Overview

Overview

The Diagnostic and Nuclear Medical Physics Residency at Cleveland Clinic aims to provide the highest quality training in all areas of imaging physics. The residency was first established in 2016 as a two-year training program in diagnostic medical physics. This two-year program has been accredited by the Commission on Accreditation of Medical Physics Education Programs (CAMPEP) since November 2017. In 2019, the program expanded to include an additional year of training in nuclear medicine. CAMPEP accreditation for both the diagnostic and the nuclear components is expected in 2020.

The program is designed based on the CAMPEP standards and the recommendations of the AAPM Report No. 249. Residents, under the supervision of board-certified medical physicists, perform the following training activities:

  • Acceptance, annual, and post-repair testing of imaging equipment to ensure quality, safety, and regulatory compliance
  • Troubleshooting of image artifacts and other quality and safety incidents
  • Radiation dose tracking and protocol optimization
  • Accreditation data collection, site planning, site inspection, and equipment purchase
  • Patient/conceptus dose estimation, shielding calculation, and general health physics training
  • Shadowing of technologists and radiologists to understand how medical physics practice affects other healthcare providers
  • Attending and assisting in teaching conferences, quality assurance committee meetings and clinical/research seminars
  • Conducting research and presenting findings at local or national conferences
  • Teaching medical physics to other healthcare providers and graduate students

At the conclusion of the program, residents will be able to demonstrate competency in all areas of imaging physics and be prepared to take the certification examination of the American Board of Radiology in Diagnostic and Nuclear Medical Physics.

About Us

About Us

The Imaging Institute at the Cleveland Clinic is one of the leading radiological academic centers in the world. It is also one of the busiest clinical departments in the country, performing more than 2.7 million examinations every year. Its Section of Medical Physics was officially founded in 1998 and currently consists of:

  • 8 board-certified medical physicists (professional staff, rotation mentors)
  • 3 quality assurance technologists
  • 2 administrative staff
  • 1 system analyst
  • 2 residents

The Section of Medical Physics and the Department of Nuclear Medicine provide medical physics service to the Cleveland Clinic Health System, including a main campus, 8 regional hospitals, 4 affiliated hospitals, and 64 family health centers. Equipment available for resident training includes approximately:

  • 84 CT scanners
  • 58 MR scanners
  • 77 mammography units
  • 132 ultrasound units
  • 75 angiographic or cardiac catheterization units
  • 505 general radiographic or general fluoroscopic units
  • 28 dental units
  • 201 primary display workstations
  • 45 Gamma cameras (37 SPECT, 8 SPECT/CT)
  • 10 PET scanners (9 PET/CT, 1 PET/MRI)

In addition, residents participate in ACR accreditation testing for advanced imaging modalities such as CT, MR, mammography, gamma cameras, and PET.

One of the most cherished missions of the Cleveland Clinic is “further education of those who serve”. Since its inception, the Section of Medical Physics has been enthusiastic in training the next generation of medical physicists. Most section members are actively involved in teaching practicum courses and didactic lectures in a CAMPEP-accredited graduate program conducted in collaboration with the nearby Cleveland State University. The enthusiasm of the section members to teach and to educate is the greatest incentive behind the launching of the residency program. This program benefits from the rich clinical and educational resources of the Cleveland Clinic as well as its partnership with the clinic’s Radiology Residency and Radiation Oncology Physics Residency.

Program Faculty

  • Paul Johnson, PhD DABHP DABR, Program Director, Rotation mentor for radiation safety and nuclear medicine
  • Xiang Li, PhD DABR, Associate Director (Diagnostic), Rotation mentor for radiography, CT, and MR
  • Krishnendu Saha, PhD, CHP, DABSNM, Associate Director (Nuclear), Rotation mentor for nuclear medicine, radiation safety, and CT
  • Bonnie Wildman, RN BSN MHA, Program Administrator
  • Frank Dong, PhD DABR, Rotation mentor for CT, informatics, and ultrasound
  • Katie Hulme, MS DABR, Rotation mentor for mammography, informatics, and radiography
  • Ashraf Morgan, PhD DABR, Rotation mentor for MR and ultrasound
  • Vivek Singh, PhD DABR, Rotation mentor for radiography and fluoroscopy
  • Kevin Wunderle, PhD DABR, Rotation mentor for fluoroscopy, mammography and radiation safety
  • Frank Grano, RT (R)(QM), Quality assurance technologist
  • Vincent Kubicki, RT (R)(QM), Quality assurance technologist
  • Deborah Tovey, RT (R)(CV)(QM), Quality assurance technologist

Contact

Joyce Hegedus
Education Coordinator
25900 Science Park Dr
Mailcode AC211
Beachwood, OH 44122
216-444-4517
hegeduj@ccf.org

Training

Training

Clinical Rotations

The diagnostic component of the residency program is two years in duration, consisting of 14 rotations through 8 modalities:

  • Radiography
  • Fluoroscopy
  • Mammography
  • Informatics and display
  • CT
  • MRI
  • Ultrasound
  • Radiation safety and regulations

The residents are exposed to most modalities twice, once in their first year and once in their second year.

The nuclear component of the residency program is one year in duration, consisting of 5 rotations:

  • Basic nuclear medicine physics
  • Hot lab
  • Gamma camera
  • PET
  • Nuclear medicine safety and dosimetry

Download a sample training schedule

In each modality, the residents are progressively trained and rigorously evaluated in six core competency areas specified by the American Board of Medical Specialties (ABMS) and the Accreditation Council for Graduate Medical Education (ACGME):
  • Patient care and procedure skills
  • Medical knowledge
  • Practice-based learning and improvements
  • Interpersonal and communication skills
  • Professionalism
  • Systems-based practice

In addition, a comprehensive orientation program is designed to provide training in safety, ethics/professionalism, leadership, and informatics. The residents are closely supervised at the beginning. They assume increasing independence and responsibilities as the program progresses.

Training Options

The program is primarily designed for individuals interested in 3 years of combined training in diagnostic and nuclear medical physics. The following training options may also be offered depending on program needs, applicant interests, and available funds:

  • Two-year residency in diagnostic medical physics
  • Two-year residency in nuclear medical physics
  • One-year fellowship in diagnostic medical physics
  • One-year fellowship in nuclear medical physics

The fellowship programs are intended for individuals who have completed a CAMPEP-accredited two-year residency in another discipline or individuals who are ABR-certified in another discipline.

Research

At the start of the program, a resident is provided with a list of potential projects, divided into two categories: research projects and practical quality improvement (PQI) projects. Research projects require more efforts, are longer-term, and are more likely to result in conference abstracts. PQI projects are short-term efforts that aim to address ongoing clinical needs. A resident should choose a single research project. In addition, he or she is welcome to take on any number of PQI projects provided that the resident’s clinical training is in good standing. Before making a final decision, the resident is strongly advised to discuss the projects of interest with the mentors to get more information about the projects as well as the mentor’s expectations and mentoring styles.

While collaboration with other trainees, such as graduate students and radiology fellows, is encouraged, the majority of the work on literature review, data collection, analysis, and presentation should be conducted by the resident. To ensure a productive effort, the resident is required to submit at least two conference abstracts in the three-year training period.

By engaging in research and PQI projects, the resident is exposed to the entire process of:

  • Recognizing patient care challenges that can be addressed by scientific studies,
  • Applying scientific methodology to solve problems, and
  • Communicating scientific ideas through writing and speaking in a public forum.

Conferences

Residents participate in teaching conferences, quality assurance committee meetings, clinical/research seminars, and journal clubs. A list of required and recommended activities can be found below:

By participating in these activities, the residents:

  • Broaden their knowledge about the fields of radiology and medical physics
  • Interact with caregivers in related disciplines
  • Enhance their communication skills
  • Develop a habit of life-long learning

Program Completion Requirements

The residents receive a Certificate of Completion subject to the following requirements:

  • Meeting all behavior expectations
  • Satisfactory completion of orientation requirements, as documented in the orientation summary report signed by the program director
  • Satisfactory completion of clinical rotations as documented in the rotation completion records signed by the supervising physicists and the program director
  • Successfully passing end-of-year oral exams
  • Completion of the annual RAPHEX exams (diagnostic only)
  • Meeting MQSA initial qualification for medical physicists (diagnostic only)
  • Completion and submission of all evaluation forms, including evaluations of individual rotations and evaluation of the residency program as a whole
  • Meeting the requirements for conference attendance
  • Satisfactory completion of the chosen research project with at least 2 abstracts submitted to local or national conferences during the three-year training period
Resident Life & Benefits

Resident Life & Benefits

Salary & Benefits

Medical physic residents are Cleveland Clinic employees and eligible for all the employee benefits:

  • Salary: median resident salary reported in the AAPM Professional Survey
  • Health insurance: Cleveland Clinic Employee Health Plan
  • Paid time off: 28 days per year (including 6 designated holidays)
  • Office space: Each resident has an individual cubicle with standard office support, including a desk phone, an email account, a Cleveland Clinic laptop with a docking station, internet access, and a shared color printer/copier.

City of Cleveland

The city of Cleveland has something for everyone, from sports and parks to theatre and fine dining.

Cleveland is home to the second largest theatre district in the country. Playhouse Square is alive with first run Broadway shows and musical talent. Before or after the show there are countless award winning restaurants from which to choose. Michael Symon and Zack Bruell are just a few who have made Cleveland home for their culinary talent. University Circle is full of culture with world-renowned museums, including the Cleveland Museum of Art and the Western Reserve Historical Society. It is also home to the amazing Cleveland Orchestra that performs in the recently refurbished Severance Hall which is known as one of America’s most beautiful concert halls.

If you are an outdoor enthusiast, the Cleveland Metroparks offer scenic areas to hike, cycle, boat, fish, golf, and explore. Enjoy Edgewater Park where you can swim or enjoy a beautiful sunset over Lake Erie. The Cleveland Metropark Zoo is also a part of this eighteen park system.

With all this, the cost of living in Cleveland is dramatically cheaper than in most major cities. In short, Cleveland is a great place to live, work and play!

Statistics

Statistics

Admission Statistics

Academic Year Number
of Applicants
Number Offered
Admission
(non-MedPhys Match)
Number Ranked
(MedPhys Match)
Number Enrolled
in Program
Number Completing
Program
2016 1 1 - 1 -
2017 43 - 8 1 -
2018 35 - 12 1 1
2019 40 - 10 1 1

Post-residency Statistics

Destination of Graduates

Academic Year ABR certified Clinical Academic Industry Additional Education Still Seeking Position Other
2016 - - - - - - -
2017 - - - - - - -
2018 - 1 - - - - -
2019 1 1 - - - - -
Apply

Apply

To be considered for admission into the residency program, applicants must be enrolled in or have graduated from a CAMPEP-accredited graduate or certificate program.

Applicants interested in the two-year diagnostic physics residency or the three-year combined diagnostic and nuclear physics residency should apply through the AAPM Medical Physics Residency Application Program (MP-RAP) and Medical Physics Match. An approximate timeline for reviewing, interviewing, and ranking candidates is as follows:

Date Activity/Event
December 1 Review of complete applications begins.
Mid-December Application Deadline
January-February Onsite Interview
Mid-March Rank order list is submitted to MedPhys Match
End of March Results of the MedPhys Match are released to applicants program directors
Beginning of April Letter of confirmation is sent to matched applicant

Applicants interested in the two-year nuclear medicine residency or the one-year nuclear medicine fellowship will be considered outside the match via job postings.

The residency commences at the beginning of July. Interested applicants should submit:

  • Curriculum Vitae
  • Statement of personal interests and goals
  • Three letters of recommendation
  • Official transcripts of all undergraduate and graduate studies