Random Salary Question

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The groups in Anchorage and Fairbanks do not pay that much. I've interviewed at both PPs. The biggest group in the state sold to RP in 2021 so there's no way they're pulling 1.5 mil post-sale. The rest of the state is either Indian Health Services, active military or covered by Washington state groups which pay significantly less (600-800ish).
Again, I can't tell you who or where, but, I know of one rads in AK 1M+.

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The reddit poster said it somewhere in response to a question in the comments. I think it was a non-Chicago area of IL.
He said Midwest and 2 hours from an international airport. University town of 40k undergrads. I tried my best to find out what group he was in but none of the groups that meet this description are making anywhere near 1.5 mil. Best fit city was Columbia MO. All of the other cities that met that criteria in the Midwest have sold out to RP or Lucid.
 
Yes, many radiologists have gotten big raises the past two years. Mainly by leveraging our great job market and doing big grinding at high $/wRVU positions. I know plenty of seven figure rads currently.

Also, yes AI is a threat for much of the routine stuff we do particularly normal CT/MR/x-rays. That being said the tech isn’t quite there yet and every day I have to ignore false positive flags from AI on LVO and ICH. Still can’t do fluoro or IR yet.

Finally, I apologize for the youngsters getting defensive about AI discussion here.
Am also radiology. AI is interesting but not anyone’s friend. It honestly makes me want to buy scanners myself.

If they come for us, they will come for EM and the rest of the house of medicine as well. There’s so much “savings” to be had.

While I am personally an AI doomer because I have done a ton of research and made these algorithms myself, I also am perplexed at how crap the products are. I have access to Harrison.ai. Every study I’ve pushed through it has an overfit report in a commonwealth (australian) reporting style which straight up misses fractures. It’s surprisingly bad on real cases.

I’m sure it does amazing on standardized tests because they give it the training set. Chatgpt is better than Harrison and they both miss stuff equally poorly.
 
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Am also radiology. AI is interesting but not anyone’s friend. It honestly makes me want to buy scanners myself.

If they come for us, they will come for EM and the rest of the house of medicine as well. There’s so much “savings” to be had.

While I am personally an AI doomer because I have done a ton of research and made these algorithms myself, I also am perplexed at how crap the products are. I have access to Harrison.ai. Every study I’ve pushed through it has an overfit report in a commonwealth (australian) reporting style which straight up misses fractures. It’s surprisingly bad on real cases.

I’m sure it does amazing on standardized tests because they give it the training set. Chatgpt is better than Harrison and they both miss stuff equally poorly.
Interesting at one of my hospitals they used real images to train. It picked up some crazy things Rads missed..

There is no doubt it is coming for EM and frankly most other fields. I am a doomer but i think there is time. IN the ED we have patients who are clueless as to why they are there. AI wont be able to help that imo. I do think it can improve things as an adjunct. Think in the future it could calculate the heart score for you and make recs.

My real question is the impact on training.

Short term i think AI scribing is not too far away. The current products are both way too verbose and still hallucinate. I would like them to fill out a template for me especially for coding but the companies i have spoken with dont seem to think it is doable yet.

I think it will increase our productivity. I think it will be a painful learning curve. But it is coming. The robots too. Imagine how many of the nursing tasks we could have it help with including documentation. Regulation will be the biggest challenge as they seem to always want to change things.
 
Interesting at one of my hospitals they used real images to train. It picked up some crazy things Rads missed..

There is no doubt it is coming for EM and frankly most other fields. I am a doomer but i think there is time. IN the ED we have patients who are clueless as to why they are there. AI wont be able to help that imo. I do think it can improve things as an adjunct. Think in the future it could calculate the heart score for you and make recs.

My real question is the impact on training.

Short term i think AI scribing is not too far away. The current products are both way too verbose and still hallucinate. I would like them to fill out a template for me especially for coding but the companies i have spoken with dont seem to think it is doable yet.

I think it will increase our productivity. I think it will be a painful learning curve. But it is coming. The robots too. Imagine how many of the nursing tasks we could have it help with including documentation. Regulation will be the biggest challenge as they seem to always want to change things.

It's definitely coming.

There's no way it won't.

If there's a technology that can decrease corporate/government expenses and thus increase profits, it will be implemented. It's really as simple as that
 
In the long run AI will replace us all. In the short run, analyzing pictures for patterns and talking to humans are fundamentally different tasks and AI is extremely well suited to one and not well suited to the other.
 
I don't see any way AI will help me significantly in the ED. Possibly with documentation generation, but that's pretty much it.
 
I think AI is definitely coming for EM (and all other specialties). Aside from AI-driven scribe notes, I can imagine it synthesizing labs and imaging results for diagnoses. I also anticipate a big market in the future for home point-of-care labs that could decrease our visits (or unintentionally increase them for all the meaningless lab abnormalities patients don't understand).

Ultimately, I think this will force us to see more patients in the future with AI being heralded as a way to improve efficiency.
 
Honestly, is there a white-collar field out there that AI isn't poised to disrupt? Any job that involves sitting behind a desk crunching numbers - which likely comprises a majority of the workforce - seems ripe for the taking. AI may eventually "come for us", but not before it renders a ton of other jobs and entire fields obsolete. Why would we be affected prior to the computer scientists, financial analysts, etc? So much of what we do including thorough physical exams, difficult face-to-face conversations, and all bedside procedures need a human being. Until Data, Roy Batty, and C3PO walk in the door of the ED and are willing to work for free there will be a need in the ED for the human element and human physicians.
 
I look forward to AI dealing with all the drunk and psych patients but I think there are many other fields outside of medicine that will be lower hanging fruit. I think there will be processes that AI may be able to assist in but I don't foresee some of the things other people do.
 
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