IU School of Medicine

Elective Title: 93RA750 — VASCULAR AND INTERVENTIONAL RADIOLOGY

Description:

Interventional Radiology (IR) is a clinical subspecialty that utilizes minimally-invasive procedures under imaging guidance to treat a variety of vascular and non-vascular diseases in nearly every organ system. The Vascular and Interventional Radiology (VIR) elective will allow the student to work alongside the Interventional Radiologist in the procedure room, reading room, and clinic. The student will be involved in all aspects of patient care, including inpatient rounding, outpatient clinic workup, pre-procedural evaluation, intra-procedural care, and post-procedural management. One weekend day (7am-7pm) IR call will be required for students. While on call, a student would be paired with the IR resident/fellow and attending. This elective is designed to provide the student with a complete understanding of an academic Interventional Radiology practice by providing hands-on experience and instruction regarding the role of IR in evaluating and managing a wide variety of medical and surgical conditions. The student will develop a deeper understanding of therapeutic options for a variety of diseases and come to understand the process of patient selection to determine which patients would benefit from IR interventions. The student will learn the basic necessary equipment and techniques of each procedure along with its indications, contraindications, and alternatives. The student will be required to present a single case at one of the weekly IR case conferences during the month. The student will also gain experience in the diagnosis of vascular diseases via radiologic imaging modalities such as CT angiography. Students will spend two weeks at University Hospital and two weeks at Riley, IU West, or IU North.

Elective Details:

Primary Contact for Add/Drops: Becky Radford (radfordb@iu.edu)

Director: Michael Schacht, M.D., MBA

Campus: Indianapolis

Location: University Hospital, Riley, IU West, IU North

Other Faculty: David M. Agarwal MD, W. Brooks Davis MD. Matthew S. Johnson MD, Mark C. Gorrie DO, Thomas Casciani MD, Sabah D. Butty MD, Francis E. Marshalleck MD, Jeffrey R. Ramkaransingh MD

Learning Objectives

  • 1. Describe the presentation, pathophysiology, and therapeutic options for the common conditions treated by Interventional Radiologists. (MK2)
  • 2. Determine eligibility of patients for basic IR procedures. (MK4)
  • 3. Perform basic pre-procedural evaluation of IR patients (including obtaining a relevant medical history, performing a procedure-appropriate physical examination, and reviewing the patient's relevant imaging history (PC1)
  • 4. Perform basic management of post-procedural IR patients, recognizing common IR post-procedural complications and the need for treatment (MK4)
  • 5. Discuss the risks, benefits, and alternatives of IR procedures with patients (ISC2)
  • 6. Observe, assist, and display level-appropriate clinical skills during each procedure (PC5)
  • 7. Describe fundamental vascular and non-vascular imaging findings relevant to IR (PC3)
  • 8. Present a single cohesive and interesting IR patient case at one of the weekly IR case conferences during the month (ISC5)
  • 9. Describe the importance of daily rounds, multidisciplinary conferences, inpatient consults, and outpatient clinic in improving patient care in the IR setting (PBLI2)

Assessment

  • Clinical Performance Evaluation Form: Observation: faculty working directly with the student will observe the student's understanding of the course objectives and note improvement throughout the course of the month. Clinical Performance Evaluations will be completed by all faculty members who spend at least 3 days with the student during the course of the month. Quality of the student's IR patient case presentation at one weekly IR case conference will be evaluated by the course director or other faculty member. Case logbook entries will be reviewed by the course director at the end of the rotation. Written essay: The medical student will be required to write a short reflective essay (500 word limit) describing what he or she learned through the rotation as well as the overall role of IR in medicine and how this will impact his or her future practice.

Enrollment Information

Prerequisites: 3rd or 4th year status; General Surgery clerkship must be completed

Availability with Max Students per Month:

JuneJulyAugSeptOctNovDecJanFebMarAprMay
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Duty Hours: 50-60

Time Distribution: 80%Clinical; 10% Library/Research; 10% Lecture/Seminar

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Becky Radford (radfordb@iu.edu) Students will spend 2 weeks at University Hospital and 2 week at either Riley, IU West, or IU North. Optional housing is available for students traveling from satellite campuses.

Third Year Elective? No

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: Students will work alongside IR nurses and IR technologists during procedures, and collaborate with multidisciplinary physician teams and nursing staff to care for patients on the floor. In addition, the student will attend multidisciplinary conferences and tumor boards throughout the hospital.

Service Learning Included: None