Factors influencing subspecialty choice among radiology residents: a case study of pediatric radiology.
*Career Choice; Career Planning and Development; Decision Making; Internship and Residency – Manpower; Internship and Residency – Statistics and Numerical Data; Internship and Residency/*statistics & numerical data; Medical – Manpower; Medical – Statistics and Numerical Data; Pediatrics – Manpower; Pediatrics – Statistics and Numerical Data; Pediatrics/*statistics & numerical data; Radiology/*statistics & numerical data; Specialties; United States; Workforce
PURPOSE: Persistent workforce shortages exist in some radiology subspecialties. Residents' motivations for selecting particular fellowships, as well as their perceptions of the subspecialty fields, heavily influence the supply of new radiologists to these areas. The authors investigated the factors residents consider most important in subspecialty choice, fellowship choice patterns between 1999 and 2008, and changes that might attract residents to one particular shortage field: pediatric radiology. MATERIALS AND METHODS: An online questionnaire was developed and sent to 1,000 radiology trainees in the United States using contact information from the ACR's national resident database. Anonymized responses were evaluated using analysis of variance and logistic regression models. RESULTS: Leading factors for fellowship selection were "area of strong personal interest," "advanced/multimodality imaging," and "intellectual challenge." Compensation ranked low, 13th among 20 factors. Large shifts in subspecialty preference were seen between 1999 and 2008. Those with a pediatric radiology preference ranked "physician-physician interaction," "physician-patient contact," and "altruism" higher than respondents selecting other subspecialties. Respondents believed that pediatric radiologists make less money than other subspecialists ($325,000 vs $385,000 per year). There was no association between choosing pediatric radiology and gender, age, research plans, or parental status. CONCLUSIONS: Multiple factors account for subspecialty selection among residents, and it is useful to understand these factors when attempting to recruit residents to specific subspecialties. To ease the workforce shortage in pediatric radiology, advanced and varied imaging modalities, numerous job opportunities, and well-paid private practice positions should be emphasized to residents.
Arnold Ryan W; Goske Marilyn J; Bulas Dorothy I; Benya Ellen C; Ying Jun; Sunshine Jonathan H
Journal of the American College of Radiology : JACR
2009
2009-09
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.jacr.2009.05.005" target="_blank" rel="noreferrer noopener">10.1016/j.jacr.2009.05.005</a>
Screening for adolescent depression in a pediatric emergency department.
*Adolescent Behavior; Adolescent; Adult; Age Distribution; Comorbidity; Cross-Sectional Studies; Depression/classification/*diagnosis/*epidemiology; Emergency Service; Female; Hospital/*statistics & numerical data; Hospitalization/statistics & numerical data; Humans; Logistic Models; Male; Mass Screening/*instrumentation/*statistics & numerical data; Ohio/epidemiology; Patient Participation/statistics & numerical data; Pediatrics/*statistics & numerical data; Prevalence; Psychiatric Status Rating Scales; Transportation of Patients/statistics & numerical data; Wounds and Injuries/epidemiology
OBJECTIVES: To describe the prevalence of depressive symptoms in adolescents presenting to the emergency department (ED) and to describe their demographics and outcomes compared with adolescents endorsing low levels of depressive symptoms. METHODS: The Beck Depression Inventory-2nd edition (BDI-II) was used to screen all patients 13-19 years of age who presented to the ED during the period of study. The BDI-II is a 21-item self-report instrument used to measure the presence and severity of depressive symptoms in adolescents and adults. Demographics and clinical outcomes of screening-program participants were abstracted by chart review. Patients were categorized into one of four severity categories (minimal, mild, moderate, or severe) and one of three presenting complaint categories (medical, trauma, mental health). RESULTS: Four hundred eighty-seven patients were approached, and 351(72%) completed the screening protocol. Participants endorsed minimal (n = 192, 55%), mild (n = 52, 15%), moderate (n = 41, 11%), or severe depressive symptoms (n = 66, 19%). Those with moderate or severe depressive symptoms were more likely to be hospitalized. Of patients completing the BDI-II, 72% with psychiatric, 12% with traumatic, and 19% with medical chief complaints endorsed either moderate or severe depressive symptoms. CONCLUSIONS: Depressive symptoms are prevalent in this screening sample, regardless of presenting complaint. A substantial proportion of patients with nonpsychiatric chief complaints endorsed moderate or severe depressive symptoms. A screening program might allow earlier identification and referral of patients at risk for depression.
Scott Emily Gale; Luxmore Brett; Alexander Heather; Fenn Robin L; Christopher Norman C
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2006
2006-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1197/j.aem.2005.11.085" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2005.11.085</a>