DO Rads and Hospital Question

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molarseeker

Hopeful Future Int. Rad
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Hello SDN,

I am going to be applying to schools in June and am interested in radiology. If I went to a DO school, how hard would it be to land a radiology residency? Also, this may be a dumb question, but do DO docs work alongside MD docs? Specifically, can you work in the same area hospital as MD docs..etc? Thanks!
 
If I went to a DO school, how hard would it be to land a radiology residency?

Not really that hard, it all depends on your board scores. NSU has some affiliated radiology residences.

Also, this may be a dumb question, but do DO docs work alongside MD docs? Specifically, can you work in the same area hospital as MD docs..etc? Thanks!

Yes they can work together.

I'm pretty sure this question or something very similar has been asked before.
 
Radiology is becoming increasingly less competitive now that the job market sucks (you basically need to do a fellowship to get a job), the money is dropping considerably, and the hours are increasing. Also, imaging is the largest target in health care reform for cost cutting. Translation? It will no longer be a cash cow.

~81 unmatched spots last year. That's a lot.

As far as DOs and MDs working alongside one another, yes, that is a very dumb question.
 
What? A dirty osteopath near a mighty lord MD? What makes you think such travesty would happen in an american hospital?
 
So since radiology and anesthesia are both "going out," which specialties will be promising?
 
Both of our attendings rads overnight/today will be DOs.

Completely anecdotal, but goes to point
 
Hello SDN,

I am going to be applying to schools in June and am interested in radiology. If I went to a DO school, how hard would it be to land a radiology residency? Also, this may be a dumb question, but do DO docs work alongside MD docs? Specifically, can you work in the same area hospital as MD docs..etc? Thanks!

A classmate of mine with a 240 on the usmle, which is about average for radiology, got 11 Acgme interviews after applying to 30 programs. He/she will likely match with that many invites. Radiology is becoming less competitive and the job market is becoming tighter, but the demand for radiology will always be high, which means the salary will always be high. It will not be ridiculous like it is now, but it will still be one of the highest.

Classmates of mine with usmles in the 230's, which is about average for anesthesia, have been getting 15 to 20 interview invites. My bud just got a part time anesthesia job. They will be working 20hrs/week for 174k/year.

Pretty much all specialities will be taking a hit in the near future. Salaries will be lower for all fields, except family medicine probably.
 
Not hard at all. Every year 4-5 of our grads go into Radiology


If I went to a DO school, how hard would it be to land a radiology residency?

Do your homework. Answers: yes and yes.

Also, this may be a dumb question, but do DO docs work alongside MD docs?

Specifically, can you work in the same area hospital as MD docs..etc?
 
So since radiology and anesthesia are both "going out," which specialties will be promising?
Just do whatever you enjoy. You're still going to be making a lot of money as a physician, just maybe not 400k like now.
 
I don't mean promising as in money. I mean promising as in going to be around and a good solid position.
 
I think people worry that anesthesiologists will get cut out by nurse anesthetists and that radiologists will get outsourced to other countries.
I doubt that will ever happen. Look at how many PAs and NPs there are. The number of NA or AA are very few in comparison. Radiology to other countries is pretty unlikely too given our legal system.
 
I think people worry that anesthesiologists will get cut out by nurse anesthetists and that radiologists will get outsourced to other countries.

I doubt nurses would replace anesthetists, but I'm not quite sure about the rads.

Currently, the images are taken by rad technicians on physicians' orders. Then, the only thing that is left out to the physician is to read these taken images and give them meanings and write a report (voice recognition software helps, so radiologist doesn't need to type on the keyboard, at all).

If not offshored (i.e., images being sent to India, China, etc.), these positions could be easily filled with physicians from other parts of the States, because you supposedly don't need to have the radiologist be physically living at the same location with the patients.

This is quite doable unless the government steps in to secure the patients' rights by not allowing any of these images to be sent to anywhere but be kept locally at that particular healthcare setting. HIPAA could be utilized for this purpose; official link is this: HIPAA.

As everybody knows, all of your bank account information, citizenship or personal identification information including your social security number, driver licenses, etc. along with the secondary information gathered about your assets, employer, addresses, purchase information, purchase patterns, locations where you've been using your credit cards, etc. have been already taken offshore (to call center databases in India) by your bank. This shouldn't happen to patients' health related information, at all. But, what's the guarantee?
 
IR is not going away. Diagnostic can be done away from the site (and is common with mobile imaging), but I seriously doubt it leaves the country. How do you hold a foreign physician liable for a misdiagnosis?
 
Already mentioned before that a Radiologist does not need to be on the premises to read the images. I know of numerous Hospitals that will send the images to Australia when the local Rad is at home sleeping. Since it is daytime in Aussieland they read the films and beam back the diagnosis as if they were in the hospital. This makes the Rads life a lot easier and more comfortable.
 
I doubt nurses would replace anesthetists, but I'm not quite sure about the rads.

Currently, the images are taken by rad technicians on physicians' orders. Then, the only thing that is left out to the physician is to read these taken images and give them meanings and write a report (voice recognition software helps, so radiologist doesn't need to type on the keyboard, at all).

If not offshored (i.e., images being sent to India, China, etc.), these positions could be easily filled with physicians from other parts of the States, because you supposedly don't need to have the radiologist be physically living at the same location with the patients.

This is quite doable unless the government steps in to secure the patients' rights by not allowing any of these images to be sent to anywhere but be kept locally at that particular healthcare setting. HIPAA could be utilized for this purpose; official link is this: HIPAA.

As everybody knows, all of your bank account information, citizenship or personal identification information including your social security number, driver licenses, etc. along with the secondary information gathered about your assets, employer, addresses, purchase information, purchase patterns, locations where you've been using your credit cards, etc. have been already taken offshore (to call center databases in India) by your bank. This shouldn't happen to patients' health related information, at all. But, what's the guarantee?

Great post. At least according to Wikipedia, you're right that HIPPA being a road block to outsourcing radiology reading. Apparently Medicare reimbursement is another.
 
In Australia? I see no point in outsourcing this since it will need to be reviewed by someone here in the states before it is confirmed (hell, get a misdiagnosis and you'll have one hell of a lawsuit on your hands).

I just don't think we need as many rads as we need other positions. FM/IM will always be in demand, though they just don't pay as much.
 
Just to clarify...

NightHawk readings are PRELIMINARY radiology reports, and are generally used for one of two purposes (or both, I suppose):

1. To provide a cost-effective method of handling radiology reports when it is early morning local time and the hospital's radiologists are at home, sleeping.
2. To provide additional support for an overwhelmed radiologist during peak hours.

NIghtHawk provides a wonderful service. And their radiologists are available over the phone to discuss CTs and ambiguous X-rays as need be.

But their reads are PRELIMINARY and are reviewed the following morning by the hospital's radiology team to check for accuracy. And, yes, there are of course instances when the local radiologist disagrees with the Aussie/British doc, in which case the patient gets contacted and what not.

Using these services is neither "outsourcing" nor legally murky.
 
Just to clarify...

NightHawk readings are PRELIMINARY radiology reports, and are generally used for one of two purposes (or both, I suppose):

1. To provide a cost-effective method of handling radiology reports when it is early morning local time and the hospital's radiologists are at home, sleeping.
2. To provide additional support for an overwhelmed radiologist during peak hours.

NIghtHawk provides a wonderful service. And their radiologists are available over the phone to discuss CTs and ambiguous X-rays as need be.

But their reads are PRELIMINARY and are reviewed the following morning by the hospital's radiology team to check for accuracy. And, yes, there are of course instances when the local radiologist disagrees with the Aussie/British doc, in which case the patient gets contacted and what not.

Using these services is neither "outsourcing" nor legally murky.

Ahh, I didn't mean illegal or anything, I just didn't see the use since a rads team in the morning (like you say) has to come and verify everything.

I don't think rads will be outsourced, but definitely on the chopping block with the whole medicare/medicaid cuts.
 
Ahh, I didn't mean illegal or anything, I just didn't see the use since a rads team in the morning (like you say) has to come and verify everything.

I don't think rads will be outsourced, but definitely on the chopping block with the whole medicare/medicaid cuts.

The use is to diagnosis something that will kill a patient at 3am when the staff radiologists are sleeping.

Radiology will never be outsourced and anesthesiologists will never be fully replaced by CRNAs. Just do what makes you happy. Family medicine could be the highest paying specialty in 10 years. You never know
 
The use is to diagnosis something that will kill a patient at 3am when the staff radiologists are sleeping.

This.

Now theoretically if the ER docs of the future are highly comfortable reading CTs then there may no longer even be a need for this service. Then again... who has the time to decipher an abdominal CT when there's a stroke alert in Room 3?

Anyway, I agree that it's far too premature and shortsighted to say that either Rads or Gas is going anywhere anytime soon.
 
This.

Now theoretically if the ER docs of the future are highly comfortable reading CTs then there may no longer even be a need for this service. Then again... who has the time to decipher an abdominal CT when there's a stroke alert in Room 3?

Anyway, I agree that it's far too premature and shortsighted to say that either Rads or Gas is going anywhere anytime soon.

I personally know at least 2 radiologists reading images at their home and sending the reports to a number of healthcare settings.
 
I personally know at least 2 radiologists reading images at their home and sending the reports to a number of healthcare settings.

Just because they are reading them from home doesn't mean this is bad for the future of rads. It's common for rads to work from home.
 
The use is to diagnosis something that will kill a patient at 3am when the staff radiologists are sleeping.

Radiology will never be outsourced and anesthesiologists will never be fully replaced by CRNAs. Just do what makes you happy. Family medicine could be the highest paying specialty in 10 years. You never know

Haha, in that case radiologists probably appreciate the service. Thanks for the solid advice as well.
 

... so, if they can read images from home, anyone from another state or even a foreign country (offshore if you will) can do the same... for less.

... so, this might/might not mean a job security depending on one's special occasion in such a healthcare system that's been managed by private insurance companies.

... so, it's your own call, not mine because I'm not even considering radiology, family med for me!
 
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... so, if they can read images from home, anyone from another state or even a foreign country (offshore if you will) can do the same... for less.

... so, this might/might not mean a job security depending on one's special occasion in such a healthcare system that's been managed by private insurance companies.

... so, it's your own call, not mine because I'm not even considering radiology, family med for me!

Most, if not all, of the teleradiology services used in the US are filled with Acgme board certified radiologists, many of whom are Americans. You may be sending the CT file to Australia, but it is likely being read by an American.
 
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