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Radiology is experiencing one of the most severe workforce shortages in modern history, and the effects are becoming impossible to ignore.
Dr. Ian Weissman takes us through the full picture: rising imaging demand, younger and sicker patient populations, a decade of increasing CT/MRI utilization, and post‑COVID burnout that accelerated retirements and reduced work hours. He shares how delays in cancer imaging, two-week backlogs, and even temporary outpatient closures are no longer rare, they’re becoming reality.
But the episode is not just diagnostic; it’s prescriptive. Ian emphasizes solutions that can be implemented now: transparent communication with patients, peer learning instead of punitive peer review, servant leadership, and culture-building that encourages respect, safety, and retention.
He also covers long-term strategies such as increasing residency slots, improving visa pathways for international physicians, and the evolving role of interpretive and non‑interpretive AI.
Ian closes on a message of optimism: that with collaboration, leadership, and commitment to patient-centered care, radiology can navigate the crisis and emerge stronger.
What You’ll Learn:
- Why the U.S. is short more than 1,500 radiologists
- How rising imaging volumes and population changes fuel demand
- Why cancer imaging delays are becoming more common
- What moral injury looks like for modern radiologists
- The impact of RVU pressure and nonstop imaging workloads
- How peer learning builds safer, more collaborative teams
- Why AI will support—but not replace—radiologists
- How training pipelines and visa barriers affect the workforce
- What healthcare leaders can do right now to retain clinicians
Chapters:
- [00:00] ICU Backlogs & Outpatient Closures
- [01:38] Introducing Dr. Ian Weissman
- [02:03] The National Radiology Shortage
- [04:54] Cancer Imaging Delays Increasing
- [07:49] How the Crisis Formed: Volumes, Aging, Burnout
- [11:37] Image Overload in the Digital Era
- [13:09] Economic Pressure & Moral Injury
- [15:56] System-Wide Workforce Shortages
- [16:17] Patient Experience: Delays Across Specialties
- [19:37] Global Comparisons: U.S. vs Canada & UK
- [20:20] Solutions: AI, Residencies, Visa Reform
- [26:26] What Strategies Work Today
- [31:09] RETAIN & Leadership Approaches
- [33:00] Peer Learning: Collaboration over Punishment
- [36:43] RSNA’s Workforce & Education Committee (WE)
- [39:23] What Gives Ian Hope
- [42:55] Final Message to Clinicians & Leaders
Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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