Prior to attending the ThinkRadial course, I had performed one radial case with help of a cardiologist. After attending the ThinkRadial course, I had all the tools I needed to begin transitioning my practice to radial. The first case post ThinkRadial was supported by Merit Medical; their reps did a great job with in-service for the entire support staff, making the introduction of radial products seamless. Using a radial approach has led to great patient experiences, reduced procedure time and overall improved patient satisfaction. I intend to be “radial first” within the next six months to one year. I believe that radial access is here to stay with “radial first” becoming common as more trainees get trained with this approach.