Cardiac & Pulmonary Imaging Fellowship

The fellowship in cardiac and pulmonary imaging is designed for radiologists interested in furthering their knowledge of pulmonary and cardiac radiology. The fellow, under the supervision of faculty, will be guided in obtaining expertise in all aspects of clinical thoracic imaging including MRI (cardiovascular MRI and MRA), coronary CT angiography, chest CT, high-resolution CT and biopsy techniques.

UCSF Cardiac and Pulmonary Imaging Fellowship

The fellow will gain experience in a diverse array of different cardiac MRI indications including congenital heart disease, cardiomyopathies, viability MRI and valvular disease amongst others. By the end of the year, the fellow will have had enough experience in coronary CT angiography to meet the qualifications for certification from any society.  The clinical cardiac experience will be complemented by weekly and monthly cardiac imaging conferences led by experts in the field.

The pulmonary radiology experience is also very diverse with a wide spectrum of both inpatient and outpatient referrals.  UCSF has a very active interstitial lung disease clinic treating a wide range of both common and rare diffuse lung diseases.  The fellow is encouraged to participate in the weekly interstitial lung disease multi-disciplinary conference with pulmonary medicine, radiology and pathology.  There is also a very active inpatient clinical pulmonary medicine service that has a very close relationship with radiology and participates in weekly pulmonary consult radiology teaching sessions.

The fellow will also be responsible for teaching residents and conducting conferences in association with the clinical responsibilities and will be encouraged to participate in clinical and basic research projects.  Overall, the chest imaging fellowship at UCSF provides a comprehensive and diverse combined cardiac and pulmonary experience which will prepare the fellow with the knowledge and experience to practice thoracic imaging in any clinical setting.

Cardiac and Pulmonary Imaging Fellowship

What to expect as a Cardiac & Pulmonary Fellow

  • Integrated cardiothoracic program - all our attendings read chest CT, cardiac CT, cardiac MRI, CXRs, and perform biopsies
  • Exams are mixed throughout the day
  • Good variety and broad training

Practice Volume

We are a busy practice:

  • Daily CTs range from 50-100 
  • Daily CXRs range from 100-200
  • Daily PET/CTs range from 1-3

Cardiac CT/MR volume:

  • 5-20 per day = strong volume of cardiac studies admixed with thoracic CT daily

Biopsies:

  • 1-5 weekly

You will be prepared for academic and private practice volumes following Cardiac & Pulmonary fellowship at UCSF.

Cardiac CT/MR

All cardiac CT/MR is read by our department

We read all cardiac CT/MR exams in adults and children

  • No split with cardiology

Broad array of cardiac imaging studies

  • Coronary CTA including FFR
  • Adult CMR
  • Structural
    • Congenital
    • Hypertrophic Cardiomyopathy Center of Excellence
    • Heart failure
    • Electrophysiology applications
  • Pediatric CT/CMR
    • Large congenital cardiac surgery program
  • Valve service including TAVR/TMVR/TPVR
  • Pre-ablation imaging

Cardiac CT/MR

Biopsies

Our department does all CT guided lung biopsies

  • Excellent opportunity to learn procedural skills including CT FNA, core biopsy, and fiducial placement
  • By the end of fellowship will be confident independent proceduralist, having done 50+
  • Marketable skill for both academics and private practice

CT guided lung biopsies

Conferences

Weekly

  • TAVR valve conference
  • Pediatric cardiac surgery
  • UCSF tumor board
  • VA tumor board
  • Adult congenital heart disease
  • Pulmonary teaching conference
  • ILD conference

Monthly

  • Amyloid multidisciplinary conference
  • Airways/bronchiectasis conference
  • Cardiology multimodality imaging conference

Academics

Our fellows have one protected academic day every week.

This can be used for many difference activities:    

  • Research projects
  • Creating educational materials/lectures
  • Taking courses
  • Attending clinical conferences
  • Shadowing in bronch suite, echo lab, pathology

Flexible and customized for each fellows’ goals/interests.

Work Locations

Cardiac & Pulmonary Imaging Fellows will work at all of the following sites:

 Cardiac & Pulmonary Common Questions

Cardiac & Pulmonary Call

Our fellows take 2 types of call 

Chest call

  • Begins in October
  • Rotates equally with rest of chest faculty = one week at a time every 6-8 weeks depending on fellow #
  • Pager backup for overnight resident during the week
  • On weekend, final sign inpatient/ER CTs and CXRs (including studies prelimed by resident)
  • No staying up overnight

General non-ACGME call

  • Call is taken by all non-ACGME fellows
  • Either one evening or weekend day shift per month providing prelim reads of inpatient CTs and ultrasounds across all disciplines (other than neuro)
  • These call shifts are from 5p-11p on a weeknight or 12p-10p on a weekend day
  • No staying up overnight

Cardiac & Pulmonary Fellow Schedule

Two main fellow roles at Parnassus (50/50 split)

Biopsy/cardiac: fellow acts in a trainee role

  • Reading cardiac CT/MR with attending
  • Reading thoracic CT with attending
  • Performing CT guided lung biopsies with attending
  • (Plus reads CXRs solo) 

Clinical instructor (CI): fellow acts as a mini attending*

  • Reviewing CTs with residents and final signing
  • (Plus reads CXRs solo) 

Fellows also go to ZSFH (trainee role) and SFVA (CI role)

* There are always another 1-2 chest attendings available to the CI fellow, and this is a great chance for the fellow to build confidence, graded responsibility, and experience interpreting exams.  CI days are popular with our fellows since it helps prepare for transition to attending-hood with plenty of support. 

Other schedule considerations

  • Our chest fellows have 1 protected academic day each week (unique perk – more details later)
  • UCSF non-ACGME radiology fellows receive department laptops, educational funds, meeting days, paid vacation days, parental leave, and access to subsidized housing

Cardiac & Pulmonary Fellow Outcomes

  • 50/50 academic and private practice jobs 
  • Fellow outcome for the last 5 years:
Academic Private Practice
  • Duke
  • Stanford
  • UCSF
  • UCSF
  • UCSF
  • Michigan
  • U Washington
  • ZSFG
  • Airforce
  • Denver
  • International
  • Maryland
  • San Francisco
  • San Francisco
  • San Francisco
  • Washington DC

Apply to Cardiac & Pulmonary Imaging Fellowship Program 

Application and Recruitment Timeline

 

Timeline

Important Dates

Application

Applications will be accepted beginning

08/01/2021

Interview Embargo Dates

Interviews will be held between

11/01/2021 - 03/31/2022

Acceptance Embargo Dates

Acceptances will be offered beginning

11/01/2021

Grace Period

Applicants will have 7 days between the offer and the need for the applicant to either accept or decline offer.

Cardiac & Pulmonary Imaging Fellowship Program Director

Assistant Professor
Modality Director, CT
Director, Cardiac & Pulmonary Imaging Fellowship Program
Asst Prof - Clinical Radiology