During most MRI procedures, there is no need for interaction between the administrator of the test and the patient. The situation is quite the opposite in functional MRI (fMRI), where the neurological status of the patient must be assessed; an appropriate paradigm must be selected based on the neurological assessment and prior MRI examinations. Further, the paradigm must be delivered to and successfully performed by the patient while in the MRI machine. In addition, there is a rather complicated analysis of the fMRI and diffusion tractography data, which must be performed and assessed. How to properly perform these tasks is often not addressed during residency and fellowship training or in annual scientific society meetings.