Practice Management

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  • 1.  Training non radiology residents

    Posted 12-06-2018 10:01

    We are a non-academic private practice.  Three of our hospitals have begun non-radiology residencies this year.  We're starting to get requests for radiologists to provide experiences to these residents involving both diagnostic imaging and procedures.  We want to be supportive of the hospitals, but we're wary of the potential productivity impact.  We have a few rads who are open to the idea of doing some teaching, but a majority would prefer to avoid it.

     

    Has anyone else been down this road before?  How did you manage the time commitment?  Were you able to make FMV compensation arrangements with the hospital?  If so, how was that structured (i.e. hourly, or some other approach).  Have you been able to do it without obligating those who would prefer not to participate?

     

    Thanks for any insight.

     

    David Smith, FACMPE  |  Executive Director  |  785.393.8387

    p-uic-horizontal-03a

     



  • 2.  RE: Training non radiology residents

    Posted 12-06-2018 10:12
    Dave,

    We have had this situation for years.  As you said, only a few rads are receptive to assist with a resident or even a "student shadow".  

    We have always accommodated our hospital's family medicine residents who want to rotate through radiology.  In the past, we were paid some medical director hours for part of the time spent with the resident.  Within the past 6 months, our hospital has stopped paying the medical director fees for the helping the residents.  Instead, our hospital administration told us it is expected on our part with no additional compensation.

    The same issue applies to our hospital employees, volunteers, and physician friends (high school or college students) who want to shadow a radiologist.  We have done it for years.  Due to a high volume of requests, we have to decline requests from non-Cox Hospital affiliated people. 

    Springfield MO is primarily a two health system town.  The radiologists at Mercy (our competition) will not allow residents to rotate through their department due to the decreased productivity.  Recently, there was a Mercy ICU nurse who had to do a radiology rotation for her PA coursework and at the last minute, Mercy cancelled her rotation through its radiology department.  The nurse pleaded with us and our radiologists were willing to help her out (without any compensation).  Even the nurse's ICU physicians could not convince the Mercy radiologists to allow her to complete her medical PA training with a rotation through Mercy radiology.

    Please contact me via email or at 417-894-0878 if you have any questions. Thanks and have a wonderful day. 

    Jay Smith, CPA, MBA 
    Business Manager
    Litton & Giddings Radiological Associates, P.C. 
    P.O. Box 14049
    Springfield, MO 65814 

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    Original Message


  • 3.  RE: Training non radiology residents

    Posted 12-06-2018 11:03
    David - We have always supported the resident training too.  Private practice, non academic.   Been in place for 20+ years.  We find that the residents will some times become referral sources in the future, and it helps to create the relationships and educate.   We get paid medical director fees, and although FMV in the market, doesn't cover cost. 

    We build in this time to one of the scheduled slots, and the duty rotates through those who cover that position in the practice.   The resident directors are the best contact for coordination, and that position (and understanding) changes over time. 

    We struggle with the requests for shadowing that come from medical students, or college/high school students.  Some require documented hours and may want to shadow in a read room for 2 weeks which is impactful.  We have to say no, usually, 

    Good luck

    ------------------------------
    Beth Williams MHA, FACMPE
    Executive Director
    Vantage Radiology and Diagnostic Services
    Federal Way WA
    (253) 661-1700 ext. 1105
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    Original Message


  • 4.  RE: Training non radiology residents

    Posted 12-06-2018 11:18
    Dave,

    I'm checking with one of the radiology residency coordinators on the non-radiology resident question, but my guess it they somehow rotate through our existing radiology residencies.

    We have two major health systems in our footprint that offer radiology residencies.  One of the systems offers 2-3 radiology fellowships.  

    Any residency/fellowship related compensation is through academic appointments and/or program director stipends with the associated medical schools.  Most appointments are unpaid.  The faculty physicians' work is recognized and incorporated into the groups' schedules.

    If you have sufficient docs willing to put in the extra work, I'd suggest a collaboration with the hospitals to bring in a radiology residency.  Both the residency and fellowship programs have been a good pipeline for future recruitment, and it promotes a lot of good will with the health systems.



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    Tim Hollingsworth
    Business Manager
    Central Illinois Radiological Associates
    East Peoria, IL
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    Original Message


  • 5.  RE: Training non radiology residents

    Posted 12-06-2018 11:55
    Dave,

    Non-radiology resident training experiences are handled by our two programs on a case by case basis.  Again a different situation with our practice having infrastructure in place through the medical schools.  


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    Tim Hollingsworth
    Business Manager
    Central Illinois Radiological Associates
    East Peoria, IL
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    Original Message


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