ESIR program list

[cca3115]

So as application season starts to creep up I thought it would be prudent to start getting a collective list of all the programs that will be providing an ESIR program. While there have been a handful of programs approved via SIR, the website also directly mentions that the most appropriate way for us to determine which programs will be offering this platform is via direct contact with the specific programs. As such, I thought that if we all posted programs that we have contacted then it would make the whole process significantly simpler for all of us involved.

Currently approved programs

• 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

I also know that Ochsner will also be providing ESIR

Cheers

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[Cheyf]

Sorry for my ignorance. Ochsner in what city? I don't see them listed on the SIR website.

 

[kavorca]

I assume New Orleans

 

[Cognovi]

As of 6/4/16, there are 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
• 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

 

[irwarrior]

As you go through this list, it is key to look at a few things.

How much IR or clinical rotations are covered early on. It is important to maintain clinical and procedural integration for the full 6 years. Also, don't focus on volume but instead look at the scope and breadth of cases and the case logs of the IR trainees. If they are doing a lot of central venous access and not a lot of arterial cases, consider another program. Admitting privileges are very important as you need to feel comfortable admitting your own patients and knowing what post procedural issues you may need to deal with (bleeding, limb ischemia, diabetes control, blood pressure management, pain management etc). Also, make sure that the residents are seeing a decent number of patients weekly in clinic. See if the IR division are still accepting orders for invasive procedures or are they truly a consult only practice.

The quality of IR training is extremely variable and there are a handful of centers that are providing comprehensive clinical care. It is important if you want to be able to develop a strong clinical practice that you go to a training program that will make you ready.

 

[NWwildcat2013]

I am confused about what ESIR means? Is this the same as the integrated IR residency?

 

[preDoGuy24]

I am confused about what ESIR means? Is this the same as the integrated IR residency?

No not the same. If I'm not mistaken it's early specialization in interventional radiology-essentially you have to complete a certain amount of IR rotations and procedures and in return are able to do a 1 year fellowship instead of the 2 year one things are transitioning too.


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[NWwildcat2013]

No not the same. If I'm not mistaken it's early specialization in interventional radiology-essentially you have to complete a certain amount of IR rotations and procedures and in return are able to do a 1 year fellowship instead of the 2 year one things are transitioning too.


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So from what I understand there will be 3 options:

1. Independent pathway which is a 2 year IR fellowship after DR.
2. ESIR pathway which is a 1 year IR fellowship after DR (still have to apply for that 1 year?)
3. Integrated pathway which is 5 years of IR/DR

I thought that the fellowship used to be just 1 year after DR, so it sounds like they decided 1 year was insufficient if you did't have more IR exposure during the DR years. If you get more structured IR exposure through ESIR then they basically allow you to continue the way things have been.

Is that roughly correct?

 

[NWwildcat2013]

How much medical management do IR docs do? Is it very similar to surgery in that regard?


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