SIR 2024
Practice Development
Thomas Sullivan, MD
Assistant Professor
Atrium Health Wake Forest Baptist
Financial relationships: Full list of relationships is listed on the CME information page.
Moaz M. Choudhary, MD
Assistant Professor of Radiology
University of Texas Southwestern Medical Center
Financial relationships: Full list of relationships is listed on the CME information page.
Michael J. Miller, Jr., MD
Associate Professor, Radiology
Wake Forest Baptist Hospital / Atrium Health
Disclosure information not submitted.
90 trainees responded to the survey. 73% of responders want to spend >70% their time doing IR related clinical activities. 34% of all individuals surveyed did not feel they receive sufficient mentoring for job seeking. The most important factor for choosing a job after training is location (46%), favored over compensation (23%) and setting (10%) ex. academics, private, office-based lab. Less than five percent of all trainees want to work in a rural setting. Of all integrated residents, 20% plan to seek an academic job. 46% of all respondents want to enter private practice, followed by 12% seeking office based lab. When asked to rate their interest in performing complex procedures on a typical day, with 0 listed as a paracentesis and 100 listed as a portal vein recanalization TIPS, the median numerical value was 70 (stev 18). The median time of indicated desire to spend interpreting images was 20% (stdev 17). On a 1-100 scale, 90% listed clinic as essential to growing a practice. 50% of respondents solicited job seeking advice from faculty, 18% from PD, 18% from peer trainee and 11% sought job seeking advice outside of their program. With respect to academic workflow, 18% of responders estimate that academic interventional radiologists interpret >25 diagnostic exams per day.
Conclusion: We initially hypothesized that the number of current trainees seeking to do IR >70% of the time would be much greater than the current distribution of approximately 30% of all IRs currently doing >70% IR {2}. Based on currently reported practice patterns {2} trainee plans do not match the current distribution. Additional potential explanations for new attendings leaving their first jobs and avenues for further study may include choosing a dissatisfying job in a desired location. We also observe that many trainees feel that they do not receive sufficient guidance from their faculty in their job search. This guidance is provided predominantly by academic faculty yet 70% of trainees surveyed do not wish to pursue an academic career.