Icahn School of Medicine at Mount Sinai, New York, New York.
University of Colorado at Denver-Anschutz Medical Campus, Aurora, Colorado.
J Am Coll Radiol. 2018 Dec;15(12):1761-1764. doi: 10.1016/j.jacr.2018.07.016. Epub 2018 Sep 21.
The formation of integrated interventional radiology (IR) residency programs has changed the training paradigm. This change mandates the need to provide adequate exposure to allow students to explore IR as a career option and to allow programs to sufficiently evaluate students. This study aims to highlight the availability of medical student education in IR and proposes a basic framework for clinical rotations.
The Liaison Committee on Medical Education (LCME) website was utilized to generate a list of accredited medical schools in the United States. School websites and course listings were searched for availability of IR and diagnostic radiology rotations. The curricula of several well-established IR rotations were examined to identify and categorize course content.
In all, 140 LCME-accredited medical schools had course information available. Of those schools, 70.5% offered an IR rotation; 84.6% were only available to senior medical students and only 2% were offered for preclinical students; and 8.1% of courses were listed as subinternships. Well-established IR clerkships included a variety of clinical settings, including preprocedure evaluation, experience performing procedures, postprocedure management, and discharge planning.
Medical student exposure to IR is crucial to the success of integrated IR residency programs. Current research shows few institutions with formal IR subinternship rotations. Although 70.5% of institutions have some form of nonstandardized IR course, 84.6% are available only to fourth-year students, and 2% are offered to preclinical students. This suggests there is a significant opportunity for additional formal exposure to IR through increasing availability of IR rotations and exposure during the clinical and preclinical years.
介入放射学（IR）住院医师培训计划的整合改变了培训模式。这种变化要求提供足够的机会，让学生探索介入放射学作为一种职业选择，并让培训计划能够充分评估学生。本研究旨在强调介入放射学医学学生教育的可用性，并提出临床轮转的基本框架。
利用医学教育联络委员会（LCME）的网站生成美国认可的医学院校名单。搜索学校网站和课程清单，以了解介入放射学和诊断放射学轮转的可用性。检查了几个成熟的介入放射学轮转课程，以确定和分类课程内容。
共有 140 所 LCME 认可的医学院校提供课程信息。在这些学校中，70.5%提供介入放射学轮转；84.6%仅面向高年级医学生开放，只有 2%提供给临床前学生；8.1%的课程列为实习医师。成熟的介入放射学实习包括各种临床环境，包括术前评估、手术经验、术后管理和出院计划。
医学学生接触介入放射学对于综合介入放射学住院医师培训计划的成功至关重要。目前的研究表明，很少有机构有正式的介入放射学实习轮转。尽管 70.5%的机构有某种形式的非标准化介入放射学课程，但只有 84.6%的课程面向四年级学生开放，只有 2%的课程面向临床前学生开放。这表明，通过增加介入放射学轮转的机会和临床前及临床学年的接触，可以为介入放射学提供更多的正式接触机会。
