Hospital/Imaging Centre and City: BGS Gleneagles Global Hospital, Bangalore, India.
Duration: One year
No. of seats: Two seats per year
Accreditation: This is not a university accredited fellowship. However, a certificate is provided at the completion of the course by the Hospital.
Eligibility: MD/DNB Radio-diagnosis.
Fees, salary and leaves: The course fees is 2,00,000/- INR. Each fellow is paid a stipend of 60,000/- INR per month. Leaves are usually at the discretion of the head of department.
Thesis/Paper publication: Not Compulsory.
Exit exam: There is no formal exit exam. The fellowship is granted on completion of the course duration.
Diagnostic exposure: There is no strict diagnostic reporting work, except cases which need to be reviewed/worked up for a procedure and follow-ups of patient who have undergone IR procedures.
Duty hours and emergencies/on call duties: The duty hours are from 9 am to 5 pm. The day starts with clinical rounds and review of patients who have undergone IR procedures and further treatment/discharge is planned. Next, the days cases are reviewed and posted for procedures. For patients admitted under the IR team, we are responsible for the pre-procedural evaluation, blood work-up, prescribing medications, and post procedural care. Out-patients are attended to on appointment basis daily. Simultaneously non vascular IR procedures, including USG/CT guided biopsies, FNACs, drainages etc are carried out throughout the day.
One fellow is expected to be on call at any given time. Emergency cases, although present, are relatively less and usually include post-operative patients and patients presenting with GI bleed requiring embolization.
Intervention and hands on exposure: The 2 fellows are expected to alternatively scrub up for the cases. The fellows get ample opportunities for hands-on exposure and skill development.
Since ours is a majorly gastroenterology and transplant focused hospital, majority of the cases undertaken at our hospital include TARE, TACE, PTBD and stenting, TIPS, vascular embolization etc. Other vascular IR cases like Hemodialysis Access Interventions, EVAR (EndoVascular Aortic Aneurysmal Repair), Renal artery stenting, UFE (Uterine Fibroid Embolisation) etc are also undertaken regularly. EVLTs are done routinely as part of vein clinic. Newer procedures like PAE (Prostatic Artery Embolisation) are done periodically.
Non vascular IR procedures usually include USG/CT guided biopsies, drainages, microwave tumor ablations etc .Fellows are expected to take turns for these cases too.
Academic activities and multi-disciplinary meets: Weekly seminars are scheduled on Mondays. Both fellows are expected to present on interesting cases of the preceding week and/or various IR topics. Attendances to national & international conferences with poster/paper presentation are actively encouraged.
Accommodation: Not provided. However, there is ample choice of apartments for rent nearby.
Tips on how to secure the fellowship: Applications are accepted and interviews are scheduled usually in the month of July. The applicant’s basic knowledge of radiology, interest in interventional radiology and future vision is keenly gauged.
My personal experience at the fellowship: For me personally, this fellowship has been a fulfilling experience. Coming from no IR exposure whatsoever from my PG days and minimal patient exposure in diagnostic radiology, IR brought in a whole new domain where it makes you a part of the patient treatment process. Over time, my clinical knowledge has strengthened and it has broadened my perspective of seeing a patient.
It has been refreshing to be able to get back in a clinical environment and being able to interact more with patients. Importantly, the IR team and staff are really supportive and encourage independent case management, routine discussions and sharing of knowledge.
Cons: The only con I feel has been the duration of the course, which I feel could have been 2 years. IR in essence is like surgery; the more experience you get the more your skillset develops. A longer duration would have exposed us to even wider variety of cases and more experience in management of complicated procedures.
– Dr. Mohammad Fahad Chaudhari. MD, FVIR