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BACKGROUND Despite interest from both radiation oncology residents and program directors, many residency training programs lack a formalized introductory curriculum to orient incoming radiation oncology residents to the specialty. METHODS Using the 6-step model for medical education curriculum development, a structured introductory radiation oncology curriculum (IROC) was created for incoming PGY-2 radiation oncology residents to address foundational concepts including patient simulation, contouring, and plan evaluation. The curriculum