Crurent rads resident. I have felt the same since the begining. Went into radiology with the sole purpose of doing IR. Still no question in my mind; I will be going into IR. Conciously chose not to do the direct pathway as I would have been dissapointed to have matched into one only later to find out that it lacks some of the things I really want to do in IR. Having said that, our IR dept is amazing but, it is lacking in 2 areas that I am very interested in getting great training in.
any thoughts on interventional cardiology (yeah I know touchy subject lol) in regards to endovascular procedures, even beyond the heart? I have seen studies showing cardiologists and vasc surgeons taking more and more of the endovascular cases while rads is losing a small amount comparatively (based off medicare billing info).
In my case I don't mind DR and could get through residency but not entirely convinced on IR's future in endovascular work (which I think most people find the most interesting and enjoyable). I see IR moving to a lot more oncology (unless radonc takes it or this aspect of IR is absorbed into radonc - which doesn't sound that bad imo for those interested in that kind of stuff with the working relationship with rads and radonc - hopefully surg onc doesn't take it...) based work as well as CT guided stuff while retaining it's diagnostic routes as well (such as angios). I also don't mind IM too much and could do that residency. Oh and don't get me wrong. They'll always be a need for IR I just think their role is starting to change. Also I will say I think academic IR is completely different that PP IR with respect to the cases each does so it is sometimes hard to lump IR into one big pool.
Is IR fellowship harder to get than cards? Percentages for US grads matching is essentially the same. Figure competing against the typical IM resident doing cards is a little easier than the typical rads resident (arguably they have much better board scores and things of that nature, plus interest in IR is on the rise in students, residents, and docs looking for a job lol).