From resident to reality: development of a novel trainee-driven lung cancer screening program

•Implementation of lung cancer screening programs will challenge radiology departments across the U.S.•Implementation of a physician order entry system increased the number of appropriate lung cancer screening CT orders.•Didactic training and standardization of dictation templates improves radiologists’ reporting of lung cancer screening exams.•Physicians-in-training can successfully implement and manage a successful lung cancer screening program.