Nuclear Medicine Residency Program
Campus History
Founded in 1807 as the fifth medical school in the country, the University of Maryland was first known as the College of Medicine of Maryland. Davidge Hall, its first building, was constructed in 1812 and is the oldest building in the United States used continuously for medical education. The University of Maryland Hospital was established in 1823 as the Baltimore Infirmary, the clinical teaching unit of the School of Medicine. Senior students lived in the hospital while helping care for the patients, and the Baltimore Infirmary offered the first intramural residency program in the United States.
The school became part of the University of Maryland in 1920 when the professional schools in Baltimore merged with the Maryland State College of Agriculture in College Park. The School of Medicine is now one of six professional schools which comprise the university's Campus for the Professions.
Today, the University of Maryland Baltimore Campus is recognized internationally for its outstanding educational, research and training programs. More than 5,300 students are enrolled in degree programs, and more than 8,700 faculty and staff members are employed on the city campus. The 16-square block campus (36 acres) is located a few blocks from the heart of this historic city's business district, Oriole Park at Camden Yards, the Baltimore Ravens' football stadium, and the revitalized Inner Harbor- "Harborplace".
Resident Training Program
The Nuclear Medicine Division of the Department of Radiology provides a two-year ACGME accredited residency in Nuclear Medicine. The residency experience provides a broad understanding of advanced techniques in Nuclear Oncology, Nuclear Cardiology and in molecular imaging. Candidates must meet the preliminary requirements defined by the American Board of Nuclear Medicine.
The close association with the Department of Radiation Oncology and the Greenebaum Cancer Center enhances the program experience in Nuclear Oncology. The integrated University/VA Nuclear Medicine program has advanced attenuation correcting SPECT cameras, as well as dedicated PET and coincidence PET-CT imaging devices. The residency includes training in therapy using I-131 radioiodine, Sr89, Sm153, as well as Y90 microspheres, Y90 monoclonal antibodies and Re188 peptides. There is ample opportunity to participate in FDA approved therapeutic protocols and clinical trials.
The faculty of the Division of Nuclear Medicine hold multiple NIH and DOD funded grants related to developing diagnostic and therapeutic radiobiologics. These grants are supported by a 4500 sq ft laboratory and animal-imaging complex dedicated to radiopharmaceutical research. PET/CT, alpha emitter, and cyclotron based radiopharmaceutical programs are being developed.
The residency program provides an outstanding experience in Nuclear Cardiology. Several faculty are boarded in both Cardiology and Nuclear Medicine and hold dual appointments in Nuclear Medicine and Cardiology.
The clinical facilities house two cardiac stress labs, multiple dual head attenuation correcting SPECT cameras and specially trained stress technicians. The program provides a broad exposure to all pharmacologic and stress protocols, imaging agents and cardiac PET studies. There is active participation in multicenter trials of myocardial perfusion and cardiac receptor imaging agents.
A variable number of Fellows in various subspecialties (Nuclear Radiology, Cardiology) are in training in the division of nuclear medicine. Care is taken to be certain that Fellows do not supplant residents for faculty time or case material.
All residents must complete a clinical internship as required by the American Board of Nuclear Medicine. Two years of residency training are then required. Annual appointments beginning each July 1st are renewable yearly upon satisfactory performance and progress during the previous year.
The total working hours for residency, resident call, and authorized moonlighting is not allowed to exceed 80 working hours per week. Unauthorized moonlighting is prohibited.
Facilities
The University of Maryland Medical System/Hospital is an 800 bed facility with a large out-patient department.
One unique aspect of the hospital is The Maryland Institute of Emergency Medical Services System, which covers the State of Maryland and comprises a 140-bed critical care unit, completed in 1989, and housing the most advanced technological support systems for trauma in the world.
The equipment of the Radiology Department is state-of-the-art. Nuclear Medicine is physically and administratively an integrated part of the Department of Radiology and is equipped with six SPECT scanners, four of which are dual head imaging devices.
The department has deployed a hospital-wide PACS. Nuclear Medicine performs approximately 10,000 studies per year.
The VA Maryland Health Care System, Baltimore Division, is a part of the program. This 300-bed all-digital VA Hospital, which opened in January 1993, is attached to the University of Maryland Hospital.
The VA Radiology Department operates a filmless PACS environment and is one of the most advanced of its kind in the world. All UMH residency programs are fully integrated with the Baltimore VA. Approximately 15% of the nuclear medicine residents time is spent in the VA Maryland Health Care System, Baltimore Division.
There are extensive teaching files, including the ACR Learning Laboratory and a large departmental library.
A department photographer is available on a full-time basis. 4500 sq. ft. of equipped basic research space is assigned to our department in a separate Medical School building.
Approximately 240,000 examinations are performed per year in the Radiology Department at UMMS. Of these, approximately 10,000 are angiographic and/or interventional procedures, 40,000 are CT and 10,000 MR exams.
Nuclear Medicine performs approximately 10,000 scans per year and approximately 12,000 sonographic procedures are performed annually.
Additionally, the Baltimore VA Medical Center performs approximately 70,000 imaging exams annually.
Conferences
Weekly conferences on Tuesday, Wednesday, Thursday, and Friday, include journal club, didactic lectures, laboratory sessions, teleconferences, and department sponsored locally and nationally prominent speakers. Several monthly multi-disciplinary conferences, such as endocrine, surgical oncology and tumor board, provide a forum for in depth discussion of case presentations and formulation of patient treatment plans.
There is a daily 7:30 a.m. didactic conference given by the subspecialty faculty. The format of the daily 12:30 p.m. conferences is varied, although all are based on discussions by residents of "unknown" interesting cases with appropriate faculty input. Peer Review/Pathology Correlation Conference is presented by a designated resident each Monday at 12:30 p.m.
A Department-sponsored Visiting Professor Program provides the residents with additional outstanding teaching from renowned faculty. These experts in their fields present lectures, case conferences, and Radiology Grand Rounds.
Resident attendance at semi-annual scientific meetings of the Maryland Radiological Society, featuring nationally known speakers, is sponsored by the Department.
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This article is reposted with thanks to University of Maryland Medical Canter.