The Interventional Radiology Clinic Teaching Model: Survey of IR Residency Programs

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LETTER TO THE EDITOR

The Interventional Radiology Clinic Teaching Model: Survey of IR Residency Programs Joseph R. Kallini1 • Mina S. Makary2 • Sandhya Patel3 • Benjamin Jang4 • Kartik Kansagra5 • Dustin Tew6 • David P. Duncan7 • Geogy Vatakencherry5

Received: 19 July 2020 / Accepted: 26 September 2020  Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2020

Editor, In order to harmonize interventional radiology (IR) education and certification in Europe, the Cardiovascular and Interventional Radiology Society of Europe established the European Board of Interventional Radiology (EBIR) international examination in IR in 2010 [1, 2]. The purpose was to provide a unifying method to assess candidates’ preparation for the field. According to one crosssectional survey emailed to 227 candidates, many expressed satisfaction with the examination process and felt it helped their career [2]. The USA also recently adopted a strategy for unifying IR training. In 2020, the Vascular and Interventional Radiology fellowship was officially phased out and has now been replaced with independent IR residency, the new option for diagnostic radiology residents interested in IR. & Geogy Vatakencherry [email protected] 1

Department of Imaging, Section of Interventional Radiology, Cedars-Sinai Medical Center, Los Angeles, CA, USA

2

Department of Radiology, The Ohio State University Medical Center, Columbus, OH, USA

3

George Washington University School of Medicine, Washington, DC, USA

4

Loyola Medicine at MacNeal Hospital, Oak Park, IL, USA

5

Department of Radiology, Kaiser Permanente Los Angeles Medical Center, 4867 W Sunset Blvd., Los Angeles, CA 90027, USA

6

Diagnostic Radiology, Aventura Hospital and Medical Center, Aventura, FL, USA

7

Department of Radiology, University of California San Diego Medical Center, San Diego, CA, USA

In addition, the integrated IR residency program is a new pathway where medical students can now directly apply to become vascular interventionalists. As of July 2020, 89 and 88 institutions in the USA have received accreditation from the Accreditation Council for Graduate Medical Education (ACGME) for the integrated and independent IR residency, respectively [3, 4]. The IR clinic is an important component of the new IR residency curriculum. In 2013, a task force was created to develop guidelines to ensure that trainees engage in IR resident continuity clinics that include initial consultation, postoperative evaluation, and long-term follow-up [5]. Currently, there is tremendous variability in trainees’ exposure to and involvement in outpatient IR clinic. To evaluate the current state of affairs of trainee clinic experience, the Society of Interventional Radiology (SIR) Resident Fellow Section developed a standardized survey for IR programs across the USA. This survey-based study was performed with institutional review board (IRB) waiver. In May 2018, electronic surveys were sent to 78 IR integrated and