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Showing content from https://pubmed.ncbi.nlm.nih.gov/31076329/ below:

Characteristics of Radiologists' Clinical Practice Patterns by Career Stage

. 2020 Feb;27(2):262-268. doi: 10.1016/j.acra.2019.03.025. Epub 2019 May 8. Characteristics of Radiologists' Clinical Practice Patterns by Career Stage

Affiliations

¹ Department of Radiology, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY 10016. Electronic address: Andrew.Rosenkrantz@nyumc.org.
² Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
³ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Radiology, Mayo Clinic, Jacksonville, Florida.
⁴ Department of Radiology, Mayo Clinic, Rochester, Minnesota.

PMID: 31076329
DOI: 10.1016/j.acra.2019.03.025

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Characteristics of Radiologists' Clinical Practice Patterns by Career Stage

Andrew B Rosenkrantz et al. Acad Radiol. 2020 Feb.

. 2020 Feb;27(2):262-268. doi: 10.1016/j.acra.2019.03.025. Epub 2019 May 8. Affiliations

¹ Department of Radiology, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY 10016. Electronic address: Andrew.Rosenkrantz@nyumc.org.
² Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
³ Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia; Department of Radiology, Mayo Clinic, Jacksonville, Florida.
⁴ Department of Radiology, Mayo Clinic, Rochester, Minnesota.

PMID: 31076329
DOI: 10.1016/j.acra.2019.03.025

Item in Clipboard

Abstract

Purpose: To assess characteristics of radiologists' clinical practice patterns by career stage.

Methods: Radiologists' 2016 billed services were extracted from the Medicare Physician and Other Supplier Public Use File. Billed clinical work was weighted using work relative value units. Medical school graduation years were obtained from Medicare Physician Compare. Practice patterns were summarized by decades after residency.

Results: Among 28,463 included radiologists, 32.7% were ≤10 years postresidency, 29.3% 11-20 years, 25.0% 21-30 years, 10.5% 31-40 years, 2.4% 41-50 years, 0.1% ≥51 years. Billed clinical work (normalized to a mean of 1.00 among all radiologists) ranged 0.92-1.07 from 1 to 40 years, decreasing to 0.64 for 41-50 years and 0.43 for ≥51 years. Computed tomography represented 34.7%-38.6% of billed clinical work from 1 to 30 years, decreasing slightly to 31.5% for 31-40 years. Magnetic resonance imaging represented 13.9%-14.3% from 1 to 30 years, decreasing slightly to 11.2% for 31-40 years. Ultrasonography represented 6.2%-11.6% across career stages. Nuclear medicine increased steadily from 1.7% for ≤10 years to 7.0% for 41-50 years. Mammography represented 9.9%-12.9% from 1 to 50 years. Radiography/fluoroscopy represented 15.1%-29.8% from 1 to 50 years, but 65.9% for ≥51 years.

Conclusion: The national radiologist workforce declines abruptly by more than half approximately 30 years after residency. Radiologists still working at 31-40 years, however, contribute similar billed clinical work, both overall and across modalities, as earlier career radiologists. Strategies to retain later-career radiologists in the workforce could help the specialty meet growing clinical demands, mitigate burnout in earlier career colleagues, and expand robust patient access to both basic and advanced imaging services.

Keywords: Career stage; Health policy; Medicare; Radiologist workforce.

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