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IR Residency IR/DR Certificate

IR Residency IR/DR Certificate. Matt Mauro MD ABR Trustee. APDR 2014. What does an ABMS specialty have to have?. Approval of ABMS and ACGME Program requirements Accredited programs Certifying examinations MOC program. Background. SIR proposed primary IR certification to ABR 2007

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IR Residency IR/DR Certificate

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  1. IR ResidencyIR/DR Certificate Matt Mauro MD ABR Trustee • APDR 2014

  2. What does an ABMS specialty have to have? • Approval of ABMS and ACGME • Program requirements • Accredited programs • Certifying examinations • MOC program

  3. Background • 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

  4. First step to developing a certificate • 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)

  5. How Did This Happen? 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.

  6. What is the status now? • 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

  7. Some Specifics Regarding the IR residency • 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 . -

  8. Some specifics regarding the IR certificate • 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.

  9. Key aspects of proposed PR • 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.

  10. General scheme of program requirements: Integrated Program

  11. Integrated Program 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

  12. Independent Program • 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

  13. Flexibility • 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

  14. What about certification? • 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

  15. Important to remember • PR’s not yet approved---but CLOSE • Don’t know exact timeline for implementation • For now, if interested in IR, should take IR fellowship

  16. PR’s will give programs flexibility • 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

  17. Summary: Timeline (maybe…) • 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

  18. Summary: Timeline (cont) • 2016 – First program approvals • First graduates could be 2017 • 2022 – end of 1 year fellowships

  19. Summary: IR/DR certification • Core exam • Same exam as DR residents • Same time period (ie in 36th month) • Certification exam: • 2 Computer Modules: Essentials, NIS • Oral exam

  20. Summary: Time line (maybe…) • 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

  21. ABR governance changes • 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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