M**2
发帖数: 18 | 1 放射医生的前景如何？有无可能工作外流。谢谢回答。 |
z**********4
发帖数: 467 | 2 Very good! It is possibly a tiny portion of work outsourced. But this is
usually not covered by medicare or any other insurances. |
M**2
发帖数: 18 | |
z**********4
发帖数: 467 | 4 Hehe... this is a very good question. It is very hard for radiologists to
practice individually since MR or CT is very costly. Some form a group to
purchase CT or MR. But most are working for hospitals. |
z****o
发帖数: 368 | 5 My understanding is that there is a lot of uncertainties with the Obamacare
going on. A lot of small groups are facing challenges. They tend to form
larger groups to provide better services or otherwise lose their contract to
the more competitive tele-rad companies. Outsourcing will not be a main
problem though. At the same time, IR (Interventional) will not have the
problem of outsourcing or telerad competition but they are also facing
competition from the vascular surgery or cardiac or neuro guys. |
z**********4
发帖数: 467 | 6 Well said. I think that the real challenges confronting radiologists are
technology advancement. Compared with technology advancement, the challenges
from teleradiology or outsourcing can be called minimal. For example, there
are rather number of 1970s or even 1980s radiologist who had no idea of MR
or PET/CT. The knowledge from residency could easily become obsolete after 1
decade. Think 10 years ago. How many sequences can MRI have? Just T1 and T2
. Now MR have tons of new sequences, deriving from T1 or T2. It is highly
possible that in this decade, a brand new imaging modality could come out
which might revolutionize the entire medicine. Another case in point is that
1970s radiology residents never anticipated the arrival of CT or MR.
Residents spent tons of time doing myelogram to image CNS pathologies. Now
myelogram is completely replaced by MR or CT. |
S**********e
发帖数: 1325 | |
z****o
发帖数: 368 | 8 Yes, Radiology was always technology driven and will be in the future. Hope
there will be some real technology break-through in the field. However, I
don't know any real ground breaking new technology in the pipeline. Dual/
spectrum energy CT or PET/MR might be something big, but it is still too
early to know. So it is a little uncertain.
Overall, what I heard is that the field is still going to be OK, but a lot
of challenges are also ahead. |
z****o
发帖数: 368 | |
z**********4
发帖数: 467 | 10 I could not type Chinese in my office computer.Hahaha... I am not trying to
exhibit my English skills though they are not good. Well, there is a big
challenge facing any major fields. Ortho is another tech driven field. The
hardwares are evolving all the time. AO theory were commonly accepted but
now increasingly challenged by minimal invasive procedures and BO theory.
For general surgery, 30 years ago, laparotomy is the only standard. Now 80%
abdominal procedures could be performed by laparoscopy. For neuorsurgery, 30
%-40% were replaced by intravascular surgery instead of craniotomy. For
cardiothoracic surgery, everybody knows what has happened. Man... there are
a major challenge facing every subspecialty. All we need to do is to change
our thinking paradigm and catch up with the trend. |
