Radiology

“I couldn’t believe it was so easy.”

It’s one of the most common things I hear from radiologists who’ve recently joined vRad when I meet with them in my role as medical director. In fact, many tell me they hesitated to explore vRad at all because they assumed the licensing and credentialing process for multiple states would be too long and complicated. Add in CME requirements and tax concerns, and it starts to feel like a logistical nightmare.

Here’s the most important takeaway: It’s not on you to take care of. vRad has an entire department dedicated to making the licensing and credentialing process as easy and seamless as possible for the radiologist. Plus, we cover all the costs up front.

It wasn’t one thing; it was everything. Interruptions, admin overload, staying late—radiology became overwhelming.

Ask yourself: what is your current practice doing to alleviate burnout? Are they investing in programs that support your professional and personal life?

I’ve read more radiologist burnout articles than I can count. Each is generally the same, concluding that burnout is a major problem, followed by a few ideas of what radiologists can do to help themselves.

This is not one of those articles.

This is an article about what radiology practices should be doing.

Part-time, locum tenens, moonlighting—in its many forms, practicing radiology on the side is a time-honored tradition. It offers an alternate pathway to financial freedom, an opportunity to broaden your skillset, and a tool for career exploration. Maybe you do some yourself. You wouldn’t be alone; a recent study from Medscape found that 42% of radiologists supplement their income with extra work, either by extending their hours or working outside their current position.

Leaving private practice is hard. As vRad’s Medical Director, I interview radiologists every day who are wrestling with that difficult decision. Even in the face of exhaustion and burnout, they run up against loyalty to their colleagues. Others worry about the impact of unwinding their current financial entanglements.

For those considering teleradiology, the thought can seem particularly daunting. Will I feel isolated? How fast do I have to read? Can this really be a stable career change?

So how did those who made the switch do it?

For radiologists, finding time for personal interests can be challenging. However, Dr. Maryellyn Gilfeather has leveraged vRad’s flexible and predictable work schedules to blend a successful career with a remarkable passion for running.

With an extraordinary record of over 300 marathons, including more than 50 since joining vRad in 2019, Dr. Gilfeather embodies the work-life balance that vRad strives to offer. Her journey through marathons is as diverse as the locations she’s run, from energetic urban races to Antarctica.

Dr. Gilfeather’s experience demonstrates how working at vRad opens doors for personal fulfillment in a demanding field. I have thoroughly enjoyed getting to know Dr. Gilfeather as her medical services liaison at vRad. I sat down with her recently to hear more about her fascinating story of 300+ marathons.

The thought of missing a critical finding can strike fear in the heart of even the most seasoned radiologist. So, when I’m asked which findings are most commonly missed, I don’t hesitate to answer. The most-missed findings that can lead to a devastating patient care outcome, or are most likely to land you in court, are spinal epidural abscesses, aortic dissection, ischemic bowel, intracranial hemorrhage and pulmonary embolism. The first three are most likely to result in a malpractice claim and may account for 40% of all indemnity payments paid by a practice. The remaining two, while they might not end in a lawsuit, are still some of the most common critical misses. 

The second thing radiologists want to know is, “What can I do to reduce the possibility of missing one of these pathologies?” And my answer is: Develop a solid search pattern and stick to it. With every single read. 

Imagine having a 150-bed hospital without a radiology department. Imagine being an obstetrician in an isolated area without access to ultrasound. Imagine trying to diagnose complex conditions by physical exam alone. Across the globe, medical professionals face challenges like these every day. Over 60% of the world’s population lacks access to radiology services or imaging technology. Many don’t even have access to reliable power or transportation, much less any medical care.  

Now imagine you are part of the solution. 

Ever since I was in grade school, I knew I wanted to be a doctor. I discovered radiology in middle school, and you could say it was my first love. 

When I started a family, a new love came into my life, but that did not diminish my passion for radiology. I wanted a well-rounded life: a fulfilling radiology career and significant time with my family. I honestly thought a traditional radiology career could provide a healthy work-life balance, but during residency, fellowship, and a few years of private practice, I had not managed to achieve it.

And so I started to look elsewhere.