Crossing Borders, Closing Gaps: The International Medical Graduate Path in Radiology

Sep 2, 2026

The radiologist shortage is real, and international medical graduates (IMGs) are already helping solve it. Sohrab Afshari Mirak, MD, speaks with cohosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about his path from Tehran to UCLA, the American Board of Radiology Alternate Pathway, visa hurdles, and what IMGs bring to patient care. Listen to their discussion in episode 3 of Difficult Conversations, an AJR Podcast Series.

*Key Takeaways

Beyond the Step Score: Residency programs should not filter IMG applicants based on USMLE scores or graduation gaps; letters of recommendation and other application components offer additional important information.

 

The ABR Alternate Pathway: Recent changes by the American Board of Radiology now allow internationally trained radiologists to complete their four required fellowship years non-consecutively within an eight-year window, significantly reducing a source of uncertainty. 

 

Clinical Diversity: IMGs bring unique proficiencies and skill sets developed in healthcare systems with workflows that differ from in the United States.

*Chapters

0:00 - Welcome and Intro
0:54 - Impact of Radiologist Shortage
3:43 - Dr. Mirak's IMG Journey
6:07 - Residency Screening Pitfalls
10:02 - Letters and Observerships
12:14 - Research and Networking Tips
15:21 - ABR Alternate Pathway
18:52 - Visa Choices and Waivers
25:44 - Cultural Support for IMGs
28:38 - Global Models and IMG Value
35:56 - One Policy Change 
38:05 - Closing Thoughts

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