The makings of an ideal interventional radiology clinical clerkship: survey results of medical students and interventional radiology educators to improve medical student training in preparation for the IR/DR residency

Pillai, Rex; McLennan, Gordon; Chung, Maureen A.; Warhadpande, Shantanu; Kalra-Lall, Anouva

doi:10.1016/j.jvir.2015.12.207

Cited by 5 publications

(2 citation statements)

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“…46 More importantly, studies investigating the impact of active participation in IR clinical practice through student electives and dedicated internship rotations have demonstrated an increase in the visibility of IR as a specialty, improved perceptions of changes in training pathways and increased interest in IR as a potential career pathway. 47,48 Specifically, a study assessing a 10 week IR elective demonstrated improved perceptions regarding patient interaction, percentage of procedural work and safety from radiation exposure, although the results were non-significant. 47 A survey of 353 practicing IRs and US medical students regarding a dedicated IR clinical clerkship showed that the majority felt that taking call with the attending IR (60.1%), access to a simulation centre (81%) and a properly structured IR rotation (82% IR, 71% medical students) would be a "critical tool in creating and cultivating medical student interest in IR".…”

Section: Ward Roundsmentioning

confidence: 99%

“…47 A survey of 353 practicing IRs and US medical students regarding a dedicated IR clinical clerkship showed that the majority felt that taking call with the attending IR (60.1%), access to a simulation centre (81%) and a properly structured IR rotation (82% IR, 71% medical students) would be a "critical tool in creating and cultivating medical student interest in IR". 48 Radiology trainees in early years of training could be increasingly encouraged and educated to perform "core" IR procedures such as biopsies, drainages and vascular access including tunnelled or totally implantable venous access devices. This not only increases the capacity for radiology departments to provide this service but also allows trainees to hone interventional skills and encourages interest in IR.…”

Section: Ward Roundsmentioning

confidence: 99%

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The future of interventional and neurointerventional radiology: learning lessons from the past

Maingard

Kok

Ranatunga

et al. 2017

BJR

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The rapid progression of medical imaging technology and the ability to leverage knowledge from non-invasive imaging means that Interventional Radiologists (IRs) and Interventional Neuroradiologists are optimally placed to incorporate minimally invasive interventional paradigms into clinical management to advance patient care. There is ample opportunity to radically change the management options for patients with a variety of diseases through the use of minimally invasive interventional procedures. However, this will need to be accompanied by an increased clinical role of IRs to become active partners in the clinical management of patients. Unfortunately, the development of IR clinical presence has lagged behind and is reflected by declining rates of IR involvement in certain areas of practice such as vascular interventions. Current and future IRs must be willing to take on clinical responsibilities; reviewing patients in clinic to determine suitability for a procedure and potential contraindications, rounding on hospital inpatients and be willing to manage procedure related complications, which are all important parts of a successful IR practice. Increasing our clinical presence has several advantages over the procedure-driven model including enhanced patient knowledge and informed consent for IR procedures, improved rapport with patients and other clinical colleagues through active participation and engagement in patient care, visibility as a means to facilitate referrals and consistency of follow-up with opportunities for further learning. Many of the solutions to these problems are already in progress and the use of IR as a "hired gun" or "technician" is a concept that should be relegated to the past, and replaced with recognition of IRs as clinicians and partners in delivering modern high quality multidisciplinary team-based patient care. The following article will review the history of IR, the challenges facing this rapidly evolving profession and discuss recent developments occurring globally that are essential in maintaining expertise, securing future growth and improving patient outcomes in the modern multidisciplinary practice of medicine.

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Section: Ward Roundsmentioning

confidence: 99%

Section: Ward Roundsmentioning

confidence: 99%