Ultralearning involves taking control of your own learning through self-directed and intense study. It requires developing a learning path and skills focused on your goals. The key aspects of ultralearning include metalearning to understand best study methods; focusing without distraction; directly practicing skills needed; drilling weak areas; using retrieval methods like flashcards; getting feedback without harm to ego; retaining knowledge through spacing and overlearning; developing intuition through depth of understanding; and experimenting beyond what is known. The document provides examples of applying these principles to rapidly learning radiology through directly reporting scans, using mental checklists for indications, and updating frameworks with experience.