The private-practice perspective of the manpower crisis in radiology: Greener pastures?

Journal of the American College of Radiology

Volumn 1, Issue 11, 2004, Pages 834-841

  Swayne, Lawrence C ^a,b  

^a MORRISTOWN MEMORIAL HOSPITAL   (United States)

^b Morris Imaging Associates   (United States)

Author keywords

Manpower; Practice management; Practice of radiology; Radiologists; Socioeconomics

Indexed keywords

COMMUNITY; COMPUTER ASSISTED TOMOGRAPHY; COST EFFECTIVENESS ANALYSIS; HEALTH CARE SYSTEM; HUMAN; JOB SATISFACTION; MANPOWER; MEDICAL EDUCATION; MEDICARE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIVATE PRACTICE; RADIOLOGIST; RADIOLOGY; REVIEW; ULTRASOUND; UNIVERSITY HOSPITAL; WORKLOAD;

EID: 84928096143     PISSN: 15461440     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jacr.2004.05.012     Document Type: Article

References (72)

1. K.H. Vydareny The manpower crisis in academic radiology don't kill the milk cow for the meat J Am Coll Radiol 1 2004 100 103
2. M.D. Cohen, R.B. Gunderman Academic radiology sustaining the mission Radiology 224 2002 1 4
3. L. Feng, C. Ruzal-Shapiro Factors that influence radiologists' career choices Acad Radiol 10 2003 45 51
4. R.M. Friedenberg Academic medicine boom to bust Radiology 220 2001 296 298
5. R.B. Gunderman Today's radiology resident and tomorrow's academic radiologist Am J Roentgenol 177 2001 1277 1280
6. A.R. Margulis Is academic radiology still attractive? Acad Radiol 10 2003 125 127
7. T.B. Hunter, E. Krupinski, K.R. Hunt, W. Erly Academic radiology and doctor discontent the good news and the bad news Acad Radiol 8 2001 509 511
8. W.C. Chan, J.H. Sunshine, L.M. Kunkle, K.A. Shaffer Characteristics of radiology groups and of diagnostic radiologists and radiation oncologists in different types of practices Radiology 207 1998 443 453
9. D.D. Saketkhoo, A.M. Covey, J.H. Sunshine, H.P. Forman Updated findings from a help wanted index of job advertisements and an analysis of the policy implications is the job-market shortage for diagnostic radiologists stabilizing? Am J Roentgenol 179 2002 851 858
10. J. Collins, P.A. Propeck Status of the radiology job market, choosing the right career in radiology and getting the right job what does the resident need to know? Acad Radiol 5 1998 572 577
11. B.J. Hillman, L.L. Fajardo, D.B. Witzke, D. Cardenas, M. Irion, J.V. Fulginiti Influences affecting radiologists' choices of academic or private practice careers Radiology 174 1990 561 564
12. P.S. Wood, E.M. Altmaier, E.A. Franken Jr, R.G. Evens, J.A. Schlechte Factors influencing choice of academic or practice careers in radiology Invest Radiol 25 1990 675 677
13. K.M. Ludmerer Time to heal 1999 Oxford University Press Oxford (UK)
14. A.R. Margulis, J.H. Sunshine Radiology at the turn of the millennium Radiology 214 2000 15 23
15. V.R. Fuchs, H.C. Sox Jr Physicians' views of the relative importance of thirty medical innovations Health Aff (Millwood) 20 2001 30 42
16. J.C. Robinson The end of managed care JAMA 285 2001 2622 2628
17. A. Zuger Dissatisfaction with medical practice New Engl J Med 350 2004 69 75
18. C.D. Maynard Effect of reorganization on patient care Am J Roentgenol 175 2000 305 306
19. J. Graham, A.J. Ramirez, S. Field, M.A. Richards Job stress and satisfaction among clinical radiologists Clin Radiol 55 2000 182 185
20. J.H. Sunshine, G.R. Bushee, R.U.S. Mallick radiologists' workload in 1995-1996 and trends since 1991-1992 Radiology 208 1998 19 24
21. M. Bhargavan, J.H. Sunshine Workload of radiologists in the United States in 1998-1999 and trends since 1995-1996 Radiology 179 2002 1123 1128
22. J.H. Sunshine, Y.S. Cypel, B. Schepps Diagnostic radiologists in 2000 basic characteristics, practices, and issues related to the radiologist shortage Am J Roentgenol 178 2002 291 301
23. Medical Group Management Association Information Center 1999
24. Medical Group Management Association Information Center 2003
25. J.H. Sunshine, C.D. Maynard, J. Paros, H.P. Forman Update on the diagnostic radiologist shortage Am J Roentgenol 182 2004 301 305
26. Hawkins J. Radiologists tough to recruit, survey finds. Available at: http://www.auntminnie.com/default.asp?Sec=sup&Sub+imc&Pag= dis&ItemId=57398.
27. Adams D. Physicians are working more, enjoying it less. Available at: http://www.ama.assn.org/amednews.2002/06/03/prl20603.htm.
28. Miller P. Survey says rads are working harder for less. Available at: http://www.auntminnie.com/default.asp?Sec=sup&Sub=imc&Pag= dis&ItemId=61438.
29. Saketkhoo DD, Bhargavan M, Sunshine JH, Forman HP. Emergency department image interpretation services at private community hospitals. Available at: http://radiology.rsnajnls.org/cgi/content/abstract/2311030307v1.
30. J.H. Sunshine, J.H. Burkhardt Radiology groups' workload in relative value units and factors affecting it Radiology 214 2000 815 822
31. J.H. Sunshine, J.H. Burkhardt Radiology groups' workload in relative value units Radiology 218 2001 602
32. E. Carney, J. Kempf, V. DeCarvalho, A. Yudd, J. Nosher Preliminary interpretations of after-hours CT and sonography by radiology residents versus final interpretations by body imaging radiologists at a level 1 trauma center Am J Roentgenol 181 2003 367 373
33. D.G. Mitchell, L. Parker, J.H. Sunshine, D.C. Levin Body MR imaging and CT volume variations and trends based on an analysis of Medicare and fee-for-service health insurance databases Am J Roentgenol 179 2002 27 31
34. T.J. Carroll Trends in on-call workload in an academic medical center radiology department 1998-2002 Acad Radiol 10 2003 1312 1320
35. L. Berlin Liability of interpreting too many radiographs Am J Roentgenol 175 2000 17 22
36. K. Donelan, R.J. Blendon, G.D. Lundberg The new medical marketplace physicians' views Health Aff (Millwood) 16 1997 139 148
37. The Kaiser Family Foundation: national survey of physicians. Part III: doctors' opinions about their profession Available at: http://www.kff.org/ kaiserpolls/upload/13966_1.pdf.
38. J. Hadley, J.C. Cantor, R.J. Wilke, J. Feder, A.B. Cohen Young physicians most and least likely to have second thoughts about a career in medicine Acad Med 67 1992 180 190
39. W.C. Chan, J.H. Sunshine, J.B. Owen, K.A. Shaffer U.S. radiologists' satisfaction in their profession Radiology 194 1995 649 656
40. P.E. Crewson, J.H. Sunshine Professional satisfaction of U.S. radiologists during a period of uncertainty Radiology 213 1999 589 597
41. Moskowitz PS, Johnston M. Career satisfaction declines precipitously among radiologists. Available at: http://www.dimag.com/db_area/archives/2001/01/ 0103.career.di.shtml?ref=log.
42. Miller P. Survey predicts big loss of practitioners to recruitment, changing work patterns. Available at: http://www.auntminnie.com/default.asp?Sec= sup&Sub+imc&Pag=dis&ItemId=60466.
43. National Advisory Committee on Radiation Protecting and improving health through the radiological sciences a report to the surgeon general 1966 Government Printing Office Public Health Service Publication. Washington (DC)
44. Graduate Medical Education National Advisory Committee GMENAC summary report Vol 1 1980 U.S. Department of Health and Human Services Rockville (MD) DHHS Publication No. (HRA) 81-651.
45. B.G. Brogden The radiology manpower equation a new look Am J Roentgenol 154 1990 1111 1115
46. C.J. Rosenquist How many radiologists will be needed in the years 2000 and 2010? Projections based on estimates of future supply and demand Am J Roentgenol 164 1995 805 809
47. M.L. Janower, J.H. Sunshine Too many radiologists? Update Radiology 200 1996 545 549
48. J.H. Sunshine, Y.S. Cypel, B. Schepps Diagnostic radiologists in 2000: basic characteristics. Practices, and issues related to the radiologist shortage Am J Roentgenol 178 2002 291 301
49. J.H. Sunshine, R.G. Evens, W.C. Chan How accurate was GMENAC? A retrospective review of supply projections for diagnostic radiologists Radiology 182 1992 365 368
50. L.F. Rogers Feeling the pinch the radiology job market Am J Roentgenol 175 2000 943
51. W.L. Smith Factors affecting the future numbers of diagnostic radiologists Am J Roentgenol 163 1994 777 779
52. A. Pollack Who's reading your x-ray? 1 2003 The New York Times. November 16
53. Population pyramids for United States. Available at: http://www.census. gov/cgi-bin/ipc/idbagg.
54. D.L. Crippen Medicare's payments to physicians 2002 Congressional Budget Office Testimony, February 28, Available at: http://www.cbo.gov/showdoc.cfm? index=3293&sequence=0&from=7.
55. Social security gap unchanged, Medicare's deepens, trustees say. Available at: http://quote.bloomberg.com/apps/news?pid=10000103&sid= aRbOIWC0G2K4&refer=us.
56. Council on Graduate Medical Education Statement on the physician workforce 2003 Council on Graduate Medical Education Washington (DC)
57. R.A. Cooper, T.E. Getzen, H.J. McKee, P. Laud Economic and demographic trends affecting physician supply and utilization signal an impending physician shortage Health Aff (Millwood) 21 2002 140 154
58. M. Bhargavan, J.H. Sunshine, B. Schepps Too few radiologists? Am J Roentgenol 178 2002 1075 1082
59. E.S. Amis Jr Great expectations J Am Coll Radiol 1 2004 229 230
60. ACR Task Force on Human Resources. Available at: http://www.acr.org/ publications/members_only/00res_guide/hr_taskforce.html.
61. J.D. Moore Jr Physicians are providing more charity care Modern Healthcare 25 1995 26
62. B.E. Kouri, R.G. Parsons, H.R. Alpert Physician self-referral for diagnostic imaging review of the empiric literature Am J Roentgenol 179 2002 843 850
63. R.E. Anderson Billions for defense the pervasive nature of defensive medicine Arch Intern Med 159 1999 2399 2402
64. D. Blumenthal, S.O. Their Managed care and medical education the new fundamentals JAMA 276 1996 725 727
65. J.B. Wyngaarden The clinical investigator as an endangered species New Engl J Med 301 1979 1254 1259
66. S.O. Their, T.E. Morgan The other medical-manpower problem New Engl J Med 301 1979 1283 1285
67. J.M. Mitchell, J.H. Sunshine Determinants of differences among radiologists in starting salaries Am J Roentgenol 178 2002 1067 1073
68. A.M. Villanueva, D. Kaye, S.S. Abdelhak, P.S. Morahan Comparing selection criteria of residency directors and physicians' employers Acad Med 80 1995 261 271
69. T.B. Green Performance and motivation strategies for today's workforce 1992 Greenwood Publishing Group Westport (CT)
70. L.R. Muroff Implementing an effective organization and governance structure for a radiology practice J Am Coll Radiol 1 2004 26 32
71. K.P. Forster, K.M. Kennedy Collaborating with hospitals what radiologists need to know J Am Coll Radiol 1 2004 261 264
72. J.D. Chertoff, C.E. Bird, B.C. Amick III Career paths in diagnostic radiology scope and effect of part-time work Radiology 221 2001 485 494