Radiology residents' attitudes towards breast imaging and future work plans

Abstract

6557 Background: Mammography is a central component of breast cancer screening, diagnosis, staging and post-treatment surveillance. There is a perceived dearth of radiology residents interested in breast imaging. Our objective was to assess the experiences and preferences of radiology residents with respect to breast imaging and future work plans. Methods: We distributed a self-administered, paper-based survey to radiology residents at all levels of training at 12 programs in New York State. Survey topics included plans for subspecialty training and beliefs and attitudes towards breast imaging and breast cancer screening. Residents were asked to participate regardless of time spent dedicated to breast imaging to assess the relationship between training experiences and perspectives on mammography and the likelihood of practicing in this area in the future. Results: Of the 268 residents currently training in the participating programs, 185 completed the survey (response rate 69%). Most respondents (91%) recognized that mammography is very important to women's health. At the time of the survey, the length of time spent training in breast imaging varied from no dedicated time (36%) to 1–8 weeks (43%) to more than 9 weeks (21%). More than 85% of residents believed that mammography should be interpreted by radiologists specializing in breast imaging. Factors dissuading residents from interpreting mammography included a high risk of malpractice (86%), stress associated with the field (80%), low reimbursement (68%), and a lack of interest in the field (16%). Appealing factors identified about mammography were a flexible work schedule (91%), few calls or emergencies (80%), and good job availability (92%). The vast majority of radiology residents (95%) said that they were likely to pursue subspecialty training following residency, but only 6% expressed interest in a breast imaging fellowship. Conclusions: We propose a systematic assessment of projected manpower needs in radiology and strategies to ensure that careers dedicated to breast imaging are attractive to trainees. These initiatives are necessary first steps to ensure that the supply of breast imagers is adequate to meet needs required to optimize public health. No significant financial relationships to disclose.