K12 Academics · Residency Specialty Guide

Radiation Oncology

A plain-English guide to Radiation Oncology — what the specialty is, what you do, residency length, fellowship subspecialties, and pay.

Type
Core residency
Residency
5 years
Treats
Cancer (radiation)
Setting
Cancer center
Entry
MD or DO
Pay
High
The Specialty

What it is

Radiation oncologists treat cancer using radiation therapy, designing and delivering precise treatments and managing patients through their cancer care.

Day to Day

What you do

They plan and oversee radiation treatment, coordinate with medical and surgical oncologists, and manage side effects for cancer patients.

Training

Training path & length

5-year residency (after a preliminary year).

Subspecialties

Fellowship subspecialties

Subspecialty focus comes through practice (e.g., pediatric, brachytherapy, or site-specific cancers) rather than a long list of formal fellowships.

Pay & Outlook

Pay & job outlook

Physicians are among the highest-paid professionals. The U.S. Bureau of Labor Statistics reports a median wage of $275,930 for physicians and surgeons (May 2025), with employment projected to grow about 4% from 2025 to 2035 and ~22,100 openings per year. Pay varies widely by specialty — procedural and surgical fields generally earn more, primary-care and pediatric fields less.

Radiation oncologists earn well above the physician median.

Getting There

How to get there

Become a physician first: earn an MD or DO, then match into this residency through the national match. Licensure requires completing residency and passing the board exams.

Keep Exploring

Explore further

Keep exploring this part of the resource:

At a Glance

Key facts