Melbourne – Australia

Fellowship in Cardiac CT & Imaging – Monash Medical Centre, Melbourne, Australia

Overview

The MonashHeart non-invasive imaging fellowship will provide training in cardiac CT (computed tomography) and echocardiography. The position is aimed at trainees who have finished their core cardiology training and wish to sub-specialise in advanced cardiac CT and echocardiography. Preference will be given to those interested in pursuing a PhD degree.

In September 2008, MonashHeart became the southern hemisphere’s first luminary site for a 320-slice Toshiba Aquilion One CT. This scanner provides the latest technology in CT scanning. It covers up to 16cm in a single rotation using 320 detector-rows, making it possible to scan the entire heart in a single rotation in less than half a second.

In its first two years of operation, over 2300 cardiac CTs have been performed at MonashHeart, non-invasively diagnosing coronary artery and congenital heart disease.

Each fortnight, a cardiac CT clinical meeting is held, alternating with a fortnightly cardiac CT research meeting, where ideas for and progress of research projects are discussed.

Fellows work closely with the MonashHeart Head of Cardiac CT in the performance and reporting of clinical and research studies. MonashHeart is active in cardiac CT-based research projects, initially focusing on coronary anatomy, paediatric congenital heart disease, stress perfusion and clinical assessment of patients presenting to the ED with intermediate-risk chest pain syndromes.

Fellows will be exposed to the full range of diagnostic echocardiographic modalities including transthoracic echocardiography, transoesophageal echocardiography and stress echocardiography, utilising both exercise and pharmacological stress. MonashHeart is a large tertiary referral centre with  three echo laboratories, where more than 12,000 studies are undertaken each year, including about 400 transoesophageal studies and 1500 stress studies.

The echocardiography training program is well established, with six dedicated adult echocardiography cardiologists who are actively involved in teaching fellows. All echocardiography consultants have exceptional skills and three have completed their PhD degrees  in advanced echocardiography techniques. We have particular expertise in myocardial contrast echocardiography, 3D transoesophageal echocardiography, and quantitation of myocardial function with tissue doppler techniques. Fellows will also be exposed to procedural echocardiography in the catheterisation laboratory, using  transoesophageal echocardiography (TOE) guidance to support atrial septal defect (ASD) and patent foramen ovale (PFO)closures, alcohol septal ablation procedures for hypertrophic obstructive cardiomyopathy (HOCM) and percutaneous valve implantation/repair.

As Monash Medical Centre Clayton is a tertiary referral centre for obstetric services, the MonashHeart Clayton echocardiography lab also offers paediatric echocardiography, including prenatal and neonatal diagnosis, and provides care to a significant population of children and adults with congenital heart disease. Fellows have the opportunity to interact with the paediatric cardiologists and gain experience in the diagnosis of congenital heart disease.

The lab offers a strong teaching program. There are dedicated echocardiography teaching sessions, including weekly formal case review sessions, consultant and fellow presentations, supervised performance of all TOE studies, co-reporting of stress studies, and multiple opportunities for one-on-one reporting of transthoracic studies with consultants.

  • FRACP or equivalent medical degree registrable in Victoria
  • At least two years of advanced training in cardiology at a recognised tertiary centre
  • Candidates with a higher degree or significant research experience will be preferred

Enquiries and applications to

Associate Professor Sujith Seneviratne, Head of Cardiac CT
Phone: +61 3 9594 2243
Fax:     +61 3 9594 6239
Mail: MonashHeart, Monash Medical Centre, 246 Clayton Road, Clayton 3168

For further information see Monash Medical Centre website