and still have the connections to refer appropriately when needed to other subspecialists. So you’re more aware of the treatment, connections and building pathways than a regular diagnostic radiologist would be. That mindset is something that they kind of implement from almost day one in the IR residency.
MC: I think I was trained very well, but a lot of your education will be on-the-job experience, and there’s a lot of things that you won’t encounter in training. During residency, I did give up a fair amount of diagnostic training for vascular surgery and ICU critical care rotations, which was tough because the diagnostic radiology boards are hard. But ultimately my DR training leveled out. It was also a lot more independent study than someone who’s getting many more months of pure diagnostic training. I think as far as my job today and my career, I value all the additional clinical months that I got now that I’m 100% IR. I don’t really miss not having as much musculoskeletal radiology. But I know when I was studying for boards, I wished that I had a little bit more diagnostic training.
KW: As far as clinically goes, we covered everything during residency. So clinically, I felt well prepared, and I think that has manifested itself during my attending career so far. That’s a benefi t of staying where you train. You not only know the clinical side of things, but also the people in the department. When you know your team, you’re able to hit the ground running.
As far as what was diffi cult, I think that just comes down to being an attending and having diff erent responsibilities and wearing diff erent hats than you did as a resident.
As a resident, you’re very focused on your patients and your clinical practice. As an attending, there’s a lot more management.
What did you value about being in an integrated residency? KW: I think being part of an integrated residency is great because the people below you are now integrated. Since I was the fi rst class, everyone below me
2002 A new identity
Members vote to change name to Society of Interventional Radiology (SIR), recognizing themselves as IRs. Members vote to change the society name at the 2002 Annual Scientifi c Meeting.
irq.sirweb.org | 19
The evolution of IR training
Over the course of 20 years, IR education evolved from subspecialty training to a dedicated IR pathway with a 98-100% match rate.
1991 ACGME approves accreditation of Vascular and Interventional Radiology (VIR) subspecialty training programs.
1994 VIR is recognized by American Board of Medical Specialties as a subspecialty of diagnostic radiology.
2000 2004
Clinical Pathway in IR is established as a training path toward candidacy for the American Board of Radiology’s diagnostic radiology primary certifi cate and vascular radiology Certifi cate of Added Qualifi cation
SIR creates the DIRECT (Diagnostic and Interventional Radiology Enhanced Clinical Training) Pathway to allow up to 2 years of clinical training to count toward the Diagnostic Radiology certifi cate and subspecialty VIR certifi cate.
2006 Primary Certifi cate Task Force is established within SIR to pursue a primary certifi cate in IR. Years of intensive work ensues.
2012 2013
Proposal for a primary certifi cate in IR and DR is approved by the American Board of Medical Specialties. It includes 35 months of DR training, 1 month of ICU experience, and up to 24 months of IR.
The Radiology Residency Review Committee develops program requirements for an IR residency leading to to ABR certifi cation in IR/DR. Two pathways were developed (integrated and independent).
2014 ACGME approves program requirements for IR residency and begins the process for accrediting integrated IR residencies.
2016
March 18, 2016, is a historic day for interventional radiology. It’s the fi rst- time trainees match into the new integrated IR residencies in the Main NRMP Match. Seven ACGME-accredited integrated IR residency programs participate, fi lling 100% of their 15 residency positions.
2017 The ACGME program approval process for independent IR residency programs opens.
2020 VIR Fellowship Program sunsets on June 30, 2020. All graduate medical education for certifi cation in IR occurs in IR residencies after this date.
2020 Interventional radiology fi lls 100% of its 169 match slots.
is integrated, which means that during my residency I overlapped with many of them and now several of those people were my residents and fellows when I was an attending. It allows you to have a more longitudinal relationship with your colleagues as well, which is very diff erent from the old paradigm where
2003
you crossed paths with someone for a minute and they may or may not work with you again.
Reference 1. Main-Match-Results-and-Data-2016. The
National Resident Matching Program. nrmp. org/wp-content/uploads/2021/07/Main-Match- Results-and-Data-2016.pdf
2004
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