Guan Justin J, Elhakim Tarig, Matsumoto Monica M, McKeon Thomas, Laage-Gaupp Fabian, Iqbal Shams, Patel Parag J, Pereira Philippe, Tam Alda L, Binkert Christoph, Sofocleous Constantinos T
Division of Interventional Radiology, Department of Radiology, Cleveland Clinic, Cleveland, Ohio.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
J Vasc Interv Radiol. 2025 May;36(5):751-760.e5. doi: 10.1016/j.jvir.2024.12.594. Epub 2025 Jan 8.
To characterize the current state of interventional radiology (IR) practice and education worldwide and to identify factors impacting access to IR services.
A Society of Interventional Radiology (SIR)-approved, anonymous survey was created to gather data on demographics, regional IR practice and education characteristics, and challenges impacting local IR development. The survey was distributed to members of global IR societies and shared on social media from June 2022 to September 2023.
Of 1,263 respondents, 987 provided specialty affiliations, including 811 interventional radiologists, 85 diagnostic radiologists (DRs), and 91 interventional radiologists/DRs. Two hundred sixty identified as attending/consultants, 185 as residents/fellows, 12 as medical students, and 7 as technologists/nurses. IR awareness was the greatest reported need globally. Education, patient referrals, and training were also common needs. When compared with North American training programs, there were significant shortages of dedicated IR training programs in Africa (odds ratio [OR], 0.06; P < .001), Asia (OR, 0.50; P = .004), Europe (OR, 0.12; P < .001), and Oceania (OR, 0.12; P < .001). Significant shortage of any IR exposure during radiology training was observed in Africa (OR, 0.31; P < .001), Asia (OR, 0.16; P < .001), and South America (OR, 0.14; P < .001). Additional challenges included awareness and support in the hospital setting and competition with other specialties. Compared with respondents from North America, the top 3 actions recommended to provide the most significant relative impact included establishing IR training programs, providing access to online education, and holding multidisciplinary conferences.
This survey established the universal needs to increase patient awareness about IR and improve dedicated IR training programs. The results can help guide organizational and societal efforts to improve access to IR services worldwide.
描述全球介入放射学(IR)实践与教育的现状,并确定影响获得IR服务的因素。
创建了一项经介入放射学会(SIR)批准的匿名调查,以收集有关人口统计学、区域IR实践与教育特征以及影响当地IR发展的挑战的数据。该调查于2022年6月至2023年9月分发给全球IR学会的成员并在社交媒体上分享。
在1263名受访者中,987人提供了专业隶属关系,其中包括811名介入放射科医生、85名诊断放射科医生(DR)以及91名介入放射科医生/DR。260人表明自己是主治医生/顾问,185人是住院医师/研究员,12人是医学生,7人是技术人员/护士。据报告,提高IR认知是全球最迫切的需求。教育、患者转诊和培训也是常见需求。与北美培训项目相比,非洲(优势比[OR],0.06;P <.001)、亚洲(OR,0.50;P =.004)、欧洲(OR,0.12;P <.001)和大洋洲(OR,0.12;P <.001)的专门IR培训项目严重短缺。在非洲(OR,0.31;P <.001)、亚洲(OR,0.16;P <.001)和南美洲(OR,0.14;P <.001),放射学培训期间完全没有IR接触的情况非常严重。其他挑战包括医院环境中的认知和支持以及与其他专业的竞争。与北美受访者相比,建议采取的能产生最显著相对影响的前三项行动包括建立IR培训项目、提供在线教育机会以及举办多学科会议。
本次调查确定了提高患者对IR的认知以及改进专门IR培训项目的普遍需求。研究结果有助于指导组织和社会为改善全球IR服务的可及性所做的努力。