The clinical PET fellowship program at Johns Hopkins university school of medicine is designed as a one-year fellowship program offering specialized training in both clinical and research aspects of whole-body and brain positron emission tomography (PET). The program has been established in 1999. Currently, the program is not ACGME accredited however it is directly related to the nuclear medicine program which is ACGME accredited. The fellowship is under the direction of Dr Richard Wahl, director of the division of nuclear medicine. For acceptance into the fellowship, candidates should have successfully completed a radiology or nuclear medicine residency and should express keen interest in nuclear medicine /PET imaging. At the end of the training program, the fellows should be well founded in the clinical and research applications of nuclear medicine in general and PET imaging specifically At Johns Hopkins hospital, clinical PET imaging fellows receive a breadth of experience in applications of PET imaging in a state-of-the-art facility with three PET scanners, an active and growing clinical and research effort in oncology, and a large neuroscience research program. This includes a prototype combined PET/CT scanner primarily dedicated to oncology applications. The fellow is taught the basic principles upon which the field of nuclear medicine and PET imaging is founded, including radiation physics, radiobiology, health physics, instrumentation, radiopharmacy, radioimmunology, and computer science. The program provides opportunity for both clinical and basic science research, especially for those considering an academic career. All the primary teaching personnel are full-time members of the Johns Hopkins University School of Medicine with an active interest in teaching at the fellow level. The patient volume is adequate for exposure. The fellows are provided office space and full access to the Department of Radiology's extensive academic support system including computer, secretarial, photographic, statistical, and advanced computer imaging laboratory facilities. The Nuclear medicine conferences are held every day at 7:30 a.m. The morning conferences vary in topic. A special clinical PET conference is held every Wednesday. Fellows are expected to present cases during the a.m. conferences, both from in- and out- patient sides and are responsible for clinical PET studies. Case follow-up presentations are strongly encouraged. A short summary of the follow-up case should be provided to the secretary, for filing. In our division, each patient presenting for a PET study is interviewed by the fellow. A pertinent medical history related to that test should be obtained (from patient, medical chart or referring physician) and documented on the requisition form. Patients should be screened for the appropriateness of the test/study and, if needed, the procedure should be modified according to that patient’s need (deciding the best type of study for a particular clinical situation). Fellows are also responsible for the technical integrity of the study. On average, fellows receive one academic day per week for research projects. Fellows are evaluated by faculty members in our division, every six months, utilizing divisional evaluation forms. After receiving the evaluation forms from the faculty, the Program Director discusses the compiled results with each fellow and recommendations will be made, if needed. At the end of the training period a final evaluation report is generated for each trainee. | 
