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Radiologist Turnover in the United States.

Jay R Parikh1, Alexandra R Drake2, Elizabeth Y Rula3

  • 1Professor, Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, Texas; President, Texas Radiological Society, San Antonio, Texas; Chair, Committee on Fellowship Credentials; and Chair, Breast Ultrasound Accreditation Committee, American College of Radiology, Reston, Virginia.

Journal of the American College of Radiology : JACR
|February 24, 2026
PubMed
Summary
This summary is machine-generated.

Radiologist turnover increased from 2013-2022, with higher rates linked to excessive workload, nonacademic settings, and female radiologists. Practices should address these factors for better retention.

Keywords:
Nonacademic workloadacademic turnoveryears of practice

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Area of Science:

  • Radiology
  • Healthcare Management
  • Medical Economics

Background:

  • Radiologist turnover negatively impacts radiology practices.
  • Understanding factors influencing turnover is crucial for practice stability and patient care.

Purpose of the Study:

  • To estimate the turnover rate among radiologists.
  • To analyze the association between turnover, workload, and radiologist/practice characteristics.

Main Methods:

  • Retrospective study of radiologist-years from 2013-2022 using CMS data.
  • Workload estimation based on Medicare fee-for-service and commercial claims.
  • Logistic regression analysis to determine turnover odds.

Main Results:

  • Radiologist turnover increased from 5.3% to 8.5% between 2013 and 2022.
  • Higher turnover odds were associated with female sex, metropolitan settings, and nonacademic practices.
  • Turnover initially decreased with workload, then increased, with an inflection point influenced by practice type and years of practice.

Conclusions:

  • Excessive workload, nonacademic practices, female sex, lower years of practice, and metropolitan settings are linked to higher radiologist turnover.
  • Radiology practices should consider these factors when developing retention strategies.