The Spectrum Health/Michigan State University Diagnostic Radiology Residency program offers a robust training experience with a case volume being among the top in the state, including cases in rare diseases and post-transplant studies. Residents train within the only Level 1 adult and pediatric trauma centers in West Michigan. Spectrum Health is unique in that while affiliated with a large medical school, our program is not part of a hierarchical academic department. It is through this relationship that we are able to offer the very best of a busy community-based clinical program as well as the academic opportunities of a university. This is demonstrated by the substantial research projects, presentations, and papers generated by our residents annually. Three community teaching hospitals are involved in the Spectrum Health/Michigan State University Diagnostic Radiology Residency program: Spectrum Health Butterworth Hospital, Spectrum Health Blodgett Hospital and Mercy Health Saint Mary’s.