Breast Imaging Fellowship
About the Program
The first Breast Imaging Fellowship Match will take place in March, 2017 for the 2018 appointment year. The match is sponsored by the Society of Breast Imaging and it will be managed by the National Resident Matching Program. In order to become a fellow with Allegheny Health Network, you must register with the Radiology Match, of which Breast Imaging is a part.
Breast Imaging has implemented an All In Policy for the Match. This means that programs participating in the Match cannot extend any offers to candidates outside of the match. Applicants can withdraw from the Match prior to the ranking deadline if they accept a position outside of the Match.
Dates of the Match:
- March 22, 2017: Registration opens
- April 26, 2017: Ranking opens
- May 31, 2017: Ranking Order List Deadline
- June 14, 2017: Match Day
- July 1, 2018: Training begins
The Fellow is expected to train five days a week and have 20 days off during the twelve month fellowship. Ten months will be spent completely in the Breast Center. There are two basic rotations in the breast center for the Breast Imager and Fellow. The Fellow will always train under the direct supervision of a breast imaging radiologist. The rotations are for one week at a time. The first rotation is titled Diagnostic Breast Imaging. During this week the Fellow will interpret screening and diagnostic mammograms. He or She will be the first radiologist to see the mammogram and decide if the study is normal or needs further imaging. If additional images, including breast ultrasound are needed, the Fellow will directly supervise these studies. The Fellow will be directly involved in the ultrasound study and under the supervision of the attending radiologist and the certified ultrasonographer. As part of the diagnostic training, the Fellow will also perform a breast physical exam of the breast in question. This daily activity for the week of this rotation involves at least 60 examinations daily.
For the alternating week, again under the direct supervision of a dedicated breast imaging radiologist, the Fellow and this radiologist will be responsible for performing all breast interventional studies, read all the screening mammograms from two offsite screening facilities, and interpret all Breast Magnetic Resonance Imaging studies. Breast intervention includes the performance, under the direct supervision of the attending radiologist all needle localizations (whether they are mammographically or ultrasound guided); the interpretation of the specimen mammogram related to the procedure; the performance of all cyst aspirations; and the performance of axillary lymph node biopsies. The Fellow will learn to set up the equipment for these biopsies and use all the techniques at our disposal for the biopsies. The Fellow will be responsible for the post biopsy care while the patient is in the department. During this rotation the Fellow will also learn and perform the technique for sentinel lymph node identification. There is dedicated time early in the morning for review and interpretation of up to fifty screening mammograms. During the day there is also time for interpretation of the Breast MRI studies. The Fellow will look at these studies first; pull all the data together, make up his/her mind of the findings and then review the case with the attending breast imager. All studies will be dictated by the Fellow and reviewed by the attending radiologist. The two rotations described are intense and take up the whole day, every day.
Our breast center has a breast surgeon or physician who see high risk breast patients in attendance every day. For one week the Fellow will train directly with this person. The Fellow will see all diagnostic problems, pre-operative and post-operative cases, as well as patients who have had breast cancer surgery in the recent or distant past. Dedicated breast exams and interactions with the patient and families will take place the whole day. Typically, the attending physician sees thirty to forty patients. There will be discussions as to what post-operative treatment breast cancer patients need as well as pre-operative planning.
During the rotations for two weeks the Fellow will be in the operating room watching the multiple breast procedures. This includes segmental mastectomy, lymph node dissection in the axilla, mastectomy and breast reconstruction
Since there is a such an active breast program at our institution, we have dedicated breast pathologists as well. The Fellow will spend one week in the pathology department observing these pathologists, looking at gross specimens and microscopic examinations of breast tissue. This dedicated time will enable the Fellow to see the pathology related to everything done, whether it be in the breast center or in the operating room.
Every week there is a multidisciplinary breast conference. The Fellow, along with the assigned attending, is responsible for getting the appropriate images together for a PowerPoint presentation. The Fellow presents all the cases each week. This conference is for an hour, with three cases presented. Finally, the Fellow is expected to give one conference to the radiology residents during the 12 month rotation.
There are many clinical research projects ongoing in the Division of Breast Imaging. In 12 months, the Fellow is not expected to originate a project but is welcome to participate in any of them.
There is an official evaluation of the Fellow by each Attending that the Fellow encounters through the various rotations. A form is filled out by each attending and then signed by the Fellow. The entire process is then reviewed by the Director of Breast Imaging with the Fellow. The Fellow has direct interaction in this process.
To apply for a fellowship position, please send your Curriculum Vitae along with the following documents:
- A Personal Statement
- A Photo (can be .jpeg)
- Completed Fellowship Application
- One recommendation letter from your Program Director
- Two additional recommendation letters
- If applicable, copies of USMLE/COMLEX/ECFMG documents
Please note applicants must be eligible and approved for licensure in the Commonwealth of Pennsylvania.
In the event you are from outside the United States, you are required to have passed all three parts of the USMLE exam.
Cost of the Match: Applicants will pay a $75 registration fee to register for the Match.
You can download the application here.
Breast Imaging Fellowship Match
This information should be sent to the attention of:
Robin Sobolewski, M.D.
Division Director, Breast Imaging
Department of Diagnostic Radiology
Allegheny Health Network
We will then contact you about arranging an interview.