ABR Alternate Pathway to Certification

We offer a 4-year program to radiology board certification for international medical graduates in conjunction with the ABR through the Alternate Pathway. We are looking for talented radiologists who are outstanding clinicians, teachers, and researchers to join our department, provide excellent care to our patients, and enrich the working and educational environment for our faculty, fellows, residents, and students.

Our department sponsors international medical graduates in the ABR eligibility requirement to "complete the four-year plan in one ACGME-accredited diagnostic radiology residency program." After completion, trainees are eligible to take the ABR Certifying Exam. The ABR certifies trainees in Diagnostic Radiology after passing the Core Exam and the Certifying exam. 

More details of the ABR Alternate Pathway are listed on the ABR website.

Our program

At OHSU, the required training for Alternate Pathway can be accomplished by combining year-long fellowships in one or more of the following sections: body imaging, cardiothoracic imaging, neuroradiology, musculoskeletal imaging, nuclear medicine, and pediatric imaging. In addition, a minimum of four months of nuclear medicine training is required by the ABR and included in the pathway. You may express preferences for the combination of years of radiology training, and we will attempt to offer a four-year pathway that meets this as much as possible. However, our training positions are limited, and you may be offered a four-year pathway different from your initial request. As is standard for positions at OHSU, the contract renewal is year-to-year and dependent on satisfactory performance. The candidate’s clinical competency and professionalism must meet the standards of the department to continue training at the OHSU. We expect all of our Alternate Pathway candidates to be able to function at the level of a fellow in any of the aforementioned sections.

Current alternative pathway fellows


After review of your application materials, you may be offered an interview.  You will meet with faculty and staff from different sections so you can get to know them and they can get to know you. After the interview, a committee meets to discuss your candidacy and make recommendations for acceptance into the Alternate Pathway program at the OHSU.

Medical licensing and visa

After acceptance, applicants are required to apply for and maintain an Oregon medical license (generally the MD Postgraduate License) throughout the duration of their training.

We require applicants to be aware of this information

Foreign applicants must be legally able to work in the U.S., or eligible to obtain work authorization.  Initial and extension J-1 Visas are considered in very rare circumstances. All non-ACGME fellowship candidates must be eligible for H-1B visas, which includes successful completion of all USMLEs.

We are unable to support J-1 applicants that require a Conrad J-1 waiver in order to be eligible for an H-1B visa. All visa applicants must have successfully passed all USMLE steps at least 6 months prior to fellowship start as USMLEs are required for visa applications.  LMCC exams are not accepted for H-1B applications.

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Application information

We are not currently hiring or accepting applications for fellowship positions in our 4-Year Alternate Pathway Fellowship.

For additional information or questions, please contacAudrey Walsh.

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