IR Practice Development: Residency to Real-World

They begin the episode discussing the various training pathways in interventional radiology, including integrated residency programs, Early Specialization in Interventional Radiology (ESIR), and independent fellowships. They discuss the recent changes to the ABR exam, highlighting the reinstatement of the DR oral exam in 2028, and the requirement to complete both IR and DR oral exams to achieve dual certification. They unpack the evolving dynamics and real-world challenges of IR and DR practice—and how today’s trainees are being equipped to navigate it all. The discussion addresses key issues such as the evolving job market, the potential separation of IR and DR, the increasing role of Advanced Practice Providers (APPs) in IR, and the critical importance of being teachable and adaptable as trainees. The doctors highlight the collaborative spirit within the IR community, offering valuable perspectives on what lies ahead for the specialty.