Taljanovic Mihra S, Hunter Tim B, Krupinski Elizabeth A, Alcala Jennifer N, Fitzpatrick Kimberly A, Ovitt Theron W
Department of Radiology, University of Arizona, P.O. Box 245067, Tucson, AZ 85724-5067, USA.
Acad Radiol. 2003 Dec;10(12):1461-8. doi: 10.1016/s1076-6332(03)00643-3.
To find major reasons why junior academic radiologists leave academia for private practice and to suggest future changes to motivate them to stay.
2000 surveys were sent to every tenth member of the Radiological Society of North America (RSNA) who completed training within the past decade. Those in academic institutions and those who left within 5 years were asked to respond.
132 radiologists responded. Thirty-two percent of responders were in academic radiology. Of those in academic radiology, 71% plan to stay at the same institution, 7% are planning to move to another academic institution, 17% are considering private practice, and 5% are leaving for private practice. The main reasons to leave were low pay and lack of academic time. Sixty-eight percent of responders already left academia after an average of 3.28 years. Ninety-five percent feel the decision was good, and 65% would not go back. Forty-nine percent experienced more than 100% pay increase, 60% feel they work harder, and 62% feel quality of life is better.
Significant changes should be made to motivate junior radiologists to stay in academia. Developing leaders in radiology is a must, and should be a top priority. Academic radiologists should not be expected to read private practice volumes and still have time to produce quality research and teaching. Clinical duties should be limited to 32 hours per week. At least 1 day a week should be protected academic time. Efforts should be made to decrease the discrepancy between incomes. Mentoring is important, allowing a smooth transition for junior faculty members to optimize academic progress and lead to promotion.
找出初级放射科医师离开学术界投身私人执业的主要原因，并提出未来的改进措施以激励他们留下来。
向北美洲放射学会（RSNA）过去十年内完成培训的每第十位成员发送了2000份调查问卷。调查对象为学术机构中的放射科医师以及在5年内离职的人员。
132位放射科医师回复了问卷。32%的回复者从事学术放射工作。在从事学术放射工作的人员中，71%计划留在同一机构，7%计划转至另一学术机构，17%正在考虑私人执业，5%已离职投身私人执业。离职的主要原因是薪资低和缺乏学术时间。68%的回复者在平均3.28年后已离开学术界。95%的人认为这个决定是正确的，65%的人不会回去。49%的人薪资涨幅超过100%，60%的人觉得自己工作更努力，62%的人觉得生活质量更高。
应做出重大改变以激励初级放射科医师留在学术界。培养放射学领域的领导者是必要的，且应作为首要任务。不应期望学术放射科医师既要完成私人执业的工作量，又有时间开展高质量的研究和教学。临床工作时间应限制在每周32小时。每周至少应有1天作为学术时间予以保障。应努力缩小收入差距。导师指导很重要，能让初级教员顺利过渡，以优化学术进展并获得晋升。
