New IR Residency and IR/DR Certificate: Future Direction of the Specialty

Background information

In 2012, the American Board of Medical Specialties (ABMS) approved interventional radiology as a primary specialty in medicine. In 2013, the American Board of Radiology (ABR) announced that it would certify interventional radiology doctors in interventional radiology and diagnostic radiology, reflecting that the essential components of competency include both IR and DR. Later that year, the Accreditation Council for Graduate Medical Education (ACGME) approved the formation of a new residency training program in interventional radiology. Successful completion of this training program will qualify graduates to sit for the ABR IR/DR certificate exams. This webpage is devoted to providing the most up-to-date information about the IR/DR certificate.
    Please use the headings on the left to access information about the IR/DR Certificate and IR Residency.

Please visit regularly to obtain the latest news and updated information. The information on this page is subject to revision.

Recent news and updates

Congratulations to the 24 institutions that received ACGME accreditation of their integrated IR residency programs at the April Residency Review Committee (RRC) meeting.  With the addition of these 24 new programs, there are now a total of 44 institutions with accredited integrated IR residency programs.

  • Albany Medical Center, N.Y.
  • Brown University/Rhode Island Hospital, Providence
  • Christiana Care Health Services Inc., Newark, Del.
  • Emory University School of Medicine, Atlanta
  • Henry Ford Hospital, Detroit
  • Mayo Clinic College of Medicine, Jacksonville, Fla.
  • McGaw Medical Center of Northwestern University, Chicago
  • Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, N.Y.
  • New York University School of Medicine
  • Oregon Health & Science University Hospital, Portland, Ore.
  • Rochester General Hospital, N.Y.
  • Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia
  • Strong Memorial Hospital of the University of Rochester, N.Y.
  • Temple University Hospital, Philadelphia
  • University of Alabama Hospital, Birmingham
  • University of Arizona College of Medicine, Tucson
  • University of California San Francisco School of Medicine
  • University of Colorado School of Medicine, Aurora
  • University of Iowa, Iowa City
  • University of Virginia Medical Center, Charlottesville
  • University of Washington School of Medicine, Seattle
  • University of Pittsburgh Medical Center
  • William Beaumont Hospital, Royal Oak, Mich.
  • Yale-New Haven Medical Center Program, Conn.

ACGME Accreditation news

Congratulations to the following programs who have received ACGME accreditation of their IR residency programs at the January 2016 Radiology RRC meeting:

  • Beth Israel Deaconess Medical Center Program, Boston, Mass.
  • Icahn School of Medicine at Mount Sinai Program, New York, N.Y.
  • Maine Medical Center Program, Portland, Maine
  • Medical College of Wisconsin Affiliated Hospitals Program, Milwaukee, Wis.
  • Medical University of South Carolina College of Medicine Program, Charleston, S.C.
  • Rush University Medical Center Program, Chicago, Ill.
  • Stanford Hospital and Clinics Program, Stanford, Calif.
  • UCLA David Geffen School of Medicine/UCLA Medical Center Program, Los Angeles, Calif.
  • University of Arkansas College of Medicine Program, Little Rock, Ark.
  • University of California (San Diego) Medical Center Program, San Diego, Calif
  • University of Illinois College of Medicine at Chicago Program, Chicago, Ill.
  • University of Minnesota Medical School Program, Minneapolis, Minn.

The Radiology Resident Review Committee is scheduled to meet again in April 2016 to review more completed IR Residency applications.

December 15, 2015: the deadline to submit your IR Residency application to allow the best chance to be reviewed during this coming cycle for accreditation in 2016. Read more about the progress of IR Residency applications in SIR Connect’s Open Forum and APDIR and RFS sections.  Also, download the free “IR Implementation webinar” in the IR Store. 
For more information contact Jennifer Goubeaux.

SIR PAC congressional initiatives

SIR PAC continues to meet regularly with members of Congress to gain the introduction and passage of a bill the society drafted that would increase federal funding for GME. The bill aims to redistribute unused residency slots while giving top priority for newly created primary specialties. If passed, the bill would create new slots for IR residents under the newly created IR/DR certificate. SIR hopes to have the bill incorporated into a broader GME reform bill that we anticipate will be introduced into Congress sometime in early 2016.

Key facts about the IR residency

as of Feb. 3, 2016

More detailed information regarding post-graduate training in IR can be obtained from your medical student career advisor for Radiology. Information is also available on the following Society of Interventional Radiology (SIR) pages:

IR Fellowship Training

The current one-year subspecialty fellowship in vascular and interventional radiology (VIR) is being phased out and will be replaced by the new IR residency.

IR Residency Formats

The IR residency has two formats: Integrated and Independent.

     

The Integrated IR Residency is five-years in length (a total of six years of post-graduate training). This IR training format is available to medical students. Students apply thru the NRMP main match and begin residency training in the PGY two year. The five-year residency curriculum is concentrated on diagnostic radiology in the first three years and interventional radiology in the last two years.

     

The Independent IR Residency is two years in length (total of seven years of postgraduate training). This training format is available to graduates of a diagnostic radiology residency.

ESIR

Some diagnostic radiology residency programs may offer additional training in IR during the diagnostic radiology residency. This advanced training is termed Early Specialization in IR (ESIR). Diagnostic radiology residents who complete ESIR training may be able to finish IR training in a total of six post-graduate years.

IR/DR certification

Graduates of an IR residency qualify to take the IR/DR examination offered by the American Board of Radiology (ABR). The IR/DR certificate recognizes competency in both diagnostic radiology and interventional radiology. Certificate holders can practice both diagnostic radiology and interventional radiology.

Internship

Both Integrated and Independent IR residency formats require a preliminary clinical internship (PGY one year). Internship training can be in surgery, internal medicine, pediatrics, a surgical subspecialty or a transitional year
Approved programs will be listed on the ACGME website.

IR residency details

Options for current 4th year medical students

Medical students interested in IR who will be fourth year students starting in July 2015 and plan to enter the NRMP main match taking place in March 2016, should apply for a diagnostic radiology residency. They can then apply for an independent IR residency position after completing a DR residency. Alternatively, DR residents may be able to transfer internally into an IR residency at their home institution once their institution obtains integrated IR residency accreditation.

Integrated IR residency

As of May 2016, over 60 institutions have applied for ACGME accreditation of integrated IR residency programs.  44 have already received accreditation.  The Residency Review Committee (RRC) will review at least 17 more program applications at its September 2016 meeting with the results available sometime in October 2016.

As of May 2016, the following programs have ACGME accredited IR residency programs:

    • Albany Medical Center, N.Y.
    • Beth Israel Deaconess Medical Center Program, Boston
    • Brigham and Women’s Hospital, Boston
    • Brown University/Rhode Island Hospital, Providence
    • Christiana Care Health Services Inc., Newark, Del.
    • Emory University School of Medicine, Atlanta
    • Georgetown University, Washington
    • Henry Ford Hospital, Detroit
    • Icahn School of Medicine at Mount Sinai Program, New York
    • Maine Medical Center Program, Portland
    • Massachusetts General Hospital, Boston
    • Mayo Clinic College of Medicine, Jacksonville, Fla.
    • McGaw Medical Center of Northwestern University, Chicago
    • Medical College of Wisconsin Affiliated Hospitals Program, Milwaukee, Wis.
    • Medical University of South Carolina College of Medicine Program, Charleston
    • Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, N.Y.
    • New York University School of Medicine
    • Oregon Health & Science University Hospital, Portland, Ore.
    • Rochester General Hospital, N.Y.
    • Rush University Medical Center Program, Chicago
    • Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia
    • Stanford Hospital and Clinics Program, Calif.
    • Strong Memorial Hospital of the University of Rochester, N.Y.
    • Temple University Hospital, Philadelphia
    • UCLA David Geffen School of Medicine/UCLA Medical Center Program, Los Angeles
    • University of Alabama Hospital, Birmingham
    • University of Arizona College of Medicine, Tucson
    • University of Arkansas College of Medicine Program, Little Rock
    • University of California (San Diego) Medical Center Program
    • University of California San Francisco School of Medicine
    • University of Colorado School of Medicine, Aurora
    • University of Illinois College of Medicine at Chicago Program
    • University of Iowa, Iowa City
    • University of Kansas, Lawrence
    • University of Michigan, Ann Arbor
    • University of Minnesota Medical School Program, Minneapolis
    • University of Pennsylvania, Philadelphia
    • University of Pittsburgh Medical Center
    • University of Virginia Medical Center, Charlottesville
    • University of Washington School of Medicine, Seattle
    • Vanderbilt University, Nashville, Tenn.
    • Washington University, St. Louis
    • William Beaumont Hospital, Royal Oak, Mich.
    • Yale-New Haven Medical Center Program, Conn.

    Independent IR residency

    The nationwide launch date for the new independent IR residency is July 1, 2020. ACGME accreditation of the current one-year subspecialty fellowship in vascular and interventional radiology (VIR) will cease on that date and all accredited GME training in interventional radiology will be accomplished via the IR residency. Applications for independent IR residency program accreditation must be submitted to the ACGME by July 1, 2017 to be ready to launch an independent IR residency on July 1, 2020.

    ESIR programs

    As of February 2016, over 25 programs have applied to the ACGME for Early Specialization in Interventional Radiology (ESIR) designation. Ten have already received approval:

    • Florida Hospital Medical Center, Orlando
    • Loyola University, Maywood, Ill.
    • University of Louisville School of Medicine, Ky.
    • William Beaumont Hospital, Royal Oak, Mich.
    • Mount Auburn Hospital, Cambridge, Mass.
    • Albert Einstein Healthcare Network, Philadelphia
    • Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia
    • University of Pennsylvania, Philadelphia
    • Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia
    • Medical University of South Carolina, Charleston

    Residency transfers

    Within a single institution, it will be possible to transfer between the IR and DR residencies at the beginning of the PGY2, PGY3, or PGY4 year provided qualifications for transfer are met.

    Articles and press releases

    IR Quarterly, Spring 2015, Special Section: IR Residency:

    Committees and task forces

    IR Residency Task Force

    Members of the IR/DR Residency Task Force serve as resources for the Radiology RRC of ACGME, key stakeholders and the society.

    ABR, ACGME: Jeanne M. LaBerge, M.D., FSIR
    ABR: Matthew A. Mauro, M.D., FSIR; Kay VydareN.Y., M.D.
    ACR: Anne C. Roberts, M.D., FSIR
    APDIR: Scott Resnick, M.D., FSIR 
    APDR: Jennifer E. Gould, M.D.; Mark McKinney, M.D.
    CIRA: Andrew Benko, M.D.
    SCARD: Valerie Jackson, M.D.
    SCARD, ACR: Alan H. Matsumoto, M.D., FSIR
    SIR: M. Victoria Marx, M.D., FSIR, chair; John A. Kaufman, M.D., FSIR; Daniel A. Siragusa, M.D., FSIR (Graduate Medical Education Division Councilor); James F. Benenati, M.D., FSIR; Jeffrey Carpenter, M.D.; Anne Marie Cahill, M.D.; Hyun S. Kim, M.D., FSIR; Nishita Kothary, M.D., FSIR; Derek Mittleider, M.D., MSPH; Parag Patel, M.D., William S. Rilling, M.D., FSIR 
    Kyle Cooper, M.D., RFS representative
    SIR staff: Susan E. Sedory Holzer, MA, CAE, executive director; Tricia McClenN.Y., associate executive director; Debbie Katsarelis, senior manager, guidelines and intersociety affairs

    Finance Subcommittee

    The Finance Subcommittee of the IR/DR Certificate Task Force is charged with developing funding models for the IR residency that cover a wide variety of graduate medical educational structures.

    SIR: M. Victoria Marx, M.D., FSIR, chair; Charles E. Ray, Jr., M.D., PhD, FSIR; Ernest J. Ring, M.D., FSIR; Raymond H. Thornton, M.D., FSIR
    SIR, SCARD: Janette D. Durham, M.D., MBA, FSIR; Scott C. Goodwin, M.D., FSIR; James B. Spies, M.D., MPH, FSIR
    SIR Staff: Robert White, director of reimbursement and hospital affairs

    SIR Subcommittee on Implementation

    The purpose of the Subcommittee is to focus on implementation strategies for the new IR residency over the ensuing years and to provide you with program planning tools and guidance on implementation.

    Saher Sabri, M.D., Chair
    James Benenati, M.D., FSIR
    Eric Hoffer, M.D.
    John Kaufman, M.D., MS, FSIR
    Jeanne Laberge, M.D., FSIR
    Bob Lewandowski, M.D., FSIR
    M. Victoria Marx, M.D., FSIR
    Mark McKinney, M.D.
    Derek Mittleider , M.D., MSPH
    James Silberzweig, M.D., FSIR
    Rajeev Suri, M.D.

    Questions?

    Please contact Jennifer Goubeaux, (703) 460-5579.