We have expanded from 3 to 6 residents/year. We offer ESIR and ABR 16-month Nuclear Medicine pathways. 4th year allows flexibility, with non-clinical opportunities (clinician-educator, business-leadership, informatics), clinical concentrations in neuroradiology, breast, & MSK/orthopedics, and community radiology electives. Program leadership seeks and welcomes resident feedback especially in curriculum development and wellness. A 30-minute mid-day break precedes the daily didactic conference.