Ben White

It is because doctors are understood to place patients’ interests above commercial ones that they have long enjoyed professional autonomy and public trust. The history of medicine is too littered with incompetence and immorality to believe that doctors have always been worthy of this status. Still, something profound is lost when we submit to the jaundiced view that medicine is a business like any other. There is value in striving for something higher.

From Dhruv Khullar’s “The Gilded Age of Medicine Is Here” in the New Yorker.

// 12.17.24

Write-nots and Think-nots

12.13.24 // Writing

Regarding the future of writing (and thinking) in an AI-enabled world, from “Writes and Write-Nots” by Paul Graham:

The result will be a world divided into writes and write-nots. There will still be some people who can write. Some of us like it. But the middle ground between those who are good at writing and those who can’t write at all will disappear. Instead of good writers, ok writers, and people who can’t write, there will just be good writers and people who can’t write.

A very short essay, well worth the 2 minute read.

With improving AI tools, the progressive ease of information acquisition and low-effort good-enough “work” generation may be good for lots of things, but for actually internalizing the skills of deliberation, argumentation, and communication? Probably not so much.

 

It’s Hard to Remember Subtraction

12.10.24 // Miscellany

From “People systematically overlook subtractive changes,” published in Nature back in 2021:

Participants were less likely to identify advantageous subtractive changes when the task did not (versus did) cue them to consider subtraction, when they had only one opportunity (versus several) to recognize the shortcomings of an additive search strategy or when they were under a higher (versus lower) cognitive load. Defaulting to searches for additive changes may be one reason that people struggle to mitigate overburdened schedules, institutional red tape, and damaging effects on the planet.

In so many cases, the easiest, cheapest solution to a problem is to simplify. It’s just so hard to remember/realize/acknowledge that–especially at an organizational or regulatory level–without skin in the game.

I started Independent Radiology–a job board exclusively dedicated to featuring physician-owned private practices–on August 14. This past weekend we hit a major milestone I wouldn’t have predicted: 100 groups advertising their openings. The level of group and user engagement has been great to see.

// 12.09.24

If you’re a trainee going to RSNA this year, I’ll be giving a talk about careers in radiology during Session M3-RCP20: Navigating the Job Market at 9:30am on Monday. Come say hi!

// 12.01.24

Radiology Jobs

12.01.24 // Radiology

I believe in the importance of thriving independent private practices for the field of radiology. True private practice–where doctors control the organization, are responsible to their peers and patients, and earn the full fruits of their labor–is the benchmark that sets the market and provides the anchor against exploitation from unscrupulous employers.

My group, like most groups in this market, is hiring. Here are 10 more 100%-independent radiologist-owned private practices across the US that are recruiting. If you’re in the market for a new position, consider reaching out with your CV. (Click the triangles for more information.)

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Radiology Associates of Ocala

(Ocala, Florida)

A growing Central Florida private practice, rare for the region, with 70+ radiologists looking for an on-site general radiologist.

  • Practice owns multiple imaging centers, generating technical fees and rental income for partners.
  • New business ventures of software development and a separate Telerad company.
  • Optional internal moonlighting available. Nights are covered by dedicated internal nighthawks.
  • Option to rotate/vacation in the US Virgin Islands at a practice-owned timeshare at the St. Thomas Ritz.

Remote Partnership:

  • 1-year track, professional-fee exclusive, 226 shifts with 10 weeks vacation and 8 weekends, $500-700k+

On-site Partnership:

  • 3-year track, no partnership tiers, additional income from technical fee billing, management revenue, and real estate. Nominal buy-in and equal call/PTO/scheduling for pre-partner and partners. 14+ weeks vacation (~185 shifts/yr), $800k-1mm+

Learn more at https://raocala.com.
Contact: Dr. Vivek Kalra at Vivek.Kalra@raocala.com

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Mecklenburg Radiology Associates

(Charlotte, North Carolina)

Established in 1917 and fiercely independent, MRA is a well-respected subspecialized practice of 60 radiologists and growing. They especially take pride in their group culture (seriously, there are some really nice people in that group including one of my old senior residents).

Partnership track:

  • 3-year partnership track with 8 weeks of vacation per year
    $400K starting salary and an additional $75K sign-on bonus ($125K with 2+ years of experience)
  • On-site daytime hospital and imaging center coverage. Hybrid evening and weekend call coverage, including the option to read from home.
  • Available positions: Breast, Body, Cardiovascular, Neuro, Light IR, MSK, Nuclear Medicine, and General

Employee track:

  • Fully remote, hybrid, or on-site options
  • Competitive salary
  • Available positions: General, Overnight ER, Swing Shift ER

Learn more at www.meckrad.com/recruitment.
Contact: Charlene Eichinger at ceichinger@meckrad.com

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Radiology and Imaging Specialists

(Central Florida: Lakeland/Winter Haven, SW Orlando, Bradenton)

Independent and long-standing group covering a diverse mix of financially sound hospital partners, outpatient imaging centers, an ASC/OBL, clinics, and a multi-specialty group. 50+ radiologists and 10+ midlevel providers. In-house and experienced IT, Credentialing, HR, and Admin team including dedicated Radiology Liaison support 24/7/365.

Recruiting for Body, Breast, Cardiac, Neuro, IR, and General.

Partnership Track:

  • 1-year track
  • 10 weeks of vacation
  • Sign-on bonus
  • Internal moonlighting available but not required
  • Full benefits including CME allocation

Employee or Contractor:

  • Flexible scheduling: Hospital (ED/IP) or outpatient coverage options available
  • Fully remote, hybrid, or on-site depending on location(s) and coverage schedule desired
  • Competitive compensation

Learn more at http://risimaging.com.
Contact: Alice Varnadore, Executive Assistant at avarnadore@risimaging.com

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South Texas Radiology Group

(San Antonio, Texas)

STRG is a well-established, expanding, independent subspecialty practice of 70+ radiologists serving 15 hospitals, multiple freestanding ED facilities, and a large outpatient imaging practice (STRIC). Both onsite and remote positions are available.

STRG is a forward-thinking practice with a strong and cohesive culture. Multiple AI projects are in place and in progress to improve efficiency and quality. Internal moonlighting opportunities are available.

Shareholder Track:

  • 18-month associate period leading to full partnership with board of directors membership.
  • Equity within a large expanding outpatient imaging practice (STRIC)
  • Competitive salary with excellent benefits package
  • Onsite and work-from-home options for daily work and call
  • Hiring across all specialties, with a current emphasis on Body Imaging and Cardiothoracic/Body

Emergency Radiology Track:

  • 1 week on/1 week off (7/7) and 1 week on/2 weeks off (7/14) positions available
  • Competitive salary with excellent benefits package
  • Fully remote and onsite options available.

Learn more at https://stric.com/.
Contact: Waynea Finley at wfinley@strg-pa.com

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Midwest Radiology

(Minneapolis – St. Paul, Minnesota)

Large 175+ subspecialized practice with 17 weeks of vacation. Two-year shareholder track for new graduates and a one-year track with experience.

Positions (On-site):

Body (100% Body) – Regions Hospital
  • Mix of shifts worked on-site
  • Mixture of hospital, outpatient, and remote
  • Interpret MRI, CT, U/S, and radiographs
  • After-hours coverage provided internally by the emergency radiology section
  • No neuro or MSK
Body/Mammo – Western Wisconsin
  • 45-minute drive from the Twin Cities.
  • No overnights, evenings, or weekends required.
  • Interpreting CT, US, body MRI, plain film and mammography studies.
  • Onsite procedures include general fluoroscopy, minor ultrasound, paracentesis, and thoracentesis.
  • No neuro or MSK.
General Body/Mammo
  • Regional hospital sites north and west of the Minneapolis/St. Paul area.
  • Interpreting CT, US, body MRI, plain film and mammography studies.
  • Onsite procedures include general fluoroscopy, minor ultrasound, paracentesis and thoracentesis.
  • No neuro or MSK.
Pediatric Radiologist (100% Peds if desired)
  • General pediatric imaging including fluoroscopy, CT and ultrasound.
  • Experience in MR is optional.
  • Hospital-based.
  • 100% pediatrics if desired (may split time between pediatrics and an additional section).
Neuroradiologist (100% Neuro)
  • Daytime, on-site neuroradiologist.
  • All evenings and 95% of weekend call shifts are off-site.
  • Hybrid weekday (2-3 remote daytime shifts/week).
  • Onsite procedures include lumbar punctures, myelograms, and swallow studies.
  • Functional MRI a plus but not required.
  • Subspecialty CAQ required.
  • No body or MSK.

Positions (Remote):

Daytime Body
  • Fellowship-trained 100% body position
  • Fully remote, daytime, Monday through Friday position with no evenings, weekends, or nights required.
Overnight Body/MSK (Partnership)
  • 1 year to shareholder for experienced radiologists, shareholders work 121 shifts per year (17.3 weeks)
  • Shifts are 10pm to 7am
  • At least two years post-fellowship experience required
  • Multiple other overnight radiologists (Body, MSK, and Neuro) will be working the same shifts allowing for collaboration.
  • 24/7 IT, transcription/editing, and clerical/QA staff assistance.

Learn more at www.midwestradiology.com.
Contact: Barry.Lindo@MidwestRadiology.com

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Grand Traverse Radiologists

(Traverse City, Michigan)

Established in 1938, GTR is a 100% physician-owned and operated private practice in a four-season resort town on the bays of Lake Michigan.

  • High compensation and 12 weeks vacation
  • Post-call weekend days off
  • Internal moonlighting available
  • Positions/partnerships are on-site, but multiple shifts can be done from home.
  • Collegial and youthful group with an average age under 40. All partners are equal.
  • Hiring for growth. Lists are caught up!

Needs: Body, Breast, ER/General, and IR

Learn more at https://www.grandtraverseradiologists.com
Contact: Dr. Anthony Livorine at alivorine@gtradiologists.com

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RAPA

(Central Arkansas [Little Rock, Conway, Searcy, and Pine Bluff] & Northwest Arkansas)

40+ radiologists covering 20+ sites with a multi-subspecialty mix of inpatient, outpatient, and ED imaging. Robust reading room assistants and IT presence to promote peak efficiency including a unified reading list/PACS (no switching stations or PACS to read other sites) and RadAI automated impressions to improve efficiency.

Greatest needs are IR, mammography, body imaging, MSK, and nuclear medicine, but all subspecialties and general radiologists are welcome.

Partnership track:

  • 2 years to partner for new graduates, 1 year with experience
  • 10 weeks vacation + 1/2 day off per week on average for partners
  • Highly competitive compensation combined with a low cost of living
  • Internal moonlighting options to boost income
  • Robust CME allowance, signing and moving bonuses, full benefits
  • Many work-from-home shift options
  • Minimal after-hours requirements, overnight shifts are fully staffed with telerads

Employee track:

  • Flexible scheduling (mammography, teleradiology swing shift, other options available)
  • Fully remote, hybrid, or on-site options available
  • Competitive salaries
  • Robust CME allowance, signing and moving bonuses, full benefits

Learn more at http://rapaxray.com/
Contact: recruitment@rapaxray.com and Dr. Brandon Kelly at bkelly@rapaxray.com

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Iowa Radiology

(Des Moines, Iowa)

34-radiologist subspecialized collegial private practice with long-term stability providing coverage to 30 locations across Central and North Central Iowa. Ownership of several outpatient imaging locations yields distributions from technical fees, and Des Moines is one of the fastest-growing areas in the country with a low cost of living, excellent schools, and low taxes.

Partnership track:

  • 2-year partnership track with 12 weeks vacation
  • On-site daytime coverage; hybrid night and weekend call coverage
  • Greatest needs: Breast, Neuro, General. All subspecialties considered for the right candidate.

Employee track:

  • Fully remote, hybrid, or on-site options
  • Excellent salary and benefits package, including up to 10 weeks of vacation
  • Available positions: General, Breast, Flex Shift, Overnight
    • Overnight shift is 10p-8a CST, 7 on/14 off, 100% teleradiology with average 90-120 total cases per shift

Learn more at http://www.iowaradiology.com
Contact: recruit@iowarad.com

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Hudson Valley Radiologists

(Poughkeepsie, New York)

A congenial team of 25 sub-specialized radiologists in New York’s scenic Hudson Valley that understands the importance of work-life balance. Since the 1970s, HVR has been respected in the community and known for its entrepreneurial spirit and excellence in patient care, currently providing services to five local hospitals and multiple outpatient imaging centers.

Fulltime MSK Position: On-site Partnership or Remote Employee
  • Competitive compensation with full benefits package (not RVU-based)
  • Additional earning potential with internal moonlighting
  • Hospital and office-based work
  • On-site & remote weekend call responsibilities
  • Leadership opportunities, if desired
  • Starting salary range: $375 – $400K depending on experience
Fulltime Remote Overnight Position: 7 on 14 off
  • Competitive compensation with full benefits package (not RVU-based)
  • Additional earning potential with internal moonlighting
  • Remote weekend call responsibilities
  • Leadership opportunities, if desired
  • Starting salary range: $400 – $425K depending on experience

Learn more at https://www.hvrads.com/
Contact: Dr. Evan Kurz at esk@hvrads.com

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Radiology Associates of North Texas

(Dallas, Fort Worth, Texarkana, Sherman/Denison, Longview, Tyler, Lubbock)

The largest 100% radiologist-owned and operated group in the country, serving the greater North Texas area since 1937. 290+ radiologists, 30+ APPs, and robust business staff support. Low turnover, healthy culture, ownership mentality, work-life balance, reasonable call schedules, and unlimited voluntary internal moonlighting (both scheduled shifts and anytime when not scheduled). 24/7 neuro and pedi subspecialty support.

The practice is organized into four distinct areas within DFW and seven distinct regions outside the Metroplex. This allows for practice opportunities ranging from small & intimate to large & subspecialized.

Positions (On-site):

Body
  • Dallas (East and South opportunities)
    • Mix of high-end body and general imaging
    • Desirable work sites within a small radius
  • Fort Worth
    • Mix of high-end body and general radiology with light IR procedures
    • Sites: within 30 minutes of the Ft Worth medical district
  • Tyler
    • Mix of high-end body and general imaging
    • Close-knit team
    • High volume
Mammo
  • Fort Worth
    • 100% mammo and combo mammo/general options available
    • Employed/partnership options
    • High compensation: mammo stipend
  • Dallas
    • Employee/partnership options
    • High compensation: mammo stipend
  • Texarkana
    • Mix of general and mammo
    • $900k+ compensation opportunity
    • Small town charm
  • Longview
    • Mix of general and mammo
    • $900k+ compensation opportunity
    • Small town charm
Pediatrics
  • Dallas
    • Two sites: Medical City Children’s Hospital and Cook Children’s Prosper
    • Full scope of pedi (nearly 100%)
    • $150,000 signing bonus
    • Salary Range: $620k+ during workup, $945k+ for shareholders
  • Fort Worth
    • Single site: Cook Children’s Ft Worth
    • Full scope of ped (100% pedi)
    • Pedi Neuro also available (50-80% pedi neuro depending on daily staffing)
    • $150,000 signing bonus
    • Salary Range: $620k+ during workup, $945k+ for shareholders
Neuro
  • Dallas (South and East Opportunities)
    • 100% neuro and mix of neuro/general opportunities
    • Subspecialty support
    • Desirable work sites within a drivable radius
  • Fort Worth
    • 100% neuro opportunity or mix of general/neuro
    • Hybrid onsite/remote work
    • No mammo expected, neuro-interventional support available
  • Tyler
    • Mix of neuro and general (the inpatient component is mainly neuro)
    • Clinicians specifically seek out/value the neurorads
    • High volume
MSK
  • Fort Worth
    • Subspecialty support
    • 20% MSK/80% Diagnostic (with some days at 100% MSK)
    • High-level body cases available if desired
    • Basic procedures
General
  • Fort Worth
    • Sites within 30 minutes of the Ft Worth Medical District
    • Wide variety of cases
    • Subspecialty support
  • Sherman/Denison
    • Smaller town with big city access (1 hour north of Dallas)
    • Wide variety of cases
    • 2 work sites
  • Texarkana
    • Small town charm
    • $800k+ earning potential

Positions (Remote):

General Overnight
  • 24 hour IT support
  • Team support – 7 rads on the list at a time
  • Subspecialty support
  • Base pay plus productivity bonus
Longview General Daytime
  • Employed position
  • $900k+ earning potential
  • Team support
Part-time Contractor – flexible hours
  • Work when you can
  • Paid at $32/RVU
  • Team support
Swing (Tyler)
  • Monday–Friday, no weekends required
  • 20 weeks of 10a – 7p CST,  20 weeks of 4p – 12a CST
  • Base comp: $400k plus productivity bonus – high earning potential
Remote Daytime Pediatrics
  • Part-Time or Contractor
  • Full scope of pedi, 100% pedi
  • Read from anywhere in the US
  • Schedule: flexible hours, 12pm-5pm
Remote Nightime Pediatrics
  • Full-time or Part-Time
  • Up to 80% pedi
  • Read from anywhere in the US

Learn more at https://radntx.com/radjobs

Contact: Todd Howard @ radjobs@radntx.com

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If you’re a group looking to advertise, get in touch. The monthly post here is limited to just 10 groups at a time, but in August I launched Independent Radiology as a resource for the broader community, a dedicated private practice radiology job board with 90+ groups so far. If you’re in the market, please also check it out for your job-hunting needs.

My internet friends over at Medality are having a big Black Friday sale a holiday gift sale Dec 17-22 for a free self-paced Fellowship with any Premium Membership or Fellowship. Solid use of CME funds before the end of the year, and an easy way to support this site.

// 11.29.24

Screening Narratives

11.25.24 // Medicine

From Nassim Nicholas Taleb’s famous The Black Swan:

A life saved is a statistic; a person hurt is an anecdote. Statistics are invisible; anecdotes are salient.

A notable inversion: medical screening, such as the whole body MRI hyped by Prenuvo (previously discussed here) and Ezra as well as cancer blood tests like GRAIL.

The anecdotal lives saved are the salient stories (look, we found a renal cell carcinoma in Pete, we saved his life).

The harms–false positives, anxiety, wasteful and sometimes dangerous invasive testing and treatment, additional utilization of the overburdened health system, and extra costs of that healthcare distributed across the system–are mere statistics.

 

They used to say academics was less production/pay and private practice was high stress/high comp. The gap has narrowed because the academy is demanding much more, lots of rads are just nonacademic employees of the university behemoth working a generic job, and the labor shortage means hospitals/universities need to pay more to compete in the job market.

Perhaps counterintuitively, strong private practice in the face of the labor shortage is one of the factors driving up academic compensation.

// 11.17.24

Add this to the list of things that I should have had ready for launch day back in August: the Independent Radiology Newsletter. Sign up now to receive monthly job updates from the world of private practice radiology.

// 11.12.24