IR provides techniques and solutions for a broad range of medical conditions. In the process of providing high quality of care, IR evolves from a technical specialty to a clinical (sub)specialty. This process goes along with changing demands on how clinical care in IR is provided. This process requires the interventional radiologist to develop new skills in order to provide the required clinical practice and to take care of the patient, not of the procedure. The essential clinical skills required for interventional radiologists are not unique to IR and are similar to the other medical/surgical specialties that utilize interventional procedures. Therefore, IR should be practiced like any other specialty that provides clinical care.