REGULAR CONTENT
Final ID
435
Type
Original Scientific Research-Oral or Pos
Authors
E Keller1, J Collins2, K McGee1, S Resnick2, S Trerotola3, M Johnson4, K Valji5, R Vogelzang2
Institutions
1Northwestern University, Feinberg School of Medicine, Chicago, IL, 2Northwestern University, Chicago, IL, 3University of Pennsylvania, Philadelphia, PA, 4Indiana University, Indianapolis, IN, 5University of Washington, Seattle, WA
Purpose
To better characterize interventional radiology (IR) fellows' professional values.
Materials & Methods
Sixteen IR fellows across 4 training programs were interviewed at the beginning and soon after the end of their 2015-2016 fellowships about their interactions with patients, training experiences, and view of their specialty and others'. For comparison, all interventional cardiology fellows at 2 programs were interviewed mid-fellowship. Interviews were conducted in a conversational style to reduce filtered responses while ensuring all topics of interest were discussed. Interview transcripts were systematically coded for dominant concepts/themes based on frequency and emphasis according to constructivist grounded theory, a well-validated qualitative research methodology. Concepts/themes were then compared across interview groups qualitatively and quantitatively using t-tests.
Results
Dominant IR values included technical skill, adaptability, good communication and rapport with referring clinicians, and peri-procedural patient care (e.g. informed consent and post-procedural management). These values emerged from either of two pathways of previous educational interests/experiences. Most themes/concepts did not significantly change during the IR fellowship (p > 0.05). However, there was a greater emphasis on effective cross specialty communication and specialty 'branding' post-fellowship (p < 0.05). IR themes both pre- and post-fellowship were distinct from IC fellows who similarly valued technical skill and adaptability but exhibited greater focus on longitudinal patient relationships and less concern about referrals (p < 0.05).
Conclusions
The majority of IR professional identity formation occurs prior to the final year of training and remains closely tied to procedural skill with growing interest in clinical care. Residency programs may be enhanced through greater attention to the unique concerns of common developmental pathways for IR trainees, additional clinical experiences, and more specific discussions of humanism in IR.
Final ID
435
Type
Original Scientific Research-Oral or Pos
Authors
E Keller1, J Collins2, K McGee1, S Resnick2, S Trerotola3, M Johnson4, K Valji5, R Vogelzang2
Institutions
1Northwestern University, Feinberg School of Medicine, Chicago, IL, 2Northwestern University, Chicago, IL, 3University of Pennsylvania, Philadelphia, PA, 4Indiana University, Indianapolis, IN, 5University of Washington, Seattle, WA
Purpose
To better characterize interventional radiology (IR) fellows' professional values.
Materials & Methods
Sixteen IR fellows across 4 training programs were interviewed at the beginning and soon after the end of their 2015-2016 fellowships about their interactions with patients, training experiences, and view of their specialty and others'. For comparison, all interventional cardiology fellows at 2 programs were interviewed mid-fellowship. Interviews were conducted in a conversational style to reduce filtered responses while ensuring all topics of interest were discussed. Interview transcripts were systematically coded for dominant concepts/themes based on frequency and emphasis according to constructivist grounded theory, a well-validated qualitative research methodology. Concepts/themes were then compared across interview groups qualitatively and quantitatively using t-tests.
Results
Dominant IR values included technical skill, adaptability, good communication and rapport with referring clinicians, and peri-procedural patient care (e.g. informed consent and post-procedural management). These values emerged from either of two pathways of previous educational interests/experiences. Most themes/concepts did not significantly change during the IR fellowship (p > 0.05). However, there was a greater emphasis on effective cross specialty communication and specialty 'branding' post-fellowship (p < 0.05). IR themes both pre- and post-fellowship were distinct from IC fellows who similarly valued technical skill and adaptability but exhibited greater focus on longitudinal patient relationships and less concern about referrals (p < 0.05).
Conclusions
The majority of IR professional identity formation occurs prior to the final year of training and remains closely tied to procedural skill with growing interest in clinical care. Residency programs may be enhanced through greater attention to the unique concerns of common developmental pathways for IR trainees, additional clinical experiences, and more specific discussions of humanism in IR.