Sunshine Jonathan H, Cypel Yasmin S, Schepps Barbara
Research Department, American College of Radiology, 1891 Preston White Dr., Reston, VA 20191, USA.
AJR Am J Roentgenol. 2002 Feb;178(2):291-301. doi: 10.2214/ajr.178.2.1780291.
We sought to describe radiologists and their practices, emphasizing trends in retirement age, practice size, and perceived workload burden.
In spring 2000, we surveyed 3,027 randomly selected radiologists by mail, of whom 74% responded. We weighted responses to make answers representative of all radiologists and compared findings with a similar 1995 survey.
Thirty percent of radiologists age 65-69 were working full-time; 21% were working part-time. Overall, the full-time equivalency of radiologists age 55-74 was 67.6%, not significantly different from 1995. If current patterns of retirement and production of graduates continue, the workforce will grow at a rate of approximately 2% annually. Fifty-one percent of radiologists said that recognizing that income depends largely on work done, they had "much too much work" or "somewhat too much work"; 5% reported "somewhat too little work" or "much too little work." Six percent of posttraining professionally active radiologists were in solo practice, down from 8% in 1995; 15% were in two-to-four-radiologists groups, down from 17%; and 38% were in groups of 15 or more, up from 30%. Sixteen percent of posttraining professionally active radiologists were women. The percentage was highest (29%) for those younger than age 35 but was lower (22%) among trainees.
The findings of excess work are further evidence of a radiologist shortage. However, contrary to surveys of groups that are hiring, we found minimal evidence of earlier retirement. Nonetheless, workload currently is increasing faster than the workforce is likely to grow, so the shortage will probably intensify. The typical number of radiologists in a practice is increasing, but slowly.
我们试图描述放射科医生及其执业情况,重点关注退休年龄、执业规模和感知工作量负担的趋势。
2000年春季,我们通过邮件对3027名随机抽取的放射科医生进行了调查,其中74%给予了回复。我们对回复进行加权处理,以使答案能代表所有放射科医生,并将结果与1995年的类似调查进行比较。
65 - 69岁的放射科医生中有30%全职工作;21%兼职工作。总体而言,55 - 74岁放射科医生的全职等效比例为67.6%,与1995年无显著差异。如果目前的退休模式和毕业生产出模式持续下去,劳动力将以每年约2%的速度增长。51%的放射科医生表示,考虑到收入很大程度上取决于工作量,他们“工作太多”或“工作有点太多”;5%报告“工作有点太少”或“工作太少”。6%的培训后从事专业工作的放射科医生独立执业,低于1995年的8%;15%在由两至四名放射科医生组成的小组中执业,低于17%;38%在15人或更多人的小组中执业,高于3年前的30%。16%的培训后从事专业工作的放射科医生为女性。35岁以下的女性比例最高(29%),但在实习生中比例较低(22%)。
工作量过多的调查结果进一步证明了放射科医生短缺。然而,与招聘机构的调查结果相反,我们发现提前退休的证据很少。尽管如此,目前工作量的增长速度快于劳动力可能的增长速度,因此短缺可能会加剧。执业放射科医生的典型数量在增加,但速度缓慢。