Interventional Radiology is one of the most forward thinking and dynamic specialties in the field of medicine today. Continuously evolving, IR’s role in the diagnosis and treatment of acutely ill or injured patients has seen tremendous growth in recent years. We believe the specialty requires a clinically minded approach to patient care and requires all 6 years of training (including internship) to develop sound clinical and procedural skills. We offer one (1) categorical IR residency position each year through the NRMP match.
Why Choose Wake Forest
The section of Interventional Radiology is composed of six (6) experienced clinical faculty with training from a variety of institutions, which provides for a diverse training experience at an outstanding, nationally recognized tertiary academic medical center. Trainees also rotate through outpatient arterial and venous vascular disease procedural clinics where they are afforded the opportunity to experience private practice Interventional Radiology. Our IR physicians have a wide range of clinical interests such that trainees will develop proficiency with the following areas of IR practice:
- Large volume of catheter directed therapies (TACE, Y-90)
- Percutaneous ablations (lung, liver, renal, soft tissue, and bone)
- Portal vein interventions (recanalization, embolization)
- Outpatient and inpatient complex venous disease interventions including recanalizations and management of varicose veins.
- Pediatric and adult vascular malformation therapy
- Management of peripheral vascular disease interventions at our affiliated outpatient surgical center.
Musculoskeletal and pain interventions
- Vertebral augmentation (i.e. vertobroplasty/kyphoplasty) for osteoporotic and pathologic fractures including spinal tumor ablations
- Neurolysis of a variety of neurologic plexi (celiac plexus, superior hypogastric plexus, intercostal nerve).
- Uterine fibroid embolization
Trauma related interventions
- Solid organ embolizations and management of active arterial bleeding
- Thoracic duct evaluation with embolization
Routine interventional procedures
- GI and GU interventions (G-tube, nephrostomy tube placement/management)
- Dialysis interventions including central venous access
- CT guided procedures (percutaneous biopsies and drain placement)
Program Year 1
- Surgical internship at Wake Forest University
Program Year 2
- Fundamentals of Diagnostic Radiology
- Rotations include, Chest, GI/GU, MSK, Pediatric, Neuroradiology
Program Year 3
- 12 Weeks of IR Rotations
- Expanding on diagnostic modalities
- MRI, Advanced abd/chest CT, Breast Imaging, Nuclear Medicine
Program Year 4
- 8 weeks of IR rotations
- Advanced MRI
- Vascular Surgery Rotation
- Core Board Examination Preperation
Program Year 5
- 7 Months of IR Rotations
- ICU and Hepatology Rotations
- Complete Breast/Nuclear Medicine Diagnostic Requirements
Program Year 6
- 11 Months of IR including 2 Months Outpatient Peripheral Arterial Disease Practice and Outpatient Vein Clinic
- Medical Oncology Rotation
Early in residency, trainees participate in an organized procedural simulation curriculum in our Radiology Simulation Lab. Residents receive one-on-one faculty instruction for performing ultrasound-guided procedures (biopsies - breast, thyroid, kidney/liver) and vascular access.
The lab is equipped with state of the art ultrasound machines and ultrasound probes with attached tablets to learn procedures on high- and low-fidelity phantoms.
Residents participate in teaching sessions with faculty and have access to the lab 24/7 to practice on their own. Residents also participate in a contrast reaction simulation annually using a high-fidelity mannequin. 3D printed models are used for simulation of fluoroscopically guided spine and joint procedures.
- Night float rotation: coverage responsibilities center on ED plain-film and neuro-CT interpretation
- Occasional attending-supervised weekend morning responsibilities during the 1st year of residency in preparation for Tier 1 call
- Night float rotation: coverage responsibilities focus on the interpretation of emergent chest, abdomen and pelvis CT, neuro MRI, musculoskeletal MRI and CT, as well as emergent sonography and nuclear medicine examinations
Tier 3 (IR Call)
- Wake Forest Baptist Medical Center is a level 1 trauma center of which Interventional Radiology is a critical component.
- PGY-4 residents assume IR call responsibilities that are focused on Interventional procedures, including CT and US-guided procedures, angiography, GI/GU fluoroscopy, pediatric fluoroscopy and fluoroscopically guided lumbar punctures and myelograms
- Call frequency is ~1 in 10 nights, with the post-call day off.
- PGY-5 and PGY·6 (advanced IR residents) assume call responsibilities in a supervisory role to junior Tier III residents. They will assist attending physicians in the performance of complex on-call IR procedures.
Integral to the practice of Interventional Radiology is active involvement in interdepartmental conferences. Trainees are expected to attend weekly, multidisciplinary tumor board conferences including
- Hepatopancreatic biliary
- Thoracic oncology
Designed to meet both clinical and educational needs, these conferences provide an excellent forum for communication between IR and other departments.