2025 RSNA INTRODUCTION TO ACADEMIC RADIOLOGY (ITAR) APPLICATION FORM

-- IMPORTANT NOTE --

Each institution may nominate one radiology resident who will be in their second year (PGY-3) at the time of the 2025 RSNA Annual meeting.
Separate nominations from different residency programs will be considered

A response must be provided for each of the questions.

A signed letter or email from the applicant's Chair or Program Director must be emailed to dor@rsna.org addressing the questions within the form.

APPLICATION DEADLINE: July 15, 2025

PLEASE COMPLETE ALL SECTIONS OF THE FORM

I confirm that my department Chair/Program Director has nominated me for the ITAR program and will support my participation, if selected.

Full Name

Degree(s)

Gender

Ethnicity

Cell Phone Number

Work Phone Number

Department

Institution

Affiliated University (if applicable)

Institution Full Address

How did you hear about the ITAR Program?

Are radiology residents in your program required to do research?

Yes

Is there a required research rotation?

Yes

Have you taken (or will take) a radiology research elective?

Yes

Total number of months of research training you anticipate having upon completion of your residency:

Are you currently involved in a research project?

Yes

How many case reports have you authored or co-authored?

How many scientific abstracts have you authored or co-authored?

How many full-length research publications have you authored or co-authored?

What are your academic plans?

Please upload a complete bibliography of all of your research publications of any type.

-- Please do not submit your full CV --

Drop your files here

Please write a 50- to 100-word statement describing why you would like to be selected for the RSNA Introduction to Academic Radiology Program.

Department Chair/Program Director Full Name and Credentials

Department Chair/Program Director’s E-mail

INFORMATION NEEDED FROM DEPARTMENT CHAIR / PROGRAM DIRECTOR

Please instruct your department Chair or Program Director to send an email or signed letter to dor@rsna.org addressing the following:

1. What in this candidate’s past performance indicates that they have academic potential?

2. Is there a mentoring program at your institution, and how do you plan to support this individual for the remainder of their residency?

We must receive an email or signed letter from your department Chair or Program Director by the deadline of July 15, 2025 for your application to be considered complete.

I will instruct my Department Chair/Program Director to send an email or signed letter to dor@rsna.org addressing the above

Send me a copy of my responses

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