Diagnostic Radiology Residency

Program Overview

The Diagnostic Radiology Residency Program at Mallinckrodt Institute of Radiology (MIR) is the largest of its kind in the United States and is accredited for 72 residents. Our residents, who have a variety of backgrounds and interests, are selected from among the best and brightest applicants worldwide.

The large class size lends itself to many opportunities for friendship and interaction, as well as flexibility in vacation, rotation and call scheduling. In addition, excellent relationships develop between faculty and residents. The one-to-one faculty-to-resident ratio makes for unmatched clinical training: interpreting imaging studies, performing image-guided procedures and providing our patients with the best care possible. Face-to-face readout is utilized on all services including post-call so that residents get feedback on all cases they review. A close association is maintained with other departments in the medical center with many interdisciplinary conferences.

MIR encourages its residents to pursue the career path of their choice, whether in private practice or academic radiology. Residents who have specific interests in research and/or teaching are provided with opportunities to expand their knowledge base and skill set through mentored research and teaching projects.

Upon graduation, most of our residents enter subspecialty fellowships and take positions in academic or private practices worldwide, thus providing a vast network for information and job prospects for current residents.


MIR provides services in multiple locations at Washington University Medical Center. Most resident rotations are based at Barnes-Jewish Hospital’s two campuses (Plaza and Parkview) which are close in proximity and conveniently connected through a series of indoor walkways. Residents spend time on both campuses, seeing a mix of patients in inpatient and outpatient imaging services. Residents also spend one to two months over their four years of training at Barnes-Jewish West County Hospital in west St. Louis County, primarily rotating on abdominal imaging, musculoskeletal and cardiothoracic services.

Years 1 – 3

The first three years of residency are spent rotating through a core curriculum in order to progressively build competencies across the clinical spectrum. Core rotations include:

  • Body CT
  • MRI
  • Breast Imaging
  • Cardiac
  • Cardiothoracic Imaging
  • Emergency/Trauma
  • Gastrointestinal/Genitourinary
  • Interventional Radiology
  • Musculoskeletal Imaging and Interventions
  • Neuroradiology
  • Nuclear Medicine
  • Pediatric
  • AIRP/Rad-Path
  • Ultrasound
  • Vascular Ultrasound

Year 4

During the final year of diagnostic radiology residency (non-ESIR, research or nuclear medicine pathway), residents have the option to complete one or more selective rotations. These selectives vary from 6-12 weeks in length and can often be tailored to a resident’s specific interests. Selective options include:

  • Abdominal Imaging
  • Breast Imaging
  • Cardiothoracic Imaging
  • General Radiology
  • Informatics
  • Interventional Radiology
  • Musculoskeletal Imaging and Interventions
  • Neuroradiology
  • Oncology
  • Pediatric Imaging

During 4th year, residents may also use time to focus on one or more of the following shorter alternatives:

  • Global Radiology
  • Research
  • Teaching Elective

Teaching Conferences

Noon Conferences: 

A noon-hour departmental conference is held daily on one of the subspecialty areas of diagnostic radiology. Each radiology section is responsible for a curriculum of didactic lectures given in the form of a Radiological Society of North America or American Roentgen Ray Society review lecture — specific to resident training. Case-based conferences, visiting lecturers, the physics curriculum and other educational resources are provided. Each conference is digitally recorded and available for review by MIR residents, fellows and faculty.

Departmental Conferences

A case conference is given each day on nearly every rotation, affording residents additional didactic teaching and the opportunity to practice taking cases in an unknown format. To facilitate learning among residents of varied experience levels, a tiered approach to taking cases is utilized. A first-year resident may only be able to identify the findings in a case, at which point the case is turned over to a more senior resident for discussion of the differential diagnosis and management.

Board Review Conferences

MIR conducts its own internal review conference series for residents preparing for the American Board of Radiology examinations and independent practice. These lectures are all given by faculty and visiting faculty with expertise in the areas they are teaching, including the physics curriculum.

Night and Weekend Duties

Call duty is delayed until residents have had sufficient time for basic exposure to the fundamental areas of radiology. At least three radiology residents are on call and in the hospital at all times, including a senior resident who is available for consultation throughout the night. Residents take call for three years during their residency with a break during the months preceding the American Board of Radiology core examination. A night-float system is employed for the majority of overnight call. Each resident will do 8-12 weeks of night float in 2-week blocks over the course of their residency beginning in their 2nd year. For a full breakdown of our resident call structure, download PDF.

For additional information about the Diagnostic Radiology Residency Program, contact:

Missi Varner, MBA
Residency Program Coordinator