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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