A3CR2 Survey 2001 - AUR Online · RAPHEX Old tests 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%...

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