Explain IR match

[Rogue42]

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Hello,

I have tried researching this outside of this forum but I cannot really find an answer.

I know that there were like 3 paths to IR, but now there is like only 1 or something to that extent. I also know that, traditionally, they are required to do one year in internal medicine first. However, when I go to look at match lists for multiple different schools (MD or DO), I never find IR matches. I only find Diagnostic Radiology matches / Internal Medicine matches. They never specify IR anywhere (usually). Do IR matches match into DR first or into internal med first? Or am I just missing something on match lists? For example, even in the recent forum for 2019 DO matches, people are talking about the IR matches. But I have not seen them actually listed anywhere outright as IR matches. What am I missing? What do I not understand?

Also, I am interested in DR which is relatively DO friendly. Is IR also DO friendly?

 

[Goro]

Hello,

I have tried researching this outside of this forum but I cannot really find an answer.

I know that there were like 3 paths to IR, but now there is like only 1 or something to that extent. I also know that, traditionally, they are required to do one year in internal medicine first. However, when I go to look at match lists for multiple different schools (MD or DO), I never find IR matches. I only find Diagnostic Radiology matches / Internal Medicine matches. They never specify IR anywhere (usually). Do IR matches match into DR first or into internal med first? Or am I just missing something on match lists? For example, even in the recent forum for 2019 DO matches, people are talking about the IR matches. But I have not seen them actually listed anywhere outright as IR matches. What am I missing? What do I not understand?

Also, I am interested in DR which is relatively DO friendly. Is IR also DO friendly?

My understanding was that IR was NOT DO-friendly.

But today someone posted that their DO school had three IR matches either this year or last!

 

[DexterMorganSK]

Hello,

I have tried researching this outside of this forum but I cannot really find an answer.

I know that there were like 3 paths to IR, but now there is like only 1 or something to that extent. I also know that, traditionally, they are required to do one year in internal medicine first. However, when I go to look at match lists for multiple different schools (MD or DO), I never find IR matches. I only find Diagnostic Radiology matches / Internal Medicine matches. They never specify IR anywhere (usually). Do IR matches match into DR first or into internal med first? Or am I just missing something on match lists? For example, even in the recent forum for 2019 DO matches, people are talking about the IR matches. But I have not seen them actually listed anywhere outright as IR matches. What am I missing? What do I not understand?

Also, I am interested in DR which is relatively DO friendly. Is IR also DO friendly?

Society of Interventional Radiology- IR Residency

 

[Rogue42]

Society of Interventional Radiology- IR Residency

View attachment 254574

Right, I see this. But does this mean that they match as "Traditional-Rotating" or under some other really weird name?

 

[DexterMorganSK]

Right, I see this. But does this mean that they match as "Traditional-Rotating" or under some other really weird name?

It seems like you first match into DR

 

[km93]

Interventional Radiology used to be a fellowship. Meaning that to be an IR physician, you first needed to complete a Diagnostic Radiology residency followed by an IR fellowship. Starting in 2014, integrated IR residencies were approved by the ACGME. Meaning that yes, M4s can now match directly into IR, although the first 3 years of an IR residency are still primarily DR. However, for those who discovered IR late (or didn't match as M4s) two other pathways exist for becoming an IR. The first is the traditional IR fellowship following DR residency (DR + 2 yrs), or ESIR (Early Specialization in ER) where you match DR but this pathway allows you to have 12 months of IR training within your DR residency and complete one year of IR fellowship training afterwards (DR + 1 yr). It's confusing. With regards to the 'traditional rotating' internship, most radiology positions are PGY2, meaning that for PGY1 the residents complete a traditional rotating internship (often at another institution).
** Regarding the match lists - if someone matched IR, the match should be listed as Integrated Interventional Radiology (PGY2). If you didn't see IR on a match list, it was either an oversight by an admin making the list, or more likely, no one matched IR from that institution. There are very few spots nationwide (136 PGY2 IR positions), compared to DR (1099 PGY2 positions).

For more info on IR, these are two good resources:
1. Ep 060 – Interventional Radiology with Dr. Michael Schacht
2. IR Residency Pathways — Albany IR

 

[Rogue42]

Interventional Radiology used to be a fellowship. Meaning that to be an IR physician, you first needed to complete a Diagnostic Radiology residency followed by an IR fellowship. Starting in 2014, integrated IR residencies were approved by the ACGME. Meaning that yes, M4s can now match directly into IR, although the first 3 years of an IR residency are still primarily DR. However, for those who discovered IR late (or didn't match as M4s) two other pathways exist for becoming an IR. The first is the traditional IR fellowship following DR residency (DR + 2 yrs), or ESIR (Early Specialization in ER) where you match DR but this pathway allows you to have 12 months of IR training within your DR residency and complete one year of IR fellowship training afterwards (DR + 1 yr). It's confusing. With regards to the 'traditional rotating' internship, most radiology positions are PGY2, meaning that for PGY1 the residents complete a traditional rotating internship (often at another institution).
** Regarding the match lists - if someone matched IR, the match should be listed as Integrated Interventional Radiology (PGY2). If you didn't see IR on a match list, it was either an oversight by an admin making the list, or more likely, no one matched IR from that institution. There are very few spots nationwide (136 PGY2 IR positions), compared to DR (1099 PGY2 positions).

For more info on IR, these are two good resources:
1. Ep 060 – Interventional Radiology with Dr. Michael Schacht
2. IR Residency Pathways — Albany IR

Thanks! very insightful!!

 

[Deecee2DO]

Hello,

I have tried researching this outside of this forum but I cannot really find an answer.

I know that there were like 3 paths to IR, but now there is like only 1 or something to that extent. I also know that, traditionally, they are required to do one year in internal medicine first. However, when I go to look at match lists for multiple different schools (MD or DO), I never find IR matches. I only find Diagnostic Radiology matches / Internal Medicine matches. They never specify IR anywhere (usually). Do IR matches match into DR first or into internal med first? Or am I just missing something on match lists? For example, even in the recent forum for 2019 DO matches, people are talking about the IR matches. But I have not seen them actually listed anywhere outright as IR matches. What am I missing? What do I not understand?

Also, I am interested in DR which is relatively DO friendly. Is IR also DO friendly?

my school (rowanSOM) matched IR this year but im waiting on where and then i can get more info about it for you when i do

 

[chlorocruorin]

Interventional Radiology used to be a fellowship. Meaning that to be an IR physician, you first needed to complete a Diagnostic Radiology residency followed by an IR fellowship. Starting in 2014, integrated IR residencies were approved by the ACGME. Meaning that yes, M4s can now match directly into IR, although the first 3 years of an IR residency are still primarily DR. However, for those who discovered IR late (or didn't match as M4s) two other pathways exist for becoming an IR. The first is the traditional IR fellowship following DR residency (DR + 2 yrs), or ESIR (Early Specialization in ER) where you match DR but this pathway allows you to have 12 months of IR training within your DR residency and complete one year of IR fellowship training afterwards (DR + 1 yr). It's confusing. With regards to the 'traditional rotating' internship, most radiology positions are PGY2, meaning that for PGY1 the residents complete a traditional rotating internship (often at another institution).
** Regarding the match lists - if someone matched IR, the match should be listed as Integrated Interventional Radiology (PGY2). If you didn't see IR on a match list, it was either an oversight by an admin making the list, or more likely, no one matched IR from that institution. There are very few spots nationwide (136 PGY2 IR positions), compared to DR (1099 PGY2 positions).

For more info on IR, these are two good resources:
1. Ep 060 – Interventional Radiology with Dr. Michael Schacht
2. IR Residency Pathways — Albany IR

Thank you for the info! What exactly is a prelim year? And for the case of say the IR integrated residency, would you have to apply for the prelim year and then after getting in then again apply for the IR residency? I see that many school match lists say this and I'm pretty confused on it. I'll be starting med school this fall.

 

[Splenda88]

Why is IR so competitive?

Do IR docs make >500k/yr? Does IR have a great lifestyle like derm or psych?

 

[AnatomyGrey12]

What exactly is a prelim year?

A one year internship, general medicine basically, you do before starting your actual residency at PGY-2

And for the case of say the IR integrated residency, would you have to apply for the prelim year and then after getting in then again apply for the IR residency?

I believe so yes, although some programs might have the pre-lim year enfolded at the same institution as some other PGY-2 programs do this but I don't know.

 

[AnatomyGrey12]

Do IR docs make >500k/yr?

Yes you can make a lot of money in IR. Heavily procedure based obviously, and they do some pretty cool stuff. Not for me but I can definitely see the appeal.

Does IR have a great lifestyle like derm or psych?

No. It's often said you work surgeon hours.

 

[Splenda88]

Yes you can make a lot of money in IR. Heavily procedure based obviously, and they do some pretty cool stuff. Not for me but I can definitely see the appeal.


No. It's often said you work surgeon hours.

I see... Now millenials care about lifestyle and/or the $$$

 

[Winter2014]

I see... Now millenials care about lifestyle and/or the $$$

Yeah millennials also got Dat 350k loan to pay off...

 

[nimbus]

I see... Now millenials care about lifestyle and/or the $$$

I went to med school 30 years ago. People cared about it then too. Nothing has changed.