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Which Radiologists Will Have The Hardest Financial Impact From The Pandemic?

financial

Based on the individual circumstance, the pandemic has affected radiologists very differently. Financially speaking, some radiologists have barely felt any impact whatsoever from the epidemic. Maybe they practice farther from the pandemic epicenters. Or perhaps, they work directly for hospitals that have longer-term contracts and can weather the financial storm. Others are residents or V.A. employees that receive a fixed salary from the government. But that leaves out a good-sized chunk of the total radiologist population.

So, which subgroups has the Covid pandemic affected the most financially and will most likely have a lasting impact on their financial well-being? Let’s go through two clusters that I believe will have the most economic impact from the pandemic. Logically, these would be those newly-minted radiologists from their fellowships in hard-hit areas, just recently hired (or possibly furloughed!). Also, of course, those recent retirees that unluckily retired just as the pandemic hit. How significant will these losses be? How can they recover? And what are the critical lessons that we need to learn from this episode in our history?

New Radiologists Just Finishing Fellowship

New radiologists are getting hit by a double whammy. First, they are potentially losing out on initial income due to less than expected initial revenue. For some, this may come in the form of a leave or salary cut. For others, it may be a loss of a job. In many of these cases, this initial loss of income comes when loans are typically first due, and even worse, when debt loads from medical school are at their highest. For some, inevitably, this can cause a bit more financial suffering as these radiologists need to make ends meet.

Furthermore, the first few years of retirement savings are the most critical due to the geometric rate of return of invested savings. Think about it. If pensions and retirement contributions are delayed or canceled, these are the dollars that have the most power.

Suppose you are fortunate to have a 10 percent annual interest rate and work for thirty-five years. These initial dollars can be worth as much as 28 times what you put into it when you retire at 67 years old. If you delay merely one year, the same dollar only is worth 25.5 times what you put into it. Compare that to the same savings of a 50-year-old radiologist who has to delay savings by a year. If there are 15 years left in his career at 10 percent interest, each dollar will be worth 4.2 times the initial value. If this same radiologist delays their pension by a year, that same dollar will be worth 3.8 times what they put in. Those additional dollars have much less significance.

Newly Retired Radiologists

When you first begin retirement, you often need a wad of cash to pay for daily expenses. And, many of these radiologists may have cashed out their stash from the stock market. If you were unfortunate to cash out a large amount of your savings at the time of the crash and had not slowly converted your holding to less risky assets, you may have cashed out at the time of the twenty to thirty percent loss in the stock market in March. This loss could have severely decreased your overall net worth and the ability to have a comfortable retirement. Additionally, for those retiring radiologists who were planning to go part-time, many practices were unwilling to hire back some of these radiologists as the volumes had precipitously declined. Again, this could have made for the perfect financial storm!

How To Bounce Back From A Covid Economic Disaster

Keep Those Expenses Down

For many of us, this episode may have been the first time we have had to dip into an emergency fund. It goes to show you that radiologists are not immune from financial hardships (as lucky as we have been in the past!). So, make sure not to spend your savings quickly. Avoid old spending habits, and make sure to tighten your belts. Simple acts such as going through your credit card statements and reducing unneeded expenses can help enormously. And canceling luxury and unnecessary purchases can also assist. None of us can be sure when we will return to a more “normal” baseline.

Return To Work As Soon As Possible

For those younger radiologists that have been furloughed or let go, don’t stop searching for full-time employment as soon as possible. Time is of the essence as a dollar earned today is much more powerful.

And, for those radiologists that were about to retire, you may reconsider complete retirement. Part-time work allows you to make a reasonable salary, when available, and can help defray some of the financial hardship losses.

What Are The Take-Home Lessons About Radiologist Financial Well-Being?

Like any other profession, we are not immune to the whims of the economy and “black swan” events. All of us need emergency funds, regardless of our perceived safety nets at our jobs. And, all of us should continue to save and invest throughout our careers to prevent us from the potential losses of a sudden downfall. As the old boy scout motto reminds us, be prepared!

 

 

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The Real Reasons Partnership Track Salary Offers Are Lower (And The Risks You Take!)

salary offers

Now that you are beginning to search for employment opportunities or have plans to start in a few years, you may hear a bit about the employee and partnership track salary for radiologists. Also, you probably have learned that new radiologists on the partnership track earn significantly less. Since you were hoping to become a partner in a practice, are you getting sticker shock about the lower partnership track salary offers? And, why do stark salary differences exist between a partnership track position and an employee anyway? Moreover, what are the pros and cons of taking on this lower starting salary? To answer these questions, we will examine the most critical reasons why starting salary offers differ dramatically. Then we will discuss the risks you take when starting with this lower partnership track salary.

Why The Differences In Salary Offers?

Increased Partnership Income

After all these years, you’ve probably heard the adage: you never get something for nothing. In this case, this aphorism holds. Those who take on a lower starting salary get more significant rewards in the end. When you start on a partnership track, you sacrifice your current income for future increased income. So, that makes a bit of sense.

Buy-ins And Buy-outs

When you start as a partner in private practice, it’s only fair to put some of your money toward buying a share of the practice’s assets. These assets may be accounts receivable, buildings, equipment, and more. No one is going to give that away. So, here is where the buy-in comes to play. Usually, practices will deduct some of this amount from your initial salary during your partnership track to pay for it. We know this amount as “sweat equity,” or the work/money you must put into the imaging business to share in ownership.

Bigger Benefits

Hey buddy, it’s not just about the salary. The fringe benefits of partnership often make a more considerable difference in your lifestyle. In the case of many partnerships, partners get larger pensions, increased malpractice insurance, more extensive life and disability insurance policies, tax-free car write-offs, cell phone and internet usage deductions, and more. These perks can add up over time. So, practices tend to compensate for these more considerable benefits by issuing a lower salary on a partnership track.

Increased Control

Nowadays, it is next to impossible to control almost anything fully in healthcare. However, entering into a partnership allows you to manage your destiny more than working as an employee for a practice. No doubt, the increased control you will eventually obtain from completing a partnership track factors into those first few years of partnership.

What Are You Risking For All Of This?

The Chance You Will Never Make Partner

You take a leap of faith when you begin on a partnership track. Rightfully so, you assume that you will be able to meet the requirements of the practice and eventually become an equal shareholder. But what happens if this is not the case? Well, that can be undoubtedly devastating. You will lose out on years of potentially higher income that you would have made elsewhere. So, you are looking at potentially significant risk when starting a partnership track.

Company Buyout

More commonly than ever, large corporate conglomerates and massive practices buy out smaller “Mom and Pop” firms or even mid-size practices. Let’s say you happen to be on a partnership track at the time of one of these buyouts. In this case, you will have no guarantee that the new owners will add you to the partnership track, issue you any significant benefits, or even compensate you appropriately when the buyout ensues. All your hard work and lower initial starting salary proverbially can be down the drain.

Partnership Will Not Be The Same

You go onto different forums (check out Aunt Minnie!), and you will find many threads on this topic. Let’s say everything goes great, and you eventually become a partner in a practice. Who is to say that the results will pan out? Sometimes, but not often, private partnership salaries can be lower than the salaries that their employees enjoy. Especially for practices that are not well run. Or, maybe, reimbursements for procedures will take a nosedive when you are working on a partnership track. Who knows if the benefits will remain 5 or 10 years down the road?

My Bottom Line

You probably understand why practices issue lower salary offers to employees on the partnership track than their employed colleagues at this point. You are receiving the potential for real future benefits. 

At the same time, however, working on a partnership track involves taking significant risks. What you choose in the end will probably pan out. But, it certainly does not always work out. Therefore, before starting any job, you must do your due diligence and determine if a partnership track or employed position works well for you. Good luck with your search!

 

 

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Private Equity Buyouts Of Radiology Practices – Who Gets Hurt?

privare equity

Why would anyone want to buy out a practice? Well, like all things economic, it’s simple: To make money. And that is what private equity companies do. They take over companies so the owners can collect a share of the profits. And who exactly are the private equity owners? These folks are private groups of investors that pool their money together to purchase companies. But, unlike publicly traded companies, the government does not regulate these companies as strictly.

So, why is this important for the typical radiologist to understand? Within the past few years, consolidation has hit the radiology industry. Some of this consolidation has resulted from private equity companies buying out radiology practices throughout the United States. And, who knows? Private equity companies may buy out your current or future practice. So, here is a summary of what you can expect, who wins, and who loses.

What Happens To The Radiologists After A Buyout?

The radiologist’s destiny is the million-dollar question. (Literally and figuratively!) Soon after a buyout, you may notice that the radiology employees lose some of their ability to advocate for patients (1). The private practice partner radiologists no longer hold the purse strings to enact change. So, all radiology employees of the new private equity entity must follow the rules of the new owner/leader.

Next, contract negotiations ensue. Initially, former partners and employees will tend to get good benefits, similar to the old practice. Over time, however, the stakes can change dramatically. In lean times, salary cuts and layoffs can begin rapidly. Since former partners no longer control the salaries, these folks may have just to take what they get. During more flush times, the former partners no longer reap the potential outsized rewards.

Further, in the future, you may notice that capital expenditures decrease to save profits for the private equity owners. That new CT scanner will be challenging to justify in the budget unless it has the potential to bring in new revenues. Private equity-owned practices can no longer buy equipment with the motivation of improving care alone.

The Winners

The most apparent winners are the older radiologists in the practice who will soon retire anyway. These owners can now collect on a payday that may be as high as 10-12 times their yearly salary. (2) This added benefit, in addition to their savings from years of practice, can allow an early retirement or a more leisurely lifestyle while working fewer days per week.

Depending on the terms of the agreement, the private equity firm can also gain much from buying a practice. The private equity can skim the additional profits previously from its former partners. However, this is all variable and depends on the partnership’s deal.

Occasionally, inefficient practices may also win in these arrangements. For instance, sometimes practices spend too much or cannot take advantage of economies of scale to increase efficiencies. So, it may take an outside entity to improve profitability. Of course, this assumes that the private equity entity knows how to run a practice better than the original employer and delivers some of the added profits to the radiologists. (Many times, that is not true!)

The Losers

Unfortunately, the biggest losers are the former non-partner stakeholders. These include full-time employees and employees on a partnership track. A buyout can derail the best-laid plans for the future. No longer can partnership track radiologists collect upon the sweat equity they have already committed to their years of practice. Likewise, former employees can no longer count on a similar job structure and contract.

The former younger partners may also lose a bit in the deal. No longer can they rely on many years of good salary ahead. The private equity firm will determine its future. On the other hand, at least these former partners will get a portion of a nest egg to add to their future retirement savings in the buyout.

Unlike those practices that stand to gain from a private equity arrangement, other private equity practices may liquidate the assets of an imaging business to the bare bone and improve profitability on paper so that the private equity firm can eventually resell the company to another entity. These sorts of practices can destroy a radiology imaging center. Good employees leave. Morale declines. And ultimately, the radiology practice can cease to exist. It can certainly happen.

How Much Can You Stand To Gain Or Lose?

So, if you are on the winning side of the equation and make 400,000 dollars per year, you may collect over 4-5 million dollars depending on who formerly owned the equipment and resources. That number, combined with continued employment, may satisfy those winners in the deal.

In the losing lane, non-partners no longer have the chance to build equity in practice. If you think about it, you have already committed three years to a partnership track, and the business has not already made you a partner; you have already lost those dollars of sweat equity. So, if your salary was 300,000 and the practice partners made 500,000, you have lost out on the difference of 200,000 dollars per year for three years or 600,000 dollars. You have also missed out on the ability to collect the 500,000 dollars in perpetuity once you have become a partner. Now, you are subject to the whims of the private equity firm.

The Basics Of Private Equity Buyouts

Describing a private equity buyout is relatively simple. It merely follows the laws of economics. You win if you are on the right side of the equation (the senior and private equity partners). On the other hand, if the equation does not favor you (most employees and some junior partners), you lose. So, if you are fortunate enough to choose among multiple deals, ensure you are doing what is best for your practice. A private equity deal can enhance or destroy your radiologists’ livelihoods!

I would love to hear your comments. What do you think about private equity buyouts in the field of radiology? Any experiences with private equity firms?

 

(1) http://www.physicianspractice.com/blog/understanding-hospital-buyouts-physician-practices

(2) https://www.aao.org/senior-ophthalmologists/scope/article/private-equity-buyouts-of-ophthalmology-practices

 

 

 

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Paid Surveys For Radiologists Revisited

Completing paid surveys is probably one of the easiest methods of earning some extra cash on the side. And as we know, when you have hundreds of thousands of dollars in debt, every little bit helps. In addition to the extra cash, surveys have enabled me to learn more about some of the newest radiology technology and products that I may not have learned about otherwise.

In the past, I have briefly addressed opportunities for completing paid surveys in my prior post called Alternative Careers And Supplemental Income For The Radiologist. But today, I thought I would go into some more detail about surveys since I regularly participate. So, let’s start by talking about the general rules for deciding when it makes sense to complete a survey, go through the different types of surveys, and then finally delve into some of the opportunities that are available out there based on my own experiences.

My General Rules For Deciding If A Survey Is Worth The Effort

You will find that surveys vary widely in the amount of time and effort for a given amount of cash. Unless you really enjoying completing surveys for free, survey companies should compensate you well for your knowledge and time. Remember, even medical students usually have more education than the folks giving out the surveys. And, education comes at a price. So, I would recommend to not allow the survey companies to take advantage of your goodwill.

In fact, let me give you my rule of thumb. A survey company should compensate you at a rate similar to or greater than what you would earn by moonlighting. What do I mean by that? If you are a resident and you can make 100 dollars per hours by working an extra shift, then you should work at a rate no less than 100 dollars per hour. That means if you work on a survey for 15 minutes, you should get paid no less than 0.25×100 dollars or 25 dollars for your time.

Also, make sure not fall for the sweepstakes entry reward for completing a survey. Usually, there is no guarantee you will win. And, you are essentially providing a free consultation.  You are worth much more than that!

Finally, if you need to travel to complete the survey, make sure you calculate the amount it costs to get to the survey. Deduct that amount from the survey fees to come up with a final total to decide if the survey is worth your time. Or even better, have the survey company reimburse you for the travel expenses.

The One Exception To My Rules

But, of course, I have one exception to the rules. (Just like there always is!) If you have nothing else to do at the time, then I permit you to consider completing a survey for less. Why do I think that is a reasonable exception? Well, getting paid for doing something is always better than doing nothing, even if you are not getting paid what you are worth. Hell, you have lots of bills to pay for your medical school training!

What Are The Different Types Of Surveys?

Surveys opportunities vary widely. These include the standard online questionnaire, participation in a phone interview, a direct interview with a survey manager, and sitting on an expert panel. Out of the different varieties, I find the online questionnaire to be the least thought-provoking and energy draining. Other forms of surveys require more active participation. You need to be awake to answer the questions!

In addition, survey companies attend national conferences and offer opportunities for radiologists. Take advantage of these opportunities when they avail themselves. Often times, these opportunities can be the most lucrative.

Overall Best Survey Companies For Radiologists

Over the years, I have found that at any given time, the best survey companies change. Depending upon your specialty, the best radiology survey company may vary. Presently, the following companies still give me the most opportunity to complete paid radiology related surveys at the highest rates: GLG Group and M3 Research. In fact, I remain an affiliate of both of these companies since I complete these companies’ surveys regularly. Of course, other survey companies every once in a while ask for my opinions. On the whole, GLG Group and M3 Research still give me the most opportunities.

Final Thoughts

Although no magic bullet exists for getting rid of student debt, survey opportunities can give a significant boost to your bottom line. Try to avail yourselves of the opportunities when they arise. Who knows? You may even learn or thing or two!

 

 

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Alternative Careers and Supplemental Income for the Radiologist

Every once in a while, a frustrated resident will say to me, “I’m not sure if I am interested in any of the traditional fellowships in radiology. What else can I do with my life? I am 250,000 dollars in debt and I don’t think I can stomach practicing radiology like everyone else for the rest of my life. I have no choice.”

It is tough to think that after all the money, time, and effort, you have invested into a radiology residency, you may not have a career at the end of the road that you will enjoy. In addition, many radiologists think that if you are not practicing in one of the standard subspecialties, you are a waste to the specialty. And finally, many radiologists do not know all the opportunities out there in the world. Given these biases, it is no wonder this sort of atypical resident would need to address feelings of hopelessness.

Some radiologists and radiology residents just need other outlets for their talents and to find a different path. And, in truth, intellectually rewarding and high paying job opportunities for radiology residents are almost endless. Just remember, it is not an easy journey to get to the promised land of the alternative career opportunity. People that decide to take these alternative pathways may burn the proverbial “midnight oil”. And, it can take years to become an expert in an alternative career. But, if you take an interest in seeking these possibilities, you have come to the right post!!!

Also, some radiologists merely want to supplement their income from other sources in another area they may have interests. We will certainly discuss some of those possibilities as well.

So, I am first going to address where to look for these opportunities. And, in the second half, we will address the opportunities themselves, both the full-time career pathways and the supplemental income pathways.

Alternative Careers- Where to Look?

Dropoutclub.org

All physicians should know that outlets exist for getting information and networking about alternative career opportunities. Let me give you a few that I know. First of all,  check out a website that regularly posts jobs and career opportunities outside of radiology called the dropoutclub.org. This website posts all sorts of jobs that are currently available for physicians. It also contains a forum that discusses different issues for physicians seeking an alternative career.  And, the website contains sections that approach how to interview for certain careers such as consulting.

Seak.com

Also, look out for a website called seak.com that specializes in the area of legal/expert witness testimony. But, the website also contains information on all sorts of alternative career paths. In addition, the website contains links to loads of seminars and opportunities for networking with other physicians in a similar situation.

Recruiters

Some recruiters are actively involved in findings residents and attendings that have interests in other career opportunities. They can sometimes be a helpful resource.  Additional, they may know of available jobs that may be relevant to the physician’s interests. But let the buyer beware! Although many recruiters are legitimate and truly want to help the physician, others just want to make the sale at any cost even though the job or the career path may not be right for the applicant.

Colleagues

Finally, you may know physicians that you work with on a regular basis that perform other activities outside the daily practice of radiology. From my experience, I have encountered some colleagues that have started their own consulting business, invented medical devices, worked as an expert witness. wrote books, or performed other career activities outside of the typical realm of radiology. These people are great resources to learn about how to get a start in some of these alternative careers.  I recommend talking to these people because they will give you a more realistic insight into traveling down these pathways that you may not get from a seminar, website, or recruiter.

What Are Some of the Opportunities?

In the interest of time and space, I cannot go into all the specifics of each career opportunity, but we can certainly paint some broad strokes about many of them. I will divide some of these opportunities into the following sub-segments- Finance, Legal, Political, Consulting/Surveys, Pharmaceutical Companies/Research, Invention/Entrepreneurial. Teaching, and Writing. There are certainly other areas as well, but these are some of the areas that are most familiar to me that I can comfortably talk about.

Finance

Let’s start with finance, an area that lends itself to alternative full-time careers. This area seems to be one of the most “sexy” for many radiologists and radiology residents. You may think high pay, high profile. When you log on to the dropoutclub website, many of the posted jobs are in this realm. There are many hedge funds and large brokerage houses that seek people who can understand how companies operate in the biotechnology and medical world that may not be readily accessible to the typical layperson.

Radiologists have a particular set of expertise in imaging devices and this focus may allow insight into companies that other medical professionals don’t have.  You may be involved in the tasks of research and presenting information to the executives of a company. Or you may be involved in gathering information from clinicians. Some of the positions are geared to the entry-level job and others are geared to the more experienced professional with finance experience. It is important to remember that you will probably be starting out low on the totem pole unless you have a strong finance background. Long hours are the norm. But, there is a very high pay potential. Just like becoming a full-fledged radiologist, it is a long road!!

Legal

Let’s split this career pathway into two parts: becoming a litigator and expert witness work. The first pathway involves a full career change. You may hear of physicians that have also obtained their JD degrees to work in areas such as malpractice defense or even patent work. Both of these areas certainly lend themselves to the expertise of the radiology trainee. Getting a JD, may involve another 3 years of schooling with additional significant expense as well as a long path to a partner within a firm. So, this can be a tough road. Alternatively, you can think about doing this later on in your career after you have paid down some student loans. When you have the will there is a way!

More commonly, many radiologists participate in expert witness testimony as a way to supplement their income and maintain a footing in the legal realm. This pathway involves reviewing cases and providing opinions to attorneys. On occasion, you may even become involved in expert witness testimony or a deposition in court. Some physicians exclusively provide support for the defense of physicians and others may work for either side. It can certainly be interesting work and give you a new perspective on the legal side of radiology and medicine.

Political

Ever thought about becoming the next Ben Carson or Bill Frist? If they can do it, you certainly can too. Some residents enjoy politics. They may like being involved in hospital committees and organizations. Or, they may want to take charge of their residency program as chief resident and get involved in liaison work between the attendings and residents. If this is the avenue you want to take, you can certainly find ways of making your future success more probable.

I would recommend residents to look into the Rutherford-Lanty Fellowship in Government Relations, organized by the ACR. According to the website, “it allows residents to gain an understanding of state and federal legislative and regulatory processes and the ACR role therein. It also informs residents about the governmental factors that play important roles in shaping the future of radiology.” This would be a perfect entree into the world of political action. In addition, you can find annual meetings such as the RLI Leadership Summit held annually where residents can learn about health care leadership opportunities.

I also think this sort of resident should get involved in hospital, regional, and/or national organizations and actively seek opportunities to participate in leadership roles. Half of politics is networking. The bigger your network, the more likely you can get involved in a political career.

Consulting

The word consulting is a very broad term. Consulting work incorporates many different entrepreneurial and employed careers as well as part-time work such as surveys. So, I am going to divide it into two parts.

Consulting as a career

I will begin with the full-time career path. There are some companies that specifically hire physicians to provide expert consultation for businesses. One such well-known company is called Mckinsey & Company. In addition, there are niches in which someone with a unique background may have expertise. If you have prior training and interest in software engineering, for instance, you want to utilize your skills to become an independent consultant in the area of software development, PACS, etc. You can potentially leverage this area of expertise to start your own company or work with large companies to assist in product development, increasing efficiency and customer satisfaction, and more. Consulting work is unique to the individual’s talents, opportunities, and imagination.

Survey work

Many physicians, such as myself, will occasionally participate in telephone or internet surveys. Often times, a consulting company will want to get the input from radiologist about new products or the business/political environment. There are a bunch of different companies to which you can sign up and get involved with their surveys. I make sure when I participate in these surveys that the time spent is worth my while.

I have found the following survey/consulting companies to be fairly reliable, compensate fairly well, and have a decent amount of work for radiologists: GLG Group and M3 Global Research. Be careful not to participate in surveys from companies that only offer prizes for a random winner that participates in a survey. It’s probably not worth your while.  You are a professional and your time is certainly worth something!

Pharmaceutical Companies/Research

There are many opportunities for physicians in this realm. Again, you will be starting at the very bottom. You just have to accept that. But, there have been some very interesting opportunities available for radiologists.

At my former job, I participated in the reading of imaging studies for pharmaceutical clinical trials. Many large companies still want physicians/radiologists reading their images to make their studies more powerful and legitimate. You can also get involved in structuring the studies and negotiating with companies to provide these services when you get to a higher level within the company.

Additionally, if you are inclined toward research, there are many opportunities to run a research department in a large pharmaceutical company, typically involved in imaging research. Many pharmaceutical companies give significant opportunities to radiologists/physicians to climb the corporate ladder. Remember though, there is certainly a bit less stability with a pharmaceutical company career, compared to typical radiology careers. But then again, you are reading this because you are not the typical radiologist!

Invention/Entrepreneurial

Maybe you have the next great idea. And, you just need an avenue to implement it. There are many radiologists who have gone down that pathway. Unfortunately, it does take a lot of work including research/development, funding, marketing/advertisement, salesmanship, and so on/so forth. There are also no guarantees that your product/idea is going to succeed. So, it is best to stick with your first career until the idea/product/company becomes large enough to support you full time. But, the rewards can be immense for the hard-working entrepreneur.

Teaching

Many colleges and large universities need quality scientists to teach their courses. Radiologists certainly qualify!!! If interested in these careers, you may consider contacting a school to find out what are their needs. This can begin as a supplemental income or can become a career avenue. In addition, if you have a particular expertise in a certain area of radiology, there are also entrepreneurial opportunities to begin your own course/curriculum/school and build it over time.

Writing

Welcome to my world!!! I am fairly new to the blogging industry. But, it is a great way to get your name out there. In fact, starting a website and writing is a great platform for other careers and business opportunities, whether it be writing a book, consulting, or whatever/wherever your interests lie. Also, if you have a hankering for this avenue, there are also many opportunities to write for others as a freelancer or work for medical organizations that need writers that can translate medical jargon to the general public. The opportunities are extensive. Of course, you can also decide to write the next great novel and become the next Michael Crichton!!!

All These Pathways. So Little Time.

I bet many of you didn’t know that there were so many alternative careers pathways and avenues for supplemental income for the radiologist. So, for those of you that are not sure you want to stick with the typical radiology career, don’t despair! All it takes is a bit of imagination, time, and hard work, and you too can find an outlet for your talents and your loves, whether it be a part-time gig or a full-blown career.

Would love to hear any comments or thoughts!!!