fluvanna Correctional Center for Women; films sent to Breast Center for interpretation
- Mobile mammography van; GE digital mammography unit
Fellows are responsible for taking patient calls regarding any difficulties or complications after percutaneous biopsy. They are also available to protocol breast MRIs that are scheduled in the evening or on weekends. There is currently no ER or body call.
Fellows are provided with written evaluation of their performance four times during the program. The faculty performs evaluations of the fellows' performance at 3, 6, 9, and 12 months.
Anonymous evaluations by the fellows of the program and are received twice per year and faculty evaluations are completed quarterly. Faculty are evaluated using a numerical scoring system on a wide variety of clinical, teaching, and research skills through New Innovations.
Salary, Benefits, and Academic Stipend
Our fellows receive an annual salary that is competitive with compensation offered by other institutions. They receive medical and dental care benefits for themselves and their immediate family. Additionally, malpractice insurance is provided at no charge. Fellows receive an annual stipend to cover expenses related to attending meetings or buying books. Each fellow is encouraged to attend one educational meeting of his/her choice.
Vacation and Leave Policy
Our Instructors have 22 days of vacation time, and 5 days of meeting time to be spent at national Radiology meetings.
Fellows have combined office space with computers, telephones, and
Research and Academic Activities
strong research program. Our interests are diverse, ranging from
clinical to basic science studies. Our research interests include
breast density, breast cancer risk assessment, and education. Our
division works with several Ph.D. radiology faculty who are currently
studying scintimammography (designing new image receptors, including
tomosynthesis for gamma imaging). The division recently received a $5.5
million grant from the Department of Defense to develop an innovative
new breast cancer screening model (adding “breast density” to the risk
factor calculation). Our previous fellows have enjoyed participating in
one or more projects and have presented their work at various
conferences and professional gatherings.
Fellows will be expected to assist in teaching of medical students and residents rotating in on the Breast Imaging Service.
The fellows' office maintains desktop computers with internet and hospital systems access. The fellows may utilize any other department resources including the section's administrative assistant, graphic artists, webmasters, and IRB support personnel to name a few.
Jennifer Harvey, M.D.
Professor and Program Director
The University of Virginia School of Medicine is accredited by The Liaison Committee on Medical Education (LCME). The University of Virginia is an Equal Opportunity/Affirmative Action employer; women, minorities, veterans, and persons with disabilities are encouraged to apply.