SIR 2026 IR Residency Practicum

Sun., Sept. 27

EARLY TRACK: Liver cancer intro

• 8:00 – 8:15 – HCC basics: Who gets it and how it develops
• 8:15 – 8:30 – Staging and prognosis: Making sense of BCLC and liver function
• 8:30 – 8:45 – Multidisciplinary care in HCC: Who does what and when
• 8:45 – 9:00 – Curative options: Resection, transplant, and ablation
• 9:00 – 9:15 – Catheter-based therapies: TACE, TARE, and when to use them
• 9:15 – 9:30 – Putting it all together: A practical treatment algorithm for HCC

ADVANCED TRACK: Advanced liver directed therapy

• 8:00 – 8:15 – Ablation at the edge: Expanding indications and optimizing outcomes
• 8:15 – 8:30 – Patient selection in HCC: When not to treat (and when to pivot)
• 8:30 – 8:45 – Complications and failure modes in liver-directed therapy
• 8:45 – 9:00 – Y-90 in practice: Dosimetry, personalization, and segmental therapy
• 9:00 – 9:15 – Combination therapy in HCC: Locoregional + systemic integration
• 9:15 – 9:30 – Real-world decision making in HCC: Building a personal treatment algorithm

EARLY TRACK: Introduction to practice types

• 1:00 – 1:15 – Private practice radiology: How traditional groups function
• 1:15 – 1:30 – OBL and ASC models: Building an independent IR practice
• 1:30 – 1:45 – Hospital-employed radiology: Stability, tradeoffs, and system integration
• 1:45 – 2:00 – Academic radiology: Balancing clinical work, teaching, and research

ADVANCED TRACK: Contract negotiation/early practice development

• 1:00 – 1:15 – Evaluating a job: Reading between the lines of a practice opportunity
• 1:15 – 1:30 – From offer to contract: How to review and negotiate
• 1:30 – 1:45 – Your first 2 years: Building volume, reputation, and leverage
• 1:45 – 2:00 – When it’s time to leave: Navigating practice changes and career pivots

EARLY TRACK: Basics of medical billing

• 3:30 – 3:45 – How you get paid: Demystifying CPT codes and RVUs
• 3:45 – 4:00 – E&M coding in the real world: Capturing the work you actually do 
• 4:00 – 4:15 – The value of IR: Understanding the RVU debate and its limitations
• 4:15 – 4:30 – Your SIR: Advocacy, reimbursement, and why it matters

ADVANCED TRACK: Early career financial considerations/professional liability

• 3:30 – 3:45: First paycheck to financial plan: What new attendings need to know
• 3:45 – 4:00: Medical malpractice: Risk, coverage, and real-world pitfalls
• 4:00 – 4:15: The business of IR: Understanding revenue, costs, and profitability
• 4:15 – 4:30: Academic IR economics: How funding, RVUs, and missions intersect

Mon., Sept. 28

EARLY TRACK: Introduction to peripheral arterial disease

• 8:00 – 8:15: PAD fundamentals: Pathophysiology, presentation, and why it matters
• 8:15 – 8:30: First pass evaluation: History, exam, and noninvasive testing
• 8:30 – 8:45: Imaging for PAD: Duplex, CTA, and MRA—what you need to know
• 8:45 – 9:00: Crossing the lesion: Access, wires, and basic endovascular strategy
• 9:00 – 9:15: Angioplasty and stenting: Core concepts for PAD intervention
• 9:15 – 9:30: Beyond balloons: Drug-coated technologies and adjunctive tools

ADVANCED TRACK: Advanced PAD

• 8:00 – 8:15: Iliac interventions: When it’s easy, when it’s not, and how to manage failure
• 8:15 – 8:30: Long-segment CTOs: Crossing strategies that actually work
• 8:30 – 8:45: Re-entry mastery: Devices, techniques, and bailout strategies
• 8:45 – 9:00: Evidence into practice: What actually matters in PAD trials
• 9:00 – 9:15: CLTI and limb salvage: Building a procedural and clinical strategy
• 9:15 – 9:30: My PAD algorithm: Case-based decision making from clinic to intervention

EARLY TRACK: Introduction to clinic management

• 1:00 – 1:15: Building the IR clinic: who’s on the team and what do they do?
• 1:15 – 1:30: From consult to procedure: mapping workflow and staffing across the IR continuum
• 1:30 – 1:45: Understanding IR staffing and revenue streams
• 1:45 – 2:00: Right people, right place: Optimizing workforce utilization in the IR suite

ADVANCED TRACK: Managing a clinic space

• 1:00 – 1:15: Designing an IR practice: clinic and procedural infrastructure from the ground up
• 1:15 – 1:30 – Staffing models: advanced utilization of APPs, nurses, and technologists
• 1:30 – 1:45: Revenue streams, cost centers, and who pays for what
• 1:45 – 2:00: Operational leadership in IR: throughput, access, and building a sustainable practice

Discussion of challenges of clinic development

Break and device showcase

Potpourri I

• 3:00 – 3:15: From symptoms to strategy: Advanced evaluation of lower extremity venous insufficiency
• 3:15 – 3:30: Choosing the right intervention: Evidence-based treatment algorithms for venous insufficiency
• 3:30 – 3:45: Beyond the snare: Advanced techniques for complex IVC filter retrieval
• 3:45 – 4:00: Complications, bailouts, and when to stop: Real-world decision making in complex filter retrieval

Potpourri II

• 3:00 – 3:15: Mastering thyroid RFA: Patient selection, technique, and avoiding complications
• 3:15 – 3:30 – Thyroid artery embolization: When and how to use it in modern IR practice
• 3:30 – 3:45: Image-guided pain management: Core IR techniques every new attending should know
• 3:45 – 4:00: Beyond injections: Advanced IR strategies for cancer and musculoskeletal pain

Plenary talk