About the Program
The Interventional Radiology Fellowship is a one-year ACGME accredited program. Our goal is to produce an interventionalist with strong clinical and procedural abilities and academic experience appropriate for a career in private or academic practice.
Full training is accomplished by rotating the fellows through all the different areas of interventional radiology encompassing a variety of invasive diagnostic and image-guided therapeutic techniques, including all aspects of radiological diagnosis and treatment of a wide array of organs, including blood vessels, biliary ducts, urinary tract, gastrointestinal tract as well as magnetic resonance and computed tomographic studies of blood vessels.
The program is structured to enhance the trainee’s knowledge of the signs and symptoms of disorders amenable to diagnosis and/or treatment by interventional radiological techniques. An understanding of the symptoms, as well as the pathophysiology and natural history of the disorders, is fostered.
The trainee will learn the indications and contraindications to vascular and interventional procedures, as well as understand the medical and surgical alternatives to those procedures.
Goals and Objectives
- Perform invasive procedures such as diagnostic angiography, diagnostic cholangiography, diagnostic pyelography, needle-placement under image guidance, arterial and venous percutaneous transluminal angioplasty, stent placement catheter-directed thrombolysis, mechanical thrombectomy, embolization, foreign body retrieval, biliary, GU, GI, peritoneal, extraperitoneal and thoracic drainage and sclerotherapy procedures, ureteral embolization procedures, biliary, GI and GU striction dilation and stent placement, biliary and GU stone removal/manipulation, caval filter placement, central venous access placement, tracheobronchial intervention
- Interpret non-invasive imaging studies to determine that the requested procedure is appropriate and, if not, assign the correct procedure
- Identify factors from patient history, physical and laboratory values that indicate potential risks for bleeding, renal damage, cardiovascular problems, breathing abnormalities, or adverse drug interactions during or after the procedure
- Properly evaluate a patient before an interventional procedure using a focused history and physical format and provide appropriate patient follow-up in the inpatient and outpatient setting
- Administer and maintain effective conscious sedation for patient comfort during and after the procedure
- Recognize and treat complications during and after the procedure including but not limited to contrast/anaphylactic reaction, over sedation, pain, nausea/vomiting, arrhythmia, decreased oxygen saturation, sepsis, hypertensive urgency/emergency, low blood pressure, hyper-hypoglycemia or bleeding/hematoma
- Understand radiographic and cross-sectional imaging (sonographic, CT and MR) applied to the diagnosis and performance of interventional procedures
- Recognize and understand emergency procedures, their indications and impact