Evolving Trainee Participation in Radiologists’ Workload Using A National Medicare-Focused Analysis From 2008 to 2020

IF 4 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology Pub Date : 2025-01-01 DOI:10.1016/j.jacr.2024.08.029

Judah Burns MD , YoonKyung Chung PhD , Elizabeth Y. Rula PhD , Richard Duszak Jr. MD , Andrew B. Rosenkrantz MD

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引用次数: 0

Abstract

Purpose

Increasing volumes and productivity expectations, along with practice type consolidation, may be impacting trainees’ roles in the work effort of radiologists involved in education. We assessed temporal shifts in trainee participation in radiologists’ workload nationally.

Methods

All US radiologists interpreting noninvasive diagnostic imaging for Medicare fee-for-service beneficiaries were identified from annual 5% Research Identifiable Files from 2008 to 2020 (n = 35,595). Teaching radiologists were defined as those billing services using Medicare’s GC modifier, indicating trainee supervision. Billed work relative value units were used to determine the percentage of teaching radiologists’ total workload with trainee participation. Mean trainee participation in workload was calculated for teaching radiologists overall and stratified by radiologist and practice characteristics determined using National Downloadable Files.

Results

The percentage of radiologists involved in teaching increased from 13.6% (2008) to 20.4% (2020). Among teaching radiologists, mean total workload increased 7% from 2008 to 2019 and decreased in 2020 to 2% below 2008’s level; mean teaching workload decreased 19% from 2008 to 2019 and decreased in 2020 to 31% below 2008’s level. Mean trainee participation in teaching radiologists’ total workload decreased from 35.3% (2008) to 26.3% (2019) and 24.5% (2020). Teaching radiologists showed decreased mean trainee participation when stratified by gender, experience, subspecialty, geography, practice type, and practice size.

Conclusions

The percentage of US radiologists involved in resident teaching has increased, likely reflecting academic practice expansion and academic-community practice consolidation. However, a declining percentage of teaching radiologists’ total workload involves trainees; this dispersion effect could have implications for education quality.

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受训人员参与放射医师工作量的演变：从 2008 年到 2020 年以全国医疗保险为重点的分析。

目的：随着业务类型的整合，对工作量和生产率的期望不断提高，这可能会影响到受训人员在放射科医生教育工作中所扮演的角色。我们在全国范围内评估了受训人员参与放射医师工作量的时间变化：我们从 2008 年至 2020 年每年 5% 的研究可识别档案（n = 35,595）中确定了为医疗保险付费服务受益人解释无创诊断成像的所有美国放射科医师。教学放射科医生的定义是使用医疗保险 GC 修饰符计费的放射科医生，该修饰符表示受训人员的监督。计费工作相对价值单位用于确定实习生参与教学放射科医师总工作量的百分比。计算了教学放射科医师的受训人员参与工作量的平均值，并根据放射科医师和使用国家可下载文件确定的执业特点进行了分层：结果：参与教学的放射科医师比例从 13.6%（2008 年）增至 20.4%（2020 年）。在教学放射科医生中，平均总工作量从 2008 年到 2019 年增加了 7%，2020 年减少到比 2008 年水平低 2%；平均教学工作量从 2008 年到 2019 年减少了 19%，2020 年减少到比 2008 年水平低 31%。受训人员参与放射科医生教学总工作量的平均值从 35.3%（2008 年）降至 26.3%（2019 年）和 24.5%（2020 年）。根据性别、经验、亚专科、地域、执业类型和执业规模进行分层后，教学放射科医师的受训人员平均参与率有所下降：美国放射科医师参与住院医师教学的比例有所上升，这可能反映了学术实践的扩展和学术与社区实践的整合。然而，放射科医生的总工作量中涉及受训者的比例正在下降；这种分散效应可能会对教育质量产生影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American College of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

6.30

自引率

8.90%

发文量

312

审稿时长

34 days

期刊介绍： The official journal of the American College of Radiology, JACR informs its readers of timely, pertinent, and important topics affecting the practice of diagnostic radiologists, interventional radiologists, medical physicists, and radiation oncologists. In so doing, JACR improves their practices and helps optimize their role in the health care system. By providing a forum for informative, well-written articles on health policy, clinical practice, practice management, data science, and education, JACR engages readers in a dialogue that ultimately benefits patient care.