The Hamilton Health Science Corporation consists of four hospitals with approximately 1400 beds. The McMaster site is the main pediatric, gynecological and abdominal center, however it is not limited to these areas.
This Fellowship, based at the McMaster University Site, aims to give a comprehensive training in all aspects of gastrointestinal imaging and intervention and includes exposure to a wide variety of diagnostic and interventional vascular radiology, in a fully integrated digital department. The current fellows rotate on a monthly basis through the following areas: gastrointestinal fluoroscopy, vascular/intervention and ultrasound/CT/MR. As the gastrointestinal program is based at the McMaster Site, most procedures are related to the abdomen.
In the GI suite, all aspects of fluoroscopy are undertaken, ranging from defecating proctograms to small bowel enteroclysis. There is also experience in pediatric GI disease. The GI radiologists at McMaster have a major interest in all aspects of endoscopy, including ERCP. Those fellows with experience in endoscopy or who wish to learn the basic techniques are encouraged to participate.
In the Interventional suite, all aspects of vascular and non-vascular intervention are performed, ranging from transjugular portosystemic shunting to thrombolysis for vascular occlusions. The non-vascular procedures include abscess drainage, guided biopsies, placement of central lines (including PICC and tunneled Hickman lines) and vena cava filter insertions. The fellow has the opportunity to develop skills in fluoroscopic, ultrasound and CT guided intervention and to be involved in the decision-making and follow-up of these cases. The fellow on this rotation is expected to preview cases for the hepato-biliary and vascular rounds and actively participate in the management of individual cases.
During the ultrasound/CT/MR attachment, the fellow is exposed to a wide range of cases of gastrointestinal and hepato-biliary disease requiring cross-sectional assessment. The closely integrated nature of the department and presence of all fellows at clinical rounds ensures that feedback and follow-up of interesting cases is routine.
For further information, please email:
Susan Gaudet, Administrative Coordinator