Independent Interventional Radiology Residency

Program Director: Eric T. Aaltonen, MD, MPH
Vascular & Interventional Radiology
Department of Radiology
NYU Langone Medical Center
HE-221, 560 First Ave
New York, NY 10016
Office: (212) 263-5898
Fax: (212) 263-7914

Interventional Radiologists Interventional Radiologists

 

How to apply

Applications are accepted from 11/21/18 to 12/31/18 for the 2020-2021 academic year.  All applications to our program are made through the Association of American Medical Colleges (AAMC) Electronic Residency Application Service (ERAS).  Positions are subsequently filled through the National Resident Matching Program (NRMP).

The Independent Interventional Radiology (IR) residency at the NYU School of Medicine is a one or two-year training program dependent on Early Specialization in IR (ESIR).  Both ESIR and non-ESIR applicants are encouraged to apply.  Application requirements are:

  1. Three letters of recommendation (one must be from DR program director)
  2. USMLE transcript
  3. Medical school transcript
  4. Curriculum vitae
  5. Personal statement

For ESIR applicants, acceptance to the one year independent IR training pathway is dependent upon successful completion of ESIR during the final year of diagnostic radiology (DR) residency.  In addition to above, ESIR applicants are required to also submit:

  1. Letter from DR program director verifying acceptance into ESIR
  2. Block diagram of DR training including the PGY5 ESIR year 

These two items can be included in the program director letter of recommendation and uploaded to ERAS or emailed separately to one of our programs coordinators, Nati Mejias, nati.mejias@nyulangone.org.

Program Mission

NYU's interventional radiology training is a comprehensive experience afforded by our varied clinical sites and rotations as detailed below.  However, the true strength of the training is how these sites are complemented by our faculty. Each faculty member is dedicated to excellence in patient care and trainee education.  Our mission is to develop physicians with outstanding clinical acumen and technical skill.  During independent IR training, residents secure a wealth of experience while building confidence and readiness for a successful career.

Program Overview

The training is clinically oriented, with a combination of procedural and clinical responsibilities.  Independent residents spend time honing their skills in all phases of patient care, inRadiograph image, black and white.cluding pre-procedure evaluation, appropriateness, and work-up, procedural technique and skill, and post-procedural care.  Residents gain experience with these phases in hospital and ambulatory settings.  Overall, our philosophy is one of graded responsibility.  This graded responsibility applies not only to procedural autonomy but also to our inpatient consult service and outpatient clinic.  

During independent IR residency, the resident is considered an attending physician-in-training and as such is responsible for knowing his or her patients and their relevant history.  For each procedure, inpatient consult, or outpatient clinic visit, the plan is thoroughly discussed with the attending physician to ensure the highest level of patient care.  All procedures are performed by one resident and one attending physician, ensuring a preceptor-like arrangement where progress and knowledge can be closely monitored with instruction on a one-to-one basis. After having gained the necessary level of competence and expertise, the resident role shifts from secondary to primary operator.  As primary operator, the resident will always have an attending available for assistance as needed.  Autonomy in clinic operates much the same way, with the resident initially seeing patients with an attending and then given more responsibility over time.

Post-procedural care and patient follow-up are strongly emphasized. Hospital rounds are made at least once daily, seeing patients who have recently undergone procedures and those who are being followBlack and white radiographic image.ed on an ongoing basis.  We then continue to see many of these patients in clinic once they are discharged.

Clinical experience is gained at four sites: NYU Langone Medical Center (Tisch Hospital and Kimmel Pavilion - NYU's main teaching hospital), Bellevue Hospital (the flagship institution of New York City Health and Hospitals system), the Manhattan Campus of the New York Harbor Healthcare System's Veterans Affairs Medical Center, and NYU Langone Radiology – 32nd Street.  Each site provides a unique patient population and a diversity of cases.  NYU Langone Medical Center has a robust transplant service, Bellevue and the Manhattan VA both serve as regional referral centers for chronic liver diseases, and Bellevue is a level one trauma center.  NYU Langone Radiology – 32nd Street is our ambulatory center where we perform a range of outpatient procedures and have dedicated clinic space.  Residents rotate through these four sites on a weekly basis and are ensured a high volume and excellent blend of case complexity and direct patient care.  NYU Langone Medical Center and 32nd Street are supported by nurse practitioners and a registered radiology assistant.

Residents gain experience with the entire spectrum of interventional radiology, including interventional oncology – chemoembolization, radioembolization, thermal ablation (radiofrequency, cryo- and microwave), women’s interventions – uterine fibroid embolization, pelvic congestion and enhanced myometrial vascularity treatment, and vascular disease – iliofemoral venous recanalization, catheter directed thrombectomy/thrombolysis, SVC syndrome treatment, visceral aneurysm treatment, peripheral arterial disease interventions.  Strong relationships with the transplant service, hepatology, and intensive care lead to frequent liver interventions such as trans-jugular portosystemic shunt (TIPS), balloon retrograde trans-venous obliteration of varices (BRTO), and percutaneous biliary interventions (including drainage, stenting, stone extraction).  In addition to genitourinary decompression with nephrostomy and nephroureteral stent placement, our prostate artery embolization service is growing through our collaboration with urology.  This collaboration also provides referrals for varicocele and angiomyolipoma embolization.  We work closely with vascular surgery at 32nd Street and at all three hospital sites, allowing our residents to gain additional exposure to arterial and venous interventions.  Dialysis access interventions are performed at all sites and is especially robust at the Manhattan VA.  Vertebroplasty and kyphoplasty are also performed at the Manhattan VA by our section and at NYU by our neuro-interventional (NIR) colleagues.  Rotations with NIR also provide exposure to stroke interventions.

The clinical experience is supplemented with a robust educational curriculum.  This curriculum includes weekly case conference, weekly IR didactic, IR and surgical M&M, IR journal club, and a variety of weekly multidisciplinary conferences including vascular surgery, hepatology, and GI oncology.  Given the importance of these educational activities, this time is protected to ensure that clinical responsibilities do not interfere.

View a detailed listing of the fellowship’s educational objectives

Lastly, all independent residents are entitled and encouraged to attend one major interventional radiology meeting. Residents are also required to conduct research for publication and presentation at a national or international meeting. Dedicated academic time is available for these endeavors. In addition, there are many interventional radiology meetings in the immediate vicinity including the New York Roentgen Society’s Angio Club.  These meetings and joint journal clubs allow residents to meet with their peers from other nearby institutions.

Contact Information

If you have any questions about the training program or application process, please contact our Program Coordinator, Nati Mejias at nati.mejias@nyulangone.org or (212) 263-6373.

For additional information, you can also contact the residency program director, Eric T. Aaltonen, MD MPH at eric.aaltonen@nyulangone.org.