Domain 4 · ~5% of Core Exam

Non-Interpretive Skills (NIS)

The "practice" of radiology. Tested every year, barely reinforced at the workstation — which makes it one of the two domains (with physics) that rewards deliberate study the most.

Core topics

Quality & SafetyRCA, PDSA cycles, just culture, sentinel events.
Contrast ManagementHives → laryngeal edema → hypotension. Pre-med protocols. NSF screening.
Ethics & ProfessionalismConsent, HIPAA, impaired colleague, disclosure of error.
Critical ResultsClosed-loop communication, ACR Actionable Findings.
InformaticsDICOM, HL7, PACS architecture, speech recognition.
Statistics & EBMSensitivity/specificity, PPV/NPV, likelihood ratios, ROC.

NIS is the perfect "podcast-while-commuting" domain. Content to be delivered as flashcards + short MCQ sets covering each topic.