Dr. Alan Matsumoto, Chair of the Department of Radiology at the University of Virginia, discusses his career in interventional radiology, including his initial interest and journey into the field. He highlights the importance of uniformity and training in clinical IR, as well as the challenges faced in transitioning to independent practice. Dr. Matsumoto reflects on the experiences and differences between private practice and academia, and shares insights into transitioning from a fellow to an attending. He also discusses his path to becoming chief and chair of his department, and offers advice for upcoming interventional radiologists.