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The State of Medical Student Teaching of Interventional Radiology: Implications for the Future
Affiliation:1. Icahn School of Medicine at Mount Sinai, New York, New York;2. University of Colorado at Denver–Anschutz Medical Campus, Aurora, Colorado;3. Vanderbilt University Medical Center, Nashville, Tennessee;4. Emory University, Department of Radiology and Imaging Sciences, Atlanta, Georgia;1. Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, Baltimore, Maryland;2. University of Pennsylvania, Philadelphia, Pennsylvania;1. University of Arizona College of Medicine, Phoenix, Arizona;2. Division of Urology, Banner MD Anderson Cancer Center, Gilbert, Arizona;3. Division of Radiation Oncology, Banner MD Anderson Cancer Center, Gilbert, Arizona;1. Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts;2. Harvey L. Neiman Health Policy Institute, Reston, Virginia;3. School of Economics, Georgia Institute of Technology, Atlanta, Georgia;4. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;1. Department of Radiology, Indiana University School of Medicine, Indianapolis, Indiana;2. Department of Medicine, College of Medicine, University of Florida, Gainesville, Florida;1. Johns Hopkins School of Medicine, Baltimore, Maryland;2. Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institution, Baltimore, Maryland
Abstract:IntroductionThe formation of integrated interventional radiology (IR) residency programs has changed the training paradigm. This change mandates the need to provide adequate exposure to allow students to explore IR as a career option and to allow programs to sufficiently evaluate students. This study aims to highlight the availability of medical student education in IR and proposes a basic framework for clinical rotations.Materials and MethodsThe Liaison Committee on Medical Education (LCME) website was utilized to generate a list of accredited medical schools in the United States. School websites and course listings were searched for availability of IR and diagnostic radiology rotations. The curricula of several well-established IR rotations were examined to identify and categorize course content.ResultsIn all, 140 LCME-accredited medical schools had course information available. Of those schools, 70.5% offered an IR rotation; 84.6% were only available to senior medical students and only 2% were offered for preclinical students; and 8.1% of courses were listed as subinternships. Well-established IR clerkships included a variety of clinical settings, including preprocedure evaluation, experience performing procedures, postprocedure management, and discharge planning.ConclusionMedical student exposure to IR is crucial to the success of integrated IR residency programs. Current research shows few institutions with formal IR subinternship rotations. Although 70.5% of institutions have some form of nonstandardized IR course, 84.6% are available only to fourth-year students, and 2% are offered to preclinical students. This suggests there is a significant opportunity for additional formal exposure to IR through increasing availability of IR rotations and exposure during the clinical and preclinical years.
Keywords:Interventional radiology subinternship  subinternship  interventional radiology elective  medical school clerkship  integrated interventional radiology and diagnostic radiology residency  medical student education
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