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

ACGME Accreditation News

Congratulations to the 17 institutions that received ACGME approval of their Early Specialization in Interventional Radiology (ESIR) programs at the April Residency Review Committee (RRC) meeting. With the addition of these 17 new programs, there are now a total of 27 institutions with an approved ESIR designation.

    • University of California (Davis) Heath System
    • University of California (Irvine)
    • Cedars-Sinai Medical Center, Los Angeles
    • Santa Barbara Cottage Hospital, Calif.
    • Georgetown University Hospital, Washington
    • Johns Hopkins University, Baltimore
    • University of Maryland, Baltimore
    • University of Missouri at Kansas City
    • Dartmouth-Hitchcock Medical Center, Lebanon, N.H.
    • Cooper Medical School of Rowan University, Camden, NJ
    • Hofstra Northwell School of Medicine at Staten Island University Hospital, N.Y.
    • New York University School of Medicine
    • Cleveland Clinic Foundation
    • Ohio State University, Columbus
    • University of Oklahoma Health Sciences Center, Oklahoma City
    • Texas Tech University Health Sciences Center Paul L Foster School of Medicine, El Paso
    • Medical College of Wisconsin Affiliated Hospitals, Milwaukee

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.

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.

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 May 2016, 27 institutions have received approval of their Early Specialization in Interventional Radiology (ESIR) programs:

    • Albert Einstein Healthcare Network, Philadelphia
    • Cedars-Sinai Medical Center, Los Angeles
    • Cleveland Clinic Foundation
    • Cooper Medical School of Rowan University, Camden, NJ
    • Dartmouth-Hitchcock Medical Center, Lebanon, N.H.
    • Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia
    • Florida Hospital Medical Center, Orlando
    • Georgetown University Hospital, Washington
    • Hofstra Northwell School of Medicine at Staten Island University Hospital, N.Y.
    • Johns Hopkins University, Baltimore
    • Loyola University, Maywood, Ill.
    • Medical College of Wisconsin Affiliated Hospitals, Milwaukee
    • Medical University of South Carolina, Charleston
    • Mount Auburn Hospital, Cambridge, Mass.
    • New York University School of Medicine
    • Ohio State University, Columbus
    • Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia
    • Santa Barbara Cottage Hospital, Calif.
    • Texas Tech University Health Sciences Center Paul L Foster School of Medicine, El Paso
    • University of California (Davis) Heath System
    • University of California (Irvine)
    • University of Louisville School of Medicine, Ky.
    • University of Maryland, Baltimore
    • University of Missouri at Kansas City
    • University of Oklahoma Health Sciences Center, Oklahoma City
    • University of Pennsylvania, Philadelphia
    • William Beaumont Hospital, Royal Oak, Mich.

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.