This fellowship will provide training in echocardiography and cardiac computed tomography (CT). The fellowship position is aimed at trainees who have finished their core cardiology training and wish to sub-specialise in advanced echocardiography and cardiac CT. Preference will be given to those interested in pursuing a PhD degree.
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 17,000 studies are undertaken each year, including about 500 transoesophageal studies and 2,300 stress studies.
The echocardiography training program is well established, with seven dedicated adult echocardiography cardiologists who are actively involved in teaching fellows. All echocardiography consultants have exceptional skills and four 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), percutaneous valve implantation/repair and LA appendage occlusion with the Watchman device.
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.
MonashHeart became a luminary site for the 320-slice Toshiba Aquilion One CT scanner in September 2008, the first health service to do so in the southern hemisphere. 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 latest and most advanced system.
Over 3,270 cardiac CTs are performed each year at MonashHeart, including those for the non invasive diagnosis of coronary artery and congenital heart disease.
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 Emergency Department (ED) with intermediate-risk chest pain syndromes.
Enquiries and applications to:
Associate Professor Philip Mottram
Head of Non Invasive Imaging
Tel: +61 3 9594 2680
Fax: +61 3 9594 6239
Mail: MonashHeart, Monash Medical Centre, 246 Clayton Road, Clayton 3168