Kelly T. Smith, MD, MS

Kelly T. Smith

kelly.smith4@hsc.wvu.edu

Board Certification: American Board of Radiology, (Board eligible); American Board of Surgery (certified 2013)

Medical School: Ohio State University School of Medicine and Public Health

Residency::Radiology: Mayo Clinic Arizona 2015-2019; Surgery: University of California, Davis Medical Center (2005-2012)

Fellowship: 

Faculty Rank: Assistant Professor

Special Clinical/Research Interests: 

Is there a particular population of students (e.g., ethnicity, spiritual, sexual orientation) that you would particularly like to advise?

I like working with all students

What does a typical day in the life of a radiologist & Surgeon include?

  • Arrive at 8am and I have 3 different service days: 1. body CT, MRI, radiographs, fluoroscopy; 2. Ultrasound; 3. Thyroid biopsies + US
  • Other opportunities in the division I work in: CT guided procedures; I interact with other clinicians in the hospital when I call in urgent findings and when clinicians either come to reading room or call me to discuss a case. I typically end my day between 4-5pm.
  • Other responsibilities in the week include multidisciplinary tumor board – physicians from different disciplines related to a body system get together to talk about difficult cases (for example: Oncology, Hepatology, Surgery, Radiation Oncology, Radiology, and Pathology, sometimes geneticist if applicable)
  • During each day, I also work with radiology residents who start off reading easier studies in their early years and then more complicated studies as they progress.  We sit and talk about studies together once both of us have looked at it.

What does a typical day in the life of a surgeon include?

  • I worked as a surgical hospitalist for a private group for 1 year. 
  • This job I worked in CA.  I worked shifts that were 24 hours long at a time.  I had 2 other full time partners (total of 3 surgeons).  I had a nurse practitioner who worked with me during the daytime and was on call to come in to help me with complicated overnight cases.
  • We covered 2 hospitals separated by 10 minute drive.
  • We would do patient signout at 6:30am. Then we would work on morning rounds to write notes and make plans on all the postop patients.  During this time, both of us are fielding inpatient and ED surgical consults. 
  • As consults are seen, clinical decisions are made based on physical exam, history, and imaging.  Patients are booked for surgery or bedside procedures are performed.  Operative cases are done throughout the day when the operating room is ready.
  • Some nights are slow and lying down for a few hours is doable.  Sometimes I worked through the night.  Signout at 6:30am and go home for some sleep.

What is the biggest challenge of being a radiologist?

  • Making sure I don’t overlook anything on the studies. 

How do you foresee radiology changing over the next 20 years?

  • Technology is always improving.  I imagine there will be better imaging techniques and faster computers.  Everyone worries about Artificial Intelligence taking over radiology.  I think AI will only help radiologists do our job more efficiently and faster rather than replace us.

What advice would you give a student who is considering an radiology residency?​

  • This is a wonderful specialty which highlights human anatomy, both normal and pathological processes.  You work closely with all specialties in medicine to help with diagnosis and treatment.  There are opportunities to teach: medical students, residents, and even other clinicians. 
  • Radiology is a crucial field in medicine in which you can make a big difference in patient care and have a well-rounded and fulfilling career.