NewApplication:InterventionalRadiology

ReviewCommitteeforRadiology

ACGME

Note:Someinformationrequestedinthisapplicationappliesonlytoindependent interventional radiology (independent) programs, andotherinformationappliesonlytointegrated interventional radiology (interventional) programs.Ifa question is notspecificallydesignated,therequestedinformationappliestoboth Independent and Integrated formats.Institutionsapplyingforboth Independent and Integrated programsmustanswerallitemsontheform.

ProgramFormat

  1. Indicatetherequestedprogramformat.[PRsInt.D.1.andInt.D.2.]

(Checkbothboxesifyouplan toapplyforbothanindependent andintegrated program.)

Independentformat(24 months) / ☐ /
Integratedformat(60 months) / ☐ /
  1. Indicate the number of existing residents/fellows in the diagnostic radiology and vascular and interventional radiology program(s) as applicablein Table A below:

Existing Training Numbers
Diagnostic Radiology Residents / Vascular and Interventional Radiology Fellows
(if applicable)
PGY-2 / # /
PGY-3 / # /
PGY-4 / # /
PGY-5 / # /
PGY-6 / # /
Total Complement / # / # /
  1. Indicate the total number of planned resident positions for the diagnostic radiology program, integrated program, and/or independent program(s)as applicablein Table B below:

Planned Resident Positions
Diagnostic Radiology / Independent Interventional Radiology / Integrated Interventional Radiology
PGY-2 / # / # /
PGY-3 / # / # /
PGY-4 / # / # /
PGY-5 / # / # /
PGY-6 / # / # /
PGY-7 / # /
Total Complement / # / # / # /
  1. Explain how the institution will manage/fill resident positions for itsintegrated and independent programs, including the planned steady state of total residents and fellowsin interventional radiology: [PR III.B.1]

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ProgramPersonnelandResources

ProgramDirector

  1. Integrated Programs: Will the program director be provided the equivalent of at least 20 percent protected time in order to fulfill the responsibilities inherent to meeting the educational goals of the program? [PR I.A.1.] ☐YES ☐NO
  1. Independent Programs:Will the program director be provided sufficient protected time in order to fulfill the responsibilities inherent to meeting the educational goals of the program? [PR I.A.2]

...... ☐YES ☐NO

  1. Willtheprogramdirectorreviewresidentprocedural experiences at least annually?[PRII.A.4.p)]
    ☐YES ☐NO

a)Describe how the program director will ensure complete and accurate tracking of resident procedural experiences in the ACGME Case Log System throughout the duration of resident training.

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  1. Integrated Programs: Will the program director meet at least semi-annually with the program director of the ACGME-accredited diagnostic radiology residency program to ensure a cohesive educational experience for all diagnostic and interventional radiology residents? [PR II.A.4.r)]

...... ☐YES ☐NO

Faculty

  1. Willatleastoneinterventionalradiologyfacultymemberhavehospitaladmittingprivileges?
    [PRII.B.7.]...... ☐YES ☐NO
  1. Willfacultymembers alwaysbeavailablewhenresidentsareon call after hours, on weekends, or on holidays?[PRII.B.9.]...... ☐YES ☐NO
  1. Willfacultymembers reviewall resident interpreted studies, and sign and verify these reports within 24 hours?[PRsII.B.10.-II.B.10.a)]...☐YES ☐NO
  1. Willfacultymembersprovidedidacticteachinganddirectsupervisionofresidentperformanceinperi-proceduralpatientmanagement,andoftheprocedural,interpretative,andconsultativeaspectsofinterventionalradiology?[PRII.B.11.] ☐YES ☐NO
  1. Willfacultymemberssuperviseallpercutaneousimage-guidedinvasiveprocedures?[PRII.B.12.]
    ☐YES ☐NO
  1. Brieflydescribeinterventionalradiologydivisionparticipationindedicatedinterventionalradiologyoutpatientclinics.[PRII.B.13.]

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  1. IntegratedPrograms

a)Providethenameofthedesignatedcore physicianfacultymemberresponsiblefortheeducationalcontentofeachofthepractice domains.Alsospecifythepercentofhis/herpracticetimethatwillbespentinthepractice domain,andhoweachindividualwilldemonstratecommitmenttothepractice domain.

Practice domain / FacultyMember / EstimatedPercentageTimeDedicatedtoPractice Domain / How Commitmentis DemonstratedtoPractice Domain*
Abdominal (gastrointestinal and genitourinary)radiology
[PR II.B.14.a).(1).(a)] / Click here to enter text. / # % / Click here to enter text. /
Breastradiology
[PR II.B.14.a).(1).(b)] / Click here to enter text. / # % / Click here to enter text. /
Cardiothoracic (cardiac and thoracic)radiology
[PR II.B.14.a).(1).(c)] / Click here to enter text. / # % / Click here to enter text. /
Interventional radiology
[PR II.B.14.a).(1).(d)] / Click here to enter text. / #% / Click here to enter text. /
Musculoskeletalradiology
[PR II.B.14.a).(1).(e)] / Click here to enter text. / # % / Click here to enter text. /
Neuroradiology
[PR II.B.14.a).(1).(f)] / Click here to enter text. / # % / Click here to enter text. /
Nuclearradiology and molecular imaging
[PR II.B.14.a).(1).(g)] / Click here to enter text. / # % / Click here to enter text. /
Pediatricradiology
[PR II.B.14.a).(1).(h)] / Click here to enter text. / # % / Click here to enter text. /

*Indicatebynumberallthatapply:

1.Currentspecialty/subspecialtycertification(CAQ) in the practice domain

2.Fellowshiptraining

3.Threeyearsofpractice in the practice domain

4.Active participation inspecialty/subspecialtysocieties, including CME activities in the practice domain

5.Publicationsor presentationsinthespecialty/subspecialty practice domain

6.ParticipationinMaintenance of Certificationwithemphasisonthespecialty/subspecialtypractice domain

b)Provide the name of designated physician faculty member with expertise in and responsibility for the didactic content in each of the educational content areas.

Educational Content Area / Faculty Member
Computed tomography (CT)
[PR II.B.14.b).(1)] / Click here to enter text. /
Magnetic resonance imaging (MRI)
[PR II.B.14.b).(2)] / Click here to enter text. /
Radiography/fluoroscopy
[PR II.B.14.b).(3)] / Click here to enter text. /
Reproductive/endocrine imaging
[PR II.B.14.b).(4) / Click here to enter text. /
Ultrasonography
[PR II.B.14.b).(5)] / Click here to enter text. /
Vascular imaging
[PR II.B.14.b).(6)] / Click here to enter text. /

c)Will there be physician faculty members, non-physician faculty members, or other staff members within the institution with expertise in quality, safety, and informaticswho will be available to the program? [PR II.B.14.c] ☐YES ☐NO

  1. Will these individuals develop didactic content related to their areas of expertise? [PR II.B.14.c).(1)] ☐YES ☐NO

d)Willanassistantorassociateprogramdirectorwhoisclinicallyactiveindiagnosticradiologybeappointed?[PRII.B.14.e)] ☐YES ☐NO

IfNO,explain.

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OtherProgramPersonnel

1.Willtheprogramhaveadedicatedprogramcoordinator who will have sufficient time and support to fulfill responsibilities essential to meeting the educational goals and administrative duties of the program?[PRI.A.3.)] ☐YES ☐NO

IfNO,explain.

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2.Willatleastonequalifiedinterventionalradiologytechnologistbeondutyoravailableatalltimes?[PRII.C.1.] ☐YES ☐NO

3.Willnursingsupportadequatetoprepare,monitor,andrecoverpatientsbeavailable?[PRII.C.2.]
...... ☐YES ☐NO

a)Willnursescompetenttoadministermoderatesedationalsobeavailable?[PRII.C.2.a)]
☐YES ☐NO

b)Willother learners(including, but not limited to, nursepractitionersorphysicianassistants)beinvolvedininterventional radiology clinicalcareactivitiesorresidenteducation?[PRIII.D.]
☐YES ☐NO

IfYES,explaintheroleofthephysicianextenders.

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Resources

  1. Brieflydescriberesidentaccesstopersonalorsharedofficespace,conferencespace,andcomputers.[PRII.D.1.a)]

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  1. Brieflydescribetheavailabilityofmodernimagingequipmentandprocedureroomswithspacetopermittheperformanceofallradiologicandinterventionalradiologicprocedures,includingvascularandnon-vascularinvasiveimagingandimage-guidedinterventionalradiologicalprocedures broadly distributed over the domain of interventional radiology.[PRII.D.1.b)]

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  1. Willimagingmodalitiesincludethefollowing?[PRII.D.1.c)]

a)CT...... ☐YES ☐NO

b)Digitalsubtractionangiography...... ☐YES ☐NO

c)Fluoroscopy...... ☐YES ☐NO

d)MRI...... ☐YES ☐NO

e)Radionuclidescintigraphy...... ☐YES ☐NO

f)Ultrasonography...... ☐YES ☐NO

  1. Willfluoroscopicanddigitalimagingequipmentbehighresolutionandhavedigitaldisplaywithpost-procedureimageprocessingcapability?[PRII.D.1.c).(1)] ☐YES ☐NO

IfNO,explain.

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  1. Willroomsinwhichinterventionalproceduresareperformedbeequippedwithphysiologicmonitoringandresuscitativeequipment?[PRII.D.1.d)] ☐YES ☐NO
  1. Willfacilitiesforstoringcatheters,guidewires,contrastmaterials,embolicagents,andothersuppliesbeadjacenttoorwithinprocedurerooms?[PRII.D.1.e)] ☐YES ☐NO

IfNO,explain.

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  1. Brieflydescribetheavailabilityofpatientrecoveryandholdingareas.[PRII.D.1.f)]

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  1. Brieflydescribeavailablespaceandfacilitiesforimagedisplay,imageinterpretation,andconsultationwithotherclinicians.[PRII.D.1.g)]

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  1. Willaninterventionalradiologyclinicoroutpatientoffice,separatefromtheprocedurerooms,beavailableforpatientconsultationsandnon-proceduralfollow-upvisits?[PRII.D.1.h)] ☐YES ☐NO

a)Willthisspacebeconducivetopatientprivacyandconductingphysicalexaminations?
[PRII.D.1.h).(1)]...... ☐YES ☐NO

IfNO,explain.

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  1. IntegratedPrograms:Willthere be aminimumof7,000radiologicexaminationsperyearperresidentfor allresidents inboth the diagnostic radiology program and in the PGY-2-4years of the integrated program?[PRII.D.2.a).(1)] ☐YES ☐NO

PatientPopulation

Willresidentsbeexposedtoapatientpopulationwithadiversityofillnesses,including the following?
[PRII.D.2.b).(1)]

a)Arterialdiseases...... ☐YES ☐NO

b)Cancer...... ☐YES ☐NO

c)Gastrointestinal diseases...... ☐YES ☐NO

d)Gynecologicdisorders...... ☐YES ☐NO

e)Hepatobiliarydiseases...... ☐YES ☐NO

f)Endocrinediseases...... ☐YES ☐NO

g)Musculoskeletaldiseases...... ☐YES ☐NO

h)Pulmonarydisease...... ☐YES ☐NO

i)Venousdiseases...... ☐YES ☐NO

j)Urologicdisorders...... ☐YES ☐NO

SupportServices

  1. Willpathologyandmedicallaboratoryservicesberegularlyandconvenientlyavailabletomeettheneedsofpatients?[PRII.D.3.a)] ☐YES ☐NO

a)Willlaboratoryservicesbeavailable24hoursaday?[PRII.D.3.a).(1)]...... ☐YES ☐NO

  1. Willdiagnosticlaboratoriesforthenon-invasiveassessmentofperipheralvasculardiseasebeavailable?[PRII.D.3.b)] ☐YES ☐NO
  1. WilltheSponsoringInstitutionand program providelaboratoryandancillaryfacilitiestosupportresearchprojects?[PRII.D.3.c)] ☐YES ☐NO

IfNO,explain.

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AppointmentofFellowsandOtherLearners

Ifthe Sponsoring Institution currentlysponsorsanACGME-accrediteddiagnosticradiologyresidencyprogram,howwilltheprogramdirectorensuretheeducational opportunities ininterventionalradiologyare notdilutedordetractedby the presence of diagnosticradiologyresidents?[PRIII.D.2.]

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EducationalProgram

DidacticSessions

  1. Isthecoredidacticcurriculumdocumented?[PRIV.A.3.a)]...... ☐YES ☐NO
  1. Doesthecoredidacticcurriculumincludethefollowingcorecontentareasofinterventionalradiology?[PRIV.A.3.b)]

a)Focusedhistoryandphysicalexamination[PRIV.A.3.b).(1)]...... ☐YES ☐NO

b)Healthcareteamcoordination[PRIV.A.3.b).(2)]...... ☐YES ☐NO

c)Informedconsentforinterventionalradiologyprocedures[PRIV.A.3.b).(3)]...... ☐YES ☐NO

d)Inpatientcare[PRIV.A.3.b).(4)]...... ☐YES ☐NO

e)Interventionalradiologyclinic[PRIV.A.3.b).(5)]...... ☐YES ☐NO

f)Medicalconditionsrelevanttointerventionalradiology procedures[PRIV.A.3.b).(6)]
☐YES ☐NO

g)Pharmacologyrelevanttointerventionalradiology[PRIV.A.3.b).(7)]...... ☐YES ☐NO

h)Proceduralsedationforinterventionalradiologyprocedures[PRIV.A.3.b).(8)]...... ☐YES ☐NO

i)Recognitionandinitialmanagementofintra-andperi-proceduralemergencies
[PRIV.A.3.b).(9)]...... ☐YES ☐NO

  1. Providearepresentativescheduleofinterdepartmentalconferences.[PRIV.A.3.d)]

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  1. Brieflydescribeplannedresidentand faculty member participationinconferences.[PRsIV.A.3.d and IV.A.3.g)]

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a)Willresidentsbeprovidedwithprotectedtimetoattendalllecturesandconferences scheduled by the program?[PRIV.A.3.g).(1)] ☐YES ☐NO

b)Briefly describe what mechanisms the program will provide to allow residents to participate in all scheduled lectures and conferences either inperson or by electronic means. [PR IV.A.3.g).(2)]

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c)Willresidentsbeprovidedwith:

Independent Programs

Twohoursofconferences/lecturesperweek?[PRIV.A.3.g).(3).(b)]...... ☐YES ☐NO

IntegratedPrograms

(1)Fivehoursofconferences/lecturesperweekduringthePGY-2-4?[PRIV.A.3.g).(3).(a)]
☐YES ☐NO

(2)Twohoursofconferences/lecturesperweekduringthePGY-5-6?[PRIV.A.3.g).(3).(b)]
☐YES ☐NO

d)Brieflydescribehowtheresidentteachingexperiencewillincludeactiveparticipationineducatingdiagnosticradiologyresidents,andifappropriate,medicalstudentsandotherprofessionalpersonnel,inthecareandmanagementofpatients.[PRIV.A.3.g).(5)]

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InterventionalRadiologyDidacticContent

  1. Willmorbidityandmortalityrelatedtotheperformanceofinterventionalproceduresbereviewedat least monthly andbe documented?[PRIV.A.3.h).(1)] ☐YES ☐NO

a)Willresidentsactively participateinthisreview?[PRIV.A.3.h).(1).(a)]
☐YES ☐NO

  1. Willresidentsprepareandpresentclinically-orpathologically-provencasesatdepartmentalconferences?[PRIV.A.3.h).(3)] ☐YES ☐NO

IfNO,explain.

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IntegratedProgramDiagnosticRadiologyDidacticContent

  1. Willtherebeadidacticcomponentforeachofthefollowing?[PRIV.A.3.i).(2).(a)]

a)Anatomy...... ☐YES ☐NO

b)Diseaseprocesses...... ☐YES ☐NO

c)Imaging...... ☐YES ☐NO

d)Physiology...... ☐YES ☐NO

ExplainanyNOresponses.

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  1. Will the didactic curriculum include specialty/subspecialty and general content? [PR IV.A.3.i).(2).(b)].☐YES ☐NO
  1. Will the didactic curriculum include topics related to professionalism, physician well-being, diversity, and ethics? [PR IV.A.3.i).(2).(c)] ☐YES ☐NO
  1. Briefly describe how the didactic curriculum will include training in the clinical application of medical physics, distributed through the 60 months of the educational program. Describe how this will include real-time expert discussions and interactive educational experiences. [PRs IV.A.3.i).(2).(d) and IV.A.3.i).(2).(d).(ii)]

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a)Will a medical physicist oversee the development of this curriculum? [PR IV.A.3.i).(2).(d).(i)]

...... ☐YES ☐NO

  1. Will the didactic curriculum include a minimum of 80 hours of classroom and laboratory training in basic radionuclide techniques applicable to the medical use of unsealed byproduct material for imaging and localization studies and oral administration of sodium iodide I-131 for procedures requiring a written directive? [PR IV.A.3.i).(2).(e)] ☐YES ☐NO
  1. Willthe didacticcurriculum includethefollowingsubjectsastheyrelatetothe practice of nuclearradiology?[PRIV.A.3.i).(2).(e).(i)]

a)Radiation physics and instrumentation[PRIV.A.3.i).(2).(e).(i).(a)]...... ☐YES ☐NO

b)Radiationprotection[PRIV.A.3.i).(2).(3).(i).(b)]...... ☐YES ☐NO

c)Mathematics pertaining to use and measurement of radioactivity[PRIV.A.3.i).(2).(3).(i).(c)]
☐YES ☐NO

d)Chemistryofbyproductmaterialformedicaluse[PRIV.A.3.i).(2).(e).(i).(d)]...... ☐YES ☐NO

e)Radiation biology[PRIV.A.3.i).(2).(e).(i).(e)]...... ☐YES ☐NO

PatientCare

  1. Indicatethesettingsandactivitiesinwhichresidentswillcompetentlyperformthefollowingunderclose,gradedresponsibilityandsupervision.Alsoindicatethemethod(s)thatwillbeusedtoassesscompetence.

CompetencyArea / Settings/Activities / AssessmentMethod(s)
Providepatientcarethroughsafe,efficient,appropriatelyutilized,quality-controlleddiagnosticand/orinterventionalradiologicaltechniques
[PRIV.A.5.a).(1).(a).(i)] / Click here to enter text. / Click here to enter text. /
Practiceusingstandardsofcareinasafeenvironment,attempttoreduceerrors,andimprovepatientoutcomes
[PRIV.A.5.a).(1).(a).(ii)] / Click here to enter text. / Click here to enter text. /
Takeapatienthistoryandperformanappropriatephysicalexam
[PRIV.A.5.a).(1).(a).(iii)] / Click here to enter text. / Click here to enter text. /
Communicateindicationsfor,contraindicationsfor,andrisksofradiologicandinterventionalprocedures,andunderstandthemedicalandsurgicalalternativestothoseprocedures
[PRIV.A.5.a).(1).(a).(iv)] / Click here to enter text. / Click here to enter text. /
Provideappropriatepre-proceduralandfollow-upcarerelatedtointerventionalradiology,includinginpatientroundsandpost-procedurefollow-upmanagementofoutpatientsviaclinicvisits
[PRIV.A.5.a).(1).(a).(v)] / Click here to enter text. / Click here to enter text. /
Participateinthemultidisciplinaryapproachtocontinuityofprocedure-relatedcare
[PRIV.A.5.a).(1).(a).(vi)] / Click here to enter text. / Click here to enter text. /
Applyradiationsafetyprinciplesinperforminginterventionalprocedures
[PRIV.A.5.a).(1).(a).(vii)] / Click here to enter text. / Click here to enter text. /
Administerpharmacologicagents,includingsedatives,analgesics,antibiotics,andotherdrugscommonlyemployedinconjunctionwithendovascular,invasive,andnon-vascularprocedures
[PRIV.A.5.a).(1).(a).(viii)] / Click here to enter text. / Click here to enter text. /
Consultwithpatientsandreferringphysiciansregardingtheindicationsfor,andrisks,expectedoutcomes,andappropriatenessofinterventionalradiologyprocedures
[PRIV.A.5.a).(1).(a).(ix)] / Click here to enter text. / Click here to enter text. /
Formulateatreatmentplan,includingappropriateadditionalwork-up,consultations,andproceduralrecommendations,toincluderiskassessment,considerationofothertreatments,anddeliveryofcareinacollaborativemodel,whenappropriate
[PRIV.A.5.a).(1).(a).(x)] / Click here to enter text. / Click here to enter text. /
Providefollow-upcommunicationswithreferringphysicians
[PRIV.A.5.a).(1).(a).(xi)] / Click here to enter text. / Click here to enter text. /
Recognizeandtreatorreferfortreatmentofcomplicationsofinterventionalradiologyprocedures,includingcontrastreactions
[PRIV.A.5.a).(1).(a).(xii)] / Click here to enter text. / Click here to enter text. /
  1. Indicatethesettingsandactivitiesinwhichresidentswilldemonstratetheabilitytointerpretimagingappropriatefortheireducationallevel,includingdemonstrationofcompetenceinthefollowingareasofpatientcare.Alsoindicatethemethod(s)thatwillbeusedtoassesscompetence.

CompetencyArea / Settings/Activities / AssessmentMethod(s)
Planning,executing,andassessingtheadequacyofinterventionsbasedonindependentreviewofplainfilm,ultrasound,CT,MR,andnuclearmedicinestudies
[PRIV.A.5.a).(1).(b).(i)] / Click here to enter text. / Click here to enter text. /
Interpretingimagesobtainedduringtheperformanceofinterventionalprocedures,andskillfullyintegratingtheimagingfindingsintotheprocedure
[PRIV.A.5.b).(1).(b).(ii)] / Click here to enter text. / Click here to enter text. /
Modifyinganddirectingtheinterventionbasedontheseinterpretations,anddemonstratingtheiruseinaidingthedeterminationofproceduralendpoints
[PRIV.A.5.b).(1).(b).(iii)] / Click here to enter text. / Click here to enter text. /
  1. Indicatethesettingsandactivitiesinwhichresidentswilldemonstratetheabilitytocompetentlyperformallmedical,diagnostic,andsurgicalproceduresconsideredessential.Alsoindicatethemethod(s)thatwillbeusedtoassesscompetence.

CompetencyArea / Settings/Activities / AssessmentMethod(s)
Interpretation of CT, MRI, radiography, and radionuclide imaging of the cardiovascularsystem (heart and great vessels)
[PR IV.A.5.a).(2).(a)] / Click here to enter text. / Click here to enter text. /
Management of contrast reactions
[PR IV.A.5.a).(2).(b)] / Click here to enter text. / Click here to enter text. /
Ongoing awareness of radiation exposure, protection, and safety, and the application of these principles in practice
[PR IV.A.5.a).(2).(c)] / Click here to enter text. / Click here to enter text. /
Application of low-doseradiationtechniquesforbothadultsandchildren
[PRIV.A.5.a).(2).(d)] / Click here to enter text. / Click here to enter text. /
Useofneedles,catheters,guidewires,balloons,stents,stent-grafts,vascularfilters,embolicagents,biopsydevices,ablativetechnologies,andotherinterventionaldevices
[PRIV.A.5.a).(2).(e)] / Click here to enter text. / Click here to enter text. /
Clinicaljudgmentandtechnicalabilitytoperformcomplexvascularandnon-vascularimage-guidedinterventionsonasufficientvarietyofpatientsandpathologicalconditionstoallowforcompetentpost-graduatepractice
[PRIV.A.5.a).(2).(f)] / Click here to enter text. / Click here to enter text. /
  1. Willeachresidentparticipateinaminimumof1,000invasiveimagingandimage-guidedvascularandnon-vascularinterventionalprocedures?[PRIV.A.5.a).(2).(f).(i)] ☐YES ☐NO

a)Willthisexperienceincludebothadultandpediatricinterventionalprocedures?
[PRIV.A.5.a).(2).(f).(i).(a)]...... ☐YES ☐NO

b)Brieflydescribehowresidentswillbetrainedinpediatricinterventions [PR IVA.5.a).(2).(f).(i).(a)].

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  1. Providethedatarequestedbelowregardingthenumberofproceduresperformedinstitution-wide ateachsitethatwillparticipateintheprogramfromthemostrecent12-monthperiod. For additional sites, duplicate the table as necessary.Note that procedures listed below should be initial or de novo procedures, and should not include tube changes, revisions, etc.[PRsIV.A.5.a).(2).(f).(i).(b)-(c)]

Exam** / Site#1 / Site#2 / Site#3 / Site#4
Non-invasiveVascularImaging
CTA/MRAAbdomen/Pelvis
CTA/MRAExtremities
CTA/MRAChest
LowerExtremityArterialSegmentalEvaluation
Subtotal
Angiography
Carotid/CerebralArteriography
ExtremityArteriography
Mesenteric/RenalArteriography
DialysisGraft/FistulaEvaluation
Subtotal
ArterialVascularIntervention
ArterialAngioplasty
ArterialStentPlacement
LowerExtremityArterialRevascularization
PeripheralThrombolysis/Thrombectomy
Embolization – TACE
Embolization – Radioembolization
Embolization – UFE
Embolization – Other
AorticStentGraft
CarotidStentPlacement
StrokeThrombolysis
Subtotal
VenousVascularInterventions
TIPS – Initial Placement
PortPlacement
TunneledCatheterPlacement
IVCFilterPlacement
VenousAblation
VenousThrombolysis
HemodialysisIntervention
Subtotal
Non-vascularIntervention
Biopsy
Chest Tube Placement
Initial Nephrostomy/NephroureteralTubePlacement
Initial BiliaryDrainageCatheterPlacement
Initial PercutaneousGITractTubePlacement
AbscessDrainage
TumorAblation
Vertebroplasty/Kyphoplasty
Subtotal
Total of all Interventional Radiology procedures listed above
ClinicalActivities
InpatientInterventionalRadiology AdmissionsbyInterventionalRadiologyService(toinclude23-hourstay)
New OutpatientInterventionalRadiology Clinic Visits

**TheseexamsaredefinedbyCPTcodes.ForacurrentlistofrelevantCPTcodes,seetheSocietyforInterventionalRadiologyCodingUpdate.

For any areas with low volumes, explain how the program plans to provide residents with experience in those areas:

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  1. Integrated Programs: Briefly describe how residents will demonstrate competence in the generation of ultrasound images using the transducer and imaging system and interpretation of ultrasonographic examinations of various types. Outline how residents will obtain hands-on scanning experience and what process will be used to document resident proficiency in ultrasonographic skills. [PRs IV.A.5.a).(2).(h) and IV.A.5.a).(2).(h).(i-ii)].

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MedicalKnowledge

  1. Indicatetheactivities(lectures,conferences,journalclubs,clinicalteachingrounds,etc.)inwhichresidentswilldemonstratecompetenceintheirknowledgeofthefollowingareas.Alsoindicatethemethod(s)thatwillbeusedtoassesscompetence.

CompetencyArea / Settings/Activities / AssessmentMethod(s)
Interventionalradiologyclinicalandgeneraldidacticcontent
[PRIV.A.5.b).(1)] / Click here to enter text. / Click here to enter text. /
Clinicalandbasicsciencesrelatedininterventionalradiology,including:[PRIV.A.5.b).(2)]
Anatomy
[PRIV.A.5.b).(2).(a)] / Click here to enter text. / Click here to enter text. /
Physiology
[PRIV.A.5.b).(2).(b)] / Click here to enter text. / Click here to enter text. /
Pathophysiologyofthehematological,circulatory,respiratory,gastrointestinal,genitourinary,musculoskeletal,andneurologicsystems
[PRIV.A.5.b).(2).(c)] / Click here to enter text. / Click here to enter text. /
Relevantpharmacology
[PRIV.A.5.b).(2).(d)] / Click here to enter text. / Click here to enter text. /
Patientevaluation
[PRIV.A.5.b).(2).(e)] / Click here to enter text. / Click here to enter text. /
Managementskills
[PRIV.A.5.b).(2).(f)] / Click here to enter text. / Click here to enter text. /
Diagnostictechniques
[PRIV.A.5.b).(2).(g)] / Click here to enter text. / Click here to enter text. /
Non-interpretive skills, including health care economics, coding and billing compliance, and the business of medicine
[PRIV.A.5.b).(3)] / Click here to enter text. / Click here to enter text. /
Appropriate and patient-centered imaging utilization
[PR IV.A.5.b).(4)] / Click here to enter text. / Click here to enter text. /
Quality improvement techniques
[PR IV.A.5.b).(5)] / Click here to enter text. / Click here to enter text. /
Radiologic/pathologic correlation
[PR IV.A.5.b).(6)] / Click here to enter text. / Click here to enter text. /
Physiology, utilization, and safety of contrast agents and pharmaceuticals
[PR IV.A.5.b).(7)] / Click here to enter text. / Click here to enter text. /
IntegratedPrograms
Principles of medical imaging physics, including CT, dual-energy X-ray absorptiometry, fluoroscopy, gamma camera and hybrid imaging technologies, MRI, radiography, and ultrasonography
[PRIV.A.5.b).(8)] / Click here to enter text. / Click here to enter text. /

Practice-basedLearningandImprovement

  1. Brieflydescribeoneplannedlearningactivityinwhichresidentswill engagetoidentifystrengths,deficiencies,andlimitsintheirknowledgeandexpertise(self-reflectionandself-assessment);setlearningandimprovementgoals;andidentifyandperformappropriatelearningactivitiestoachieveself-identifiedgoals(lifelonglearning).[PRsIV.A.5.c).(1)-(3)](Limitresponseto400words)

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  1. Brieflydescribeoneplannedqualityimprovementactivityorprojectthatwillallowresidentstodemonstratetheabilitytoanalyze,improve,andchangepracticeorpatientcare.Describeplanning,implementation,evaluation,andprovisionsoffacultymembersupportandsupervisionthatwillguidethisprocess.[PRIV.A.5.c).(4)](Limitresponseto400words)

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  1. Brieflydescribehowresidentswillreceiveandincorporateformativeevaluationfeedbackintodailypractice.(Ifaspecifictoolisusedtoevaluatetheseskills,haveitavailableforreviewbytheAccreditation Field Representative, if applicable.)[PRIV.A.5.c).(5)](Limitresponseto400words)

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  1. Brieflydescribeoneexampleofalearningactivityinwhichresidentswill engagetodeveloptheskillsneededtouseinformationtechnologytolocate,appraise,andassimilateevidencefromscientificstudiesandapplyittotheirpatients'healthproblems.[PRsIV.A.5.c).(6)-(7)](Limitresponseto400words)

Thedescriptionshouldinclude:

  • Locatinginformation
  • Usinginformationtechnology
  • Appraisinginformation
  • Assimilatingevidenceinformation(fromscientificstudies)
  • Applyinginformationtopatientcare
  • Conductingacomprehensiveliteraturesearch

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  1. Brieflydescribehowresidentswillparticipateintheeducationofpatients,families,students,residents,andotherhealthprofessionals.[PRIV.A.5.c).(8)](Limitresponseto400words)

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InterpersonalandCommunicationSkills

  1. Brieflydescribeonelearningactivityinwhichresidentswill developcompetenceincommunicatingeffectivelywithpatientsandfamiliesacrossabroadrangeofsocioeconomicandculturalbackgrounds,andwithphysicians,otherhealthprofessionals,andhealth-relatedagencies.
    [PRsIV.A.5.d).(1)-(2)](Limitresponseto400words)

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  1. Briefly describe one learning activity in which residents will develop competence in obtaining informed consent and effectively describing imaging appropriateness, safety issues, and the results of diagnostic imaging and procedures to patients. [PRIV.A.5.d).(1).(a)] (Limit response to 400 words)

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  1. Briefly describe one learning activity in which residents will develop competence in communicating the results of examinations and procedures to the referring provider and/or other appropriate individuals effectively and in a timely manner. [PR IV.A.5.d).(2).(a)] (Limit response to 400 words)

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  1. Brieflydescribeonelearningactivityinwhichresidentswill developtheirskillsandhabitstoworkeffectivelyasmembersorleadersofahealthcareteamorotherprofessionalgroup.Identifythemembersoftheteam,responsibilitiesofteammembers,andhowteammemberscommunicatetoaccomplishresponsibilities.[PRIV.A.5.d).(3)](Limitresponseto400words)

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  1. Brieflydescribehowresidentswillbeprovidedwithopportunitiestoactinaconsultativeroletootherphysiciansandhealthprofessionals.[PRIV.A.5.d).(4)](Limitresponseto400words)

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  1. Brieflydescribehowresidentswillbeprovidedwithopportunitiestomaintaincomprehensive,timely,andlegiblemedicalrecords,ifapplicable.[PRIV.A.5.d).(5)](Limitresponseto400words)

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  1. Briefly describe how residents will be provided with opportunities to supervise, provide consultation to, and teach medical students and/or residents. [PR IV.A.5.d).(6)] (Limitresponseto400words)

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Professionalism

  1. Brieflydescribethelearningactivity(ies),otherthanlecture,bywhichresidentswill developacommitmenttocarryingoutprofessionalresponsibilitiesandanadherencetoethicalprinciples,including:compassion,integrity,andrespectforothers;responsivenesstopatientneedsthatsupersedesself-interest;respectforpatientprivacyandautonomy;accountabilitytopatients,society,andtheprofession;sensitivityandresponsivenesstoadiversepatientpopulation,includingtodiversityingender,age,culture,race,religion,disabilities,andsexualorientation; and professionalism in interpersonal interactions.[PRsIV.A.5.e).(1)-(5) and IV.A.5.e).(7)](Limitresponseto400words)

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  1. Brieflydescribehowresidentswillbeprovidedwithopportunitiestodemonstratecompliancewithinstitutionalanddepartmentalpolicies,includingHIPAA,theJointCommission,patientsafety,andinfectioncontrol.[PRIV.A.5.e).(6)](Limitresponseto400words)

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Systems-basedPractice

  1. Describethelearningactivity(ies)throughwhichresidents willachievecompetenceintheelementsofsystems-basedpractice:workingeffectivelyinvarioushealthcaredeliverysettingsandsystems,and coordinatingpatientcarewithinthehealthcaresystem;incorporatingconsiderationsofcost-containmentandrisk-benefitanalysisinpatientcare;advocatingforqualitypatientcareandoptimalpatientcaresystems;andworkingininterprofessionalteamstoenhancepatientsafetyandcarequality.[PRsIV.A.5.f).(1)-(5)](Limitresponseto400words)

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2.Describeanactivitythatfulfillstherequirementforexperientiallearninginidentifyingsystemerrorsandimplementingpotentialsystemssolutions.[PRIV.A.5.f).(6)](Limitresponseto400words)

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CurriculumOrganizationandResidentExperiences

  1. Willresidentsparticipatein patient care andradiology-related activitiesatalllevelsofeducation,includingthefinalyearoftheprogram?[PRIV.A.6.a)] ☐YES ☐NO
  1. Integrated Programs:Willresidentparticipationinon-callactivities, including being on duty after-hours and on weekends or holidays,occurthroughoutthe PGY-3-6?
    [PRIV.A.6.b)]...... ☐YES ☐NO
  1. Independent Programs: Will resident participation in on-call activities, including being on duty after-hours and on weekends or holidays, occur throughout both years of the program?
    [PR IV.A.6.b)]...... ☐YES ☐NO
  1. Will resident competence be assessed and documented prior to assuming independent responsibilities? [PR IV.A.6.b).(1)] ☐YES ☐NO
  1. Will resident supervision during on-call activities be provided by a senior resident, fellow, or radiology faculty member, with a radiology faculty member available for direct or indirect supervision? [PRs IV.A.6.b).(2) and IV.A.6.b).(2).(a)] ☐YES ☐NO
  1. Will resident on-call experiences include interpretation, reporting, and management of active cases? [PR IV.A.6.b).(3)] ☐YES ☐NO
  1. Integrated Programs: At the program director’s discretion, will relief from after-hours duty granted to residents exceed 12 weeks preceding the American Board of Radiology (ABR) Core Examination? [PR IV.A.6.b).(4)]
    ☐YES ☐NO
  1. Integrated Programs: Will residents, as an individual or group, be provided protected study time for the ABR Core Examination? [PR IV.A.6.b).(5)] ☐YES ☐NO
  1. Brieflydescribehowresidentswillbeprovidedwitheducationandspecificclinicaltimededicatedtotheperformanceandinterpretationofnon-invasivevasculartesting,includingvascularultrasoundstudies,physiologicvasculartests,MRangiograms,andCTangiograms.[PRIV.A.6.e)]

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a)Willthesestudiesbedocumentedintheresidents’CaseLogs?[PRIV.A.6.e).(1)]...... ☐YES ☐NO