Training In Interventional Neuroradiology Research Articles

Interventional Neuroradiology: Why Don't Brazilian Female Physicians Like It?

Abstract Objective Much has been discussed about gender diversity in all professional fields, particularly in medicine. Recent studies showing that there are fewer than ten female professionals in interventional neuroradiology (INR) in a continental country like Brazil, and less than thirty in all of Latin America, have prompted an investigation into the causes of the low numbers of women choosing to follow this medical specialty. This project intended to reveal the reasons through an anonymous form applied to women in the final year of the three medical residencies considered prerequisites for INR in Brazil: neurology, radiology and neurosurgery. Materials and Methods The questionnaire addressed to each of the three fields contemplated the professionals' preference to follow their respective subspecialties, in addition to common considerations that could be deemed barriers to INR. Results Surprisingly, the weak link in the chain was demonstrated to be radiology, which is the exclusive prerequisite residency for training in INR in many countries. However, in Brazil, most doctors who graduate in INR come from Neurosurgery and, secondly, from neurology. These two specialties together account for less than half of the female residents compared to radiology alone. Conclusion All of the following items were already expected: difficulty in reconciling a double shift; employment opportunity; long training time; the lack of female leaders inspiring new generations of doctors; issues involving radiation and motherhood; and still the barriers of misogyny and machismo. But specific studies need to be conducted to find out why very few radiology residents follow INR training in Brazil.

Standards for European training requirements in interventional neuroradiology

This document sets out standards for training in Interventional Neuroradiology (INR) in Europe. These standards have been developed by a working group of the European Society of Neuroradiology (ESNR) and the European Society of Minimally Invasive Neurological Therapy (ESMINT) on the initiative and under the umbrella of the Division of Neuroradiology/Section of Radiology of the European Union of Medical Specialists (UEMS).

Letter by Lee et al Regarding Article, “Training of Future Interventional Neuroradiologists: The European Approach”

To the Editor: We read with concern the paper by Flodmark et al1 entitled “Training of future Interventional Neuroradiologists, the European Approach.” The authors have produced a training charter for interventional neuroradiology (INR) based on assumptions of a training deficit, an insufficiency of INR recruits and widespread representation and approval from other medical speciality stakeholders. Unfortunately, these assumptions are seriously flawed. The assertion that “Training in INR has been a matter between trainee and teacher and thus the result has often been less than suboptimal training with a long learning curve, with patients paying a high price” is an affront to the many excellent training programmes in INR throughout Europe, which produce highly skilled and competent INRs. This statement by the authors is anecdotal and without evidence. The authors’ assumption that there is an insufficiency of INR recruits is not supported by evidence. In fact, there is no mapping of the numbers or distribution of INRs throughout Europe. For a training charter of this kind, mapping of the proposed deficiency of INRs is extremely important and a glaring omission …

Training of Future Interventional Neuroradiologists

The development of interventional neuroradiology (INR) has increased rapidly during the past few years. A majority of cerebral aneurysms today are treated using more and more sophisticated endovascular techniques dedicated to the different types of aneurysms (fusiform/saccular, large and giant/small, wide neck/small neck, ruptured/unruptured). Also, endovascular techniques for the treatment of acute ischemic stroke are increasingly being used with highly effective results, particularly in the management of large-vessel occlusions, whereas angioplasty and stenting have a significant place in the prevention of stroke by treating cervical and intracranial stenoses. INR is the principal technique for the treatment of intracranial and spinal dural arteriovenous fistulas and also plays a significant role in the management of brain and spinal arteriovenous malformations, as well as in the presurgical embolization of cranial and spinal hypervascular tumors and in the devascularization of patients with, for example, epistaxis. Although the creation and development of INR were initiated by neuroradiologists, other medical specialists have become progressively more involved with the techniques, particularly neurosurgeons and, to a lesser extent, neurologists. Because it was a new medical practice, no specific medical training was initially available but, over time, several scientific societies began to propose guidelines for the training and practice of INR.1,2 Until now, training in INR has been a matter between trainee and teacher and, thus, the result has often been less-than-optimal training with a long learning curve, with patients paying a high price. The Union Europeenne des Medecins Specialistes (UEMS)/European Union of Medical Specialists) is the officially recognized and permanent consulting nongovernmental organization for European medical institutions; today it represents 35 national organizations and ≈1.6 million medical specialists. The UEMS is involved in professional issues important to European specialists and has a significant influence on how these issues are formulated in the directives and laws …

Interventional Neuroradiology Training Charter

Few years after the foundation of the WFITN, the Executive Committee decided to establish some general rules concerning the training in Interventional Neuroradiology (INR). These first rules have been published in I998 in the journal Interventional Neuroradiology. The very rapid development of our specialty needed to regulate its activity and to organize its daily practice. It is the reason why, in 2006, after two working seminars, the Rules of Practice in have been published. During the last years, not only has grown in a lot of countries, but Neurointerventionists have also originated from different specialties. To maintain and to improve the general level of our specialty, it appeared therefore necessary to write an INR Training establishing more precise rules which could be used as references all over the world. To reach this goal, during his Presidency of the WFITN, Pierre Lasjaunias decided to organize a first European seminar in Venice in March 2008 in order to think about what could be achieved in that field; during this seminar a first draft has been discussed and built up. It has been then decided to submit this initial project to all the main concerned scientific societies in order to reach a final consensus.This has been organized by Pierre Lasjaunias during other meetings and working groups in the USA, Asia, or South America. After his sudden and unexpected death , it became a real emergency to finish this work. We have decided to use the document written by Serge Bracard, as Chairman of the Interventional Committee of the European Society of Neuroradiology (ESNR), as a basis of discussion. Consequently a group of experienced Neurointerventionists, coming from all the continents, worked during a seminar held in Val d'Isere, immediately before the beginning of the last ABC WIN meeting in January 2009. The final version of the Charter was unanimously adopted by the group who has decided to publish it on behalf of WFITN, after a vote by the WFITN members. The vast majority of voting members have approved this text. Our medical and scientific world is very various, coming from different horizons. Consequently such a Charter cannot be perfect for everybody. Our goal is to propose a fundamental reference which could be adapted to the regional specificities by those who wish to organize at best in their own country. I would like to thank all the participants of these different working seminars who are listed above.

Radiology 2001—New Deputy Editor

HomeRadiologyVol. 221, No. 2 PreviousNext From the EditorRadiology 2001—New Deputy EditorAnthony V. ProtoAnthony V. ProtoAnthony V. ProtoPublished Online:Nov 1 2001https://doi.org/10.1148/radiol.2212011289MoreSectionsFull textPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Article HistoryPublished in print: Nov 2001 FiguresReferencesRelatedDetailsRecommended Articles RSNA Education Exhibits RSNA Case Collection Vol. 221, No. 2 Metrics Altmetric Score PDF download

South American Working Group in Interventional and Therapeutic Neuroradiology (SAWITN)

South American Working Group in Interventional and Therapeutic Neuroradiology (SAWITN)