ACR In-Training Exams

In keeping with the commitment to serve our members-in-training and residency programs, the ACR is now offering residents the option for remote in-training testing. Both in-training exams will be offered online using the ACR Cortex platform to provide secure, proctored exams with accurate benchmarking. The exams are scheduled annually for first- through fourth-year residents as well as those in fellowships.

DXIT™ Exam

Diagnostic Radiology In-Training Exam Information
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TXIT™ Exam

Radiation Oncology In-Training Exam Information
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Fulfill your training program ACGME requirements for summative assessment using the In-Training Exams:

Evaluate your program and residents

  • Evaluate your program using national benchmarking.
  • Benchmark 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 optimally accurate benchmarking. 
  • Ensure secure test data via proctored testing.
  • Prevent question sharing with new exams created each year through 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 30 years of experience

  • Trust in an exam existing for over 30 years.
  • Created by esteemed experts in the radiology subspecialties.


Attention Program Directors

Please update your program and resident information in the Program and Practice Management Application (PPM). Be sure to report all new residents and any transfers; the names of graduates will be removed in January. Please email should you have any questions about adding new residents.

Please provide the full, legal name of each resident participating in the In-Training Exams. The resident name must match their photo identification to be presented at the start of the proctored exam.

The following resources are available:

If you have further questions, contact