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IR Residency

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Mamdouh Khayat

on 4 November 2016

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Transcript of IR Residency

Changing Landscape:
the
New
IR Residency

Independent IR Residency
Medical students
initially
enter DR residency
1 year internship (e.g. preliminary, transitional, surgery)
4 years of DR residency at one institution (PGY2-5)
Then
apply to Independent IR Residency
Residents enter post-completion of a DR residency
2 years of IR training (PGY6-7) at same or different institution
Think of it as a 2 year ‘fellowship’
Detour
: Early Specialization in IR (ESIR)
Evolution of IR Training
Interventional radiology (IR) began to evolve into a more specialized field with the accreditation of IR fellowships by the ACGME in the 1990's
Traditional IR Training Model
Traditionally, to become an interventional radiologist, one has to complete:
1 year internship
4 year Diagnostic Radiology (DR) residency
1 year Interventional Radiology (IR) fellowship
Impetus for Change
Why IR Residency?

Embracing role as clinicians
Recognizing need to provide supplementary training in non-procedural patient care


Broad scope of procedures
Inadequacy of 1-year fellowship

Proposal Accepted!
In
2012
, the American Board of Medical Specialties (ABMS) approved Interventional Radiology as a primary specialty in medicine (e.g. Internal Medicine, Surgery)
No longer a sub-specialty (e.g. Cardiology, Neuroradiology)
Sunset date on IR fellowships is June 30, 2020
In
2013
, the Accreditation Council for Graduate Medical Education (ACGME) approved the formation of a new residency training program in Interventional Radiology
Structure of IR Residency
Two "paths"
1. Integrated IR Residency
2. Independent IR Residency

Let's get started!
Integrated IR Residency
Medical students directly apply to Integrated IR Residency via NRMP
1 year internship (e.g. preliminary, transitional, surgery)
3 years of DR (33 DR + 3 IR)
2 years IR-focused (21 IR + 3 ICU/DR)
1 year internship + 3 years DR + 2 years IR
As of October 2016, 61 institutions have been accredited for the Integrated IR Residency.
1 year internship + 4 years DR Residency + 2 years Independent IR Residency
Nationwide launch date for the new Independent IR residency is July 1, 2020. ACGME accreditation of the traditional one-year subspecialty fellowship in Vascular and Interventional Radiology (VIR) will cease on this date.
Option for DR residents with early interest in IR
May be offered at various DR programs
Allows residents to complete 12 IR or IR-related rotations during their 4-year DR residency
Prepares residents with sufficient IR training to qualify for advanced entry into an abridged one-year Independent IR residency (PGY6)
As of October 2016, 41 institutions have received approval of their ESIR programs.
Two "Paths" of IR Residency
Integrated IR Residency

Independent IR Residency

+/- Early Specialization in IR (ESIR)
+ ESIR
- ESIR
6 years total
6 years total
7 years total
You did it!
Graduates of an IR residency obtain an
IR/DR certificate
, recognizing competency in both interventional radiology and diagnostic radiology.
Importance of clinical competency in IR
Practice of IR has become more complex
More Information
For most up-to-date information about IR Residency, visit:
http://www.sirweb.org/clinical/IR_DR_cert.shtml

Frequently asked questions about IR Residency:
http://rfs.sirweb.org/wordpressnstall/4787-2/

References
1. Kaufman, JA. The Interventional Radiology/Diagnostic Radiology Certificate and Interventional Radiology Residency. Radiology, Nov 2014, Vol. 273: 318-321.

2. Training Pathways in IR. Society of Interventional Radiology Resident and Fellows Section Website [Internet]. [cited 2014 Oct 20]. Available from: http://rfs.sirweb.org/wordpressnstall/training-pathways-in-ir/ 2014.

3. ACGME. “ACGME Program Requirements for Graduate Medical Education in Interventional Radiology.” 28 Sept. 2014. Web. 3 Jun. 2015.

4. LaBerge JM, Anderson JC. A Guide to the Interventional Radiology Residency Program Requirements. J Am Coll Radiol. 2015. doi:10.1016/j.jacr.2015.02.014.

5. Marx MV, Sabri SS. Interventional Radiology Residency: Steps to Implementation. J Am Coll Radiol. 2015:1–6. doi:10.1016/j.jacr.2015.04.003.

6. IR/DR Certificate and New IR Residency: Future Direction of the Specialty: Frequently Asked Questions. Society of Interventional Radiology Website [Internet]. [cited 2014 Oct 20]. Available from: http://www.sirweb.org/misc/IR_Residency_FAQs_10-27-14.pdf.
Prezi created by...
Mamdouh Khayat, MD
PGY5 Radiology, IR Clinical Pathway
The Ohio State University
In-Training Membership
Benefits of SIR Membership
Stay up-to-date with the latest information on the IR Residency.
Access to the IR Training Directory. The IR Training Directory is the premiere source of information for all interventional radiology training programs and includes a wealth of demographic and procedural information about each training program as submitted directly by IR fellowship and residency program directors. http://www.sirweb.org/fellows-residents-students/trainingdir_2016.shtml
Society of Interventional Radiology (SIR)
Become a member today!
Medical student membership is free. To join, visit: http://sir.personifycloud.com/personifyebusiness/Membership/InTrainingMemberJoin.aspx
Resident, Fellow, & Student Section of SIR (SIR-RFS)
Trainees are encouraged to become members and actively participate in SIR-RFS. This is a valuable educational resource with many opportunities to connect with other trainees. To learn more, visit: http://rfs.sirweb.org/wordpressnstall/
Full transcript