I like the video. I think he misses a big point though: Med students didn't know IR existed in 2008. The IR fellowship match in 2008 was very poor (90 something out of 170 spots) because it was selecting from the pool of radiologists. Diagnostic radiologists made bank in 2008 with low-volumes and high reimbursement. Who amongst them would self-select for a career with longer hours, and (potentially) less pay? It's a completely different pool today. He's right that IR is very much like cardiology and vascular surgery in terms of endovascular approaches; these are some of the highest-reimbursing and most interesting procedures, especially to wide-eyed medical students like myself.