Trends in Neuroradiology Fellowship Positions and Match Outcomes in the United States, 2009 to 2025

This study assessed national trends and geographic distribution of neuroradiology fellowship positions in the United States from 2009 to 2025. ACGME-accredited programs increased from 86 to 94 (+9%), with number of active fellows in training rising from 250 to 262 (+5%). NRMP positions grew from 190 to 316 (+66%), and fill rates improved from 67% to 91%. IMGs increased from 18.8% to 27.1%, while U.S. MD representation declined slightly. In 2025, 94 programs across 33 states and D.C. offered 385 positions; 11 states had none. Despite national growth, programs remain concentrated, with California, New York, and Massachusetts hosting over one-quarter of all positions. Awareness of the pipeline and its correlation with the market demand for subspecialist neuroradiologists is important for policy planning and addressing workforce needs to preserve patient access to care.