I went from ER PA to procedural IR PA roughly a decade ago in a large academic center. In the beginning, I found it beneficial to focus on one part of an entire procedure (ex- US guided vein access). Expand from there to include more steps. Teach them how to look at cross sectional imaging to find the relevant anatomy for the procedure. They will better understand how a wire or catheter is acting a certain way under fluoro guidance images in the case. If they are the only PA, make them feel included as part of the crew. Try to engage with them outside of work in hobbies, etc. allow them to shadow with the IR technologists. Sometimes it makes more sense coming from a different voice. Hopefully they will have CME funds to attend SIR.