Interventional Oncology Fellowship

The Clinical Interventional Oncology Fellowship Program at Memorial Sloan Kettering Cancer Center (MSKCC) was created in July 2011 in response to an increased demand for dedicated clinical training and research in the field.  This one to two year program is directly associated with our ACGME-accredited Vascular and Interventional Radiology Fellowship and is open to applicants who completed radiology residency training in an approved program (ACGME-accredited or foreign equivalent). 

Goals and Objectives for Training

The program will provide subspecialty training in image guided interventions for cancer patients. The fellows will gain clinical experience by participating in daily rounds and outpatient clinics, and will gain technical skills by participating in image guided interventions. Fellows will be expected to participate in ongoing research activities and initiate new projects under the mentorship of Interventional Radiology (IR) faculty. They will receive dedicated, scheduled research time and will be expected to present at an international meeting and submit a subsequent publication.

The objectives of the program is for fellows to be able to identify the role of image guided interventions for each specific cancer and organ, to understand the multidisciplinary options and to gain proficiency in performing image guided interventions independently. The fellows will gain knowledge to provide pre- peri-, post procedural and long term follow up care to cancer patients who undergo image guided interventions. The fellows will gain knowledge and skills in all “body IR” domain interventions including but not limited to:

Venous interventions

  • Vascular access
  • Filters (IVC, SVC)
  • Management of DVT including thrombolysis and thrombectomy
  • Management of obstructions including angioplasty and stenting
  • Transjugular Intrahepatic Portosystemic Shunt (TIPS)
  • Sclerosis including BRTO
  • Venous sampling

Arterial interventions

  • Angiography
  • Non-tumor embolization
  • Tumor embolization including bland, chemo and radioembolization
  • Management of obstructions including angioplasty and stenting

Biliary interventions

  • Drainage and cholecystostomy catheter placement
  • Primary and secondary stenting
  • Brush biopsy

Genitourinary interventions

  • Biopsy
  • Ablation
  • Embolization
  • Drainage, internalization and ureteral stent maintenance
  • Brush biopsy

Gastrointestinal interventions

  • Enteral feeding tubes placement and maintenance
  • Cecostomy catheter placement

Musculoskeletal interventions

  • Biopsy
  • Arterial embolization
  • Ablations (heat and cold based)
  • Sclerotherapy

Lymphatic interventions

  • Lymphangiography
  • Thoracic duct embolization
  • Sclerotherapy

Biopsies and localizations (all organs except brain)

  • Fine needle aspiration, core and brush biopsy
  • Including PET, MRI, CT, US and fluoroscopic guidance

Tumor ablations

  • Cryoablation, microwave, radiofrequency, chemical, laser and irreversible electroporation
  • Including PET, MRI, CT, US and fluoroscopic guidance

Drainages

  • Abscess
  • Non-abscess including pleural, pericardial, soft tissues and peritoneal
  • Pleurx, Denver shunt, Tenckhoff

Displacement of organs

Spine interventions

  • Biopsy
  • Kyphoplasty
  • Ablation

Teaching Staff

The program has 20 body Interventional Radiologists and 2 Interventional Neuroradiologists mainly performing spine interventions.  The program’s core faculty has 15 members with extensive clinical and academic backgrounds, some who are experts recognized internationally in specific areas of the IO field. Among their expertise include bland tumor embolization, radioembolization, biliary interventions, genitourinary interventions, tumor ablations, musculoskeletal oncologic interventions and tumor genomics. Each month the daily schedule of each fellow is matched with the schedule of two faculty for both operating rooms and outpatient clinic.

Facilities

The Interventional Radiology Service at MSKCC is one of the world’s largest and busiest programs in the field of Interventional Oncology, with over 14,000 interventions performed annually in 11 state-of-the-art image guided operating rooms and more than 5000 outpatient clinic visits per year. The program has one of the largest Interventional Oncology patient populations enabling large-scale laboratory and clinical research.  Not only do fellows benefit from a state-of-the-art animal laboratory with CT scan, ultrasound, fluoroscopy and angiography suite capable of large animal research, but the program is among a handful in the world owning interventional PET and MRI suites. Although the Interventional Radiology Service has several active satellite centers, all program activities are held at Memorial Hospital.

Educational Program (Basic Curriculum)


  1. Clinical and research components: The first year of the fellowship is split into 70% clinical and 30% research while more time is dedicated to research in the second year with up to 70% research and 30% clinical.  For Fellows in the one year track, individualized plans with regards to clinical and research components will be made based on the fellow’s research goals. Interventional Oncology fellows round with patients every day and present at IR Morning Rounds while on campus. In research the program is one of the most prolific in the field of Interventional Oncology and fellows play an important role in delivering research projects.  The fellows are matched with a faculty mentor early in their training to take on at least one project that is expected to result in presentation at an international meeting and publication in a peer-reviewed journal. The fellows are given dedicated research time that matches the size of their projects as well as the level of their involvement.

  2. Trainee’s supervisory and patient care responsibilities: Under the direct and indirect supervision of faculty attending physicians, fellows play an active role in patient care including participation in image guided interventions, rounding on patients on the floors and presenting at IR Morning Rounds, pre and post procedure rounds, discussions with patients, families and other disciplines, Quality Assurance activities, practice quality improvement activities, etc. 

  3. Clinical procedural requirements: Interventional Oncology clinical curriculum is matched with the ACGME-accredited Vascular and Interventional Radiology track, with more emphasis on cancer research. The faculty physician is present with the fellow during each image guided intervention. The exact level of responsibilities of the fellow in performing each image guided intervention is decided by the supervising faculty.

  4. Didactic sessions and teaching methods: Fellows attend scheduled year-round weekly didactic lectures on Monday mornings which are given in joint collaboration with Columbia and Cornell Universities. They attend monthly IR Journal Club where they present and critique assigned articles. They attend weekly case conferences, monthly IR QA conferences and weekly Disease Management Team (DMT) conferences. The program facilitates attendance of fellows at local, national and international conferences. In addition to above theoretical learning opportunities, fellows are supervised individually by faculty physicians during image guided interventions which include focused Individual discussions.

  5. Progression in responsibilities: There is progressively higher levels of involvement in both clinical and research responsibilities for trainees as they advance into their training. The fellow will have a progressively higher level of involvement in decision-making and technical aspects of each intervention and is involved in more advanced interventions such as complex biliary drainages, complex tumor embolizations, radioembolizations, etc. 

Supervision and Evaluation


  1. Mentoring and supervision: All patient care responsibilities are performed under direct supervision of faculty during working hours as well as on-call hours. Depending on the skill level of each individual fellow, the supervising faculty may allow fellows to perform different percentage of each intervention.

  2. Formal evaluation process: Fellows are formally evaluated quarterly by core faculty using the New Innovations evaluation program which is updated to accommodate the new ACGME Milestones for Interventional Radiology. The program director discusses evaluation results with each fellow individually at a quarterly meeting. The program director may discuss issues with individual fellows outside of the quarterly schedule depending on the importance of certain topics.

 

Interventional Oncology Fellowship

Interventional Radiology fellowship (Independent Radiology Residency)

Sponsor

MSKCC

MSKCC

Length of Training

1-2 years

1 year (2 years)

Start Date

July 1st (off cycle start allowed)

July 1st

Number of Positions

1-2

3 (2 2-year positions)

Time Spent at MSKCC

100%

10/12 months (22/24 months)

Time Spent at WCMC*

0%

2/12 months (2/24 months)

Changes with “IR Residency” format

None.

Yes: Becomes Independent Radiology Residency

Eligibility

Record of leadership in the field. 

Completion of ACGME accredited radiology training or equivalent. 

Record of leadership in the field. 

Completion of ACGME accredited radiology training or equivalent.

How to Apply

Contact the program directly

National Resident Matching Program (NRMP)

Deadline

Rolling application process

February, 17 months prior to July start date

Program Director

Majid Maybody, MD

Majid Maybody, MD

ACGME accredited

No

Yes

Contact Information

Jacqueline Kurdziel

kurdziej@mskcc.org

212-639-2190

Jacqueline Kurdziel

kurdziej@mskcc.org

212-639-2190

Weill Cornell Medical College – Cornell Hospital*