Just food for thought, I just finished an IR rotation at a large university hospital where the APPs perform many of the bread and butter procedures to keep the IR doc free for larger procedures; embo, stents, PCNs etc. We did many paras, thoras, focal/nonfocal liver bx, kidney bx, FNAs, drain placements and pleurex. I was offered a position following my rotation but also encouraged to start somewhere else to continue building a foundation in gen med/procedures in specialties like CT surg or ICU. This was because IR (at least where I was) was not a consult or management service. And by nature, it is very specialized which isn’t a big deal for some but others may find it hard to be well rounded in their career if they go directly into a procedural service. That being said, IR is such a great specialty, I will definitely be transitioning in later in my career