Subscribe to RSS
Subspecialization, Senior Residency, or Private Practice: The Dilemma of Final-Year Radiology Postgraduate Residents in IndiaFunding None.
Background Radiology is among India's top five speciality choices pursued by meritorious medical graduates. With the advent of the subspecialization degree courses, fellowships, the requirement of senior residency as faculty eligibility criteria, and the lucrative option of private practice, the final-year postgraduates are given opportunities to choose from but with little guidance on what and how to choose. This study aims to analyze the views of the final-year radiology postgraduate residents in India regarding their understanding of how to proceed in their professional life with options available.
Materials and Methods A cross-sectional, questionnaire-based study was conducted online via Google forms distributed via email and social media platforms. The questionnaire was prepared after going through previous literature, video blogs, and media available on the Internet and was further validated for content.
Results About half (48%) of them wished to pursue higher studies in the form of Doctorate of Medicine (DM) degree courses or fellowships. Almost three-quarters of the participants preferred short-term subspecialization via fellowships over 3-year DM courses (28%). Regarding clinical practice, 61.9% preferred to take up senior residency, while slightly over one-third (35.7%) expressed their will to move on to private practice.
Conclusion A relative conundrum was observed in the decision to take up senior residency or private practice or to go for DM but had to pursue a fellowship due to limited choice in topics and seats available in the country for subspecialization.
Keywordsradiology - questionnaire-based study - fellowship - Doctorate of Medicine (DM) - senior residency - postgraduate residents
Article published online:
31 January 2023
© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
- 1 Jankharia B. The business of radiology. Indian J Radiol Imaging 2010; 20 (04) 239
- 2 Arora R. The training and practice of radiology in India: current trends. Quant Imaging Med Surg 2014; 4 (06) 449-450
- 3 Krishnamurthy R. The subspecialty conundrum. Indian J Radiol Imaging 2010; 20 (03) 237-238
- 4 Sohoni CA. Do most radiologists in India really have a choice?. Indian J Radiol Imaging 2015; 25 (02) 207-208
- 5 Your Chanakya. MD RADIOLOGY / MD RADIODIAGNOSIS [Internet]. Accessed January 10, 2023 at: https://yourchanakya.com/md-radiodiagnosis-md-radiology
- 6 Akhter S. There is a surfeit of Indian doctors globally, but we have a shortage of doctors: Dr. Sunita Maheshwari [Internet]. ETHealthworld.com. 2019 [cited 2019 Sep 1]. Accessed January 10, 2023 at: https://health.economictimes.indiatimes.com/news/industry/there-is-a-surfeit-of-indian-doctors-globally-but-we-have-a-shortage-of-doctors-within-india-dr-sunita-maheshwari/
- 7 Sreekar H, Nithya R, Nikhitha R, Sreeharsha H. Career intentions of medical students trained in India. Educ Health (Abingdon) 2014; 27 (01) 64-65
- 8 Mohan C. Redefining radiology senior residency - can we provide an alternative to “The Consultant Job”. Indian J Radiol Imaging 2017; 27 (04) 367-368
- 9 Atlas SW. Embracing subspecialization: the key to the survival of radiology. J Am Coll Radiol 2007; 4 (11) 752-753
- 10 Marks JE. Subspecialization in radiation oncology. Int J Radiat Oncol Biol Phys 1992; 24 (05) 987-988
- 11 Mohan C. Subspecialization in radiology - is it time to hatch out of the cocoon?. Indian J Radiol Imaging 2017; 27 (03) 261-262
- 12 Williams CR. Re: Embracing subspecialization: the key to the survival of radiology. J Am Coll Radiol 2008; 5 (03) 229-230
- 13 Brigadier Chander Mohan S. Guest editorial: interventional radiology in India - the road ahead. Indian J Radiol Imaging 2008; 18 (02) 148-149
- 14 Mohan C. Is next-generation radiologist ready for the challenges?. Indian J Radiol Imaging 2019; 29 (01) 2-3
- 15 Mohan C. Subspecialty training opportunities in radiology in India - the way forward. Indian J Radiol Imaging 2016; 26 (01) 1
- 16 Therakathu J, Yadav VK, Keshava SN, Gibikote S, Chavan GB, Shroff M. The current status of pediatric radiology in India: a conference-based survey. Indian J Radiol Imaging 2017; 27 (01) 73-77
- 17 Nidugala Keshava S, Kalva S. Interventional radiology training in India. J Clin Intervent Radiol ISVIR 2017; 1: 67-67
- 18 Madhusudhan KS, Srivastava DN, Sharma S, Sharma S. Interventional radiology in India. Am J Roentgenol 2018; 211 (04) 730-735
- 19 Crewson PE, Sunshine JH. Diagnostic radiologists' subspecialization and fields of practice. Am J Roentgenol 2000; 174 (05) 1203-1209
- 20 Reddy KN, Grewal HS. Comment on: Subspecialization in radiology - is it time to hatch out of the cocoon?. Indian J Radiol Imaging 2019; 29 (01) 106-107
- 21 Rosenkrantz AB, Wang W, Hughes DR, Duszak Jr R. Generalist versus subspecialist characteristics of the U.S. radiologist workforce. Radiology 2018; 286 (03) 929-937
- 22 Smith GG, Thrall JH, Pentecost MJ. et al. Subspecialization in radiology and radiation oncology. J Am Coll Radiol 2009; 6 (03) 147-159.e4
- 23 Therakathu J, Keshava SN, Thippeswamy PB, Chandramohan A. Overseas exams - perception of audience in a conference symposium: a survey. Indian J Radiol Imaging 2015; 25 (02) 206-207
- 24 Thaker S, Botchu R, Gupta H. Insights into obtaining FRCR and beyond: Obstacles, opportunities and post-relocation dilemma - an Indian perspective. Indian J Radiol Imaging 2020; 30 (01) 70-76
- 25 Alderson PO. A balanced subspecialization strategy for radiology in the new millennium. AJR Am J Roentgenol 2000; 175 (01) 7-8
- 26 Jain SN. Pursuing a radiology career: private practice or academic?. Indian J Radiol Imaging 2014; 24 (03) 207-208
- 27 Notification F-ICRI. Indian Radiological And Imaging Association. Accessed January 10, 2023 at: https://iria.org.in/icri-fellowship-notification/f-icri-notification/
- 28 CAFEROENTGEN. Radiology Fellowships, DMs and Super-Speciality DNBs in India [Internet]. Cafe Roentgen. 2020. Accessed January 10, 2023 at: https://caferoentgen.com/2020/02/29/radiology-fellowships-dms-and-super-speciality-dnbs-in-india/
- 29 Online Fellowships. Accessed January 10, 2023 at: https://academy.telemedicineclinic.com/fellowships/online/.
- 30 Online Radiology Fellowships from MRI Online. MRI Online. Accessed January 10, 2023 at: https://mrionline.com/remote-fellowships/
- 31 Yee KM. 8 ways radiology can win turf battles. AuntMinnie.com. Accessed January 10, 2023 at: https://www.auntminnie.com/index.aspx?sec=ser&sub=def&pag=dis&ItemID=116797