Department of Radiology, NYU Langone Medical Center, 660 First Avenue, 3rd Floor, New York, NY 10016.
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
Acad Radiol. 2020 Feb;27(2):262-268. doi: 10.1016/j.acra.2019.03.025. Epub 2019 May 8.
To assess characteristics of radiologists' clinical practice patterns by career stage.
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.
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.
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.
按职业阶段评估放射科医生临床实践模式的特征。
从医疗保险医师和其他供应商公共使用文件中提取放射科医生 2016 年的计费服务。使用工作相对价值单位对计费临床工作进行加权。从医疗保险医师比较中获取医学院毕业年份。按住院医师后几十年总结实践模式。
在纳入的 28463 名放射科医生中，32.7%为住院医师后≤10 年，29.3%为 11-20 年，25.0%为 21-30 年，10.5%为 31-40 年，2.4%为 41-50 年，0.1%为≥51 年。计费临床工作（在所有放射科医生中归一化为 1.00）从 1 年到 40 年范围为 0.92-1.07，降至 41-50 年的 0.64 和≥51 年的 0.43。计算机断层扫描代表了 1 年到 30 年计费临床工作的 34.7%-38.6%，略有下降到 31-40 年的 31.5%。磁共振成像代表了 1 年到 30 年计费临床工作的 13.9%-14.3%，略有下降到 31-40 年的 11.2%。超声检查在整个职业生涯阶段占 6.2%-11.6%。核医学从≤10 年的 1.7%稳步增加到 41-50 年的 7.0%。乳房 X 线摄影代表了 1 年到 50 年的 9.9%-12.9%。X 线摄影/透视从 1 年到 50 年占 15.1%-29.8%，但≥51 年占 65.9%。
住院医师后约 30 年，全国放射科医生人数急剧减少一半以上。然而，仍在工作的 31-40 年的放射科医生在整体上和各种模式下的计费临床工作与早期职业生涯的放射科医生相似。保留职业生涯后期放射科医生的策略可以帮助该专业满足不断增长的临床需求，减轻早期职业生涯同事的倦怠，并扩大对基本和高级成像服务的广泛患者的获取。
