North Carolina Baptist Hospital

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Financing Radiology Fellowship Programs
C. Douglas Maynard, M.D. Professor of
Radiology Wake Forest University School of
Medicine Winston-Salem, N.C.
ACR Resident Physicians Section 78th Annual
Meeting of ACR San Francisco, California September
8-12, 2001
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ACGME-Approved Fellowships (One Year Duration)

• Nuclear Radiology
• Pediatric Radiology
• Vascular-interventional Radiology
• Neuroradiology
• Musculoskeletal Radiology
• Abdominal Imaging
• Accreditation Council on Graduate Medical
  Education

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Non-ACGME-Approved Fellowships

• Thoracic Radiology Magnetic Resonance Imaging
• Cardiac Imaging Computed Tomography
• Womens Imaging Cross-sectional Imaging
• Mammography Research
• Ultrasound

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Sources of Funding

• ACGME-Approved Programs
• Center for Medicare/Medicaid Services
  (previously HCFA)
• Departmental Funds (clinical revenues)
• Hospitals Funds
• Private Practice Support
• Other (Military, VA, etc.)
• Health Care Financing Administration

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Sources of Funding

• Non-ACGME Programs
• Departmental Funds (clinical revenues)
• Hospitals Funds
• NIH Research Fellowships
• Society Fellowships (RSNA, ARRS,
• ASNR, ACR)
• Private Practice Support
• Other

6
Future Concerns

• Capping of funds by government inhibits growth of
  residency/fellowship positions.
• Tight departmental budgets may cause decrease in
  support of fellowships.
• Hospitals decreasing revenues may result in less
  support for GME.

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Possible Solutions

• Increased Federal Support for Graduate Medical
  Education
• Funding by Private Health Care Providers (HMOs,
  Private Insurers)
• Increased Funding of Research Training by the NIH

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Possible Solutions

• Organized Support by Private Practice Radiology
  (Messingers ACR Committee)
• Additional Fellowships Offered by
• Scientific Societies
• Shortening Length of the Residency/Fellowship
  Experience from Six Years to Five
• (Some combination of above is most likely.)

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My Prediction
Solutions Will Be Found . Radiology Training Will
Continue to Flourish.
NOTHING CAN HOLD A GREAT SPECIALTY BACK!
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Questions/Answers/Comments