ABR

American Board of Radiology (ABR) Diagnostic Radiology Initial Certification - Qualifying (Core) Exam

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About this exam

The American Board of Radiology (ABR) Diagnostic Radiology Qualifying (Core) Exam is the first of the two exams in the DR certification sequence; candidates who pass it later sit the computer-based Certifying Exam (2026 and 2027) or the new DR Oral Exam (after 2027). It is intended for radiology residents who have completed 36 months of residency, and it assesses fundamental knowledge and clinical judgment across all key diagnostic radiology and integrated interventional/diagnostic radiology areas - anatomy, pathophysiology, diagnostic imaging, interventional procedures, and physics. Content spans breast, cardiovascular, gastrointestinal, genitourinary, interventional, musculoskeletal, neuroradiology, nuclear, pediatric, thoracic, and ultrasound imaging, plus noninterpretive skills, computed tomography, magnetic resonance imaging, radiography/fluoroscopy, and radioisotope safety. Physics is not a standalone test: physics questions are embedded throughout the exam and count toward the overall score. Because the exam is delivered remotely over three days at roughly five and a half hours per day, preparation should pair content review with practice on the remote interface - using the ABR's published domain blueprint, study guides, and sample questions to calibrate scope and question format. This page is an independent study resource and is not affiliated with or endorsed by the ABR.

What you'll study

Common questions

About ABR preparation

When am I eligible to take the Qualifying (Core) Exam?

The exam is taken after 36 months of residency. In limited circumstances, your program director - or your program chair if you are in the IMG Alternate Pathway - can request permission for you to take it earlier. It is offered twice a year, typically in late May or early June and in November.

What is the exam format and how long is each day?

It is a computer-based exam administered remotely over three days, taking approximately five and a half hours per day. Most items are multiple choice; drag-and-drop items ask you to identify an anatomical site by clicking the correct spot on an image. Plan for a full working day on each of the three days.

Is there a separate physics exam?

No. There is no standalone physics exam. Physics questions are embedded throughout the Qualifying (Core) Exam and reflect the fundamental medical physics radiologists encounter when interpreting images, performing procedures, and consulting with colleagues. Performance on physics-related questions is factored into your overall score, so physics cannot be skipped.

How is the exam scored, and what counts as passing?

Scoring is criterion-referenced: your result is compared with a fixed standard, not with other examinees. The exam is scored as a whole and the result is pass or fail. You pass if your combined performance across all categories meets or exceeds the passing standard, so there is no module-by-module credit.

What happens if I fail?

You must retake the entire exam. Because the Qualifying (Core) Exam is scored as a whole rather than by category or module, a failed attempt cannot be partially carried forward - there is no conditioning on individual domains. Keep your board eligibility window in mind when scheduling a retake.

When do results come out?

Computer-based exam results become available in myABR about one month after the exam, and you receive an email notification when they are posted. While scoring is in progress, a progress bar on the ABR's page shows the current phase, so you can check back for real-time status.

How do I register, and when should I apply?

Once eligible, the ABR emails an invitation three to four months before the exam date with instructions for completing registration in myABR. Certification applications can be submitted between July 1 and October 31, and the application fee is due at the time you apply. All exam fees must be paid before registering.

How should I sequence my studying?

Start with the published domain blueprint and critical concepts for your training level to set scope, then layer in the Noninterpretive Skills, Physics, and Radioisotope Safety Content study guides, which are tested alongside the clinical domains. Finish with the sample questions to practice the remote interface and drag-and-drop format.

What practical mistakes cost candidates points?

Within a section you can flag items to revisit if time allows, but once you leave a section you cannot return to it - so banking unflagged guesses for later does not work. Do an Exam Readiness Check on the same computer and in the same location you will test from, and repeat it if either changes.