Diagnostic Radiology

Diagnostic Radiology Residency

About The Program

We are excited to offer AdventHealth Orlando's 4-year Diagnostic Radiology Residency Program, which is accredited by the Accreditation Council for Graduate Medical Education (ACGME) for both the residency, the Early Specialization in Interventional Radiology (ESIR) pathway, as well as a dual American Board of Radiology (ABR) certification pathway via Nuclear Medicine subspecialty training. AdventHealth Orando has become Florida's finest Diagnostic Radiology Residency program offering formal, clinical training in our specialty. You should feel confident that you will be well-trained in our residency and prepared to enter great fellowships and jobs.

AdventHealth is one of the largest healthcare systems in the country, performing over 2.5 million imaging studies and interventional procedures per year, and offering a wide breadth of pathologies. Because of our large case volumes, high faculty-to-resident ratio, subspecialty training and advanced technology, AdventHealth has the ability to offer an exceptional radiology educational experience. Radiology residents will be trained with 3T MRI, PET-CT, digital mammography, including breast tomosynthesis, and bi-plane angiography equipment. AdventHealth's radiology practice is fully staffed by attending radiologists and not dependent upon the resident workforce. Since residents are not responsible for interpreting ALL cases, the large number of studies at AdventHealth is completely to your benefit. You are allowed to take the time that you need to learn, see rare cases and incorporate them into research projects if you choose (which can be valuable to becoming a competitive fellowship applicant). AdventHealth's training and responsibility is more similar to actual radiology practice than some other training programs.

The AdventHealth Orlando system is comprised of 8 hospital campuses and 5 free-standing outpatient imaging facilities across the Orlando metro area. Radiology residents will be centralized on the Orlando campus but read exams done from all campuses and outpatient facilites via a single, integrated PACS, HIS/EMR, and Power Scribe 360 voice recognition dictation system. Additionally, residents will have the ability to read exams from 5 other AdventHealth hospitals and 8 outpatient facilities across the east coast of Florida.

Of our 51 CT scanners, 5 are 256 slice, 9 are 128 slice, and 21 are 64-detector row scanners. Of these units, 3 have CT fluoroscopy for intervention. We have 35 MRI scanners including 12 3T units, one of which is an intraoperative unit. In the Orlando interventional radiology department there are 4 dedicated angiography suites with 3 bi-plane and 1 single-plane units. Mammographic services, including breast tomosynthesis, are offered across various campuses, with centralized resident education in digital mammography provided at the AdventHealth Imaging Princeton campus. Women's services include 2 automated breast ultrasound units for dense breast studies. Nuclear medicine images are acquired at all sites, and there are 2 PET/CT centers and a SPECT-CT unit within the AdventHealth system. Across all campuses there are multiple radiographic, fluoroscopic, and sonographic units with advanced technology such as 3D and 4D imaging.

Download Program Manual

Rola Altoos, MD

Program Director

Our faculty is eager to teach you! Our attending radiologists have trained in numerous geographic locations, and their prestigious radiology residency and fellowship training includes Mayo Clinic, Harvard, Duke and Stanford, among others. Many faculty members have taught at other radiology programs before arriving at AdventHealth, with others having served as residency or fellowship directors. AdventHealth has many strong surgical and medical sub-specialty departments to significantly enhance your educational experience, including the Walt Disney Children's Hospital, the AdventHealth Cancer Center, and an entire tower dedicated to Women's health.

AdventHealth's program benefits provide a tremendous quality of life while in residency. AdventHealth Radiology Residency offers a competitive salary, 4 weeks of vacation, free food while working, educational funding for scientific presentations at national meetings, research opportunities, American Institute for Radiologic Pathology stipends and team-building opportunities at Orlando Magic games. Residents in good standing will be permitted to moonlight within the community, and those hours will count towards the Duty Hour limits. Beyond the educational experience, Orlando is a great place to be! Orlando has a population of 185,950, with almost 30% of its residents between the ages of 20-34 years old. There is a diversity of communities beyond the immediate area, with suburban communities for resident parents and newlyweds and Ocala and Wedgefield for those who prefer open spaces. 5 beaches are located less than 1 hr 15 minutes away (including Cocoa, Daytona and New Smyrna) and 7 beaches are 2-2 ½ hours away (including St. Petersburg, Clearwater, Siesta Key, Lido Key, and historic St. Augustine). Orlando sports teams include the Orlando Magic, Orlando City Soccer Club, and University of Central Florida Knights, and you are hours away from Tampa Bay Rays, Tampa Bay Buccaneers, Jacksonville Jaguars, and Miami Dolphins games. Collegiate sports in Gainesville, Tallahassee, and Miami are also only a few hours away. Fishing is everywhere on Orlando's lakes. With more than 170 golf courses, over 20 golf academies and some of the world's most prestigious tournaments, Orlando is a true golfer's paradise. Take it from the professionals: In addition to being home to more pro golfers than any other city in the world, Orlando was voted the "North American Golf Destination of the Year" by the International Association of Golf Tour Operators.

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Faculty

of Florida Hospital Medical Education

Ashkan Ghaneie, MD

Cardiothoracic Education Chief
Antonio Gonzalez, MD

Ultrasound Education Chief
Brett Gutterman, MD

Emergency Imaging Education Chief
Andrea Hong, MD

Women's Imaging Education Chief
Christopher Wasyliw, MD

Musculoskeletal Education Chief
Jennifer Williams, MD

Pediatric Imaging Education Chief
Rola Altoos, MD

Program Director
Richard Beegle, MD

Neuroradiology Education Chief
Frank Contreras, MD

Interventional Radiology Education Chief
Sean Dodson, MD

Associate Program Director
Nicholas Feranec, MD

Body Imaging Education Chief

- Ashkan Ghaneie, MD
  
  Cardiothoracic Education Chief
- Antonio Gonzalez, MD
  
  Ultrasound Education Chief
- Brett Gutterman, MD
  
  Emergency Imaging Education Chief
- Andrea Hong, MD
  
  Women's Imaging Education Chief
- Christopher Wasyliw, MD
  
  Musculoskeletal Education Chief
- Jennifer Williams, MD
  
  Pediatric Imaging Education Chief
- Rola Altoos, MD
  
  Program Director
- Richard Beegle, MD
  
  Neuroradiology Education Chief
- Frank Contreras, MD
  
  Interventional Radiology Education Chief
- Sean Dodson, MD
  
  Associate Program Director
- Nicholas Feranec, MD
  
  Body Imaging Education Chief

Residents

- Ashley Grindol, Md
  
  Chief Resident
  
  PGY-5
- Eugene Bivins, MD; Howard University COM
  
  PGY2
- Andrew Cibulas, MD
  
  PGY-4
- Franklin Danger, MD
  
  PGY-5
- Noel Delgado, MD; Columbia University College of Physicians & Surgeons
  
  PGY2
- John Dennison, MD
  
  PGY-4
- Hieu Diep, MD; USF Health Morsani COM
  
  PGY2
- Adam Engel, MD
  
  PGY-5
- Alexander Leyva, MD
  
  PGY-4
- Berenice Leal MD, USF Health Morsani COM
  
  PGY2
- Barbara Manchec, MD
  
  PGY-4
- Ivey Royall, MD
  
  PGY-5
- Kadeem Walker, MD; Florida International University
  
  PGY2
- Chelsea Dennison, MD; Medical College of Georgia
  
  PGY-3
- Muhammad Noor, MD
  
  PGY-3
- Justin Philip
  
  PGY-3

- Ashley Grindol, Md
  
  Chief Resident
  
  PGY-5
- Eugene Bivins, MD; Howard University COM
  
  PGY2
- Andrew Cibulas, MD
  
  PGY-4
- Franklin Danger, MD
  
  PGY-5
- Noel Delgado, MD; Columbia University College of Physicians & Surgeons
  
  PGY2
- John Dennison, MD
  
  PGY-4
- Hieu Diep, MD; USF Health Morsani COM
  
  PGY2
- Adam Engel, MD
  
  PGY-5
- Alexander Leyva, MD
  
  PGY-4
- Berenice Leal MD, USF Health Morsani COM
  
  PGY2
- Barbara Manchec, MD
  
  PGY-4
- Ivey Royall, MD
  
  PGY-5
- Kadeem Walker, MD; Florida International University
  
  PGY2
- Chelsea Dennison, MD; Medical College of Georgia
  
  PGY-3
- Muhammad Noor, MD
  
  PGY-3
- Justin Philip
  
  PGY-3

Curriculum

Rotation Schedule

Body Imaging (GI/GU) 1 Block
Cardiothoracic 1 Block
Emergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology 1 Block
Musculoskeletal 1 Block
Neuroradiology 2 Blocks
Nuclear Medicine/PET 2 Blocks
Pediatric Imaging 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

Body Imaging (GI/GU) 1 Block
Cardiothoracic 1 Block
Emergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology 1 Block
Musculoskeletal 1 Block
Neuroradiology 2 Blocks
Nuclear Medicine/PET 2 Blocks
Pediatric Imaging 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

Body Imaging (GI/GU) 2 Blocks
Cardiothoracic 1 Block
Emergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology 1 Block
Musculoskeletal 1 Block
Neuroradiology 1 Block
Nuclear Medicine/PET 1 Block
Pediatric Imaging 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

Elective Rotations 12 Blocks
Emergency Imaging 1 Block

There are 13 blocks in each academic year; each block is 4 weeks in length. The above is a representative of the rotations for each year of training.

One block during PGY-4 year is reserved for AIRP conference attendance.

With the exception of one required Emergency/Call rotation all rotations during PGY-5 year are elective and may be customized to the residents subspecialty interests as long as it does not interfere with rotation schedule of other resident class requirements.

Conferences

We hold conferences daily at noon as well as morning conferences Tuesdays, Wednesdays, and Thursdays. Most lectures are recorded and made available for viewing by residents unable to attend conference or for future reference by residents and attendings. Conference types include the following:

Didactic Lectures: Didactic lectures will be provided by subspecialized faculty members on a 24 month cycle. Subspecialties include Body Imaging (GI/GU), Cardiothoracic, Emergency Imaging, Interventional Radiology, Musculoskeletal, Neuroradiology, Nuclear Medicine/PET, Pediatric Imaging, Ultrasound, and Women's Imaging.

Case Conference: Interesting and educational cases will be presented by residents and subspecialized faculty followed by interactive discussions on findings, differential diagnoses, and recommendations.

Medical Physics: Formal instruction in medical physics will be provided by dedicated, in-house medical physicist twice a week during morning lectures. Didactic training will include, but is not limited to, radiologic and nuclear medicine physics, radiation biology and protection, I-131 therapy requirements, as well as radiation and MRI safety. Additionally, residents will learn:

- Guidelines and effective communication concerning imaging appropriateness and safety issues

- Enhancement of patient safety and improvement of patient care quality through quality improvement projects

- Assessment, development and implementation imaging guidelines

- Protocol selection and optimizations of images

- Participation in identifying system errors through quality assessment projects and then implementing potential system solutions

Journal Club: Once a month, residents, along side an attending radiologist, will take turns presenting a recently published journal article of their choosing followed by a critical evaulation via interactvie discussion.

Grand Rounds: Several times each academic year we host visiting radiology professors from across the country to present conferences on topics specific to their field. It is a great opportunity for our residents to learn from and interact with some of the greatest minds radiology has to offer.

Jeopardy & Family Feud: Frequently, attending radiologists will present cases in a Jeopardy or Family Feud style format. Residents will split into teams with equal class representation and compete for the greatest prizes outside of a Starbucks gift card; family honor, peer recognition, and shame avoidance.

Radiology Residency Alumni

Class of 2016

Nathan Kohler, MD - Neuroradiology fellowship followed by Neuroradiology Interventional Fellowship, University of Maryland

Jeremy Macke, MD - Neuroradiology fellowship, Duke University

Cody O'Dell, MD* - Pediatric fellowship followed by Interventional Radiology fellowship, Emory University

Joel Urena, MD - Valley Radiologist Group, Phoenix, AZ

Class of 2017

Dzmitry Fursevich, MD - Body MRI fellowship, Johns Hopkins Medicine

Haley Letter, MD - Women's Imaging fellowship, University of Florida

Gary LiMarzi, MD* - Musculoskeletal fellowship, University of Michigan

Class of 2018

Edward Derrick, MD - Musculoskeletal fellowship, Mallinckrodt Institute of Radiology

Michele Edison, MD* - Breast Imaging/Body fellowship, Weill Cornell Medical College

Miguel Flores, MD* - Neuroradiology fellwoship, Johns Hopkins Medicine

Bo Liu, MD - Interventional Radiology fellowship, Miami Vascular Specialists

Class of 2019

Kimberly Beavers, MD - Breast Imaging fellowship, Memorial Sloan Kettering Cancer Center

Joseph Limback, MD* - Body Fellowship, Johns Hopkins Medicine

Raul Loya, MD - Body fellowship, Emory University

David Warden, MD - Neuroradiology fellowship, University of North Carolina

*Hired by AdventHealth Medical Group Radiology following fellowship

Research

As one of the key components in ACGME program requirements, research activity is an essential part of training. In the era of evidence-based medicine, we strongly believe at AdventHealth Orlando that residents should develop critical thinking skills to evaluate the publications and apply new knowledge in their clinical practice. Our program has a well-developed infrastructure and fostering culture to support residents who are interested in pursuing basic research, clinical research, or quality improvement/patient safety projects. By promoting research and scholarly activities, our ultimate goal is to train the next generation of physicians with strengths in both clinical and academic medicine.

Residents and faculty involved in required GME scholarly activities receive guidance from the Center for Collaborative Research (CCR) through the Clinical Academic Research team, comprised of an Academic Research Mentor, a Project Coordinator, and a Regulatory Coordinator. In addition, the center includes a group of biostatisticians, a health economist, and a medical editor.

CCR assists residents and faculty with all types of scholarly activities (case studies, QI projects and research studies), from study design and protocol development, to data analysis and poster, presentation or manuscript preparation.

Eligibility

What You'll Need

- Passed USMLE I and II

- Doctor of Medicine diploma without reservations

- Fluency of written and spoken English

- Proof of US citizenship or appropriate visa status (AdventHealth HR requirement)

- Completed application through ERAS

Sample Resident Agreement

Eligibility & Selection Policy

Applicant FAQ's

Q. What is the USMLE cutoff score?

A. There is no USMLE cutoff score. The screening committe reviews each application and considers the USMLE score in the context of the entire application.

Q. How many letters of recommendation to you require?

A. Three letters

Q. Do you require a clinical year of training prior to radiology residency?

A. Radiology residency requires one ACGME accredited clinical training year (internship) prior to starting residency. Residents will complete internships in medicine, surgery, or transitional year internships. These transitional year programs are also applied for through ERAS.

Q. Do you have a cutoff for year of medical school graduation?

A. No

Q. Do you accept international medical graduates into your program?

A. Yes, if screening criteria are met.

Q. How many residents do you accept per year?

A. Four

Q. How many applicants will you interview, and when?

A. We will interview approximately 80 candidates. Monday interview dates for 2019-2020 are as follows:

- October 14

- October 21

- October 28

- November 11

- November 18

- December 2

- December 9

Q. What is schedule for interview day?

A. 8:30 a.m. - 11:30 a.m. --> Interviews and campus tour

11:30 a.m. - 1 p.m. --> Lunch and then conference with residents and attending radiologists

Q. Are hotel accommodations provided?

A. Yes!

Q. How many interviews will I have?

A. You will have several interviews with various radiologists plus the Chief resident and Program Director.

Q. Who can I contact for more information?

A. Mark Uva, Program Coordinator - Mark.Uva@AdventHealth.com

Benefits

We'll Take Care Of You

AdventHealth GME Benefits

Salary -> PGY-2 $54,500

PGY-3 $56,500

PGY-4 $58,500

PGY-5 $60,500

Cell Phone Stipend -> Residents will receive a montly $50 cell phone credit

Moving Expenses -> New residents will be reimbursed up to $1,500 for covered moving expenses when relocating to Orlando, Fl as detailed in the AdventHealth GME Manual. Example expenses listed by GME include: Rental truck, car trailer, movers/labor, packing supplies, and fuel.

Uniform -> Residents will be provided two (2) personalized, AdventHealth embroidered white coats at the beginning of their first year. Per AdventHealth contract, residents will also receive an additional two (2) new white coats at the start of each year of training. Note: Scrubs may be worn on a day-to-day basis and are provided free of charge in the changing areas by the operating rooms, as well as within the general resident on-call living quarters adjacent to physician lounge.

Vacation/Personal Days Off -> Residents receive twenty (20) days of vacation/personal time each academic year.

Conference Days -> Residents may utilize up to five (5) conference days per year for the purpose of Continuing Medical Education (CME).

Research/QI Days -> Residents in their PGY-3 and PGY-4 years will receive five (5) dedicated research days per year to work on scholarly activities and five (5) dedicated days per year to work on quality improvement projects.

CME Funds -> PGY-2 residents are reimbursed up to $800 for covered expenses. PGY-3 through PGY-5 residents are reimbursed up to $1,500 for covered expenses. Example of approved CME items are available in the AdventHealth GME Manual.

Licensing and Professional Fees -> Program pays for resident licensing and professional fees. This includes but is not limited to:

- Florida state license (full): $705 initially, fully reimbursed. Subsequent reimbursement for renewal during the latter half of training will be pro-rated for the remaining time at AdventHealth. Personal CME allowance may be used to cover remaining balance

- DEA license: $731 initially, fully reimbursed. Subsequent reimbursement for renewal during the latter half of training will be pro-rated for the remaining time at AdventHealth. Personal CME allowance may be used to cover remaining balance

- Annual American Board of Radiology (ABR) membership fee: $640, fully reimbursed

- Annual Diagnostic In-Training Exam (DXIT): $220, directly paid by program

Meals -> Residents receive all meals at no cost during daytime working hours through the AdventHealth Orlando physician lounge, which includes complimentary Starbucks coffee. Full breakfast and lunch/dinner menus are provided every weekday and weekend with the exception of holidays.

Parking -> Covered and secured parking is provided to residents free of charge in physician dedicated parking areas. AdventHealth Orlando currently has 4 parking garages available with direct and covered entryway into the hospital.

Medical Insurance -> Medical insurance for residents and covered dependents is provided free of charge through the AdventHealth Insurance plan. Physician medical care co-pay is covered for office visits in all Residency offices.

Life Insurance -> Life insurance equivalent to one-year's salary is provided at no cost. Additional life insurance may be purchased for minimal charge.

Malpractice Insurance -> Occurance-based malpractice insurance is provided at no cost.

Radiology Residency Specific Benefits

Custom Lead Suit -> AdventHealth considers resident safety a top priority. During training, residents will be exposed to radiation from different sources, predominantly from fluoroscopy during diagnositc imaging, interventional, and imaging-guided procedures. For this reason, proper fitting lead gear is an important part of radiology training and future practice. First year residents will be fitted during orientation week and receive a fully customized 2-piece lead suit and glasses, courtesy of the program.

STATdx Account -> Subscription unlimited access to educational content from STATdx is provided at no cost for every resident

RadPrimer Account -> Residents will have individual RadPrimer accounts provided at no cost which provides dedicated radiology subspecialty learning modules as well as thousands of radiology review questions

Moonlighting -> Residents in good academic standing will have the opportunity to moonlight at the start of their second year (PGY-3). Moonlighting consists of "contrast coverage" at one of our many outpatient AdventHealth Imaging centers following work hours during the week and on weekends. Contrast simualtion training will help residents train for any potential contrast reactions that may be encountered.

AIRP -> The American Institute of Radiologic Pathology (AIRP) is a 4-week course organized by the American College of Radiology (ACR). Every year thousands of radiology residents from around the country participate in this unique course held in Silver Springs, MD. According to the ACR, this course aims to "provide radiologic pathologic correlation based on the need for both radiology residents and practicing radiologists to understand how the underlying pathology of a lesion relates to its imaging appearance. More information regarding AIRP can be found HERE.

Radiology residents are enrolled into this course during their third year (PGY-4) and are provided with a $2,500 stipend to attend the course.

Additional Program Benefits ->

- High attending-to-resident ratio

- No fellows on rotations to limit imaging/procedural experience

- Teaching opportunities, including medical student rotation program

- Free copy of Brant and Helms' Fundamentals of Diagnostic Radiology

- AdventHealth medical library resources including institutional access to UpToDate and access to OpenAthens

- Research opportunities

- Team building opportunities including annual resident retreat and attendance of select Orlando Magic games

- Possibility to earn up to $250 annually through AdventHealth's Creation Health initiantive

- Fourth year (PGY-5) elective opportunities, including possible additional rotations at other AdventHealth campuses to enhance learning opportunities

- Program provides first ear residents with multiple radiology textbooks, including board-prep materials

Application Process

Join Our Resident Team

To apply to our program and be eligible for consideration, a completed application must be submitted through ERAS by November 1st. Incomplete applications will not be reviewed. All programs at AdventHealth Orlando participate in the match through the National Resident Match Program.

ERAS Application

Directions

2501 N. Orange Avenue
Orlando, FL 32804

From the airport
Take the North Exit Take 528 West (Toll $2.25) Take 1-4 East to Orlando Take the Princeton Exit (#85) Turn right on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St
From the Tampa area:
Take 1-4 East to Orlando Take the Princeton Exit (#85) Turn right on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St
From the Daytona area:
Take I-4 West to Tampa Take the Princeton Exit (#85) Turn left on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St

Once on Princeton:

Make a left at Orange

For hospital parking garage entrance, turn right at King Street

Mark Uva

Residency Program Coordinator

(407) 303-6973 Contact Me

Main Campus

Main Campus

Thank you.

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Diagnostic Radiology