Running a Radiology Residency Program: Strategies for Success

Published Online:https://doi.org/10.1148/rg.2018180016

This article summarizes the key required elements of a diagnostic and interventional radiology residency program and offers 10 strategies to ensure success in this evolving educational landscape.

Running a successful radiology residency program requires departments to navigate the evolving educational landscape at the departmental, institutional, and national levels. To attract the best applicants, departments must invest time and money to support the leadership of the program and its faculty to provide innovative educational opportunities in a positive learning environment while simultaneously complying with all of the requirements of the Accreditation Council for Graduate Medical Education. The key administrative requirements of a successful radiology residency program are described and can be grouped into (a) essential administrative components, (b) the clinical learning environment review and self-study process, and (c) resident recruitment. Ten specific strategies for running a successful residency program are also presented. The goal is for this article to serve as a guide for not only existing diagnostic and interventional radiology residency programs but also newly formed programs that are in the process of seeking accreditation.

©RSNA, 2018

References

  • 1. Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in diagnostic radiology. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/420_DiagnosticRadiology_2018-07-01.pdf?ver=2018-06-19-103930-703. Effective July 1, 2018. Accessed July 15, 2018.
  • 2. Taradejna C. History of medical education: history of medical education accreditation. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/About-Us/Overview/History-of-Medical-Education. Published May 2007. Accessed January 23, 2018.
  • 3. Swing SR. The ACGME outcome project: retrospective and prospective. Med Teach 2007;29(7):648–654.
  • 4. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system: rationale and benefits. N Engl J Med 2012;366(11):1051–1056.
  • 5. Accreditation Council for Graduate Medical Education. Diagnostic radiology case log categories and required minimum numbers: review committee for radiology. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PFAssets/ProgramResources/DR_Case_Log_Categories.pdf?ver=2018-01-09-113333-230. Updated January 2018. Accessed July 15, 2018.
  • 6. Accreditation Council for Graduate Medical Education and American Board of Radiology. The diagnostic radiology milestone project: a joint initiative of the Accreditation Council for Graduate Medical Education and the American Board of Radiology. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PDFs/Milestones/DiagnosticRadiologyMilestones.pdf?ver=2015-11-06-120532-380. Published November 6, 2015. Accessed January 23, 2018.
  • 7. Maloney E, Swanson J, Chapman T, Reddy G, Rohrmann C, Paladin A. Establishing a clinical competencies committee. J Am Coll Radiol 2015;12(12 pt A):1330–1334.
  • 8. Rumack CM, Guerrasio J, Christensen A, Aagaard EM. Academic remediation: why early identification and intervention matters. Acad Radiol 2017;24(6):730–733.
  • 9. Accreditation Council for Graduate Medical Education. ACGME common program requirements. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRs_2017-07-01.pdf. Updated July 1, 2017. Accessed July 15, 2018.
  • 10. Accreditation Council for Graduate Medical Education. Metrics for scholarly activity. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PDFs/420_Metrics_for_Scholarly_Activity.pdf?ver=2015-11-06-115752-230. Published 2009. Accessed January 29, 2018.
  • 11. Accreditation Council for Graduate Medical Education. Glossary of terms. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PDFs/ab_ACGMEglossary.pdf?ver=2015-11-06-115749-460. Published May 8, 2018. Accessed May 30, 2018.
  • 12. Accreditation Council for Graduate Medical Education. Clinical learning environment review (CLER). Accreditation Council for Graduate Medical Education website. https://www.acgme.org/What-We-Do/Initiatives/Clinical-Learning-Environment-Review-CLER. Accessed January 29, 2018.
  • 13. Accreditation Council for Graduate Medical Education. Self-study: eight steps for conducting the ACGME program self-study. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/What-We-Do/Accreditation/Self-Study. Accessed January 23, 2018.
  • 14. Guralnick S, Hernandez T, Corapi M, et al. The ACGME self-study: an opportunity, not a burden. J Grad Med Educ 2015;7(3):502–505.
  • 15. Robbins JB, Sarkany D. Self-study: practical tips for a successful and rewarding experience. Acad Radiol 2017;24(6):721–724.
  • 16. Pretorius ES, Hrung J. Factors that affect National Resident Matching Program rankings of medical students applying for radiology residency. Acad Radiol 2002;9(1):75–81.
  • 17. Chapman CH, Hwang WT, Both S, Thomas CR Jr, Deville C. Current status of diversity by race, Hispanic ethnicity, and sex in diagnostic radiology. Radiology 2014; 270(1):232–240.
  • 18. Hansberry DR, Bornstein J, Agarwal N, McClure KE, Deshmukh SP, Long S. An assessment of radiology residency program websites. J Am Coll Radiol 2018;15(4): 663–666.
  • 19. Agarwal V, Bump GM, Heller MT, et al. Do residency selection factors predict radiology resident performance? Acad Radiol 2018;25(3):397–402.
  • 20. Lamki N, Watson AB, Fisher RG. Radiology resident selection: objective restructured interview to assess five essential attributes. J Sci Res Med Sci 2003;5(1-2):27–30.
  • 21. Komives E, Weiss ST, Rosa RM. The applicant interview as a predictor of resident performance. J Med Educ 1984;59(5):425–426.
  • 22. Smith WL, Wood PS, Altmaier EM, O’Halloran C, Franken EA Jr. Critical performance behaviors of radiology residents: evaluation of two category systems. AJR Am J Roentgenol 1992;159(4):885–888.
  • 23. Webber GR, Mullins ME, Chen Z, Meltzer CC. Administrative organization in diagnostic radiology residency program leadership. J Am Coll Radiol 2012;9(4):275–278.
  • 24. Mackey RA, Ballenger Z. Lessons learned at the Radiology Leadership Institute-Kellogg leadership development program: a resident’s perspective. J Am Coll Radiol 2014;11(4):433–434.
  • 25. Lam CZ, Nguyen HN, Ferguson EC. Radiology residents’ satisfaction with their training and education in the United States: effect of program directors, teaching faculty, and other factors on program success. AJR Am J Roentgenol 2016;206(5):907–916.
  • 26. Maxwell JC. The 360° leader. Nashville, Tenn: Thomas Nelson, 2006.
  • 27. Maxwell JC. The five levels of leadership. New York, NY: Center Street, 2011.
  • 28. Boiselle PM, Donohoe K, Graham D, et al. The triumvirate: a new model for residency program directorship. J Am Coll Radiol 2007;4(12):913–918.
  • 29. Rath T. Strengths-based leadership: great leaders, teams, and why people follow. New York, NY: Gallup, 2009.
  • 30. Stuckelman J, Zavatchen SE, Jones SA. The evolving role of the program coordinator: five essential skills for the coordinator toolbox. Acad Radiol 2017;24(6):725–729.
  • 31. Pettit JE. Coleadership among chief residents: exploration of experiences across specialties. J Grad Med Educ 2015;7(2):203–207.
  • 32. Cottrell S, Brownlee L, Ferrari N. An institutional approach to assist program directors and coordinators with meeting the challenges of graduate medical education. J Grad Med Educ 2010;2(2):170–174.
  • 33. Accreditation Council for Graduate Medical Education. ACGME program requirements for graduate medical education in interventional radiology. Accreditation Council for Graduate Medical Education website. https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/415_InterventionalRadiology_2018-07-01.pdf?ver=2018-06-21-130444-513. Published June 21, 2018. Accessed July 15, 2018.
  • 34. Asch E, Shah SH, Berkowitz S, et al. Resident idea system: a novel tool to engage trainees in quality improvement at the institutional level. J Am Coll Radiol 2017;14(2):256–261.
  • 35. Slanetz PJ, Boiselle PM. Mentoring matters. AJR Am J Roentgenol 2012;198(1):W11–W12.
  • 36. Mainiero MB. Mentoring radiology residents: why, who, when, and how. J Am Coll Radiol 2007;4(8):547–550.
  • 37. Donovan A. Views of radiology program directors on the role of mentorship in the training of radiology residents. AJR Am J Roentgenol 2010;194(3):704–708.
  • 38. Yamada K, Slanetz PJ, Boiselle PM. Perceived benefits of a radiology resident mentoring program: comparison of residents with self-selected vs assigned mentors. Can Assoc Radiol J 2014;65(2):186–191.
  • 39. Association of American Medical Colleges. GFA mentoring circles. Association of American Medical Colleges website. https://www.aamc.org/members/gfa/leadership/mentoringpilotprogram/402108/gfamentoringcircles.html. Accessed February 11, 2018.
  • 40. Steinert Y, Mann K, Centeno A, et al. A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach 2006;28(6):497–526.
  • 41. Husain M, Khan S. Students’ feedback: an effective tool in teachers’ evaluation system. Int J Appl Basic Med Res 2016;6(3):178–181.
  • 42. Franco RS, Franco CA, Kusma SZ, Severo M, Ferreira MA. To participate or not participate in unprofessional behavior: is that the question? Med Teach 2017;39(2):212–219.
  • 43. Ong SY, Tan NCK, Knab MS, Farrell SE, Lim WS. Attitudes of clinician educators towards interprofessional education and collaboration: insights from two interprofessional scales. J Interprof Care 2017;31(5):656–660.
  • 44. Slanetz PJ, Kung J, Eisenberg RL. Teaching radiology in the millennial era. Acad Radiol 2013;20(3):387–389.
  • 45. Dinglasan LAV, Scanlon MH. The high-performing radiology residency: a case study. Curr Probl Diagn Radiol 2017;46(5):373–376.
  • 46. Lüer S, Aebi C. Assessment of residency program outcomes via alumni surveys. Adv Med Educ Pract 2017;8:307–315.
  • 47. Bonner L. Radiologists are burning out. Diagnostic Imaging. https://www.diagnosticimaging.com/practice-management/radiologists-are-burning-out. Published June 4, 2015. Accessed February 11, 2018.

Article History

Received: Feb 14 2018
Revision requested: Apr 5 2018
Revision received: Apr 22 2018
Accepted: Apr 26 2018
Published online: Oct 10 2018
Published in print: Oct 2018