1 year Lecturer in Radiology / Fellow in Interventional Radiology
Galway July 1, 2010- 2011
Galway University Hospitals is pleased to offer a one-year lectureship post in
Diagnostic Radiology, comprising a year of Clinical Interventional Radiology
Training at Fellowship level as a fifth year post from July 2010 to July 2011. Galway
University Hospitals is a two-campus institute comprising an 800-bed hospital spread
on the two sites. Primarily interventional radiology is performed on the main hospital
campus at University Hospital Galway, but the satellite unit at Merlin Park University
Hospital is also utilised for minor procedures.
The training will be under the direction of Dr. Gerry O’Sullivan, Clinical Director of
Galway University Hospitals Radiology Directorate, and Consultant Interventional
Radiologist, and Professor Peter McCarthy, Head of Radiology, National University
of Ireland Galway. Other Interventional Radiologists, Dr. Ian Davidson and Dr. Ray
McLoughlin will also be involved in the training, and further training in
musculoskeletal interventional radiology and breast imaging intervention can also be
arranged if the successful candidate expresses an interest in these areas.
The training philosophy is one of graded responsibility. The fellow is given
responsibilities commensurate with their level of training and experience. Fellows
have the primary clinical responsibility to assess all patients and answer patient
questions prior to procedures (alone or with the attending physician), review all
pertinent medical records, lab studies and imaging studies, assist and/or perform the
procedures, and manage patients in the post-procedure and long-term post procedural
period. Before a procedure is performed, however, the case is thoroughly discussed
with the attending physician to ensure that it is appropriate, no contraindications exist,
and informed medical consent has been obtained. The fellow initiates procedure
planning including guidance techniques and instrumentation. Each procedure is
performed by one fellow and one attending, ensuring an arrangement where trainees'
progress can be closely monitored with instruction on a one-to-one basis. After having
gained the necessary level of competence and expertise, the fellow's role shifts from
observer and assistant to primary operator assisted and guided by the attending staff.
Post-procedural care and follow-up are strongly emphasized. Hospital rounds are
made at least once daily, seeing patients who have undergone procedures that day and
patients who are being followed on an ongoing basis. This includes patients primarily
admitted to the Vascular and Interventional Service as well as medical and surgical
patients who have undergone interventional procedures. Patients seen in outpatient
follow-up are also seen both by the attending staff and the fellow in the Vascular and
Interventional Radiology clinic.
Didactic and interactive instruction are carried out on an ongoing basis. In addition to
discussing studies as they are performed, daily fellow case review sessions are
conducted. Radiologic morbidity/mortality conferences are conducted monthly.
Weekly combined service conferences are held each week with the Division of
Vascular Surgery, and biweekly conferences are held with the GI Malignancy Group
(medical and radiation oncology, surgical oncology, interventional radiology). There
are also Oncology and Urologic oncology as well as general urology meetings on a
weekly basis. A total of 14 hours of MDMs occur each week in GUH which fellows
can attend if their schedule permits.
Fellows gain experience with the entire spectrum of vascular and interventional
radiology, including peripheral arterial disease, abdominal and thoracic aortic stent
grafting, renal artery stenting, transjugular portosystemic shunts (TIPS), percutaneous
biliary interventions (including drainage, stenting), uterine artery embolization (UAE)
and inferior vena cava filter placement. A large hepatobiliary malignancy practice
exists, working closely with the Departments of Surgery and Medical Oncology,
which provides a large caseload of hepatic thermal ablation procedures including
radiofrequency ablation and cryoablation. Thermal ablation of lung and renal tumors
is also performed. Venous interventions performed include pharmaco-mechanical
thrombectomy, thrombolysis, angioplasty, stenting, and placement of chest ports and
tunneled catheters. Vertebroplasty is also performed in our section.
A close working relationship exists with the Department of Urology, and the
interventional section performs percutaneous nephrostomies, stenting, stone removal,
cyst and abscess drainage, and renal biopsies. A broad experience in dealing with
oncologic cases is obtained by working closely with the Department of Surgery and
Medical Oncology. Experiences include biopsy under various forms of guidance,
biliary and GU drainage procedures, and embolization/chemoembolization
techniques. These patients are followed closely throughout their entire hospital and
outpatient course. Musculoskeletal intervention is also performed under the guidance
of the MSK radiologists, and there will be opportunities for breast intervention if the
fellow expresses an interest in this area.
Galway University Hospitals consists of 2 sites comprising of University Hospital
Galway (550 beds) and Merlin Park University Hospital (250 beds). IR is provided on
both sites. There are 4 consultant IR physicians, each of whom is fellowship trained
and worked on staff at a US/Canadian or UK teaching hospital. GUH has an
enterprise wide PACS; with 3 CT, 2 MRI, 4 US, 2 IR rooms split between the two
It is envisaged that the trainee will perform six sessions of Interventional Radiology
training on a weekly basis. The post has a significant academic component in
addition, and the trainee will also be included in the NCHD (Non Consultant Hospital
Doctor) on call roster. In addition to the Interventional Radiology training, the trainee
will also have one session per week of general radiologic duties in the Department
which may comprise cross sectional or other general imaging.
In relation to the academic component of the post, the post is jointly funded between
the Health Service Executive, and the National University of Ireland Galway. Three
sessions per week of academic work is envisaged. This will be divided into teaching
and research duties for the trainee. The trainee will be encouraged to register for a
higher degree. The trainee will be responsible for parts of the lecturer and tutorial
programme for more junior trainees, specifically those preparing for Part I and Part II
Fellowship of the Faculty of Radiologists of the Royal College of Surgeons in Ireland.
In addition with major curricular reform under way, radiology is now placed
foursquare in the middle of the academic training of undergraduate medical students.
As of January 2011, the radiology training given to final year medical students will
take place in the second semester (January to March of the final medical year). It is
envisaged that undergraduates will be attached to the Radiology Department over a
four-week modular period, at which time students will be primarily rotating through
the Radiology Department. This will comprise clinical attachments and tutorial
programmes, in the organisation and delivery of which the fifth year fellow will
perform a commensurate part.
Research will be encouraged, the Department has a very strong track record in
publications in national and international journals, and the trainee will be encouraged
to perform a full and active part in such dissemination of the work. The close
proximity of the National University of Ireland Galway, and of its associated
REMEDI (Regenerative Medicine Institute) and NCBES (National Centre for
Bioengineering Science) facilities on the University Campus adjacent to the hospital
facilitates an enormous cross linkage between the clinical disciplines and the
academic researchers on the University site. The trainee will be afforded excellent
research opportunities in order to progress their chosen interests.
For preliminary discussions, please feel free to contact:
Dr. John Bruzzi, Local Training Co-ordinator, e-mail: email@example.com