Hediyeh Baradaran, Carol Geer
Radiology trainees face an increasingly complex set of choices as they prepare for their first post-training positions, yet structured guidance for navigating these decisions remains limited. This work explores a practical approach for both radiology trainees and their faculty mentors to evaluate initial employment opportunities that integrates honest mentorship with deliberate self-reflection. Adapting the concept of ikigai-aligning what one enjoys, excels at, is needed for, and is compensated for-we propose a framework to help trainees identify roles that support long-term fulfillment. Building on principles of professional identity formation, the SCAGE model (Strengths, Challenges, Achievement, Goals, Experimentation) offers a simple structure for understanding one's evolving capabilities and aspirations while encouraging purposeful exploration during training. By combining clear feedback with opportunities for self-discovery, mentors can better equip trainees to evaluate job opportunities intentionally and choose positions that align with their values, strengths, and personal goals. This approach supports sustainable professional growth and a more meaningful transition into practice.