Diagnostic Radiology 2020

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Diagnostic Radiology

Diagnostic Radiology
Profile

Updated August 2018 1


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TABLE OF CONTENTS Slide


▪ General Information 3-6
▪ Total number & number/100,000 population by province, 2018 7
▪ Number/100,000 population, 1995-2018 8
▪ Number by gender & year, 1995-2018 9
▪ Percentage by gender & age, 2018 10
▪ Number by gender & age, 2018 11

Diagnostic Radiology
▪ Percentage by main work setting, 2017 12
▪ Percentage by practice organization, 2017 13
▪ Hours worked per week (excluding on-call), 2017 14



Profile
On-call duty hours per month, 2017
Percentage by remuneration method
Professional & work-life balance satisfaction, 2017
15
16
17
▪ Number of retirees during the three year period of 2014-2016 18
▪ Employment situation, 2017 19
▪ Links to additional resources 20

2
Updated August 2018
Diagnostic Radiology

GENERAL INFORMATION
Diagnostic radiology is concerned with the use of imaging techniques in the
study, diagnosis and treatment of disease. The radiologist’s major role is as a
consultant to other physicians. By interpreting medical images produced by X-
rays (radiography & computed tomography), radioisotopes (nuclear medicine),
ultrasound (sonography), and magnetic fields (magnetic resonance imaging),
the radiologist along with the referring physician and patient plan, organize,

Diagnostic Radiology
integrate and interpret the imaging studies to form a diagnosis and determine
the course of treatment.

Profile
Diagnostic radiology is an intellectually challenging and rapidly changing
specialty. Therefore, radiologists must continue to study and attend educational
courses to keep abreast of new information and techniques. To be effective,
the radiologist must have considerable and detailed knowledge of anatomy and
pathology, as well as sound knowledge of medicine and surgery. In order to
use the sophisticated tools of radiology, they must also have a sound
knowledge of physics and how images are formed.

3
UpdatedPathway
Source: August 2018
evaluation program
Diagnostic Radiology

GENERAL INFORMATION
Radiology encompasses many subspecialties, including neuroradiology,
ultrasound, MRI and CT, mammography and GI radiology.

Interventional radiology is becoming a rapidly growing area within this


specialty. Trained radiologists can now perform minimally invasive procedures,
such as biopsies, drain abscesses, dilate stenotic arteries (angioplasty), clot

Diagnostic Radiology
bleeding arteries, remove biliary or urinary tract stones and insert central lines.

Upon completion of medical school, it takes an additional 5 years of Royal


Profile
College-approved residency training to become certified in diagnostic
radiology. The 5 years of training require a closely supervised practice in the
beginning, with the opportunity for increasing responsibility in the final years.
This is to ensure that the resident can function near the end of training as a
general radiology consultant, requesting help from staff radiologists when
necessary. The residency may be followed by 1 or more years of fellowship
training in a subspecialty discipline.

4
UpdatedPathway
Source: August 2018
evaluation program
Diagnostic Radiology

GENERAL INFORMATION
The 5 years of training must include:

• 1 year of basic clinical training to give the resident a degree of independent


responsibility for clinical decisions; an opportunity for further development of
the skills required in making effective relationships with patients; the
consolidation of competence in primary clinical/technical skills across a

Diagnostic Radiology
broad range of medical practice; and an understanding of the nature of the
relationship between a referring physician & a clinical radiological
consultant.
Profile
• 3 years of Royal College-approved resident training in "general diagnostic
imaging"; this must include: respiratory, cardiovascular, gastro-intestinal and
biliary, genito-urinary, musculoskeletal, mammography, neurological and
pediatric radiology, as well as the following modalities: fluoroscopy,
ultrasound, nuclear medicine, and CT, MR imaging.

5
UpdatedPathway
Source: August 2018
evaluation program
Diagnostic Radiology

GENERAL INFORMATION
• 1 year of Royal College-approved residency that may consist of 1-12
month periods in any of the following: further training in diagnostic
radiology; diagnostic ultrasound; CT; MR; nuclear medicine; cardiac
and/or vascular radiology; interventional radiology; neuroradiology;
pediatric radiology; pathology or other clinical specialty relevant to the

Diagnostic Radiology
practice of radiology (for up to 3 months) or a full-time research project,
relevant to diagnostic imaging.

Profile
For further details on training requirements please go to:

Royal College of Physicians and Surgeons of Canada

Canadian Association of Radiologists

6
UpdatedPathway
Source: August 2018
evaluation program
Diagnostic Radiology

Total number & number/100,000 population by province, 2018


Province/Territory Physicians Phys/100k pop'n
Newfoundland/Labrador 52 9.9
Prince Edward Island 9 5.9
Nova Scotia 85 8.9

Diagnostic Radiology
New Brunswick
Quebec
57
661
7.5
7.8

Profile
Ontario
Manitoba
939
88
6.6
6.5
Saskatchewan 83 7.1
Alberta 294 6.8
British Columbia 314 6.5
Territories 0 0.0
CANADA 2582 7.0

7
Updated2018
Source: August
CMA2018
Masterfile
Diagnostic Radiology

Number/100,000 population, 1995 to 2018

7.2

7.0

6.8

6.6

6.4
Diagnostic Radiology
6.2 Profile
6.0

5.8

5.6
1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2018

8
Updated1995-2018
Source: August 2018
CMA Masterfiles
Diagnostic Radiology

Number by gender & year, 1995 to 2018


3000

2500

Diagnostic Radiology
2000

1500

1000
Profile
500

0
1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2018

Total Males Females


9
Updated1995-2018
Source: August 2018
CMA Masterfiles
Diagnostic Radiology

Percentage by gender & age, 2018

Gender Age Group

<35

Diagnostic Radiology
65+
15% 6%

Female 35 - 44
32% 27%
55 - 64

Profile
Male 24%
68%

45 - 54
28%

Excludes those where gender or age is unknown.


10
Updated2018
Source: August
CMA2018
Masterfile
Diagnostic Radiology

Number by gender & age, 2018

65+ 66 305

55-64 157 422

Diagnostic Radiology
Profile
45-54 241 440

35-44 271 391

<35 51 95

Female Male

Excludes those where gender or age is unknown.


11
Updated2018
Source: August
CMA2018
Masterfile
Diagnostic Radiology

Percentage by main work setting, 2017

Academic Health Sciences Centre 36%

Community Hospital 36%

Diagnostic Radiology
Non-AHSC Teaching Hospital 10%

Profile
Private Office/Clinic 9%

Free-standing Lab/Diag Clinic 7%

Community Clinic/Health-centre 3%

Other Hospital 1%

12
Source:
Updated
2017 CMA
August
Workforce
2018 Survey. Canadian Medical Association
Diagnostic Radiology

Percentage by practice organization, 2017

1%
3%

21%

Diagnostic Radiology
Solo Practice

Group Practice
4%

Profile
70% Interprofessional Practice

Hospital-based Practice

NR

13
Source:
Updated
2017 CMA
August
Workforce
2018 Survey. Canadian Medical Association
Diagnostic Radiology

Hours worked per week (excluding on-call), 2017

Activity Hours worked per week


Direct patient care without teaching component 30.4

Direct patient care with teaching component 8.2

Teaching without patient care 1.5

Diagnostic Radiology
Indirect patient care

Health facility committees


3.5

0.7

Profile Administration

Research
2.1

1.0
Managing practice 1.3

Continued professional development 2.3

Other 0.5

TOTAL HOURS PER WEEK 51.5

14
Source:
Updated
2017 CMA
August
Workforce
2018 Survey. Canadian Medical Association
Diagnostic Radiology

On-call duty hours per month, 2017

• 84%% provide on-call services

Diagnostic Radiology
• On-call hours = 84 hours/month

• On-call hours spentProfile


in direct patient care = 37 hours/month

15
Source:
Updated
2017 CMA
August
Workforce
2018 Survey. Canadian Medical Association
Diagnostic Radiology

Percentage by remuneration method


Primary payment method1 in 2017

13% Average gross fee-for-service


8% payment per physician for all
2%
medical specialties in 2015/16

Diagnostic Radiology
(those earning at least $60,000)
77% = $350,6292
Average percent overhead
Profile reported by Diagnostic
Radiologists in 2017 = 27%3

90% + fee-for-service 90% + salary


90% + other* Blended
NR

* Other includes capitation, sessional, contract


and other methods

1 Source: 2017 CMA Workforce Survey. Canadian Medical Association


2 National Physician Database, 2015/16, CIHI 16
Updated August 2018
3 Source: 2017 CMA Workforce Survey. Canadian Medical Association
Diagnostic Radiology

Professional & work-life balance satisfaction, 2017

Balance of
personal
& professional
35% 12% 52%
commitments

Diagnostic Radiology
Current
Profile
professional life
19% 14% 67%

NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied

17
Updated2017
Source: August
CMA2018
Workforce Survey. Canadian Medical Association
Diagnostic Radiology

Number of retirees during the three year period of 2014-2016


Male Female

116

96

Diagnostic Radiology
Profile 20
29
18
9
1 1

34 and Under 35-44 45-54 55-64 65 and over Total

Age Group

Source: CMA Masterfile – year over year comparisons


Note: “Retired” is based on giving up licence and therefore excludes those who have
retired from clinical practice but are still licensed; those younger than 45 may include
18
physicians who have temporarily given up their licence but return to practice at a
Updated August 2018
later date.
Diagnostic Radiology

Employment situation, 2017

3%
Overworked in my discipline

Diagnostic Radiology
51% 46%
Employed in my discipline to my satisfaction

Underemployed in my discipline

Profile Not employed in my discipline

No response

19
Updated2017
Source: August
CMA2018
Workforce Survey. Canadian Medical Association
Diagnostic Radiology

Links to additional resources

▪ Association of Faculties of Medicine of Canada

▪ Canadian Institute for Health Information

Diagnostic Radiology
▪ Canadian Medical Association’s Physician Data Centre

Profile
▪ Canadian Post-MD Education Registry (CAPER)

▪ College of Family Physicians of Canada

▪ National Physician Survey (2004-2014)

▪ Royal College of Physicians and Surgeons of Canada

20
Updated August 2018

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