Nuclear Medicine Residency Program

Welcome to the Nuclear Medicine Residency Program at the University of Alberta.

 

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CERTIFICATION IN NUCLEAR MEDICINE AND DIAGNOSTIC RADIOLOGY

 

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STAFF : RESIDENT RATIO

 

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BREADTH OF COMMUNITY, TERTIARY, CANCER, TRANSPLANT, CARDIAC, RESEARCH EXPERIENCES AND BRAND NEW TECHNOLOGIES

 

Interview/CaRMS Specific Information 

General Information

Virtual panel interviews (2-3 sessions, each approximately 20-30 minutes) with nuclear physicians, radiologists and residents. Each candidate will have the opportunity to meet with the program director. More details to follow.

Contact Us

Dr. Alexander Tamm
Program Director, Nuclear Medicine
Email: astamm@ualberta.ca  
Phone: 
780-407-2787

Kamani Reddy
Program Administrator 
Email: nucmed@ualberta.ca

Dr. Alex Tamm

Dr. Alexander Tamm
Program Director

Kamani Reddy
Program Administrator

Welcome to the University of Alberta Nuclear Medicine Residency Program

Our unique, well-established program effectively integrates all aspects of Nuclear Medicine and Diagnostic Radiology, paving the way for graduates to provide unrivaled personalized imaging for their patients at both a macroscopic as well as molecular level. Our program meets the requirements for successful candidates to be certified in both Diagnostic Radiology and Nuclear Medicine from the Royal College of Physicians and Surgeons of Canada.

Residents will receive training in community hospitals, academic tertiary care centers, cancer centers as well as outpatient clinics that are equipped with state-of-the-art technology. We have a diverse, large volume nuclear medicine practice (including a busy transplant center) that will give residents the necessary skills to work in any setting upon completion of the program.

Teaching is optimized by the ample number of dual-trained faculty involved in teaching only a small number of residents each year. With dedicated academic half-days for resident teaching in clinical nuclear medicine and physics, hosting the Canadian Nuclear Medicine Resident Review Course, and participating in numerous multidisciplinary rounds, our residents are well equipped to tackle the Royal College examinations.

The combination of nuclear medicine and radiology provides a highly rewarding career where no two days at work are the same. You will have the opportunity to participate in the intersection of cutting edge technology and new advances in medicine. Our residents go on to establish successful academic and community careers across North America.

We are delighted to have the opportunity to meet you, and we thank you for taking the time to consider our program. Please don’t hesitate to contact us with any questions.

Dr. Alexander Tamm
Program Director


Our Program

The aim of the University of Alberta Nuclear Medicine and Diagnostic Radiology Residency Program is to teach residents the knowledge, skills and attitudes required to function as a safe, competent and independent consultant in the specialties of Nuclear medicine and Diagnostic Radiology. This includes the abilities to supervise, advise on, perform and interpret imaging procedures at a high standard, functioning as a capable consultant to referring family physicians and specialists alike. Residents will obtain the communication skills, knowledge and technical skills required of such a consultant and will be taught to develop a personal education strategy to help establish a habit of continuous learning. The importance of the team approach to the provision of imaging services will be emphasized throughout the residency. Residents will develop the knowledge, skills and attitudes relating to critical appraisal, research methodology, data presentation and analysis pertinent to Nuclear Medicine and Radiology. They will also learn to practice ethically and consistent with the obligations and attitudes of a physician respectful and sensitive to culture, ethnicity and gender.

Our program mandate is to support and foster education, research, quality assurance and continuing professional development. We seek to engender the same sense of responsibility in our residents towards the specialties of Nuclear Medicine and Diagnostic Radiology at large, ensuring a healthy, thriving discipline that is responsive to the needs of the public and our clinical colleagues. To that end, we are committed to providing our residents with the expertise and resources necessary to achieve these goals.

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Challenging and rewarding career which still allows for creativity in the workplace; no 2 days are the same.

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Full integration with a complete and comprehensive Diagnostic Radiology residency program.

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Provincial Picture Archiving and Communications System (PACS) and Electronic Healthcare record system (NetCare and ConnectCare).

Diverse, state-of-the-art, large volume nuclear medicine practice and equipment.

Large referral base and transplant program.

Fully funded on-line resources such as StatDx, RadPrimer, and IMAIOS e-anatomy.


Program Supports

  • Transitioned to the new Royal College Competence by Design Curriculum.
  • Our Diagnostic Radiology program is a published leader in Resident Wellness and has received international recognition for its COVID-19 response, including program modifications emphasizing resident safety and wellness.
  • A resident-driven Social Committee hosts multiple sponsored events including annual golf tournaments, welcome/farewell events, resident social events, and more recently, virtual events.
  • Dedicated radiology and/or nuclear medicine career days occur annually during the training program.
  • The program draws on the expertise and mentorship of over 90 radiologists and 12 dual trained nuclear physicians.

Residency at a Glance

Our program is a seven year combined program in the Competence by Design (CBD) Royal College Curriculum.

Year 1

Basic Clinical Training (Medicine, Surgery, CCU, Emergency, Orthopedics, Pediatrics, Pediatric Emergency, Pathology, Obstetrics, Neurology, Outpatient Cardiology rotations) + a transition month to radiology

Year 2 - 5

Radiology with 6 months of nuclear medicine (see Diagnostic Radiology Program CaRMS website for more details; FRCPC, Diagnostic Radiology)

Year 6 - 7

Nuclear Medicine (FRCPC, Nuclear Medicine)

UAH: General nuclear medicine, pediatric nuclear medicine, SPECT-CT, nuclear cardiology and PET-CT x 10-11 months
UAH: Instrumentation and in-vitro rotations x 2 months
RAH: General nuclear medicine, SPECT-CT and PET-CT x 7 months
CCI: Oncologic imaging x 3 months
CCI: NM Therapy x 1 month
Edmonton Radiopharmaceutical Center x 1 month
Outpatient Clinics x 1-2 months
Flexibility is a key feature in the final graduating year to allow residents to develop any special areas of interest and prepare for their Royal College examination.


Teaching Hospitals

The University of Alberta Hospital (including the Stollery Children's Hospital) and the Royal Alexandra Hospital are large quaternary/tertiary care hospitals serving a population in excess of 1 million people. Each hospital imaging department performs in excess of 200,000 examinations per year.

University of Alberta Hospital (UAH): 650+ bed quaternary care centre treating over 700,000 patients annually and a leading clinical, teaching and research hospital in Western Canada

UAH and STARS helicopter

Stollery Children's Hospital: referral centre for pediatric cardiac surgery in Western Canada and national leader in organ transplantation. Referral base of 1.7 million.

Royal Alexandra Hospital (RAH): features one of Canada's busiest emergency departments and one of the largest and longest serving hospitals in Edmonton.

Cross Cancer Institute (CCI): one of the two major cancer centres in Alberta, situated near University campus .

Grey Nuns Community Hospital (GNH): 267 bed large community hospital situated in southeast Edmonton providing a full range of services.

Sturgeon Community Hospital: 80 bed community hospital serving the community of St. Albert, at the northwest border of Edmonton

Strathcona Community Hospital: Urgent care centre serving the community of Sherwood Park

Edmonton Radiopharmaceutical Centre (Centralized Radiopharmacy)


Subspecialties

Unlike other fields, nuclear medicine itself is often considered by many as a subspecialty of imaging. There are some more definable subspecialty areas, such as nuclear oncology (diagnostic and therapeutic), nuclear cardiology, etc, which are part of the residency training.


Frequently Asked Questions

Speciality/ Field Questions

What are the best things about your specialty?

There is a tremendous variety of pathology in medicine which nuclear medicine physicians encounter, coupled with the satisfaction of knowing that our work contributes significantly to the care of a many patients, this is one of the best aspects in this specialty. In many cases, nuclear medicine studies such as PET-CT are looked upon as the final study which will provide the definitive diagnostic and often prognostic answers to a difficult clinical problem. The results of our studies can have profound impact on the subsequent care and management of a patient. Nuclear medicine is a highly satisfying diagnostic discipline.

Why choose Nuclear Medicine as your specialty?

There is a dynamic nature of the imaging specialty, the technology it uses and a fascination with the basic sciences. Similar to radiology, its importance as a diagnostic imaging service and the role of professionals as consultants to other physicians are highly satisfying. Patient contact is not only present in this specialty but it is essential in order to perform the job properly. This specialty does not only provide a rewarding experience by working with patients, it also allows you to sharpen your skill as an open-minded problem solver. 

What types of clinical cases do you commonly see?
The exact mixture of cases depends highly on the nature of the department and the makeup called for by its referring clinicians. Generally, nuclear medicine will see cases from the full breadth of clinical medicine, from pediatric endocrinology to adult hematology. The mixture of clinical cases from our specific department reflect the fact that we are in a tertiary care setting, with access to numerous high end programs (ie. transplantation, etc.) and tertiary pediatric care.
Briefly describe a typical day
Busy. No two days are alike! There will be pressure to report a large volume of studies, which is ever increasing in the setting our growing population. There are also frequent requests from our clinical colleagues for consultation on difficult clinical cases, with cases ranging from reviewing previously reported studies to participating in multidisciplinary rounds.
On-call service responsibilities described
Hospital practice is always associated with some on-call service. The frequency of call depends on the number of practitioners in the group. Due to the nature of most nuclear medicine studies with respect to the availability of radiotracers, their relative cost after-hours, and the time required to complete most procedures, nuclear medicine imaging is not requested in emergency/ urgent cases to the same extent seen in several radiology procedures. Nevertheless, there are several clinical scenarios in which specific nuclear medicine procedures are requested on an urgent basis as the diagnostic modality of choice.
How do you see your discipline changing over the next decade?
In large part, the changes are technical and driven by the fast pace of technological development. With the explosion of cross fusion modalities such as PET/CT in SPECT/CT, there is now an increasing emphasis on more anatomic precision which respect to our nuclear medicine scans. It is no longer sufficient to describe the functional Pathophysiology that traditional nuclear medicine provided. Increasingly, we are now required to precisely localize the site of the pathology with respect to body anatomy. Practically, this means that the modern-day nuclear medicine physician must have the skill set of cross-sectional imaging such as ultrasound, CT, MRI, etc. More than ever, a nuclear medicine physician should ideally have radiology training, as there is an increasing request by referring clinicians to correlate the finding with all other available imaging results.

 

Residency Program Questions

What are you looking for specifically in an impressive candidate?

Desire and aptitude for problem solving are essential. While not absolutely necessary, a background in physics, physiology, and computer skills are very useful skills for this specialty. One of the more challenging aspects of our specialty is the strong emphasis/reliance on basic science knowledge. Due to the nature of nuclear medicine as a consulting imaging specialty, good communication skills are an absolute requirement. Because of the relatively small size of our program and the dependence of our residents on each other during their training, the ability to function as an effective team member is vital. 

What can a potential candidate do not in order to be an appealing applicant to your program?
Learn some fundamentals about your specialty. Do some electives with us. Show your interest. The same would probably be said of any other potential candidate for other residency programs.
How is your residency program organized?

Because of our philosophy with respect to the nuclear medicine training, our program is intimately associated with the radiology program. Our program trains candidates to become dual certified practitioners in both radiology and nuclear medicine. After one basic clinical year, all nuclear medicine residents will complete four years of radiology training, which satisfies the Royal College requirements for Diagnostic Imaging training. This is followed by two years of core nuclear medicine training. The combination of four years radiology training followed by two years of nuclear medicine training satisfies Royal College requirements for nuclear medicine training. 

What is your program's orientation and focus?
To produce a well-trained, modern nuclear medicine physicians with a strong general imaging background, capable of practicing state-of-art nuclear medicine. That specialist will also be a certified radiologist.
What is the availability of experiences and subspecialty areas during training?
Unlike other fields, nuclear medicine itself is often considered by many as a subspecialty of imaging. There are some more definable subspecialty areas, such as nuclear oncology (diagnostic and therapeutic), nuclear cardiology, etc. which are part of the residency training.
Are there sufficient elective opportunities during training to explore your special interests?
Flexible elective at home and abroad are possible.
What distinguishes the University of Alberta program from other programs?
Dual training in two Royal College specialties is uncommon and highly sought after. The scope, volume and breadth of cases seen in our program is enormous, probably unmatched in the country. Our equipment is generally state-of-the-art, including access to PET/CT and SPECT/CT facilities. Our philosophy of combined nuclear medicine and radiology training puts us in good standing with the current clinical and technological evolution of the specialty.
How competitive is it to get in and then to succeed in your field?
"Competitiveness" is a function of supply and demand. Whereas our specialty is not one of the more traditional high-profile specialties, the relatively small number of training position available nationwide, in relation to the number of students who do show an interest, results in a competitive selection process. Virtually all of our nuclear medicine residents successfully complete the program and do extremely well on their Royal College Exams.
Is there an active and/or required research in your residency program?
Yes. Every resident is required to complete one research project in nuclear medicine subject area by the completion of the training program.
What role does research play in your career?
Indirectly, participation in or facilitation of various research projects is beneficial in both nuclear medicine and radiology. Nuclear Medicine physicians can have varying levels of research involvement.
Who can we contact for more information? Is there a list of residents whom we can contact?
Contact the Residency Program (nucmed@ualberta.ca) to connect you with faculty and residents.
What local, national or international conferences would be of benefit to candidates interested in your residency program?

Resident Testimonials

We asked our residents what they like about Edmonton, their highlights of the program, and one piece of advice for applicants about the interview process. Here is what a few of them had to say.

Meet Our Residents

Eric

Eric is a PGY7 resident in the combined diagnostic radiology and nuclear medicine program at the University of Alberta. As he graduates, he can look back on his time in Edmonton and honestly say that it has been an absolute joy and wonder to attend residency here. He is looking forward to the opportunities that await him as a first year staff.

What do you like about Edmonton: Very livable city with affordable housing options, beautiful summers and many amazing festivals.

What are the highlights of the program for you: Depth and breadth of learning opportunities available, being a referral center for Northern Alberta, BC, Saskatchewan and NWT. Amazing staff radiologists and nuclear medicine physicians, many from our own program, who are deeply committed to teaching.

What is one piece of advice that you want to share with applicants about the interview process: Just be yourself, relax, and enjoy the process.

– Eric (PGY7)

Jeffrey Wagner

What do you like about Edmonton: Being in Edmonton for the past 6 1/2 years has provided me with variable perspectives of the city itself. My wife and I initially drove across Canada together and moved into an apartment on Whyte Ave. Super nice area to live in, close to amenities, and right next door to the UAH. Fast forward a few years and we now have two kids. Apartment living was no longer for us so we decided to move to a more community/family-centered neighbourhood in Southeast Edmonton. Bonus: it has a beach - reminding us of our time back East. Our starter home cost us $400,000 (fully finished, rear-detached garage) and takes anywhere from 22-35 minutes to drive to work (depending on which hospital). One of the advantages of Edmonton is that pre-CoVID there are a multitude of opportunities to join activities, both for yourselves and your kids. You name it - Edmonton has it. Just last year, I was in Basketball and Volleyball, my wife was in Volleyball and book club, my son was in Sportball and Soccer, and my daughter was in gymnastics.

What are the highlights of the program for you: The Nuclear Medicine department at the University of Alberta is arguably one of the best in all of Canada. This is coming from an unbiased, true, through-and-through East Coaster point-of-view. The department combines many experienced physicians/role models and is on the cutting-edge of recent and upcoming NM imaging techniques and therapies. The wide-variety of cases and the easy-going collegial work environment is combined with excellent clinical/technical teaching, making this a must-have option when deciding on NM training.

When I was deciding on my site of residency training, I primarily wanted a school that was big enough to have sufficient volume and sufficient case complexity but at the same time not be treated as just a number or "another" resident. UofA fit that bill to a tee combining multiple different hospitals to offer a variety of teaching opportunities (ie. UAH - academic centre, RAH - inner-city medicine, CCI - cancer institute).

– Jeffrey (PGY7)