ER Trauma Imaging

ER & Trauma Fellowship Director: John G. Ryan, MD, FRCPC (Acting)
Program Administrator: Avril D'Silva


The Emergency Radiology Fellowship is designed for the radiologists seeking to become expert consultants in emergency/trauma radiology to trauma and general surgeons as well as to emergency physicians. This dedicated academic emergency radiology division covers all emergency department CT (except head CT), Ultrasound (body and vascular), and radiographs. The program is designed to improve the fellow's expertise in developing appropriate strategies for imaging trauma-related problems and to expose the fellow to a large number of varied cases. The majority of the training is spent in clinical imaging, side-by-side with the staff radiologist and radiology residents.

One or two positions in Trauma / ER Imaging is offered as a one-year fellowship which begin either July 1st of each year; under special circumstances, a shorter period may be considered. Prior completion of an accredited residency program in diagnostic radiology is required.

The ER fellowship consists of four clinical shifts per week in Emergency Radiology and one day per week for research. Fellows are also encouraged and supported to pursue any research activity that is of interest to them. The staff radiologists provide guidance and assistance in all phases of the research projects. The fellows are provided with office space, office supplies, administrative help for the conduct of research projects as well as facilities for literature searches, editing, statistical tabulation and biomedical photography. Fellows are encouraged to produce a publication during the fellowship year.

Educational Goals and Objectives

The primary general educational objective of the Division of Emergency Radiology is to educate diagnostic radiology residents and emergency radiology fellows on the radiological evaluation of the traumatized and acutely ill patient. Though many protocols used for routine outpatient exams are similar to those employed in Emergency Radiology, there are variations on protocols that prove useful in the Emergency Department patient population. Additionally, there are unique referral patterns and triage concerns that deserve special consideration when coordinating the imaging of these patients. Specific objectives include:

  • Learn basic and tailored CT protocols for the most common pathologic entities seen in emergency radiology (e.g. appendicitis, diverticulitis). Learn advanced CT imaging protocols unique to emergency radiology (e.g. CT cystography for traumatic bladder rupture).
  • Acquire advanced skills in the imaging and management of acutely ill and traumatized patients.
  • Learn and/or refine ultrasound skills in the assessment for cholecystitis and biliary disease, testicular torsion and epididymo-orchitis, lower and upper extremity vascular ultrasound for clot evaluation, assessment for fluid in the setting of trauma, paracentesis, thoracentesis and ruptured AAA.
  • Develop skills for critically reviewing and providing instruction to residents. Participate in the education of residents and medical students.

Application Deadline:

Academic Year 2024-2025: deadline to apply is September 30, 2022

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