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Moffitt Cancer Center (HDR GYN and HDR Prostate)

 

Our Facility:

Moffitt Cancer Center (“Moffitt”) is a free-standing NCI-designated Comprehensive Cancer Center located in Tampa, Florida. Established in 1986, Moffitt provides a full continuum of infrastructure and support to foster impactful transdisciplinary care and translational research. The institution spans 69 acres across six locations in the Tampa Bay region, encompassing more than 404,299 square feet of clinical and research space. The flagship Magnolia Campus includes a 217-bed freestanding inpatient hospital, outpatient clinics, and the Radiation Oncology/Brachytherapy Department. Moffitt is organized by disease site rather than treatment modality, allowing fellows to participate in multidisciplinary oncology care alongside surgical and medical oncology teams. Shared clinics and weekly tumor boards provide opportunities for coordinated patient evaluation within a single clinical workflow.

The Department of Radiation Oncology includes a dedicated shielded brachytherapy suite, MRI-Linac, Ethos Adaptive Radiotherapy, Varian Trilogy and TrueBeam platforms with onboard imaging and RPM, and the Proteus®ONE Proton Therapy system.

Moffitt has a high-volume, image-guided brachytherapy program treating gynecologic, genitourinary, cutaneous, gastrointestinal, soft tissue sarcoma, head and neck, and other complex malignancies. HDR procedures are performed in a dedicated, state-of-the-art Brachytherapy Suite located within Moffitt’s surgical operating rooms. These shielded OR suites allow intraoperative radiation therapy and complex brachytherapy procedures to be completed seamlessly while the patient remains under anesthesia, significantly enhancing safety, efficiency, and patient experience.

 

Fellowship Description:

This two-month fellowship provides hands-on exposure to contemporary image-guided brachytherapy across multiple disease sites. The experience is individualized based on the fellow’s clinical interests and career goals, with direct mentorship from brachytherapy faculty. The program is well-suited for residents and for early-career physicians alike who are interested in establishing, expanding, or reintroducing a brachytherapy service at their home institution, with exposure to multidisciplinary workflows and practical aspects of implementation.

A partial list of teaching faculty includes:

Radiation Oncology Faculty:

  • Daniel Fernandez, MD, PhD – Brachytherapy service chief
  • Anupam Rishi, MD – Prostate, Gynecologic, Skin, Head-Neck, Miscellaneous Brachytherapy
  • Arash Naghavi, MD – Sarcoma Brachytherapy
  • Michael Montejo, MD - Gynecologic Radiation Service Chief – gynecologic brachytherapy
  • Lorraine Portelance, MD - Vice Chair - Gynecologic and Rectal brachytherapy
  • Evan Wuthrick, MD – Cutaneous Brachytherapy
  • Sarah Hoffe, MD - Gastrointestinal Radiation Service Chief – Liver radioembolization (Y90 microsphere brachytherapy) **in collaboration with Intervention Radiology
  • Jessica Frakes, MD – Liver radioembolization (Y90 microsphere brachytherapy) **in collaboration with Intervention Radiology

 

Brachytherapy Physics Faculty:

  • Amarjit Saini, PhD – Brachytherapy Physics
  • Bruce Libby, PhD - Brachytherapy Physics
  • Dylan Hunt, PhD – Brachytherapy Physics
  • Chris Tichacek, PhD – Brachytherapy Physics

All clinical and research experiences occur exclusively at Moffitt Cancer Center.

 

Case volume:

Moffitt Cancer Center Brachytherapy Service - Approximate monthly Volume:

  • HDR Prostate: 24–28 cases
  • HDR Gynecologic (excluding vaginal cylinders): 8–12 cases
  • Cutaneous HDR:
    • 8-10 complex interstitial cases
    • 8–12 Valencia applicator treatments
  • Rectal HDR: 1–2 cases
  • Miscellaneous (Head & Neck Interstitial, Sarcoma, non-prostate GU, non-cervix GYN): 0–1 case
  • LDR Prostate: None

 

Resident Expectations and Learning Objectives:

Curriculum:

The fellowship is customizable based on the fellow’s interests. The primary goal is broad procedural exposure during the two-month period, complemented by approximately one clinic day per week. Fellows maintain direct patient care responsibilities throughout the rotation. All training occurs at Moffitt Cancer Center.

 

Procedural Experience:

Fellows will actively participate in intracavitary and interstitial brachytherapy procedures, including applicator and needle placement using ultrasound- and CT-based image guidance. Training includes treatment planning, delivery, implant/applicator removal, and fiducial marker placement for radiotherapy image guidance.

 

Didactic Components:

Education is individualized through close faculty mentorship, case-based learning, and directed readings. Fellows may elect to participate in established institutional didactic programs. Monthly interdisciplinary conferences are required and provide additional opportunities for multidisciplinary discussion.

 

Evaluation:

Fellows receive formative feedback every two to three weeks, along with a mid-rotation evaluation and a final assessment focused on clinical performance and procedural competency.

 

ABS Fellowship Application: Moffitt Cancer Center, HDR GYN and HDR Prostate