Strategies for Success in “New” Diagnostic Radiology Oral Boards

The ABR is reintroducing the oral board examination for diagnostic radiology, set to replace the current computer-based certifying examination in 2028. This article will review the historical perspective of the oral board examination including the rationale behind the new examination and offer strategies for success tailored to individuals (trainees) and radiology training programs (departments), as well professional considerations and challenges in transitioning to this new examination format. Individual strategies include developing tailored study plans, engaging in daily clinical practice, and managing examination-related stress. Program-level strategies emphasize shifting toward case-based learning, incorporating oral board preparation into teaching conferences, and fostering resident autonomy. The role of professional societies and equitable access to resources is also discussed. The transition to the oral board format offers an opportunity to enhance radiology education by reinforcing the importance of clinical reasoning, professionalism, and communication skills.