tively referred to as “old dogs.” In some instances, the designation may be a term of endearment: in others, a term of derision. Virtually every chairperson must face the dilemma of dealing with these senior staff members. His or her decision will be based primarily on how productive the senior radiologist is. I have had the unique opportunity to practice radiology over the past 27 years in both full-time academic practice as well as in private practice at a large teaching hospital. These experiences have allowed me the opportunity to observe many senior radiologists and how they fit into their respective departments. Senior radiologists generally fall into three categories. In the first category is the individual who continues to carry a full clinical or teaching load. These radiologists seem ageless. remain full of vigor, and perform at the same level of practice that they did in their younger years. In an academic environment, these individuals are generally popular with the residents and junior faculty and are often sought out for their opinions and experience. In private practice, they frequently perform the lion’s share of general diagnostic radiology. These ageless individuals, like the Energizer (Eveready Battery, St. Louis, MO) rabbit, just keep “going and going and going.” Unfortunately. this group is the smallest ofthe three. The second group of senior radiologists is the exact opposite of the first. In the academic setting, these individuals are generally tenured full professors. They know that they have nothing to gain by doing further research or by writing papers. They feel that they have paid their dues and are. therefore, entitled to rest on their laurels and have a smaller teaching and service load. In private practice, these individuals characteristically read fewer films, take longer lunch breaks, and, in some instances. may have more vacation time. This group of radiologists, fortunately, is also in the minority. Most senior radiologists are found in the last group. They recognize that their priorities. and perhaps their abilities, have changed over the years. Nonetheless, these radiologists have adapted to these changes. Let us now look at the specific ways this adaptation occurs in both academia and private practice. In academia, most senior radiologists are tenured full professors. They are no longer concerned with the publish-or-perish doctrine that still exists in many academic institutions. These radiologists may realize that they no longer have the physical stamina often required for basic research, or they may no longer have the desire. However, they fully recognize the necessity for research to be performed by other members of the fitculty. They understand the three basic requirements of their profession (research. service, and teaching) and are willing to shill their emphasis from research to service and teaching. Furthermore. these radiologists add two further qualities to their profession by guiding (“mentoring”) junior faculty, residents. and fellows and by setting the example.
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