Ready to ace the Radiation Oncology In-Training Exam (TXIT)? Here is what to expect on your test day.
The TXIT is administered annually to radiation oncology residents to assess knowledge and progress, and to compare performance across all residency levels. Your exam results will be provided to your Program Director in approximately 8 weeks. Before you sit down for the in-service exam, review the technical requirements and instructions below carefully.
To take the TXIT, you must have an active ACR Member User Account, using the primary email address created to log in to ACR.org.
Make sure your setup meets these specifications:
You will have 3 hours to complete the TXIT. Here's what's allowed and what isn't.
Allowed items:
Prohibited items:
You're permitted one ten-minute break during the 3-hour exam, but the clock keeps running during your break. Take it whenever you like. When you step away, leave your computer as-is, don't turn it off.
Before starting, you'll see this on-screen notice:
"This is a timed exam scheduled for 3 hours. Once started, the clock will continue counting without stopping, even if you log out of the system. Please confirm to continue."
You must click Confirm to acknowledge the exam duration is three hours and must be completed in one sitting.
Knowing the exam logistics is only half the battle. The TXIT covers 13 core domains, statistics, bone & soft tissue, breast, central nervous system (CNS) & eye, gastrointestinal, genitourinary, gynecology, head & neck & skin, lung & mediastinum, lymphoma & leukemia, pediatrics, biology, and physics, so broad, consistent review across categories matters more than last-minute cramming.
Build familiarity with high-yield questions and evidence-based rationales across all of these domains before test day.
Practice on irrad8u.com ✦irrad8u.com offers a free, continuously growing radiation oncology question bank built specifically for TXIT, ABR written boards, and MOC preparation.
Good luck on your in-training exam.