Rotations

Corewell Health Hospitals in Southeast Michigan conduct over a million studies a year and provide a diverse array of imaging modalities and pathology, which are read by numerous outstanding fellowship-trained faculty who make resident education a priority.

Our program is categorical with a transitional year included. This allows residents the opportunity to work alongside clinicians and patients that they will later serve as radiologists. Residents take one month of radiography during their transitional year, introducing them to the department and allowing a level of comfortability in dictating cases. The transition to the radiology department takes place in June of their transitional year with the radiology bootcamp. The eight DR residents will undergo a 16-day bootcamp orientation to our department made up of eight 2-day mini rotations to get acclimated to each division of radiology that they will rotate through in their R1 year.

Following the transitional year, residents will continue to stay on campus for all rotations. Residents are divided between inpatient and outpatient areas, with some sections combining the inpatient and outpatient studies together. Our rotation schedule is set in 13 separate blocks of 4 weeks each.

Specific rotations are discussed in further detail below:

Body imaging

• The largest division of the department, participating in more than 270 multidisciplinary conferences each year, and collaborating with numerous regional subspecialty cancer care clinics, introducing residents to cutting edge cancer care
• Exposure within the first year through ultrasound, two CT rotations, and one month of body MRI, which allows introduction to advanced imaging early on
• During the ultrasound month, residents will have the opportunity to perform US-guided procedures such as paracentesis and thoracentesis

Breast imaging

• Dedicated comprehensive breast imaging center
• State-of-the-art digital mammography and ultrasound machines, offering same day/expedited ultrasound-guided biopsies and cyst aspirations to our patients
• Modern 3T magnet within our breast imaging center

Electives

• During their final year, residents have eight elective rotations they can tailor to their special interests and desired areas in which they would prefer to gain specialized training
• Residents can take advantage of two enfolded ABR pathways to subspecialty certification with the 16-month pathway in nuclear medicine and 15-month pathway in pediatric radiology with elective rotations during the R4 year

Fluoroscopy

• Residents become competent in inpatient/outpatient fluoroscopic procedures in the 1st year
• This allows residents to feel comfortable performing procedures during call shifts

Interventional radiology

• Our program offers diagnostic radiology residents hands-on experience with the full spectrum of diagnostic and interventional procedures during rotations in our vascular and body interventional divisions, throughout the four years of residency. This allows residents to advance in their procedural skills and develop autonomy consistently
• Residents get dedicated experience in body procedures such as CT and US-guided solid organ and lymph node biopsies, drain placements for fluid collections/abscesses, thoracentesis, and paracentesis
• Residents also get dedicated experience in vascular interventional procedures such as central venous catheter placement, percutaneous nephrostomy tubes, biliary drain placement, extremity thrombolysis for arterial occlusion, and IVC filter placement, as well as more advanced procedures such as GI bleed embolization, pulmonary embolus thrombolysis, and TIPS
• Full-spectrum of interventional oncology services includes radioembolization, drug-eluting beads, chemoembolization and tumor ablation
• Venous interventions including varicose vein therapy, thrombolysis and fibroid embolization are a few of the innovative procedures being performed
• During neuroradiology rotations, residents also have the opportunity to participate in neuro-interventional procedures, including stroke thrombolysis, aneurysm coiling, and vertebroplasty/kyphoplasty

Musculoskeletal

• Residents receive comprehensive training, including all imaging modalities and techniques covering all types of pathology from orthopedic oncology and pediatric advanced imaging, to interventional musculoskeletal procedures

Neuroradiology

• Training in all aspects of imaging ranging from neonatal to adult brain, spine, and head and neck imaging.
• Exposure to advanced techniques such as DTI, CTP, MR perfusion, spectroscopy, functional MRI, and fetal MRI
• Perform lumbar punctures, myelograms, blood patches, and intrathecal chemotherapy injections.
• Attend a weekly multidisciplinary neuro tumor board conference

Nuclear medicine

• Comprehensive general nuclear medicine training with experience in musculoskeletal, hepatobiliary, cardiac, thoracic, neuro, endocrine, gastrointestinal, and genitourinary scintigraphic imaging
• PET rotation utilizing FDG, PSMA, DOTATATE, and Florbetapir agents, among others
• Therapies with I-131, Lutathera, Pluvicto, and Xofigo

Pediatric radiology

• Stay on campus for pediatric rotations at Corewell Health Children's Hospital and work with dedicated pediatric radiology attending for a total of 3 months
• Read various imaging modalities including x-ray, US, CT, MRI and also perform fluoroscopic exams

• Regular interaction with rotators from the Pediatrics residency allows for clinical contextualization of imaging studies, a valuable educational experience