Clinical Component

Navigating the Clinical Component

The IR program at UK Kings Daughters Medical Center operates out of a dedicated suite on the hospital campus with four procedure rooms, including a bi-plane suite, and access to CT for biopsies. The team runs a structured 3-week rotation that builds in a full week off every cycle, which is uncommon in high-volume IR programs and reflects the system's investment in physician sustainability.

Schedule Structure

The position follows a repeating 3-week rotation:

Week	Role	Details
Week 1	Call Week	Primary physician in the lab; carries full call responsibilities
Week 2	Back-Up / Outpatient	5-day workweek, 7:30 a.m. to 4:30 p.m.; outpatient procedures and back-up call coverage
Week 3	Off	Full week off; hospital provides locum coverage during vacations

Call Structure

Detail	Information
Call rotation	1:3
Average call-outs per week	5 (majority on weekends)
Vacation coverage	Hospital provides locum coverage

Procedure Mix

Stroke and Vascular Intervention

Mechanical thrombectomy / endovascular thrombectomy (EVT) for large vessel occlusive ischemic stroke
Pulmonary embolism (PE) intervention
Dialysis access
IVC filters
Embolizations
TIPS

Standard IR

Biopsies (IR suites and CT-guided)
Drains
Ports
Central lines
Nephrostomies

In-Clinic Procedures

Biopsies
Drains
Paracentesis
Thoracentesis
Cryoablations

Facility and Equipment

Asset	Details
IR Suites	4 dedicated suites including 1 bi-plane
CT Access	Available for CT-guided biopsies
PACS	Intellispace
Imaging Vendor	Philips
Cath Lab	8 suites on 2nd floor; shared infrastructure with cardiology
Hybrid OR	1 suite on 2nd floor

Clinical Support

3 APPs total
Minimum of 2 APPs on weekdays
1 APP on weekends
APPs facilitate consults 7 days per week
APPs handle inpatient follow-ups with physician co-signature
Dedicated IR nursing staff
4 advanced-certified radiology technologists on the call team

Stroke Program

UK Kings Daughters holds Thrombectomy-Capable Stroke Center (TSC) designation, which requires 24/7 availability for mechanical thrombectomy and specialized care for patients with large vessel occlusive ischemic strokes. The IR team carries primary responsibility for EVT coverage. Stroke intervention experience is strongly preferred in the incoming physician; a neurointerventional fellowship is not required, and the current team actively proctors colleagues on stroke cases.

Collaborative Service Lines

The IR team works closely with the following services on a regular basis:

Cardiology (8-suite Cath Lab; door-to-balloon target under 60 minutes)
Vascular Surgery (5 vascular surgeons on staff)
Cardiothoracic Surgery (3 CT surgeons on staff)
Neurosurgery (2 neurosurgeons on staff)
Hospitalist service (28 hospitalists; primary on nearly all inpatient service lines)

Academic Environment

Medical students rotate from Pikeville College of Osteopathic Medicine and West Virginia School of Osteopathic Medicine (Lewisburg)
Pulmonary/Critical Care fellows rotate through the ICU
ED residents rotate through for specialty volume
Access to Grand Rounds at the University of Kentucky