Interventional Radiology – Integrated Residency

Welcome to the Interventional Radiology Residency at Warren Alpert Medical School of Brown University! In our residencies, we strive to provide an immersive and collegial learning environment that fosters professional and personal growth. Thank you for your interest in our program.

History and Mission

As one of the first Interventional Radiology Residency programs in the country, Brown IR continues to be a leader in IR education. Brown IR is an established division with a rich history in IR leadership and education. Our mission is to help you reach your maximum potential as future Interventional Radiologists by promoting clinical care, comprehensive training, strong diagnostic radiology training, and resident autonomy. Both Integrated and Independent IR residencies are available.

Clinical Care

The Brown IR program is committed to clinical care of the patient. There is a free-standing IR clinic as well as a dedicated Interventional Oncology Clinic. The IR resident is fully integrated into the outpatient clinic experience and participates in consultation, follow-up, and longitudinal care of the IR patient. Patient and resident continuity is preserved as much as possible. In addition, we have a full IR admission service as well as a busy consult service for emergencies and inpatients.

Comprehensive Training

A major strength of the Brown IR program is the well-rounded training including peripheral arterial disease, venous thromboembolic disease, interventional oncology, women’s health, portal hypertension, urology, gastrointestinal care, MSK, dialysis and vascular access, AV and lymphatic malformation, and neurointerventional radiology. Rhode Island Hospital is the tertiary university teaching hospital for Brown. Together with the Miriam Hospital, Hasbro Children’s Hospital, and Women and Infants Hospital, Rhode Island Hospital provides services throughout Rhode Island and southeastern Massachusetts and Connecticut. Rhode Island Hospital is a level 1 trauma center, a comprehensive stroke center, and has one of the busiest emergency departments in the country. This combination allows for a diverse IR experience.

Multi-Disciplinary Care

Brown IR is an integral part of multi-disciplinary care. We are a major participant of numerous multi-disciplinary clinical programs including interventional oncology, pulmonary embolism rescue team, arterio-venous and lymphatic malformation clinic, and portal hypertension program. Brown IR residents play an active role in concert with faculty.

DR Training

Being a resident-focused program with a diverse patient population and pathology, the Brown DR program provides a fantastic training environment for the IR resident. It is a busy resident-focused program with emphasis on supervised autonomy including independent night float and inhouse moonlighting opportunities. For more information on the Brown DR program and the department, please click here.

Why I Chose Brown

“I chose Brown VIR because the program has it all! High volume, interesting and diverse cases, fun and diverse residents, and supportive faculty mentors. Providence also has great food and outdoor activities.” – Jessica Yoon, PGY-2 IR Integrated Resident

“I chose Brown IR because I wanted a well-rounded training program with high case volumes and excellent mentors. Having been a medical student at Brown, I knew this program was unique in its ability to train residents and fellows to be well versed in the full gamut of IR, including stroke intervention, and the mentorship I witnessed while a medical student was second to none. The interventional program is also backed by excellent training in DR, which is all the more important for integrated IR/DR residents who won’t have as much time in the various DR sections as their strictly DR colleagues. I was also thrilled to stay in Rhode Island for residency, a place which combines the best of ocean beaches and New England charm, while still feeling like a tight-knit community, and which has served as a safe,
fun, and exciting place for my son to grow up.” – Adam Tuomi, PGY -3 IR Integrated Resident

“I chose IR because of its unique position at the intersection of surgery and radiology. Being able to both diagnose problems on one side, then tangibly create solutions on the other is a really satisfying thing. Brown stood out to me in
particular because of the robust foundational diagnostic training it provides as well as its tradition of shaping residents into strong and able clinicians.“ – Matt Pouw, PGY-3 IR Integrated Resident

What is a Typical Day for an IR Resident

IR

The official day for the IR resident begins at 8AM with morning report. Prior to morning report, the IR resident is responsible for preparing for the day’s cases; review of prior night’s call cases, and evaluation of the IR service patients. This usually means around 6:30AM. Procedures begin at 8:30AM and continue to about 6PM. The day’s work comprises of scheduled elective procedures and emergent and inpatient consults and procedures. With more procedure rooms than the number of IR residents on service, there is more than enough volume for a well-rounded and hands-on experience. At the end of the day, there is read-out of the day’s procedures. This is an excellent learning opportunity for residents. The day ends with dictation of all procedures, rounds on the admitted patients, and preparation for the next day. The call resident is responsible for the IR service and any emergent consults and procedures at Rhode Island and Miriam Hospitals. IR call is a home call that averages out to between every 3 to 4 weeks during the PGY 5 and PGY 6 years.

DR

Residents rotate through subspecialty areas on one academic campus that includes Rhode Island Hospital (RIH), Hasbro Children’s Hospital (HCH), and Women and Infants Hospital (WIH). This minimizes travel and allows all residents to come together for lunch and conference, helping to create a cohesive and close-knit residency.

Rotations in Musculoskeletal Imaging, Nuclear Medicine, Body Imaging, Neuro Imaging, Abdominal Imaging, Interventional Radiology, and Chest Radiology are all located at RIH. The Pediatric Radiology rotation is at HCH, which is part of the RIH campus. Breast Imaging rotations are at both RIH and WIH, and the OB/Gyn imaging rotation is at WIH, which is connected to RIH by an underground tunnel. The Fluoroscopy rotation is at RIH except for 2 weeks in the first year when time is spent at The Miriam Hospital, also in Providence, 4 miles from the RIH campus.

Most sections begin work at 8AM. During the academic year (September to May), there are a variety of required and optional educational conferences that occur once or twice a week from 7 to 8AM. On service, residents provide consultation with clinical colleagues and review cases before going over them in person with an attending. On many different rotations, residents learn to perform procedures under supervision. At noon, residents head off to conference where they eat lunch while participating in an attending  lead conference. After a short break after conference, clinical work resumes and the day usually ends at 5PM or shortly thereafter. Our work days are very busy but efficient, allowing residents to see and do a lot while still maintaining work-life balance.

IR Clinic

IR clinic is an integral part of the IR resident training.  Outpatient IR clinic is located directly on RIH campus facilitating resident participation and has office hours Monday through Thursday.  A separate and dedicated Interventional oncology clinic is also on RIH campus and has office hours Monday through Thursday.  The IR resident’s role is to actively participate in patient assessment, formulation of a plan, and longitudinal follow-up care with appropriate supervision by the faculty.  All elective referrals are evaluated as consultations in either IR or IO clinic.

IR Training Sites and Equipment

RI Hospital

  • 719 beds
  • Level 1 Trauma
  • Comprehensive Stroke Center
  • 5 IR suites (2 biplane)
  • CT fluoroscopy unit
  • Dedicated 10 patient IR recovery room
The Miriam Hospital

Miriam Hospital

  • 247 bed hospital
  • 2 IR suites
  • CT fluoroscopy unit
  • Dedicated IR recovery room

What are the educational resources and conferences?

Residents have access to numerous online self-study materials such as StatDX, RadPrimer, and Clinical Key and e-anatomy. In addition, for those who prefer hard copy reading, the department maintains a collection of textbooks. Each resident is also provided a book fund that can be used for educational materials or courses. IR Residency Essentials, a two-year self-paced online training program is provided.

An hour long noon conference for all residents is given from 12 to 1 pm.  Resident conference curriculum is on a two year cycle covering all subspecialty areas of radiology.  Radiology physics is also covered in the noon conference curriculum. Non interpretive subjects such as critical thinking skills and business practice are also included. There are additional conferences specific to each residency class given at various times during the year.  For instance, the first year residents receive specific introductory conferences at 1pm in July, August and September. 

There are several dedicated IR conferences.  There is a once a week IR conference dedicated to IR resident which is a combination of didactic lectures and case-based presentations on basic to complex IR topics.  This lecture series is designed to be comprehensive and run on a one-year cycle.  IR Morbidity and mortality conferences occur every month and run by the IR chief resident.  Journal club meets once a month.  Interesting IR case conference, which is an informal show and tell type of conference meets once every 3 months and is a chance for everyone to share their experiences.

Grand Rounds is held once a month during the academic year.  A visiting professor speaks to the entire department at noon time and also gives a separate educational conference to the residents in the morning or afternoon. In addition to Grand Rounds, there are several department wide conferences held each month, including QA and peer review conferences and conferences with didactic components for the entire department. Subspecialty Interesting case conferences are held weekly covering body, emergency,  neuro, VIR, MSK and women’s imaging. 

Residents participate in interdepartmental conferences such as AV malformation conference, and tumor boards, developing required skills of teaching and working in teams. Through active participation in multidisciplinary and departmental conferences, residents will learn how to be a valuable member of the larger health care team in providing appropriate, cost‐effective patient care.

Residents have ample opportunity to teach Brown medical students both on service and in formal instruction. Interested residents have the opportunity to provide prepared lectures to medical students and to first year residents.

What about other educational and moonlighting opportunities?

AIRP: During the second or third year of training, the Department will pay tuition and a housing stipend for residents to attend the AIRP course in Washington, D.C. If a resident chooses not to attend the AIRP, an alternate elective in radiologic‐pathologic correlation will be provided at RIH.

Elective time: Fourth year residents are given at least 12 weeks of elective time available to focus on one or more subspecialty areas or other interests such as research.

Moonlighting: There are multiple opportunities for moonlighting for those who are interested. These are completely voluntary and not all residents choose to participate.

Contrast coverage is available in the evenings and on weekends at outpatient radiology offices. Second, third, and fourth year residents are paid to provide preliminary image interpretations at The Miriam Hospital.

What are the call responsibilities?

DR Call

Starting in October, first year residents rotate in emergency radiology with direct attending supervision from 5:30 to 10 pm on weekdays and from 8 am to 5 pm on weekends. 

Second, third, and fourth year residents participate in a night float system. “Night float short” hours are from 5 pm to 2 am and “night float long” hours are from 10 pm to 8 am.  An attending radiologist is present in the ER until 12am and returns at 6am for morning readout of overnight cases. There is attending coverage of the ER from 12am-6am via home PACS workstations.

Second, third, and fourth years take weekend call in body imaging (mostly second and third years) and neuro imaging (mostly third and fourth years).  Body call is from 8am–5pm and includes interpretation of inpatient and outpatient body imaging as well as any emergency CT, US, and Fluoroscopy procedures that arise. Neuro call is 8am‐5pm on Saturday and 8am‐3pm on Sunday, and includes inpatient and outpatient neurologic MR imaging.

IR Call

During the PGY 2-4 years, the IR call is one week of home call per 4-week rotation along with a senior IR resident.  During the PGY 5 and 6 years, IR call is one week of home call every three week to every 4 weeks (During PGY-5 year, the IR resident’s call responsibility includes nightfloat and MR call).  On IR call, the resident is responsible for the IR inpatient service, consults, and procedures, along with the IR faculty on call.

Salary and Benefits

Radiology residents are employees of Rhode Island Hospital.

Rhode Island Hospital offers a competitive salary and benefits package to all of its House Staff. Stipends are reviewed annually and recommendations are made by the Graduate Medical Education Committee.

As of July 2020:

StipendVacation
PGY2$63,6403 weeks (and 5 wellness days)
PGY3$66,2903 weeks (and 5 wellness days)
PGY4$69,4104 weeks (and 5 wellness days)
PGY5$74,4204 weeks (and 5 wellness days)
PGY6$75,2804 weeks (and 5 wellness days)
PGY7$80,2304 weeks (and 5 wellness days)

Benefits

  • State and Federal Credentialing costs including malpractice insurance as a trainee 
  • Health Insurance & Dental Insurance
  • Long Term Disability (LTD) Insurance
  • Employee Term Life and Accidental Death & Dismemberment Insurance
  • Dependent Life Insurance
  • Health Care and Dependent Care Flexible Spending Accounts 
  • HIV Insurance – Legal Services Insurance
  • Long Term Care Insurance
  • Tax-Sheltered Accounts- TIAA-CREF

* Benefit costs are shared between the Hospital and the House Staff based upon options selected.

For specific details on benefit options contact the Lifespan Benefits office 401-444-5265

Other Benefits

  • Temporary Disability/Temporary Caregiver Insurance (TDI/TCI- State of RI managed programs) On-Call meals                                    
  • Employee assistance program
  • Lab coats and scrubs                     
  • Employee activities and discount programs                                   
  • Fitness and wellness center on-site
  • Employee Health Services
  • On-Call room                                     
  • Free notary public
  • On-Campus daycare center                                                  
  • Bright Horizon’s Children’s Center (401) 454-0312   
  • Cab Reimbursement Program
  • Paid and unpaid leave of absence 
  • Professional leave
  • Banking facility and ATM Machine on-premises 
  • Payroll deductions for U.S. Savings bonds 

How to Apply

All residency applications are to be submitted through ERAS and must include the following:

  • Dean’s Letter
  • Medical school transcript
  • At least 3 Letters of Recommendation
  • Personal Statement
  • USMLE Scores

After reviewing all applications, the Selection Committee will grant and conduct the interviews and subsequent ranking of applicants. Decisions regarding selection for interview and rank order are made without regard to the applicant’s race, religion, sex (including pregnancy, gender expression, and sexual orientation), age, or national origin.

Eligibility Criteria

Medical Training:

Applicant must be a graduate from one of the following

  • Medical school in the U.S. and Canada accredited by LCME
  • College of osteopathic medicine in the U.S. accredited by AOA
  • International medical school and has a valid ECFMG certificate or a full and unrestricted license to practice medicine in RI
  • International medical school and completed a Fifth Pathway program by an LCME-accredited medical school

USMLE:

Successful completion of USMLE step I and II examinations is required.  There are no cutoffs on scores or attempts.

Internship:

A clinical year in a program accredited by the ACGME or the Royal College of Physicians and Surgeons in medicine, surgery, OB/Gyn, neurology, family medicine, emergency medicine or in a transitional program is required for entry into the Diagnostic Radiology residency. Radiology elective time during internship must not exceed 2 months and must be in a program accredited by the ACGME.

Other Employment Criteria:

In order to be eligible for employment at Rhode Island hospital, the resident must be eligible for licensure in the state of Rhode Island.  All residents must comply with the hospital’s Tobacco-Free policy.  The use of tobacco products at any time is prohibited.

Visas Accepted for International Applicants:

International applicants should obtain a J1 Visa, sponsored by the ECFMG.ᅠ Rhode Island Hospital’s Training Program Liaison works with applicants and the ECFMG to obtain the visa. Rhode Island Hospital will sponsor an initial H1B visa only if the applicant is a graduate of a U.S. Medical School. We will also accept H1B transfers.

Contact Us

Residency Program Coordinator
Jill Eastman
JEastman3@lifespan.org
401.444.8809