Interventional Radiology Workforce Shortages Affecting Small and Rural Practices: A Report of the SIR/ACR Joint Task Force on Recruitment and Retention of Interventional Radiologists to Small and Rural Practices

Findeiss, Laura; Everett, Catherine; Azene, Ezana M.; Biggs, Kelly; Ignacio, Elizabeth A.; Matsumoto, Alan H.; Kay, D.; Kutsenko, Oleksandra; Liu, Ray; Padha, Vivek; Soulez, Gilles; Swan, Tim

doi:10.1016/j.jacr.2022.08.004

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…14 A survey in the US found that 29% of rural centres fell short in providing IR services. 24 In Canada, IR services are sparse to non-existent in Canada’s rural and remote regions, 25 paralleling the US landscape of poor provision of IR care outside of urban centers.…”

Section: Challenges In Rural and Remote Radiologymentioning

confidence: 99%

The Landscape of Rural and Remote Radiology in Canada: Opportunities and Challenges

Davidson,

Kielar,

Tonseth

et al. 2023

Can Assoc Radiol J

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Diagnostic and interventional radiology play a crucial role in healthcare, facilitating diagnosis of disease, treatment planning, interventional therapies, and assessment for response to treatment. However, many rural and remote regions are disproportionately limited in accessing high-quality radiological services. Challenges include limited imaging infrastructure in these communities, geographic isolation, and workforce shortages impacting provision of interventional image-guided procedures and subspecialty imaging in particular. However, a career in rural or remote radiology also presents unique opportunities including a deep sense of community, broad scope of practice, and immense benefit to patient care. This review aims to explore the landscape of rural and remote radiology with a focus on Canada, including opportunities, challenges, and potential strategies. Some of the challenges are shared by both rural and remote communities while others are distinct. Factors that have contributed to challenges in recruitment and retention of rural and remote radiologists include workload burden, inadequate or suboptimal imaging and interventional equipment, and limited exposure during training. Additionally, strategies to improve the provision of radiology services in rural and remote communities are highlighted, addressing both the workforce shortage and the lack of essential equipment and other resources.

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Section: Challenges In Rural and Remote Radiologymentioning

confidence: 99%

The Landscape of Rural and Remote Radiology in Canada: Opportunities and Challenges

Davidson,

Kielar,

Tonseth

et al. 2023

Can Assoc Radiol J

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“…Nearly 85% of U.S. counties lack IR services. 6 Similarly, the geographic coverage of interventional radiologist differs significantly across SA ( Table 4 ). Contrasting the number of radiologists and IRs in SA to that of the United States as a proposed benchmark highlights the current shortage in IR services and the urge to act to fill the gap ( Table 5 ).…”

Section: Current Scope and Demand For Ir In Saudi Arabiamentioning

confidence: 99%

Current and Future Needs for Interventional Radiologists in Saudi Arabia: Position Statement by the Saudi Interventional Radiology Society

AlSafran

Arabi

Al-Safran

et al. 2023

The Arab Journal of Interventional Radiology

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Saudi Arabia has gone through a huge expansion in the medical services, which increased the demand for interventional radiologist (IR) services. However, the current number of IRs is considerably less than the needed number, which poses a challenge to provide a 24/7 IR service coverage. The shortage may improve in the future, but it will continue through 2030 despite the successful local fellowship training program.

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“…Despite this, DR residents are expected to master basic IR skills to perform simple IR procedures as it is integral for the completeness of their overall training. 4 5 Another advantage of required IR rotations is to expose residents to the field of IR so they can make the appropriate decision on whether they wish to apply for an Early Specialization in Interventional Radiology (ESIR) position following their R3 year. 6…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, DR residents are expected to master basic IR skills to perform simple IR procedures as it is integral for the completeness of their overall training. 4,5 Another advantage of required IR rotations is to expose residents to the field of IR so they can make the appropriate decision on whether they wish to apply for an Early Specialization in Interventional Radiology (ESIR) position following their R3 year. 6 The Society of Interventional Radiology (SIR) reviewed accredited radiology programs and investigated the design of their IR rotations, specifically the procedural components; they found vast heterogeneity among the training programs.…”

Section: Introductionmentioning

confidence: 99%

The Impact of a Hands-On Interventional Radiology Training Course on Radiology Resident's Training: A Single Academic Institution Experience

Guimbarda,

Armashi,

Parker

et al. 2023

The Arab Journal of Interventional Radiology

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Purpose The aim of this study was to investigate the outcomes of an instructional hands-on training course that introduces radiology residents to the essential tools and skills needed to perform basic interventional radiology (IR) procedures. Materials and Methods This study was performed over a single academic year at a single academic institution. A precourse survey was sent to all radiology residents to identify areas of weakness and potential opportunities for improvement. In view of the responses, a hands-on training course was designed to cover the basics of vascular and soft-tissue access, catheters, wires, embolics, and closure devices. The training was provided in a one-to-one setting by a single IR attending over a period of 45 minutes and was concluded with hands-on training on an ultrasound (US) vascular access phantom whenever possible. An anonymous postcourse survey was then distributed and the results were analyzed. Results The average reported comfort level with basic IR concepts prior to course attendance was 1.7 on a 5-point scale (1 = not comfortable, 5 = very comfortable). This increased to an average of 4 following the course. Ninety-three percent of residents reported they have more confidence getting into the IR suite and assisting in IR procedures following the course. Residents who had an opportunity to train on the US vascular access phantom gave an average response of 4.6 out of 5 to a question of how helpful the experience was in improving their US hand skills (1 = not helpful, 5 = extremely helpful). One hundred percent of responders reported that the course successfully met its goal. Finally, the overall responses were unanimously in favor of continuing the hands-on training course. Conclusion A personalized, cost-effective, hands-on training course can improve the IR training experience of radiology residents, especially in the early training phase. This model is of particular value for smaller to medium-sized academic institutions with limited financial and educational resources.

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Interventional Radiology Workforce Shortages Affecting Small and Rural Practices: A Report of the SIR/ACR Joint Task Force on Recruitment and Retention of Interventional Radiologists to Small and Rural Practices

Cited by 10 publications

References 24 publications

The Landscape of Rural and Remote Radiology in Canada: Opportunities and Challenges

The Landscape of Rural and Remote Radiology in Canada: Opportunities and Challenges

Current and Future Needs for Interventional Radiologists in Saudi Arabia: Position Statement by the Saudi Interventional Radiology Society

The Impact of a Hands-On Interventional Radiology Training Course on Radiology Resident's Training: A Single Academic Institution Experience

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