thehill.com
Probably not important. Medical students are as about aware of how the real world operates as college students are. They can say and think whatever they want for now. It's guaranteed to change.1 in 4 US medical students consider quitting, most don’t plan to treat patients: report
A new report on how medical students view the future of their careers has found that a quarter of aspiring physicians in the U.S. say they are considering quitting their studies, with many expressi…
M4 here, can say most of my classmates think this way. Seems as if most students now either want to do anesthesia, rads, IM subspecialty, optho, or quit and do consulting or go into industry as most will not be competitive for these fields.1 in 4 US medical students consider quitting, most don’t plan to treat patients: report
A new report on how medical students view the future of their careers has found that a quarter of aspiring physicians in the U.S. say they are considering quitting their studies, with many expressi…
Specifically ones where you can run your own practice.
forums.studentdoctor.net
Psych and FM demanding big bucks these day…
In 1999 when I did a med school radiology rotation, there was a vocal subset of radiology residents that had quit IM internship to do radiology and loved it. They all recommended I do the same thing.
I feel like cash practices are gonna get way more popular, while insurance practices will be for the poor only.
That only works for certain specialties. Hard to pay for advanced imaging and hospital based services with cash.
I did a neuroradiology rotational in fellowship. All they did was make fun of people. “35 y/o FF with hx of back pain radiating to the LE.”
People that do radiology aren’t exactly known for compassion. This is not surprising at all
Don't agree, the fields no one wants to do anymore are EM, peds, FM, and general IM as seen in the ERAS data trends.
In concierge, yes, but still far and few between and can get over-saturated very quickly. And even so, they still make less than the competitive fields out of med school
More to radiology than that
Concierge radiology is becoming a thing (whole-body MRI for XXX), also rads has only expanded residency spots by 14% since 2000 leading to a massive shortage, can strong-arm hospitals and insurance- other specialties with shortages like GI and heme/onc can do the same.
There are jerks in every specialty
For hospital care that's true at the present time in the US bc our system is explicitly designed around the concept of insurance. But I think there is general agreement that needs to change.
Cash pay only hospital? How does this breakdown?
I'm not sure. Things shift and cycle all of the time. Where are you in your training? Attending, resident, student?
student (usmd m4) applying radiology this cycle
Unfortunately for me, I'm a bit further along than you are
but trust me, everything in this world, from medicine to jobs to economies to fads to values to fashion, etc, shifts and cycles. You as well will eventually find this to be true.Unfortunately for me, I'm a bit further along than you are
AI will be a good thing for radiology
Among other things, AI can identify a person with facial recognition from an infant to an adult. Out of curiosity, if AI can do this do you think it will also be able to ID normal vs pathological findings on imaging studies? If yes, it shouldn't take much for AI to write a report. If that's the case, would radiology centers be able to reduce the number of radiologists required to read imaging studies? Perhaps just have one guy breeze through images and reports to make sure nothing is missed and to confirm findings. If this happens and studies show there are no differences in outcomes it might not be such a bright future for radiology. Hypothetical of course but I'm curious if this is a likely possibility.
I went to an urgent care last summer for my daughter and an AI read her xray. They of course looked at it themselves and were going to send out to radiology for a proper report, but if this continues to advance (which it will), I would think that AI is going to be very bad for radiology.
Most of rads isnt just ID normal vs abnormal, lots of different modalities and noise (AI is awful at artifacts and many experts say this problem is unsolvable) compared to a facial ID system. AI experts are actually now pretty positive about the future of radiology compared to the "AI godfather" who predicted rads would be a dead field in 5 years back in 2016. Also, lists are blowing up now with more and more mid-levels released to the wild pan ordering studies, as well as patients demanding imaging from their clinicians, or just weaker clinicians graduating and relying more on radiology.
Most urgent cares have always just glanced at the plain films, gave their best guess at what it was, and sent patients on their way. Not hard to see an obvious fx or pneumonia on a plain film, any physician could do this. Reading plain films now in rads is probably equivalent to having a full schedule of procedures in a busy day as a pain doc and having one annoying patient messaging you about a gabapentin refill when they still have three weeks' supply left- its a very low priority compared to the numerous cross-sectional that need to be read on top of procedures. Also, a new study came out comparing AI vs human radiologists in detecting pneumothorax (which is very easy to see) on CXR and it flopped hard. This is probably the most "simple" imaging modality and finding involved within radiology, so I'm really not concerned about AI interpreting a spinal abnormality in T1 vs T2 and coming up with a DDx in my career, and if it does, by that point most of the medical field will be obsolete.
Ridiculous. One of my (FM) partners broke 400k in his second year out of residency. Would have been faster but he had to start part time, also was fall of 2020...
Derm, optho, ortho, rads, GI, gen cards all make significantly more per hour- the caveat is the training takes longer and some (like cards) have minimal control over their schedule. For me personally, performing a specific task of a specialist is/would be much less draining than practicing primary care. Primary care is a sweet gig for those who want it, for those who don't it sounds like pulling teeth (can say this about any field you're not interested in)
I always thought the “ROAD” era was kind of at its height from the 90s-early 2000’s with Rads and Anesthesia being super popular and competitive? Their popularity and competitiveness seems to have slipped a good bit. Derm and Ophtho have stayed competitive forever.
Anesthesia and especially radiology have become quite a bit more competitive in the past couple years due to hot job markets. There was a slump in the 2010s for rads due to a crappy recession era job market. Ophtho and derm are always competitive in part because they are significantly smaller fields.
You’re a pain doc. You most likely make more than 99% of people in the United States. Your ability to pay cash for MRIs in not indicative of the rest of the U.S. population.
An imaging center will go belly up if it relied purely on the concierge model. A 1.5T MRI coil costs a lot of money to set up and operate, even more costly in a CON state. There is one ‘concierge’ radiologist who has three sub-1 Tesla centers in my area, but
Maybe not yet. The place I got my ankle MRI specifically told me they encourage cash payers. $450, 3T machine, American radiologist read. I called about 5 places and the rates were all over the map.
You may or may not be right. I'm not sure since I've never thought about it prior to this discussion but don't overlook supply and demand. There's already a dearth of PCPs out there and if your friends are avoiding this specialty it'll likely only get worse. Yet, the demand will still be there. Same with ER docs, etc.
If that’s the end goal, why wouldn’t you get an online Noctorate, no residency, and be Dr. (first name) doing this?
You might be surprised by that. I just did the math, I make right around $300/hour. Might be a little under, but not by much if so.
Don't hate the player, hate the game. There's a single PP FP group in my town that's still going strong. Every single patient is required (upon pain of dismissal) to get a yearly physical with whatever tests the doctor wants. Yearly chest x-rays, ECGs, sometimes stress tests, and a larger panel of labs than anyone else in the area orders. Conveniently, that office does all of that inhouse. They also don't take Medicare for $ome rea$on.
They encourage cash payers so the money doesn’t sit on their AR for weeks to months like it does when billing insurance, and they don’t utilize overhead (i.e, billing services) to collect and post the reimbursements. I would love for patients to pay cash for all my bread and butter injections. I doubt their entire business model would be based on self-pay as a $450 MRI may be ‘cheap’ to you, but not to a lot of folks out there. I agree with you that medicine has never been a free market in this country.
He’s collecting $800K or making $800K pretax?
