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Recent Trends in Academic Versus Nonacademic Radiologist Compensation and Clinical Productivity.

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Radiologist compensation and productivity trends show narrowing salary gaps between academic and nonacademic settings. Interventional radiology (IR) compensation outpaced diagnostic radiology (DR), despite lower productivity.

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Area of Science:

  • Radiology
  • Health Economics
  • Medical Practice Management

Background:

  • Radiologist compensation and clinical productivity trends require detailed characterization, particularly differentiating between academic and nonacademic practice environments.
  • Understanding these trends is crucial for healthcare policy and practice management.

Purpose of the Study:

  • To analyze recent financial compensation and clinical productivity trends for diagnostic radiology (DR) and interventional radiology (IR) physicians.
  • To compare these trends between academic and nonacademic practice settings.

Main Methods:

  • Utilized deidentified Medical Group Management Association (MGMA) survey data from 2014 to 2023 for DR and IR physicians.
  • Analyzed compensation, collections, and work relative value units (wRVUs) using median, percentile, and mean values.
  • Compared data by subspecialty, practice type, geographic region, and practice size, with linear regression for trend analysis.

Main Results:

  • In 2023, nonacademic radiologists earned more than academic radiologists in both DR (27% higher) and IR (32% higher).
  • Academic DR physicians saw faster compensation growth (3.2% annually) than nonacademic DR physicians (1.9% annually) from 2014-2023.
  • IR physicians had higher compensation than DR physicians despite lower wRVUs and collections, with IR compensation increasing annually while wRVUs and collections declined.

Conclusions:

  • The compensation gap between academic and nonacademic radiologists has diminished over the past decade.
  • Interventional radiology compensation has risen faster than diagnostic radiology, irrespective of lower clinical productivity and decreasing collections.