Musculoskeletal Imaging Fellowship

 Program Director:  Timothy Moore, M.D.

We offer a twelve-month musculoskeletal radiology fellowship. As you probably already know, accredited fellowships are available in some institutions. We have not decided to apply for accreditation. Many musculoskeletal radiology fellowship directors are opposed to the creation of accredited fellowships since this will involve significant restrictions upon the services that fellows are permitted to perform.

The musculoskeletal section of our department consists of four full-time faculty members, Drs. Craig Walker, Kim Apker, Melissa Manzer, myself, and one fellow. 

Our practice tends to be fairly heavily weighted toward MRI and CT. Although routine trauma studies such as shoulders and knees form the major part of the MR workload, as a tertiary referral center we also get a larger than usual proportion of neoplasms and infections. We perform from one to four special procedures a day, mainly arthrograms and joint aspirations. Bone biopsies are not routinely performed by our section but the musculoskeletal fellow has been involved in these in the past if he or she wishes. Our MSK ultrasound service receives few referrals although this is increasing. 

We read sectional imaging studies from our own institution, Nebraska Health Imaging, Miller Orthopaedics, the Omaha VA Hospital and some from Clarkson West Hospital and the Lincoln and Grand Island VA Hospitals, We have new high end equipment including two 3T magnets and two 1.5T within our own institution. 

There are two daily departmental resident conferences at 7.00 a.m. and noon. The musculoskeletal fellow presents three of these conferences during the twelve-month fellowship. The fellow is also expected to participate in teaching at the monitors and performing or supervising all procedures where possible.

The faculty and fellow in musculoskeletal radiology are invited to the monthly rheumatology city-wide dinner meeting. This is an opportunity to meet the local rheumatologists, participate in discussions of their more interesting cases, and enjoy a cocktail hour and a meal. There is also a monthly in-house radiology and rheumatology fellows’ conference. Rheumatology submits a list of cases to the MSK radiology fellow about a week in advance to allow the radiology fellow and program director to review the cases. The MSK fellow shows the images at the conference and a rheumatology faculty presents the history. The rheumatology fellows are then quizzed on the cases by the rheumatology faculty.  The MSK fellow then reviews the findings and discusses our interpretations.  

We normally have one or two residents in our section who are assigned to all areas of musculoskeletal imaging and procedures.

The fellow works in all areas of musculoskeletal radiology, although we try to have him or her involved in the majority of the procedures and the MR and CT cases. The fellow also participates in more traditional areas such as plain radiography. 

The amount of "unstaffed" reporting that is done by the fellow is variable. As a general rule, most MR cases and anything interesting or unusual are read jointly. The fellow is also involved in resident supervision including a proportion of the "staffing out". 

The MSK radiology fellow is typically in the diagnostic radiology call pool. This involves being available at night and coming in early the next morning to staff out the residents’ overnight radiographs in addition to reading all diagnostic radiology radiographs during the noon hour. On weekends the diagnostic on-call staff comes in early on both days and staffs out overnight radiographs, including those from the VA hospital. It is sometimes possible to leave for a couple of hours in the afternoon. Weekend call continues through Monday, including Monday noon coverage.  

Currently, fellows receive $60,735 per annum but this could change. The department pays medical staff dues and malpractice insurance premiums. Other benefits include University health, life, and dental insurance, conference leave, and some professional expense reimbursements. 

The facilities for clinical research are good and it should be possible to get involved in a project during the fellowship year if the fellow so wishes.


Contact Information
Tina Hunter
Radiology Fellowship Coordinator

Timothy Moore, MD
Musculoskeletal Radiology Fellowship Director