Should Radiology Delay the Start of Fellowships? A Survey of the APDR.

RATIONALE AND OBJECTIVES: Several major medical specialties have recently considered delaying the start date of their fellowship training programs to allow for completion of their trainees' residency obligations. Radiology program directors (PDs) have voiced the need for a similar solution, as fellowship start dates at some institutions now occur well before the end of residency training. The objectives of this study are to assess the current state of the radiology fellowship transition and understand its impact on residency programs and clinical services. MATERIALS AND METHODS: Survey Monkey (Palo Alto, CA) was used to create a survey consisting of 9 multiple choice and 2 free text questions. The survey was approved by the survey committee of the Association of Program Directors in Radiology (APDR) and distributed via email to all 240 APDR members in November 2018. The survey was closed after 30 days. RESULTS: The response rate was 67% (160/240). Fifty-nine percent of respondents indicated some of their residents are asked to arrive at fellowships before July 1, often several days early for orientation and picture archiving and communication system (PACS) training. Sixteen percent of respondents said their own institutions ask incoming fellows to arrive early. Sixty-four percent of respondents indicated that this causes staffing problems. Seventy-eight percent of respondents supported considering a delay to the start of radiology fellowships. CONCLUSION: Most APDR members claim that residents are asked to arrive at fellowships early to complete orientation and training before July 1, and most say that this produces staffing problems on services. A significant majority of respondents support a discussion regarding delaying fellowship start dates.

Renal artery embolization for the treatment of renal artery pseudoaneurysm following partial nephrectomy.

BACKGROUND: Renal artery pseudoaneurysm following open, laparoscopic, or robotic-assisted nephrectomies is a relatively rare but serious complication. Selective renal artery embolization is an interventional radiologic procedure that can be used to successfully treat this postoperative complication. CASE REPORT: We present 2 cases of renal artery pseudoaneurysm, both of which were successfully treated by renal artery embolization, and briefly describe the technical aspects of and clinical indications for this angiographic procedure. CONCLUSION: Unlike other imaging modalities, angiography shows the anatomic location of a pseudoaneurysm so the interventional radiologist can quickly treat this potentially life-threatening condition.