Recent content by irwarrior

Neurologists who go into NeuroInterventional. All neurosurgeons know do cerebral angiography as part of their training, while the requirement for neuro angiography is no longer a part of neuroradiology requirements.

If the scanners become an issue and the volumes are high enough, it is often that the hospital will obtain a dedicated procedural CT scanner. Alternatively can consider a joint CT/angio unit such as Cannon and Siemens have. Didn't Radpartner get a huge influx of money recently?

If you are set on Interventional the more VIR aways the better, but it is nice to get a strong surgical subI letter if you can. The main issue being faced by IR PD is the drop outs from IR to DR and they want to see commitment. There is growing bias of DR against IR applicants as well as...

Hearing of more and more Interventionalists being hired by hospital as well. It used to be unheard of. I wonder if this is due to private equity coming into the picture with radiology and minimizing the role of IR in the hospital and the hospital and the VIR physicians may have both been...

Challenge with interventional radiology is the emergent nature of the field. It requires taking a lot of call and dealing with a lot of patients that are hemorrhaging such as post partum, GI bleed, epistaxis, hemoptysis, spontaneous RP bleeds, pseudo aneurysm post Cath, trauma bleeds etc. More...

It is important as you build your VIR practice to track 1) number of hospital admissions to your service 2) number of imaging studies you ordered 3) value of the procedure (technical component) 4) consults of other services that you requested. These all have to be uniquely referred to you from...

Those who want high end VIR training and early incorporation of clinical rotations etc should make sure they id programs that enable that as well as work with whatever program they go to get more time with direct patient care in the early years.

I think there are many specialties that use imaging and do it well. Cardiac anesthesia with TEE, cardiology with nuclear, echo, angiography. Neurosurgery with CT , MRI of brain and spine. Vascular surgery with vascular us. Radiology will not make you comfortable with pelvic angiography and...

In an ideal world that may work. Challenge is the VIR graduate has geographic limitations , financial obligations an often don't have the luxury of multiple options. But, I agree you have to at least ask for dedicated clinic time, clinic infrastructure and ability to market and brand the...

The problem is that the DR lists are only getting longer and it is very hard to recruit DR physicians. It is much easier to hire an IR to do DR and do "simple" IR . The goal of those practices is to limit IR growth. The opportunity of cost of taking a person from clearing the list is too high...

That is the key. But, pseudo exclusive contracts prevent independent VIR groups from negotiating with the hospital. Perhaps as private equity continues to expand and increase their footprint in radiology they will have to give up the costly IR component. This way the hospital will directly...

The DR will be more likely to give up the IR and Pseudo exclusive contracts will go. There may not be as many IR out in practice, but there will be more offering pain/spine interventions, dialysis , pad, neuro/stroke/ bph/ fibroids/ dvt and pe work. The current graduates are becoming more and...

Imaging is no longer the purview of only radiology. Every surgical specialty uses imaging and has gotten quite good at it. Urology uses advanced imaging including MRI for prostate interventions and biopsies. Cardiology/cardiac surgery use echo/cta etc for tavr and structural work. IR does...

There is a high attrition rate from IR to DR during residency. Students are unaware or don't know what taking interventional call and weekends can really look like. They are often not ready for the emergency nature and more rigorous lifestyle of IR. DR job market, lifestyle, finances, remote...

Agree VIR with multiple service lines and comprehensive clinic can be indispensable. The services of any specialist is financed by the hospital. The hospital billing for PE admission/ ICU/ thrombectomy is very high and the downstream revenue of having a PERT team can not be understated. A PAD...