Radiologist Staffing Trends 2021
One hard lesson learned during the pandemic is that healthcare providers must be agile—ready to respond quickly and decisively when inevitable crises...
Remote radiologist jobs with flexible schedules, equitable pay, and the most advanced reading platform. Discover teleradiology at vRad.
Radiologist well-being matters. Explore how vRad takes action to prevent burnout with expert-led, confidential support through our partnership with VITAL WorkLife. Helping radiologists thrive.
Visit the vRad Blog for radiologist experiences at vRad, career resources, and more.
vRad provides radiology residents and fellows free radiology education resources for ABR boards, noon lectures, and CME.
Teleradiology services leader since 2001. See how vRad AI is helping deliver faster, higher-quality care for 50,000+ critical patients each year.
Subspecialist care for the women in your community. 48-hour screenings. 1-hour diagnostics. Comprehensive compliance and inspection support.
vRad’s stroke protocol auto-assigns stroke cases to the top of all available radiologists’ worklists, with requirements to be read next.
vRad’s unique teleradiology workflow for trauma studies delivers consistently fast turnaround times—even during periods of high volume.
vRad’s Operations Center is the central hub that ensures imaging studies and communications are handled efficiently and swiftly.
vRad is delivering faster radiology turnaround times for 40,000+ critical patients annually, using four unique strategies, including AI.
vRad is developing and using AI to improve radiology quality assurance and reduce medical malpractice risk.
Now you can power your practice with the same fully integrated technology and support ecosystem we use. The vRad Platform.
Since developing and launching our first model in 2015, vRad has been at the forefront of AI in radiology.
Since 2010, vRad Radiology Education has provided high-quality radiology CME. Open to all radiologists, these 15-minute online modules are a convenient way to stay up to date on practical radiology topics.
Join vRad’s annual spring CME conference featuring top speakers and practical radiology topics.
vRad provides radiology residents and fellows free radiology education resources for ABR boards, noon lectures, and CME.
Academically oriented radiologists love practicing at vRad too. Check out the research published by vRad radiologists and team members.
Learn how vRad revolutionized radiology and has been at the forefront of innovation since 2001.
Visit the vRad blog for radiologist experiences at vRad, career resources, and more.
Explore our practice’s reading platform, breast imaging program, AI, and more. Plus, hear from vRad radiologists about what it’s like to practice at vRad.
Ready to be part of something meaningful? Explore team member careers at vRad.
5 min read
Raymond Montecalvo, MD
:
September 17, 2020
For a radiologist exploring new opportunities, here’s a familiar scenario: You’ve had the interview, you've been offered a position and now you're reviewing the contract. But do you know what to look for? Do you know what important points may not be explicitly included in writing? Many factors come into play when a radiologist considers signing a contract for employment. It often comes down to two things: Time and money. Here are some particular points you should consider before you sign.
Start with the amount of time you’re given to review and sign the contract. This might seem like a minor point, but if the time period is short — and feels rushed — it could be a red flag. As a radiologist, you’re trained to interpret studies, not contracts. So make sure there is adequate time for you and your advisors to review the terms of the offer.
With regard to your time after you’ve been hired, you’ll want to ensure that the hours you’ll be required to work are clearly spelled out: days on, days off, start and end times for work days. You’ll also want to review provisions for time off, including sick days and vacation. Plus, check to see your contract clearly defines how call is handled. If it is not, be sure to find out how this shift is covered. Are specific radiologists assigned to cover call? Will you be required to do a week rotation per year? Or, do new hires get the later shifts?
First, let’s take a look at how compensation is defined in a contract. Whether your contract has a set straight salary, a base salary with incentive payment for productivity, or an earn-what-you-read model, keep in mind that your actual earnings may be hindered by a practice’s architecture and process. After a little digging, you might find that a compensation offer that looked good on paper may not translate to actual money in your paycheck.
No matter how your compensation is defined, if it includes any kind of performance-based compensation make sure you understand how your performance will be measured, when the measurement begins, and what is required for you to achieve productivity or incentive goals. If there is a minimum level of productivity required to fulfill your obligation (the "floor") make sure it is clearly spelled out. Ask yourself if you’re comfortable with the minimum requirements based on an honest self-evaluation of your abilities and experience.
Productivity in the radiology market is often measured by the RVUs. (At vRad, we use the term “structured work unit” as a more accurate measurement.) No matter the measurement metric, you’ll want to pay particular attention to how volume is tracked and measured and how it will impact your compensation. Keep in mind that regardless of how the practice calculates or measures productivity, many variables can impact your ability to meet your performance goals, including the platform that you’ll be working with. You’ll want to confirm that the architecture supports your ability to work to your potential.
Platform and process can present frustrating limitations on your compensation. For example, if a platform can’t accommodate viewing more than one image at a time, or forces you to go off platform to make a phone call or get critical information or a consult, then you’re losing time, productivity and the opportunity to work (and earn) at your potential. We often see this with private practices and small to mid-sized groups who use off-the-shelf platforms from outside software development companies.
I feel compelled here to point out that vRad’s platform was designed by radiologists, from the bottom up specifically for the teleradiology environment. This allows our radiologists to focus more on their practice, patients and their potential. Ultimately, giving them more control over their compensation.
If your contract includes a sign-on bonus or debt forgiveness, make sure you understand any payback requirements should you leave the practice before the stated length of time. Penalties here can be significant so make sure you understand them before you sign.
Some contracts contain language on restrictions and non-competes regarding where you can work if you leave the practice. These terms are enforceable in some states and unenforceable in others, so you should consult with your advisor. They should be specific as far as duration and location. They’re usually considered enforceable if they are reasonable and not overly broad.
If the offer includes a path to partnership, the details should be clearly defined, realistic and not ambiguous. You’ll want to look for specific milestones, performance goals, measurement metrics and the time-frame for achieving any benchmarks included. As an example, language like “meets groups expectations” is vague and arbitrary. What are the group’s expectations? Any income distribution and compensation formulas should be clear and straightforward. This is critical. If you don't understand it, you won’t know if you're being fairly compensated.
As important as it is for you to carefully review the “nuts and bolts” of an offer with regard to your time and how you will be compensated, it’s just as important to realize that what is not spelled out in the contract can have just as much impact on your job satisfaction and what you actually earn. While an offer might be attractive on the surface, in the end it will pay to read between the lines.
One potential obstacle to your earning ability is the process for assigning studies, specifically the case mix that ultimately ends up on your worklist. If certain radiologists are allowed to cherry pick higher value cases, it makes it harder for others to hit their goals. A radiologist that has a steady stream of CTs, ultrasounds, and MRIs will end their shift with more RVUs than someone given a list full of x-rays. Compounding matters is the fact that RVU systems are variable and x-rays are often underpaid for a variety of reasons. A radiologist considering an offer that is based in part on RVUs would do well to ascertain how cases are distributed.
Depending on how the practice is structured and how many radiologists are credentialed, the queue of studies for individual radiologists can build up and you may be required to finish them before your workday is done. If you’re concerned about having to work beyond the hours specified in your contract, you’ll want to clarify how many radiologists will be covering the same facilities as you.
Lastly, one of the things you’ll probably never see in a contract is a description of the practices' philosophy of providing patient care as well as the well-being of their radiologists. While this is certainly less tangible and abstract compared to the more transactional elements I elaborated on above, this doesn’t mean it won’t bear directly on your compensation, your practice and ultimately, your happiness. In reality, what’s not in the contract can be just as important as what is.
When reviewing a contract, begin by checking the following questions off your list:
Your bottom line will often come down these two questions:
When reviewing your contract, it pays to read between the lines to discern what it promises, what it doesn’t, and what you will ultimately derive from it.
One hard lesson learned during the pandemic is that healthcare providers must be agile—ready to respond quickly and decisively when inevitable crises...
More than 41% of radiologists separated from at least one practice over a recent four-year period, according to the Journal of the American College...
One of the first questions any radiologist asks our recruiters is about salary. It's an important question. Usually radiologists want to know how...
vRad (Virtual Radiologic) is a national radiology practice combining clinical excellence with cutting-edge technology development. Each year, we bring exceptional radiology care to millions of patients and empower healthcare providers with technology-driven solutions.
Non-Clinical Inquiries (Total Free):
800.737.0610
Outside U.S.:
011.1.952.595.1111
3600 Minnesota Drive, Suite 800
Edina, MN 55435