The MonashHeart non-invasive imaging fellowship will provide training in cardiac CT (computed tomography) and echocardiography. The position is aimed at trainees who have finished their core cardiology training and wish to sub-specialise in advanced cardiac CT and echocardiography. Preference will be given to those interested in pursuing a PhD degree.
In September 2008, MonashHeart became the southern hemisphere’s first luminary site for a 320-slice Toshiba Aquilion One CT. The scanner covers up to 16cm in a single rotation using 320 detector-rows, making it possible to scan the entire heart in a single rotation in less than half a second.
In 2012 the scanner was upgraded to the Aquilion One ViSION; Toshiba’s newest and most advanced system – one of just three in the world.
MonashHeart runs the busiest cardiac CT service in Australia, performing over 3,270 CTs each year.
Fellows work closely with the MonashHeart Head of Cardiac CT in the performance and reporting of clinical and research studies. MonashHeart is active in cardiac CT-based research projects, initially focusing on coronary anatomy, CT-derived fractional flow reserve, CT perfusion and clinical assessment of patients presenting to the ED with intermediate-risk chest pain syndromes.
Fellows will be exposed to the full range of diagnostic echocardiographic modalities including transthoracic echocardiography, transoesophageal echocardiography and stress echocardiography, utilising both exercise and pharmacological stress. MonashHeart is a large tertiary referral centre with three echo laboratories, where close to 17000 studies are undertaken each year, including about 500 transoesophageal studies and 2300 stress studies.
The echocardiography training program is well established, with six dedicated adult echocardiography cardiologists who are actively involved in teaching fellows. All echocardiography consultants have exceptional skills and three have completed their PhD degrees in advanced echocardiography techniques. We have particular expertise in myocardial contrast echocardiography, 3D transoesophageal echocardiography, and quantitation of myocardial function with tissue doppler techniques. Fellows will also be exposed to procedural echocardiography in the catheterisation laboratory, using transoesophageal echocardiography (TOE) guidance to support atrial septal defect (ASD) and patent foramen ovale (PFO)closures, alcohol septal ablation procedures for hypertrophic obstructive cardiomyopathy (HOCM) and percutaneous valve implantation/repair.
As Monash Medical Centre Clayton is a tertiary referral centre for obstetric services, the MonashHeart Clayton echocardiography lab also offers paediatric echocardiography, including prenatal and neonatal diagnosis, and provides care to a significant population of children and adults with congenital heart disease. Fellows have the opportunity to interact with the paediatric cardiologists and gain experience in the diagnosis of congenital heart disease.
The lab offers a strong teaching program. There are dedicated echocardiography teaching sessions, including weekly formal case review sessions, consultant and fellow presentations, supervised performance of all TOE studies, co-reporting of stress studies, and multiple opportunities for one-on-one reporting of transthoracic studies with consultants.
Enquiries and applications to
Associate Professor Phil Mottram
Head of Non Invasive Imaging
Tel: +61 3 9594 7855
Fax: +61 3 9594 6239
Mail: MonashHeart, Monash Medical Centre, 246 Clayton Road, Clayton 3168