Postgraduate training in vascular and interventional radiology

Training is a primary focus of all specialties. Currently, vascular and interventional radiology (VIR) fellowships are accredited by the Accreditation Council of Graduate Medical Education (ACGME), and graduates are eligible for examination for Certificates of Added Qualifications (CAQs) from the American Board of Radiology (ABR). There are approximately 100 accredited VIR fellowships in the United States, with approximately 240 positions. Current training lacks emphasis on patient management, an essential component for the future of the specialty. The VIR clinical pathway, endorsed by the ABR in 2001, permits radiology residents to abbreviate their diagnostic radiology rotations and emphasize VIR, clinical electives, and research while maintaining eligibility for the diagnostic radiology boards for the CAQ in VIR. Ultimately, an independent residency in VIR is necessary for the specialty to thrive intact.