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Mailing Address:

MSC10 5530
1 University of New Mexico
Albuquerque, NM 87131-0001

Physical Address:
UNM Hospital

Ms. Hollie Medina, BA
Medical Education Program Specialist
Phone: 505-272-0932
Fax: 505-272-5821

Neuroradiology Fellowship Program

Overview of the Neuroradiology Fellowship

The neuroradiology fellowship at the University of New Mexico is patient-centered and trainee-focused. While image interpretation is highlighted, our faculty understand that additional skills are required to become a well-rounded neuroradiologist. The neuroradiology fellowship trainee will gain confidence in interpretive and procedural skills, while building a repertoire of patient-centered care, including radiologist-clinician interactions, protocol selection and modification, patient safety and quality improvement, and continuing medical education.

The neuroradiology fellowship at UNM is a 1-year training program based at the University Hospital and the VA Hospital, both staffed by fellowship-trained UNM faculty. 2-week rotations take place through the UNM and VA Neuroradiology service, as well as on our neurointerventional service run jointly with Neurosurgery. The University Hospital rotation includes remote interpretation of examinations from our affiliated institution, the Sandoval Regional Medical Center.

Neuroradiology fellows take neuroradiology weekend day call shifts along with a faculty member as part of their training program, with one weekend (Saturday/Sunday) of daytime shifts every 4 weeks.  All rotations and weekend shifts are supervised by neuroradiology or neurointerventional faculty per ACGME requirements.  In addition, optional paid call is available, taken on a weekly basis, for the general Interventional Radiology service, with direct supervision by Interventional Radiology faculty.

The Neuroradiology Fellowship didactic curriculum includes formal didactics during the neuroradiology block, as well as a number of multidisciplinary conferences, including a weekly neurology/neurosurgery/neuroradiology case conference.  The neuroradiology didactic block, a combined neuroradiology fellowship and resident teaching program, includes four weeks of lectures encompassing all aspects of neuroradiology. The department often invites a neuroradiologist of national prominence to give lectures to the residents and fellows during this block. 

During the daily work on the neuroradiology service, fellows, residents and faculty work together as a team. Ample clinical material for both fellows and residents is always available.  Fellows participate in the daily interpretation of CT and MR neuroradiologic examinations.  In addition, fellows spend time on our vascular neuroradiology/neurointerventional service on a rotating basis, working with our neurosurgical and neuroradiology/neurointerventional faculty. 

Educational Environment and Experiences for Neuroradiology Fellows

The University of New Mexico Radiology Department provides the most advanced neuroimaging and neurointerventional procedures in the state. Services provided by our hospital include an NCI Comprehensive Cancer Center (the highest designation achievable), UNM Children’s Hospital (the tertiary care pediatric center in the state), and a Level I Trauma service (the only Level I Trauma Center in New Mexico), contributing a breadth of neuroimaging and procedures.

The UNM Radiology Department maintains a busy neuroradiology service, providing care to both inpatients and outpatients at UNM Hospital and the affiliated Sandoval Regional Medical Center.  Rotations at the Albuquerque VAMC also provide additional depth to our neuroradiology fellows’ patient care experience.

Experience in pediatric neuroradiology is obtained on a daily basis through the interpretation of pediatric neuroradiologic examinations including CT, MRI, and plain films. Weekly neuroradiology case conferences include pediatric neuroradiology cases, and didactic lectures during the neuroradiology block incorporate pediatric neuroradiology. The University of New Mexico Children’s Hospital, with neuroradiology services provided by our faculty and trainees, is the tertiary pediatric care center for the state.

Advanced imaging techniques including CT and MR perfusion, functional MRI and spectroscopy are used at UNM for selected patients and interpreted by fellows under faculty supervision. Magnetic resonance spectroscopy is available at all three hospitals and is an ongoing part of the MR training. Both the Albuquerque VAMC and the University Hospital’s outpatient imaging center have state-of-the-art FDG PET/CT scanners, and Neuroradiology fellows contribute to the interpretation of PET/CTs performed in conjunction with diagnostic neck CTs performed on head/neck cancer patients.  Brain PET/CTs for seizures are reviewed in conjunction with MRIs monthly at our multidisciplinary Epilepsy Surgery conference.

Progressive Assumption of Responsibility

All neuroradiology fellows’ interpretations and procedures are supervised by faculty, in keeping with ACGME requirements.  For procedures, graded responsibility is assured by direct observation by faculty and via faculty signature and review of the procedure log book each neuroradiology fellow must complete. Responsibilities include pre- and post-procedural care on all patients. 

Each trainee is involved in all aspects of lumbar punctures and myelograms while rotating at UNM and VA hospitals. In addition, during the interventional neuroradiology rotation, fellows participate in all aspects of neuroangiography including planning, informed consent, preparation, performing procedures, and post procedural care. Fellows can opt to take general interventional radiology call for pay.

Work Schedule

The neuroradiology fellow work schedule is similar to the neuroradiology faculty, averaging 8-10 hours a day, five days a week.  Neuroradiology fellows also work weekend day (Saturday/Sunday) neuroradiology shifts once every 4 weeks, with faculty supervision during the entire year.

Didactic Training

Each neuroradiology trainee has a responsibility to give one or more didactic lectures and/or case conferences annually.  Didactic/multidisciplinary conferences include:

  • Neuroradiology Didactic Block:  This is a combined neuroradiology fellowship and resident teaching program, with four weeks of lectures encompassing all aspects of neuroradiology.
  • Neuroradiology/Neurology/Neurosurgery:  Weekly neurology/neuroradiology case conferences, held in the Radiology Conference room.  Includes one hour of CME credit for all attendees.
  • Head & Neck Tumor Board:  Neuroradiology faculty and fellows present in the multidisciplinary ENT tumor board twice a month, which includes participation from ENT Oncologic surgeons, Neuroradiology, Radiation and Medical Oncology, and Nuclear Medicine. 
  • Epilepsy Surgery:  Monthly multidisciplinary conference including Neurology, Neurosurgery, Neuroradiology, Nuclear Medicine, and Neuropsychiatry to assess candidates for epilepsy surgery.
  • Neuro-Oncology:  Monthly neuro-oncology conference.  Conferences held in the Neurosurgery Department.
  • Neuropathology:  Formal didactic lectures include neuropathology cases, and neuropathology is included in the didactic neuroradiology block required for the residents and fellows. In addition, fellows can attend the regular "brain cutting" neuropathology sessions and the surgical neuropathology (microscopic) sessions.
  • Neuro-Ophthalmology:   Neuro-ophthalmology conference. Conference held in the Radiology Conference Department.

 Conferences Attended by Neuroradiology Trainees

Conference

Frequency

Responsible Department

Neuroradiology Block

Annually in March

Radiology

Neuroradiology / Neurology / Neurosurgery

Weekly

Radiology / Neurology

Head & Neck Tumor Board

Semi-monthly

Radiology / ENT

Epilepsy Surgery

Monthly

Neurology / Neurosurgery

Neuro – Oncology Tumor Board

Monthly

Radiology / Neurosurgery

NeuroPath/Neuroradiology/Neuro-surgery (Microscopic)

By arrangement

NeuroPath / Neuroradiology / Neurosurgery

Neuro-Ophthalmology

By arrangement

Opthamology / Neuroradiology

Research Opportunities

Trainees are afforded the opportunity to create research projects or become involved in ongoing research. Fellow and resident research is presented in May at our annual departmental Research Day.  Depending on the timing of completion of projects, fellows may have the opportunity to travel to regional or national meetings to present their work. 

For More Information

Should you be interested in additional information about the fellowship program, please contact us.

Ms. Hollie Medina, BA
Department of Radiology
MSC10 5530
1 University of New Mexico
Albuquerque, NM 87131

Dr. Gamaliel Lorenzo
Gamaliel Lorenzo, MD
Assistant Professor
Program Director
Neuroradiology Fellowship

H Medina
Hollie Medina, BA
Medical Education Program Specialist
hmedina@salud.unm.edu
(505) 272-0932