IR/DR certification
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Transcript IR/DR certification
Matt Mauro MD
ABR Trustee
APDR 2014
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Approval of ABMS and ACGME
Program requirements
Accredited programs
Certifying examinations
MOC program
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SIR proposed primary IR certification to ABR
2007
IR fundamentally different than DR
Need different way of training with additional
clinical skills
Reworked proposal - dual certification in
IR/DR
3
ABMS approved concept of IR as separate
specialty, Sept 2012
Rarionale: domain of IR has expanded and can’t
gain technical expertise in 1 year. Also includes
clinical care
5 + years of work
Process originated from SIR; ABR approved and
presented plan to ABMS
Required phase-out of SS certification (only one
pathway to certification)
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What is the IR/DR Certificate?
Specialty status to IR recognizes IR/DR as a unique
specialty in medicine. ABMS acknowledged the role
of IRs as imagers, proceduralists and clinicians.
ABR will issue a new certificate – certifying that an
IR practitioner is competent in these areas of
expertise. Transition 2017.
IR training programs will change. ACGME is in the
process of establishing a new IR Residency – distinct
from DR. Timeline for transition - 2022.
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ACGME approved IR as a new specialty – 2013
Program Requirements
Written by sub-committee of R-RRC COMPLETED
Placed in appropriate format NOW
45 Day comment period
Reviewed by Committee on Requirements
Hope to have PR accepted by ACGME by 3rd quarter
2014
Then programs can apply –need site visit
?begin 2015-6
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Integrated (5 year) and Independent (2 year)
options
.
Match from medical
- school, transfer from DR
More IR training: 2 years (minimum 1 year, 9
rotations) - More emphasis on clinical care
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Eventually there will be only one certificate –
IR/DR Certificate
2017 seamless transition to IR/DR certificate
thru MOC process.
Those with IR CAQ will be grandfathered in.
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6 year program: Integrated Program
1 year clinical
3 years DR (including some IR) – same as DR
residents
2 years IR (including critical care, in-patient
consults/followup clinics + up to 4 mo DR)
Institution can have independent (2 years)
and/or integrated (5 years) programs.
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Year
CURRENT
IR residency
PGY 1
Internship
Internship
PGY 2
DR
DR
PGY 3
DR
DR
PGY 4
DR
DR
PGY 5
DR
IR
PGY 6
IR
IR
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IR= IR or IR related
Must participate in OP
clinics
DR months in PGY5 as
necessary (Nuc Med,
breast imaging)
Required ICU/critical
care
Completion of training need 1000 IR procedures
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Two Year Program
1st year 12 IR Rotations; 1 ICU Rotation
2nd year
13 IR Rotations
Candidates enter AFTER completing full DR
Residency
Candidate may receive credit for 1st year IR if
they had 12 rotations of IR and > 500 cases in
residency
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Can transfer within same institution anytime
Can transfer to program outside of institution
only after finishing DR residency
Fellowships will have to phase out 5-7 years
after IR residency begins in an institution
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Would attain IR/DR certification
Likely plan
Core exam at 36 months of DR with peers
Essentials/NIS modules of Certifying exam + Oral
exam 3 months after finishing residency (ie with
peers)
Grandfathering for those with VIR SS
certificates
VIR SS certification to phase out after 5-7
years
14
PR’s not yet approved---but CLOSE
Don’t know exact timeline for
implementation
For now, if interested in IR, should take IR
fellowship
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Multiple entry points, R2-R5
PGY 5 call not specified – up to program (ie
could be DR or IR)
Separate PD for program – but DR PD could
be Associate for first three years
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2014 – program requirements approved by
ACGME
Includes approval by DR RRC (DONE), 45 day
public comment period, approval by Committee
on Requirements and BOD
2015 – First residency applications
Must have site visit since new core program
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2016 – First program approvals
First graduates could be 2017
2022 – end of 1 year fellowships
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Core exam
Same exam as DR residents
Same time period (ie in 36th month)
Certification exam:
2 Computer Modules: Essentials, NIS
Oral exam
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First exams likely given 2017
IR SS certificates will be given IR/DR
certificates if MOC requirements up to date
Likely require PQI project in IR
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Now have three IR trustees
Jeanne LaBerge
Matt Mauro
John Kaufman, trustee designate
IR is one of 4 disciplines in ABR
DR
RO
MP
IR
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