Residency and Fellowship Programs

*As of 2020, the LSUHSC-New Orleans Interventional Radiology Integrated Residency is providing Residency Essentials to its residents in IR.  This resource developed by the Society of Interventional Radiology and Association of Program Directors in Interventional Radiology is a two-year, self-paced online training and education program for residents that delivers uniform, high-quality education covering the breadth of IR in one curriculum.  As a participant in the development of this educational tool, we are happy to provide this excellent curriculum to our trainees that complements our procedure room, didactic, and bedside teaching.  

 

 

In addition to Residency Essentials, the Interventional Radiology/Diagnostic Radiology Residency Curriculum is organized by Lecture Topic:

 

The PGY 5-6 IR/DR Curriculum is structured to provide comprehensive education on all facets of IR including safety, clinical evaluation, treatment, follow-up care, practice standards, and maintenance of certification.    The curriculum lasts two years and is organized into five sections: Fundamentals of Image-Guided Interventions, Clinical Care in Interventional Radiology, Vascular Imaging and Diagnosis, Vascular Procedures, and Non-Vascular Interventions.  Each part of these subjects will be presented by an assigned faculty member who will lead a discussion of relevant topics.  1 part will be covered in 1-2 weeks depending upon the topic length and resident rotation (if there is an IR resident on IR service).  Reading assignments will be given prior to each lecture, including chapters from Image-Guided Interventions, 2nd Edition (Mauro) (listed in parentheses), Interventional Radiology Procedures in Biopsy and Drainage, Techniques in IR Series (Gervais) (listed in parentheses, designated as IR Bx&D, with chapter) as well as supplemental material from the presenter.  Lectures will be held twice weekly in 1-hour blocks on Tuesdays and Thursdays in the afternoon with the attending assigned to IR Clinic.  Residents are excused from clinical duty at these times and are expected to attend.  70% of overall attendance (including vacation) is mandatory for promotion. 

 

Fundamentals of Image-Guided Interventions

Part 1:

•          Basic Tools (4-12)

•          Basic Imaging Techniques (2)

•          Specific Techniques and Devices (2)

Part 2:

•          Radiation Safety (17)

•          Biosafety (17)

•          Occupational Hazards (17)

Part 3:

•          Quality Improvement (PMID 21997978[1])

•          Joint Commission

•          Hospital Standards

•          Regulatory Supervision and Reporting 

Part 4:

•          ACGME Competencies (IR Milestones)

•          Certification (http://www.theabr.org/ic-vir-landing)

•          MOC (https://myabr.theabr.org/MOC/home)

•          Participation in Societies

Part 5:

•          Research and Publishing (Paula Gregory, Ph.D.)

• Statistics (PMC3800037[2], PMC3800031[3])

•          Literature Search and Interpretation (LSUHSC Librarian)

•          HIPAA (http://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/)

 

Clinical Care in Interventional Radiology

Part 1:

•          Focused History and Physical Examination (15)

•          Informed Consent (R. Kuebler, MD/JD, Informed Consent lecture)

• Procedural Sedation, Reversal Agents (19, Sedation for IR- PMID: 23479720[4])

•          Recognition and Initial Management of IR Emergencies (16)

•          IR Reporting (SIR Quality Improvement Initiatives, http://www.sirweb.org/clinical/quality.saspx)

Part 2:

•          Inpatient Care (22,23,24)

•          Clinical Care/IR Clinic (18)

•          Pharmacology (22,23,24)

•          Health Care Conditions Relevant to IR

•          Health Care Team Coordination

•          Billing and Coding

 

Vascular Imaging and Diagnosis

Part 1:

•          Clinical Vascular Examination (15)

•          Non-Invasive Vascular Lab (2)

•          CTA/MRA (2)

•          US (2)

Part 2:

•          Angiography (3,20)

• Diagnostic angiography-normal anatomy, vessel selection, and injection rates
• Diagnostic angiography abnormals

 

Vascular Procedures (assigned by topic):

Part 1:

•          Aortic Interventions (35,46-51,82,83)

Part 2:

•          Visceral Aneurysm Interventions (73)

•          Renal Artery Interventions (57-61)

Part 3:

•          Hepatic Arterial Interventions (64-70)

Part 4:

•          Uterine Artery Interventions (75-77)

Part 5:

•          Bronchial Artery Embolization (84)

•          GI Bleeding—Arterial (53, 54)

•          Mesenteric Ischemia (55, 56)

Part 6:

•          Arterial Trauma Interventions (71, 78, 97, 98)

Part 7:

•          Transjugular Intrahepatic Porto-Systemic Shunt (TIPS) (112)

Part 8:

•          Balloon-occluded Retrograde Transvenous Obliteration (BRTO) of Gastric Varices (113)

Part 9:

•          Portal Vein Dilation and Stenting (103, VuMedi Webinar DIPS)

•          Portal Vein Recanalization (103, VuMedi Webinar DIPS)

•          Portal Vein Embolization (PMC3444878[5])

Part 10:

•          Variceal Obliteration, Sclerosis (79-81)

Part 11:

•          Pulmonary Artery Arteriovenous Malformation (AVM) (86)

•          Intervention/Treatment of Arteriovenous Malformation (AVM) (44,45,85)

Part 12:

•          Reproductive Tract (81)

Part 13:

•          Pulmonary Embolism (PE) Management—Thrombolytic Therapy (86)

Part 14:

•          Upper-Extremity / Superior Vena Cava Occlusive Disease (99,102)

Part 15:

•          Lower-Extremity Venous Occlusive Disease (100, 101)

Part 16:

•          Caval Filtration (104)

•          Transvenous Biopsy, Venous Sampling for Endocrine Disease (108-111)

Part 17:

•          Hemodialysis Access Management (114-117)

Part 18:

•          Venous Access (118-121)

Part 19:

•          Foreign Body Retrieval (107)

Part 20:

•          Lymphangiography (121-123)

•          Thoracic Duct Ablation (124)

 

Non-Vascular Interventions (assigned by topic):

Part 1:

•          Biopsy in the Abdomen and Pelvis (125,126)

•          Liver Biopsy (IR Bx&D Liver Biopsy)

•          Thoracic Biopsy (IR Bx&D Chest Biopsy, Mediastinal Biopsy)

•          Bone Biopsy (IR Bx&D Bone Biopsy)

•          Soft Tissue Biopsy (Adrenal, Renal, Pancreatic, Lymph Node, Splenic, Thyroid and Prostate Biopsy)

Part 2:

•          Abdominal, Pelvic Drainage (127) (IR Bx&D Drainage of Abdominal, Pelvic Fluid Collection)

•          Solid Organ Abscess Drainage (IR Bx&D Intrathoracic, Liver Collections)

• Appendiceal, Peri-Appendiceal Abscess Drainage (IR Bx&D Drainage of Abdominal and Pelvic Fluid Collections) (PMID:20410514)[6]

Part 3:

•          Pancreatic Inflammatory Disease (128) (IR Bx&D Drainage of Pancreatic Abscess and Fluid Collections, )

•          Enterocutaneous Fistula

Part 4:

•          Follow-Up Care and Procedures

Part 5:

•          Paracentesis

•          Placement of Tunneled Peritoneal Drain

Part 6:

•          Simple Cysts

•          Lymphocele Drainage and Sclerosis, Seroma Drainage and Sclerosis

Part 7:

•          Esophageal Intervention (129)

•          GI Tract Stenting (Duodenal and Colonic) (130)

Part 8:

•          Gastrostomy and Gastrojejunostomy (132,133) Percutaneous Cecostomy

•          Percutaneous Jejunostomy

Part 9:

•          Percutaneous Transhepatic Cholangiography (PTC) (134-139)

•          Biliary Drainage (134-139) (IR Bx&D Percutaneous Biliary Drainage and Stenting)

Part 10:

•          Biliary Dilation and Stent, Percutaneous (134-139) (IR Bx&D Percutaneous Biliary Drainage and Stenting)

•          Cholecystostomy (134-139) (IR Bx&D Cholecystostomy and Choloecystolithotomy)

Part 11:

•          Percutaneous Nephrostomy (146,147) (IR Bx&D Percutaneous Nephrostomy and Antegrade Ureteric Stenting)

•          Nephroureteral Dilation and Stenting (146)

•          Suprapubic Cystostomy

•          Urodynamics (145)

Part 12:

•          Renal Cyst Sclerosis (147)

•          Renal and Peri-Renal Fluid Collection Drainage (147)

Part 13:

•          Ablation of the Kidney (140)

Part 14:

•          Ablation of the Adrenal Gland (151)

Part 15:

•          Hysterosalpingography and Fallopian Tube Interventions (150)

•          High-Intensity Focused Ultrasound (HIFU) (149)

Part 16:

•          Treatment of Uterine Leiomyomata (Fibroids) (75,76)

Part 17:

•          Ablation of Liver Masses (141-144)

•          Chemical Ablation of Liver Masses (144)

Part 18:

•          Thoracentesis/Chest Tube Placement (153)

•          Tunneled Pleural Drainage Catheters (153)

•          Sclerotherapy (Pleurodesis) (153)

•          Airway Dilation and Stenting (156)

Part 19:

•          Lung Tumor Ablation (154)

Part 20:

•          Breast Drainage

•          Breast Biopsy

Part 21:

•          Percutaneous Vertebroplasty (159)

•          Vertebral height Restoration
(159)

•          Percutaneous Disc Interventions (161)

Part 22:

•          Thermal Ablation of Bone Lesions (158, 159)

Part 23:

•          Chemical Ablation of Desmoid Tumors (162)

Part 24:

•          Selective Nerve Root Block (163)

•          Stellate Ganglion Block (164)

•          Facet Injections (164)

 

51 topics-covered throughout the two-year curriculum.

 

1. Kruskal JB, Eisenberg R, Sosna J, Yam CS, Kruskal JD, Boiselle PM: Quality initiatives: Quality improvement in radiology: basic principles and tools required to achieve success. Radiographics 2011, 31:1499-1509.

2. Hickey R, Vouche M, Sze DY, Hohlastos E, Collins J, Schirmang T, Memon K, Ryu RK, Sato K, Chen R, et al.: Cancer concepts and principles: primer for the interventional oncologist-part I. J Vasc Interv Radiol 2013, 24:1157-1164.

3. Hickey R, Vouche M, Sze DY, Hohlastos E, Collins J, Schirmang T, Memon K, Ryu RK, Sato K, Chen R, et al.: Cancer concepts and principles: primer for the interventional oncologist-part II. J Vasc Interv Radiol 2013, 24:1167-1188.

4. Moran TC, Kaye AD, Mai AH, Bok LR: Sedation, analgesia, and local anesthesia: a review for general and interventional radiologists. Radiographics 2013, 33:E47-60.

5. May BJ, Madoff DC: Portal vein embolization: rationale, technique, and current application. Semin Intervent Radiol 2012, 29:81-89.

6. van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, van Goor H, Schaapherder AF, van Eijck CH, Bollen TL, et al.: A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 2010, 362:1491-1502.