IRS-IN-TRAINING COLUMN
by Parag J. Patel, MD, FSIR, Chad Burk, MD, and Andrew Niekamp, MD
• Option 3a (6 years): DR residency with an ESIR track. Successful completion of the ESIR track will allow you to qualify for advanced placement into the second year of an independent IR residency: 1 clinical intern year + 4-year DR residency with ESIR + 1 year (advanced placement into second year) independent IR residency
• Option 3b (7 years): DR residency without an ESIR track. You may complete your DR residency and apply for an independent IR residency program during your R3 year (PGY-4). Your independent IR residency will be two years of training (PGY6 and PGY7). 1 clinical intern year + 4-year DR residency + 2-year independent IR residency
For senior medical students who recently matched into DR residencies and current interns (PGY1), the traditional IR fellowships will not be available upon completion of your residency.
• Option 1 (6 years): If your DR residency is developing an integrated IR residency program and it will be accredited by the ACGME before your R4 year (PGY-5), then you may be
able to transfer internally into the IR integrated program at your home institution.
• Option 2 (6 or 7 years): If your program is not developing an integrated IR residency program or your home institution’s integrated IR residency is not going to be accredited by the ACGME before your R4 year (PGY-5), or you are not able to transfer into your institution’s integrated IR residency, you can apply to independent IR residency programs during your R3 year (PGY-4). Same as Options 3a (6 years with ESIR pathway training) or 3b (7 years without ESIR pathways training) described above.
For current DR residents (R1/PGY2 and above), you will be the last classes to graduate from a traditional VIR fellowship.
• Option 1 (6 years): Complete a 1-year traditional IR fellowship. 1 clinical intern year + 4-year DR residency + 1-year VIR Fellowship
• Option 2 (6 years): If your current institution gains ACGME accreditation for an integrated IR residency program before your R4 year (PGY-5), you may internally transfer into the integrated IR residency.
Fact and fiction
RUMOR: The independent IR residency pathway (2-year post-DR training) is temporary and will be phased out over time and may not be available for me after my DR training is complete.
FALSE: The new independent IR residency was designed as an integral part of the new IR training paradigm and works in conjunction with integrated and ESIR programs to meet all of the training needs for the future direction of the new IR specialty. There are no plans to phase out the independent pathway.
RUMOR: As programs begin to implement IR residencies and current DR residents at these programs transfer into these openings, traditional IR fellowship spots will start to become scarce long before they are discontinued in 2020.
TRUE and FALSE: Programs have always had the ability to take internal candidates for the traditional VIR fellowship positions. If you are a strong candidate and are interested in staying at your current institution and your institution plans to implement an integrated IR residency pathway, then it would be possible to transition into the approved IR residency. This does have the potential for limiting resources to support IR fellowship spots at that institution. However, programs still want to take the strongest candidates
possible. Therefore, it is anticipated that most programs will continue to support the same number of fellowship spots that they currently have until the 2020 cutoff date.
RUMOR: My DR training will be negatively affected if I enter the new integrated IR residency.
FALSE: Your DR training will not be adversely affected. The training that DR residents and IR residents receive is essentially the same in their PGY2–PGY4 years. Both DR and IR residents will take the same American Board of Radiology core exam at the end of the PGY4 year.
RUMOR: The independent IR residency will not be available to current diagnostic radiology residents.
TRUE and FALSE: Independent IR residency programs will not be available until July 2020; therefore, current diagnostic radiology residents in their PGY2–PGY5 years will only be able to apply to traditional IR fellowships if they want to complete their IR training directly after graduating from their diagnostic radiology program. However, DR residency graduates can apply for independent IR residency positions years after they graduate from their DR residency if they are interested in receiving IR training at a later time.
More information and specific program details can be found at
rfs.sirweb.org.
SPRING 2016 | IR QUARTERLY 17
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