Program Director: Scott Fujimoto, DO
Assistant Program Director: Kyle Cooper, MD, RPVI
Loma Linda University Medical Center offers two accredited training pathways for those interested in interventional radiology:
1) Integrated IR/DR Residency
2) ESIR/DR Training Pathway
More general information about these tracks may be found on the official SIR website.
The Integrated IR/DR Residency is a 6 year residency track with emphasis on both diagnostic radiology (DR) and interventional radiology (IR). The six-year residency curriculum includes one year of surgical preliminary training (internship), predominantly DR in the following three years, and predominantly IR in the last two years. This program is designed to offer a combination of diagnostic and interventional radiology through a rich educational experience in image-based diagnosis, as well as image-guided procedural education, with focus on peri-procedural patient care. Education in the integrated program fosters individual development and practice of technical skills, as well as clinical judgment. Applicants apply through the NRMP main match and begin residency training during as part of the categorical program.
Early Specialization in Interventional Radiology (ESIR) is a training option for DR residents who identify an early desire to specialize in interventional radiology. Diagnostic radiology residents who decide to seek training in IR must complete a two-year Independent IR Residency after graduation; however, completion of the ESIR pathway grants the trainee credit for 1 of the 2 required years. ESIR training is completed within the 4-year diagnostic radiology residency. It requires a total of 11 interventional radiology or interventional radiology-related rotations (minimum of 44 weeks) and an ICU rotation of at least four continuous weeks. ESIR candidates must still complete the required year at an independent IR residency to finish their IR training and be eligible for the American Board of Radiology (ABR) IR/DR Certifying Exam.
Both training programs are supervised by the interventional radiologists at Loma Linda Medical Center and consists of clinical teaching and exposure that is designed to train first rate interventional radiologists to become pioneers and leaders within the evolving specialty.
Sample schedule for Integrated DR/IR Pathway
Sample schedule for DR/ESIR Pathway
Interventional radiology at LLUMC offers exposure to a wide variety of conditions and procedures. Trainees gain expertise in all the major pillars of the field of VIR, including peripheral arterial disease, complex venous pathology, interventional oncology, trauma intervention, biliary and transplant interventions, lymphatic disorders, etc. The strength through collaboration with vascular surgery in sharing the PAD case load offers our trainees a unique opportunity and a great training in treating peripheral arterial disease, both clinically and technically. Our trainees are primary operators in such procedures with both the interventional radiologists and vascular surgeons. In addition, we have a very active interventional oncology program that includes chemoembolization, radioembolization, cryoablation and RFA. We are also active in therapeutic procedures including uterine fibroid embolization, TIPS, IVC filter placement/retrieval, dialysis access interventions, DVT thrombolysis, venous angioplasty, stenting, arterial embolization, endoleak embolization, and thoracic duct embolization. Nonvascular interventional procedures cover biopsy and drainage of all the major organ systems, liver and biliary tract, GU tract, portal system and GI tract, including percutaneous gastrostomies and jejunostomies). Finally, our division provides full interventional coverage for Loma Linda Children’s Hospital, the only major pediatric hospital in the region. Our trainees gain unique experience in routine and exotic, high-end pediatric procedures alike. Although a majority of time is spent at Loma Linda University Medical Center, in an academic university hospital setting, our trainees are also exposed to the community-based radiology setting at the Heart and Surgical Hospital; residents also gain valuable experience during their time at the VA hospital. The high case volume and early, progressive trainee autonomy ensures a plethora of training opportunities and ultimately leads to trainees gaining comfort with a large variety of techniques.
Educational Conferences and Resources
Weekly conferences include liver tumor conference and a multidisciplinary vascular conference run by IR and vascular surgery. Morbidity and Mortality conferences occur monthly, and provide a unique opportunity to learn from past mistakes and to achieve better future outcomes in patient care. Journal Club takes places monthly at a nearby restaurant; residents take turns analyzing and presenting articles, gaining valuable insight on how to critically review the literature. Each morning, all planned procedures for the day are discussed with the residents and attendings on service, providing an opportunity to discuss clinical management, varying technical approaches, and evidence-based medicine.. All trainees are encouraged to participate in research with a mentor. All trainees are also given opportunity to attend one conference each year.
We are currently equipped with two interventional suites at the main medical center with full 3D cone-beam CT technology, as well as one neuro IR suite and a full interventional suite at the Heart and Surgical Hospital. Ultrasound machines are available in all of the interventional suites. State-of-the-art CT and PET-CT scanners are available for non-vascular procedures such as biopsies and drainages. With the opening of the new hospital campus in 2021, IR procedure space is planned to increase, including a dedicated pediatric interventional room and a CT scanner dedicated to interventional procedures. Several additional procedure rooms are utilized throughout the system for procedures which do not require fluoroscopy or CT. Multiple digital workstations are available in the common work area for reviewing studies. All three hospitals are within a very short driving distance of one another (less than 3 miles). More general information about the facilities may be found here.
Applications to the radiology program for the March 2021 match will be accepted only through the Electronic Residency Application Service (ERAS). The residency program requires 3 letters of recommendation. Though it is not required to have a letter from a radiologist, it is suggested. Initial interviews will take place October/November, with possible additional interview dates.
ContactClaudia de Dios UribeCDediosuribe@llu.edu 909-558-4000 ext 47690 Fax: 909-558-0202
Loma Linda University Medical CenterVascular and Interventional Radiology11234 Anderson Street, Room 2605Loma Linda, CA 92354