Department of Radiology

Interventional Radiology at the Hospital of the University of Pennsylvania (HUP) offers 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 Traditional PGY 6 is a one-year IR fellowship that can be done after completing a Diagnostic Radiology residency. This pathway will no longer exist as of July 1st, 2020.

We are one of the first programs in the country to offer the Dual Certificate IR/DR Integrated residency.  This residency officially begins on July 1st, 2016 and will match two residents per year.  The integrated residents will train alongside their diagnostic radiology resident colleagues during the R1 – R3 years.  The R4 and R5 years are devoted to interventional radiology.  During the R4 year, residents will spend one 4 week block in the cardiothoracic ICU, six blocks in the IR department, and multiple blocks in “IR related" areas, including research and clinical electives. The R5 year is similar to the traditional fellowship year.

Along with the Integrated IR residency, we will also offer the Independent IR residency.  This is a two year IR curriculum which can be completed after a diagnostic radiology residency. Qualified candidates who have achieved 12 months of IR related activity, one month of ICU, and 500 cases during their residency can bypass the first year of this residency, making it a one year post-residency experience. Either residency prepares the trainee to sit for the DR/IR combined certificate examination.

Our IR training Program provides trainees the unique opportunity to learn to develop the clinical skills necessary to prepare them to be leaders in the field.

The program provides trainees the unique opportunity to learn alongside world-renowned physicians in a premier academic medical center. As one of the oldest and most sought after IR training programs in the nation, our trainees develop the clinical skills necessary to prepare them to be leaders in the field of Interventional Radiology. Trainees 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.

Clinical Work

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 — Acute DVT thrombolysis and chronic DVT recanalization, IVC filter placement and complex IVC filter removal, superficial venous ablation, microphlebectomy, and sclerotherapy
  • Liver and biliary tract — Transjugular liver biopsy, TIPS, percutaneous biliary drainage and biliary stone management
  • GI tract — Gastric and jejunal feeding tubes
  • GU tract — Nephrostomy, ureteral stent placement
  • Oncology — Percutaneous ablation, transarterial chemoembolization, radioembolization, portal vein embolization, and Denver shunt placement
  • Women's health — Uterine artery embolization, pelvic congestion syndrome treatment
  • Non-oncologic embolotherapy — Pulmonary AVM (HHT), varicocele, trauma and gastrointestinal bleeding
  • Lymphatic interventions — Lymphangiography, thoracic duct embolization
  • Pain management- — percutaneous sympathectomy, kyphoplasty/vertebroplasty

Our program provides trainees with a varied and professionally fulfilling foundation from 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 sectors, successful entrepreneurs, leading clinicians and researchers in the field. The majority of time is spent in an academic university hospital setting at HUP where the case volume is approximately 150 patient encounters per week. Candidates are exposed to more of a community radiology setting at the VA and Penn Presbyterian hospitals where the case volumes are approximately 40 patient encounters per week.

The program also offers the unique opportunity to gain exposure to Pediatric Interventional Radiology at the world-famous Children's Hospital of Philadelphia. Trainees gain experience in routine 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 five state-of-the-art interventional radiology suites, a C-arm suite and a nine-bed prep and recovery area. Ultrasound is available in all of the interventional suites. Digital workstations for reviewing imaging studies such as CT scans and MRIs are available in the Interventional Workroom. Trainees have a dedicated office and workspace that includes lockers, desks, and computers. The Penn Presbyterian Medical Center has three state of the art IR suites and the VA Medical Center has two state of the art IR suites, all equipped with the latest technology. The Perelman Center, across the street from HUP, has two C-arm suites and a venous ablation suite. All five affiliated facilities are within easy walking distance of one another, and all lie adjacent to or on the campus of the University of Pennsylvania. Trainees have access to all the resources, activities, and facilities that one expects at a world-class university.

Educational Resources and Conferences

The fellowship program consists of daily educational conferences and rounds. Conferences include weekly didactic lectures in IR, IR Chief Rounds (a case-based conference), liver tumor conference and biweekly 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 are performed at the University of Pennsylvania. All fellows have the opportunity to participate in research with a mentor within the program; this often leads to fellows presenting papers at the annual Society of Interventional Radiology (SIR) and many other meetings.  Interventional Radiology division members speak at several annual Continuing Medical Education (CME) courses which fellows are encouraged to attend.

Learn about requirements and how to apply >>

Contact:

Micah Watts, MD
Interventional Radiology
Attn: Kate Farley
Hospital of the University of Pennsylvania
3400 Spruce Street/1 Silverstein
Philadelphia, PA 19104
Phone: 215-662-7892
Fax: 215-615-3545
katherine.farley@uphs.upenn.edu

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 rounds, daily case review, scrubbing into procedures, and inpatient consultations. The student works closely with the fellows and staff, usually as a first-assistant. Over 150 patient encounters 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.

Course Director:

Deepak Sudheendra, MD
Assistant Professor of Clinical Radiology & Surgery

To learn more about the RAD 320 elective in Interventional Radiology please contact:

Helene Weinberg
Office of the Registrar
Perelman School of Medicine
100 Stemmler Hall, Rm 6087
Philadelphia, PA 19104
Phone: 215-898-4646
Fax: 215-898-0833

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