Abstract
Interventional radiology (IR) is a rapidly expanding specialty that is facing the challenges of turf wars and personnel shortages. Appropriate exposure of medical students to this field can be vital to recruitment of potential future trainees or referring physicians. The aim of this study was to determine the knowledge and views of final-year medical students in a single EU country regarding various aspects of IR. An electronic survey was sent via e-mail to all final-year medical students in a European country. The students were given a month to respond to the questionnaire. A total of 234 students of 675 (34.5%) replied to the survey. Of the respondents, 35% had previously completed an attachment to the radiology department. The majority of students (63%) thought their knowledge in radiology in general was poor. The percentage of students who correctly identified procedures performed by interventional radiologists was 69% for Hickman line insertion, 79% for fibroid embolization, and 67.5% for lower limb angioplasty. Sixty percent, 30%, and 47% thought that interventional radiologists perform cardiac angioplasties, perform arterial bypasses, and create AV fistulas, respectively. Forty-nine percent felt that interventional radiologists are surgically trained. Eighty-three percent of students were first made aware of angioplasty by a cardiologist. Thirty-one percent thought that interventional radiologists do ward rounds, 24% thought that interventional radiologists have admitting rights, and 26% felt that interventional radiologists run an outpatient practice. A significant number of students (76%) thought that the job prospects in IR are good or excellent but only 40.5% were willing to consider a career in IR. In conclusion, this study indicates that IR remains a nascent but attractive specialty to the majority of medical students. Further development of the existing informal undergraduate curriculum to address shortcomings will ensure that IR continues to attract the brightest talents to the field.
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References
Dorfman GS (2002) The 2002 Dr. Charles T. Dotter lecture: revolution, evolution, or extinction—a report of an imaginary conversation among Dotter, Darwin, and a few selected revolutionaries. J Vasc Interv Radiol 13(9 Pt 1):869–878
Sunshine JH, Cypel YS, Schepps B (2002) Diagnostic radiologists in 2000: basic characteristics, practices, and issues related to the radiologist shortage. AJR 178(2):291–301
Chowdhury R, Wilson ID, Oeppen RS (2008) The departments of radiology and anatomy: new symbiotic relations? Clin Radiol 63(8):918–920
Jafri NF, Wu P, Stanfield L et al (2008) Use of radiologic imaging to enhance physical diagnosis instruction in the preclinical curriculum. Acad Radiol 15(7):942–947
Baerlocher MO, Asch MR, Hayeems E (2005) Current issues of interventional radiology in Canada: a national survey by the Canadian Interventional Radiology Association. Can Assoc Radiol J 56(3):129–139
Branstetter BF 4th, Faix LE, Humphrey AL et al (2007) Preclinical medical student training in radiology: the effect of early exposure. AJR 188(1):W9–W14
Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction. Description of a new technic and a preliminary report of its application. Circulation 30:654–670
Becker GJ (2001) 2000 RSNA annual oration in diagnostic radiology: the future of interventional radiology. Radiology 220(2):281–292
Levin DC, Abrams HL, Castaneda-Zuñiga WR et al (1994) Lessons from history. Why radiologists lost coronary angiography and what can be done to prevent future similar losses. Invest Radiol 29:480–484
Veith FJ, Gargiulo NJ (2007) Endovascular aortic repair should be the gold standard for ruptured AAAs, and all vascular surgeons should be prepared to perform them. Perspect Vasc Surg Endovasc Ther 19(3):275–282
Baerlocher MO, Stewart B, Asch MR et al (2008) Performance of carotid stenting, vertebroplasty, and EVAR: how many are we doing and why are we not doing more? A survey by the Canadian Interventional Radiology Association. Can Assoc Radiol J 59(1):22–29
Fielding JR, Major NM, Mullan BF et al (2007) Choosing a specialty in medicine: female medical students and radiology. AJR 188(4):897–900
Anzilotti K, Kamin DS, Sunshine JH et al (2001) Relative attractiveness of diagnostic radiology: assessment with data from the National Residency Matching Program and comparison with the strength of the job market. Radiology 221(1):87–91
Solomon DJ, DiPette DJ (1994) Specialty choice among students entering the fourth year of medical school. Am J Med Sci 308(5):284–288
Messina LM, Schneider DB, Chuter TA et al (2002) Integrated fellowship in vascular surgery and intervention radiology: a new paradigm in vascular training. Ann Surg 236(4):408–414
ten Cate G, Fosse E, Hol PK et al (2004) Integrating surgery and radiology in one suite: a multicenter study. J Vasc Surg 40(3):494–499
Schnyder P, Capasso P, Meuwly JY (1999) Turf battles in radiology: how to avoid/how to fight/how to win. Eur Radiol 9(4):741–748
Baerlocher MO, Asch MR, Eran H et al (2005) Attitudes of and influences on residents in English Canadian radiology programs regarding interventional radiology: results of a national survey by the Canadian Interventional Radiology Association (CIRA). J Vasc Interv Radiol 16(10):1349–1354
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Appendix: Awareness of Interventional Radiology Among Final-Year Medical Students in Irish Hospitals
Appendix: Awareness of Interventional Radiology Among Final-Year Medical Students in Irish Hospitals
Medical School______________________
Current Position______________________
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1.
Have you completed an elective attachment to a radiology department? Yes____No____
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2.
How does your knowledge of Interventional Radiology compare to other subjects? Excellent____Good____Adequate____ Poor____ No knowledge____
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3.
An Interventional Radiologist performs the following procedures:
-
(a)
Cardiac angioplasty or stenting Yes____No____
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(b)
Femoral-popliteal arterial bypass Yes____No____
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(c)
Venous access procedures (e.g., Hickman line) Yes____No____
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(d)
Arteriovenous fistulas for dialysis Yes____No____
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(e)
Uterine artery embolisation for fibroids Yes____No____
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(f)
Lower limb angioplasty and stenting Yes____No____
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(a)
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4.
An Interventional Radiologist trains
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(a)
As a surgical trainee Yes____No____
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(b)
As a radiology trainee Yes____No____
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(c)
Both Yes____No____
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(d)
None of the above Yes____No____
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(a)
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5.
Are you familiar with the following procedures?
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(a)
Vertebroplasty Yes____No____
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(b)
Radiofrequency ablation of tumours Yes____No____
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(c)
Endovascular repair of aortic aneurysms Yes____No____
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(d)
Percutaneous nephrostomy Yes____No____
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(e)
Image-guided tumour biopsy Yes____No____
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(a)
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6.
Are you familiar with the procedure called ‘angioplasty’? Yes____No____
If yes, where did you gain that exposure?
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(a)
Cardiologist Yes____No____
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(b)
Vascular surgeon Yes____No____
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(c)
Interventional Radiologist Yes____No____
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(d)
Others (please specify)______________________
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7.
An Interventional Radiologist
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(a)
Has outpatient clinics Yes____No____
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(b)
Does ward rounds in the hospital Yes____No____
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(c)
Admits patients to the hospital Yes____No____
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(d)
Treats patients with minor illnesses Yes____No____
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(e)
Treats patients with major illnesses Yes____No____
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(f)
Does not treat patients at all Yes____No____
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(a)
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8.
How do you rate the following to provide student exposure to Interventional Radiology? [rank 1 (best) to 8 (worse)]
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(a)
Ward rounds
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(b)
Radiology department attachments
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(c)
Lectures from Interventional Radiologists
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(d)
Multidisciplinary meetings
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(e)
Outpatient clinics
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(f)
Self-directed learning websites
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(g)
Study modules
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(h)
Clinical research projects
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(a)
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9.
How do you rate your knowledge of radiology in general compared to other subjects? Excellent____Good____Adequate____Poor____No knowledge____
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10.
Would you consider a career in Interventional Radiology? Yes____ No____
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11.
What do you think about the career prospects for Interventional Radiologists? Excellent____Good____Adequate____Poor____Don’t know____
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Leong, S., Keeling, A.N. & Lee, M.J. A Survey of Interventional Radiology Awareness Among Final-Year Medical Students in a European Country. Cardiovasc Intervent Radiol 32, 623–629 (2009). https://doi.org/10.1007/s00270-009-9569-8
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DOI: https://doi.org/10.1007/s00270-009-9569-8