MRI Fellowship Registration
Please fill this form and complete payment at least two weeks prior to arriving for a fellowship so that we may tailor course content to your needs. You can use the Paypal button directly above or below this form to complete your payment.
What is the scheduled start-date of your fellowship?
Please note that you need to first speak with Dr. Sage to agree on a mutually acceptable date.
What is your name?
What is the name of your clinic or university?
What are your credentials?
What best describes your veterinary practice?
Radiology resident currently in training
GP with an interest in MRI
What best describes your daily interaction with MRI studies?
My practice owns an MRI machine
I refer my MRI cases to a human or remote veterinary imaging center for scans
I read teleradiology MRI cases for outside practices
I'm just looking for more MRI clinical experience, without direct access to MRI cases
Below is a list of topics that we generally cover. Please check any that you have a specific interest in or need to improve on.
Physics of MRI, basic imaging sequences, protocol development, and patient positioning for optimal imaging quality
Brain: including neoplastic, inflammatory/infectious, vascular, congenital and neurodegenerative conditions
Spine: including intervertebral disc disease, neoplastic, inflammatory/infectious, vascular, and structural abnormalities
Orthopedic: including shoulder, elbow, stifle, and tarsus/carpus
Nerve sheath tumors (in their many locations)
Abdominal: including liver, spleen, portosystemic shunts, adrenal, pancreas, and genitourinary conditions
Thorax: including mediastinum, heart, pulmonary, and thoracic wall conditions
Head: including nasal, middle and inner ear, oral cavity, ocular and retrobulbar, salivary, and lymphatic conditions
What specific goals do you want to achieve at the completion of this course?
Do you have any particular areas of interest that we should plan to cover?
Is there any other information we can provide for you about Georgetown, activities, hotels, restaurants, airport transportation, weather, etc?
I agree to use the Paypal button below to complete payment for this fellowship at least two weeks prior to my arrival.
Never submit passwords through Google Forms.
This form was created inside of MR Vets, Inc..
Terms of Service