Interventional Neuroradiology Fellow Training Programme

Interventional Neuroradiology training is provided as a cross campus scheme with training at Royal Perth Hospital and Sir Charles Gairdner Hospital

The provision of the training is provided by the Neurological Intervention and Imaging Service of WA (NIISwa) which is the first specialist Neuroradiology department in Australasia. NIISwa provides a statewide service of both tertiary and quaternary diagnostic and therapeutic Neuroradiology. It is headquartered at Sir Charles Gairdner Hospital but the services are provided at both SCGH and RPH campuses with a staff of 9 full time Neuroradiologists.

Four fulltime North American trained Interventional Neuroradiologists provide a State wide service for assessment and treatment of neurovascular diseases. All aneurysms in Western Australia are treated at a single tertiary unit with a multidisciplinary approach with neurosurgery for optimal patient outcome.

198 aneurysms were treated by neuro interventional techniques last year, TCD service with aggressive endovascular treatment of vasospasm is offered.

Full complement of other procedures is provided:

  • AVM assessment and treatment
  • DAVF
  • Intracranial and carotid stenting
  • Mechanical Thrombectomy Hyper Acute Stroke Rescue
  • Peripheral and pulmonary AVM
  • Epistaxis
  • Spinal intervention

The service currently has 3 neuro biplane units.

The service has access to four 64 slice CT scanners, a 16 slice CT scanner, two 1.5T MR scanners and a 3T MRI scanner. Full range of advanced diagnostic imaging including CT angiography, CT Perfusion, MR functional imaging, MR spectroscopy and MR perfusion is available. A carotid Doppler service is also provided at both sites and a transcranial Doppler service is available.

NIISwa has forged very strong links with other departments and holds many regular inter-disciplinary meetings, some of which are video conferencing across both campuses.

Formal meetings include:

  • Aneurysm review meeting (weekly)
  • AVM review (monthly)
  • Morbidity and mortality meeting (monthly)
  • Royal Perth Neuroradiology meeting (weekly)
  • Departmental CME meeting (fortnightly)
  • Royal Perth Head and Neck meeting (weekly)
  • Sir Charles Gairdner cancer board meeting (weekly)
  • Sir Charles Gairdner interdisciplinary aneurysm meeting (weekly)
  • Statewide interdisciplinary AVM meeting (monthly)
  • ENT meeting Sir Charles Gairdner Hospital (weekly)
  • Sir Charles Gairdner Hospital neurology meeting (monthly)
  • State based Neurology grand round meeting (weekly)
  • Peripheral AVM meeting (bi-monthly)
  • Interdisciplinary epilepsy meeting (monthly)
  • Deep brain stimulation meeting (quarterly)
  • Sir Charles Gairdner Hospital ophthalmology meeting (monthly)

Three diagnostic fellows are also within NIISwa. The Fellows are supervised by four Diagnostic Neuroradiologists and three Interventional Neuroradiologists.

The full range of Neuro radiology interventional procedures is available. The diagnostic fellows are not involved in these procedures but are involved in the imaging work up and get a comprehensive understanding of the role of intervention in these cases.

A wide variety of spinal and para-spinal injections are provided under CT and Fluoroscopic control. The diagnostic Neuroradiology fellows are tutored in provision of Myelography, Lumbar puncture (including for chemotherapy), lumbar drain, facet joint injection, epidural injection, nerve root sleeve injection and other ancillary injections.

The interventional Neuroradiology fellow is involved in a 1:4 oncall system with the three diagnostic fellows. Close supervision is provided by a Consultant on call.

The fellow is expected to produce at least 1 publication and 2 CME lectures during his/her tenure and will have regular review meetings with supervising radiologists as to progress.

Training will ensure the fellow is competent in multi-disciplinary patient care. Training in communication skills will be provided ensuring the fellow recognises the importance of communication and the fellow will be able to recognise the vital roles of good communication skills in their rolls.

Training will emphasise that Fellows make decisions regarding effective utilisation of healthcare resources in the context of individual patient care. Training will ensure that the fellow recognises the importance of research and actively participating in advancing their knowledge of their specialty.

Goals for the Interventional Neuroradiology fellowship include:

  • Extensive clinical experience and expertise in interventional Neuroradiology in a highly professional academic teaching environment under the direct Consultant supervision.
  • Extensive exposure and experience in the workup of neuro vascular diseases and planning therapy
  • Holistic approach to the diagnosis and treatment of neurovascular disease with emphasis on a clinical role and responsibility in managing patients as a clinician, as well as performing procedures
  • Knowledge and experience of quality assurance and patient safety initiatives.
  • The ability to present and improve lecture skills by contributing to the departmental state and astral meetings.

Please note that the next available start date for the Interventional Neuroradiology Fellowship is January 2019.

Applying for a Fellowship

NIISwa Fellowship applications are handled by:

Fiona Solly, Clerical Manager

This email address is being protected from spambots. You need JavaScript enabled to view it.

If you are interested in one of these fellowships and would like more information, please forward  an up-to-date version of your CV and three references to her, along with a covering letter briefly indicating:

  1. Your prior experience in both diagnostic and interventional radiology.
  2. Your training preference with regards to the Fellowships on offer.
  3. Whether you are interested in one or two years of Fellowship training.
  4. Whether you possess any external funding.
  5. Specific career goals once you have completed the Fellowship.
  6. If you plan to undertake the Australasian College of Radiology Board Exams as part of your career goals during your tenure in Australia?

FRANZCR eligibility or equivalent board certification is a requirement.

 

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Interventional Neuroradiology training is provided as a cross campus scheme with training at Royal Perth Hospital and Sir Charles Gairdner Hospital 

 

The provision of the training is provided by the Neurological Intervention and Imaging Service of WA (NIISwa) which is the first specialist Neuroradiology department in Australasia. NIISwa provides a statewide service of both tertiary and quaternary diagnostic and therapeutic Neuroradiology.  It is headquartered at Sir Charles Gairdner Hospital but the services are provided at both SCGH and RPH campuses with a staff of 7 full time Neuroradiologists.

 

Three fulltime North American trained Interventional Neuroradiologists provide a State wide service for assessment and treatment of neurovascular diseases. All aneurysms in Western Australia are treated at a single tertiary unit with a multidisciplinary approach with neurosurgery for optimal patient outcome.

 

 80-100 aneurysms are treated by neuro interventional techniques per year,

TCD service with aggressive endovascular treatment of vasospasm is offered.

 

Full complement of other procedures is provided:

 

AVM assessment and treatment

DAVF

Intracranial and carotid stenting

Peripheral and pulmonary AVM

Epistaxis

Spinal intervention

 

The service currently has 2 neuro biplane units with a third being commissioned in 2010

 

The service has access to four 64 slice CT scanners, a 16 slice CT scanner, two 1.5T MR scanners and a new 3T MRI scanner.  Full range of advanced diagnostic imaging including CT angiography, CT Perfusion, MR functional imaging, MR spectroscopy and MR perfusion is available.  A carotid Doppler service is also provided at both sites and a transcranial Doppler service is available.

 

NIISwa has forged very strong links with other departments and holds many regular inter-disciplinary meetings, some of which are video conferencing across both campuses.

 

Formal meetings include

§         Aneurysm review meeting  (weekly)

§         AVM review (monthly)

§         Morbidity and mortality meeting (monthly)

§         Royal Perth Neuroradiology meeting (weekly)

§         Departmental CME meeting (fortnightly)

§         Royal Perth Head and Neck meeting (weekly)

§         Sir Charles Gairdner cancer board meeting (weekly)

§         Sir Charles Gairdner interdisciplinary aneurysm meeting (weekly)

§         Statewide interdisciplinary AVM meeting (monthly)

§         ENT meeting Sir Charles Gairdner Hospital (weekly)

§         Sir Charles Gairdner Hospital neurology meeting (monthly)

§         State based Neurology grand round meeting (weekly)

§         Peripheral AVM meeting (bi-monthly)

§         Interdisciplinary epilepsy meeting (monthly)

§         Deep brain stimulation meeting (quarterly)

§         Sir Charles Gairdner Hospital ophthalmology meeting (monthly)

 

Three diagnostic fellows are also within NIISwa. The Fellows are supervised by four Diagnostic Neuroradiologists and three Interventional Neuroradiologists.

 

The full range of Neuro radiology interventional procedures is available.  The diagnostic fellows are not involved in these procedures but are involved in the imaging work up and get a comprehensive understanding of the role of intervention in these cases.

 

A wide variety of spinal and para-spinal injections are provided under CT and Fluoroscopic control.  The diagnostic Neuroradiology fellows are tutored in provision of Myelography, Lumbar puncture (including for chemotherapy), lumbar drain, facet joint injection, epidural injection, nerve root sleeve injection and other ancillary injections.

 

The interventional Neuroradiology fellow is involved in a 1:4 oncall system with the three diagnostic fellows.  Close supervision is provided by a Consultant on call.

 

The fellow is expected to produce at least 1 publication and 2 CME lectures during his/her tenure and will have regular review meetings with supervising radiologists as to progress.

 

Training will ensure the fellow is competent in multi-disciplinary patient care.  Training in communication skills will be provided ensuring the fellow recognises the importance of communication and the fellow will be able to recognise the vital roles of good communication skills in their rolls.

 

Training will emphasise that Fellows make decisions regarding effective utilisation of healthcare resources in the context of individual patient care.  Training will ensure that the fellow recognises the importance of research and actively participating in advancing their knowledge of their specialty.

 

Goals for the Interventional Neuroradiology fellowship include

 

§         Extensive clinical experience and expertise in interventional Neuroradiology in a highly professional academic teaching environment under the direct Consultant supervision.

 

§         Extensive exposure and  experience in the workup of neuro vascular diseases and planning therapy

 

§         Holistic approach to the diagnosis and treatment of neurovascular disease with emphasis on a clinical role and responsibility in managing patients as a clinician, as well as performing procedures

 

 

§         Knowledge and experience of quality assurance and patient safety initiatives.

 

§         The ability to present and improve lecture skills by contributing to the departmental state and astral meetings.

 

 

Please note that the next available start date for the Interventional Neuroradiology Fellowship is January 2019.