Rola Atiyah Altoos, MD

A message from the Director

We are excited to offer AdventHealth Orlando's 4-year Diagnostic Radiology Residency Program, which is accredited by the Accreditation Council for Graduate Medical Education (ACGME) for both the residency and the Early Specialization in Interventional Radiology (ESIR) pathway. AdventHealth Orlando has become Florida's finest Diagnostic Radiology Residency program offering formal clinical training in our specialty. You should feel confident that you will be well-trained in our residency and prepared to enter great fellowships and jobs.  We look forward to showing you our program!

One of the Largest Healthcare Systems

AdventHealth is one of the largest healthcare systems in the country, performing over 2.5 million imaging studies and interventional procedures per year, and offering a wide breadth of pathologies. Because of our large case volumes, high faculty-to-resident ratio, subspecialty training and advanced technology, AdventHealth has the ability to offer an exceptional radiology educational experience. Radiology residents will be trained with 3T MRI, PET-CT, digital mammography, including breast tomosynthesis, and bi-plane angiography equipment. AdventHealth's radiology practice is fully staffed by attending radiologists and not dependent upon the resident workforce. Since residents are not responsible for interpreting ALL cases, the large number of studies at AdventHealth is completely to your benefit. You are allowed to take the time that you need to learn, see rare cases and incorporate them into research projects if you choose (which can be valuable to becoming a competitive fellowship applicant). AdventHealth's training and responsibility is more similar to actual radiology practice than some other training programs.

AdventHealth Orlando-Evening Shot-April 2020-crop_6624 (2)

Facilities

The AdventHealth Orlando system is comprised of 8 hospital campuses and 5 free-standing outpatient imaging facilities across the Orlando metro area. Radiology residents will be centralized on the Orlando campus but read exams done from all campuses and outpatient facilities via a single, integrated PACS, HIS/EMR, and Power Scribe 360 voice recognition dictation system. Additionally, residents will have the ability to read exams from 5 other AdventHealth hospitals and 8 outpatient facilities across the east coast of Florida.

Doctors looking at a screen with brain scans

Equipment

Of our 51 CT scanners, 5 are 256 slice, 9 are 128 slice, and 21 are 64-detector row scanners. Of these units, 3 have CT fluoroscopy for intervention. We have 35 MRI scanners including 12 3T units, one of which is an intraoperative unit. In the Orlando interventional radiology department there are 4 dedicated angiography suites with 3 bi-plane and 1 single-plane units. Mammographic services, including breast tomosynthesis, are offered across various campuses, with centralized resident education in digital mammography provided at the AdventHealth Imaging Princeton campus. Women's services include 2 automated breast ultrasound units for dense breast studies. Nuclear medicine images are acquired at all sites, and there are 2 PET/CT centers and a SPECT-CT unit within the AdventHealth system. Across all campuses there are multiple radiographic, fluoroscopic, and sonographic units with advanced technology such as 3D and 4D imaging.

Faculty of AdventHealth Medical Education

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Rola Atiyah Altoos, MD

Rola Altoos, MD

Program Director 

Education Chief

Nuclear Medicine 

Richard Douglas Beegle, MD

Richard Beegle, MD

Education Chief

Neuroradiology 

Midhir Patel, MD

Midhir Patel, MD

Education Chief

Ultrasound 

Sean Dodson, ME

Sean Dodson, MD

Assistant Program Director 

Research Director 

Neuroradiology 

Nicholas Clarke Feranec, MD

Nicholas Feranec, MD

Education Chief

Body Imaging 

Ashkan Ghaneie, MD

Ashkan Ghaneie, MD

Education Chief,

Crdiothoracic Imaging 

Gary Limarzi, MD

Gary Limarzi, MD

Education Chief

Musculoskeletal Radiology 

Brett Gutterman, MD

Brett Gutterman, MD

Education Chief

Emergency Medicine Imaging 

Andrea Sunglyun Hong, MD

Andrea Hong, MD

Education Chief

Breast Imaging 

Brandon Perry, MD

Brandon Perry, MD

Education Chief

Interventional Radiology 

Jennifer Lynn Williams, MD

Jennifer Williams, MD

Education Chief

Pediatric Radiology 

Darren Lee Transue, MD

Darren Transue, MD

Medical Student

Education Chief 

AHS Staff

Charles Dodge, PHD

Medical Physicist 

Residents PGY-5

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  • Andrew Cibulas, MD

    Andrew Cibulas, MD

    Chief Resident

    Fellowship Match: Breast Imaging, Medical University of South Carolina

    Medical School: University of Tennessee

  • John Dennison, MD

    John Dennison, MD

    Fellowship Match: Neuroradiology, Duke University

    Medical School: Medical College of Georgia

  • Alexander Leyva, MD

    Alexander Leyva, MD

    Fellowship Match: Breast Imaging, Massachusetts General Hospital, Harvard University

    Medical School: Johns Hopkins School of Medicine

  • Barbara Manchec, MD

    Barbara Manchec, MD

    Fellowship Match: Interventional Radiology, Miami Vascular Specialists

    Medical School: University of South Florida

Residents PGY-4

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Chelsea Dennison, MD

Chelsea Dennison, MD

Medical School: Medical College of Georgia

Berencie Leal, MD

Berenice Leal MD, USF

Medical School: University of South Florida

Muhammad Noor, MD

Muhammad Noor, MD

Junior Chief Resident

Medical School: Florida International University

Justin Phillip, MD

Justin Philip, MD

Medical School: UTHealth McGovern Medical School

Residents PGY-3

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Eugene Bivins, MD

Eugene Bivins, MD

Medical School: Howard University

Noel Delgado, MD

Noel Delgado, MD

Medical School: Vagelos College of Physicians and Surgeons, Columbia University

Hieu Diep, MD

Hieu Diep, MD

Medical School: University of South Florida

Kadeem Walker, MD

Kadeem Walker, MD

Medical School: Florida International University

Residents PGY-2

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Jacob Bermudez, MD

Jacob Bermudez, MD

Medical School: University of Minnesota Medical School

Herron Gomillion MD

Herron Gomillion, MD

Medical School: Morehouse School of Medicine

Lin Luo, MD

Lin Luo, MD

Medical School: University of Nebraska

Connor Woodward, MD

Connor Woodward, MD

Medical School: University of Kentucky College of Medicine

Alumni

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Class of 2020

Adam Engel, MD - Breast Imaging, MD Anderson Cancer Center 

Ashley Grindol, MD - Breast ImagingBaylor University 

Franklin Danger, MD - Breast Imaging, Brown University 

Ivey Royall, MD - Pediatric RadiologyTexas Children’s Hospital 

 

Class of 2019

Kimberly Beavers, MD* Breast ImagingMemorial Sloan Kettering Cancer Center 

Joseph Limback, MD* - BodyJohns Hopkins Medicine 

Raul Loya, MD - BodyEmory University 

David Warden, MD - NeuroradiologyUniversity of North Carolina 

Class of 2018

Edward Derrick, MD – Musculoskeletal RadiologyMallinckrodt Institute of Radiology 

Michele Edison, MD* - Breast Imaging/BodyWeill Cornell Medical College 

Miguel Flores, MD* - NeuroradiologyJohns Hopkins Medicine 

Bo Liu, MD - Interventional RadiologyMiami Vascular Specialists 

Class of 2017

Dzmitry Fursevich, MD - Body MRIJohns Hopkins Medicine 

Haley Letter, MD - Women's ImagingUniversity of Florida 

Gary LiMarzi, MD* - Musculoskeletal RadiologyUniversity of Michigan 

Class of 2016

Nathan Kohler, MD – Neuroradiology, Interventional NeuroradiologyUniversity of Maryland 

Jeremy Macke, MD - Neuroradiology, Duke University 

Cody O'Dell, MD* - Pediatric RadiologyInterventional RadiologyEmory University 

Joel Urena, MD - Valley Radiologist Group, Phoenix, AZ 

 

 

*Hired by AdventHealth Medical Group Radiology following fellowship 

Curriculum

There are 13 blocks in each academic year; each block is 4 weeks in length. The above is a representative of the rotations for each year of training. 

One block during PGY-4 year is reserved for AIRP conference attendance.

With the exception of one required Emergency/Call rotation all rotations during PGY-5 year are elective and may be customized to the residents subspecialty interests as long as it does not interfere with rotation schedule of other resident class requirements.

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PGY - 1
Body Imaging (GI/GU) 1 Block
Cardiothoracic 1 Block
Emergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology 1 Block
Musculoskeletal 1 Block
Neuroradiology 2 Blocks
Nuclear Medicine/PET: 2 Blocks
Pediatric Imaging: 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

 

PGY - 2
Body Imaging (GI/GU) 1 Block
Cardiothoracic 1 Block
mergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology 1 Block
Musculoskeletal 1 Block
Neuroradiology 2 Blocks
Nuclear Medicine/PET 2 Blocks
Pediatric Imaging 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

 

PGY - 3
Body Imaging (GI/GU): 2 Blocks
Cardiothoracic 1 Block
Emergency Imaging 1 Block
Fluoroscopy 1 Block
Interventional Radiology: 1 Block
Musculoskeletal 1 Block
Neuroradiology 1 Block
Nuclear Medicine/PET 1 Block
Pediatric Imaging 1 Block
Ultrasound 1 Block
Women's Imaging 1 Block

 

PGY - 4
Elective Rotations:12 12 Blocks
Emergency Imaging 1 Block

 

Conferences

We hold conferences daily at noon Monday-Friday as well as morning Physics conference on Tuesdays and Thursdays. Most lectures are recorded and made available for viewing by residents unable to attend conference or for future reference by residents and attendees. Conference types include the following:

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Didactic Lectures:

Didactic lectures will be provided by subspecialized faculty members on a 24 month cycle. Subspecialties include Body Imaging (GI/GU), Cardiothoracic, Emergency Imaging, Interventional Radiology, Musculoskeletal, Neuroradiology, Nuclear Medicine/PET, Pediatric Imaging, Ultrasound, and Women's Imaging. 

Case Conference

Interesting and educational cases will be presented by residents and subspecialized faculty followed by interactive discussions on findings, differential diagnoses, and recommendations. 

Medical Physics

Formal instruction in medical physics will be provided by dedicated, in-house medical physicist twice a week during morning lectures. Didactic training will include, but is not limited to, radiologic and nuclear medicine physics, radiation biology and protection, I-131 therapy requirements, as well as radiation and MRI safety. Additionally, residents will learn: 

  •  Guidelines and effective communication concerning imaging appropriateness and safety issues
  •  Enhancement of patient safety and improvement of patient care quality through quality improvement projects
  •  Assessment, development and implementation imaging guidelines
  •  Protocol selection and optimizations of images
  •  Participation in identifying system errors through quality assessment projects and then implementing potential system solutions
Journal Club

Once a month, residents, along side an attending radiologist, will take turns presenting a recently published journal article of their choosing followed by a critical evaulation via interactvie discussion.  

Grand Rounds

Several times each academic year we host visiting radiology professors from across the country to present conferences on topics specific to their field. It is a great opportunity for our residents to learn from and interact with some of the greatest minds radiology has to offer. 

Jeopardy & Family Feud

Frequently, attending radiologists will present cases in a Jeopardy or Family Feud style format. Residents will split into teams with equal class representation and compete for the greatest prizes outside of a Starbucks gift card; family honor, peer recognition, and shame avoidance.  

Program Information

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Research

As one of the key components of the ACGME’s common program requirements, research activity is an essential part of training. In the era of evidence-based medicine, at AdventHealth Orlando we strongly believe that residents should develop critical thinking skills to evaluate the publications and apply new knowledge in their clinical practice. Our program has a well-developed infrastructure and established culture for research, one that fosters and supports residents who are interested in pursuing basic research, clinical research, or quality improvement/patient safety projects. By promoting research and scholarly activities, our ultimate goal is to train the next generation of physician scientists with strengths in both clinical and academic medicine.

Residents and faculty involved in required GME scholarly activities receive guidance from the Center for Collaborative Research (CCR) through the Clinical Academic Research team, comprised of an Academic Research Mentor, a Project Coordinator, and a Regulatory Coordinator. In addition, the center includes a group of biostatisticians, a health economist, and a medical editor. The CCR assists residents and faculty with all types of scholarly activities (case studies, QI projects and research studies), from study design and protocol development, to data analysis and poster, presentation or manuscript preparation.

We are a very productive residency program in terms of research and are continuously publishing and investigating research through a wide breadth of topics and styles. Our residency is less than 10 years old, however we have already published and presented hundreds of research projects.

Eligibility

 - Passed USMLE I and II

 - Doctor of Medicine diploma without reservations

 - Fluency of written and spoken English

 - Proof of US citizenship or appropriate visa status (AdventHealth HR requirement)

 - Completed application through ERAS

Sample Resident Agreement

Eligibility and Selection Policy

Applicant FAQ's

Q. What is the USMLE cutoff score?

A. There is no USMLE cutoff score. The screening committe reviews each application and considers the USMLE score in the context of the entire application.

Q. How many letters of recommendation do you require?

A. Three letters

Q. Do you require a clinical year of training prior to radiology residency?

A. Radiology residency requires one ACGME accredited clinical training year (internship) prior to starting residency. Residents will complete internships in medicine, surgery, or transitional year internships. These transitional year programs are also applied for through ERAS.

Q. Do you have a cutoff for year of medical school graduation?

A. No

Q. Do you accept international medical graduates into your program?

A. Yes, if screening criteria are met.

Q. How many residents do you accept per year?

A. Four

Q. How many interviews will I have?

A. You will have several interviews with various radiologists plus the Chief resident and Program Director.

Benefits

We’ll Take Care of You

Cell Phone Stipend - Residents will receive a monthly $50 cell phone credit

Moving Expenses - New residents will be reimbursed up to $1,500 for covered moving expenses when relocating to Orlando, Fl as detailed in the AdventHealth GME Manual. Example expenses listed by GME include: Rental truck, car trailer, movers/labor, packing supplies, and fuel.

Uniform - Residents will be provided two (2) personalized, AdventHealth embroidered white coats at the beginning of their first year. Per AdventHealth contract, residents will also receive an additional two (2) new white coats at the start of each year of training. Note: Scrubs may be worn on a day-to-day basis and are provided free of charge in the changing areas by the operating rooms, as well as within the general resident on-call living quarters adjacent to physician lounge.

Vacation/Personal Days Off - Residents receive twenty (20) days of vacation/personal time each academic year.

Conference Days - Residents may utilize up to five (5) conference days per year for the purpose of Continuing Medical Education (CME).

Research/QI Days - Residents in their PGY-3 and PGY-4 years will receive ten (10) dedicated research days per year to work on scholarly activity inclusive of traditional as well as quality improvement research. In addition, more time may be made available to those wishing to pursue a more research-focused path for training. 

CME Funds -  Example of approved CME items are available in the AdventHealth GME Manual.

  • PGY-2 residents are reimbursed up to $800 for covered expenses.
  • PGY-3 through
  • PGY-5 residents are reimbursed up to $1,500 for covered expenses.

Licensing and Professional Fees -Program pays for resident licensing and professional fees. This includes but is not limited to:

  • Florida state license (full): $705 initially, fully reimbursed. Subsequent reimbursement for renewal during the latter half of training will be pro-rated for the remaining time at AdventHealth. Personal CME allowance may be used to cover remaining balance
  •  DEA license: $731 initially, fully reimbursed. Subsequent reimbursement for renewal during the latter half of training will be pro-rated for the remaining time at AdventHealth. Personal CME allowance may be used to cover remaining balance
  •  Annual American Board of Radiology (ABR) membership fee: $640, fully reimbursed
  •  Annual Diagnostic In-Training Exam (DXIT): $220, directly paid by program

Meals - Residents receive all meals at no cost during daytime working hours through the AdventHealth Orlando physician lounge, which includes complimentary Starbucks coffee. Full breakfast and lunch/dinner menus are provided every weekday and weekend with the exception of holidays.

Parking - Covered and secured parking is provided to residents free of charge in physician dedicated parking areas. AdventHealth Orlando currently has 4 parking garages available with direct and covered entryway into the hospital. 

Medical Insurance - Medical insurance for residents and covered dependents is provided free of charge through the AdventHealth Insurance plan. Physician medical care co-pay is covered for office visits in all Residency offices.

Life Insurance - Life insurance equivalent to one-year's salary is provided at no cost. Additional life insurance may be purchased for minimal charge.

Malpractice Insurance - Occurance-based malpractice insurance is provided at no cost.

Radiology Residency Specific Benefits

STATdx Account - Subscription unlimited access to educational content from STATdx is provided at no cost for every resident

RadPrimer Account - Residents will have individual RadPrimer accounts provided at no cost which provides dedicated radiology subspecialty learning modules as well as thousands of radiology review questions

Moonlighting - Residents in good academic standing will have the opportunity to moonlight at the start of their second year (PGY-3). Moonlighting consists of "contrast coverage" at one of our many outpatient AdventHealth Imaging centers following work hours during the week and on weekends. Contrast simualtion training will help residents train for any potential contrast reactions that may be encountered.

AIRP - The American Institute of Radiologic Pathology (AIRP) is a 4-week course organized by the American College of Radiology (ACR). Every year thousands of radiology residents from around the country participate in this unique course held in Silver Springs, MD. According to the ACR, this course aims to "provide radiologic pathologic correlation based on the need for both radiology residents and practicing radiologists to understand how the underlying pathology of a lesion relates to its imaging appearance. More information regarding AIRP can be found HERE.

Radiology residents are enrolled into this course during their third year (PGY-4) and are provided with a $2,500 stipend to attend the course. 

Additional Program Benefits ->

  •  High attending-to-resident ratio
  •  No fellows on rotations to limit imaging/procedural experience
  •  Teaching opportunities, including medical student rotation program
  •  AdventHealth medical library resources including institutional access to UpToDate and access to OpenAthens
  •  Research opportunities
  •  Team building opportunities including annual resident retreat and attendance of select Orlando Magic games
  •  Possibility to earn up to $250 annually through AdventHealth's Creation Health Initiative
  •  Fourth year (PGY-5) elective opportunities, including possible additional rotations at other AdventHealth campuses to enhance learning opportunities
  •  Program provides first ear residents with multiple radiology textbooks, including board-prep materials
Doctor working on a computer with notepad.

Application Process

Join Our Resident Team

To apply to our program and be eligible for consideration, a completed application must be submitted through ERAS by November 1st. Incomplete applications will not be reviewed. All programs at AdventHealth Orlando participate in the match through the National Resident Match Program.