© 2024 American College of Radiology® | All rights reserved.
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Topline Data
2023 ACR/RBMA Workforce Survey
© 2024 American College of Radiology® | All rights reserved.
Methodology
•
Since 2012, The ACR has deployed an annual survey to US practice managers and leaders to assess
employment and hiring patterns of radiology professionals. In 2021 the survey methodology was modified
and the 2023 survey represents the third wave of that new methodology.
•
Respondent types in this survey include: 1) A sample of decision-makers (from both the ACR and RBMA
member databases), 2) ‘rank and file’ Radiologists, and 3) retired Radiologists.
o For this cycle the samples did not include individuals over 80 years old
•
The Survey was fielded in January 2023 and data collection closed late that month
•
Nearly Responses were collected, from a group comprised of:
o Over 500 Decision-makers (Fully Qualified)
o More than 1000 Rank and File Radiologists (Partially Qualified)
o Over 250 Retired ACR Members (Retired)
o More than 350 Partner/Owners of Radiology Practices
o Nearly 400 different Radiology Establishments across practice types
NOTE: Statistics coded Red, accompanied by a Blue Box such as: indicate that a statistic is
significantly higher than another statistic in the same chart at a 95% confidence interval.
This
© 2024 American College of Radiology® | All rights reserved.
Practice Dynamics
© 2024 American College of Radiology® | All rights reserved.
Most radiologists work in Hospital-based Private Practice
• While few respondents think of their practice type as A Hospital (15%), when combined with those in private practice who indicate
being at least somewhat hospital-based, one in three work in the hospital setting.
1%
2%
3%
3%
15%
32%
42%
0%
10%
20%
30%
40%
50%
A Uniformed Service – Army, Navy,
Air Force, Marines, Coast Guard, …
An Independent contractor
A Teleradiology Group
A VA or other government practice
A Hospital, hospital system, or
hospital-affiliated multi-specialty…
An Academic practice (university,
medical center, municipality,…
A Private practice radiology group
Practice Type
1%
2%
13%
35%
41%
0%
10% 20% 30% 40% 50%
Other
Non-hospital affiliated
multi-specialty entity
Primarily or Exclusively
Office-Based
Equal Mix of Hospital and
Office-based
Primarily or Exclusively
Hospital-based
Types of Private Practice
Base: Fully and Partially Qualified Respondents (n=1620); Question: Which of the following best describes your primary place of employment? Please select the site or organization at which you spend the most time.
Base: Respondents who Indicated Private Practice (n=766); Question: You indicated that you are part of a Private Practice Radiology Group. From the choices below please indicate which of the following best describes
your practice. If you work for more than one Private Practice Radiology group, please think about the practice where you spend the most time.
All Others
H, VA, Tele, IC, US
VA, Tele,
IC, US
All Others
OB, NHAMSE
NHAMSE
© 2024 American College of Radiology® | All rights reserved.
Hospital-owned practices employ the largest share of rads
• One in three respondents indicate working in practices solely owned by physicians, and half of respondents indicate working in practices where
physician ownership is possible
• Nearly half of young Male physicians indicate that ownership is Extremely or Very Important to them, compared to only 1 in 5 young Female
respondents
Base: Fully and Partially Qualified Respondents (n=1620); Question: Which of the following best describes the ownership arrangement of your practice or organization? If you work for more than one organization, please
think about the one where you spend the most time.
Base: Respondents with less than 9 years in practice OR Interns, residents, fellows (n=378); Question: Which of the following best describes your feelings about being an owner or equity partner of a radiology practice at
some point in your career?
37%
31%
46%
32%
43%
43%
26%
23%
34%
27%
23%
32%
38%
46%
20%
41%
34%
25%
0%
20%
40%
60%
80%
100%
Total
Male
Female
34 or
Younger
35-45
46-55
Feelings on Ownership by Age/Gender
Top 2 Box (Extremely and Very Important)
Moderately Important, it would be a nice accomplishment but other
goals are more important
Bottom 2 Box (Not Very and Not At All Important)
8%
8%
10%
32%
33%
0%
10%
20%
30%
40%
50%
Wholly owned by a
government entity
Jointly owned between
physicians and a hospital,
hospital system or health…
Jointly or wholly owned by
outside investors
Wholly owned by one or more
physicians in the practice
Wholly owned by a hospital,
hospital system, or health
system
Ownership
JOI, JPH, WGE
JOI, JPH, WGE
© 2024 American College of Radiology® | All rights reserved.
Likelihood to Seek New Employment Stable
76%
76%
78%
11%
10%
10%
13%
14%
11%
0%
20%
40%
60%
80%
100%
2021
2022
2023
Likelihood to Seek New Employment
Top 2 Box (Extremely and Very Likely)
Moderately Likely
Bottom 2 Box (Not Very and Not at all Likely)
Base: Fully and Partially Qualified Respondents (2021 n=1394, 2022 n=1802, 2023 n=1642); Question: Between now and the end of 2024, how likely is it that you will seek out employment in a different
practice/organization?
Diagnostic Radiology
AAMC (Active Physicians) 11% of 49,513 = 5,446
ABMS (Total Diplomates) 11% of 27,189 = 2,991
ACR (Dues Paying) Membership 11% of 22,638 = 2,490
•
Between 3k and 5.5k radiologists could seek
new employment in 2024
•
Among those more likely than average to
seek new employment:
•
Those who work Overnight Call (18%)
•
Those who feel their life is balanced
more toward work than life (17%)
•
Physicians in the first 5 years of their
career (15%)
•
Those who intend to reduce their hours
in 2024 (15%)
© 2024 American College of Radiology® | All rights reserved.
Likelihood to Retire Stable
Base: Fully and Partially Qualified Respondents (2021 n=1394, 2022 n=1802, 2023 n=1642); Question: Between now and the end of 2024, how likely is it that you will Retire?
78%
83%
86%
12%
11%
8%
10%
6%
6%
0%
20%
40%
60%
80%
100%
2021
2022
2023
Likelihood to Retire
Top 2 Box (Extremely and Very Likely)
Moderately Likely
Bottom 2 Box (Not Very and Not at all Likely)
22,23
Diagnostic Radiology
AAMC (Active Physicians) 6% of 49,513 = 2,971
ABMS (Total Diplomates) 6% of 27,189 = 1,631
ACR (Dues Paying) Membership 6% of 22,638 = 1,358
•
Between 1.6k and 3k radiologists
could seek retirement in 2024
•
Respondent likelihood to retire was
significantly higher in 2021 than it
has been since, possibly indicating
waning pandemic effects on
retirement rates
© 2024 American College of Radiology® | All rights reserved.
Most Rads decreased their hours before retirement
1%
1%
4%
3%
4%
12%
0%
5%
10%
15%
20%
25%
2021
2022
2023
Likelihood to Come out of Retirement -
Top Box
Full-time
Part-time
63%
63%
35%
30%
2%
6%
0%
20%
40%
60%
80%
100%
2022
2023
Reduced Hours before Retirement
Yes
No
I still work part-
time on occasion
• A small but growing proportion of retired
radiologists are interested in getting back
into the workforce and most of those
interested were part time before
retirement
Base: Retired Respondents (2022 n=1620, ); Question: Before you retired did you first reduce your hours or go to part-time status?
Base: Respondents with less than 9 years in practice OR Interns, residents, fellows (n=378); Question: Before you retired did you first reduce your hours or go to part-time status?
© 2024 American College of Radiology® | All rights reserved.
Telework growing significantly
• The proportion of respondents who indicate that their practices allow Telework of any kind have increased
significantly since last wave
• Those indicating they are currently working remotely has increased significantly
74%
79%
60%
70%
19%
12%
0%
20%
40%
60%
80%
100%
2022
2023
Telework
Yes, during the day
Yes, at night
No
45%
46%
47%
52%
48%
46%
21%
19%
0%
20%
40%
60%
80%
100%
2022
2023
Remote Work Status
I have worked
remotely in the past
I am working remotely
now
I would like to work
remotely in the future
None of these
Base: Fully and Partially Qualified Respondents (2022 n=1704, 2023 n=1526); Question: Does your practice allow employees to work remotely (telework)? By telework we mean the intermittent practice of remote
reading by radiologists who normally work onsite. If you work for multiple practices, please think about the practice where you spend the most time.
Base: Fully and Partially Qualified Respondents (2022 n=1704, 2023 n=1526); Question: With regard to working remotely, which of the following describe what you, yourself, do?
22
22
23
22
10
© 2024 American College of Radiology® | All rights reserved.
15%
22%
32%
19%
27%
37%
17%
28%
39%
0%
10%
20%
30%
40%
50%
RA
NP
PA
NPRPs in Radiology practice
2021
2022
2023
Growth in NPs and PAs in Radiology Practice
21
21