Breast Imaging

We participate in the Breast Imaging Match program administered by the National Residency Match Program (NRMP).

  • We are currently accepting applications for clinical instructor positions in 2019-2020.
  • We are also currently accepting applications for clinical instructor positions in 2020-2021.

Overview

For those interested in advanced training, the Division of Breast Imaging offers qualified physicians a one year non-tenured breast imaging instructorship. Candidates must have an MD or equivalent and successfully completed a residency in diagnostic radiology at an ACGME accredited institution.

Our post-graduate fellowship program focuses on all aspects of breast imaging, including clinical consultation, screening and diagnostic mammography, breast ultrasound, breast MRI, galactography, and image-guided interventional procedures; core biopsies are performed under ultrasound, stereotactic, and MRI guidance. In addition to gaining further expertise in this subspecialty, fellows will serve as junior faculty, playing a significant role in resident education.

Fellows participate in conducting leading-edge breast imaging research. The division recently received a $5.5 million grant from the Department of Defense to develop an innovative new breast cancer screening model. In the next five to six years, this innovative new model is expected to become the national standard in breast cancer screening.

 

Faculty

Our faculty currently includes Dr. Jennifer Harvey (Division Director), Dr. Jonathan Nguyen (Fellowship Director), Dr. Brandi NicholsonDr. Carrie Rochman, and Dr. Matthew Miller, each of whom are passionate teachers with a methodical, organized approach to both fellow and resident education. Recognizing the personal commitment required to pursue this extended training, they are firmly committed to helping each fellow excel in the breast imaging field and play a significant role in the early detection of breast cancer.

How to Apply

Candidates must have an MD or equivalent and successfully completed a residency in diagnostic radiology at an ACGME accredited institution or successfully completed a diagnostic radiology residency accredited by the Royal College of Physicians and Surgeons of Canada (RCPSC).

The University of Virginia Breast Imaging Division is participating in the Fellowship Match process, sponsored by the Society of Breast Imaging and managed by the National Resident matching Program. In order to become a fellow with the University of Virginia, you must register with the Radiology Match, of which Breast Imaging is a part, at http://www.nrmp.org/. Applications are currently being accepted for clinical instructor positions in 2019-2020 and 2020-2021.

To apply, for positions in 2019-2020 visit Job@UVA and search on posting number 0623910 . To apply, for positions in 2020-2021 visit Job@UVA and search on posting number 0624016. Complete a candidate profile online, attach a CV and cover letter. Also, please attach a copy of your USMLE scores in Writing Sample 1 and your ECFMG certification in Writing Sample 2 if applicable. Please submit 3 current letters of recommendation directly to Gus Hansborough via email at ah3jp@virginia.edu.

Program Overview and Goals

The overall goal of the Breast Imaging Fellowship Program is to fulfill the three-fold mission of the University of Virginia Health system: To provide excellence and innovation in the care of patients, the training of health professionals, and the creation and sharing of health knowledge.

To that end, the program is designed to enable the Breast Imaging Fellow to accumulate a broad base of medical knowledge, to develop progressively independent interpretive and technical skills under supervision, and to become proficient at accurate clinical decision making and consulting. The fellowship aims to provide teaching and research opportunities for fellows, adjusted to special interests and talents.

At the conclusion of the fellowship, the graduate will have the foundation to build an academic career in radiology, advance subspecialty knowledge and skills as an advanced clinical fellow or instructor, or enter community practice as an expert in breast imaging.

Educational Objectives

As a result of our clinical training and didactic conferences, we expect each Breast Imaging Fellow who finishes training to be able to:

  • Be conversant in the BI-RADS lexicon, including the mammography, ultrasound, and MRI sections
  • Perceive breast masses, calcifications, and other abnormalities on mammography and determine probability of malignancy; develop an accurate differential diagnosis based on the imaging findings
  • Determine appropriate management of mammographic, sonographic, and MR breast abnormalities
  • For both standard and problem-solving mammography, describe the technique for obtaining the images, the correct terminology, and the appropriate applications
  • Perform breast clinical examinations and correlate with problem-solving mammography
  • Perform and interpret breast ultrasound examinations
  • Interpret breast magnetic resonance imaging studies; recognize common MR artifacts that affect breast imaging
  • Perform and understand the indications and complications of breast interventional procedures including: needle localization using mammographic, stereotactic, ultrasonographic, or MRI guidance; cyst aspiration; fine needle and core needle biopsy with stereotactic, ultrasonographic, or MRI guidance; galactography
  • Understand the psychosocial concerns of patients undergoing breast imaging and learn how to deal with these issues; be able to talk with patients who’ve been diagnosed with cancer in an appropriate, supportive manner
  • Become familiar with breast pathology and the clinical significance of various benign and malignant lesions
  • Understand risk factors for breast cancer, including genetics, and implications for screening mammography, ultrasound, and MRI; be familiar with common methods for measuring breast cancer risk
  • Become familiar with community education programs regarding breast cancer awareness
  • Determine the elements of quality control and quality assurance programs in Breast Imaging, including the criteria necessary for high quality mammography, breast ultrasound, and breast MRI and the technical problems that impact image quality
  • Become familiar with breast imaging literature and current research
  • Interpret bone density examinations; understand the basic concepts of etiology, prevention, and treatment of osteoporosis

Training Program

The University of Virginia is a large tertiary care center in central Virginia. We provide screening and diagnostic mammography, as well as the full range of breast procedures. Mammography is performed at three sites, one of which is staffed by radiologists.

UVA Breast Care Center

  • Main site of operations
  • All digital operation
  • Four mammography units, including two GE Senographe Digital units and two Hologic digital units
  • Hologic Tomosynthesis
  • Three dedicated breast US units: Two Philips IU 22 ultrasound units, one SuperSonic unit
  • Upright GE stereotactic biopsy unit
  • Breast specific gamma imaging (BSGI): Dilon camera
  • Clinic space for surgical consultation, high-risk clinic, indigent care, benign breast disease clinic, and lymphedema clinic (4 exam rooms and 2 consultation rooms)

Emily Couric Cancer Center

  • Newly completed comprehensive cancer center
  • Adjacent to the main hospital
  • Weekly Tumor Board meetings occur at this location
  • No breast imaging occurs at this site

Northridge Mammography

  • Adjacent to Women’s Center for Midlife Health
  • Two mammography units, including  GE Senographe Digital and a Hologic digital units
  • DEXA
  • Images are transported and read at the UVA Breast Care Center

Other Imaging Sites

  • Main Hospital: Breast MRI- Seimens 3T. MRI guided biopsy is performed at this site
  • Fontaine Imaging Center: Seimens 1.5T Avanto and Espree MRI units. Screening and diagnostic breast MRI
  • Northridge Imaging Center: Seimens 1.5T Espree MRI. Screening and diagnostic breast MRI
  • Diagnostic Radiology Center in Orange, Virginia, located about 40 minutes from Charlottesville (not staffed by radiologists); GE digital mammography unit
  • Outside contracts for mammography reading, including Fluvanna Correctional Center for Women; films sent to Breast Center for interpretation
  • Mobile mammography van; GE digital mammography unit

Research and Academic Activities

The Division of Breast Imaging has a strong research program. Our interests are diverse, ranging from clinical to basic science studies. Our research interests include breast density, breast cancer risk assessment, and education. Our division works with several Ph.D. radiology faculty who are currently studying scintimammography (designing new image receptors, including tomosynthesis for gamma imaging). The division recently received a $5.5 million grant from the Department of Defense to develop an innovative new breast cancer screening model (adding “breast density” to the risk factor calculation). Our previous fellows have enjoyed participating in one or more projects and have presented their work at various conferences and professional gatherings.

Fellowship Organization

Call

Fellows are responsible for taking patient calls regarding any difficulties or complications after  percutaneous biopsy. They are also available to protocol breast MRIs that are scheduled in the evening or on weekends. There is currently no ER or body call.

Teaching

Fellows will be expected to assist in teaching of medical students and residents rotating in on the Breast Imaging Service.

Evaluation

Fellows are provided with written evaluation of their performance four times during the program. The faculty performs evaluations of the fellows’ performance at 3, 6, 9, and 12 months.

Anonymous evaluations by the fellows of the program and are received twice per year and faculty evaluations are completed quarterly. Faculty are evaluated using a numerical scoring system on a wide variety of clinical, teaching, and research skills through New Innovations.

Resources

The fellows’ office maintains desktop computers with internet and hospital systems access. The fellows may utilize any other department resources including the section’s administrative assistant, graphic artists, webmasters, and IRB support personnel to name a few.

Additional Info

Salary, Benefits, and Academic Stipend

Our fellows receive an annual salary that is competitive with compensation offered by other institutions. They receive medical and dental care benefits for themselves and their immediate family. Additionally, malpractice insurance is provided at no charge. Fellows receive an annual stipend to cover expenses related to attending meetings or buying books. Each fellow is encouraged to attend one educational meeting of his/her choice.

Vacation and Leave Policy

Our Instructors have 22 days of vacation time, and 5 days of meeting time to be spent at national Radiology meetings.

Office Space

Fellows have combined office space with computers, telephones, and PACS.

Charlottesville, VA

With its picturesque countryside and natural beauty, a thriving arts and music scene, numerous events and cultural opportunities, and countless outdoor activities, Charlottesville is a great place to call home!

Living in Charlottesville
Faculty and Candidate Guide to UVA & Charlottesville

Fellow Testimonials

“This program provides superb training with exposure to all modalities along with fantastic technologists and excellent surgical colleagues, all centered within the small-town charm of beautiful Charlottesville.”

“I really appreciate the very organized working and teaching environment in this fellowship, with current information and the latest technology.”

“I am very happy that I chose UVA for my breast imaging fellowship. You are able to train under nationally renowned faculty and see a high volume of cases. I feel that I will be very well prepared for either an academic or a private practice setting.”

Contacts

Gus Hansborough
Faculty & Staff Coordinator Assistant
Ph 434-297-6029
Fx 434-982-6687
ah3jp@virginia.edu

Jonathan Nguyen, MD
Assistant Professor and Program Director
Ph 434-297-4340
jvn6c@Virginia.EDU

Address

[For US Postal service delivery]

University of Virginia School of Medicine
Department of Radiology and Medical Imaging
Box 800170
Charlottesville, VA  22908
[Physical address (for all other forms of delivery)]

University of Virginia School of Medicine
Department of Radiology and Medical Imaging
1215 Lee Street
Charlottesville, VA  22908

 

The University of Virginia School of Medicine is accredited by The Liaison Committee on Medical Education (LCME). The University of Virginia is an Equal Opportunity/Affirmative Action employer; women, minorities, veterans, and persons with disabilities are encouraged to apply.