Multi-site - Hamilton Health Sciences
The Hamilton Health Sciences (HHS) is comprised of three tertiary teaching hospitals that are affiliated with McMaster University in Hamilton, Ontario, Canada. The three sites are the Hamilton General Hospital, the Juravinski Hospital and the McMaster University Children’s hospital.
Between these 3 sites, there is significant opportunity to gain experience in a wide variety of vascular and non-vascular procedures given the large volume of pathology and diversity of interventional radiology services offered across HHS. Every HHS site provides general hospital services, but each is unique and caters to a varied patient population. The Juravinski Site is attached to a large cancer centre and the primary focus is oncology interventions and hepatobiliary procedures. The Hamilton General Site is the adult trauma and vascular centre. The fellow also has an opportunity to rotate to the McMaster Children’s Hospital to gain exposure to women’s IR and Pediatric cases if this aligns with their specific interests. Since there is only one IR fellow rotating through the three sites, there is ample opportunity to obtain plenty of exposure and cater to specific training requirements.
The procedures the fellow would gain exposure to include angiography, stenting/angioplasty, CT and MR angiography, embolizations (Trauma, GI bleeds, Transarterial chemotherapy, Uterine fibroids, Varicoele, preoperative tumor embolization), radiofrequency/microwave ablation (liver, bone), percutaneous biliary drainages/stenting, urology procedures such as nephrostomy tube insertion and ureteric stenting, central venous access (Port insertions, Tunneled central lines, PICCs), complex biopsies and drainages, GI procedures (percutaneous gastrostomy, gastrojejunostomy and direct jejunostomy tube insertion, colonic stenting, esophageal dilatation), IVC filter insertions/removals and Transjugular liver biopsies and Transjugular intrahepatic portosystemic shunt (TIPSS) insertion.
We have a large catchment area and referral base that allows us to form a collegial working relationship with referring clinicians and non-radiology staff. The IR work in HHS is increasingly clinical based with ever increasing use of IR consultation clinics.
All fellows are expected and encouraged to take an active role in educating medical students and residents and to routinely participate in educational and clinical rounds. The IR fellow would also have appropriate interventional on-call responsibilities (1 in 4 weeks). Academic pursuits and research are recommended and encouraged.
Further inquiries can be directed to Marilynn Scott at scottmar@HHSC.CA