Interventional Neuroradiology

[vtucci]

Hi Guys. A good friend of mine is interested in interventional neuroradiology. She wanted to know if there is a residency for this directly or if she needs to do a fellowship for the neuro portion, is there a residency for interventional radiology?

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[f_w]

For INR, there are 3 pathways

Either:

- 1 year internship
- 4 years diagnostic radiology residency
- 1 year diagnostic neuroradiology fellowship
- 1-3 years interventional neuroradiology fellowship

Or:

- 6-7 years neurosurgery residency
- 1-3 years interventional neuroradiology fellowship

Or:

- 1 year internship
- 3 years neurology residency
- 1 year stroke or neurointensive care felllowship
- 1-3 years interventional neuroradiology fellowship

For interventional radiology (body, not neuro) there are 2 pathways:

Either:

- 1 year internship
- 4 years diagnostic radiology residency
- 1 year interventional radiology fellowship

Or:

- 2 years internship+categorical PGY-2 in surgery, medicine or any other ACGME specialty
- 4 years integrated diagnostic and interventional radiology residency (21 months of IR, rest DR)


Hope that helps.

 

[anon-y-mouse]

- 1 year internship
- 4 years diagnostic radiology residency
- 1 year interventional radiology fellowship

From here, what's the path to INR? 1-3 years INR or diagnostic neuroradiology first?

 

[f_w]

From here, what's the path to INR? 1-3 years INR or diagnostic neuroradiology first?

Technically you need a year of neurorads, but unless the INR fellowship is ACGME accredited (only few are), the fellowship director can take whoever he pleases. If you did a radiology residency, you typically have considerable neuroradiologic experience. The additional year of diagnostic NR is probably less important than the angio experience you bring along after a IR fellowship.

 

[anon-y-mouse]

Technically you need a year of neurorads, but unless the INR fellowship is ACGME accredited (only few are), the fellowship director can take whoever he pleases. If you did a radiology residency, you typically have considerable neuroradiologic experience. The additional year of diagnostic NR is probably less important than the angio experience you bring along after a IR fellowship.

What are the pitfalls of completing a non-ACGME accredited fellowship? Will there be any insurance company compensation problems or board issues? Are non-ACGME fellowships also listed on FREIDA?

 

[f_w]

What are the pitfalls of completing a non-ACGME accredited fellowship? Will there be any insurance company compensation problems or board issues? Are non-ACGME fellowships also listed on FREIDA?

No real downside. There is no board certification or 'certificate of additional qualification' in INR. A common standard is senior membership in ASITN. And becoming an ASITN member is more based on the 'master-apprentice' model and case-lists signed off by your mentor than a formal ACGME type curriculum (ASITN doesn't care whether you are nice to little old grandmas. They care whether you can safely get into someones brain and out only leaving your coils and glue behind).

 

[Happy613]

For INR, there are 3 pathways

Either:

- 1 year internship
- 4 years diagnostic radiology residency
- 1 year diagnostic neuroradiology fellowship
- 1-3 years interventional neuroradiology fellowship

Or:

- 6-7 years neurosurgery residency
- 1-3 years interventional neuroradiology fellowship

Or:

- 1 year internship
- 3 years neurology residency
- 1 year stroke or neurointensive care felllowship
- 1-3 years interventional neuroradiology fellowship

For interventional radiology (body, not neuro) there are 2 pathways:

Either:

- 1 year internship
- 4 years diagnostic radiology residency
- 1 year interventional radiology fellowship

Or:

- 2 years internship+categorical PGY-2 in surgery, medicine or any other ACGME specialty
- 4 years integrated diagnostic and interventional radiology residency (21 months of IR, rest DR)


Hope that helps.

just one thing,

For neurology, most programs require either one year of a stroke fellowship or two year of neuro critical care. However if you do stroke and want to do interventional you spend most of that year doing ICU anyway. So in the end the neurology route usually (i am sure there are some exceptions) takes a total of 7 or 8 years.