Fellowship in Cross-sectional Body Imaging at Medanta Hospital, Gurgaon

Hospital/Imaging Centre and City: Medanta, The Medicity, Gurgaon

Duration: One year; two fellows. Comprises of 6 months of GI imaging and 6 months of Non GI (Thoracic and Genito-urinary imaging).

Accredited or not: Not accredited

Diagnostic exposure: Medanta – The Medicity is one of India’s largest multi-super specialty institutes with a huge case load. Total number of cases of CT exceeds 200 per day and MRI almost 100 per day, out of which 50% would be body scans. All the senior consultants are well versed with their sub-specialties and are practicing the state of the art imaging.

A fellow, during the GI part of the fellowship, is supposed to prelim the reports of PET/CTs (approximately 4-5 in a day) and the CT/MRI (approximately 20-30 in a day) of the respective consultants. This mostly comprises of CT and MR liver dynamic studies, CT and MR abdomen and enterography, MRCPs, MR fistulogram, and MR defecography. During the Non GI part, the PET/CTs are lesser (1-2 in a day) and the CT/MR scans more (30-40 in a day). These mostly comprises of CT chests, KUB, CT coronary and aortic angiography and MR pelvis.

Since such a heavy load cannot be completed alone by a fellow, the work is mostly divided after discussing with consultants. Overall, all the PET/CTs and slightly more than half the CT/MRIs end up being reported by the fellow first. The cases are always available on PACS and can be seen later on as well along with their reports.

Intervention and hands on exposure: None

Academic activities and multi disciplinary meets: Intradepartmental seminars and interesting case presentations weekly for teaching the DNB students.

Gastro-radio meet once a fortnight during first 6 months and Nephro-radio meet once a fortnight during next 6 months. These meets are supposed to be done by the fellow with big shot clinicians being present, which turns out to be a good learning experience.

Duty hours and emergencies/on call duties: A fellow is supposed to be available from 8 AM to 8 PM officially but can leave a bit early if the work is finished, which is usually the case by 6-7 PM.

There would be 5-6 emergency duties in a month either as SR or as an attending consultant depending upon your experience. The emergency duty continues after the routine work from 5.30 pm till the next morning 8:00 a.m. There is a post duty off.

The night duties are hectic in the SR pool which consists of ultrasound. In the attending pool, the night duty consists of emergency CT/MR reporting which is also a bit hectic.

Fees, salary and leaves: No fees. Salary depending on experience. 1 lakh per month for SR level and 1.1 or 1.2 lakh per month for attending consultant level. Leaves are 24 in a year. Planned leaves are easily sanctioned. Emergency leaves are difficult to take.

Accommodation provided or not: No accommodation from the institute. There are a lot of PG/flat accommodations nearby within walking distance.

When do the interviews/exams happen: No exam. Fellowship starts from 1st July every year. The switchover to GI/Non GI from 1st January the next year. You should apply at least a few months in advance (say around April).

Tips on how to secure the fellowship: As there is no formal application date or interview, if you are interested in securing the fellowship, I would suggest personally meeting the HOD, Dr. SS Baijal, and the consultants of fellowships, Dr. Sonal Krishan and Dr. Ravi Chaudhary in GI imaging and Dr. Kulbir Ahlawat and Dr. Monika Aggarwal in Non GI imaging. Be prepared to explain why you desire this fellowship and how can you be useful for the department.

I would suggest working as an SR or attending consultant in the department to get to know the structure and working of the department well, and letting the faculty know about your interest in the fellowship while joining. This also helps securing the fellowship because if other candidates also apply, the in-house candidate usually gets a preference.

Pros and cons:

Pros: Huge case load covering almost all the varieties. High end reporting structure and formats. Excellent mentors. High quality reporting systems without any shortage for trainees. Good academics because of the DNB teaching programme.

Cons:  The biggest con is lots of non-fellowship work that includes posting in USG and X-rays. Almost 40% of the days of the fellowship are spent in covering these, thus leaving only 60% dedicated time for the fellowship per se.

Night duties can be too tiring at times.

There is no structured teaching for the fellowship program per se (the teaching is for the DNB residents). One has to be smart and proactive in learning and ask questions repeatedly to clarify doubts; otherwise learning won’t be that much. As I said before, Medanta has a good PACS and all the scans are always available and can be seen anytime.

Your personal experience at the fellowship: My overall personal experience at Medanta was wonderful (note that I also did my DNB in the hospital before doing the fellowship). I got to report a lot of cases in my fellowship and learnt a lot from my mentors.

Any additional comments/ does it add value over MD /DNB degree: The fellowship is good for freshers who want to sharpen their CT/MR body imaging reporting. However, one should understand the work schedule and accept that a substantial portion of time will go in ultrasound and x-ray reporting. Be ready to give extra time to the department for self-learning as otherwise these ancillary rotations take up a lot of time and the over-all dedicated duration of the fellowship becomes too less.

– Rahul Mutreja, DMRD, DNB, Fellowship in Cross-Sectional Body Imaging (2018-19), Medanta Hospital

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