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Diagnostic Radiology In-Training (DXIT) Exam

The DXIT™ Exam is scheduled annually in January for first- through fourth-year diagnostic and interventional radiology residents, as well as those in fellowships.

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Exam Timeline and Registration

The 2026 ACR DXIT Exam dates are as follows:

Registration is open Mar. 10–Nov. 14, 2025.
Late registration is Nov. 15–Dec. 12, 2025.
The DXIT Exam window is Jan. 12–30, 2026.
DXIT review period is Feb. 2–27, 2026.
Score reports will be available approximately eight weeks after the exam closes.

Existing residency programs will update their resident rosters in the Program and Practice Management Application (PPM) (log-in required, for residency program directors and coordinators only). For new programs or questions regarding entering or updating residents in the PPM, please contact traineeupdate@acr.org.

Get support during the exam testing window

If you experience technical difficulty, email intrainingexam@acr.org with a screenshot and detailed explanation of the issue. Messages are answered in a queue. Do not phone the ACR or request support through multiple methods. This may delay a response to your issue.

Utilize In-Training Exams tofulfill your training program ACGME requirements

Evaluate your program and residents

Evaluate your program using national benchmarking and scale individual resident scores for all residency levels.

Identify areas of deficiency

Offer residents an opportunity to evaluate their knowledge and to identify areas of deficiency relative to peers at the same level of training.

Provide secure and accurate evaluations

Use third-party psychometric evaluation of data for accurate benchmarking. Ensure secure test data via proctored testing and prevent question sharing with new exams created each year through the use of multiple equalized forms.

Prepare for exam and remediation

Offer residents an opportunity for maximizing testing prep with DXIT item questions, including annotated references and rationales.

Count on over 40 years of experience

Trust in an exam existing for over 40 years and created by esteemed experts in radiology subspecialties.

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Resources

Program and Resident Management
A new application that allows you to manage your resident information throughout the year, including resident levels (Log-in required, for residency program directors and coordinators only).
PPM Application
Virtual Testing
ACR is now offering residents the option for remote in-training testing.
Learn more
Study Guide
The new DXIT study guide replicates the In-Training Exam format and replaces the PDF files used previously.
Get started

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Exam Pricing

USA and Canada	USD $235
All other regions	USD $340
Late fee	USD $150 per resident
Cancellation/refund fee*	USD $100 per resident

*Cancellation and refund determined on a case-by-case basis.

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Get Started

Make your payment and understand next steps.

Access to the DXIT Exam is not provided until the registration is paid in full.

The recommended payment method is by e-check, which will take around five days. Credit cards will provide immediate payment. When paying by credit card, limit the registrations on the order to the amount that your credit card will cover. Multiple orders may be needed. Both e-check and credit card payments are available through the PPM. See below for a guide on setting up e-check and credit card payments.

To pay by mail, make your check payable to ACR and mail it to:

ACR
Attn: DXIT
1892 Preston White Drive
Reston, VA 20191

Checks provided by mail may take two to three weeks to process once received by ACR. Exams will not be provided to residents if the check payment is in the mail or being processed.

Alternate payment options (ACH or wire transfer) are available in the Program Guide.

Before the Exam:

Review the Program Guide and Program FAQ.
Register your residents and verify your order has been paid in full prior to the Exam start.
Verify your resident levels in the PPM after the start of the new academic year. Score reports will not be rescored for incorrect resident levels.
Remind your residents to check their login information prior to the exam.
Notify InTrainingExam@acr.org with any special accommodations. These are due by the registration deadline.

During the Exam testing window:

Access the Exam Dashboard and verify your residents are completing the exam. Send reminders as necessary.
Schedule the Exam review with the residents during the Exam Review window.

After the Exam:

Have residents complete their Exam review.
You will be notified when the score reports are available, usually 8 weeks after the Exam closes.

Before the Exam:

Review the Residents Guide and Resident FAQ documentation.
The Exam is administered online using proctoring software.
At least 72 hours before you want to take the Exam, confirm your login, complete your onboarding, which will verify your laptop and browser, and verify your resident level which can be located by your name top right of the Exam dashboard. If the level is incorrect, notify your Program Administrator. DO NOT contact the ACR. We are unable to change this information.

During the Exam testing window:

Do not wait until the last day to complete the Exam. If you have an issue, there may not be time to correct it.
If experiencing technical difficulty, contact the Proctortrack 24/7 support chat, or during ACR working hours, email InTrainingExam@acr.org with a screen shot and detailed explanation of the issue. Messages are answered in a queue. Do not phone the ACR or request support through multiple methods. This may delay a response to your issue.

After the Exam:

Set up or confirm your Exam Review time with your Program Administrator.
Relax and wait for your score report. Take advantage of this time to use the DXIT Study Guide for topics you struggled with.

A woman receives a medical imaging exam while three technologists and/or radiologists look on from behind the glass.

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Additional Resources

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Questions about ACR In-Training Exams?

Email us at intrainingexam@acr.org

Diagnostic Radiology In-Training (DXIT) Exam

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Exam Timeline and Registration

Get support during the exam testing window

Utilize In-Training Exams tofulfill your training program ACGME requirements

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Resources

Program and Resident Management

Virtual Testing

Study Guide

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Exam Pricing

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Get Started

Payment and registration

Important Information for Programs

Important Information for Residents

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Additional Resources

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Questions about ACR In-Training Exams?

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Utilize In-Training Exams tofulfill your training program ACGME requirements

Resources

Program and Resident Management

Virtual Testing

Study Guide

Get Started

Payment and registration

Important Information for Programs

Important Information for Residents

Questions about ACR In-Training Exams?

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