Background

1. Data Results Learning Points Conclusion Electronic Resources • The following link provides resources for interested residents and programs including a resident manual, referring service presentation, and this poster. • http://www.VIRresidentclinic.org • The first 25 patients referred to our VIR resident clinic ranged in age from 24 to 78 years (median 46) with 21 women and 4 men. 16 referrals came from the OB/GYN resident clinic, 8 from Internal Medicine and 1 from Surgery. The most common reasons for referral were dysfunctional uterine bleeding (n=9) and peripheral arterial disease (n=4). • With the initial and follow-up visits, the first 25 referrals resulted in 38 total visits. • The referrals generated 17 imaging studies. MRI of the pelvis was the most common. • Referrals resulted in a total of 15 VIR procedures: • 6 uterine artery embolizations • 6 peripheral vascular interventions • 1 pelvic vein embolization • 1 IVC filter placement • 1 percutaneous biliary procedure. • The referral patterns validate our outreach to OB/GYN residents and highlight the need for more aggressive outreach to the internal medicine clinic. We continue biannual presentations to the OB/GYN service. We have initiated topic driven presentations every other month to the internal medicine residents around a specific patient referral. • We experienced challenges with patient attendance at initial consultation and follow-up care. In response, we identified the need to better educate our reception staff. We also now make early and frequent attempts at rescheduling. • Education of our radiology residents and computer training begins during the orientation period. • We developed a central clearinghouse of handbooks, documents, and files relevant to our residents at www.VIRresidentclinic.org. This information is available to all interested parties from other institutions. • Early results from our VIR resident clinic demonstrate the feasibility of our clinic model to accept and manage patients referred from other resident specialties for clinical evaluation and possible intervention. The clinic serves as a focal point in our resident clinical training and outreach to trainees in other specialties. Reference Recker MD, Lam CH, McCullough HK, Anderson CL, Vatakencherry G, Mittleider D. Resident Education Spotlight: A Blueprint for Creating a Resident-Run Interventional Radiology Clinic. Poster presented at SIR 2011. Background • The Maine Medical Center model of a resident-run Vascular and Interventional radiology (VIR) clinic has been presented previously. • We believe that the clinical access offered by direct patient care from point of referral through follow-up provides a means to maintain clinical competence acquired during internship. • A clinic also fosters the development of patient care skills specific to VIR and provides correlative experience relevant to VIR imaging. • Our contact with referring services demonstrates the role of the Interventional Radiologist as a consulting clinician and builds referral patterns that will extend beyond residency training. • The clinic has become a focal point of resident education, enabling residents to engage all aspects of the clinical process. • Generating consults via outreach. • Seeing patients in consult. • Managing and reviewing imaging. • Managing and participating in treatment. • Directing clinical follow-up. Early experience of a resident-run Vascular and Interventional Radiology clinic: The first 25 referrals Matthew D. Recker MD; Shaun D. Samuelson MD; Paul S. Kim MD; Derek Mittleider MD Maine Medical Center, Portland, Maine