Neuroradiology Fellowship

All applications must be submitted through ERAS, and the program participates in the National Residency Matching Program. Applications will not be received outside of ERAS, and positions will not be filled outside the match.

The program will start reviewing applications in ERAS Dec. 1.

The American Society of Neuroradiology provides resources on the ERAS application process here.

Virtual Tour

Penn State Health

Penn State Health is an integrated academic health system serving patients and communities across 25 counties in central Pennsylvania. It employs more than 20,900 people systemwide.

The system includes Penn State Health Milton S. Hershey Medical Center, Penn State Health Children’s Hospital and Penn State Cancer Institute based in Hershey, Pa.; Penn State Health Hampden Medical Center in Enola, Pa.; Penn State Health Holy Spirit Medical Center in Camp Hill, Pa.; Penn State Health Lancaster Medical Center in Lancaster, Pa.; Penn State Health St. Joseph Medical Center in Reading, Pa.; Pennsylvania Psychiatric Institute, a specialty provider of inpatient and outpatient behavioral health services, in Harrisburg, Pa.; and 2,417 physicians and direct care providers at 225 outpatient practices. Additionally, the system jointly operates various healthcare providers, including Penn State Health Rehabilitation Hospital, Hershey Outpatient Surgery Center and Hershey Endoscopy Center.

In 2017, Penn State Health partnered with Highmark Health to facilitate creation of a value-based, community care network in the region.

Penn State Health shares an integrated strategic plan and operations with Penn State College of Medicine, the University’s medical school. With campuses in State College and Hershey, Pa., the College of Medicine boasts a portfolio of more than $150 million in funded research and more than 1,700 students and trainees in medicine, nursing, other health professions and biomedical research.

Learn more about Penn State Health

Penn State Health Children’s Hospital (left), Penn State Health Milton S. Hershey Medical Center (center) and Penn State Cancer Institute (right)

Penn State Health Milton S. Hershey Medical Center

500 University Dr., Hershey, Pa., 17033 (Derry Township, Dauphin County)

• The health system’s 611-bed flagship teaching and research hospital
• The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center
• Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units
• Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year
• More than 1,300 faculty members and more than 650 residents and fellows
• Approximately 29,000 admissions, 73,000 emergency department visits, 1.1 million outpatient visits and 33,000 surgical procedures annually
• Designated as a Magnet hospital since 2007

Learn more about Milton S. Hershey Medical Center

Penn State Health Children’s Hospital

600 University Dr., Hershey, Pa. 17033 (Derry Township, Dauphin County)

• An eight-story, 263,000-square-foot-facility built in 2013 and expanded in 2020
• 160 licensed pediatric beds, 26-bed pediatric intensive care unit and a 56-bed neonatal intensive care unit
• Level IV (highest-level) neonatal intensive care unit
• Level I quaternary (highest-level) pediatric intensive care unit
• Level I (highest-level) pediatric trauma center designation
• Intermediate care unit
• Dedicated pediatric operating rooms
• More than 150,000 pediatric outpatient visits, 20,000 pediatric emergency room visits, and approximately 5,000 pediatric patient discharges annually

Learn more about Penn State Health Children’s Hospital

Welcome to Hershey

More About Hershey

Interested in learning more about living and working in Hershey, Pa.? See details here:

• Benefit and stipend information
• Virtual tour
• GME policies
• Wellness resources
• More about Penn State Health and its locations
• Application and visa requirements

Wellness, including emotional, spiritual, social and physical health, is a crucial component to training and to becoming a professional, compassionate and resilient physician. Self-care is a skill which must be continually practiced and reinforced. Penn State College of Medicine and Penn State Health are committed to addressing wellness among residents and fellows, with multiple resources readily available.

Institutional resources

• Visit BeWell – a health program designed to support Penn State Health employees
• See Penn State College of Medicine wellness resources here
• Employee Health Care Concierge and Case Management Service
• Partners in Medicine
  Moving to a new city with your family does not have to be stressful. Residency programs have assisted many significant others with finding employment. There is also a GME-Wide Partners in Medicine (PIM) group that offers networking opportunities as well as various social and community oriented activities.
• The Doctors Kienle Center for Humanistic Medicine
• Active and easily accessed Office of Professional Mental Health

Graduate medical education resources

• See resident and fellow wellness resources here

Institutional Resources

Penn State Health and Penn State College of Medicine celebrate, embrace and support the diversity of all patients, faculty, staff, students and trainees.

Office for Diversity, Equity and Inclusion

In keeping with this, Penn State Health has an active Office for Diversity, Equity and Inclusion with various programs, networks and resource groups, including:

• Talks and lectures on diversity, equity and inclusion through the Inclusion Academy
• Regular events on topics such as eradicating racism and creating a culture of inclusiveness
• Many Business Employee Resource Groups (BERGs), including:
  • Disability Business Employee Resource Group
  • Interfaith Business Employee Resource Group
  • LGBTQ+ Business Employee Resource Group
  • Military and Veterans Business Employee Resource Group
  • Multicultural Business Employee Resource Group
  • NextGen Business Employee Resource Group
• Black Physician Professional Staff Association – Resource Group
• Hispanic Professional Association
• Asian Physician and Professional Staff Association
• International Workforce Inclusion
• Inclusion Academy

Learn more about the Penn State Health Office for Diversity, Equity and Inclusion

Learn more about the College of Medicine’s Office for Diversity, Equity and Belonging

Office for Culturally Responsive Health Care Education

The vision at Penn State College of Medicine and Penn State Health is to equip learners with the knowledge, skills and attitudes they will need to provide culturally excellent health care and research for an increasingly diverse U.S. population. The Office for Culturally Responsive Health Care Education was formed to help meet that goal.

Learn more about the Office for Culturally Responsive Health Care Education

Office for a Respectful Learning Environment

In addition, the institution does not tolerate discrimination, biases, microaggression, harassment or learner mistreatment of any kind, and any concerns are immediately addressed by the Office for a Respectful Learning Environment.

Learn more about the Office for a Respectful Learning Environment

Network of Under-represented Residents and Fellows
The Network of Under-represented Residents and Fellows (NURF) is a group of diverse residents and fellows representing all specialties. NURF’s goal is to promote cultural diversity in the residency programs through community involvement, mentorship with diverse faculty, professional networking and support for the recruitment of diverse medical students into the residency programs.

NURF is sponsored by the Penn State College of Medicine Graduate Medical Education Office and the Penn State Health Office for Diversity, Equity and Inclusion.

Learn more information about NURF

Mailing Address

Neuroradiology Fellowship
Department of Radiology
Penn State Health Milton S. Hershey Medical Center
500 University Dr.
P.O. Box 850, MC H066
Hershey, PA 17033

General Contact Information

Fax: 717-531-0006

Diagnostic Neuroradiology

The Diagnostic Neuroradiology rotation encompasses general neuroradiology, brain, spine and head and neck imaging. This rotation provides exposure to the full gamut of neuroradiology studies, including CT, MRI, non-invasive CT and MR angiography, CT and MR perfusion studies, MR spectroscopy and myelography.

Interventional Spine

The Interventional Spine rotation (one day a week) provides hands-on experience with both diagnostic and therapeutic spine procedures such as discograms, cervical and lumbar nerve root blocks, epidural steroid injections, facet blocks, lumbar drainage catheter placements, drainages and vertebral augmentations. Extensive experience in a wide range of CT-guided biopsies of the spine, intervertebral discs and paraspinal structures are also provided.

Neuroangiography

Neuroradiology fellows have the option to take part in diagnostic cerebral angiography, acute stroke care, carotid stenting, aneurysm coiling, vascular malformation treatment and tumor embolization procedures. Fellows also participate in the structured vascular and neuroangiography online curriculum sponsored by the ASNR.

Pediatric Neuroradiology

Fellows will spend one day per week doing dedicated Pediatric Neuroradiology and are exposed to a variety of pediatric pathologies.

Required Diagnostic Examinations Interpreted

• Total diagnostic examinations interpreted: 3000 (Of which at least 1500 should be MR imaging).
• Vascular imaging interpretation: 250 (Including CTA, CTV, MRA, MRV, Doppler sonography, and catheter-based angiography).

Interventional

The fellowship provides hands-on experience with both diagnostic and therapeutic spine procedures such as epidural steroid injections, facet blocks, spine drainages and vertebral augmentations. Extensive experience in a wide range of CT-guided biopsies of the spine, intervertebral discs and paraspinal structures are also provided. Neuroradiology fellows are encouraged but not required to take part in diagnostic cerebral angiography, acute stroke care, aneurysm coiling and other neuro-interventional procedures.

Required Procedures

Image-guided invasive procedures performed: 100(Which may include LP, myelography, advanced spine procedures, catheter-based angiography, and head and neck biopsies).

Neuroradiology fellows take weeklong call on average one out of every five weeks during the year, consisting of in-house duty from 5 to 10 p.m. weekdays and either in-house or at-home duty on Saturdays and Sundays. After-hours call for emergent procedures is covered by pager from home.

Potential responsibilities on pager call include emergent lumbar punctures, myelograms and triage/performance of spinal interventional procedures. Fellows are provided with workstation at home and VPN access to enable workflow from home similar to that in-house.

Fellows are encouraged to present at neuroradiology societal meetings such as the ASNR annual meeting, ASHNR, ASSR or ASFNR. Past fellows have also presented work at RSNA and ARRS. Fellows are given approximately one-half an academic day per week to pursue scholarly activities.

In addition to the benefits provided to all Penn State Health Milton S. Hershey Medical Center employees, fellows are provided an educational funding allotment during the 12-month fellowship for expenses such as meeting attendance, travel expenses, electronic education materials and e-readers, etc. Read more about fellow benefits here.

Tuesdays

• 8 a.m.: Interesting case conference

Wednesdays

• 7:30 a.m.: Dedicated fellow didactic conference
• 4 p.m.: Head and neck tumor board

Thursdays

• 8 a.m.: Rotates between multidisciplinary pediatric neuro conference, journal club, head and neck case conference, and pediatric interesting case conference

Fridays

• 7 a.m.: Alternates between CNS tumor board and multidisciplinary spine conference
• 8 a.m.: Multidisciplinary neurosciences conference

• Nine clinical MRIs (Four 1.5T Siemens and five 3T Siemens)
• One research MRI (3T Siemens)
• Eight MDCTs
• Dedicated CT scanner in emergency department (Siemens 128 detector dual energy)
• CT fluoroscopy suite
• Flat panel biplane Siemens Artis Angiogram equipment with DynaCT and rotational DSA capabilities
• PET/CT scanner (Phillips Gemini 16 slice)
• Phillips PACS with Powerscribe 360 Speech Recognition system
• Siemens and TeraRecon 3D reconstruction software with dedicated 3D lab with 3D printing capability

Cases seen in the program have included:

• Gadolinium-induced encephalopathy
• Balos concentric sclerosis
• Spinal cord sarcoidosis
• Abducens schwannoma
• Spinal cord hemangioendothelioma
• Variant CJD
• Amyotrophic lateral sclerosis
• Superior semicircular canal dehiscence
• Intergluteal dorsal dermal sinus
• Phalen McDermid syndrome
• Arboviral encephalitis
• S-adenosyltransferase deficiency
• MELAS