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The Evolving US Radiologist Pipeline: Trends in Residency Positions, Resident Workforce, and Practicing Radiologists

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Area of Science:

  • Medical workforce analysis
  • Radiology training trends
  • Physician supply and demand

Background:

  • The U.S. faces a significant physician shortage by 2036.
  • Radiology specifically is experiencing rising imaging demand and workforce attrition.
  • Concerns exist regarding the adequacy of the radiology workforce.

Purpose of the Study:

  • To evaluate trends in U.S. radiology residency positions.
  • To assess changes in the radiology workforce supply.
  • To analyze the number of practicing radiologists per capita.

Main Methods:

  • Retrospective descriptive study utilizing national data.
  • Analysis of residency positions from 2007-2025 (NRMP) and 2008-2024 (ACGME).
  • Examination of practicing radiologists per 100,000 population from 2010-2022.

Main Results:

  • Radiology residency positions increased by 33% (2010-2025).
  • Total radiology residents grew by 23% (2010-2024).
  • Practicing radiologists increased by only 12% (2010-2022), with a marginal rise in radiologists per capita.

Conclusions:

  • The radiologist pipeline is expanding but not sufficiently meeting population needs.
  • Limited growth in practicing radiologists indicates ongoing workforce strain.
  • Expanding residency slots and reducing attrition are crucial to address workforce gaps.