Instructional Methods:
This course is taught through direct observation, verbal instruction, didactic lecture, and hands on experience.
Knowledge/Skills:
1.
Understand patient selection
and therapeutic options within Interventional Radiology, including
factors that determine if an
interventional procedure is necessary
and safe
2.
Be knowledgeable of the pre-procedural evaluation and post-procedural management of Interventional Radiology patients
3. Identify potential
complications of Interventional Radiology procedures
4.
Be familiar with current research
projects in process and scholarly
opportunities within Interventional Radiology
5.
Work with Interventional Radiology physicians, fellows,
residents, technologists, and nurses to gain a better understanding of the team approach to interventional therapies. At the end of the elective, the student should be able to:
6. Discuss the risks, benefits,
indications, and contraindications of IR procedures.
7.
Know the roles of fluoroscopy, ultrasound, and CT for IR procedures.
8.
Discuss dosing and reversal of moderate sedation.
9.
Discuss the drugs
used in IR procedures including analgesics,
anti-anxiety agents, vasodilator
drugs, thrombolytic agents, and
antibiotics.
10. Know the basics of iodinated contrast,
including alternatives to standard agents.
11.
Outline arterial and venous anatomy, including collateral
routes, particularly in the visceral, peripheral, and renal circulation.
12. Recognize common vascular normal variants.
13.
Define basic biliary
anatomy.
14.
Discuss pathophysiology of biliary and genitourinary
obstruction, peripheral vascular disease,
venous thromboembolic disease, and abscesses.
15.
Understand and apply physics concepts that will allow for minimization of radiation dose
to both patient and operator in the IR suite.
16. Perform a directed history and physical
(H&P) examination.
17.
Concisely document the H&P in the form of a consultation.
18.
Before performing interventional procedures, counsel patients
and obtain informed
consent (e.g., explain conduct and purpose for procedure, explain risks, benefits
and alternatives, solicit
and answer patient
questions).
19.
Recommends appropriate procedures
for common clinical
conditions and scenarios,
such as long-term venous access, fluid collection drainage, diagnostic venography
and arteriography, and dialysis access interventions.
20. Write the necessary pre- and post-procedure orders pertaining to each procedure.
21.
Premedicate patients with contrast allergy.
22.
Document (via Epic) the Operative
Note. A standardized template is available for this purpose.
23.
Diligent follow up and rounding
on patients who have undergone
IR procedures and management
of any post-operative complications.
Procedures:
• Act as first or second assistants
during procedures
• Demonstrate technical
competence and comprehension of the steps required to perform basic vascular
access procedures
• Participate in complex
vascular interventions (e.g. uterine artery embolization, TIPS, TACE/TARE, GI
bleed embolization, IVC filter placement or retrieval)
By the end of the elective,
the student should successfully perform the procedures
below with faculty
supervision commensurate with experience and individual competence.
• Image-guided drainage
of fluid (paracentesis or thoracentesis)
• Basic vascular access to veins and arteries.
• Basic drainage technique (e.g., large abscess).
• Basic ultrasound- and CT-guided
technique for organ biopsy (e.g., random liver or kidney).
• Basic guidewire exchange techniques.
• Local anesthesia
administration.
• Appropriate suture technique.