Emergency and Trauma Radiology Program

Radiology Trauma

Emergency and Trauma Radiology is a subspecialty of Diagnostic Radiology that has developed as Trauma care has evolved at Level 1 trauma centers around the country. The sequencing, prioritizing, and management of the delivery of imaging services in the emergency/trauma setting have become increasingly more sophisticated as the volume and complexity of trauma cases have continued to rise. Emergency and trauma fellowship trained radiologists focus on advancing and improving radiologic aspects of emergent patient care. The SAUSHEC Emergency and Trauma Radiology Fellowship is a 1-year radiology fellowship program at the Department of Defense’s only Level 1 trauma center. One fellow will be selected every. Applications are accepted from all active duty (field) applicants as well as residents in their third year of diagnostic radiology residency.

The San Antonio Military Medical Center (SAMMC) is a state-of-the-art hospital and receives 50% of all trauma in the city of San Antonio. SAMMC is also one of two academic institutions in San Antonio which is active in the Southwest Research Consortium as well as the Trauma Institute of San Antonio Texas (TRISAT). TRISAT is the first congressionally funded, joint military-civilian trauma institute in the United States. TRISAT coordinates academic, community and military resources to most effectively serve trauma victims and their families. TRISAT member centers see 8,000 trauma patients per year from a 22-county trauma service area and beyond. TRISAT manages a consolidated electronic database of the region's hospital trauma registries and 70 EMS agencies throughout the trauma service area, resulting in greater opportunities for clinical research. SAMMC also houses the pre-eminent burn center for the US military, the Center for the Intrepid, and Institute of Surgical Research.

The Emergency Radiology section is located within the SAMMC Emergency Department adjacent to the 8 bay trauma admitting area with fixed and portable wireless digital radiography, a dedicated 128-slice Siemens CT scanner, and 2 reading rooms with an integrated PACS system using voice recognition. There is also a dedicated radiography suite incorporated in the section to service the 65 exam rooms of the Emergency Department.

Under close supervision of the faculty, fellows will learn interpretation of conventional and cross-sectional imaging, including CT, MR, and ultrasound, as they relate to care of the acutely ill or injured patient. Fellows will also develop skills in the management of the busy and complex emergency radiology practice and will become experienced consultants for the other medical professionals in the medical center. Fellows will participate in the daily emergency radiology section teaching sessions, as well as weekly trauma surgery and emergency medicine interdisciplinary conferences. In the later phases of the program, fellows will take on more responsibility for the teaching of residents and presentations at conferences. Fellows will have the opportunity to attend many of the daily morning case conferences which are organized to cover all the disciplines in radiology over the course of 13 academic months, and will have access to our excellent library and multimedia materials. Fellows are provided with their own laptops at the beginning of fellowship. Desktop computers with internet access are also available at every radiology PACS workstation, allowing seamless access to learning resources.