Letter from the Chair and Program Directors

On behalf of the faculty, we would like to welcome you to the Texas Tech University Health Sciences Center El Paso Residency Program in diagnostic radiology, body and women’s imaging fellowships. TTUHSC El Paso has a distinguished history in residency training and the beginning of the radiology training program in 2008 was a most welcomed addition. The residency training program is divided into specialty radiology sections of abdominal imaging, vascular and interventional radiology, breast imaging, ultrasound, emergency radiology, musculoskeletal radiology, neuroradiology, nuclear radiology, pediatric radiology, and thoracic radiology. Technical modalities of CT, MRI, and ultrasound are incorporated into many of the subspecialty sections. Residents rotate through the sub-specialty areas and work closely with faculty members who have established expertise in these disciplines. The program currently has 11 residents, and one women’s imaging fellow.

University Medical Center, the primary teaching hospital, is a Level I trauma center as well as a general hospital servicing El Paso county where radiology residents are able to gain experience working with patients who have both common and complex medical problems. Radiology residents interact regularly with residents from other programs. The technology base of the department is state-of-the-art with the latest CT, MR, and information technology systems. The department has operated in a filmless environment since 2005.The imaging department at UMC completed a substantial expansion in June 2012. New facilities for emergency radiology are at the far west end of the medical center. A dual energy CT scanner in the east end is available as well as outpatient ultrasound and fluoroscopy suites. Between the two are nuclear medicine, a new 3.0T MRI and an interventional radiology suite opened in 2014. New offices and teaching space include the Radiology Founders’ Library and Conference Room. The El Paso Children’s Hospital opened in February 2012. Its imaging department adjoins the UMC adult outpatient radiology section and is an integral part of the training program.

The training program is designed to enable residents and fellows to acquire and demonstrate the knowledge, skills, and judgment necessary for competence in the practice of radiology. This is primarily achieved by involvement in clinical case management under direct supervision and guidance of the faculty. Formal teaching supplements this educational process by providing lectures, demonstrations and conferences, as well as electronic teaching aids. Competency in radiology consists of the ability to plan appropriate and the most cost effective imaging sequences, obtain these studies with utmost concern for patient care, and transfer necessary information to the referring clinician in a timely manner. Residents not only learn interpretation skills in evaluating radiological images, but obtain competency in transferring this information in an efficient and effective manner.

The core knowledge, with which the resident radiologist must become familiar, and which will require continuous study for the rest of one’s professional life, concerns the variety of pathologic findings that may be detected on images due to disease and the differentiation of these from normal, normal variations and technical artifacts. The resident must also learn to work closely with support personnel on patient care and administrative matters in order to assume competent and responsive consultative services and quality patient care. Implementation of the new American Board of Radiology certification schedule has allowed us to dedicate most of the fourth year of training to advanced selective experiences as a stepping stone to fellowship or practice. Since 2013, one senior resident has had the opportunity to select a separate tract dedicated to academic practice development.

The 12 month body and women’s imaging fellowships include intensive added experience in special imaging that includes computed tomography, magnetic resonance imaging, diagnostic ultrasound, and research. The body imaging fellowship also provides an opportunity for additional imaging research and faculty development in an optional second year.

This resident and fellow manual describes the clinical, educational, and research opportunities for residents and fellows at the TTUHSC El Paso Paul L. Foster School of Medicine. It can be anticipated that the training experience will continue to prepare young radiologists to become competent clinical practitioners and/or academicians with outstanding credentials. The learning experience begins on the first day of the residency and continues through every day of each rotation. Our residents and fellows need to stay focused and work hard throughout their training so that they can be a successful addition to the practice of radiology in the southwestern U.S. or wherever they choose to go.

Welcome to the radiology residency and imaging fellowship programs.

Jesus Diaz, M.D.
Program Director, Radiology Residency

Shaked Laks, M.D.
Program Director, Radiology Imaging Fellowship

Edmundo Calleros-Macias, M.D.
Acting Chair of Radiology

Anoop Ayyappan, M.D.
Program Director for Breast Imaging Fellowship