Fellowship in Body Imaging, KEM Hospital, Mumbai

Course: Fellowship in Body Imaging (CT/MRI) at Seth G.S. Medical College and K.E.M. Hospital, Mumbai.

Duration: One year.

No. of seats: 2 seats per year

Eligibility: Post Graduate degree (MD / DNB) in Radiology.

Fellowship Application & Selection process: Online notification and application form is usually put up in the month of December at the MUHS (Maharashtra University of Health Sciences) website: https://www.muhs.ac.in/. The application and selection process is now centralised at the university level (unlike few years ago, when each university affiliated hospital / institute used to conduct their own interview process and selection). You can fill multiple fellowship options in a single application form in the order of your preference. The selection process is quite fair since it is entirely centralised and online.

The merit criteria for selection is as follows:

  1. 50% of the available seats reserved only for in-service teaching faculties from Government / Aided / Corporation Health Sciences colleges affiliated to this University.
  2. Candidates who are Domicile of Maharashtra are given priority.
  3. Bond Completion (if applicable).
  4. Applicant who has passed PG examination in First attempt shall be awarded with 04 marks. For any extra attempt taken by the applicant to pass the said examination, 01 marks shall be deducted for each such attempt.
  5. Marks are also allotted for undergraduate final year scores as follows.
Percentage in final year MBBSMarks
70 % and above04
66 to 69 %3.5
61 to 65 %03
56 to 60 %2.5
50 to 55 %2
  1. Professional work experience at the post of Senior Resident / Tutor / Lecturer / Medical officer is awarded marks too (01 mark for each years experience, maximum up to 02 Marks).
  2. Each applicant’s marks are added up. HSC (12th) marks are used for tie-breaker if two applicants land up with the same score.
  3. A merit list is prepared on the basis of these marks.

This scrutiny of the forms and preparation of merit list happens in the month of January. The first merit list is put up in the first two weeks of February. Sometimes, candidates do not turn up for admission due to their selection at other institutes, other job opportunities, financial problems or any other personal reason. In such cases, a second merit list is put up to fill the vacancies. The entire selection and admission procedure gets completed by the end of February and the course begins by the end of February / early March.

Thesis: The fellowship requires you to do a short study/ thesis which is compulsory (the topic can be either of your choice or given to you by the guide). The allotted guides are very supportive if you show interest in your subject and seek their help.

Exit exam: Practical exams are conducted at the end of one year in February / March. The exam model consists of one long case, one short case, few spotters and thesis viva. The exam is conducted by one external and one internal examiner.

University Recognition: The fellowship is recognized by Maharashtra University of Health Sciences (MUHS).

Fees: Approximately 1-1.25 lakh rupees for the entire duration of fellowship (including the university examination fees).

Stipend: Approximately 50,000-55,000 per month [as per the SR scale fixed by the municipal corporation].

Accommodation: Difficult and subject to availability. Mostly outstation candidates rent out a place near the campus.

Leaves: Officially entitled to 12 leaves during the fellowship as per the MUHS. Getting these leaves is not an issue if planned well in advance.

Machines: The institute has two CT scan machines and one MRI machine. The MRI (1.5T Siemens Aera) as well as one of the CT scanners (Toshiba Aquilion prime) are new state of art machines, inaugurated only a few years ago.

Postings: A body imaging fellow is expected to get approximately eight months of CT and four months of MRI postings; this is vice versa for the neuroradiology fellow. However, this division of postings can change and depends on the professors / lecturers.

Working style: Your fellowship begins with a housemanship post in CT for few weeks to a maximum of one month. During this, one gets oriented to the department working style, manage the console, do the scans of the patients independently and monitor them. This housemanship may also involve doing night duties. Once this console duty posting/ housemanship is over, you start reporting the scans. Duties for Sundays and bank holidays are divided amongst the people posted in the department for that month.

During the CT postings, you get to report and finalise independently a lot of body imaging scans (abdomen & chest) as well as rest of the other scans (head & neck / musculoskeletal imaging); dedicated reporting templates are given for the same. You shoulder the responsibility of giving good quality reports, for which you can take your time to read up. Nearly 100 to 150 CT scans are done daily. Approximately 5 to 7 cardiac CT scans are done per week, which are reported by the seniors including fellows, bonded candidates, senior residents and final year residents posted in the department.

After initial few months in CT scan department, one is then posted in MRI. The MRI posting again starts with housemanship for one month (or sometimes two). Again, during this post, the fellow gets well oriented with machine, scans the patients independently and monitors these scans. On an average about 20-30 MRI scans are done in a day. There is more of neuroradiology and musculoskeletal work (that holds true for any institute or centre). Two to three cardiac MRI scans are also done per week, these are usually reported by the MRI faculty. Out of the 20-30 MRI scans, approximately 20-30% are body imaging scans (including cardiac scans).

Whether its CT or MRI posting, in both the departments, the work is done in two shifts and the fellow attends either of the two shifts depending on the monthly roster prepared by the chief resident of the department.

Morning shift: The work starts at 9 am and goes on till 4 pm. During this morning shift, one gets to sit with the professors / lecturers for reporting, where you can discuss the cases and clear your doubts. Approximately one to two CT guided procedures are done daily; these are usually done in the morning shift. You do get hands-on experience over these procedures if you show willingness and interest.

Evening shift: Evening shifts are slightly smaller in duration (4 pm to 10 pm). During these shifts, one gets to report the cases independently, finalise and dispatch the reports in your name. In case of doubts, the scans can be kept for discussion with the professors next morning.

While there are no minimum number of scans that you have to report (on an average, one reports 20-30 CT scans per day), the maximum you report the better for your learning.

Academic activities & Multi-disciplinary meets: Departmental lectures & case discussions happen once in a week or two weeks. As a fellow, you can participate in the teaching program for the residents. Weekly inter-department meets also do happen, especially GI – radio interdepartmental meets. Diagnostic neuroradiology fellows also get to attend neuro-radio meets. One can attend these meets after coordinating the work with other colleagues posted with you.

Conferences: Fellows are encouraged to attend conferences. Presenting a paper / poster at these conferences is also expected from them. During my fellowship, I had presented an e-poster and won a price in quiz for the institute at a conference.

Whether it’s about attending a conference, presenting poster/papers, teaching and attending interdepartmental meets or performing procedures, a lot of it depends on the personal interest and efforts of the fellow as well as the rapport with in-house candidates (residents and bonded SRs) and professors.

My experience: Before I share my experience at the institute, let me tell you a little about my post-graduation background. I have completed my radiology residency from Government Medical College, Amritsar. At our times, the MRI department was being developed and started functioning only in our late final year, and thus we had the disadvantage of getting less exposure to these scans during residency. I used to do observership at a nearby private MRI centre after my residency hours. However, working independently on these machines and reporting the scans under senior’s supervision (something which our colleagues used to do in other institutes) was always missed and regretted at the back of our minds. Senior residency / fellowship for greater experience after post-graduation was mandatory in such situation.

Thus, fellowship at K.E.M. hospital was the turning point in my ongoing radiology career. I felt extremely lucky and privileged to have worked in this esteemed hospital for a period of one year. My journey from the newly joined fellow in K.E.M. to being a junior consultant at a tertiary private hospital in Mumbai has been full of new learning experiences everyday with ups and downs.

The console duties during fellowship made me independent for future, as I feel a radiologist cannot always leave the scan (especially MRI) to the technician to decide what additional sequences and planning is required.

It is a known fact and needless to mention that K.E.M. hospital gets vast variety of cases in diagnostic imaging. Hence, working here exposed me to a lot of uncommon cases and I started to develop confidence in dealing with such cases and reporting them independently. Experience wise, one year of fellowship course is equivalent to two senior residency posts done here. Brain and spine MRI cases were not strictly limited to neuroradiology fellows, so I never lost touch with them in that one year duration. The professors/lecturers and bonded candidates (SMOs) were very helpful and kind throughout my tenure.

K.E.M has good number of residency and senior residency seats. Therefore, in spite of the tremendous work and scans done in this institute, it never felt stressful to work here as the work was divided amongst doctors.

I also appeared for (post M.D.) D.N.B. exams during fellowship. The exhaustive departmental library cases helped me a lot while preparing for my D.N.B. practical exams.

When you step out after finishing the fellowship from here, it brings greater recognition and acceptance while applying for jobs, as K.E.M. is a renowned and trusted name to learn any branch of medicine from.

Pros:

  1. Exposure to a large variety of cases.
  2. Fixed number of duty hours.
  3. Getting follow up of interesting cases is easier in an institute where there are all facilities.
  4. You get associated with a premier institute like K.E.M.

Cons:

  1. Some senior professors who were there during our times have now retired / resigned from CT department. One can find out about the current status of the department faculty at the time of applying for fellowship.
  2. I feel the number of months of MRI posting should be slightly more (atleast by one month). Also, the MRI posting is less of body and more of neuroradiology and musculoskeletal imaging. This can be considered as a pro or con depending on the place from where you are coming from.

Every institute has its pros and cons. I feel, if one wants to learn, one should always be optimistic and see the brighter things. “An eager mind and keen eyes are a radiologists best assets”.

My opinion: One of the best institutes to go for fellowship.

Dr. Mayur C. Vira, MD, DNB, Fellowship in Body Imaging

Jr. Consultant Radiologist, Saifee Hospital, Mumbai Email : drmayurvira@gmail.com

Subscribe to Dr Mayurs YouTube radiology channel at https://www.youtube.com/channel/UCdwm2x-onZt6DMuFWR1SgYw

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2 thoughts on “Fellowship in Body Imaging, KEM Hospital, Mumbai

  1. Pingback: Radiology Fellowships, DMs and Super-Speciality DNBs in India – Cafe Roentgen

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