Emergency Radiology

, Volume 26, Issue 1, pp 53–58 | Cite as

The state of emergency radiology fellowships in North America and the development of a standardized curriculum

  • Amanda H. Chahine
  • Tarek N. Hanna
  • Lee Myers
  • Manickam Kumaravel
  • Keith D. HerrEmail author
Original Article


Background and objectives

The number of emergency radiology (ER) training programs in North America is small compared to the projected growth in demand for ER-trained radiologists. To date, there is no consensus-based training curriculum that sets a standard for all ER fellowship training programs. This study seeks to (1) identify the programmatic measures currently used in North American ER fellowship programs and (2) gather the perspectives of existing ER fellowship program directors (PD) and their recommendations for minimum and ideal curricular standards.


We distributed an 18-question survey to the PDs of every North American ER fellowship program (N = 15). Surveys were completed during the 2016–2017 academic year. We performed a cross-sectional analysis to gain an understanding of existing training curricula, expected areas of competency by the end-of-training, and PD opinions of what a standard ER training curriculum should contain.


The data revealed heterogeneity in programmatic structure across the continent, as well as some areas of agreement. PD suggestions for a standard ER training curriculum showed consistency in many areas, including competency and proficiency expectations and clinical exposures, with some variability. These data were used to inform the creation of the first curricular standard for ER fellowship training.


This study yielded the creation of a standard fellowship training resource for the field of ER. This deliverable serves as a curricular guideline for existing ER fellowships, as well as a model for new ER fellowship programs.


Emergency radiology Fellowship training Education Fellowship curriculum 


Funding information

TNH and KDH are 2017–2018 recipients of the American Society of Emergency Radiology Educational Grant.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Supplementary material

10140_2018_1657_MOESM1_ESM.pdf (366 kb)
ESM 1 (PDF 366 kb)
10140_2018_1657_MOESM2_ESM.pdf (224 kb)
ESM 2 (PDF 224 kb)


  1. 1.
    Baker SR, Luk L, Clarkin K (2010) The trouble with fellowships. J Am Coll Radiol 7(6):446–451. CrossRefGoogle Scholar
  2. 2.
    Goodman CJ, Lindsey JI, Whigham CJ, Robinson A (2000) Diagnostic radiology residents in the classes of 1999 and 2000: fellowship and employment. AJR Am J Roentgenol 174(5):1211–1213. CrossRefGoogle Scholar
  3. 3.
    Shetty SK, Venkatesan AM, Foster KM, Galdino GM, Lawrimore TM, Davila JA (2005) The radiology class of 2005: postresidency plans. J Am Coll Radiol 2(10):852–858. CrossRefGoogle Scholar
  4. 4.
    ASNR at a glance (2018) American Society of NeuroradiologyGoogle Scholar
  5. 5.
    American Society of Emergency Radiology, fellowship training positions 2018 [updated 2018; cited 2017]. American Society of Emergency Radiology, Fellowship Training Positions]. Available from:
  6. 6.
    Friedman DP, Pramanik BK (2001) Fellowship and practice trends in neuroradiology training programs in the United States. AJNR Am J Neuroradiol 22(9):1650–1653Google Scholar
  7. 7.
    Hanna TN, Shekhani H, Lamoureux C, Mar H, Nicola R, Sliker C, Johnson JO (2017) Emergency radiology practice patterns: shifts, schedules, and job satisfaction. J Am Coll Radiol 14(3):345–352. CrossRefGoogle Scholar
  8. 8.
    Wagner MG, Fischer MR, Scaglione M, Linsenmaier U, Schueller G, Berger FH et al (2017) Subspecialisation in emergency radiology: proposal for a harmonised European curriculum. GMS J Med Educ 34(5):Doc61. Google Scholar
  9. 9.
    Farria DM, Salcman J, Monticciolo DL, Monsees BS, Rebner M, Bassett LW (2014) A survey of breast imaging fellowship programs: current status of curriculum and training in the United States and Canada. J Am Coll Radiol 11(9):894–898. CrossRefGoogle Scholar
  10. 10.
    Monticciolo DL, Rebner M, Appleton CM, Newell MS, Farria DM, Sickles EA, Umphrey HR, Butler PF (2013) The ACR/Society of Breast Imaging Resident and Fellowship Training Curriculum for breast imaging, updated. J Am Coll Radiol 10(3):207–10 e4. CrossRefGoogle Scholar
  11. 11.
    Goske MJ (2003) Radiology fellowship curriculum: a sample 10-month guide with goals, objectives, and monthly checklists. Acad Radiol 10(7):761–780CrossRefGoogle Scholar
  12. 12.
    Herr KD, Risk B (2018) Hanna TN. Diagnostic radiology resident perspectives on fellowship training and career interest in emergency radiology, Emerg Radiol. Google Scholar

Copyright information

© American Society of Emergency Radiology 2018

Authors and Affiliations

  • Amanda H. Chahine
    • 1
  • Tarek N. Hanna
    • 1
  • Lee Myers
    • 2
  • Manickam Kumaravel
    • 3
  • Keith D. Herr
    • 1
    Email author
  1. 1.Division of Emergency and Trauma Imaging, Department of Radiology and Imaging SciencesEmory University Midtown HospitalAtlantaUSA
  2. 2.Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA
  3. 3.Department of Diagnostic and Interventional ImagingUniversity of Texas Health Sciences Center at HoustonHoustonUSA

Personalised recommendations