Cardiovascular and Interventional Radiological Society of Europe
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Clinical Services in IR Task Force

Clinical services in IR

While the set-up of interventional radiology as well as IR’s access to the three pillars of clinical practice – infrastructure, staff and time – varies considerably across Europe, CIRSE encourages all interventional radiologists to put more consideration towards their clinical practice. Every IR can begin to develop their own clinical practice by starting to do patient rounds before and after a procedure. In most cases, it has been or will be an incremental and often long process from patient rounds towards outpatient clinics and potentially inpatient IR beds, but it will be worth the journey.

Following the publication of the CIRSE Clinical Practice Manual in 2021, a dedicated task force was established in 2023 to advance IR as a clinical specialty. This task force will assess the status quo of clinical practice in IR, develop strategies for setting up a clinical service in IR considering varying framework conditions, and contribute to broadening CIRSE’s educational offer in this field.

Click here to view the members of the Clinical Services in IR task force.

The future is clinical, and the best time to start your IR clinical service is now!

Meeting of the Clinical Services Task Force at CIRSE 2023. From left: A. Mahnken, A. Ryan, T. de Baere, J.Y. Chun, M. Krokidis, J. Urbano, R. Dezman
Interventional Radiology has become a clinical discipline and CIRSE shall be at the forefront of promoting clinical involvement and IR clinical services and practice. A focus on clinical services and patient care is anchored in CIRSE’s vision for interventional radiology and we are developing a number of projects to support our community in this regard.

Watch Prof. Binkert’s CIRSE 2023 speech on CIRSE’s vision for the future of interventional radiology here.

Toolkit for IRs

The Clinical Services in IR Task Force has compiled a toolkit for IRs at all stages of their career – offering practical advice, training and education materials as well as further readings for specific topics. IRs are invited to use these tools to improve their skills or master challenges or opportunities they are currently facing.

CIRSE Library topic packages

The Task Force has furthermore compiled relevant further readings a list of arguments in favour of building clinical practice in IR, supported by relevant references, that IRs can consult for negotiations with their hospital administration or regulatory bodies.

Click here to read the CIRSE Insider interview on clinical practice building in IR with Prof. Andreas Mahnken, Chairperson of the Clinical Services in IR Task Force.

Coming soon: CIRSE Academy Course on Clinical Practice and micro-learning videos to help you start your clinical routine.

Over the past decade, interventional radiologists have become increasingly aware of the need to be clinically involved with their patients, from first consultation, throughout treatment and all the way to follow-up. Although conditions to achieve this goal vary from country to country, there are paradigms that are universally applicable and valuable lessons to be learned from institutions where clinical involvement of IRs has already become the norm.

A CIRSE Library topic package, “IR Going clinical” highlights this important topic.

Levels of clinical services infrastructure

The Clinical Services in IR Task Force developed a three-stage system for clinical services infrastructure development. This system shall help create awareness of the fact that different levels of service provision can be offered and worked towards. IRs may also use this system to benchmark themselves and set personal goals for future developments in their centre and practice.

Level 1
Regular visits to all patients treated by IR (IR rounds – making/suggesting prescriptions)IR sees and treats outpatients without own outpatient clinic/infrastructure
Preprocedural (work up and/or) communication with patients Preprocedural work up and/or communication with patients
IR takes part in relevant MDT (vascular/oncology) meetingsIR takes part in relevant MDT meetings (vascular/oncology) meetings (if applicable)
Level 2
Dedicated Time for clinical work in IR Dedicated Time for clinical work in IR
Ordering/performing clinical work e.g. blood sampling, clinical exam etc. beyond IR proceduresOrdering/performing clinical work e.g. blood sampling, clinical exam etc. beyond IR procedures
Admission rights (without own beds)Limited IR outpatient clinic
Standard operating procedures (SOPs) for most common procedures Standard operating procedures (SOPs) for most common procedures
IR referral pathways/ entry point (e.g., admission desk)
Level 3
Regular ward roundsIR Outpatient clinic with dedicated IR staff (revenue is assigned to IR)
Own beds (revenue is assigned to IR)Independent access to hospital resources (like imaging lab etc.)
Dedicated IR theatre staff / physician support staffTraining scheme/program for IRs and staff
Independent access to hospital resources (e.g., imaging, laboratory, pathology, etc.)Regular M&M meetings as part of governance
Training scheme/programme for IRs and staff IR day unit – independent day case pathway from referral to follow-up
Regular M&M meetings as part of governance

For any further information about CIRSE’s activities in the field of clinical practice as well as the task force’s work, please contact [email protected].

Task force members

Name Role
Andreas H. MahnkenChairperson
Alessandro Cannavale
Joo-Young Chun
Thierry De Baere
Rok Dezman
Stevo Duvnjak
Miltiadis Krokidis
Maria Antonella Ruffino
Anthony Ryan
Jose Urbano