Discourse on Radio: A Head of Radiology Practice Discusses Staffing, Off-Site Examinations, and Financial Backing by Private Equity Firms
In the ever-evolving world of radiology, a question has been posed by AuntMinnie.com: is the traditional radiology practice building on its last legs? This question is particularly relevant when considering the challenges facing private radiology practices, such as the growing desire of radiologists to work remotely, payment instability, and the increasing involvement of nonphysician investors.
One radiology practice that has managed to weather these storms is Mecklenburg Radiology Associates (MRA), one of the oldest independent radiology groups in the Carolinas, with roots tracing back to 1917. MRA began serving Novant Health Presbyterian Medical Center and was formally incorporated in 1971. Today, the practice operates as an independent private practice, having resisted the trend of consolidation that has swept through the industry.
Andrew Kapustin, MD, a diagnostic radiologist at MRA, has been with the practice since finishing his residency some 20 years ago. In a series of articles on private practice trends in the U.S., Kapustin was interviewed, shedding light on MRA's approach to the changing landscape.
The current market demand for teleradiology is high, leaving little workforce for in-person services. However, MRA has managed to preserve the culture and relationships established within the practice while adopting remote reading. Kapustin, who also works at Capital Radiology Associates, which was founded in 1989, emphasised the importance of maintaining these connections, even in a digital age.
Greg Nicola, MD, chair of the American College of Radiology's Commission on Medical Economics, has also noted the rise of private equity-owned radiology groups and their impact on the market. This trend, along with the challenges faced by private practices, has led to discussions about the future of radiology.
Kapustin, reflecting on his experience of starting a family during radiology residency and the learning that occurs while in practice, discussed the qualities and attributes he looks for in new hires at MRA. He emphasised the need for breadth and depth in radiology knowledge, as well as a clear understanding of the expectations within the practice.
As the radiology landscape continues to change, practices like MRA serve as a testament to the resilience and adaptability of the profession. Despite the challenges, independent practices like MRA continue to thrive, providing quality care and maintaining the personal connections that are so vital in healthcare.
