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

Judah Burns¹, YoonKyung Chung², Elizabeth Y Rula³

¹Albert Einstein College of Medicine, Department of Radiology, Montefiore Medical Center, Bronx, New York; Vice Chair of Radiology Education, Montefiore Medical Center; and Chair, Subcommittee on Methodology, Committee on Imaging Appropriateness, American College of Radiology.

Journal of the American College of Radiology : JACR

|October 25, 2024

Summary

This summary is machine-generated.

The percentage of radiologists teaching residents has grown, but trainee involvement in their workload has significantly decreased. This trend may impact the quality of radiology education.

Keywords:

Burnout education health policy workforce workload

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Area of Science:

Medical Education
Radiology Workforce Analysis
Healthcare Management

Background:

Increasing productivity demands and practice consolidation may affect radiology trainees' educational roles.
Understanding shifts in trainee participation is crucial for maintaining educational standards.

Purpose of the Study:

To assess national temporal changes in radiology trainee participation within attending radiologists' workloads.
To identify factors influencing trainee involvement in diagnostic imaging interpretation.

Main Methods:

Analysis of Medicare fee-for-service data (2008-2020) for US radiologists.
Identification of teaching radiologists via the GC modifier for trainee supervision.
Calculation of trainee participation percentage using billed work relative value units.

Main Results:

The proportion of radiologists involved in teaching increased from 13.6% to 20.4% between 2008 and 2020.
Mean trainee participation in teaching radiologists' workload decreased from 35.3% to 24.5% during the study period.
Declines in trainee participation were observed across various radiologist and practice characteristics.

Conclusions:

While more radiologists are teaching, their workload increasingly excludes trainees.
This reduced trainee involvement may negatively affect the quality of radiology resident education.
Further investigation into the implications of this 'dispersion effect' is warranted.