Musculoskeletal Imaging

Thank you for your interest in Musculoskeletal Imaging Fellowship Program at University of Minnesota. The Division of Musculoskeletal Imaging offers a one-year clinical fellowship covering the wide spectrum of musculoskeletal imaging with a strong emphasis on diagnostic imaging. The program is designed to suit for aspiring musculoskeletal radiologist either in academic or private setting.  The program provides flexibility to tailor to the individual fellow’s career goal.  The fellowship consists of three core arms of subspecialty education provided at a tertiary referral academic center: clinical, educational and research.

Our Division

The Musculoskeletal Imaging division has been selected more than once by the residents as the the best teaching section in recent years.  The MSK division director, Shelly Marette, has also won individual the best teacher award in the past.  Jutta Ellermann is a well known researcher in Musculoskeletal Imaging with particular interest in cartilage imaging. Dr. Ellermann has a joint appointment in the Center for Magnetic Resonance Research. This is a world renowned research institute located on the University of Minnesota campus embedded within the Department of Radiology.  Our section has a strong relationship with the University of Minnesota Orthopedic Department with multiple ongoing collaborative research projects each year.

The Goal

The goal of this one year clinical fellowship is to broaden the base of medical knowledge, develop progressively independent interpretive and technical skills, and to become proficient in accurate clinical decision making and consulting. The fellowship also provides teaching and research opportunities adjusted to an individual’s special interests and talents.

Upon completion of the fellowship, the graduate will have the foundation to build an academic career in radiology or enter a private practice in the role of a well- trained musculoskeletal subspecialist.

The Curriculum

Clinical Arm

The Fellow will be primarily stationed at recently opened Clinics and Surgery Center. This is a state of the art facility with both 1.5T and 3.0T MRI scanners.  CT and ultrasound machines as well as fluoroscopy are located at this facility as well.  The MSK reading room is stationed immediately adjacent to those scanners, allowing us to review images and provide input.  This allows a team approach as we strive to provide excellent patient care.

Additionally, we are responsible for all Musculoskeletal imaging performed at University of Minnesota Medical Center East Bank Hospital, Maple Grove outpatient clinic and some of the Riverside hospital studies. There are a total of three 3T MRI Magnets and three 1.5T MRI Magnets at these locations. 

Our average daily volume ranges from 100-150 total studies, which consists of average 15-25 cross sectional studies, primarily MRI, and ample amount of plain films. 

The core strength of our program is the wide spectrum of cases.  Throughout training, a fellow will be exposed to a variety of cases from bread and butter cases of acute trauma, sports medicine related injuries, including high level athletes from University of MN Big Ten Gopher’s teams to rather unique cases to tertiary referral center such as daily orthopedic oncologic cases.  There is exposure to enough volume and variety of cases for the fellow to learn. The fellow should expect dedicated view box teaching for individual cases including plain films early in the course of their training.

Educational Arm

A fellow will be working with one or two of four musculoskeletal specialized radiologists each day.  We pride ourselves for excellence and dedication in teaching. 

Jim Kirkham, FACR, has 30 years of experience with a background of fellowship training in both Ultrasound and Musculoskeletal Imaging.  Growing in an era preceding to MRI imaging, his depth of knowledge in plain radiography with particular interest in orthopedic hardware and its’ imaging provides a level of teaching only possible in those with decades of experience. 

Shelly Marette, who had won the best teacher award in the past, has been working closely with our tertiary referral center orthopedic oncologists for past 10 years and her primary interest in musculoskeletal oncologic imaging provide education only possible in such a clinical setting.

Takashi Takahashi is our newest addition to the team. After finishing his Residency in 2012 Takashi was fellowship trained in Musculoskeletal Radiology with Dr. Donald Resnick at the University of California San Diego in 2013-2014. Subsequently he spent a year of additional study as a Fellow in the Dept of Neuroradiology here at the University of MN. In addition to his skills in interventional procedures and imaging, Takashi brings enthusiasm for research into the section.

As a member of our team, our fellow will not only be the recipient of teaching but be a teacher as we go through our daily clinical case load with residents and medical students. Sports Medicine Fellows also rotate into our reading rooms.  All of us provide some didactic lectures during the year. 

Research Arm

There is a vibrant research effort associated with the MSK section at the Department of Radiology.  The research is spanning a wide range of activities from basic science MRI imaging, high level translational research to advanced clinical imaging. The MSK research is based on a strong collaborative effort with the Department of Orthopaedic Surgery at the University and other institutions. The research is also embedded in the Center of Magnetic Resonance Research (CMRR).  This Center has pioneered ultrahigh field imaging, first in the brain, and, subsequently, in the human torso and musculoskeletal system, and remains one of the leaders in the world to drive the effort to image the entire human body at high and ultrahigh magnetic fields. These technological achievements are translated to the study of clinical orthopaedic imaging problems and provide new tools for patient care and management with a focus on clinical translational research. 

Jutta Ellermann is a MSK fellowship trained Board Certified Radiologist with 10 years of clinical practice at the University of Minnesota with a special focus on MSK imaging research.  Her areas of research interest include:

  • The young adult hip in the context of femoroacetabular impingement (FAI) and prevention of premature osteoarthritis.
  • Better understanding the etiology of Osteochondritis Dissecans (OCD) in young patient, building an imaging knowledge base for evidence based treatment strategies.
  • Imaging of the Legg-Calve-Perthes Disease (LCPD) of the hip.
  • New imaging strategies for the meniscus to better understand outcomes of meniscal repair versus conservative treatment.
  • 3D Imaging of the shoulder to built kinematic models for the rotator cuff.
  • 7T bilateral hip imaging for higher resolution imaging.
  • Special quantitative cartilage imaging strategies with novel sequences developed at CMRR to evaluate cartilage degeneration and repair.

 

Others

Image-guided procedures

Fellow will have ample opportunity for musculoskeletal image guided procedures including but not limited to therapeutic/diagnostic arthrography of standard large joints e.g. hip, shoulder, knee, wrist, elbow, but also smaller joints e.g. any of foot or ankle joints, hand joints etc.  There will also be opportunity for spine intervention including translaminar and transforaminal epidural injections.

A fellow will have additional opportunity to perform a CT and ultrasound guided biopsies, drainages, and tube placements under the elective rotation in our well-known interventional radiology section.  Fellowship guidance and supervision will be determined on an individual basis depending primarily on the experience and abilities of each fellow.

Electives

Fellows get 8 optional weeks of elective time throughout the year that can be spent within the division including research. If desired, a fellow may spend time outside the division (cardiovascular imaging, interventional radiology, pediatric imaging, breast imaging, body imaging, neuroradiology).  Alternatively, our fellow may use elective time for away rotation.  The Fellow will need pay their own expenses associated with rotations at other institutions.  Elective time outside the division requires approval of the program director and the section head of that division.

Conferences

MSK fellow, attending and interested residents will have biweekly morning conference.  The typical conference consists of 2-3 interesting cases with relevant literature review and extensive discussion. At times, the conference will consist of a didactic presentation by one of musculoskeletal imaging faculty, fellow or a discussion of ongoing research or other projects.  This process will prepare a fellow to keep up with continuing evolution of musculoskeletal imaging field beyond fellowship.  

Fellows will also participate in the U of MN radiology clinical conferences and tumor boards. This is a critically important component of the fellowship as it provides an excellent learning opportunity. The responsibility and degree of involvement during presentations will gradually increase throughout the year.

The section currently presents cases for the following conferences:

  • Orthopedic Department Didactic Conference – Weekly
  • Musculoskeletal Tumor Board Conference - Weekly
  • Orthopedic Ground Rounds Conference – Weekly

Call Responsibilities

After hours call is not currently incorporated into the fellowship.

Evaluations

Will be done on a quarterly basis with the program director. Fellows will also be evaluating the faculty and program to provide feedback about the program. 

Salary and Benefits

Our fellows receive an annual salary that is competitive with what is 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. http://www.med.umn.edu/gme/applicants/home.html.

Vacation and Leave Policy

Fellows have 20 days of vacation time. Days of absence due to illness are considered paid leave up to ten (10) days per year.

Application Process

Minimum entry requirements include successful completion of a diagnostic radiology residency from an ACGME or equivalent residency program in the USA or Canada. 

Applications from graduates of non-US radiology programs are considered on a case-by-case basis if the duration of the completed training is at least five years including one year of clinical training. Please note however that for international graduates at least one of the recommendation letters has to be from a US radiologist or US institution.

A personal interview is required for all applicants, acceptance into the program will be on a rolling basis. In the case of exceptional circumstances, interviews can be scheduled at national meetings (RSNA, ARRS, SAR). Link to fellowship application
Our Commitment

Recognizing the personal commitment required to extend your training and improve your skills, we are firmly committed to providing leading-edge instruction and helping the fellow achieve success in both diagnosing and managing disease.

Apply

Submit the following materials to: 

attn: Bibi Husain
Department of Radiology
University of Minnesota
MMC 292, 420 Delaware St. SE
Minneapolis, MN 55455

  1. Completed Application
  2. Curriculum Vitae
  3. Transcript
  4. USMLE
  5. ECFMG
  6. Three letters of recommendation (one of which must come from your program director)
  7. Personal Statement

Application Form