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Research Article

Baseline Survey of the Neuroradiology Work Environment in the United States with Reported Trends in Clinical Work, Nonclinical Work, Perceptions of Trainees, and Burnout Metrics

J.Y. Chen and F.J. Lexa
American Journal of Neuroradiology July 2017, 38 (7) 1284-1291; DOI: https://doi.org/10.3174/ajnr.A5215
J.Y. Chen
aFrom the Department of Radiology (J.Y.C.), San Diego Veterans Administration Health System, San Diego, California
bDepartment of Radiology (J.Y.C.), Division of Neuroradiology, University of California San Diego Health System, San Diego, California
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F.J. Lexa
cThe Global Consulting Practicum and Department of Marketing (F.J.L.), The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania
dRadiology Leadership Institute of the American College of Radiology (F.J.L.), Reston, Virginia.
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Article Figures & Data

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    Fig 1.

    Five-year periods of practice experience of survey respondents.

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    Fig 2.

    Number of studies by technique interpreted during a weekend between Friday evening and Monday morning. This is a gross overstatement of individual workload, as these numbers do not account for case number and modality differences between fully subspecialized and partly subspecialized call responsibilities.

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    Fig 3.

    Faculty reported change in the capabilities of fellows-in-training.

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    Fig 4.

    Faculty reported change in the capabilities of residents-in-training.

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    Fig 5.

    The percentage of respondents reporting cutting back time spent performing various nonclinical duties who consider those duties part of their job description. This specifically excludes respondents who answered, “Not Applicable” to those duties.

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    Fig 6.

    Positions offered in the diagnostic radiology match of the National Resident Matching Program compared with number of positions filled in total and by seniors in the United States. Beginning in 2011, there is a divergence between number of offered positions and filled positions, with a sharper drop in the number of positions filled by seniors in the United States. PGY-2 indicates postgraduate year 2, or first year of a typical radiology residency.

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    Fig 7.

    Positions offered in the neuroradiology fellowship match of the National Resident Matching Program compared with number of positions filled in total and by graduates in the United States. The total number of filled positions in 2014 and 2015 appears to have leveled off, despite the larger number of offered positions compared with previous years.

Tables

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    Table 1:

    Respondent demographics

    OverallTeachingNonteaching<20 Years' Experience≥20 Years' Experience
    %No.Skipped%No.Skipped%No.Skipped%No.Skipped%No.Skipped
    1) Do you teach radiology trainees?80035
        Yes52.8%224100.0%2240.0%054.4%14150.3%83
        No47.2%2000.0%0100.0%20845.6%11849.7%82
    2) How long have you been in practice?00000
        Still in training0.0%00.0%00.0%00.0%00.0%0
        1–5 yr beyond training16.2%7017.0%3815.5%3126.7%700.0%0
        6–10 yr beyond training19.4%8424.1%5415.0%3032.1%840.0%0
        11–15 yr beyond training13.2%5712.5%2814.0%2821.8%570.0%0
        16–20 yr beyond training11.8%519.4%2114.5%2919.5%510.0%0
        21–25 yr beyond training16.7%7212.9%2920.5%410.0%042.4%72
        26–30 yr beyond training13.0%5612.9%2912.5%250.0%032.9%56
        ≥31 yr beyond training9.7%4211.2%258.0%160.0%024.7%42
    3) When do you intend to retire from radiology practice?21102
        0–5 yr14.0%6010.8%2417.1%341.5%433.3%56
        6–10 yr17.4%7515.7%3519.1%389.5%2529.8%50
        11–15 yr20.7%8917.9%4024.1%4817.9%4725.0%42
        16–20 yr14.7%6313.5%3016.6%3321.4%564.2%7
        21–25 yr13.7%5916.6%3711.1%2222.1%580.6%1
        26–30 yr11.6%5013.5%309.5%1917.9%471.8%3
        ≥31 yr7.9%3412.1%272.5%59.5%255.4%9
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    Table 2:

    Burnout measures

    OverallTeachingNonteaching<20 Years' Experience≥20 Years' Experience
    %No.Skipped%No.Skipped%No.Skipped%No.Skipped%No.Skipped
    27) Compared with 5 years ago, have you experienced
        Greater fatigue?42240
            Yes75.2%32277.9%17371.2%14176.4%19773.5%125
            No24.8%10622.1%4928.8%5723.6%6126.5%45
        Difficulty relaxing after work?42240
            Yes59.3%25462.2%13855.1%10965.1%16850.6%86
            No40.7%17437.8%8444.9%8934.9%9049.4%84
        Greater anxiety or depression?42240
            Yes49.3%21149.5%11049.0%9752.7%13644.1%75
            No50.7%21750.5%11251.0%10147.3%12255.9%95
        Diminished sense of enthusiasm or effectiveness at work?53250
            Yes68.1%29172.9%16163.1%12569.6%17965.9%112
            No31.9%13627.1%6036.9%7330.4%7834.1%58
    • View popup
    Table 3:

    Administrative adjustments to workplace and thoughts of personal changes in career and retirement

    OverallTeachingNonteaching<20 Years' Experience≥20 Years' Experience
    %No.Skipped%No.Skipped%No.Skipped%No.Skipped%No.Skipped
    28) Over the last few years, have your practice administrators made concrete changes to the practice to balance changes of your clinical workload with your nonclinical duties?21111
        Yes14.2%6115.7%3512.6%2513.8%3614.8%25
        No66.5%28674.4%16658.3%11669.0%18062.7%106
        NA19.3%839.9%2229.1%5817.2%4522.5%38
    29) Have you considered retiring earlier than you had initially intended when first starting practice?30330
        Yes51.7%22251.3%11551.8%10257.9%15042.4%72
        No48.3%20748.7%10948.2%9542.1%10957.6%98
    30) In the last few years, have you considered changing careers?32112
        Yes38.9%16740.5%9037.7%7546.0%12028.0%47
        No61.1%26259.5%13262.3%12454.0%14172.0%121
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American Journal of Neuroradiology: 38 (7)
American Journal of Neuroradiology
Vol. 38, Issue 7
1 Jul 2017
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Cite this article
J.Y. Chen, F.J. Lexa
Baseline Survey of the Neuroradiology Work Environment in the United States with Reported Trends in Clinical Work, Nonclinical Work, Perceptions of Trainees, and Burnout Metrics
American Journal of Neuroradiology Jul 2017, 38 (7) 1284-1291; DOI: 10.3174/ajnr.A5215

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Baseline Survey of the Neuroradiology Work Environment in the United States with Reported Trends in Clinical Work, Nonclinical Work, Perceptions of Trainees, and Burnout Metrics
J.Y. Chen, F.J. Lexa
American Journal of Neuroradiology Jul 2017, 38 (7) 1284-1291; DOI: 10.3174/ajnr.A5215
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