HIGHER TRAINING POST IN PAEDIATRIC RADIOLOGY



Mater Misericordiae University Hospital

IMGTI Training Post in Emergency Radiology with Cardiac Imaging

1 position – 12 months

The Mater is inviting applicants for our “Emergency Radiology with Cardiac Imaging” fifth year fellowship position.

The Mater ED is the busiest in Ireland. In 2018 nearly 11,000 CTs were performed to investigate ED, AMAU (Acute Medical Assessment Unit) and ASAU (Acute Surgical Assessment Unit) patients, including 5,000 head CTs, 1000 CT Abdomens, 540 CTPAs and over 350 stroke CTAs. CT perfusion with automated software analysis is now a routine part of acute stroke care in the Mater and we performed 230 such studies in 2018. In addition 1,300 MRIs were performed on ED patients in 2018.

Emergency Radiology at MMUH is led by Dr Peter MacMahon and Dr Ferdia Bolster, both fellowship trained in emergency imaging.

A successful candidate for this position will be working in the ED for the vast majority of their time, being exposed to all ED CT, ED MRI and ED USS imaging performed during the working day. The ED candidate will become intimately acquainted with all the diagnostic pathways and scanning protocols developed by the Mater Emergency Radiology team. For example, at the Mater we have developed a “straight-to-CT” pathway for all suspected acute strokes. We now have a world class median door-to-CT time in acute stroke of 7 minutes during the working day (19mins out-of-hours). In addition, we perform the full range of advanced stroke imaging in the ED including multiphase CTA and perfusion CT. Successful candidates will be exposed to a large numbers of acute stroke patients and become confident in the interpretation of these advanced imaging studies.

At the Mater we have optimised all imaging protocols from an image quality and radiation exposure point of view but also to improve ED efficiency; for example, we do not routinely administer oral contrast in the ED or wait for renal function prior to intravenous contrast in sick patients (e.g. acute stroke). We have a dedicated ED ultrasound machine for radiology use located directly opposite radiology reporting which allows rapid targeted ultrasound to answer specific questions in acute surgical patients.

The ED candidate will be expected to participate in the monthly ED teaching case conference which reviews the most interesting ED cases from the previous month. In addition, the ED candidate leads the weekly case conference for the Radiology SpRs in training, and attends the weekly stroke MDM led by Prof Kavanagh.

Strong links have now been established between the State Pathologist department and Mater Radiology. Dr Ferdia Bolster leads the post-mortem imaging program at the Mater and the ED candidate will be able to participate in the review of these cases.

Cardiac Imaging:

The Mater Hospital is the National Centre for cardiothoracic surgery and heart and lung transplantation. The department provides highly specialised treatment for patients with diseases of the heart, lungs and chest. These services include cardiac surgery, thoracic surgery, heart and lung transplantation, adult congenital heart disease and the Irish heart valve bank. The cardiac surgery service provides treatment to patients with diseases of the heart such as coronary artery disease, aortic disease, or valvular heart disease. The adult congenital heart disease service is a specialty service that provides medical and surgical treatment to patients who were born with heart disease. This may include, for example, abnormalities such as ventricular or atrial septal defects, anomalous pulmonary venous drainage, single ventricle, congenital mitral valve disease, bicuspid aortic valve disease in young patients and Marfan's syndrome. As part of this Fellowship the candidate will have dedicated reporting sessions in Cardiac CT and MR imaging with our Cardiac Fellowship Trained Cardiac Consultants Prof John Murry, Prof Cormac Farrelly and Prof Leo Lawler. The candidate with also be involved in the MMUH Cardiac, Congenital Cardiac and Thoracic Aorta Multidisciplinary Team Conferences which offer a multitude of complex cases.

For further information, please contact:

Dr Carmel Cronin

ccronin@mater.ie

|Dr Peter MacMahon |Dr Ferdia Bolster |

|pmacmahon@mater.ie |fbolster@mater.ie |

Cappagh & Mater Misericordiae University Hospital

Musculoskeletal Radiology Fellowship

This Musculoskeletal radiology fellowship is a 12 month position under the auspices of the Mater Misericordiae University Hospital (MMUH), based primarily in Cappagh National Orthopaedic Hospital.

The Department of Diagnostic Imaging in Cappagh National Orthopaedic Hospital has been recently refurbished and has installed overcouch digital fluoroscopy, direct and indirect digital general rooms with tomography, ultrasound, Dexa, C-arm, and a 1.5 Tesla Philips MRI. The department is a Beta research site for Philips MRI. The department currently performs 24,000 dedicated musculoskeletal examinations a year and is served by two consultant musculoskeletal radiologists.

The department offers musculoskeletal interventional sessions, during which arthrograms, bone biopsies, discograms, facet and epidural nerve root blocks and vertebroplasty are performed. There is also dedicated musculoskeletal ultrasound employing the HDI 3500 with a high frequency hockey stick probe, a service which includes imaging of the shoulder, extensor tendons of the ankle and ultrasound guided interventions including tenography.

In a research capacity, the department offers office space, a desktop computer, a digital camera, a laser printer, library facilities, meeting funding and secretarial support, facilitating radiology training. Through the new MR facility, Philips medical systems and Dublin City University, the department is actively involved research. Current projects involve the development of whole body MRI, the evaluation of fast imaging techniques and the use of diffusion imaging techniques in the extremities. The department is the primary focal point for the national orthopaedic osteoporosis research group and is actively involved in the multidisciplinary evaluation of imaging and new treatments in osteoporosis, using gold standard data yielded through ash scores.

It is anticipated that the appointed IMGTI candidate will receive full training in the interpretation of orthopaedic conventional radiographs, digital imaging, musculoskeletal ultrasound and MRI with 9 half day clinical sessions and one half day session for research. The appointed IMGTI candidate will be actively involved in all research projects. The IMGTI candidate will attend the multidisciplinary sports medicine conference in MMUH and the orthopaedic tumor conference in Cappagh (both weekly) and also will attend the departmental teaching. An on-call commitment in line with the other radiology SpRs in the Mater Misericordiae Hospital is also an integral part of this job.

For enquiries

Prof Stephen Eustace

Prof Eoin Kavanagh

Cappagh National Orthopaedic Hospital

St. Vincent’s University Hospital/Dublin Academic

Medical Centre

IMGTI Training Post in Interventional Radiology +/- Cardiovascular CT-MRI-PET

Background: St. Vincent’s University Hospital is a 500-bed teaching Hospital affiliated to the Dublin Academic Medical Centre and the Ireland East Hospital Group (IEHG). The hospital serves the population of South-East Dublin and is a secondary and tertiary centre for medical and surgical specialties in the region. Established patient referral bases include St. Michael’s Hospital, St. Colmcille’s Hospital, St. Luke’s Hospital, The National Maternity Hospital at Holles Street, the Royal Victoria Eye and Ear Hospital, and also referrals from other hospitals in the IEHG. There are 20 Consultant Radiologists (incl 2 full-time Breast Radiologists) and 13 Specialist Registrars. The clinical referral base includes Breast, Endocrine and General Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, (including the National Liver Transplant Unit and National Pancreatic Surgical Center), Vascular Surgery, Urology, Orthopaedics, Thoracic Surgery, Gynaecology, ENT, Gastroenterology, Hepatology, Neurology, Endocrinology, Rheumatology, Medical Oncology and Haematology, Radiation Oncology, Cardiology, Respiratory Medicine (including the National Cystic Fibrosis Unit), Ophthalmology and Emergency Department.

Training and Responsibilities: The candidate will work in a fully equipped Radiology Department with three Siemens interventional rooms (Siemens Artis Q, Siemens Axiom Artis dTA and Siemens Axiom Artis dMP), under Consultant supervision, performing both vascular and non-vascular procedures. The vascular procedures include angiography, angioplasty, stenting (including AAA repair), venous and arterial thrombolysis, hepatic chemoembolisation, Y90 hepatic radioembolisation (SIRT), portal vein embolisation and many other forms of embolisation, TIPSS and transjugular liver biopsy, IVC filter insertion and retrieval and all forms of venous access. There is also quite a significant volume of vascular malformation intervention with various forms of embolisation/sclerotherapy, both endovascular and percutaneous. Non-vascular interventional procedures include biopsy, abscess drainage, nephrostomy and ureteric stenting, biliary drainage procedures, biliary stenting, gastrostomy, gastro-jejunostomy, vertebroplasty and image guided radiofrequency and microwave ablations. As the National Centre for Liver Transplantation and Pancreatic Surgery, there is an unrivalled large volume and complexity of hepatobiliary intervention.

Patient assessment pre-procedure, management of complications and post-procedure follow-up are important aspects of modern Interventional Radiology and are emphasized during training. It is expected that the IMGTI candidate will take a leading role in co-ordinating all activity in the interventional area. The IMGTI candidate will also attend and present at clinical-radiologic conferences in relevant sub-specialty areas. The successful candidate will participate in the general radiology on call rota.

The Cardiac CT-MRI-PET program is centered on two 64-slice Cardiac CT scanners (Siemens Sensation 64), a cardiac MRI scanner (Siemens Avanti) and a PET-CT suite. The cardiac CT program covers all aspects of cardiac CT, including coronary evaluation of low-intermediate pre-test probability patients with chest pain, coronary artery bypass graft evaluation, coronary anomalies, triple-rule-out cardiac CT for the evaluation of PE/dissection/coronary artery disease, cardiac masses (metastases and primary tumors), congenital heart disease in adults, TAVI imaging and pre-ablation pulmonary vein imaging. The cardiac MRI program covers all aspects of cardiac MRI, including cardiomyopathies, viability studies, cardiac masses (metastases and primary tumors), phase velocity quantification flow studies, congenital heart disease evaluation. The PET-CT suite houses a newly installed state-of-the-art PET-CT scanner and through the oversight of Dr. David Murphy, a cardiac PET program has been launched with an emphasis on cardiac sarcoid evaluation.

A particular emphasis is placed on consultant-led research project publication for the successful candidate based on cardiac CT/MRI.

Academic Status: St. Vincent’s University Healthcare Group, Mater Misericordiae University Hospital, and University College Dublin form the Dublin Academic Healthcare Centre. The post will include a teaching commitment at both undergraduate and postgraduate levels. The Department has a commitment to an active research program with a wide range of ongoing research projects. The successful candidate will be expected to actively contribute to the ongoing research. Up-to-date library, computer, digital image manipulation and Internet access facilities are all available within the Department.

Candidates who are interested are strongly encouraged to visit the department and, to facilitate this, should contact Dr. Jeff McCann, Consultant Radiologist, St. Vincent’s University Hospital, Elm Park, Dublin 4

[email: j.mccann@svhg.ie]

St Vincent’s University Hospital/Dublin Academic

Medical Centre

IMGTI Training Post in Imaging

(CT, MR, US and/or Radioisotope/PET-CT/Cardiovascular imaging)

Background: St. Vincent’s University Hospital is a 500-bed teaching Hospital affiliated to the Dublin Academic Medical Centre and the Ireland East Hospital Group (IEHG). The hospital serves the population of South-East Dublin and is a secondary and tertiary centre for medical and surgical specialties in the region. Established patient referral bases include St. Michael’s Hospital, St. Colmcille’s Hospital, St. Luke’s Hospital, The National Maternity Hospital at Holles Street, the Royal Victoria Eye and Ear Hospital, and also referrals from other hospital in the IEHG. There are 20 Consultant Radiologists (2 full-time Breast Radiologists) and 13 Specialist Registrars. The clinical referral base includes Breast, Endocrine and General Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, (including the National Liver Transplant Unit and National Pancreatic Surgical Center), Vascular Surgery, Urology, Orthopaedics, Thoracic Surgery, Gynaecology, ENT, Gastroenterology, Hepatology, Neurology, Endocrinology, Rheumatology, Medical Oncology and Haematology, Radiation Oncology, Cardiology, Respiratory Medicine (including the National Cystic Fibrosis Unit), Ophthalmology and Emergency Department. The department has been fully digitised since July 2006.

Facilities: There are two 64 slice MDCT scanners which perform annually in excess of 27,000 examinations, including biopsies and other interventional procedures. MRI is performed on a 1.5T Siemens AVANTi system. There are nine ultrasound units providing examinations including abdominal, pelvic, endocavitary (endoanal and transvaginal), musculoskeletal, vascular and small parts imaging. Over 1000 ultrasound-guided biopsies performed annually. In the radionuclide section there are two dual-head and one single-head gamma cameras. All types of scintigraphic examinations are undertaken, including lymphoscintigraphy and pharmacological myocardial perfusion stress testing. There is also a newly installed Siemens Biograph PET-CT with state of the art time of flight PET and multislice CT capabilities allowing ultra-high definition and low dose with rapid acquisition times. In addition to PET-CT Oncological imaging, subspecialist Neuro-PET training can be offered and a cardiac PET program has been launched with an emphasis on cardiac sarcoid evaluation.

Training and Responsibilities: The successful candidate will select one or more imaging modalities of interest on which they will concentrate. There are many opportunities to sub-specialize into one or more areas of interest in our Department of 18 Consultants. Specialist areas within the Radiology group include Nuclear Medicine, PET/CT, Lung Cancer, Prostate Cancer, Cystic Fibrosis, Neurological/ENT affiliated with the Royal Victoria Eye and Ear Hospital, Musculoskeletal Imaging and Intervention and Hepatobiliary/Pancreatic imaging as part of the National Referral Centre for Pancreatic Surgery and Liver Transplantation. Cardiovascular imaging training can also be offered outside of the Interventional Radiology position (see description under separate IR +/- Cardiovascular CT-MRI-PET job description).

The IMGTI candidate will co-ordinate all aspects of provision of the imaging service in their chosen area in conjunction with the Consultant Radiologists, including the prioritisation, protocoling and reporting of examinations. Participation in daily clinico-radiological conferences is expected and it is expected that the successful candidate will be involved in the organisation, structuring and presentation of MDTs. This involvement will provide high volume exposure to specific imaging. The successful candidate will participate in the on call rota.

Academic Status: St. Vincent’s University Healthcare Group, Mater Misericordiae University Hospital, and University College Dublin form the Dublin Academic Healthcare Centre. The post will include a teaching commitment at both undergraduate and postgraduate levels. The Department has a commitment to an active research program with a wide range of ongoing research projects. The successful candidate will be expected to actively contribute to the ongoing research. Library, computer, digital image manipulation and Internet access facilities are all available within the Department.

Candidates who are interested are strongly encouraged to visit the department and, to facilitate this, should contact Dr. Jeff McCann, Consultant Radiologist, St. Vincent’s University Hospital, Elm Park, Dublin 4

[email: j.mccann@svhg.ie]

Cork University Hospital

Musculoskeletal Radiology Fellowship

Cork University Hospital is an 800 bed hospital affiliated with University College Cork.

It contains a busy Emergency Department, set to become a regional trauma centre as well as a designated cancer centre.  It has an active rheumatology and orthopaedic services which includes a large paediatric department.  This provides for a broad range of musculoskeletal pathology and procedures.  The hospital has 3 MRI scanners including 1 3T, 2 CT, PET-CT, SPECT/CT as well as routine ultrasound, plain film etc.  The IMGTI candidate will have an opportunity to learn a range of ultrasound and fluoroscopic joint and peritendinous injection procedures as well as biopsies and multimodality reporting.  There will be an element of more general work to the position to maintain a broad range of competencies.  Attendance/participation at sarcoma and rheumatological MDM’s amongst others is a core part of training.  Involvement in ongoing research and audit procedures will also be supported.

For further information please contact:

Dr Nina Marshall Consultant Radiologist Cork University Hospital

nina.marshall@hse.ie

 

 

 

 

Cork University Hospital

Radiology Fellowship in Chest Imaging

Cork University Hospital is an 800-bed hospital affiliated with University College Cork. It is one of the eight designated cancer centres including a rapid access lung clinic, active cardiothoracic department and busy cardiac service.  There is also a cystic fibrosis service (paediatric and adult patients).  The IMGTI candidates will work with several fellowship trained radiologists with subspecialty experience in all aspects of respiratory and cardiac imaging from plain films, cardiac CT, Cardiac MRI, ultrasound and CT guided procedures.  There is also nuclear medicine exposure including PET-CT.    There will be a generalist component to the position to maintain a broad range of competencies.  Attendance/participation at weekly benign and malignant lung MDM’s amongst others is a core part of training.  Involvement in ongoing research and audit procedures will also be supported.

For further information please contact:

Dr Sean McSweeney Consultant Radiologist Cork University Hospital 

sean.mcsweeney@hse.ie

 

Cork University Hospital

Oncology Radiology Fellowship

 

Cork University Hospital is an 800-bed hospital affiliated with University College Cork. There are 18 Consultant radiologists and 13 specialist registrars.  It is one of the eight designated cancer centers including lung, prostate, colorectal, haematogical, breast, endocrine and melanoma services.  The co-location with Cork University Maternity Hospital also means there is exposure to significant gynaecological oncological care.  There are two 64 slice CT scanners, three MRI (inc 1 x 3T), eight US machines, PET-CT, SPECT-CT, three Hologic tomosynthesis mammography machines.  There are numerous subspecialisty MDM’s which provide ample opportunity for presentation and interaction with clinical teams.  The IMGTI candidate will have a broad range of access to multimodality diagnostic imaging as well as biopsy and other procedures.  Exposure to clinical trials and RECIST reporting is also a key component of oncological work.  There will be a generalist component to the position to maintain a broad range of competencies.  Involvement in ongoing research and audit procedures will also be supported.

For further information please contact:

Dr Kevin O’Regan Consultant Radiologist Cork University Hospital

kevin.o’regan1@hse.ie

St. James’s Hospital

St. James's Hospital (SJH) is the largest academic teaching hospital in Ireland. The hospital's fundamental purpose is the delivery of health treatment, care and diagnosis as well as health promotion and preventative services at catchment, regional, super-regional and national levels.

St James's Hospital is a designated supra-regional centre for many leading cancers, including oesophageal, lung, head and neck, and gynaecological malignancy (>25% of patients nationally for each of these cancer groups are treated in SJH - 63% of national lung cancer resections performed in SJH in 2010). It is the national centre for burns, maxillofacial surgery, haematology and coagulation disorders, and houses the National Medicines Information centre. It has supra-regional centres for TB, cardiothoracic surgery, infectious diseases, cardiology, and gastroenterology, in addition to the cancer services above.

Radiology Department

The department currently consists of 15 consultants and 12 trainees. Over 225,000 examinations were performed in 2018. Subspecialty interest in all major areas is catered for, including interventional radiology, musculoskeletal imaging, PET/CT and body imaging. The hospital is designated as European reference site for the Cerner PACS system with digital dictation and full integration with the hospital’s electronic patient record system.

There has been a significant investment in equipment in the department recent months with a two new 64 slice Siemens CT scanners, 2 new 16 slice SPECT CTs and refurbishment of one of the interventional radiology suites to include full CT guided interventional capabilities. Additional equipment purchased and installed includes 2 new Philips 1.5T MRI, 3 new Philips ultrasound units. Existing equipment includes a further 64 slice CT scanners with full cardiac and perfusion CT capabilities, 7 ultrasound units (including dedicated portable and breast imaging ultrasounds), and 2 Siemens interventional rooms. The fully operational SJH PET centre contains a state-of-the-art GE PET scanner with 64 slice CT capability, together with a team of dedicated PET scientists. Functional imaging at the St. James’s site also includes a dedicated HRB-funded 3T MRI within the CAMI (Centre for Advanced Molecular Imaging), underlining the breadth of advanced imaging taking place in St. James’s.

IMGTI Training Post in Interventional Radiology

IMGTI Fellowship Overview

The structure of the post involves 7 sessions interventional radiology, 1 session protected for research activities (more if research output justifies this) and the remainder as non-interventional sessions, spent in Ultrasound or CT with emphasis on the interventional aspect of the modality. Opportunities exist to pursue Musculoskeletal US intervention.

This position offers IMGTI candidates further experience in all aspects of Interventional Radiology (Vascular, Non-Vascular, Musculoskeletal and Oncology IR) under the direct supervision of Consultant Radiologists with sub-specialty interests. There are two dedicated Siemens Interventional Rooms on site. The successful candidate will develop experience in all clinical aspects of Interventional Radiology including:

• Clinical peri-procedural care from admission to discharge of patients under the direct care of the Interventional Radiology service.

• Non-invasive imaging in Interventional Radiology Peripheral vascular intervention (carotid, aorto-iliac and peripheral revascularisation, angioplasty, stenting, thrombectomy, infra-popliteal revascularisation).

• Thoracic Stent Grafting Visceral artery intervention Venous Intervention (the management of dialysis access, vena cava filters, central venous stenting)

• Interventional Radiology in Women’s Health (uterine artery embolisation)

• Interventional Oncology (chemoembolisation, portal vein embolisation, radio frequency ablation)

• Non-vascular intervention (Hepatobiliary and renal intervention)

• Musculoskeletal Interventional Radiology

• Participation and co-ordination of Oncology Intervention and Vascular Intervention multi-disciplinary conferences.

Personnel and Equipment

The successful candidate will work with the 4 interventional radiologists on site.

Equipment includes 2 modern Siemens interventional rooms with dedicated in room high specification ultrasound. A wide range of vascular, non-vascular and musculoskeletal procedures are performed. Cancer patients constitute a large proportion of the workload, including placement of vascular access for chemotherapy, treatment of non-resectable disease (chemo-embolisation, radiofrequency ablation), and management of complications (biliary and urinary stent placements). A visit to the department is encouraged to review our procedure lists. This busy year will comfortably equip candidates to perform at Consultant level once completed.

Research and Education

Research is encouraged within the IR department. A minimum 10% academic time is provided. The candidate will be expected to undertake at least one research project which will be mentored by the IR Consultant group. St. James’s Hospital is the largest cancer centre in the country. As part of the Trinity St. James’s Cancer Institute, the Radiology department plays an important role in cancer diagnostics and intervention closely collaborating with clinical colleagues clinical in all areas of education/training, and research.

Full participation in the on-call rota (1:10-11) and presenting at the various multi-disciplinary conferences is expected.

Academic Status:

The IMGTI candidate will be appointed a Lecturer in the Department of Radiology, Trinity College Dublin. The post will consequently include a teaching commitment at both undergraduate and postgraduate levels.

Contact Details

Candidates who wish to discuss this position or visit the department should contact Dr Mike Guiney, Consultant Interventional Radiologist, St. James’s Hospital at mguiney@stjames.ie, Dr. Niall Mc Eniff, Consultant Interventional Radiologist, St. James’s Hospital at nmceniff@sjh.ie, Dr Ian Brennan, ibrennan@stjames.ie or Dr. Mark Ryan, Consultant Interventional Radiologist, St. James’s Hospital at mfryan@stjames.ie

Tallaght University Hospital

IMGTI Higher Training Post

Cross Sectional Imaging and Interventional Radiology Fellowship

Background: Tallaght University Hospital is a 600 bed teaching hospital affiliated to Trinity College Dublin. Located in south-west Dublin, the hospital is a provider of local, regional, supra-regional and national medical and surgical specialities. Tallaght University Hospital has both an Adult and Children's Emergency Department and is a National Urology Centre, a Regional Dialysis Centre and a Regional Orthopaedic Trauma Centre. The clinical referral base includes General Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, Vascular Surgery, Urology, Orthopaedics, Gynaecology, ENT, Gastroenterology, Hepatology, Neurology, Endocrinology, Rheumatology, Medical Oncology and Haematology, Radiation Oncology, Cardiology, Respiratory Medicine and Emergency Medicine. Diagnostic facilities include 1.5 Tesla MRI scanner, a new 3T scanner, one 64-slice MDCT with CT fluoroscopy, one dual energy 80 detector row CT, two SPECT/CT gamma cameras, three ultrasound rooms and a fluoroscopy suite and a state of the art interventional radiology suite. The interventional radiology department provides urologic, gynaecologic, vascular and oncologic interventions under ultrasound, CT and fluoroscopic guidance. Other subspecialties include musculoskeletal ultrasound and interventions, cardiac CT and MRI, neuroradiology, GI/GU including women’s imaging; prostate imaging with fused MRI/US transrectal biopsy; and CT colonography. The Interventional Radiology department performs a large volume of acute and elective urological and gynaecological intervention under ultrasound, CT and fluoroscopic guidance for benign and malignant diseases. Further endovascular and percutaneous interventions are performed across a wide range of specialities including head and neck, chest, GI, vascular and musculoskeletal covering benign and malignant diseases. The departmental PACS system is the national NIMIS system, enabling seamless review of imaging studies from other NIMIS sites and the department is also an active participant in the National Radiology Quality Improvement Programme.

Job Structure (Clinical):

The Fellowship is a one-year comprehensive, structured fellowship comprising clinical, research and teaching activity in all aspects of cross sectional imaging and interventional radiology. The candidate can expect to develop proficiency in MRI and CT to include abdominal and pelvic imaging (including gynaecologic and prostate MRI and CT colonography) neurological, cardiothoracic, and musculoskeletal imaging; ultrasound and CT-guided procedures, Cardiac CT/MRI or any combination of above that can be integrated into the general running of the department.

Endovascular and percutaneous interventions are performed across a wide range of specialities including urology, gynaecology, head and neck, chest, GI, vascular

and musculoskeletal covering benign and malignant diseases. As a tertiary referral urology centre encompassing benign and malignant urological diseases there will be extensive exposure to renal tract embolisation procedures (including renal and prostate), urinary tract drainage/stenting procedures, renal stone access/extraction procedures, tumour ablation procedures and biopsy techniques (including MRI TRUS prostate fusion biopsy). As Tallaght University Hospital is also a tertiary referral centre for benign gynaecological diseases there will be extensive exposure to uterine artery embolization, hysterosalpingography, fallopian tube recanalisation and pelvic vein embolisation. As a regional dialysis centre there will be further exposure to a large volume of basic and complex venous access procedures and dialysis fistula assessment/salvage. The department also performs a large volume of other vascular and percutaneous interventional procedures and the experience can be tailored to suit the successful candidate’s individual requirements. The successful candidate will also be included in the registrar on-call rota.

Job Structure (Academic): The department has a strong academic record, active in publishing and presenting work both nationally and internationally. The candidate will be encouraged to participate in research and a protected research session can be given to a candidate who is involved in active research projects. The candidate will also be encouraged to help coordinate the undergraduate teaching schedule for the medical students of Trinity College Dublin and to provide tutorials to junior SpRs prior to Part I or Part II FFR exams.

Job Structure (Quality Improvement and Governance): The candidate will participate in at least one audit project during their year in Tallaght University Hospital. The candidate along with all SpRs and consultants will participate in departmental quality improvement meetings and become proficient in the use of peerVue (QI Programme software).

For further information please contact:

Dr. Ian Murphy, Consultant Radiologist & Training Co-ordinator; ian.murphy@tuh.ie

Dr. Orla Buckley, Consultant Radiologist; orla.buckley@tuh.ie

Tallaght University Hospital

IMGTI Higher Training Post

Cross Sectional Imaging/Nuclear Medicine

Background: Tallaght University Hospital is a 600 bed teaching hospital affiliated to Trinity College Dublin. Located in south-west Dublin, the hospital is a provider of local, regional, supra-regional and national medical and surgical specialities. Tallaght University Hospital has both an Adult and Children's Emergency Department and is a National Urology Centre, a Regional Dialysis Centre and a Regional Orthopaedic Trauma Centre. The clinical referral base includes General Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, Vascular Surgery, Urology, Orthopaedics, Gynaecology, ENT, Gastroenterology, Hepatology, Neurology, Endocrinology, Rheumatology, Medical Oncology and Haematology, Radiation Oncology, Cardiology, Respiratory Medicine and Emergency Medicine. Diagnostic facilities include 1.5 Tesla MRI scanner, a new 3T scanner (instillation Jan 2020), one 64-slice MDCT with CT fluoroscopy, one dual energy 80 detector row CT, two SPECT/CT gamma cameras, three ultrasound rooms and a fluoroscopy suite and a state of the art interventional radiology suite. The interventional radiology department provides urologic, gynaecologic, vascular and oncologic interventions under ultrasound, CT and fluoroscopic guidance. Other subspecialties include musculoskeletal ultrasound and interventions, cardiac CT and MRI, neuroradiology, GI/GU including women’s imaging; prostate imaging with fused MRI/US transrectal biopsy; and CT colonography. The departmental PACS system is the national NIMIS system, enabling seamless review of imaging studies from other NIMIS sites and the department is also an active participant in the National Radiology Quality Improvement Programme.

Job Structure (Clinical):

The Fellowship is a one-year comprehensive, structured fellowship comprising clinical, research and teaching activity in all aspects of cross sectional imaging and nuclear medicine. The candidate can expect to develop proficiency in MRI and CT to include abdominal and pelvic imaging (including gynaecologic and prostate MRI and CT colonography) neurological, cardiothoracic, and musculoskeletal imaging; ultrasound and CT-guided procedures, Cardiac CT/MRI or any combination of above that can be integrated into the general running of the department. The nuclear medicine department has a busy musculoskeletal, endocrine and oncologic caseload, and the candidate will become proficient in scintigraphic techniques including SPECT/CT. The casemix is diverse including bone scans, parathyroid and thyroid imaging, MIBG and Octreoscans, infection imaging, and GI scintigraphy.

The patient population and clinical experience represents both a comprehensive outpatient setting and inpatient tertiary referral center with a high volume of oncology, surgery, medicine and emergency referrals. Multidisciplinary meetings are held in endocrinology, GI/surgical oncology, gynaecology, inflammatory bowel disease, urology, ICU, benign chest, lung cancer, haematology, oncology, neurology, paediatrics and rheumatology and the candidate will have the opportunity to take a lead role in these meetings. The successful candidate will also be included in the registrar on-call rota.

Job Structure (Academic): The department has a strong academic record, active in publishing and presenting work both nationally and internationally. The candidate will be encouraged to participate in research and a protected research session can be given to a candidate who is involved in active research projects. The candidate will also be encouraged to help coordinate the undergraduate teaching schedule for the medical students of Trinity College Dublin and to provide tutorials to junior SpRs prior to Part I or Part II FFR exams.

Job Structure (Quality Improvement and Governance): The candidate will participate in at least one audit project during their year in Tallaght University Hospital. The candidate along with all SpRs and consultants will participate in departmental quality improvement meetings and become proficient in the use of peerVue (QI Programme software).

For further information please contact:

Dr. Ian Murphy, Consultant Radiologist & Training Co-ordinator; ian.murphy@tuh.ie

Dr. John Feeney, Consultant Radiologist; john.feeney@tuh.ie

Higher Training Post

Cardiothoracic Imaging Fellowship

Tallaght University Hospital

Background:

Tallaght University Hospital is a 600 bed teaching hospital affiliated to Trinity College

Dublin. Located in south-west Dublin, the hospital is a provider of local, regional, supraregional and national medical and surgical specialities. Tallaght University Hospital has both an Adult and Children's Emergency Department and is a National Urology Centre, a Regional Dialysis Centre and a Regional Orthopaedic Trauma Centre. The clinical referral base includes General Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, Vascular Surgery, Cardiology, Urology, Orthopaedics, Gynaecology, ENT, Gastroenterology, Hepatology, Neurology, Endocrinology, Rheumatology, Medical Oncology and Haematology, Radiation Oncology, Cardiology, Respiratory Medicine and Emergency Medicine.Elective and acute cardiology services are provided. Cardiothoracic surgical referrals are via

the cardiac and radiology multidisciplinary weekly meetings with St James’s Hospital

Surgical representation. There is an active Acute Chest Pain Unit. The Centre for Cardiac Risk in the Young is a service provided to families of patients who have experienced sudden cardiac deaths providing screening to identify cardiovascular risk factors.Diagnostic facilities include 1.5 Tesla MRI scanners, a new 3T MRI, one 64-slice MDCT with CT fluoroscopy, one dual energy 80 detector row CT, two SPECT/CT gamma cameras, three ultrasound rooms and a fluoroscopy suite and a state of the art interventional radiology suite. The interventional radiology department provides urologic, gynaecologic, vascular and oncologic interventions under ultrasound, CT and fluoroscopic guidance. Other subspecialties include musculoskeletal ultrasound and interventions, neuroradiology, GI/GU including

women’s imaging; prostate imaging with fused MRI/US transrectal biopsy; and CT

colonography. The departmental PACS system is the national NIMIS system, enabling seamless review of imaging studies from other NIMIS sites and the department is also an active participant in the National Radiology Quality Improvement Programme.

Job Structure:

A Fellowship in Radiology at Tallaght University Hospital with subspecialty interest in

cardiothoracic imaging is available to interested candidates. The training can be a six or a 12 month duration. The Cardiac Imaging Fellowship component would consist of both Cardiac CT and Cardiac MRI. A supervised Cardiac CT and Cardiac MRI session would be part of the weekly work schedule for the candidate. Cardiac CT training would aim to provide background information about the scanner physics, contrast dynamics, acquisition methods, and administration of medication to enhance image quality. The candidate will learn CT Cardiac protocol optimisation, dose optimisation, troubleshooting difficult protocols for specific clinical questions (egg cardiac masses, bypass graft evaluation, intra cardiac thrombus evaluation), ECG edited from a technical stand point. Cardiac CT acquisition will be performed on both Toshiba Aquilion Prime (2014) and Siemens Somatom (2018). Clinically supervised reporting will be conducted with 2018 edition Vitrea Imaging Software and SyngoVia Siemens post processing software. Skills in 3d post processing and segmentation will be acquired. The candidate will be encourage to maintain a log book of cases to ensure Level II Cardiac Imaging certification can be completed.

A supervised Cardiac MRI session per week would be scheduled for the Cardiothoracic Imaging candidate. All aspects of Cardiac MRI acquisition, post processing and reporting will be incorporated into this experience for the candidate. The major referral source for our cardiac MRI is via the Cardiac Risk in Young Unit, this unit sees families with risk factors for sudden cardiac death such as Hypertrophic cardiomyopathy, ARVC, idiopathic, acquired and neuromuscular cardiomyopathies. Elective exposure to Echocardiography sessions, Cardiac Surgery Case Conferences can be arranged through our cardiology colleagues. The thoracic imaging component of the fellowship will incorporate benign and malignant respiratory pathologies. There is one benign respiratory pathology MDM per week and one respiratory oncology MDM per week which the candidate will be invited to contribute to under supervision of a consultant Radiologist. There is a Thoracic Interventional component if the candidate is interest in this, with CT and Ultrasound guided lung intervention available under the supervision of the IR Consultant Radiologists. Incorporated into the thoracic imaging fellowship is exposure to ICU/Critical Care general and respiratory radiology with one Radiology/ICU Case conference per week conducted under the supervision of Consultant Diagnostic and Interventional Radiologist. The successful candidate would be expected to take part in the general registrar on call rota.

Job Structure (Academic): The department has a strong academic record, active in publishing and presenting work both nationally and internationally. The candidate will be encouraged to participate in research and a protected research session can be given to a candidate who is involved in active research projects. The candidate will also be encouraged to help coordinate the undergraduate teaching schedule for the medical students of Trinity College Dublin and to provide tutorials to junior SpRs prior to Part I or Part II FFR exams. The candidate will be encouraged to complete Level II cardiac CT training during their time via their log book and attendance at BCSI/SCCT training course.

Job Structure (Quality Improvement and Governance): The candidate will participate in at least one audit project during their year in Tallaght University Hospital. The candidate along with all SpRs and consultants will participate in departmental quality improvement meetings and become proficient in the use of peerVue (QI Programme software).

For further information please contact:

Dr. Ian Murphy, Consultant Radiologist & Training Co-ordinator; ian.murphy@tuh.ie

Dr Orla Buckley, Consultant Radiologist, orla.buckley@tuh.ie

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