03-13-2003, 08:56 PM
Hi all. I'm wondering about fellowships after rads. Which fellowships are available besides vascular/interventional and neurorad? Are many rads graduates going into fellowships these days or is the robust job market luring people into diag rads? Thanks for any info...
03-13-2003, 09:58 PM
Rads Fellowships include: Neurorads, Vascular and Interventinoal, Abdominal/body imaging (CT/MRI/US), Muskuloskeletal (MSK), MRI, Ultrasound, Breast Imaging, Women's Imaging, Pediatrics, Chest/thoracic, ENT/Neuro.
The only ones that offer an official Certificate of Added Qualification (AKA CAQ) are: Neuro, Peds, VIR. I think there are ACGME MSK fellowships, but I'm not certain you can get a CAQ for completing it.
Not as many people going to fellowship as the mid 90s, due to the great job market. On the one hand there is great demand for radiologists and need to fill that need for both patient care and turf issues. On the other hand there should be subspecialized members so that we can provide better service to referring docs and their patients and so that we can protect our "turf".
Still it's a lot of short term gain and the opportunity cost of $250K over 20 years is huge, but it still makes me wonder about whether in the long run it's better for our profession if more rads residents just sucked it up and did the extra year (IR, msk, mri, abdominal imaging, etc) or two (neuro or peds) or three fellowship (neurointerventional). It's the good of group versus the good of th individual. Only time will tell how things play out.
Also there is a significant brain drain from academics to private practice which affects both research and teaching for radiology and radiology residents.
This is another problem that needs to be dealt with by academic medical centers by ponying up the money to stay competitive with private practice. However most people who run academic medical centers have no formal business training and are unable to run a profitable or deficit free hospital. So with the academic medical centers loosing money it is hard for them to keep up with efficient private practices.
This is an area I have been interested in for a long time. Given my current understanding of how things really work at academic medical centers, it is a hard to image that things will change anytime soon. So I will save my expertise for my own practice/department.
03-14-2003, 03:05 PM
There is also a CAQ in body/abdominal imaging for those of us who are in the osteopathic profession.
I don't think you would ever regret doing a fellowship. The knowledge base will stay with you for the rest of your career. There is extra prestige as well as percieved expertice in a certain area by your colleagues.
Statistics state that fellowship trained radiologists make 20-30K or more per year. But choices shold not be made on money reasons alone. The majority of radiologists still do fellowships. I think it makes you a better radiologist and much more competitive in the more desirable areas.
Most fellowships are very enjoyable year of transition between residency and practice and many offer the opportunity to make 60-70K with moonlighting opportunities. I enjoyed my fellowship.
03-21-2003, 11:21 PM
How difficult is it to obtain a VIR fellowship?
How many years are most programs?
Any thoughts on the future of VIR in light of turf battles? Are Rads docs losing ground?