Current State of Private Practice and Academic IR: Differences in Practice Structure, Case Mix, and Productivity. Journal of the American College of Radiology : JACR Oladini, L., Ganesh, A., Rezaee, M., Dybul, S., Hawkins, C. M., Hofmann, L. V. 2022

Abstract

To investigate whether private practice interventional radiology (IR) groups self-report higher overall productivity given differing case-mix and more diagnostic radiology interpretation.A 60-question survey was distributed to 3,159 self-identified U.S. IRs via the Society of Interventional Radiologists member search engine, with 357 responses (11.3% response rate). Of these responses, there were 258 unique practices from 34 U.S. states.Out of 84 IR group responses, private practice IRs (PPIRs) reported a minimal trend for higher annual work relative value units (wRVUs) per clinical full-time equivalent (cFTE) compared to academic IRs (AIRs) (8000 vs 7140, p=0.202), but this did not reach statistical significance. PPIR groups reported less median weekly hours (50 vs 52), more frequent call (q6 vs q5 days), and significantly higher median tenured compensation ($573K vs $451K, p=0.000). Out of 179 responses, academic practices reported significantly higher case percentages of interventional oncology (IO) and complex hepatobiliary (HPB) intervention (p = 0.000), while private practices reported significantly higher percentages of musculoskeletal intervention (p=0.000) with a nonsignificant trend for stroke/neuro intervention (p =0.010). Private practices reported more wRVUs from the interpretation of diagnostic imaging, at 26% of total wRVU production compared to 7% of total wRVU production for academic practices (p<0.001; n=131).Self-report data from private and academic IR groups suggest minimally higher wRVUs/cFTE among PPIRs with lower weekly work hours, more frequent call, differing case mix, and significantly higher tenured compensation among PPIR groups.

View details for DOI 10.1016/j.jacr.2022.10.002

View details for PubMedID 36265811