The University of North Carolina Diagnostic Radiology residency training program at UNC Hospitals is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME). Program leadership includes: Program Director Dr. Peter Bream Jr. and Associate Program Directors Dr. David Mauro and Dr. Cody Schwartz.

Diagnostic Radiology is a four-year training experience, leading to board eligibility in Diagnostic Radiology, and is in accordance with the training requirements of the American Board of Radiology; an internship is required prior to entry. The program has recently expanded to 11 radiology residency positions per year. Each rotation consists of a four-week concentration in one of the sub-specialty areas of radiology. There are 13 four-week blocks per academic year.

Program Goals

The UNC Department of Radiology delivers the highest quality patient care. We provide compassionate, appropriate, and effective care in the most professional manner from residents, faculty and ancillary staff alike. We serve a diverse patient population at UNC Hospitals, a renowned academic medical center, 24 hours a day 365 days a year. Over 400,000 imaging studies are performed annually.

The faculty’s three-part mission in clinical, educational, and scholarly accomplishment extends to each resident as well. Resource-rich and opportunity-laden best describe our program. Clinical care, medical student and fellow resident education, and clinical and basic science research opportunities abound. Indeed, all are required and/or strongly encouraged. Preparing our residents for early success in patient care delivery and required national benchmarking are top priorities for the Department. Resident attendance at formal lectures, Grand Rounds, Multidisciplinary Conferences, American Institute of Radiology Pathology (AIRP), and Core Exam prep are all required.

Program Curriculum

Program Curriculum
Program Curriculum


UNC Radiology residents have opportunities for external moonlighting, which allows residents of all levels to provide contrast coverage for UNC and third-party owned outpatient imaging centers.

There is also an Internal Moonlighting schedule that allows upper level residents on an elective basis to provide diagnostic services at main campus from 5pm-10pm, assisting the on-call residents during high volume service time.

The moonlighting schedules are resident-driven, and residents of appropriate levels are free to moonlight as long as duty hour, academic and attendance requirements are maintained.


Each resident is allotted 3 weeks of vacation during each academic year.

Call Schedule

The call pool includes lower-level (R2/PGY-3) and upper-level (R3 + R4) residents. For both lower and upper level residents, call consists of the following shifts which rotate based on the call pool size (approximately q9 days for R2 and q16 days for R3-4):

  • Weekdays after business hours (5pm-8am the following day)

    • Swing Shift (1 upper and 1 lower level resident)
    • Conference and daytime clinical duties from 12pm-5pm
    • Provide coverage from 5pm-10pm
    • Night Float
      • 1 upper and 1 lower level resident
      • Provide coverage from 8pm-8am the following day
  • Weekends and Holidays
      • 1 upper and 1 lower level resident
      • Day shifts: 8am-8pm

Call Responsibilities

The lower-level residents are responsible mainly for STAT studies generated from inpatients and the emergency department, including radiographs, CT and basic ultrasound. The upper-level residents responsibilities include STAT nuclear medicine, fluoroscopy, MRI, advanced/vascular ultrasound and interventional radiology cases.

Pre-call training

There is a formal pre-call curriculum designed to ensure each R1 further hones his/her skills before beginning call. Prior to beginning call, each first-year resident participates in a limited number of training call experiences where they work with a second-year resident to gain experience in the on-call environment.

R3 Call Responsibilities

Due to the Core examination schedule, we adapted our call schedules to reduce (nearly eliminate) R3s from call responsibilities from March-June to permit maximum study time prior to the exam. We are continually modifying and further improving the system based on past residents’ experience to permit R3 optimal study time.

Resident Meetings and Research

Residents are encouraged to present at national meetings and are excused for clinical responsibilities to attend approved educational meetings. Travel expenses for residents who present at approved conferences are reimbursed by the Department. Designated residents are excused to represent the Department at the annual Association of University Radiologists (AUR) and Radiological Society of North America (RSNA), American College of Radiology (ACR), among many others.

Global Health

Many R4s and Department fellows participate in the UNC Radiology Malawi Program, a partnership with the UNC Department of Allied Health Sciences, Division of Radiologic Science and the UNC Department of Radiology to focus on sustainable global health radiology in Lilongwe, Malawi. Along with other universities and partners, the UNC Radiology Malawi Program is a major partner in RAD-AID Malawi at RAD-AID International. RAD-AID is a 501(c)(3) non-profit focusing on sustainable global health radiology initiatives. There are many funding and research opportunities offered to resident and fellows medical mission participants, and the Diagnostic Radiology program now offers a global health elective for R4s.

UNC Health Care System Resident Salaries, Benefits, Policies/Procedures