Should I pursue a PhD in radiology? Opportunities, pitfalls, and practical strategies

Undertaking a PhD in radiology represents a pivotal career choice: one that can open pathways to international mobility, interdisciplinary collaboration, and scientific discovery. This opinion piece examines the opportunities and challenges of pursuing doctoral training in radiology and provides guidance for medical students, radiographers, residents, and practicing radiologists considering this academic path. Yet the process also entails risks: unrealistic goals, inadequate mentorship or institutional support (such as protected time for research, administrative support, and financial resources), and limited genuine motivation can hinder progress and satisfaction. In this expert opinion article, we highlight the natural synergy between clinical radiology and research skills. Beyond advancing academic credentials, a PhD cultivates competencies in statistics, leadership, and teamwork: skills that support careers across academia, healthcare, industry, and policy. We discuss different PhD formats, from monograph-based to publication-based structures, and offer practical advice on project selection, funding strategies, and supervisory relationships. We conclude with an overarching checklist with a compilation of questions to answer the question “Should I pursue a PhD in radiology?.” By addressing both pragmatic and personal aspects, including mental well-being, this paper provides a balanced roadmap for (future) imaging professionals aiming to design meaningful and sustainable clinical research careers. Key Points Question Deciding whether to pursue a doctoral degree in radiology requires navigating complex trade-offs between clinical workloads, personal motivations and diverse program formats. Findings Successful doctoral training relies on aligning personal curiosity with realistic project scoping, accessible methodological support and careful supervisor selection. On the other hand, valuable alternative career paths and potential obstacles should also be considered before taking up the PhD challenge. Critical relevance statement Aligning personal goals, skills, and career planning with the institution's expectations can help (future) imaging professionals transition into sustainable research careers.