An important component of the experience gained during the fellowship year is the time spent in our outpatient office. In the context of this clinic, trainees evaluate new patients prior to therapeutic procedures, see patients in follow-up and perform office-based procedures. The practice of interventional radiology has changed significantly during the past several years, and the outpatient office has been an integral part of that change. By moving from a hospital-based specialty to an office-based specialty with hospital privileges, the field of IR has evolved. Interventional radiologists have moved from just providing care to patients during a procedure to providing care throughout an entire episode of care for a patient. This means assuming responsibility for evaluating patients before procedures, performing procedures, and following patients after procedures. Much of those responsibilities are carried out in an outpatient office. Beginning in the third month of the fellowship, each fellow will spend one day/week in our outpatient office at the Capital Region Health Park in Latham, NY. The day of the week spent in the office will change on a monthly basis, so that each fellow is given the opportunity to spend consistent time with one attending in their office (since each attending's office has a slightly different focus).