Q: What's going on with VIR? Will you have an ESIR pathway?

A: As you may know VIR training is undergoing significant changes. 1 year VIR fellowships will be phased out after June 2020. They will be replaced by a two year VIR residency as of July 1, 2020. For incoming residents we have applied for the ESIR (Early Specialization in Interventional Radiology) option in conjunction with Mount Sinai IR. This means that our senior resident will complete an ESIR curriculum similar to that of a Mount Sinai Hospital resident. The resident could also transfer into the second year of residency at another VIR residency. The other option available would be to apply for a two year residency in VIR to be completed after diagnostic radiology residency.



Q: Do residents have access to RadPrimer and StatDx

A: Yes (There is also 24/7 access to faculty who are assigned to overread all resident cases in a timely fashion)

Q: Don't the residents in New York State have to inject contrast?

A: The law was changed in 2007. Technologists can now inject contrast (with a supervising M.D. in the department.) Our residents typically participate in the supervision of our technologists.

Q: What teaching opportunities are there?

A: Upperclass residents participate in a Brant and Helms club for the R1 residents. 

R1 residents are required to give a conference to the rest of the residents. This conference should be reviewed by their mentor prior to the presentation. In addition to didactic content, the resident should include multiple choice questions (MCQs) with rationales for the correct item and distractors.

R4 residents are required to give a conference at our MEGA conference. This conference should be reviewed by their mentor prior to the presentation. In addition to didactic content, the resident is expected to present cases in an unknown case style format.

All residents participate in teaching the Mount Sinai medical students.

Q: What is your ACGME accreditation status?

A:  Full accreditation. No concerns/citations. (In late 2016, we were approved to expand to 44 residents)

Our program last had a site visit from the ACGME on June 16, 2010. We received "continued accreditation" status with a 5-year cycle length. Cycle length is the interval that the ACGME will next visit a program. The maximum cycle length for radiology residencies was 5 years. As you may know, Diagnostic Radiology is participating in the ACGME's New Accreditation System (NAS). In April 2012, we were notified that our next site visit or "Self Study Visit" will be around 11/1/2020. The accreditation status of our program can be found on the ACGME website.

Dinner at Robert after ACGME site visit! (2010)

Dinner with the residents at Robert after our ACGME site visit (2010)

Q: What Manhattan hospitals are Regional Trauma Centers?

A: Bellevue, Cornell, Harlem, St. Luke's, and Columbia (pediatrics)

Q: How are PET/CTs interpreted?

A: In some cases the reader is certified in both Nuclear Medicine and Diagnostic Radiology. In others, the interpretation is an integrated effort by a nuclear medicine staff, ENT radiologist, and body imager. This is truly a patient centered approach, which is not practiced at all institutions.

Q: What are recent/expected changes in the residency program/department?

A: Pediatrics rotation

We changed our Pediatric rotation from Columbia to Mt. Sinai in 2014. While this rotation had been an observational rotation (a rare exception to our "resident oriented" rotations) It is now a hands on rotation with residents participating in procedures and dictating cases.  Henrietta Rosenberg from Mt. Sinai gives us conferences. The consensus amongst the residents is that this is an improvement for our residency. Please note that there are no pediatric fellows so this is a "resident oriented" rotation. We have had success with having our residents obtain pediatric radiology fellowships. Amit Sura M.D., MBA '12 is now the assistant program director of the pediatric fellowship at the Children's Hospital of Los Angeles. John Choi '18 will be training at Boston Children's Hospital.

Neurointerventional Service

Dr. Berenstein has moved to the Mt. Sinai main campus. Drs. Sri Paramasivan and Johanna Fifi provide most of the interventional services at Mt. SInai St. Luke's-West. Mt. SInai St. Luke's-West gave the most TPA of any hospital in Manhattan last year for acute stroke. Some of these cases go on to neurointeventional procedures. 

Increased 24/7 faculty supervision (now including neuroradiology)

On Jan 1, 2015, our 24/7 attending coverage included neuroradiology studies. Before this BI and SLR had overnight faculty overreading all non-neuro cases. A separate pool of attendings now covers the shift from 8PM to 8AM every day. Some applicants may be concerned that this would lessen the learning experience of the night float rotation. We have already addressed some of the learning issues in a novel way to compensate for this. This technique was submitted as an abstract to the 2015 AUR meeting.

Future of PACS/IT

The Mount Sinai PACS has been integrated to a GE system as of the fall of 2016. Images from all campuses (East, Queens, West, St. Luke's, Beth Israel) are on a single system. There is also now a single medical record for all Mount Sinai patients. The next big IT project is to get the SLW and BI systems integrated into EPIC.