A3CR2 Survey 2001 Mallinckrodt Institute of Radiology Faraz A. Khan, M.D. Huy Q. Tran, M.D.
A3CR2 Survey 2001
Mallinckrodt Institute of Radiology
Faraz A. Khan, M.D.
Huy Q. Tran, M.D.
Survey Topics
• Annual Topics:
– Staffing
– Residents
– Salaries
• Rotating Topics:
– ABR Exam Preparation
– Curriculum
– Socioeconomics
Results
– 150 Diagnostic Radiology Resident Training
Programs
– 56 Responded (37.3%)
Prior Survey Response Rates
0
5
10
15
20
25
30
35
40
45
50
1996 1997 1998 1999 2000 2001
Programs - Regions
PacificWest
Southeast
Northeast
Central
Programs - Region
0
5
10
15
20
25
Pacific West Central Northeast Southeast
1996-972000-01
Programs - Size
0
5
10
15
20
25
30
35
40
45
Small (<14) Medium (14-25) Large (26-40) Jumbo (>41)
1996-97
2000-01
Total Residents Represented
61
586 531
189
0
100
200
300
400
500
Small Medium Large Jumbo
Nu
mb
er
of
Re
sid
en
ts
Annual Topics
• Change in program size
• Exams/Resident
• Fellows/Resident
• Representation of women in residency
• Salaries/Allowance
Average Change in Match
Positions: Size
-1
-0.5
0
0.5
1
1.5
2
2.5
Small Medium Large Jumbo Total
Nu
mb
er o
f R
esi
den
ts
1996-97
2000-01
Average Change in Match
Positions: Region
-1
-0.5
0
0.5
1
Pacific West Central Northeast Southeast
Nu
mb
er o
f R
esi
den
ts
1996-97
2000-01
Average Class Size: Size
0
10
20
30
40
50
60
Small Medium Large Jumbo Avg. Total
Nu
mb
er o
f R
esi
den
ts
1996-97
2000-01
Average Class Size: Region
0
5
10
15
20
25
30
35
40
Pacific West Central Northeast Southeast
Nu
mb
er o
f R
esi
den
ts
1996-97
2000-01
Average Exams per Resident:
Program Size
0
2000
4000
6000
8000
10000
12000
Small Medium Large Jumbo Total
Ex
am
s
1996-97
2000-01
Average Exams per Resident:
Region
0
2000
4000
6000
8000
10000
12000
14000
Pacific West Central Northeast Southeast
Ex
am
s
1996-97
2000-01
Average % Cases Read by Staff
Only: Size
0
10
20
30
40
50
60
Small Medium Large Jumbo Total
Percen
tag
e
1996-97
2000-01
Average % Cases Read by Staff
Only: Region
0
5
10
15
20
25
30
35
Pacific West Central Northeast Southeast
Percen
tag
e
1996-97
2000-01
Average % Cases Read by
Residents Only: Size
0
1
2
3
4
Small Medium Large Jumbo Total
Percen
tag
e
1996-97
2000-01
Average % Cases Read by
Residents Only: Region
0
1
2
3
4
5
6
7
Pacific West Central Northeast Southeast
Percen
tag
e
1996-97
2000-01
Average % Procedures by
Residents Only: Size
0
2
4
6
8
10
Small Medium Large Jumbo Total
Percen
tag
e
1996-97
2000-01
Average % Procedures by
Residents Only: Region
0
5
10
15
20
Pacific West Central Northeast Southeast
Per
cen
tag
e
1996-97
2000-01
Average Fellows: Size
0
5
10
15
20
25
Small Medium Large Jumbo Total
Fell
ow
s
1996-97
2000-01
Average Fellows: Region
0
5
10
15
20
Pacific West Central Northeast Southeast
Fell
ow
s
1996-97
2000-01
Average % Female Residents:
Size
0
5
10
15
20
25
30
35
Small Medium Large Jumbo Total
Percen
tag
e
1996-97
2000-01
Average % Female Residents:
Region
0
5
10
15
20
25
30
Pacific West Central Northeast Southeast
Percen
tag
e
1996-97
2000-01
Women in Radiology Residency
Programs
26 25 25 25 26 25 24
0
10
20
30
40
50
1991
1994
1996
1997
1998
2000
2001
% o
f W
om
en R
esid
ents
Average Salaries: Size
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
Small Medium Large Jumbo
1st Year Salaries 4th Year Salaries
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
Small Medium Large Jumbo
Average Salaries: Region
0
5000
10000
15000
20000
25000
30000
35000
40000
Pac
ific
Wes
t
Cen
tral
Nor
thea
st
South
east
1st Year Salaries 4th Year Salaries
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
50000
Pacific West Central Northeast Southeast
Average Salaries: Size
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
Small Medium Large Jumbo
1997 - 1st Year
1997 - 4th Year
2001 - 1st Year
1997 - 4th Year
Average Salaries: Region
0
10000
20000
30000
40000
50000
Pacifi
c
Wes
t
Cen
tral
Nor
thea
st
South
east
1997 - 1st Year
1997 - 4th Year
2001 - 1st Year
1997 - 4th Year
Average Salaries
0
10000
20000
30000
40000
50000
Salary in
Dollars
1st Year 4th Year
1997
2001
Resident Salary Trend
2840032366
3655933000
37441
41553
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
1992 1997 2001
1st year
4th year
Book and Travel Allowance 2001
No Book Fund
18%
Book Fund < $250
9%
Book Fund $ 251 - $1000
62%
Book Fund >1000
11%
Book and Travel Allowance: Size
0
200
400
600
800
1000
1200
Small Medium Large Jumbo Total
Percen
tag
e
1996-97
2000-01
Book and Travel Allowance:
Region
0
200
400
600
800
Pacific West Central Northeast Southeast
Bo
ok
Fu
nd
in
Do
lla
rs
1996-97
2000-01
Conclusion: Annual Topics• Programs sizes slightly increased, along with
slightly increased number of positions offered in
the residency match.
• Continued trend of increased Exams/Resident:
~10584
– No significant change in percentage of cases read by
staff by themselves.
– Decreased number of cases/procedures done by
residents by themselves.
• Women in residency: No overall change.
• No significant change in Book and Travel Funding
with expected rise in salaries.
Rotating Topics:
• ABR Exam Preparation
• Curriculum
• Socioeconomics
Physics Course: Size
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Quality of Physics Course
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Excellent
Satisfactory
Poor
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Excellent
Satisfactory
Poor
2000-01 1996-97
Physics: Access to “remembered
questions”
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Physics: Old questions useful?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Physics: Most important resource
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Course
Books
RAPHEX
Old tests
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Course
Books
RAPHEX
Old tests
2000-01 1996-97
Written: Most important resource
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Syllabi
Books
Old tests
Literature
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
2000-01 1996-97
Oral: In house review?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Oral: Mock Boards
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
How many go to review courses?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Allowed time for review courses?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Funds for review course
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Rotating Topics:
• ABR Exam Preparation
• Curriculum
• Socioeconomics
Sufficient background for
equipment purchases?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Should programs provide such
training (equip. purchases)?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Sufficient background to
supervise QC?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Should programs provide such
training (QC)?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Can you explain risks and
benefits?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
How much conference time?
0
1
2
3
4
5
6
7
8
Small Medium Large Jumbo
1996-97
2000-01
Hours of Didactic/week Hours of Case Conference/week
0.0
1.0
2.0
3.0
4.0
5.0
6.0
Small Medium Large Jumbo
Adequacy of Training
Car
diolo
gy
Neu
ro
Neu
roan
gio
MR
Angi
o
Inte
rven
tion
VIR
OB/G
YN
Poor
A
deq
uate
G
ood
1996-97
2000-01
Adequacy of Training
Vas
c U
SU
SPed
s
Nucs
Ches
tB/J
GU G
I
Poor
A
deq
uate
G
ood
1996-97
2000-01
AFIP Attendance
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Rotating Topics:
• ABR Exam Preparation
• Curriculum
• Socioeconomics
Well informed about business or
political issues?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Well-informed
Satisfactory
Uninformed
2000-01
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
How much instruction in
business or political matters?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
2000-01 1996-97
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
Extensive
Some
None
Problems with Academia
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Salary Vacation Publish
Pressure
Academic
time
Job Security1996-97
2000-01
Problems with Private Practice
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Salary Vacation Volume Business
Issues
Job Security1996-97
2000-01
Will concerns change practice
plans?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Small Medium Large Jumbo
1996-97
2000-01
Private Practice vs. Academia
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Private Practice Academia
1996-97
2000-01
Future Changes
Envi
ronm
ent
Salar
y
Securi
ty
Vac
atio
n
Vol
ume
Vol
/Rad
App
ropri
ate
Qual
ity
Ins.
Cov
erag
e
Bet
ter
Sa
me
Wo
rse
1996-97
2000-01
Summary: Rotating Topics
» Increased number of programs offering physics
courses and quality has improved
» Use of mock oral boards and tuition-required
review courses increased
» Overall, few residents are comfortable
purchasing equipment or supervising QC
program.
» Residents want more instruction in these areas
Summary: Rotating Topics
» 8-9% decrease in amount of didactic and case
conferences
» Quality of instruction decreased in 11 of 18
sections
» Fewer residents choosing academics because of
concerns regarding salaries, vacation, and
amount of academic time