From David Hughes, now Consultant Paediatric Radiologist, Sheffield Children's Hospital
Radiology Fellowship at the Children’s Hospital Westmead, NSW, Australia.
A one year Fellowship in diagnostic radiology is available at the Children’s Hospital Westmead (CHW) - a large, tertiary children’s hospital located in Sydney’s western suburbs.
Fellows gain experience in all aspects of paediatric imaging (with the exception of nuclear medicine, which is a separate department) and after an initial period of close supervision are largely responsible for the day to day running of the department.
The rota is modality based with one Fellow assigned to MRI for a week at a time, otherwise sessional.
The hospital has all the major specialties as well as neurosurgery, cardiac and transplant surgery. It is a major trauma centre. It also has a big genetics department.
Residents (registrars) rotate through the department from a variety of local hospitals and Fellows have some responsibility for their training.
There is a wide variety of weekly clinical meetings, which are usually informative, and Fellows are encouraged to present at these. In addition, Fellows and Residents run the weekly teaching and interesting cases meeting on a Monday lunchtime.
Clinical supervision is good and the caseload extensive and varied. There are opportunities to learn interventional techniques and, although the department is not overtly academic, research and audit are encouraged.
The rota includes day shifts, late shifts (1-9 pm) and overnight on calls. Fellows are first on call. There is also an on-call sonographer. UK trainees may wish to do their own scans, and this will make you very popular! Evenings and weekends tend to be busy, nights less so.
Sydney is a fabulous city. The downside of the hospital’s location is that you either have to live in the less desirable western suburbs, away from the city and beaches, or commute out from Sydney. Rental prices are on a par with London. Pay is basic with on call supplements (you get paid extra for being called in). Overall it is comparable to the UK.
Written October 2012
From Adam Oates, now Consultant Paediatric Radiologist, Birmingham Children's Hospital
From July 2010 to June 2011, I undertook a 1 year paediatric radiology fellowship at Toronto Hospital for Sick Children. This was a fabulous experience and I hugely enjoyed the fellowship itself, as well as the city of Toronto. The fellowship was classed as a "body" fellowship and covered chest/abdo/pelvis and MSK, but did not involve, neuro, cardiac, intervention or nuclear medicine. Each day the 9 body fellows (of a total of approximately 20 radiology fellows) would rotate through the main modalities (CT, US, MRI, fluoro and plain film) as well as a day per week of research. The on-calls could be very busy and stressful but the next day we were excused from duties. The fellowship was well-funded (approx 80,000 Canadian dollars) which was sufficient for my family and me to live off but was also supplemented by additional payment for supervising evening MRI sessions which made a significant difference to overall salary.
I undertook the fellowship as part of the 5th year of my SpR training and therefore was relatively junior compared to many of the other fellows (often several years experience as consultant equivalents) although I think UK training is pretty robust and this did not prove to be a problem. The fellowship is internationally recognised and I had no problems getting approval from the college or GMC and I am sure it was instrumental in securing my consultant post at Birmingham Children's Hospital.
In Summary, I thoroughly recommend this fellowship to any trainee with an interest in paediatric radiology.
Written November 2012