DrNB Interventional Radiology: Admissions, Medical Colleges, Fees, Eligibility criteria details

DrNB Interventional Radiology or Doctorate of National Board in Interventional Radiology also known as DrNB in Interventional Radiology is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years, and it focuses on the study of therapeutic and diagnostic procedures that are performed using minimally invasive image-guided techniques.

The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course include: Aster Medcity-Kerela, Kerala Institute of Medical Sciences- Kerela, Kovai Medical Centre- Tamil Nadu, and more

Admission to this course is done through the NEET-SS Entrance exam conducted by the National Board of Examinations, followed by counseling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

The fee for pursuing DrNB (Interventional Radiology) varies from accredited institutes/hospital to hospital and may range from Rs. 1,25,000 to Rs. 3,00,000 per year.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programmes recognized by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants, etc. with an approximate salary range of Rs.5 lakh to Rs.38 lakh per year.

DNB is equivalent to MD/MS/DM/MCh degrees awarded respectively in medical and surgical super specialities. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

The Diplomate of National Board in broad-speciality qualifications and super speciality qualifications when granted in a medical institution with the attached hospital or in a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-speciality qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for the purposes of teaching also.

What is DrNB in Interventional Radiology?

Doctorate of National Board in Interventional Radiology, also known as DrNB (Interventional Radiology) or DrNB in (Interventional Radiology) is a three-year super specialty programme that candidates can pursue after completing a postgraduate degree.

Interventional Radiology is the branch of medical science dealing with the study of therapeutic and diagnostic procedures that are performed using minimally invasive image-guided techniques.

The National Board of Examinations (NBE) has released a curriculum for DrNB in Interventional Radiology.

The curriculum governs the education and training of DrNB in Interventional Radiology.

The postgraduate students must gain ample of knowledge and experience in the diagnosis, treatment of patients with acute, serious, and life-threatening medical and surgical diseases.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Interventional Radiology would help the specialist to recognize the health needs of the community. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their speciality.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DrNB in Interventional Radiology

Eligibility Criteria

The eligibility criteria for DrNB in Interventional Radiology are defined as the set of rules or minimum prerequisites that aspirants must meet in order to be eligible for admission, which include:

Note:

• The prior entry qualifications shall be strictly in accordance with Post Graduate Medical Education Regulations, 2000 and its amendments notified by the NMC and any clarification issued from NMC in this regard.
• The candidate must have obtained permanent registration of any State Medical Council to be eligible for admission.
• •The medical college's recognition cut-off dates for the Postgraduate Degree courses shall be as prescribed by the Medical Council of India (now NMC).

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DrNB in Interventional Radiology. Candidates can view the complete admission process for DrNB in Interventional Radiology mentioned below:

• The NEET-SS or National Eligibility Entrance Test for Super specialty courses is a national-level master's level examination conducted by the NBE for admission to DM/MCh/DrNB Courses.
• Qualifying Criteria-Candidates placed at the 50th percentile or above shall be declared as qualified in the NEET-SS in their respective specialty.
• The following Medical institutions are not covered under centralized admissions for DM/MCh courses through NEET-SS:

1. AIIMS, New Delhi and other AIIMS

2. PGIMER, Chandigarh

3. JIPMER, Puducherry

4. NIMHANS, Bengaluru

• Candidates from all eligible feeder specialty subjects shall be required to appear in the question paper of respective group, if they are willing to opt for a superspecialty course in any of the super specialty courses covered in that group.
• A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate specialty qualification is an eligible feeder qualification.
• By appearing in the question paper of a group and on qualifying for the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those superspecialty subjects covered in the said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for DrNB in Interventional Radiology varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DrNB in Interventional Radiology is around Rs. 1,25,000 to Rs. 3,00,000 per year.

Colleges offering DrNB in Interventional Radiology

There are various accredited institutes/hospitals across India that offer courses for pursuing DrNB in Interventional Radiology.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DrNB (Interventional Radiology) courses for the academic year 2022-23.

Syllabus

A DrNB in Interventional Radiology is a three years specialization course that provides training in the stream of Interventional Radiology.

The course content for DrNB in Interventional Radiology is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below:

1. Suggested Broad Outline

A. Patient Safety & Occupational Hazards

• Selection & evaluation of patients before IR procedure

• Identify high risk factors for procedure and anesthesia

• Importance of consent taking before procedure

• Radiation dose management and basics of radiation protection

• ALARA and its application in IR

• Patient education and follow up

B. Physics related to IR procedures

• Basic DSA physics.

• Types of DSA equipment

• Various advanced application of DSA such as 3D rotational angiography, Xper CT etc.

• Ways to limit fluoroscopy time and radiation dose during a procedure.

C. Technical aspects relevant to IR (basic knowledge of hardware)

• Sheaths, wires, catheters

• Micro guidewire and Micro catheters

• Balloons, stents, stent grafts

• Embolizing agents

• Other products: stroke intervention, IVC filters, sclerosants, DE Beads

• Basic techniques: Seldinger, Pigtail etc.

D. Pharamacology relevant to IR

• Local anesthetic agents: Lignocaine, Bupivacaine etc.

• Heparin / Heparin induced toxicity

• Other anticoagulants including newer agents

• Anti-platelet agents

• Thrombolytic agents

• Contrast agents and their effects

• Emergency/ important drugs: Adrenaline, Nor Adrenaline, Atropine,

Steroids,Anti histamines, Dopamine, Labetalol, Nitroglycerine, Abciximab,

Tirofiban, rtPA, Urokinase, Nimodipne and other drugs used in ICU

• Common antibiotics – doses, adv effects used in peri-procedure period

• Drugs used for sedation/ analgesia for short procedures: Midazolam, Fentanyl, Tramodol etc.

• Common antihypertensives and antidiabetics and their implications in IRprocedures

E. Anatomy and Pathology relevant to IR procedures

• Anatomy of important parts of body in brief with emphasis on arterial and venous anatomy and nerve supply or other important applied aspects relevant to IR

• Pathology of various vascular and non-vascular disorders managed by IR

a) CNS: Aneurysms, AVMs, DAVFs, Venous thrombosis

b) H & N: Parangaliomas, JNF, Thyroid lesions etc

c) Chest: common SOLs, Bronchial and Vascular anatomy relevant to endobronchial/ vascular interventions

d) Abdomen: Liver anatomy with emphasis on vascular concepts and Liver transplant evaluation, Renal anatomy and transplant anatomy etc

e) Other: Osteoid osteoma , Vascular malformations etc

F. Evaluation and management of disorders managed by IR (division as above)

• Epidemiology

• Clinical features

• Pathology

• Imaging Features

• Management options (surgical/ endovascular/ medical)

G. Specific Endovascular training modules

i) Section A: Non-Vascular Interventions in the Chest, Gastrointestinal Tract and Hepatobiliary Systems

• Image-Guided Biopsy (Excluding MSK)

• Image-Guided Aspiration and Drainage of Collections and Abscesses

• Gastrointestinal Interventions

• Enteral Tube Placement (Gastrostomy, Gastro-jejunostomy, jejunostomy, Caecostomy)

• Gastrointestinal Stenting

• Hepato-Pancreatico-Biliary (HPB) Intervention

ii) Section B: Intervention of the Genito-Urinary Tract and Renal Transplants

• Pelvicalyceal and Ureteric Obstruction

• Renal Stone Disease

• Renal Masses and Perirenal Collections

• Genito-Urinary Interventions

• Prostatitis (Abscess)

• Renal Transplant Interventions

iii) Section C: Interventional Radiology of the Musculoskeletal System

• Image-Guided Biopsy

• Percutaneous Ablation of Bone and Soft Tissue Lesions

• Intra-Articular Injections Under Image Guidance

• Percutaneous Osteoplasty

• Spinal Intervention

• Interventions in Vertebral Body Compression Fractures (VBCF)

• Spinal Procedures for Disc, Nerves and Facet Joints

iv) Section D: Interventional Oncology

• Fundamental Interventional oncology

• Vascular Interventional Oncology

• Non-Vascular Interventional Oncology

v) Section E: Vascular Diagnosis and Intervention

• Arterial Disease

• Peripheral Arterial Disease

• Aortic and Upper Extremity Arterial Disease

• Aortic Dissection and Aneurysmal Disease

• Supra-aortic Arterial Disease

• Vascular Malformations

• Vascular Trauma

• Visceral Arterial Disease

• Arterial Problems in Obstetrics and Gynecology

• Prostate Artery Embolization (PAE)

• Priapism

vi) Section F: Venous Disorders

• Venous Thrombosis and Insufficiency

• Pulmonary Thromboembolic Disease

• Disease of the Superior and Inferior Vena Cava

• Portal and Hepatic Venous Interventions

• Portal Venous Disease and Trans jugular Intrahepatic Portosystemic Shunt (TIPS)

• and Balloon-Occluded Retrograde Trans venous Obliteration (BRTO)

• Hepatic Venous Disease and Budd-Chiari syndrome

• Gonadal Venous Interventions

• Hemodialysis Access

• Central Venous Access

• Venous Sampling

vii) Section G: Important Neuro-interventional procedures

• Carotid stenting

• ECA territory embolizations

• Brain aneurysm management

• Other brain vascular malformations

• Stroke management

2. Practicals

i) Physics

• Effectiveness of Lead Apron and other protective devices

• Physics of DSA / Angiography and Fluoroscopic techniques

• Quality control in a DSA / interventional radiology lab.

ii) Practical Training In DSA/ Interventional Radiology (IR) Lab

• Basic table movements and DSA/ Fluoroscopic controls

• Radiographic views used in various interventions

• Contrast agents being used for procedures

• Post processing and use of other advanced angiographic techniques

iii) Anatomy

• Relevant gross and angiographic anatomy for various IR procedures

Career Options

After completing a DrNB in Interventional Radiology, candidates will get employment opportunities in Government as well as in the Private sector.

In the Government sector, candidates have various options to choose from which include Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector the options include Resident Doctor, Consultant, Visiting Consultant (Interventional Radiology), Junior Consultant, Senior Consultant (Interventional Radiology), etc.

Courses After DrNB in Interventional Radiology Course

DrNB in Interventional Radiology is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing a specialization in DrNB in Interventional Radiology, a candidate could also pursue certificate courses and Fellowship programmes recognized by NMC and NBE, where DrNB in Interventional Radiology is a feeder qualification.

Frequently Asked Questions (FAQs) – DrNB in Interventional Radiology Course

Question: What is the full form of DrNB?

Answer: The full form of DrNB is a Doctorate of National Board.

Question: What is a DrNB in Interventional Radiology?

Answer: DrNB Interventional Radiology or Doctorate of National Board in Interventional Radiology also known as DrNB in Interventional Radiology is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of a DrNB in Interventional Radiology?

Answer: DrNB in Interventional Radiology is a super specialty programme of three years.

Question: What is the eligibility of a DrNB in Interventional Radiology?

Answer: Candidates must have a postgraduate medical Degree in MD/DNB (Radiodiagnosis) obtained from any college/university recognized by the MCI (Now NMC)/NBE, this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Question: What is the scope of a DrNB in Interventional Radiology?

Answer: DrNB in Interventional Radiology offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DrNB in Interventional Radiology candidate?

Answer: DrNB in candidate's average salary is between Rs.5 lakh to Rs.38 lakh per year depending on the experience.

Question: Can you teach after completing DrNB Course?

Answer: Yes, candidate can teach in a medical college/hospital after completing DrNB course.

Question: Is interventional radiology considered surgery?

Answer: Interventional radiology is considered "minimally invasive surgery" because procedures are performed through tiny holes in the skin. An interventional radiologist completes specialized medical training and must pass a test to become board-certified.

Question: What is the difference between DrNB and DNB?

Answer: As of today, DrNB is a super-specialist qualification imparted by the NBE (SS level). Whereas DNB is a specialist qualification. Earlier DrNB used to be called DNB SS but now it is called DrNB.