Vancouver General Hospital is a 950-bed, Level 1 trauma centre and is the tertiary referral centre for the entire province of British Columbia. Of the approximately 70,000 emergency room visits each year, more than 2,500 are trauma related.
There is a unique opportunity that has arisen and we are offering variable 3-6 months, up to a one year period Trauma / ER imaging fellowship which can begin as early as May 2008. There is a Dual Source CT scanner next to the ER Trauma Bay and the individual will be exposed to all aspects of DSCT imaging in acute and trauma applications, which includes cardiac imaging, MSK applications such as imaging of gout, renal calculi evaluation, renal masses, and trauma imaging. Our Department has a large cardiac computed tomography case file series that includes over 500 cases.
This DSCT has a shuffle mode technique with new Dual Energy applications - contrast enhancement, perfusion techniques, and gout that will be available on the May of 2008. There are also 3 dedicated Siemens workstations and Siemens Webspace available. On-site applications specialists are available to provide assistance.
Fellows will also have opportunities, if they wish, to present to the O.R. and follow the surgical management of cases. In addition, he/she will have the opportunity to complete ATLS Certification.
Our department has an extremely close working relationship with the Emergency Medicine physicians and the Trauma Surgery team. The trauma radiology Fellow and staff are directly involved with every major trauma during regular working hours and are expected to recommend, organize and interpret all relevant imaging to help manage the patient expeditiously. In addition, they are required to supervise and interpret cardiac computed tomography referred by the Emergency Department.
Within the department, there is a strong research program characterizing the role of the Dual Source/Dual Energy MDCT in the ER/Trauma radiology department. There have been studies on imaging of the polytrauma patient, focusing on blunt vascular neck injury, blunt solid organic trauma, and acute thoracic injuries. As well, utilizing the scanner’s ability to scan at different energies has allowed us to characterize kidney stones and uric acid crystalline arthropathies. Furthermore, there is an emphasis on Cardiac imaging, with studies on the utility of Beta-Blockers with the Dual Source MDCT already in place.
Teaching duties include Trauma Radiology rounds which are held each morning (Monday through Friday) to review any major trauma-related cases from the previous night. Fellows also conduct weekly Trauma Surgery "interesting case" rounds and are involved with Radiology and Emergency Medicine resident teaching.