Noob med student question

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muhali3

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Noob med student question here, but I was wondering, in PP rads, are you expected to be there a fixed amount of time or is there simply an expectation of a certain amount of imaging to be read? ie. Can a quick reader be done with the day quicker or are they expected to be there for a fixed time?
 
It's not really a straightforward answer. Most groups will have a set time at which the call guy(s) takes over, which is considered to be the end of the workday. If you're exceptionally fast, you're not going to be allowed to just disappear an hour or two earlier. There's almost always more work to be done, but you can find ways to take mental breaks that slower partners can't. If you're slow, then you may feel compelled to stay later to make sure that your production is within the accepted range for the group. If you don't meet production expectations, then the best case scenario is that you're already a partner who is simply resented by others. Worst case scenario is that you find yourself unemployed.

That's not to say it's all about studies read. Adding value in private practice comes in a lot of different flavors. Some people are RVU superstars. Others are willing or able to develop connections with hospitals and referring providers by sitting on committees, etc.. Still others are willing to do the work that few others are, like covering mammo. I think that once you work with someone for awhile, you develop a very good sense of just what they're worth, but only in a qualitative sense that isn't necessarily reflected in the cold, hard numbers.
 
It's not really a straightforward answer. Most groups will have a set time at which the call guy(s) takes over, which is considered to be the end of the workday. If you're exceptionally fast, you're not going to be allowed to just disappear an hour or two earlier. There's almost always more work to be done, but you can find ways to take mental breaks that slower partners can't. If you're slow, then you may feel compelled to stay later to make sure that your production is within the accepted range for the group. If you don't meet production expectations, then the best case scenario is that you're already a partner who is simply resented by others. Worst case scenario is that you find yourself unemployed.

That's not to say it's all about studies read. Adding value in private practice comes in a lot of different flavors. Some people are RVU superstars. Others are willing or able to develop connections with hospitals and referring providers by sitting on committees, etc.. Still others are willing to do the work that few others are, like covering mammo. I think that once you work with someone for awhile, you develop a very good sense of just what they're worth, but only in a qualitative sense that isn't necessarily reflected in the cold, hard numbers.

1+.

I don't know of any group that you can leave one or two hours earlier because you are a fast reader. On the other hand, in most groups esp these days, the slow reader should stay later to finish their work. Not uncommon for new associates or even older people to stay 2-3 hours late to finish their work.

In most groups there are ways to measure RVUs or number of studies each person read. If you are behind, you are sort of forced to compensate for it. As colbgw02 mentioned, this does not necessary mean to read more studies. As he mentioned some people are really good at bringing business to table or are great in some aspects of radiology that most people dislike (Mammo or IR). For example we have a senior person in our group who is excellent in politics. He is very very business oriented and is very good at it. He does a lot of admin work of the group including negotiating hospital contract, bringing new referrals and ... He does a lot of admin work and though his RVUs are probably half of mine, he deserves to be paid 2-3 times of what I get paid.

At the end, you have to consider that private practice is very business oriented. Like any other business, it has lots of different models and also not everybody necessarily gets what he deserves. Not uncommon for two radiologists who work similar hours with similar pace in similar location to get paid very very differently.
 
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