Radiation oncology residents and junior attending have noted widespread shortcomings in residency training that impede the transition from training to autonomous practice. In addition to general autonomy, recurring themes include technical and nontechnical skill competence, including leadership, mentoring, and education. Examples of technical skill proficiency include reviewing treatment plans and verifying images. Though many different approaches have been looked into, many of them may be challenging to put into practice or are not publicly available. We seek to compile the essential interventions that have been looked at along with the commonly mentioned obstacles in the transition to independent radiation oncology practice