University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of Medicine Program

Program Identity & Fit

This is an academic, university-based Integrated IR-DR program built on a legacy dating to the origins of IR as a specialty (including institutional ties to the co-inventor of the balloon-mounted stent graft), training residents across University Hospital (a level-one trauma and transplant center), the VA hospital, and multispecialty imaging centers. Clinical care is explicitly identity-defining for the IR section, which runs its own outpatient clinics, inpatient consult services, and admits/manages patients directly rather than functioning purely as a proceduralist consult shop. Curriculum emphasizes early and progressive IR exposure (2 months/year during DR-heavy R1-R3 years) before dedicated PGY5-6 IR training, with strong collaboration from surgery (internship, SICU, vascular surgery/lab rotations) and structured case diversity including TIPS, UFE, Neuro-IR, dialysis access, and trauma embolization call. Research infrastructure exists (funded neuroimaging and imaging physics faculty) but is not positioned as central to resident training, which instead prioritizes procedural competence, clinical ownership of patients, and team-based collaborative practice.