St. Luke's-Roosevelt Diagnostic
Radiology Residency
Training Program

General Information
Message from the Chief Residents
About The Program
Outside Rotations/Electives
Equipment & Facilities
Resident Rotations
Teaching & Conferences
Fellowship 2005-2009
Research
Housing/Parking
American Board of Radiology
Medical Students
Application Procedures

St. Luke's-Roosevelt Hospital Center is the largest voluntary teaching hospital in New York State, comprised of two sites: St. Luke's Hospital at 114th Street and Amsterdam Avenue, and Roosevelt Hospital at Tenth Avenue and 59th Street. This provides diversity in patient population, illnesses and social problems. (St. Luke's adjacent to Harlem; Roosevelt in Midtown Manhattan). Together, the two hospitals provide much of the medical care for the area of Manhattan extending from 34th to 134th Street, from Central Park West to the Hudson River.

The Radiology Department is a unified Department under the leadership of Michael M. Abiri, M.D., who is also Chairman of Radiology for Beth Israel Medical Center. Jeanne W. Baer, M.D., is Associate Chairman at the St. Luke's site, and Nolan Kagetsu, M.D., Associate Chairman at the Roosevelt Hospital site. Although there are specialty radiologists at each site, integration is accomplished through staff meetings, grand rounds, resident teaching, and cross-coverage.

The attending staff has been carefully selected for its ability to teach and stimulate the inquisitive mind. All attendings have an academic appointment at the College of Physicians and Surgeons of Columbia University or Albert Einstein College of Medicine. Unique specialty interests have brought national and sometimes international recognition to several members of the staff; in particular, Nuclear Cardiology, Body Imaging, Neuroradiology, Interventional Neuroradiology, and Interventional Radiology.

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MESSAGE FROM THE CHIEF RESIDENTS

Welcome to the Diagnostic Radiology Residency Program at St. Luke’s – Roosevelt Hospital.

Our program has a total of 24 residents, with 6 new residents beginning their radiology training each July 1st. New residents must complete one year of clinical training (preliminary or transitional year). We are a diverse group of residents who will pursue careers in both the academic and private sectors. Our graduates go on to highly competitive fellowships, as will be described below.

Our department covers the radiologic needs of 2 large hospitals, as well as private offices that provide medical care for the west side of Manhattan, allowing for a diverse patient population and a wealth of pathology.

Our program places a high priority on both didactic and case-based conferences, with two hours of daily protected time, which include faculty and resident lectures. These conferences also include radiology-pathology conferences and journal club. We have monthly grand rounds with world-renowned radiologists and attend monthly NY Roentgen Ray society meetings.

All 3rd year residents attend the Armed Forces Institute of Pathology in Washington, D.C., with housing subsidized by our department. There are moonlighting opportunities for residents who have a NY state license.

Research is encouraged and supported by our department. Residents are involved in different research projects for publication and presentation at national conferences across the country, such as ARRS, SGR, and RSNA. In addition, many residents submit cases for “Case-in-point” on the ACR website.

A majority of residents choose to live in subsidized housing located one block from Roosevelt Hospital, near Columbus Circle, with great access to Central Park, Riverside Park, Lincoln Center, innumerable museums, Times Square and Madison Square Gardens. New York offers many sporting events and music concerts, unlimited and diverse indoor and outdoor activities for both families and singles.

We hope you will have the opportunity to visit and learn more about our residency. We look forward to receiving your application. If you have any questions, please do not hesitate to contact us.

Maria Piraner, MD and Thomas Khoury, MD
mpiraner@chpnet.org, tkhoury@chpnet.org
2008-2009 Radiology Chief Residents

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ABOUT THE PROGRAM

St. Luke's-Roosevelt has a comprehensive curriculum with equal emphasis on formal teaching, informal teaching and practical experience, with exposure to subspecialty training and research.

The four-year training program is under the direction of Dr. Nolan Kagetsu, (Neuroradiology) and Dr. Munir Ghesani (Nuclear Medicine). It begins at the PGY II level (requiring a prior year of ACGME approved clinical training) and consists of thirteen 4-week rotations per year. Residents spend approximately half of their rotations at the Roosevelt site and half at the St. Luke's site.

An attending is on-site until 11pm from Monday to Friday and from 8 am to 8 pm weekends and holidays. An attending is on duty via PACS, for consultation from Saturday evening (12am to 7am) to Friday morning throughout the year. Other times are covered by on-call attendings.

Additional information is available on FRIEDA

OUTSIDE ROTATIONS/ELECTIVES

Third year residents typically choose to attend the four-week course at the Armed Forces Institute of Pathology (AFIP) in Washington, D.C.

Experience in Pediatric Radiology is supplemented by spending one month in the junior year and one month in the senior year at Babies Hospital (Columbia Presbyterian Medical Center).

Cardiac Imaging is supplemented with a one-month rotation in the senior year at Beth Israel Medical Center.

Residents can use elective time to work with Dr. Alejandro Berenstein's internationally known neurointerventional radiology team at the Roosevelt site.

Some residents have arranged elective time to work on research projects


EQUIPMENT & FACILITIES

The department is filmless with excellent archiving, conferencing capabilities, and a growing filmless teaching file. Voice-recognition dictation is used throughout the department.

Continuous upgrades of fluoroscopic, interventional, MR, NOVA (Noninvasive Optimal Vessel Analysis), 64-slice CT, and nuclear imaging equipment have taken place such that patient care and teaching are at the forefront of progress. New Vitrea workstations were installed in 2008. Access to PET/CT scanning became available in 2005. Areas of growth reflect the institutional commitment to support the following programs:

1. Stroke center; multiple sclerosis center.
2. Obesity center including surgery and the newer technique of laporsocopic surgery.
3. Robotics in thoracic and cardiac surgery.
4. Noninvasive treatment of vascular disease including aneurysms and stenosis.
5. Women's specialty centers at both sites.
6. An oncology center.

Volume: 222,000 radiology reports were generated in 2006. This includes: 81,000 from the Emergency Department.


RESIDENT ROTATIONS

Residents rotate through all subspecialty areas of radiology generally in four-week blocks each.

The rotations include:
GI /GU radiology
Chest radiology
Pediatric radiology
Mammography
Ultrasound
MRI
CT
Vascular/Interventional radiology
Neuroradiology
Nuclear Medicine
Cardiovascular radiology
Musculoskeletal radiology
Emergency Room

All work in these areas is reviewed with an attending on a daily basis. In neuroradiology, vascular special procedures and interventional radiology, the clinical evaluation of the patient and the performance of the procedure are under the direct guidance of the attending radiologist.

TEACHING & CONFERENCES

Teaching is organized on a formal and informal basis. The program begins with a one month introductory course. Formal clinical teaching includes daily didactic general radiology conferences and case conferences reviewing current cases. In addition to the clinical conferences, there are conferences in radiologic physics, radiobiology and nuclear medicine.

Numerous conferences in other medical disciplines are covered by both a radiology attending and a resident. Residents are gradually given responsibility for presentation of radiology findings at these clinical conferences in order to develop consultative skills.
Practical work with responsibility is an integral part of our concept of resident training. Increasing responsibility for reading films occurs during the four-year training program. At all times, attending diagnostic radiologists are available for individual consultations as well as more formal film review.

The resident trainee also learns to assume administrative responsibility. The resident is responsible for the functioning of the Department at night and on weekends. A senior resident and attending are available at all times on an on-call basis. Thus, we emphasize the need to develop the skills and assume responsibility in the managerial as well as the medical spheres of a radiology department.

FELLOWSHIP ENTRANCE 2005-2009

RESEARCH

Residents are encouraged to work with members of the Department's teaching staff on research projects. Residents presenting papers at national conferences are supported and sponsored by the Department. Regular research conferences, as well as a monthly Journal Club, contribute to the pursuit of such projects. Multiple papers have been presented at national meetings and published in peer reviewed journals. Special recognition has been awarded by the Radiological Society of North America (RSNA) to residents for their research in neuroradiology and interventional radiology. We emphasize our policy: when the resident writes the manuscript, the resident is the first author.

At the end of the first year a resident is selected to apply for the Introduction to Academic Radiology (formerly Introduction to Research) Program sponsored by the Radiological Society of North America (RSNA), American Roentgen Ray Society (ARRS), and Association of University Radiologists (AUR). Accepted residents attend a special program at either the ARRS or RSNA annual meeting.

Recent participants:

2007/2008 Nathalie Gebara
2006/2007 Lisa-Shah Patel
2005/2006 Chi Wan Koo
2004/2005 Yosef Golowa

RECENT PUBLICATIONS (residents names in bold)

Bhargava P, Chang CWA et al. Persistent Generalized Lymphadenopathy (PGL) Mimicking Lymphoma on Whole-Body FDG PET/CT Imaging Clinical Nuclear Medicine. 2006; 31:398-400.

Bhargava P, Glass E, Brown J, Eapan E, Ames E. FDG PET in Primary Effusion Lymphoma (PEL) of the Pericardium. Clin Nuc Med. 2006; 31:18-19.

Bhargava P, Glass E, Ghesani M. Inflammatory F-18 FDG Uptake Secondary to Ruptured Breast Prosthesis. Clin Nuc Med. 2006; 31:227-228.

Koo CW, Bhargava P, Rajagopalan V, Ghesani M., Sims-Childs H, Kagetsu NJ. Incidental detection of clinically occult pituitary adenoma on whole body FDG PET imaging. Clin Nuc Med. 2006; 31(1): 42-43.

Liu H, Shatzkes D, Holliday R. Bilateral Orbital Lymphangiomas in Two Patients with Generalized Lyphangiomatosis. AJNR. 2007; 28:491-492.

Naydich M, Friedman A, Aaron G, Silberzweig J. Arterial Embolization of Vaginal Arterial Branches for Severe Postpartum Hemorrhage Despite Hysterectomy. J Vasc Interv Radiol. 2007; 18:1047-1050.

Koo CW, Shah-Patel LR, Baer JW, Frager DH. Cost-Effectiveness and Patient Tolerance of Low-Attenuation Oral Contrast Material: Milk versus VoLumen. AJR. 2008; 190:1307-1313.

Yalamanchili S, Harvey SM, Friedman A, Shams JN, Silberzweig JE. Transarterial Embolization for Inferior Epigastric Artery Injury. Vascular and Endovascular Surgery. (accepted for publication)


PRESENTATIONS (residents names in bold)

Liu H, Shatzkes D, Holliday R. Bilateral Orbital Lymphangiomas in Two Patients with Generalized Lyphangiomatosis. ASHNR, Phoenix, Arizona, 2006

Shah-Patel, LR, Koo CW, Baer JW, Frager DH. Cost-effectiveness and Patient Tolerance of Low Attenuation Oral Contrast: Milk versus VoLumen. RSNA 2006

Chang CWA, Shatzkes D. The Spectrum of Incidental Findings on Sinus CT: What You Don’t See Might Hurt You. ASHNR 2007(Poster)

Patel R, Baer JW, Cooke K, Frager DH. “Obstructive and Hernia Complications in Gastric Bypass Surgery” SGIRSA 2008 (Poster)

Sippo DA, Shatzkes DR, Phillips CD. Lumps, bumps and the globus sensation: Musculoskeletal variants in the head and neck. Educational Exhibit accepted for presentation at RSNA, Nov. 2008

HOUSING/PARKING

Residents are guaranteed either hospital housing or parking. Most residents live in hospital housing close to the Roosevelt site. Some prefer the housing across from St. Luke’s/Columbia University.

AMERICAN BOARD OF RADIOLOGY

The five year oral board pass rate for 2003-2007 as reported by the ABR is 92.9%. Results for the 2004-2008 should be available by the end of 2008.

MEDICAL STUDENTS

Fourth year medical student electives can be arranged through Columbia University College of Physicians and Surgeons in diagnostic radiology, nuclear medicine, and interventional radiology. Students attend conferences, participate in reviews, and can arrange to be on-call with a radiology resident.

Description of electives:

http://ps.cpmc.columbia.edu/electives/radiology1.html

Instructions for visiting students:
http://ps.cpmc.columbia.edu/students/visiting.html

For more information, please contact:

Naima Pelissier
St. Luke's-Roosevelt Hospital center
Department of Radiology
212-523-4260
npelissier@chpnet.org

APPLICATION PROCEDURES

The Diagnostic Radiology program at St. Luke's/Roosevelt Hospital participates in the National Residency Matching Program (NRMP) with the Electronic Residency Application Service (ERAS). All positions for July 2009 have been filled. We are currently recruiting applicants to fill 6 positions at the PGY II level for July 2010.

USMLE part I scores have not been correlated with performance in Radiology residency. There is some correlation with performance on the ABR written board examination. We do not have a minimum USMLE score criteria. We consider the USMLE score as part of the total application. The middle 50% score range of the applicants that have matched in the last five years is 210-233.

In addition to current fourth year medical students, we consider the applications of applicants currently in preliminary year programs or those who would like to transfer from other programs. Applications will only be considered if your program director writes a letter of recommendation.

We also consider the applications of international medical graduates. The strongest candidates have US clinical experience. These applications will only be considered if your program director writes a letter of recommendation.

Preference is given to applications that are complete at the time that Dean’s letters (MSPE) are released, November 1, 2008.

Applicants will be notified of their interview status by 12 noon, November 21, 2008.
Interviews will be held from January 5 -9, 2009.

For further information about our program, please direct your inquiries to:

Nolan Kagetsu, M.D.
Residency Program Director
Department of Radiology
St. Luke's/Roosevelt Hospital Center
Associate Clinical Professor of Radiology
Columbia University College of Physicians and Surgeons
kagetsu@columbia.edu

Kim Williams
Residency Coordinator
Department of Radiology
St. Luke’s Roosevelt Hospital Center
Roosevelt Division
1000 10th Ave Rm 4C-12
New York, NY 10019
(212) 636-3379
(212) 636-3380 Fax
kwilliams@chpnet.org