DIRECT Pathway

The following are the critical features of the pathway.

1. Residents entering the pathway will need one year of clinical training in addition to the year currently required. Two years of clinical training are considered essential. Residents may enter the new pathway from medical school or after two or more years of clinical training in other disciplines.
2. The core diagnostic imaging training is 27 months.
3. VIR residency (nonfellowship) training includes nine months, as described in the table below.
4. The sequence of scheduling the fellowship year and the final year of the core program is reversed.

PGY 1 & 2	24 months	Approved Clinical Training*
PGY 3	12 months	10 Diagnostic Imaging + 2 IR
PGY 4	12 months	9 Diagnostic Imaging + 3 IR
PGY 5	12 months	12 Accredited IR Fellowship
PYG 6	12 months	8 Diagnostic Imaging + 4 IR	Primary certification exam in Diagnostic Radiology
	12 months	12 Clinical Practice	Subcertification exam in IR
* Clinical training in an ACGME-approved program. Clinical training might include a transitional year plus another year in internal medicine, surgery, etc., or possibly in an integrated clinical year in Diagnostic Radiology. Most likely, 2 years of clinical training will be in another clinical discipline with entry directly into this provisional pilot.

5. The primary certificate and subspecialty certificates (CAQ) will not change, but the sequence of timing of training and administration of the examination for the certificates will change for this pathway.
6. Contact Mike Darcy, M.D.; Al Nemcek, M.D.; Anne Roberts, M.D.; or Gary Becker, M.D., for more information.