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Interventional Radiology (IR/DR) Residency

Dr. Kelvin Hong, director of Interventional Radiology at Johns Hopkins

For students interested in interventional radiology, Johns Hopkins has received ACGME approval and implemented Early Specialization in Interventional Radiology (ESIR) training, so that residents can begin their IR/DR training in the first year. We will also offer both Integrated and Independent tracks, with ACGME approval in process. The program is committed to providing residents with every possible means of training in IR/DR for those who decide to pursue interventional radiology after the first year, as well as the flexibility to select a different pathway if they discover that they prefer a diagnostic radiology subspecialty or molecular imaging.

Interventional radiology training includes exposure to a wide breadth and high volume of life-saving interventional vascular and oncologic procedures, as well as cutting-edge interventional treatments performed only at select highly experienced medical centers. In addition, residents learn how to image complicated vascular pathology using state-of-the-art scanners and protocols, critical to guiding interventional management. Johns Hopkins residents typically interpret more than 500 CT and MR angiography examinations by the end of their four years in diagnostic training.

Strengths of Our Interventional Radiology (IR/DR) Residency Program

High Procedure Volume

The Johns Hopkins Interventional Radiology (IR/DR) Residency Program is one of the largest training programs in both scope and numbers of procedures. Johns Hopkins has a large volume of dedicated inpatient IR admissions, a large IR clinic volume of 150–200 patients each month who are seen in a surgical outpatient clinic, and a busy consultative service managed by an IR fellow.

Comprehensive invasive procedure volume all done in IR, including cross-sectional procedures

  • Biliary
  • Genitourinary
  • Drainage
  • Biopsy
  • Cross-sectional tumor ablations all performed only in IR at Johns Hopkins
  • Lung
  • Kidney
  • Liver
  • Soft tissues
  • Tertiary organ transplant center
  • Liver-directed therapies
  • Transjugular intrahepatic portosystemic shunt (TIPS)
  • Arterial anastomotic procedures
  • Renal transplant supportive procedures
  • Abdominal interventions
  • Genitourinary
  • Biliary, including cholangioscopy
  • Interventional oncology
  • Vascular malformations
  • Women’s health
  • Pediatric interventional radiology

Diverse Clinical Settings

Our interventional radiology division has close working relationships with other clinical services, including shared participation and a major role in the multidisciplinary liver clinicmultidisciplinary fibroid clinic and multidisciplinary HHT center.

We have dedicated interventional suite procedure space, a dedicated IR admission service and an IR clinic five days a week.

Our (IR/DR) Residency program also includes integrated advanced pediatric IR training through Johns Hopkins Children’s Center, the pediatric hospital of Johns Hopkins housed in the same building as the Division of Interventional Radiology. All pediatric IR experience is integrated into the daily IR work for fellows. Pediatric training does not require travel to another hospital.

History of Teaching Excellence

A leader in interventional radiology, Johns Hopkins’ history with formal interventional radiology education through postgraduate fellowship training is one of the oldest in the United States. The first IR fellowship class was in 1969 and, for many years, was structured as a two-year training program centered on the “clinical model,” with IR functioning as a clinical service, not just performing complex procedures. Due to ongoing changes in the health care landscape and job market forces, the IR fellowship transitioned to a one-year program in 2001, which is its current duration.

However, the need for longer and more structured, focused training in IR was recognized by the greater IR community. This eventually materialized with the American Board of Medical Specialties’ formal vote in 2012 to recognize IR as a primary specialty, and one that requires its own dedicated IR residency. The ACGME completed an IR residency training curriculum in 2014, detailing a six-year integrated IR training pathway/residency and terminating the IR fellowship in 2020. The legacy of commitment to IR training evolution will culminate in a new IR residency at Johns Hopkins in 2020.

Brian Holly is the director of the (IR/DR) Residency program. Maintaining the residency educational mission is a priority for Dr. Holly and the other IR faculty members dedicated to residency training. Six talented certified physician assistants who work alongside the IR fellows as colleagues and partners, serve to teach the fellows the optimal physician extension model.

All after-hours call is only at The Johns Hopkins Hospital, shared equally among the fellows (every eighth weekday and one weekend every eight weeks).

Dedicated Alumni Network

A large alumni group of Johns Hopkins interventional radiology fellows is spread throughout academia and private practice in the United States. Many of our alumni are department heads and division chiefs and serve as a great resource for mentorship and guidance during the job search.

View the list of our former trainees

 

For more information about the residency program, please contact Dr. Brian Holly at bholly3@jhmi.edu.

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