Interventional Radiology Fellowship Program
The Penn Interventional Radiology (IR) Fellowship Program provides fellows the unique opportunity to learn along side world-renowned physicians at a premier academic medical center. As one of the oldest and most sought after IR training programs in the nation, our fellows develop the clinical skills necessary to prepare them to be leaders in the field of Interventional Radiology, whether it be in private practice or academics. Fellows are able to get involved in a multitude of research opportunities led by faculty with a strong interest in advancing the field of Interventional Radiology.
Interventional Radiology at the Hospital of the University of Pennsylvania (HUP) offers 7-8 fellowship positions per year. The one-year fellowship, which also allots time for electives and research, consists of rotations at HUP, Penn Presbyterian Medical Center, The Philadelphia VA Medical Center and The Children's Hospital of Philadelphia.
The Interventional Radiology fellowship offers exposure to a wide variety of cases. Fellows gain extensive experience and expertise in diagnostic and therapeutic procedures in the following areas:
- Peripheral Arterial Disease— Endoleak embolization, arterial thrombolysis, limb salvage
- Venous Disease— Pulmonary AVM (HHT) and other AVM embolizations, Acute DVT thrombolysis and chronic DVT recanalization, IVC filter placement and complex IVC filter removal, varicose vein ablation, microphlebectomy, and sclerotherapy
- Liver and Biliary Tract— Transjugular liver biopsies, TIPS, percutaneous biliary drainage and gallstone retrieval
- GI tract— Gastric and jejunal feeding tubes
- GU Tract— Nephrostomy tubes, ureteral stent placement
- Oncology— Percutaneous ablation, transarterial chemoembolization, radioembolization
- Women's Health— Uterine fibroid embolization, pelvic congestion syndrome
- Other: Lymphangiograhy, thoracic duct embolization, percutaneous sympathectomy, kyphoplasty/vertebroplasty
Our fellowship provides trainees with a varied and professionally fulfilling foundation in which to launch their Interventional Radiology careers. Many of our graduates have gone on to become heads of IR in both the academic and private sector, successful entrepreneurs, and leading clinicians and researchers in the field. The majority of time is spent in an academic university hospital setting at HUP where the cases volume is approximately 100-125 cases per week. Candidates are exposed to more of a community radiology setting at the VA and Presbyterian Hospitals where the case volume is approximately 25-30 cases per week and 40-50 cases per week, respectively.
The program also offers the unique opportunity to gain exposure to Interventional Pediatric Radiology at the world-famous Children's Hospital of Philadelphia. Fellows gain experience in routine peripheral pediatric procedures, as well as in diagnostic neuroangiography under the guidance of dedicated pediatric interventionalists.
Home to Leading-Edge Facilities
At the Hospital of the University of Pennsylvania, Penn Interventional Radiology boasts six state-of-the-art interventional radiology suites and a nine-bed holding and recovery area. Ultrasound is available in all of the interventional suites. Digital workstations for reviewing imaging studies such as CT scans and MRI's is available in the Interventional Reading Room. Fellows have a dedicated office and workspace that includes carrels, lockers, desks, and computers. A large medical research library is located conveniently adjacent to HUP. Both the Presbyterian Medical Center and the VA Medical Center have two large IR rooms equipped with the latest technology. All four affiliated hospitals are within easy walking distance of one another, and all lie adjacent to or on the campus of the University of Pennsylvania. Fellows have access to all the resources, activities, and facilities that one expects at a world-class research University.
Educational Resources and Conferences
The fellowship program consists of frequent conferences and rounds. Weekly conferences include a didactic lecture in IR, IR Chief Rounds (a case-based conference), liver tumor conference and dialysis access conference. There are monthly Morbidity and Mortality and Research conferences. Each day fellows review the previous day's cases with the attending staff to learn about the technical and clinical points important to that case.
Both clinical and laboratory research is performed at the University of Pennsylvania. All fellows have the opportunity to participate in research with a mentor within the program that often leads to the fellows presenting papers at the annual Society of Interventional Radiology (SIR) meeting. All fellows receive a stipend to present at the annual SIR meeting. The department reimburses expenses for any conference at which a fellow presents a paper as first author. The Interventional Radiology division presents at several annual Continuing Medical Education (CME) courses which fellows are encouraged to attend.
Micah Watts, MD
Attn: Maryann Clark
Hospital of the University of Pennsylvania
3400 Spruce Street/1 Silverstein
Philadelphia, PA 19104
Pathways to Interventional Radiology
In light of the upcoming Dual Certificate IR/DR Residency, we are not accepting new trainees into the IR DIRECT Pathway. There are however multiple ways for you to pursue a career in Interventional Radiology at the University of Pennsylvania:
Traditional PGY 6 is a one-year IR fellowship that can be done after completing the Diagnostic Radiology residency.
Clinical IR Pathway is an innovative program that will be available to residents matching into the Penn Radiology residency. A surgical internship is strongly encouraged. During the 4th year, residents will have at least 5 blocks of IR, in addition to research, an ICU block, as well as multiple clinical rotations tailored to individuals interested within the fields of interventional oncology, vascular IR, etc. This will be followed by a traditional one-year IR fellowship after residency.
We anticipate being one of the earliest programs in the country to be offering the Dual Certificate IR/DR residency. Candidates interested might be able to transfer from our Diagnostic Radiology program into this IR/DR residency beginning approximately July 2015. This time line is predicated on the Radiology RRC and ACGME finalizing the Dual Certificate program requirements by June 2014. We anticipate this program would involve 3 years of core radiology rotations followed by 2 dedicated years of IR.
Interventional Radiology Medical Student Elective (RAD 320)
Interventional Radiology (IR) has been at the forefront in the development of minimally invasive therapies since pioneering modern medicine with the development of angioplasty. Today, many conditions that once required surgery can be treated non-surgically by Interventional Radiology, and the list continues to grow.
The RAD 320 IR elective provides the student with the opportunity to become integrated into a busy clinical IR service here at Penn. Daily responsibilities include morning ward rounds, daily case review, scrubbing in procedures, and inpatient consultations. The student works closely with the fellows and staff, usually as a first-assistant. Over 100 cases per week expose the student to the full range of diagnostic and interventional procedures including arteriography/venography, angioplasty, stents, thrombolysis, interventional oncology, TIPS, biliary drainage, venous and enteral access, varicose vein therapy, uterine fibroid embolization and caval filters. There are multiple conferences weekly. Participation in ongoing research activities is available for interested students. Note: This rotation does NOT include neurointerventional or pediatric interventional radiology.
This rotation is intended for third and fourth year students and is HIGHLY RECOMMENDED for those thinking about a career in ANY surgical field and who want to work with cutting-edge technology. For career planning purposes, it is best to do this rotation after the surgery and internal medicine rotations and ideally in the third year to allow for adequate planning in the fourth year, given the competitiveness of the radiology specialty.
Deepak Sudheendra, MD
Assistant Professor of Clinical Radiology & Surgery
To learn more about the RAD 320 elective in Interventional Radiology please contact:
Office of the Registrar
Perelman School of Medicine
100 Stemmler Hall, Rm 6087
Philadelphia, PA 19104