Radiology training in the United States of America

Radiology training in the United States of America is a five-year residency after obtaining a medical degree (MD or DO). The majority of residency graduates pursue a one or two-year fellowship after graduating from a residency program.

The pathway for diagnostic radiology currently consists of:

  • MD or DO degree (four years)
  • PGY 1 (postgraduate year 1): clinical training with one of four options
    • internal medicine internship
    • surgical internship
    • pediatrics internship
    • "transitional year": rotating internship
  • PGY 2: radiology training
  • PGY 3: radiology training
  • PGY 4: radiology training
  • PGY 5: radiology training
  • PGY 6,7: subspecialty fellowship
    • cross-sectional/abdominal
      • MRI (primarily body MRI)
    • neuroradiology
    • musculoskeletal 
    • breast imaging
    • pediatric
    • nuclear medicine / PET

The American Board of Radiology requires two computer-based exams to become a board-certified radiologist:

Oral and written exams were once a part of the training pathway but were discontinued after 2013. No exam similar to the RANZCR viva examinations or FRCR 2B viva is currently part of the training pathway in the United States.

In 2016, radiology training was differentiated into two tracks

  • DR: diagnostic radiology (pathway as above)
  • IR: interventional radiology
    • integrated
      • PGY 1-4: similar to diagnostic pathway
      • PGY 5-6: interventional intensive
    • independent
      • PGY 1-5: DR residency
      • PGY 6-7: interventional intensive "fellowship"

Radiology residencies, like other residency programs in the United States, are accredited by the ACGME (Accreditation Council for Graduate Medical Education).

Skill in practical radiology at the workstation as well as basic interventional competence (covering areas similar to those in DOPS, IPX, and CAT in the Australian pathway) is subsumed into the larger ACGME accreditation of the residency.

Once optional, fellowships either at one's own institution or at another institution are now considered a standard part of the training pathway. Many neuroradiology and interventional fellowships participate in a computer ranking and matching system of applicants.

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rID: 35293
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  • Radiology training (USA)

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