Medical Student Interest in the IR

ResidencyAlok Bhatt, MD

Chair, Resident and Fellows SectionKeck School of Medicine Department of Radiology

University of Southern California

DisclosuresNone

Context

Resident SIR Members

2009 2010 2011 2012 2013 2014300

350

400

450

500

550

600

Year

359

547

Annual Meeting Attendance(Students and Residents)

2010 2011 2012 2013 2014200

250

300

350

400

450 433

247

Number of Medical Student SIR Members

2009 2010 2011 2012 2013 20140

50100150200250300350400450500

Change represents a 281% Increase

53

442

134

Unfilled DR Positions

2009 2010 2011 2012 2013 20140

102030405060708090

100

81

10

So We AskedN = 65Medical students that are interested in IRPrimarily 1st and 2nd year medical students with some 3rd and 4th year medical students

Specialties Top specialties

IRVascular surgeryCardiologyOther surgical specialtyDiagnostic radiologyInternal medicine or other medical subspecialty

What Facets of Interventional Radiology Interest You?

Vascular disease Interventional OncologyPediatric interventional radiology Interventional PainNeurointerventional RadiologyOther

If IR were not an option, would you still pursue DR?

Likely Yes; 31%

Definitely Yes; 6%

No Change; 10%Definitely No; 11%

Likely No; 42%

How does the new IR residency influence your decision to pursue IR?

No Affect; 28%

More Likely ;

59%

Convinced me; 13%

If a residency program didn't offer the IR residency (or the opportunity to become an interventional radiologist), how would that affect your ranking of that program during the residency match?

Rank lower; 60%

Not Rank; 27%

No Affect; 13%

How important is practicing interventional radiology under a "clinical" paradigm?

Very Impor-tant ; 48%

Extremely Important;

38%

Neutral; 14%

Not Very Important; 6%

If a program offered clinical rotations during residency (i.e. surgery, ICU, vascular medicine etc.) , how would that affect your ranking of that program during the match?

Rank The Program

Higher; 83%

No Affect; 16%

Move the Program Lower; 2%

If a residency program offered a longitudinal clinical curriculum, how would that influence your ranking of that program?

Move The Program

Higher; 75%

No Affect; 25%

Which of the following IR-related features of a program will cause you to rank a diagnostic radiology residency more highly?

Greater than 10 months of IR during residencyLongitudinal clinical trainingResident IR clinics

On your way to becoming an IR, would you rather complete an IR residency or a traditional DR residency followed by an IR fellowship?

Traditional Pathway ; 12%

IR Res-idency;

88%

From the Mouth of Babes

Perceptions of Current IR Practice

“Imagine having a root canal and then being told to call your car mechanic if you experience any problems after the procedure. Clearly this makes no sense. Similarly, does it make any sense for a patient to follow-up with his primary care physician (PCP) as follow-up for their …mediport? The only thing the car mechanic or PCP can recommend in these situations is to go back to the person who initially preformed the procedure…Why not just go directly back to the dentist or the interventional radiologist? There is absolutely no reason to have a patient jump through hoops to see the physician that took care of them. It is not fair to the patient and it is bad care. “

On Longitudinal Patient Care

To do it any other way would be a breech of the trust that the patient entrusted upon the interventional radiologist prior to the procedure. There have been many advances in IR over the past few decades, but I believe the greatest advancement is the establishment of IR as a clinical specialty.