Agreed. It's usually an all or none kind of deal. Either all radiology services are covered in an exclusive PP contract or they are all employed. It's much rarer to have them split as departments. In a bigger center sure, it happens, but in a small hospital it makes no sense for them to be...
Once again, these Level 1 Trauma/large academic/metro center hospitals are the minority of hospitals. Even if they see more foot traffic because of the size, the VAST majority of hospitals are small/median sized hospitals. Hence, the experience of most will be dealing with contract negotiations...
The average US hospital is 120 beds. So most hospitals in the US are going to be small to mid sized community hospitals. Some will have a nurse PICC service, but a lot will not. I know this forum is skewed to the large 300+ bed hospitals, but that is not reflective of most hospitals. A lot of...
Problem is you cannot fully fill it out like that because someone needs to do lines/drains/biopsies. If there is a separate IR contract, DR is gonna be more than happy to let it go because those make barely any money.
Very variable but years R2-R4 still are very DR heavy. If you dislike sitting in a dark room reading hundreds of films, you will not enjoy your IR path training.
While specialization is a thing, an IR/DR skill set being able to do DR and light IR is still highly desirable in many jobs. Especially in the midwest and south. Small groups of 5-10 don't have the luxury to have 3-4 IRs.
Splitting IR training separate completely from DR is a mistake.
What would training even look like? You'd end up a worse surgeon and a mediocre radiologist. The unique power in IR is being a radiologist. There are only 3 (really 2) imaging trained specialties, DR, IR and NM. That is a valuable...
I agree medicine is less stressful. In rads, after a hard call shift, I am constantly worrying about if I missed a head bleed or some lung nodule, etc. There's so much to miss that will sit in the PACS record for eternity any lawyer can point to and name you in a lawsuit.
In IM, I did not feel...
Depends on the job that you take. There are a lot of options. General private practice, hospital based, OBL, etc.
You can essentially never read another x-ray and only do IR forever if you so choose at an OBL and even have clinical days and be more a procedural clinician.
You can join a...
Practice building is tough, time consuming, and as you said, often not well regarded or compensated in the early years.
It is also not something that all, or many IR programs train you well in. Yes, the clinical model is large and growing, but most places that practice the clinical model are...
Currently making a rank list for IR Independent Residency and have some debates on certain rankings, would like to hear people's thoughts.
Northwestern vs UMichigan vs Dotter Institute vs Mayo MN
Brown vs Mayo AZ vs MD Anderson vs Cleveland Clinic vs Miami Cardiac & Vascular Institute
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