Musculoskeletal Imaging

Announcement regarding the Match

Our fellowship program will be participating in the NRMP Match in 2019. We will be following the interview timeline as outlined on the SSR website and we will start interviews after November 25, 2018. We will begin accepting application on July 1, 2018. Please send your CV, personal statement and 3 letters of recommendation to Christos Kosmas, MD. We will contact you with further information as we get closer to the interviews.

Empowering Through Education

Headshot of Dr. Christos Kosmas
Christos Kosmas, MD Musculoskeletal Fellowship Director

The Musculoskeletal Imaging Division in the Department of Radiology at University Hospitals/Case Western Reserve University, consists of 8 full-time, fellowship trained radiologists and offers a comprehensive one-year clinical fellowship with two fellows accepted per year. Our division has a long-standing excellent relationship with the orthopedic surgery and rheumatology departments. We perform a large number of advanced imaging studies, including over 50 MRIs a day, throughout a health system comprising of 15 hospitals and over 35 outpatient imaging centers.


Our program offers a comprehensive clinical training with a large volume of advanced imaging studies. Through our collaboration with the UH Sports Institute we perform a large number of sports imaging cases. We provide imaging interpretation services for the Cleveland Browns, Cleveland’s professional NFL team, as well as to a host of college and high school teams in the region.

University Hospitals Seidman Cancer Center is a major referral center for Orthopedic Oncology and we interpret a large number of bone and soft tissue tumor imaging studies and perform a large number of imaging guided biopsies and treatments for musculoskeletal tumors.

We provide interpretations of advanced imaging studies for Rainbow Babies and Children’s Hospital, which is a part of the UH health system, exposing our fellows to pediatric musculoskeletal imaging as well.

University Hospitals Cleveland Medical Center is a Level 1 trauma center, giving the opportunity to our fellows to see a wide variety of trauma cases.

Research Opportunities

Although our fellowship is clinical and there is no requirement for completion of a research project, there are numerous research opportunities for interested fellows, with several clinical projects in tumor imaging and sports medicine and clinical trials in conjunction with Philips on the spectral detector CT. Our fellows may contribute in publishing review articles and educational projects as well.


Fellows participate in monthly divisional journal clubs and weekly divisional resident conferences. Fellows prepare and present at weekly Sarcoma tumor board. They may also attend weekly departmental grand rounds by the Radiology and the Orthopedic departments.

There are opportunities to teach radiology residents, orthopedic residents, sports medicine fellows and medical students rotating through the department. Fellows are encouraged to give lectures and board reviews to the radiology residents.

Clinical Work

A typical day for a fellow starts at 8 am and ends at 5 pm. The workflow includes previewing MRIs, going over cases with the attending, protocoling MRI cases for the following day and performing imaging guided biopsies.

Fellows rotate an average of one day per week through our bone radiography and emergency department rotation, where they are interpret radiographs as an attending, and have supervising and teaching responsibilities with residents rotating through. Fellows are not required to read cross-sectional imaging or cover other divisions beyond musculoskeletal imaging.


Fellows take call for the Musculoskeletal Imaging division in a frequency of 1:5 weeks. Call is subspecialty based and includes reading radiographs and giving preliminary reads for advanced studies. The volume is approximately 80-100 radiographs per weekend and these are predictated by the resident on call. There is no call requirement outside the musculoskeletal division.


Our department offers moonlighting opportunities at a competitive pay to interested fellows to cover late evening shifts for the emergency radiology division. The majority of our fellows take advantage of this opportunity.


Fellowship benefits include salary at a PGY-6 level, 4 weeks of paid vacation and $1,750 in CME funding along with additional employee benefits as detailed under the Salary and Benefits section.


We aim to train highly motivated and dedicated applicants from throughout the country. The ideal candidate has a strong work ethic, is internally driven and is a team player.

Interested applicants should send the following documents:

  • Personal statement
  • Curriculum Vitae
  • Three letters of recommendation

Please email required documents to Dr. Christos Kosmas. Alternatively, documents may be sent by regular mail to the address below.

Contact Information

Christos Kosmas, MD
Program Director, Diagnostic Radiology Residency 
Program Director, Musculoskeletal Radiology Fellowship 
Assistant Professor of Radiology
Division of Musculoskeletal Imaging
University Hospitals/Case Western Reserve University
11100 Euclid Avenue
Cleveland, OH 44106

Cynthia Patena
Residency Coordinator
Department of Radiology
University Hospitals Cleveland Medical Center
11100 Euclid Avenue
Cleveland, OH 44106
BSH 5056