The fellowship consists of rotations at the University of Utah Medical Center, George E. Wahlen VA Medical Center, and the Huntsman Cancer Center. The one-year fellowship also allots time for research and rotations with pediatric interventional radiology, neurosurgery/interventional radiology, and vascular surgery. Each site provides unique patient populations and patient care challenges. Given the location of the University of Utah, the program sees patients from the entire Intermountain West, with referrals from over 5 states. The tertiary environment in a truly rural region of the country provides case complexity and ubiquity not seen in many other programs.
The Huntsman Cancer Center is one of 45 Comprehensive NCI-designated cancer centers in the country. Thousands of cancer patients are treated at the Institute annually, with trans-arterial chemoembolization, yttrium-90, and ablations being performed daily.
As a level I trauma center and major transplant center, the University of Utah provides fellows opportunities to manage trauma patients, post-partum bleeding, GI bleeding, and post-operative complications. The University of Utah is also an HHT center of excellence, one of twenty-four in the country, providing fellows the opportunity to participate in the treatment of this complex disease.
The Veterans Administration provides Fellows with exposure to non-invasive imaging; including ABI, CTA, and arterial Doppler. Liver directed therapy, arterial interventions, and venous interventions are also performed.
- Liver arterial interventions
- Biliary interventions
- Renal transplant
- Pancreas transplant
- Portal venous interventions
- GI bleed
- Bronchial embolization
- Post-partum bleeding
- Iliac and peripheral interventions
- Venous access
- DVT lysis
- Venous stenting
- Y90 (Therasphere and Sirtex)
- Soft tissue
- Pain management
- Tubal recanalization
- Pelvic congestion syndrome
The fellowship provides a strong clinical exposure to patient management in interventional radiology. Interventional radiology has had admission privileges at the University of Utah for years. Fellows help with patient admissions and post-operative care. The service has three physician assistants that aid in clinical care.
Attendings have one day per week dedicated to an IR outpatient clinic. IR clinic time is in the cancer center and cardiovascular clinic. Fellows attend clinic weekly and are involved in treatment decisions and follow up.
Fellows attend various treatment planning conferences; which include vascular conference, cancer specific treatment planning groups, and vascular malformation conference. In addition, the fellow is expected to participate in monthly M&M conferences as well as weekly journal conference and daily IR rounds conference.