Interventional Radiology – Integrated Residency Training Program

Introduction and Overview of the Program

Integrated interventional radiology is a five-year training program beginning at the PGY-2 level and culminating in board eligibility in both Diagnostic Radiology and Interventional Radiology. Residents enter the program following successful completion of an accredited one-year clinical internship. Completion of a general surgery PGY-1 internship year is preferred but not mandated; acceptable alternatives include a transitional year and internships in surgical subspecialties, internal medicine, pediatrics, obstetrics and gynecology, neurology, family practice, and emergency medicine.

The extensive educational and health care facilities of NYU Langone Medical Center and its affiliated hospitals—Bellevue Hospital and the Manhattan Veterans Administration Hospital— provide the resources for our wide variety of training programs in Radiology. The three primary teaching hospitals (Tisch Hospital, Bellevue Hospital and the Manhattan Veterans Administration Hospital) are contiguously located; the Hospital for Joint Diseases, Perlmutter Cancer Center, and the Center for Musculoskeletal Care are each a 10 minute walk from the main campus. Each institution has a full service, state of the art radiology department including advanced Interventional Radiology, Nuclear Medicine, Ultrasound, CT, and MRI facilities.

The three institutions provide access to a broad spectrum of disease and a diverse patient population. The institution in which a resident rotates for each month of subspecialty training is specifically selected to maximize the resident’s learning experience and graded responsibility. The assignment of residents to each of the hospitals is based on the volume, type, and variety of clinical material available as it relates to the resident's level of experience and expertise. Rotation assignments are also selected to take advantage of the different case mixes within each institution, exposing residents to a wide range of pathology.

Preceptorship-based clinical training for the Diagnostic Radiology rotations is primarily organized by organ system, conforming to the structure used by the American Board of Radiology. Exceptions to this approach are the more technology-specific rotations, which, due to their unique complexities, require the acquisition of directed expertise in specific imaging modalities and procedures; included among these are CT, MR, Nuclear Medicine, Ultrasound, and the PGY 2-4 core Interventional Radiology rotations. Some rotations such as Emergency Radiology and Pediatric Radiology involve training in a specific clinical context or patient population, rather than based on an organ system. The PGY 5-6 advanced Interventional Radiology rotations are organized around competency-based goals and objectives and foster each resident’s progression through graded responsibility to eventual autonomy. We enjoy a favorable faculty-resident ratio, ensuring ample availability of faculty members for resident teaching and supervision.

Residents rotate through the full complement of Diagnostic Radiology rotations during the first three years, and are thereby exposed to the full curriculum prior to taking the ABR Core Examination for Diagnostic Radiology board certification.

As the residents gain knowledge and experience and develop decision-making and diagnostic skills, they are permitted to assume greater responsibility in a gradual fashion, commensurate with their ability and confidence. It must be emphasized, however, that the ultimate responsibility for performing, interpreting, and reporting the official findings or outcome of every diagnostic study or interventional procedure always remains with the supervising faculty member.

Daily clinical training is complemented with an extensive array of conferences. The topics of the daily midday (noon) departmental conference for PGY 2-4 residents are selected so that departmental sections representing each subspecialty presents approximately twice each month. These conferences are supplemented by subspecialty section daily and weekly 7:30 am, 4:00 pm and 5:00 pm conferences. One noon conference a month is reserved for Informatics lectures. Noon conferences are mandatory; residents are strongly encouraged to attend the specialty conferences, particularly when they are rotating through that specialty.  Interventional radiology conferences for PGY 5-6 residents are held on Monday and Friday mornings from 7-9am and include didactic lectures, journal club presentations, case conferences, and M&M conferences. Resident attendance at interdisciplinary (extra-departmental) conferences occurs in all years of the residency program and helps to ensure a continuously diverse experience, encourages reading on a wide variety of topics, and provides a rich environment for integration of knowledge and greater insight into disease management. The experience also helps the residents to understand and model the role of the interventional radiologist and diagnostic radiologist as expert consultants to other physicians and key members of multidisciplinary care teams.

Facilities for independent interactive learning are provided via the ACR Teaching Files (in CD multimedia computer format) and STATdx. Direct internet access is available at Bellevue and Tisch hospitals for accessing on-line teaching files, other teaching aids and medical reference sources. A secure residents’ room with 5 PCs is located at Bellevue. All residents attend the AIRP, the American Institute for Radiologic Pathology (formerly known as the AFIP). The faculty actively encourages and provides opportunities for basic imaging and translational research, clinical research, and outcomes research. Projects in which residents participate are presented to the entire department at a Residents Day Seminar in June and at national meetings.

In summary, the goal of the Integrated Interventional Radiology residency program is to provide thoughtfully balanced training in each of the subspecialty disciplines of diagnostic radiology and robust procedural and clinical training in interventional radiology. The program strives to cultivate an educational environment which fosters close relationships between faculty and residents and encourages extensive interactions with other clinical departments. The development of these intra- and extra- departmental relationships is fostered by the resident's gradual assumption of greater responsibility as he or she progresses through the five-year sequence of rotation assignments. This progression begins with initial obligatory preceptorships and gradually advances to more independent activity with discriminatory consultation. This process aids in the synthesis and correlation of the diagnostic radiologic sciences, interventional radiologic procedures and patient management, and clinical medicine, with a constant focus on patient care. It should be emphasized that residents are never assigned responsibilities for which they lack sufficient training and exposure, and faculty members are available to the residents for assistance and support at all times.

The NYU Integrated Interventional Radiology residency program adheres to the ACGME Program Requirements for Interventional Radiology.