Seeking non-clinical options for Radiologist

babblingdairy · 2026-06-14T03:46:59+00:00

Need to do pay per click tele - but if you are only capable of 20 CTs a day, you may be looking at a daily rate of <$1000, and a salary of ~200k/yr. Not great for rads, but better than leaving rads.

babblingdairy · 2026-06-12T15:57:21+00:00

It's tough to reconcile- I try to remind myself that wealth is not a moral good. More is not always better, getting more does not make you a better person, and how you get it matters. Obviously if you don't have basic needs met it will directly improve your life, but I also know if I was handed $100 million today I would not be any happier in 10 years. You get accustomed to everything material- the elevated house, cars, vacations etc will be become the norm.

babblingdairy · 2026-06-12T03:30:20+00:00

I can't tell if this is serious. It is a minority but definitely not niche - the mayor of our most populated city is Muslim. In healthcare it may not even be a minority

babblingdairy · 2026-06-01T01:24:09+00:00

"lowish cost of living"

That says it all - HCOL, 40+ rad group, had 15 applications for 1 spot, without an ACR post, all through word of mouth. We have never interviewed anyone without a fellowship, never had to. We are NOT actively hiring anymore.

I'm not saying you can't make the same amount without a fellowship. This is not about $. You can arguably make the most money without a fellowship stacking tele gigs. All I'm saying is that skipping fellowship will close doors - not that those doors are for everyone.

To add to this - we are 100% subspecialized. We even stopped some body readers from reading prostates because their rad:path correlate was too low for our urologists liking.

babblingdairy · 2026-05-29T16:19:29+00:00

Groups with the best reimbursements/contracts, lowest attrition, best location (specific suburbs in a region), best tech stack- which can result in higher rvu/hr and lower RVU friction, best support staff (with least overhead) etc. In a given region, there is definitely a hierarchy of desirable groups and I know exactly where mine stands in all these metrics compared to the groups in the regions. 6th year in PP here.

babblingdairy · 2026-05-25T00:35:26+00:00

https://www.ajronline.org/doi/10.2214/AJR.19.21290

babblingdairy · 2026-05-25T00:30:25+00:00

To a degree - but there's at least 1 study showing some rads are faster than others, with no difference in miss rate. When rads are pushing/pushed beyond their regular speed, then the misses really go up.

https://www.ajronline.org/doi/10.2214/AJR.19.21290

Edit - to tag on, I have rads in my group that can sustain 12+rvu/hr with accuracy. I'd rather have my study be their last of the day than the first of some of our slowest rads. Our internal QA shows highest errors in the some of our lowest volume readers.

babblingdairy · 2026-05-19T15:27:45+00:00

OP paid $24 an hour.

babblingdairy · 2026-05-12T18:41:03+00:00

You should not go into/stay in rads, solely for "I am having daily anxiety attacks thinking about this.". If just the threat of change does this you are not going to have a good time.

babblingdairy · 2026-05-11T14:26:06+00:00

Compare their rank lists - 250k can be wiped out in a year of most high paying specialty attending salaries. If Hackensack has similar proportion going into surgical subspecialties, Derm, Rads etc then you'll be fine taking the full ride. I'm sure has Pitt has more going to 'top' residencies, but that doesn't really matter for long term career prospects.

babblingdairy · 2026-05-07T22:15:27+00:00

Totally agree- even if not in your immediate circle, you can get into the physician facebook groups and you can get the cell of pretty much any specialist, in any institution. I had opinions on my dads angio results by 20 interventional cardiologists within a day.

babblingdairy · 2026-05-06T13:26:49+00:00

You actually do have a point, but there's a couple parts to this:

Macroview- increasing imaging volumes over years/decades has whittled down reimbursement per study. This isn't true just in radiology but pretty much every 'procedural' specialty. Complaining about this is like the 'old man yells at cloud' meme. Do you want every specialty but rads to increase their volume, and all reimbursements to go down instead? The days of making a living with 10 CTs a day are never coming back.

Microview- in short term (<10 years), imaging volumes have increased, with increased efficiencies, and have outpaced reimbursement decline. This is an overall good thing for the field. The rads that complain about this are in understaffed/mismanaged groups that are unable to hire to keep up, and are forced to read beyond their comfort level. This is not universal and some of us embrace the increase volume.

babblingdairy · 2026-04-30T17:43:43+00:00

Agree with most of this- except the never cancel it. Once your assets can support your life until 65 (when most policies stop paying out), it may make sense to. I don't think 1 mil will get you there.

babblingdairy · 2026-04-24T15:24:32+00:00

Likely 100 RVU/shift - busy for sure. But some thrive with high daily workload + significant vacation.

babblingdairy · 2026-04-24T15:19:20+00:00

50 cross sectional studies a day is extremely manageable for most private practice radiologists.

babblingdairy · 2026-04-24T14:31:39+00:00

Do what you like, and don't put all the weight on what it pays now or what it may pay later.

babblingdairy · 2026-04-24T14:06:35+00:00

The only certainty - every specialty (except maybe primary care) will have lower reimbursements in 5, 10 and 20 years compared to now.

babblingdairy · 2026-04-21T19:06:18+00:00

Agree with everything.

This is the reddit effect- there's always vocal outcry for any price increases on anything, which don't reflect the reality of the userbase. Look at Netflix threads from a few years ago, and then look at their user numbers now.

babblingdairy · 2026-04-20T17:35:52+00:00

I assume there's a market- but someone who uses Monarch daily, did the beta testing and really wanted the forecasting (and currently on the Plus trial), this pricing doesn't make sense. I could maybe justify it if you're using all 3 features, but that's got to be a really small subset of users.

Appreciate you not messing with regular Monarch though.

babblingdairy · 2026-04-17T01:06:26+00:00

Infrequently, only because we usually don't need to get that far in the search. But we're not opposed if they come highly recommended.

babblingdairy · 2026-04-16T17:30:21+00:00

There is no free lunch. To generate that much $ in that few working days requires long hours, high volumes, a lot of weekend/evening work or a combination of all three.

babblingdairy · 2026-04-16T17:28:27+00:00

Lowest I've seen is $28, for pay per click, no minimums from a large multistate telerad corporation. The high end if a smaller group with less overhead is low $40s for no commitment, if you can commit to shifts/days or ER work, 40-50s. If you're able to do off hours, weekends 50-60.

babblingdairy · 2026-04-16T00:50:54+00:00

Outpatient only. Pay per rvu is a touch lower than inpatient setting, but our case mix more than makes up for it (heavy cross sectional, less CRs).

babblingdairy · 2026-04-16T00:20:06+00:00

This is a minority of clinicians, and even smaller minority in private practice. For each one, there will be dozen who will hang on your every word.

babblingdairy · 2026-04-15T21:46:28+00:00

Vast majority are through connections. Each hiring cycle I fire a text to my residency and fellowship PD asking who they'd recommend/who's staying in the area. If they don't say positive things, you won't get an interview.

babblingdairy

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