Is private practice radiology becoming a sweat shop?

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badasshairday

Vascular and Interventional Radiology
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I hear about private practice radiologists reading 100+ imaging studies per day. That sounds like a mental grind, volume per radiologist continues to increase while reimbursements steadily drop. When will there be a point that this stops? How is it possible to give good reads doing such a large volume?
 
I don't think 100+ is out of the ordinary in PP here in FL. A buddy of mine down in south Florida does that much a day and previously when he was in central Florida. Of course they aren't all MRI and CT, but rather a good mix of all types of cases. Doesn't seem like he is being overworked and likes his job...some people are faster than others I suppose.
 
The overwhelming majority of studies in PP are normal or extremely common abnormalities (cholecystitis, appendicitis, etc). Even as a first year, I've found these to be extremely quick studies to fly through. The time consuming cases are your typical academic-center ****shows that you would rarely see in PP. 100 studies a day breaks down to 10-15 studies an hour. As long as you can be efficient and not get bogged down in normal variants/tendency to being overly verbose, this isn't so unreasonable.
 
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I hear about private practice radiologists reading 100+ imaging studies per day. That sounds like a mental grind, volume per radiologist continues to increase while reimbursements steadily drop. When will there be a point that this stops? How is it possible to give good reads doing such a large volume?

It is doable. You can give good reads. But, it is really exhausting.

Normal studies are faster to read, but you also have to be really careful. You can easily miss an important finding among 5 normal CTs. In fact, it is less likely to miss subtle liver mets on a non con CT after reading 5 CTs with liver mets than 5 normal CTs from ED.

Though easier, still you have to go through your search pattern.

This will not stop at anytime. I am OK with it. If you don't like this work pace, you can work at VA or pseudoacademic places.

If you want to leave exactly at the assigned time, you will miss things.

Radiology in pp is a totally different world than academics. Also it is more difficult than many specialties. Nevertheless, I choose pp radiology over academics or other fields any time.

Despite being exhausting, the current model is sustainable. The story is totally different for IR guys. Most of them get burnt out after 8-10 years of practice and either continue as light IR( tubes, lines, biopsies, drains, LPs, thoras, once ina blue moon high end procedue) or switch back to DR. The draw back is that most have lost their DR skills if they have worked 100 percent IR.
 
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