The BackTable Podcast is a resource for interventional radiologists, vascular surgeons, interventional cardiologists, and other interventional and endovascular specialists to learn tips, techniques, and the ins and outs of the devices in their cabinets. Listen on BackTable.com or on the streaming platform of your choice.
You can also visit www.BackTable.com to browse our open access, physician-catered knowledge center for all things vascular and interventional; now featuring practice tools, procedure walkthroughs, and expert guidance on more than 40 endovascular procedures.
Ep. 136 IR Residency Pathways and Getting In! (Part II) with Dr. Sahil Mehta and Dr. Elias Farah
Ep. 136 IR Residency Pathways and Getting In! (Part II) with Dr. Sahil Mehta and Dr. Elias Farah by BackTable
Ep. 135 IR Residency Pathways and Getting In! (Part 1) with Dr. Bill Majdalany and Dr. Jeff Bodner
In this episode, interventional radiology (IR) program director Dr. Bill Majdalany, integrated IR resident Dr. Jeff Bodner, and our host Dr. Chris Beck continue the BackTable Trainee Series by discussing the IR residency application and interview process: different pathways to enter IR, applications that stand out, and interview day tips.
As a recent residency applicant, Dr. Bodner walks us through his journey through medical school, applications, and interviews. For students interested in pursuing IR, he recommends demonstrating interest in the field by participating in medical student committees, conferences, and volunteer opportunities. He also advises fourth-year students to apply broadly to both integrated interventional radiology and diagnostic radiology programs, emphasizing that there are multiple pathways to IR.
Dr. Majdalany elaborates on these pathways, describing the differences between the Early Specialization in Interventional Radiology (ESIR), the independent IR residency, and the integrated IR residency. He highlights key actions that applicants can take, which include performing well in all clerkships, taking advantage of research opportunities, and composing a personal statement that ties the whole application together.
We conclude the episode by offering advice for interview days. Overall, the best practices are to maintain professionalism and come prepared with knowledge about each program.
Society of Interventional Radiologists (SIR) Online Education Resources- https://www.sirweb.org/learning-center/rfs-landing-page/medical-student-and-resident-educational-resources/
SIR Residents, Fellows, and Students (SIR RFS)- http://rfs.sirweb.org/
Emory University IR Residency- https://med.emory.edu/departments/radiology/education/interventional-radiology-residency/index.html
Ep. 134 How to Crush Your Interventional Radiology (IR) Rotation with Dr. Daryl Goldman
In this episode, interventional radiology resident Dr. Daryl Goldman and our host Dr. Aaron Fritts launch our BackTable Trainee Series by talking about how medical students can perform well on IR rotations, and more broadly, how they can best position themselves to apply for an integrated IR residency. They also discuss actions that program directors can take to ensure that their rotation is effective at teaching and recruiting trainees.
Dr. Goldman outlines her path to IR and offers advice to medical students for getting involved in research, networking, and away rotations. For students at sites without IR residency/fellowship programs, she suggests that they reach out to external programs for research opportunities and away rotations. Overall, she encourages interested students to learn how to be good mentees, attend conferences, and get involved with IR interest groups.
Dr. Goldman says that a major goal of an IR rotation should be showing students a broad view of the specialty: workups, procedures, inpatient management, clinic time, and follow-up care. She suggests that programs provide students with graduated responsibility, didactic time, and opportunities to give presentations.
The doctors advise students to use social media to get connected with their specialty networks. Specifically, they emphasize the collaborative and educational environment of the endovascular community on Twitter.
BackTable’s Twitter- @_BackTable
Dr. Goldman’s Twitter- @Daryl_Goldman
SIR Residents, Fellows, and Students (SIR RFS)- http://rfs.sirweb.org/
Mt. Sinai Integrated IR Residency- https://icahn.mssm.edu/education/residencies-fellowships/list/msh-interventional-diagnostic-radiology
“Five Ways to Be a Great Mentee” by Dr. Yasha Gupta- https://www.acr.org/Member-Resources/rfs/Resident-and-Fellow-News/2020MAR-Mentorship
Ep. 133 MSOs and Value-Based Care: What You Need to Know with Dr. Chris Pittman
In this episode, interventional radiologist and vein treatment expert Dr. Chris Pittman and our host Dr. Aaron Fritts discuss the structure and benefits of management services organizations (MSOs).
As healthcare moves from a fee-for-service model to a fee-for-value model, MSOs have become increasingly popular. Dr. Pittman gives a brief overview of the services that these organizations can provide to independent physicians. These services can encompass billing, human resources, scheduling, contract negotiation, marketing, and any aspect of practice management outside of direct medical care. We discuss the benefits of joining an MSO, which include sharing resources within the network, offloading non-medical functions, controlling costs, learning best business practices, and ultimately, having more time and energy to deliver quality patient care. Additionally, having a network of practices allows each physician to have access to industry data and benchmark themself from operational, clinical, and patient satisfaction standpoints.
Dr. Pittman advises all physicians to have due diligence when deciding to join an MSO. He emphasizes the importance of determining the amount of physician autonomy that will be retained, evaluating the organization based on outcomes of past clients, and having an attorney look over agreements. In general, he believes that the most well-run MSOs are the ones that focus on a single specialty and have physicians on their leadership teams.
Health Performance Specialists (HSP) - https://www.healthperformancespecialists.com/
Ep. 132 Viz.AI: Improving Access to Stroke Care using AI with Dr. Chris Mansi
In this episode, neurosurgeon and co-founder/CEO of Viz.ai, Dr. Chris Mansi, and our host Dr. Bryan Hartley discuss the use of AI technology to detect large vessel occlusion (LVO) strokes and increase efficiency of workflow. Dr. Mansi describes his entrepreneurial journey, through the phases of idea formation, funding, growth, and expansion of his company.
We start by outlining key advantages that MBA and other graduate degree programs can provide for healthcare entrepreneurs. Both doctors emphasize the value of dedicating space and time, outside of clinical practice, to innovate and test new ideas. Dr. Mansi highlights his collaboration with other disciplines, such as engineering. He also discusses takeaways from his business education-- the importance of patient-centered innovation and having flexible technology that can meet the changing needs of the market.
Dr. Mansi gives an overview of Viz.ai’s origins, mission, and product offerings. The company addresses a clinical need for more consistent and efficient stroke care, and aims to move patients from stroke detection to stroke treatment more quickly. Viz.ai employs self-learning technology to provide high-quality imaging, automatic workflow triggers, and HIPAA-compliant communication channels for stroke teams to work together for the benefit of patients. We end this episode by talking about Viz.ai’s plan to expand to more disease states and medical specialties in the near future.
Viz.ai Platform- https://www.viz.ai/
“Crossing the Chasm” by Geoffrey Moore- Dr. Mansi’s book recommendation for all tech entrepreneurs
Ep. 131 Novel Treatment of Unicameral and Aneurysmal Bone Cysts with Dr. Shankar Rajeswaran
In this episode, pediatric interventional radiologist Dr. Shankar Rajeswaran joins host Dr. Sabeen Dhand to discuss a novel minimally-invasive treatment for unicameral and aneurysmal bone cysts.
Pediatric interventional radiology is a rapidly growing field, and Dr. Rajeswaran describes how it has evolved in complexity and innovation over the course of his career. Dr. Rajeswaran says that there is a significant challenge that pediatric IRs must overcome-- treating children with IR devices that were originally designed to be used in adults. As a result, he emphasizes the need for creativity and flexibility in this field.
Next, we define and differentiate between unicameral and aneurysmal bone cysts. Both can be benign; however, they carry the risk of causing pain, bone fracture, and growth deformities. Dr. Rajeswaran outlines the current standard of care, which includes monitoring and curettage and bone grafting. Then, he describes a new method of treatment, which involves needle injection of doxycycline to burn the walls of the cyst and bone paste to help generate new bone. This method can be applied to unicameral bone cysts and aneurysmal bone cysts, and it leaves no scarring. He also discusses the recurrence rate for various treatment methods.
Overall, Dr. Rajeswaran encourages anyone interested in pediatric IR to reach out to doctors in the field for shadowing opportunities and guidance.
Society for Pediatric Interventional Radiology- https://www.spir.org/
Lurie Children’s Hospital blog article over novel treatment of bone cysts- https://www.luriechildrens.org/en/blog/interventional-radiology-cutting-edge-procedure-puts-brooklyn-back-in-the-game/
Love the podcast! I’m a med student interested in pursuing IR and I think the episodes are really interesting, but sometimes the terminology goes over my head. I get that it’s mostly for professionals, but I’d love it if you did a few episodes about why you chose IR and I’d appreciate it if you defined some of the important abbreviations as they’re used. Keep up the great stuff.
Episode 83 with Dave Kumpe should be a requirement for graduation from IR residency. Top notch!
Backtable consistently interviews people in the endovascular who are truly experts in their area. The content is interesting and I always learn something practical to help my practice. I think the emphasis in broadening the perspective with vascular surgeons and interventional cardiologists makes this platform the best to collaborate and germinate new ideas. Great job Aaron et al.