Current Problems in Diagnostic Radiology, 2026/01, 55(1):1–4. doi: 10.1067/j.cpradiol.2025.04.007, type of study: article

Full text    (https://www.sciencedirect.com/science/article/abs/pii/S0363018825000775)

Keywords:

article [2635]
diagnosis [412]
matching [19]
osteopathic medicine [2109]
radiology [6]
residency [337]
specialty choice [11]
USA [1752]

Abstract:

Diagnostic Radiology has emerged as an increasingly competitive specialty posing a significant challenge for aspirants, particularly for Doctors of Osteopathic Medicine (DOs) and International Medical Graduates (IMGs). This could be attributed to the field's dynamic nature, flexibility of career paths, and high job demand. This article delves into a decade's worth of matching trends in diagnostic radiology, underscoring the unique obstacles faced by DOs and IMGs including possible implicit biases, logistical hurdles, and the implications of the USMLE Step 1's transition to pass/fail scoring. It offers practical solutions to level the playing field, such as expanding clinical and research opportunities for applicants, encouraging residency programs to address implicit biases, increasing curriculum adaptability in osteopathic and foreign medical schools, and exploring accreditation reforms. Together, these recommendations aim to create a more equitable selection process and mitigate the systemic barriers DOs and IMGs face in securing highly sought-after radiology residency spots.