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Radiologist Shortage Looms | Medicare Cuts July 15, 2024
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Together with
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“Despite the strong interest in radiology, the demand for radiologists is expected to outpace the supply without an increase in available residency positions.”
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A new Medicus report on radiology’s looming staff shortage.
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A new report from healthcare staffing firm Medicus Healthcare Solutions paints a gloomy picture of the demographic crush facing radiology as the US population ages and imaging volumes rise, but the number of radiologists remains static.
Radiology’s demographic dilemma isn’t new to anyone in the field. Radiologists are having to work harder to meet growing demand for imaging by an aging population, while reimbursement falls.
- Meanwhile, efforts to grow the number of radiologists are hamstrung by the country’s physician training system, which requires a literal act of Congress in order to expand the number of residency slots.
The new Medicus report mostly draws on established data sources, but it provides insight into the supply and demand challenges facing radiology, presented in an attractive graphical format. Salient points include …
- There are about 37.7k diagnostic radiologists in the US, with job growth of 4% annually through 2032
- Since 2020 there have been only 22 new diagnostic radiology residency PGY-1 positions added
- From 2010 to 2020, the number of diagnostic radiology trainees grew 2.5%, while the number of US adults over 65 rose 34%
- By 2030, all baby boomers will be aged 65 and older – and will require more medical care
- The gap between radiology supply and demand is expected to grow through 2034 (see above chart)
What’s more, the vast majority of radiologists reaching retirement age are generalists, while the field’s recent focus on subspecialization means many younger radiologists aren’t comfortable reading scans outside their focus.
The Medicus report isn’t all doom and gloom. It does offer some possible solutions to the staffing shortage, including teleradiology, AI, and increased use of locums tenens radiologist services (which Medicus provides).
The Takeaway
The Medicus report provides a snapshot of a medical specialty that – like many others – is facing a demographic crunch between rising demand and fixed supply. Hopefully, technologies like AI will enable radiologists to do more with less in the years to come.
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BoneView vs. ChatGPT for Wrist Fractures
Learn how Gleamer’s BoneView AI solution demonstrated expert-level performance for detecting distal radius fractures on wrist radiographs in a new clinical study, significantly outperforming ChatGPT 4 in sensitivity.
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- Virtual Supervision Changes: Another disappointment in last week’s CMS news was its proposal to permanently allow physicians to conduct virtual direct supervision over audio and video for some services that are incident to physician services, like patient infusion. CMS had been testing the rule through the end of 2024, but contrast administration for CT and MRI exams weren’t among the services approved on a permanent basis; instead they got a one-year extension. Legal expert Tom Greeson unpacks the proposal here.
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- How Radiologists View AI: In a related study, researchers in Italy surveyed 232 radiologists to get their opinions on AI in a paper published in European Journal of Radiology. On the positive side, 36% reported daily use of AI-based tools, but only 30% considered AI to be “decisive” in helping them make a diagnosis. And 80% reported positive attitudes toward AI for detecting and characterizing anomalies and reducing workload, while far more viewed AI as an opportunity rather than a threat (61% vs. 18%).
- Rad Techs Positive on Remote Scanning: In a global survey, radiographers/radiologic technologists expressed support for remote scanner operation, in which more experienced off-site personnel direct on-site staff in performing scans. In preliminary findings posted to LinkedIn by remote teleoperation firm roclub, 92% of over 500 survey respondents showed acceptance and interest in remote scanning, with the top three perceived benefits being hybrid working (48%), more flexibility (40%), and new ways of learning (38%). At 67%, patient safety was a top concern. Other surveys have found concern over remote scanning.
- AI Supports Faster 4D Cardiac MRI: UK researchers showed how their AI algorithm supports faster 4D cardiac MRI scans in a paper in European Radiology Experimental. They used the algorithm to analyze MRI scans in the four-chamber plane in training and validation on 915 patients. AI-automated four-chamber calculations of left atrial ejection fraction were comparable to gold-standard manual analysis of short-axis cine scans in predicting all-cause mortality (HR=0.96 for both techniques), but AI took just seconds compared to 45 minutes for manual analysis.
- AR Software Gets Cleared: Augmented reality software developer ImmersiveTouch has received FDA 510(k) clearance for ImmersiveAR, its newest AR platform. The new application extends the company’s suite of virtual surgical planning solutions, which reduce planning times for craniomaxillofacial surgeries. ImmersiveAR users can visualize and interact with 3D virtual surgical plans created by ImmersiveTouch or other virtual surgical planning providers.
- Mobile CT Gets Expanded Clearance: Meanwhile in the realm of big iron (or maybe in this case little iron), Epica Human Health got the FDA’s nod for expanded clinical applications of its See Factor CT3 point-of-care conebeam CT scanner. See Factor CT3 was first cleared in 2019 for head, neck, and extremity use; the new clearance covers recent enhancements for more comprehensive diagnostic use and treatment planning. The mobile scanner is mounted on wheels and can be transported to patients, while an onboard DICOM viewer supports immediate image review.
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- Rads’ Share of Image Interpretation: In the turf wars over image interpretation, radiologists are holding their own in CT and MRI but losing ground to other specialties in nuclear medicine and ultrasound. A new study in JACR details the shift, showing that radiologists interpreted 72% of all Medicare fee-for service imaging exams, with their share ranging from 97% of CT and 91% of MRI scans to 51% of nuclear medicine and 34% of ultrasound exams. Rads’ lowest share was found in cardiac ultrasound (0.4%).
- Digital Health Funding Comeback: Is the funding environment for healthcare startups on the verge of a comeback? The latest funding report from Rock Health for the first half of 2024 shows that the digital health sector is on track to beat last year’s year-to-date total, with $5.7B raised. Most of the enthusiasm was for early-stage startups, with 84% of the total in Seed, Series A, and Series B rounds. Get a full analysis in our Digital Health Wire sister site.
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Reducing Bottlenecks in Radiology Workflows
Radiologists face bottlenecks every day that slow them down, from managing worklists and accessing images to collaborating with colleagues. Learn how Intelerad’s solutions like IntelePACS tackle these issues through comprehensive integrations with third-party EMR, RIS, and HIS.
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2 Questions about AI for Radiology Leaders
Are today’s radiology AI solutions solving the right problems? And are there other solutions available for AI of brain MRI? Read this article from SpinTech MRI to learn how its STAGE solution can optimize MRI utilization.
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Building a Brand in Radiology
Check out the next episode of Medality’s Radiology Report Podcast featuring Toronto Radiology’s Anish Kirpalani, MD, who talks to host Daniel Arnold about challenges and strategies in radiology, such as proactive recruitment and the importance of building a strong brand.
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- Advances in Fully Automated Echocardiography: Echocardiography is a pillar of cardiac imaging, but it is operator-dependent and time-consuming to perform. Learn how new echo AI-based software from Us2.ai can automate image acquisition and calculate dozens of measurements that previously had to be performed manually.
- Clinical Excellence on the Move: Healthcare providers are striving to deliver faster, better care for patients, no matter where they are. Learn how the MAGNETOM Viato.Mobile 1.5T MRI scanner from Siemens Healthineers delivers high-quality care where your services are needed most.
- An End-to-End Solution for Viewing AI Output: Check out CARPL.ai’s FDA-cleared Universal AI Viewer, an end-to-end solution for viewing, editing, and annotating AI outputs. It can be deployed on-premises or in the cloud to give you seamless interoperability. Book a meeting today to learn more.
- Stop Shipping Discs! By pivoting to a 100% digital fulfillment model for patient images and records, you can improve their experience while significantly reducing labor and shipping costs. Find out how on this page from Clearpath.
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- AI-Powered Informatics to Drive Healthcare Value: The DeepHealth OS is a cloud-native operating system that orchestrates all data to drive value across the healthcare enterprise. Learn more about how DeepHealth elevates the radiologist beyond radiology and across the entire care pathway.
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- SIIM 2024 Industry Connect Session: Watch a #SIIM24 panel on overcoming challenges facing radiology providers today. Industry leaders discuss how to create efficiencies, boost patient engagement, and accelerate care with patient-centric image exchange. Watch the panel hosted by PocketHealth here.
- Data Quality Issues in Healthcare: Data quality issues in healthcare are common challenges that can impact patient care, research, and overall healthcare management. Learn how data standardization solutions like Enlitic’s ENDEX can help by ensuring complete, accurate information.
- Which Imaging Vendors Are Ready for the Cloud? Which medical imaging vendors are perceived as ready for the cloud? In a new survey from KLAS Research, AGFA HealthCare’s approach to the cloud won high marks from customers. Learn more about the report today.
- Apple Vision Pro and Radiology: The Apple Vision Pro headset has the potential to revolutionize how radiologists interact with medical images. In this Imaging Wire Show episode, we talked to radiologist Paul Murphy, MD, and Steve Deaton of Visage Imaging about its exciting future.
- Your In-Workflow Copilot Experience: Nuance’s PowerScribe Smart Impression harnesses generative AI to automatically generate draft impressions and recommendations, saving you time and reducing workload-related stress. Learn how it can become your in-workflow copilot today.
- 4 Reasons Why Subscription Is Better: The KLAS-leading Intuition advanced visualization solution from TeraRecon includes all the clinical features you need, plus a growing list of exclusive subscription-only content. Learn more about what’s included.
- Introducing Merge Consulting Services: How can your radiology practice manage change and expectations in healthcare with workforce flexibility? Merge by Merative is launching Merge Consulting Services to help you face the challenges of sourcing expertise and staff. Learn more about it today.
- AI for Incidental Osteoporosis Findings: Looking to learn more about how AI is used for incidental osteoporosis findings? Watch this on-demand webinar from Blackford in which clinical leaders discuss the benefits of preventive care and share their real-life experiences.
- Treating Local Patients Like Family: Holzer Health System in the rural community of Jackson, Ohio, treats local patients like family, offering the same level of top-quality care that can be found anywhere. Find out how United Imaging’s Software Upgrades for Life program helps them stay current.
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