Dr. M. Victoria Marx is Professor of Clinical Radiology and Vice Chair for Education in the Department of Radiology at the Keck School of Medicine of the University of Southern California. Prior to moving to Los Angeles in 1999, she was the IR section chief at University of Michigan. She trained in Diagnostic Radiology at The Ohio State University and was the first Interventional Radiology fellow at the Mallinckrodt Institute of Radiology at Washington University in St Louis Missouri in 1987. She has been active in the Society of Interventional Radiology for her entire career and currently serves as its President Elect. For the past several years, her focus in the Society has been to lead the process of changing the paradigm of IR training in the United States from a subspecialty fellowship to a primary specialty residency. There are now 81 IR residencies (65 integrated and 16 independent) accredited by the Accreditation Council for Graduate Medical Education. That number will grow. By July 1, 2020 all training in Interventional Radiology will be via the IR residency pathway.