Voices of the future: insights from a survey on radiology training experiences and needs

Radiology residency in Italy is a structured four-year program that emphasizes both clinical practice and didactic education. Despite its pivotal role in shaping future radiologists, resident satisfaction remains an underexplored topic. This study aims to assess radiology residents' satisfaction with their training, focusing on theoretical education, practical preparedness, mentorship, and overall professional development.

Starting from September 25, 2023, and finished on January 31, 2024, a cross-sectional survey was developed and distributed across 35 Italian radiology postgraduate schools. The questionnaire covered key areas: lecture quality, clinical training, mentorship, educational resources, and perceived readiness for independent practice. Descriptive statistics and cross-tabulations were conducted. Associations were analysed using chi-square tests and Cramer's V.

A total of 199 residents completed the survey. The sample was balanced by gender (54% female, 45% male) and represented all training years. Satisfaction with theoretical training and mentorship increased with residency seniority. Fourth-year residents reported the highest perceived preparedness (15.9% "very adequate"), while early-year residents expressed uncertainty. A strong association was found between satisfaction with didactic instruction and perceived autonomy. Gender-based differences revealed that male residents more often rated teaching and mentorship positively.

This study highlights generally positive satisfaction among radiology residents. Satisfaction increased with seniority and was closely linked to the perceived quality of theoretical instruction. Gender-related differences and mid-training challenges also emerged, underscoring areas for targeted improvement. These findings offer valuable guidance for optimizing radiology training programs through enhanced curriculum design, mentorship, and resident support.