Residency Structure

1. Duration:
   • Integrated IR/DR Residency: 6 years, including the internship year (1 year of clinical internship + 5 years of IR training).
   • Independent IR Residency: 1–2 years after completing a diagnostic radiology residency.
2. Curriculum Overview:
   • Diagnostic Radiology Training (PGY-2 to PGY-4):
     • Rotations in general radiology, including neuroradiology, body imaging, chest radiology, musculoskeletal imaging, nuclear medicine, and breast imaging.
   • Interventional Radiology Training (PGY-5 to PGY-6):
     • Extensive procedural training in vascular and non-vascular interventions (e.g., biopsies, drainages, angiography, tumor ablations).
     • In-depth exposure to pre- and post-procedural patient care.
     • Rotations in related fields, such as vascular surgery and critical care.

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Key Components for Admission

1. Clinical Rotations and Evaluations:
   • Strong performance in radiology and surgery electives.
   • Experience in interventional radiology rotations or observerships is highly recommended.
2. USMLE/COMLEX Scores:
   • Competitive scores on Step 1 and Step 2 CK.
3. Letters of Recommendation:
   • At least one or more letters from interventional radiologists or radiology faculty.
   • Letters highlighting technical aptitude, patient care skills, and interest in IR.
4. Research Experience:
   • Strongly valued, particularly in IR-related topics such as vascular procedures, oncology, or device development.
   • Presentations or publications in radiology or IR conferences (e.g., SIR, RSNA).
5. Extracurricular Activities:
   • Leadership or involvement in radiology interest groups.
   • Membership in professional organizations like the Society of Interventional Radiology (SIR).
6. Personal Statement:
   • A compelling narrative explaining your interest in interventional radiology and your career goals.
   • Highlight procedural interest, problem-solving skills, and patient care focus.
7. Interpersonal Skills:
   • Strong teamwork and communication skills, as IR physicians work closely with multidisciplinary teams.

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Additional Training Opportunities

1. Clinical Rotations in Related Specialties:
   • Exposure to vascular surgery, oncology, hepatology, and nephrology.
2. Hands-On Procedural Experience:
   • Training in catheter-based procedures, embolization, ablation, and stent placements.
3. Technical Proficiency:
   • Familiarity with imaging modalities (fluoroscopy, ultrasound, CT, MRI) and advanced technologies (robotics, AI).

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Board Certification Requirements

1. Dual Certification:
   • Graduates of an IR residency program are eligible for dual certification in both Interventional Radiology and Diagnostic Radiology by the ABR.
2. Examinations:
   • Core Exam (taken during residency).
   • Final Certifying Exam (covers both diagnostic radiology and interventional radiology).

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Key Takeaways

IR residency programs seek candidates with strong diagnostic radiology skills, technical aptitude, and a clear interest in interventional procedures. Applicants should demonstrate a balance of academic excellence, research, and clinical exposure to interventional radiology.