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Parikh JR, Drake AR, Waid MD, Rula EY, Christensen EW. Radiologists' Out-of-Network Billing Trends, 2007 to 2021. J Am Coll Radiol 2024; 21:851-857. [PMID: 38244025 DOI: 10.1016/j.jacr.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 11/03/2023] [Accepted: 11/09/2023] [Indexed: 01/22/2024]
Abstract
PURPOSE Given the financial hardships of surprise billing for patients, the aim of this study was to assess the degree to which radiologists effectively participate in commercial insurance networks by examining the trend in the share of radiologists' imaging claims that are out of network (OON). METHODS A retrospective study over a 15-year period (2007-2021) was conducted using claims from Optum's deidentified Clinformatics Data Mart Database to assess the share of radiologists' imaging claims that are OON. Radiologists' annual OON rate was assessed overall as well as for claims associated with inpatient stays and emergency department (ED) visits. Rates were assessed for all imaging studies as well as by modality. Linear regression was conducted to assess OON rate time trends. RESULTS From 2007 to 2021, 5,039,142 of radiologists' imaging claims (6.3%) were OON. This rate declined from 12.6% in 2007 to 1.1% in 2021. Over the study period, the OON rate was 5.0% during an inpatient stay and 2.1% on the same day as an ED visit that did not lead to an inpatient admission. The linear trend in the overall OON rate declined 0.74 percentage points annually (95% confidence interval [CI], -0.90 to -0.58 percentage points) over the study period. Likewise, the annual declines were 0.54 percentage points (95% CI, -0.71 to -0.36) and 0.26 percentage points (95% CI, -0.33 to -0.20 percentage points) for imaging claims associated with inpatient stays and ED visits, respectively. CONCLUSIONS Radiologists' imaging claims that are OON has significantly declined from 2007 to a minimal level in 2021. This may indicate effective negotiations between radiologists and commercial payers and new state-level surprise billing laws.
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Affiliation(s)
- Jay R Parikh
- Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas; First Vice President, Texas Radiological Society, San Antonio, Texas; Chair, Committee on Fellowship Credentials, and Chair, Breast Ultrasound Accreditation Committee, American College of Radiology, Reston, Virginia
| | - Alexandra R Drake
- Senior Health Services Data Analyst, Harvey L. Neiman Health Policy Institute, Reston, Virginia
| | - Mikki D Waid
- Senior Research Fellow, Harvey L. Neiman Health Policy Institute, Reston, Virginia
| | - Elizabeth Y Rula
- Executive Director, Harvey L. Neiman Health Policy Institute, Reston, Virginia
| | - Eric W Christensen
- Director, Economic and Health Services Research, Harvey L. Neiman Health Policy Institute, Reston, Virginia; Health Services Management, University of Minnesota, St. Paul, Minnesota.
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Perry RE, Parikh JR. Mentorship of junior radiologists in nonacademic radiology. Clin Imaging 2020; 64:7-10. [DOI: 10.1016/j.clinimag.2020.02.005] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 01/10/2020] [Accepted: 02/19/2020] [Indexed: 11/26/2022]
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3
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Kurowecki D, Forster BB, Patlas MN. Subspecialty Employment Needs in Academic Radiology Settings Across Canada. Can Assoc Radiol J 2020; 72:201-207. [PMID: 32208933 DOI: 10.1177/0846537120910818] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
PURPOSE The purpose of this survey was to identify current and projected subspecialty employment needs across Canadian academic radiology practices. METHODS An electronic survey was distributed to academic radiology department heads within the faculties of medicine at Canadian universities between September and October 2019. Respondents identified the number of partnership track radiologists hired in the last academic year, the number of fellowship-trained new hires, and the top 3 subspecialties for new and prospective hires. Descriptive statistics were used to summarize the data. RESULTS Nine academic radiology department heads responded to the survey (75% response rate) with good regional representation across Canada. Ninety-five percent of new hires within the last academic year were subspecialty fellowship trained. The top subspecialties for new hires in the last year were abdominal imaging and interventional neuroradiology, with 77.8% and 44.4% of academic leaders reporting them as one of the top 3 subspecialties, respectively. The top 3 subspecialties for prospective hires in the next academic year included musculoskeletal imaging (n = 6, 66.7%), followed by abdominal imaging (n = 5, 55.6%), with pediatric radiology (n = 3, 33.3%) and cardiothoracic imaging (n = 3, 33.3%) tying for third place. There was some variability in the subspecialty needs for hires between regions. CONCLUSIONS The survey results provide valuable information about the current and future subspecialty needs of academic radiology practices. The data obtained can provide guidance to trainees regarding fellowship training options that will optimize their future employability.
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Affiliation(s)
- Darya Kurowecki
- Department of Diagnostic Imaging, 3710McMaster University Medical Centre, Hamilton Health Sciences, Ontario, Canada
| | - Bruce B Forster
- Department of Radiology, 8167Vancouver General Hospital, British Columbia, Canada
| | - Michael N Patlas
- Department of Diagnostic Imaging, 113588Hamilton General Hospital, Hamilton Health Sciences, Ontario, Canada
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Bender CE, Bansal S, Wolfman D, Parikh JR. 2019 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2020; 17:673-675. [PMID: 32068008 DOI: 10.1016/j.jacr.2020.01.012] [Citation(s) in RCA: 44] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Revised: 01/06/2020] [Accepted: 01/12/2020] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - Darcy Wolfman
- Department of Radiology, Johns Hopkins School of Medicine, Washington, DC
| | - Jay R Parikh
- Department of Radiology, MD Anderson Cancer Center, Houston, Texas
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Elangovan SM, Sebro R. Positron emission tomography/computed tomography imaging appearance of benign and classic “do not touch” osseous lesions. World J Radiol 2019; 11:81-93. [PMID: 31396371 PMCID: PMC6597458 DOI: 10.4329/wjr.v11.i6.81] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 05/11/2019] [Accepted: 06/21/2019] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Classic “do not touch” and benign osseous lesions are sometimes detected on 18-F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) studies. These lesions are often referred for biopsy because the physician interpreting the PET/CT may not be familiar with the spectrum of 18F-FDG uptake patterns that these lesions display.
AIM To show that “do not touch” and benign osseous lesions can have increased 18F-FDG uptake above blood-pool on PET/CT; therefore, the CT appearance of these lesions should dictate management rather than the standardized uptake values (SUV).
METHODS This retrospective study evaluated 287 independent patients with 287 classic “do not touch” (benign cystic lesions, insufficiency fractures, bone islands, bone infarcts) or benign osseous lesions (hemangiomas, enchondromas, osteochondromas, fibrous dysplasia, Paget’s disease, osteomyelitis) who underwent 18F-FDG positron emission tomography/computed tomography (PET/CT) at a tertiary academic healthcare institution between 01/01/2006 and 12/1/2018. The maximum and mean SUV, and the ratio of the maximum SUV to mean blood pool were calculated. Pearson’s correlations between lesion size and maximum SUV were calculated.
RESULTS The ranges of the maximum SUV were as follows: For hemangiomas (0.95-2.99), bone infarcts (0.37-3.44), bone islands (0.26-3.29), enchondromas (0.46-2.69), fibrous dysplasia (0.78-18.63), osteochondromas (1.11-2.56), Paget’s disease of bone (0.93-5.65), insufficiency fractures (1.06-12.97) and for osteomyelitis (2.57-12.64). The range of the maximum SUV was lowest for osteochondromas (maximum SUV 2.56) and was highest for fibrous dysplasia (maximum SUV of 18.63). There was at least one lesion that demonstrated greater 18F-FDG avidity than the blood pool amongst each lesion type, with the highest maximum SUV ranging from 9.34 times blood pool mean (osteomyelitis) to 1.42 times blood pool mean (hemangiomas). There was no correlation between the maximum SUV and the lesion size except for enchondromas. Larger enchondromas had higher maximum SUV (r = 0.36, P = 0.02).
CONCLUSION The classic “do not touch” lesions and classic benign lesions can be 18F-FDG avid. The CT appearance of these lesions should dictate clinical management rather than the maximum SUV.
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Affiliation(s)
- Stacey M Elangovan
- Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, United States
| | - Ronnie Sebro
- Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104, United States
- Department of Orthopedic Surgery, University of Pennsylvania, Philadelphia, PA 19104, United States
- Department of Genetics, University of Pennsylvania, Philadelphia, PA 19104, United States
- Department of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA 19104, United States
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Abstract
Introduction: Belgium counts 1,888 active radiologists. This is an average of 16.2 radiologists per 100,000 people, which is slightly more than the European average of 12.7 per 100,000. Feedback from recently graduated residents suggests difficulties in finding a permanent staff member position and a high demand for dedicated profiles in radiology departments. To objectify this, the Young Radiologist Section (YRS) of the Belgian Society of Radiology (BSR) performed a survey of the radiology job market in Belgium. Material and Methods: An anonymous survey was sent to recently graduated Belgian radiologists (2013–2018) and to the heads of all Belgian radiology departments. Results: The majority of the responding graduates found a permanent staff member position as a radiologist within two years after graduation and around half of the respondents even before graduation (50% in the graduates 2018 and 57% in graduates of 2013–2017). However, a small portion of the responding graduates (8%) needed more than two years to find a staff member position. Of the responding departments, 44% prefers to appoint a radiologist with extra training in one or more subspecialties. The top three of most desired subspecialties is: musculoskeletal imaging, interventional radiology and breast imaging. Conclusion: Half of the responding graduates did not find a permanent staff member position before graduation. However, >90% found such a position within the first two years after graduation. There is a demand for dedicated profiles in almost half of the radiology departments.
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Bender CE, Bansal S, Wolfman D, Parikh JR. 2018 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2019; 16:508-512. [DOI: 10.1016/j.jacr.2018.12.034] [Citation(s) in RCA: 43] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Accepted: 12/19/2018] [Indexed: 12/21/2022]
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Bluth EI, Goodman TR, Bender CE. The Late-Career Radiologist: Options and Opportunities. Radiographics 2018; 38:1617-1625. [DOI: 10.1148/rg.2018180015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- Edward I. Bluth
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
| | - T. Robin Goodman
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
| | - Claire E. Bender
- From the Department of Radiology, Ochsner Clinic Foundation, 1514 Jefferson Hwy, New Orleans, LA 70121; and University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, La (E.I.B.); Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Conn (T.R.G.); and Department of Radiology, Mayo Clinic, Rochester, Minn (C.E.B.)
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Comparison of Utilization of the Family and Medical Leave Act in Radiology Practices Between 2015 and 2016. AJR Am J Roentgenol 2018; 211:239-243. [DOI: 10.2214/ajr.17.19308] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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10
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The 2017 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2017; 14:1613-1619. [DOI: 10.1016/j.jacr.2017.06.012] [Citation(s) in RCA: 51] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Revised: 06/02/2017] [Accepted: 06/05/2017] [Indexed: 11/17/2022]
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Pfeifer CM. Radiology Resident Supply and Demand: A Regional Perspective. J Am Coll Radiol 2017; 14:1161-1168. [DOI: 10.1016/j.jacr.2017.05.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 05/16/2017] [Accepted: 05/26/2017] [Indexed: 11/26/2022]
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12
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Wong TY, Moriarity A, Lall N, Hoffmann JC, Katz DS, Flug JA. Double Fellowships in Radiology: A Survey of 2014 Graduating Fellows. Curr Probl Diagn Radiol 2017; 46:263-266. [DOI: 10.1067/j.cpradiol.2016.11.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Revised: 10/06/2016] [Accepted: 11/08/2016] [Indexed: 11/22/2022]
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13
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Arleo EK, Parikh JR, Wolfman D, Bluth E. Lactation Facilities in US Radiology Practices. J Am Coll Radiol 2017; 14:733-736. [DOI: 10.1016/j.jacr.2016.11.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Revised: 11/18/2016] [Accepted: 11/25/2016] [Indexed: 10/20/2022]
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Academic Radiologist Subspecialty Identification Using a Novel Claims-Based Classification System. AJR Am J Roentgenol 2017; 208:1249-1255. [DOI: 10.2214/ajr.16.17323] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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15
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Arleo EK, Parikh JR, Wolfman D, Gridley D, Bender C, Bluth E. Utilization of the Family and Medical Leave Act in Radiology Practices According to the 2016 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2016; 13:1440-1446. [DOI: 10.1016/j.jacr.2016.08.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 08/19/2016] [Accepted: 08/19/2016] [Indexed: 10/20/2022]
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16
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Bluth EI, Bansal S. The 2016 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2016; 13:1227-1232. [DOI: 10.1016/j.jacr.2016.06.006] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Revised: 05/27/2016] [Accepted: 06/02/2016] [Indexed: 11/16/2022]
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17
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Donner EM, Sze G, Bluth EI. Retirement issues for radiologists: consensus statement on successful planning by the Commission on Human Resources of the ACR. J Am Coll Radiol 2016; 12:235-8. [PMID: 25743921 DOI: 10.1016/j.jacr.2014.10.019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Accepted: 10/27/2014] [Indexed: 11/17/2022]
Abstract
Successful retirement planning requires a determination of which activities and relationships may replace those associated with the current full-employment position. Next, there must be acceptance of leaving the profession behind. Finally, the individual must determine the specific decisions and actions that must be made to transition to successful retirement in the future. To be successful, the entire process should occur over a period of several years. Alternatively, bridge employment may play a significant role in the transition from full-employment to full-time retirement.
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Affiliation(s)
- E Michael Donner
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, Louisiana.
| | - Gordon Sze
- Department of Radiology, Yale University School of Medicine, New Haven, Connecticut
| | - Edward I Bluth
- Department of Radiology, Ochsner Clinic Foundation, New Orleans, Louisiana; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, Louisiana
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Radiologist Hiring Preferences Based on Practice Needs. J Am Coll Radiol 2016; 13:8-11. [DOI: 10.1016/j.jacr.2015.06.011] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Accepted: 06/08/2015] [Indexed: 11/19/2022]
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The 2015 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2015; 12:1137-41. [DOI: 10.1016/j.jacr.2015.06.009] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2015] [Accepted: 06/03/2015] [Indexed: 11/18/2022]
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20
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Parikh JR, Rapoport RJ, Bluth EI, Fleishon HB, Donner EM. Midcareer Transition in Radiology: Threat or Opportunity? J Am Coll Radiol 2015; 12:624-9. [DOI: 10.1016/j.jacr.2015.02.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Accepted: 02/01/2015] [Indexed: 12/31/2022]
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Bluth EI, Bansal S, Macura KJ, Fielding J, Truong H. Gender and the Radiology Workforce: Results of the 2014 ACR Workforce Survey. J Am Coll Radiol 2015; 12:155-7. [DOI: 10.1016/j.jacr.2014.07.040] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 07/31/2014] [Indexed: 11/28/2022]
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Warren LA, Patel TY, Layman MS, Patel MY. The Job Market of the Future: How Will the Recent Change in Boards Influence the Job Market for New Graduates? J Am Coll Radiol 2015; 12:206-7. [DOI: 10.1016/j.jacr.2014.07.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2014] [Accepted: 07/25/2014] [Indexed: 10/24/2022]
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Hawkins CM, Flug JA, Metter D, Strax R, Lozano KDS, Herrington W, Applegate KE. Adapting to the new radiology landscape: challenges and solutions discussed at the 2014 AMCLC open-microphone sessions. J Am Coll Radiol 2014; 12:151-4. [PMID: 25448061 DOI: 10.1016/j.jacr.2014.09.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2014] [Revised: 09/04/2014] [Accepted: 09/16/2014] [Indexed: 11/15/2022]
Abstract
Every year, multiple open-microphone sessions are hosted at the ACR AMCLC. These sessions allow members of the College to offer opinions, experiences, and questions regarding challenges facing radiologists and the future of the profession. At the 2014 AMCLC, 3 such sessions focused, respectively, on radiology's workforce, the obstacles slowing the shift from volume to value, and alternative reimbursement models and the shifting physician employment landscape. These open-microphone sessions framed contemporary obstacles and emerging challenges that professional radiology societies, such as the ACR, should target with new initiatives and use of resources; in addition, the sessions revealed opportunities for members, councilors, and state chapters to respond with meaningful resolutions and policy proposals.
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Affiliation(s)
| | | | - Darlene Metter
- University of Texas Health Science Center at San Antonio, San Antonio, Texas
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25
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Chen JY, Agarwal V, Orons PD. Competitiveness of the Match for Interventional Radiology and Neuroradiology Fellowships. J Am Coll Radiol 2014; 11:1069-73. [PMID: 25156202 DOI: 10.1016/j.jacr.2014.06.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Accepted: 06/11/2014] [Indexed: 10/24/2022]
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26
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Bluth EI, Truong H, Bansal S. The 2014 ACR Commission on Human Resources Workforce Survey. J Am Coll Radiol 2014; 11:948-52. [DOI: 10.1016/j.jacr.2014.06.003] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2014] [Accepted: 06/04/2014] [Indexed: 11/28/2022]
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27
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Moriarity AK, Brown ML, Schultz LR. Work and retirement preferences of practicing radiologists as a predictor of workforce needs. Acad Radiol 2014; 21:1067-71. [PMID: 25018078 DOI: 10.1016/j.acra.2014.03.005] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2013] [Revised: 03/04/2014] [Accepted: 03/04/2014] [Indexed: 12/21/2022]
Abstract
RATIONALE AND OBJECTIVES The radiology job market has been described as highly variable, and recent practice hiring surveys predict that the number of available jobs will remain flat. Radiologists may be working more hours and retiring later than desired, activities that influence overall job availability. A national survey was performed to determine the desired work rate and retirement preferences of practicing radiologists, and the responses are used to estimate current and potential future work output and future workforce needs. MATERIALS AND METHODS Practicing radiologists were surveyed regarding current and preferred work level and desired and expected retirement age. A model incorporating these preferences and stratified by age was developed using survey responses and American Medical Association full-time equivalent (FTE) estimates. Available FTE radiologists are estimated under four scenarios from 2016 to 2031 in 5-year intervals. RESULTS The model predicts a total of 26,362 FTE radiologists available in 2011, which corresponds to previous estimates. Participants reported working more hours and expecting to retire later than desired, with younger radiologists and women reporting the greatest desired decrease in FTE hours worked. Under each scenario, there is an initial FTE availability in 2016 ranging from 21,156 to 24,537, which increases to between 27,753 and 31,435 FTE by 2031 depending on work rate and retirement patterns. CONCLUSIONS Practicing radiologists report that they currently work more hours than desired and expect to retire later than they would prefer. If radiologists changed current personal work rate and expected retirement age to meet these preferences, there would be an immediate shortage of FTE radiologists continuing until at least 2020 assuming no other workforce needs changes.
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Affiliation(s)
- Andrew K Moriarity
- Department of Diagnostic Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202.
| | - Manuel L Brown
- Department of Diagnostic Radiology, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202
| | - Lonni R Schultz
- Department of Public Health Sciences, Henry Ford Hospital, Detroit, MI
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28
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Chertoff JD. A Perfect Storm. J Am Coll Radiol 2014; 11:755-6. [DOI: 10.1016/j.jacr.2014.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2014] [Accepted: 04/26/2014] [Indexed: 11/24/2022]
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29
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Swayne LC. Of mice and men: escaping the relative value unit trap. J Am Coll Radiol 2014; 11:777-80. [PMID: 24709554 DOI: 10.1016/j.jacr.2013.12.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Accepted: 12/24/2013] [Indexed: 10/25/2022]
Abstract
Although radiologists have kept pace with the dramatic growth of medical imaging during the past two decades through the use of PACS, digital dictation, and 3-dimensional reconstruction, radiology is approaching the point of diminishing returns. As reimbursements further decline, attempts to increase radiologists' productivity risk commoditization of the specialty. The continued evolution of US health care policy, however, presents an opportunity for radiologists, using their core competencies, to shape the future direction of medicine.
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Affiliation(s)
- Lawrence C Swayne
- Department of Diagnostic Radiology, Morristown Medical Center, Morristown, New Jersey.
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30
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Meltzer CC, Mullins ME, Chertoff JD, Bluth EI, Canon CL. Are we training the right number of radiologists? J Am Coll Radiol 2014; 10:757-9. [PMID: 24091046 DOI: 10.1016/j.jacr.2013.08.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2013] [Accepted: 08/29/2013] [Indexed: 11/25/2022]
Affiliation(s)
- Carolyn C Meltzer
- Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Neurology, Emory University School of Medicine, Atlanta, Georgia.
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31
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Gunderman RB, Stevens D. Radiology's decathlete: the generalist. J Am Coll Radiol 2014; 11:1014-6. [PMID: 24713498 DOI: 10.1016/j.jacr.2014.01.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2014] [Accepted: 01/15/2014] [Indexed: 11/26/2022]
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Radiology Practice Environment: Options, Variations, and Differences—A Report of the ACR Commission on Human Resources. J Am Coll Radiol 2014; 11:352-8. [DOI: 10.1016/j.jacr.2013.12.025] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2013] [Accepted: 12/26/2013] [Indexed: 11/19/2022]
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