Inside News

Features Volume 14 No 2 I March 2018 9 clinical and imaging information, having more professional interactions with referring practitioners, becoming more visible to patients and playing a vital role in integrated clinical teams to improve patient care. At the same time, any shift away from the current fee for-service model towards blended funding models will likely see a reduction in demand for imaging. There is a tension between wanting to be “clinical radiologists” who are considered an integral part of the healthcare process and wanting to be able to work from home, not attend clinical meetings, not do on-call and not be interrupted by calls and enquiries from clinicians. It was noted that some job descriptions specifically include a requirement for the radiologist to be “willing to participate in clinical meetings both internally and with key stakeholders.” At the end of the day, there needs to be “value added” for any professional service to be remunerated well. If clinicians become more capable of adding their own value to imaging, the technical component becomes more valuable and the radiologist’s professional component becomes less valuable. It is expected that fewer radiologists will be needed in the future than are being trained today, even if radiologists successfully morph into a new and improved iteration as central consultants to the diagnostic process vi . As more radiologists are trained, there will be more eyes to help with the increasing demand. If (when) AI starts to impact on radiologist workload, there may be too many eyes to look at too few cases requiring radiologist input. As their roles change, radiologists may find that the recruitment market will become more skewed in favour of employers. Sandra Keogh, BSc, Futec Consulting Policy Advisor, to the The Royal Australian and New Zealand College of Radiologists References i. https://www.businessinsider.com.au/the-20-hardest-to-fill-jobs-in-australia-2017-12 ii. 2016 Clinical Radiology Workforce Census Report: Australia. iii. ibid iv. Liu M & Scott A. 2015. Radiologists In Australia: Insights from the Medicine in Australia: Balancing Employment and Life (MABEL) Survey. Inside News 12(1): 26. Quarterly publication of The Royal Australian and New Zealand College of Radiologists . v. http://www.smh.com.au/business/the-economy/census-data-reveals-the-most-popular-suburbs-among-occupations-20180103-h0cwvs.html vi. Prof Bruce J Hillman. 2017. Big Data and Deep Machine Learning– Radiologists and the Coming Age of Computerized Diagnosis. Inside News 13(2): 32. Quarterly publication of The Royal Australian and New Zealand College of Radiologists. For comments or opinions about this article, email the Editor at editor@ranzcr.com

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