May 18, 2020
2
0
Status
  1. Resident [Any Field]
Hello,
I recently graduated med school and will be starting residency in diagnostic rads after an intern year in general surgery. I'll be going to a mid-tier academic place with 2 ESIR spots/year. Right off the bat, I don't mean to come off as neurotic. I am indeed enjoying my vacation time, but I do find it valuable to set short-term goals for myself. I did not apply to direct IR programs, but have developed a strong desire to pursue this path as a fellowship after rotating with IR during my fourth year of med school
My understanding, through interviewing with DR, is that obtaining fellowship in most non-IR subspecialties is fairly easy, but I have no clue how competitive IR fellowships are. A few questions I have:

1) I read that 2-year VIR fellowships are shutting down, and 2-year independent IR fellowships will replace them. What is the difference between these two?
2) Any advantages/disadvantages to applying to independent IR fellowships through ESIR vs. non-ESIR?
3) I also wanted to know what exactly the application criteria is for 1) obtaining an ESIR spot and 2) independent IR fellowships. How much weight is placed on Step 1/2/3? Research? Letters? Med school grades?
4) And lastly, I wanted some advice on what I can be doing now to bolster my chances of getting on the ESIR path and being competitive for fellowship. I have thought about getting involved in IR or vascular surgery projects during my surgical intern year. For fellowship, I would ideally like to end up in a specific geographic region (and a specific school) in order to be closer to family.

Thanks!
 
Feb 3, 2019
324
139
Hello,
I recently graduated med school and will be starting residency in diagnostic rads after an intern year in general surgery. I'll be going to a mid-tier academic place with 2 ESIR spots/year. Right off the bat, I don't mean to come off as neurotic. I am indeed enjoying my vacation time, but I do find it valuable to set short-term goals for myself. I did not apply to direct IR programs, but have developed a strong desire to pursue this path as a fellowship after rotating with IR during my fourth year of med school
My understanding, through interviewing with DR, is that obtaining fellowship in most non-IR subspecialties is fairly easy, but I have no clue how competitive IR fellowships are. A few questions I have:

1) I read that 2-year VIR fellowships are shutting down, and 2-year independent IR fellowships will replace them. What is the difference between these two?
2) Any advantages/disadvantages to applying to independent IR fellowships through ESIR vs. non-ESIR?
3) I also wanted to know what exactly the application criteria is for 1) obtaining an ESIR spot and 2) independent IR fellowships. How much weight is placed on Step 1/2/3? Research? Letters? Med school grades?
4) And lastly, I wanted some advice on what I can be doing now to bolster my chances of getting on the ESIR path and being competitive for fellowship. I have thought about getting involved in IR or vascular surgery projects during my surgical intern year. For fellowship, I would ideally like to end up in a specific geographic region (and a specific school) in order to be closer to family.

Thanks!
 

irwarrior

10+ Year Member
Oct 19, 2008
350
178
Status
Hello,
I recently graduated med school and will be starting residency in diagnostic rads after an intern year in general surgery. I'll be going to a mid-tier academic place with 2 ESIR spots/year. Right off the bat, I don't mean to come off as neurotic. I am indeed enjoying my vacation time, but I do find it valuable to set short-term goals for myself. I did not apply to direct IR programs, but have developed a strong desire to pursue this path as a fellowship after rotating with IR during my fourth year of med school
My understanding, through interviewing with DR, is that obtaining fellowship in most non-IR subspecialties is fairly easy, but I have no clue how competitive IR fellowships are. A few questions I have:

1) I read that 2-year VIR fellowships are shutting down, and 2-year independent IR fellowships will replace them. What is the difference between these two?

They used to be 1 year VIR fellowships and now it will be 2 years of VIR training/ after 5 years of diagnostic training (very few 2 year independent training programs currently available). Demand is high but supply is low.


2) Any advantages/disadvantages to applying to independent IR fellowships through ESIR vs. non-ESIR?

ESIR tend to have more options ie more 1 year independent residency spots readily available. Total time of training is 6 years as opposed to 7 years in non ESIR training. If your ESIR training is mediocre (ie low complexity, not strong clinical training, limited autonomy), it would be better to do a 2 year Independent VIR residency after training.

3) I also wanted to know what exactly the application criteria is for 1) obtaining an ESIR spot and 2) independent IR fellowships. How much weight is placed on Step 1/2/3? Research? Letters? Med school grades?

The things that may be considered include
1) surgical internship
2) VIR letters
3) Scores including Step scores/ in-service scores
4) VIR research
5) VIR case log/ number of VIR rotations and case breadth
6) Clinical rotations (number of ICU / vascular surgery etc clinical rotations)
7) Involvement in SIR
8) Having someone well known in the program director circles of VIR make a phone call for you

4) And lastly, I wanted some advice on what I can be doing now to bolster my chances of getting on the ESIR path and being competitive for fellowship. I have thought about getting involved in IR or vascular surgery projects during my surgical intern year. For fellowship, I would ideally like to end up in a specific geographic region (and a specific school) in order to be closer to family.

Do well on your diagnostic radiology rotations, in -service exams and make sure that you keep your VIR and DR program directors happy as often they are responsible for determining ESIR candidacy and writing the letters required for VIR fellowship.

Thanks!
 

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