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Early Lessons Learned with the Independent IR Residency Selection Process: Similarities and Differences From the Vascular and Interventional Radiology Fellowship

Published:November 15, 2021DOI:https://doi.org/10.1016/j.acra.2021.10.010
      Over the last two decades, there has been a concerted push by interventional radiologists (IR) to revamp the IR training paradigm (
      • Murphy TP.
      Clinical interventional radiology: serving the patient.
      ). The single year Vascular and Interventional Radiology (VIR) fellowship was suboptimal in providing adequate training in the increasingly complex procedural and nonprocedural patient care aspects of IR (
      • Kaufman J.
      The interventional radiology/diagnostic radiology certificate and interventional radiology.
      ). In 2012, the American Board of Medical Specialties (ABMS) recognized Interventional Radiology (IR) as a primary specialty and programs began receiving accreditation in 2014 by the ACGME (
      • Marx MV
      • Sabri SS.
      Interventional radiology residency: steps to implementation.
      ). IR-bound trainees now have the option to match into the Integrated IR (IR/DR) residency directly out of medical school or match into the Independent IR residency at the culmination of their diagnostic radiology residency (Table 1). Under these new training pathways, trainees finish their radiology residency with two consecutive years of IR training.
      Table 1Training Pathways in Interventional Radiology
      Integrated IR Residency VIR Fellowship Pathway (Phased out June 2020) Independent IR Residency with ESIR Independent IR Residency without ESIR
      PGY- 1 1 year of preliminary surgery, preliminary medicine or transitional year
      PGY-2 DR DR DR DR
      PGY-3
      PGY-4
      PGY-5 IR IR at DR program
      PGY-6 IR at applicant's matched VIR fellowship ESIR candidates match into a

      PGY-6 position
      IR at applicant's matched independent IR residency program
      PGY-7 n/a n/a n/a

      Key Words

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