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The three paths to IR designation


The integrated IR residency is 5 years in length (a total of 6 years of postgraduate training including the required internship year). This IR training format is available to medical students. The residency curriculum is concentrated on diagnostic radiology in the first 3 years and interventional radiology in the last 2 years.


The independent IR residency is 2 years in length (total of 7 years of postgraduate training). This training format is only available to graduates of a diagnostic radiology residency.


Many diagnostic radiology residencies have an approved Early Specialization in Interventional Radiology (ESIR) designation. Diagnostic radiology residents who complete additional IR training in the ESIR pathway may finish an independent IR residency program in only 1 year (total of 6 years of postgraduate training).


When IR became a primary specialty and the training format changed from fellowships to residencies, the pool of applicants changed from about 1,000 diagnostic radiology residents to over 30,000 medical students.


Graduating IRs into the workforce


2016: The first IR-integrated Match, with 7 of the 8 accredited IR integrated programs participating, and 100% of positions filled.


2020: VIR Fellowships were sunsetted, marking a new era for the Independent IR Residency. 2022: IR residencies achieved a 100% fill rate in the NRMP Main Match.


How were the authors selected for these papers? The invited authors are all thoughtful and knowledgeable IR physician leaders. They were chosen because they have insights and opinions that will resonate with members of the entire IR community.


2023 Integrated Match success 27 programs matched applicants into 51 PGY-1 categorical


(C) positions (266 total applicants) 67 programs matched applicants into 125 PGY-2 advanced (A) positions (355 total applicants) 2 programs matched applicants into 2 PGY-2 Physician reserved (R) positions. (5 total applicants)


The selected topics range across the breadth of IR, from how IR gained primary specialty designation, tracking the creation of the IR residencies and its current status, to the evolution of subspecialization and the impact of DEI on the future of IR. Among the authors are Alan H. Matsumoto, MD, FSIR, Jeanne M. LaBerge, MD, FSIR, Michael Dake, MD, FSIR, Michael Lee, MD, FSIR, Shellie Josephs, MD, FSIR, Saher Sabri, MD, FSIR, Hirschel McGinnis, MD, FSIR, and more.


Why did you feel it was important to include a commentary on diversity, equity and inclusion (DEI) in this special issue? When IR became a primary specialty and the training format changed from fellowships to residencies, the pool of applicants changed from about 1,000 diagnostic radiology residents to over 30,000 medical students. This presented an unparalleled opportunity to broaden the membership and to enhance the impact of IR. Developing an IR physician workforce to serve all of the demographic groups of the U.S. population is a major SIR growth initiative. A review of the data currently available for the specialty of IR provides an opportunity to assess our current status, and to inform future strategies for physician recruitment and retention.


24 IRQ | FALL 2023


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