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Residency: Radiology

The NC State Veterinary Medicine radiology residency is a three year program with the intent that the trainee will stay an additional 4th year as a teaching scholar. The residency program consists of course work, clinical experience, investigation and teaching.

Formal instruction in radiation biology and the physics of diagnostic imaging is provided at the University of North Carolina, School of Medicine in Chapel Hill, NC. An investigational experience that culminates in a manuscript being submitted to a refereed journal is expected. Results of the resident project will be presented at the annual American College of Veterinary Radiology national meeting during the resident’s third year. Support for travel to the Annual Meeting of the ACVR is provided during the resident’s third year.

The radiology residency program at North Carolina State University is designed to prepare the resident to take and pass the ACVR board certification examination. The program is structured such that the ACVR requirements for approved residency training programs are met upon completion of the program. Residents are eligible to sit the preliminary (written) component of the radiology board examinations at the beginning of their 3rd year. The incoming resident may have the opportunity to enroll in a dual ACVR/ECVDI (European College of Veterinary Diagnostic Imaging) program if interested; this will not require any additional time to complete the program.

During the residency, clinical experience will be gained in diagnostic radiology, nuclear medicine, diagnostic ultrasound, computed tomography and magnetic resonance imaging. Opportunity is provided for interaction with board certified specialists in other disciplines. Close supervision by and interaction with board certified radiologists is maintained throughout the program. Residents participate in six practice written examinations and weekly oral examinations; these activities are designed to prepare residents to successfully complete the certification examination of the ACVR. The resident will have a minimum of thirty months of clinical experience within the first three years of the program as prescribed by the ACVR residency guidelines. The allocation of time spent in each area is based on the guidelines of the ACVR.

A one-year Post-Doc Teaching Scholar position in radiology is available at North Carolina State University. Upon satisfactory completion of the three year residency, it is expected that the resident will apply for the Teaching Scholar position to gain an additional year of experience. The position is designed to allow time to focus on specific modalities or interests to develop in-depth competency. The Scholar will have minimal supervision, take on more responsibility of the radiology service on a day-to-day-basis and assist in instruction of house officers and veterinary students. The amount of direct supervision will depend on the experience and capabilities of each individual. Time can be made available to pursue a prospective research project during this one year appointment, should this be desired.

The primary purpose of the teaching scholar position is to allow the trainee to enhance their performance in imaging interpretation and, importantly, in their role as a consultant to other specialists. With the expansion of modalities now available to radiologists, we believe it is not possible for comprehensive experience to be gained in interpretation and consultation regarding all modalities during a three year program. The candidate will participate in clinical activity by functioning as an attending radiologist. Though supervised, this level of participation is designed to build confidence in image interpretation and consultation by allowing the scholar to have primary responsibility for decision making. Reports may still be critiqued and board-certified radiologists will be available for consultation. We envision this extended program will improve the abilities of the trainee upon completion, thereby increasing their value in an academic setting or in private practice.

Each resident has an advisory committee that is responsible for monitoring the resident’s progress. Residents are evaluated formally twice each year, and opportunity is provided for input and critique from the resident. Continuation into the second and third year, as well admission into the clinical instructor position, is performance dependent. The advisory committee reports to the Faculty Committee on House Officer Programs. Two weeks vacation (12 days per year are accrued); vacation is taken by arrangement with the resident director. Though not required, applicants are strongly encouraged to contact the resident director, Gabriela S Seiler, 919-513-6217 or gsseiler@ncsu.edu or to arrange a visit to the facility.

Facilities

Small Animal Radiology

  • Four rooms with Siemens ceiling mounted units. 80KW generators with Canon CXDI 50G Flat panel digital systems.
  • Siemens RF room with Infimed digital fluoroscopy. 80 KW generator and Canon CXDI 50G flat panel digital system.
  • Siemens Neurostar Biplanar Fluoroscopy/Digital Angiography with Infimed digital image acquisition, storage and processing

Large Animal Radiology

  • Ceiling mounted x-ray tube with mechanical and electric interlocking to an autotracking image plate holder and Canon CXDI 50G digital flat panel.
  • Ceiling mounted x-ray tube with extension capabilities to floor level with Canon CXDI 31 digital flat panel.
  • MinX-ray portable generator interfaced with either CXDI 50G or CXDI 31 digital flat panel.

Ultrasound

  • Two GE Logiq E9 Ultrasound Machines
  • One Toshiba Aplio Ultrasound Machine

Nuclear Medicine

  • Technicare camera retrofitted with digital imaging chain interfaced with PC based Mirage software

Computed Tomography

  • Siemens Perspective, 64 slice helical scanner
  • Siemens Sensation 16, 16 helical scanner for equine imaging

Magnetic Resonance Imaging

  • 1.5T Siemens Symphony MRI suite available on-site through AnimalScan Center

Radiology Information System and PACS

  • Web based Fuji/Empiric veterinary RIS fully integrated with Merge/Amicas PACS V7 and Client Outlook eUnity html5 zero footprint viewer
  • Merge eFilm workstations (25 seat license)
  • Multiple workstations with NEC 3MP monochrome monitors
  • Images are available on iOS devices

Clinical Resources

Of the 24,000 accessions seen annually at the Veterinary Health Center, over 12,000 are imaged by radiology. Small animals (canine, feline) comprise 80%, large animals (equine and food animals) 20% and exotic animals <1% of the imaging patient population.

Of the 2016 imaging caseload, small animal radiology comprises 6,800, large animal radiology 800, small animal abdominal ultrasound 3470, computed tomography 960, nuclear medicine 200 and magnetic resonance imaging 750 cases.

Report Generation

Web accessible written reports are available within 24 hours or less of imaging and residents generate over 90% of these. All reports are reviewed by the imaging faculty prior to finalization. Voice recognition software is available for those who prefer that over typing.

Didactic Courses

Residents attend didactic courses in imaging physics at the University of North Carolina, Chapel Hill and Duke University Medical Schools and the Nuclear Medicine short course offered by the Virginia-Maryland College of Veterinary Medicine.

Research Environment

Completion of a project is required. This is preferable a prospective problem solving project and a peer-reviewed publication resulting from the project is also expected. All residents are required to present an abstract at the ACVR annual meeting; generally this pertains to the problem solving project.

Educational Environment

Each resident is expected to present the findings of his or her research project at ACVR during their third year of training. In addition, each resident is required to give 2 presentations over the course of their training to house officers and faculty on topics relating to diagnostic imaging. Regular case presentations and interaction with 4th-year veterinary students offer additional teaching opportunities.

Radiology Rounds

Rounds attended by all residents and at least one of the duty radiologists are held 4 days per week. Residents select current cases to present at rounds and these are discussed in detail when warranted. This provides an intimate environment to fine-tune interpretive skills and to review imaging and patient-management principles.

Journal Club and Board Objectives Rounds

Held weekly and attended by all residents and at least one radiologist. The current literature will be reviewed and discussed with regards to content and study design. Board objective rounds are review sessions on topics important for the written board examination.

Teaching File

The image server has over 20 million images and associated reports from over 240,000 cases all web accessible via the radiology information system). Cases with special teaching merit are coded as such when reports are finalized and are readily accessible via a web browser. The RIS also archives non radiology patient images including ECGs, endoscopic images and movies, necropsy photos and other patient images and data. Some integration with the hospital information system (UVIS) is present.

Known Case Conferences

Known case conferences are held regularly every Friday from 8 am to 10 am. Approximately 49 known case conferences are given per year, taking into account holidays that fall on Fridays. This is an expected activity for all radiologists and residents.

Literature Resources

The William Rand Kenan, Jr. Library of Veterinary Medicine is located on-site and is part of the North Carolina State University Libraries.

Program Leadership

Gabriela Seiler, Dr. Med. Vet.

Professor of Radiology

Contact:

gsseiler@ncsu.edu

Supporting Faculty:

Eli Cohen, DVM, DACVR

Molecular Biomedical Sciences

ebcohen@ncsu.edu

Erin Keenihan, BVSc

Molecular Biomedical Sciences

ekkeenih@ncsu.edu

This residency participates in the American Association of Veterinary Clinicians’ (AAVC) Veterinary Internship and Residency Matching Program (VIRMP) when a position is available.

Apply Here

Information for International Applicants

Preference is given to applicants who have graduated from a college that is accredited by the American Veterinary Medical Association. If you wish to apply for an internship or residency program things to keep in mind:

  1. Have your degree translated and evaluated by a reputable company. Options include: Josef Silny & AssociatesTrustforte Corporation, and World Education Services
  2. Some programs require the TOFEL exam to qualify for a internship or residency position.
  3. Most foreign interns and residents are appointed to H-1B visas.
  4. To ensure that a foreign national candidate has the H-1B visa at the start of their program the candidate will be asked to pay for the premium processing filing fee of $1,225 USD, if necessary.
  5. Getting a visa takes between 4 and 6 months if the visa is expedited it takes approximately 15 business days.
  6. Take the initial steps and apply for The Educational Commission for Foreign Veterinary Graduates (ECFVG) certification program is accepted by all state veterinary regulatory boards and the federal government as meeting, either in part or full, the educational prerequisite for licensure or certain types of employment, respectively.