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Pediatric Radiology at the Millennium¹

¹ From the Department of Diagnostic Radiology, Yale University School of Medicine, 333 Cedar St, SP2-332, New Haven, CT 06520 (H.P.F., J.T., A.M.C., D.S.K.); the Department of Economics, Yale College, New Haven, Conn (H.P.F.); the Department of Radiology, Schneider Children’s Hospital, Albert Einstein College of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY (J.C.L.); and the Department of Research, American College of Radiology, Reston, Va (J.S.S.). From the 1998 RSNA scientific assembly. Received August 2, 2000; revision requested September 13; final revision received January 9, 2001; accepted February 6. Supported in part by the American College of Radiology Research Bureau. Address correspondence to H.P.F. (e-mail: howard.forman@yale.edu).

PURPOSE: To evaluate the current practice of and job market for pediatric radiologists in the United States and Canada with a 1998 survey and compare findings with those of surveys from 1980 and 1989.

MATERIALS AND METHODS: Surveys were mailed to the 728 active members of the Society for Pediatric Radiology. Questions covered professional practice, subspecialization, and involvement in evolving technologies. A pediatric radiology help-wanted index was generated from a diagnostic radiology help-wanted index.

RESULTS: Increasing involvement in the interpretation of computed tomographic, ultrasonographic, and magnetic resonance images was found among the 57% (411 of 728) of the members who responded. The attainment of a certificate of added qualification in pediatric radiology was found in nearly three-fourths of the membership, and 85% (348 of 408) had completed a fellowship. More than half of the respondents were involved in interventional procedures amid a continued increase in volume; 24% (100 of 409) of the membership, as compared with 7% in the 1980 survey, was practicing in a community or "other" setting. Subspecialization within pediatric radiology had diminished, and there was a larger percentage of female pediatric radiologists, particularly among the newest members. The job market was robust, having recovered substantially since the middle 1990s.

CONCLUSION: The practice of pediatric radiology has evolved, with increasing involvement in advanced techniques and modalities, as well as a greater presence in community settings. The help-wanted index supports the recent discussions of a personnel shortfall.

Index terms: Economics, medical • Radiography, in infants and children • Radiology and radiologists, socioeconomic issues, pediatric radiology

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