Labor is a Cost

01.08.26 // Medicine

From Michael Porter’s Competitive Strategy:

We usually think of suppliers as other firms, but labor must be recognized as a supplier as well, and one that exerts great power in many industries. There is substantial empirical evidence that scarce, highly skilled employees and/or tightly unionized labor can bargain away a significant fraction of potential profits in an industry.

This is one of the core tensions in modern healthcare. Healthcare workers are the key source of revenue, but—because they want to be paid pesky competitive wages—also erode the potential profits of their employers, and many of those companies (regardless of their technical nonprofit vs profit status) really, really want more profit.

Private practice is not a panacea, but as most healthcare workers are not unionized, plausible alternatives to large entity employment are critical to enable workers to bargain for fair compensation. I suspect this is an increasing tension we should continue to expect with the greater use of AI. Employed physicians should desperately want their private practice colleagues to succeed.

From Porter’s follow-up, Redefining Health Care: Creating Value-based Competition on Results:

The fundamental problem in the U.S. health care system is that the structure of health care delivery is broken. This is what all the data about rising costs and alarming quality are telling us. And the structure of health care delivery is broken because competition is broken. All of the well-intended reform movements have failed because they did not address the underlying nature of competition.

Things have gotten so, so much worse since that was published in 2006.

Kevin Kelly, adding 101 new bits to his growing collection of pithy advice. A few of my favorites:

Forget trying to decide what your life’s destiny is. That’s too grand. Instead, just figure out what you should do in the next 2 years.
Try to define yourself by what you love and embrace, rather than what you hate and refuse.
Read a lot of history so you can understand how weird the past was; that way you will be comfortable with how weird the future will be.
There should be at least one thing in your life you enjoy despite being no good at it. This is your play time, which will keep you young. Never apologize for it.
The patience you need for big things, is developed by your patience with the little things.
There is a profound difference between thinking less of yourself (not useful), and thinking of yourself less (better).
Avoid making any kind of important decision when you are either hungry, angry, lonely, or tired (HALT)

// 01.07.26

From a highly enjoyable “So you wanna de-bog yourself” (about getting “unstuck”) by Adam Mastroianni:

“Declining the dragon” – a medieval knight metaphor for getting unstuck: Sometimes I’ll know exactly what I need to do in order to leave the bog, but I’m too afraid to do it. I’m afraid to tell the truth, or make someone mad, or take a risk. And so I dither, hoping that the future will not require me to be brave.

Everybody thinks this is a bad strategy because it merely prolongs my suffering, but that’s not why it’s a dumb thing to do. Yes, every moment I dither is a moment I suffer. But when I finally do the brave thing, that’s not the climax of my suffering—that moment is the opposite of suffering. Being brave feels good. I mean, have you ever stood up to a bully, or conquered stage fright, or finally stopped being embarrassed about what you love? It’s the most wonderful feeling in the world. Whenever you chicken out, you don’t just feel the pain of cowardice; you miss out on the pleasure of courage.

Medieval knights used to wander around hoping for honorable adventures to pop up so that they could demonstrate their bravery. They were desperate for big, scary dragons to appear. When I put off doing the brave thing, I am declining the dragon: missing an opportunity to do something that might be scary in the moment but would ultimately make me feel great.

The whole post makes for great early January reading.

// 01.06.26

The Iterative Loop of Radiology

01.05.26 // Radiology

The first few months of radiology residency can be pretty bewildering. It’s rare in adult life to start from scratch quite as much as you do the summer you transition from internship. Even if you did some studying during internship or you were fortunate enough to have electives in radiology during your intern year, there is a steep learning curve in July, and no one’s foundation in radiology is typically all that strong in terms of actual working ability.

Even though you’ve been looking at things and talking your whole life, it isn’t the same thing as looking at medical imaging and dictating reports. And so the first few months are dedicated to learning the core skills of a radiology foundation: getting comfortable, learning the hospital and the EMR, understanding the radiologist’s roles in the clinical workflow, and putting up some serious imaging reps.

Junior residents will typically take some variety of call after a year, and—even if you don’t have independent call—I know that’s a big step. As your spirit attending, I do want you to continue seeing as many cases as you can and studying outside of work to make sure that you are rounding out your radiology knowledge to build on the things you’ve seen in real life and fill in the gaps for the things that you haven’t. The List Gods do not provide you with everything you need, and the Venn diagram circles of radiology experience and radiology testable knowledge from books/questions/videos/etc do not have perfect overlap.

The spring semester of the R1 year is a great chance to work on the deliberate practice of radiology. There is an iterative loop of interpreting radiology cases that we perform over and over again, and I find that most trainees struggle with certain parts more than others.

The Radiology Loop

I view the five-point interpretative loop as follows:

1. Attend
Bring your complete focus to every new case, because every case is a new patient who deserves your full attention and your best work.

2. Observe
Review the images to make the observations/findings. This involves scrutinizing everything, of course, but also involves practicing avoiding certain pitfalls, like missing findings at the top and bottom images or at the edge of the field of view, falling prey to satisfaction of search, and forgetting to do a targeted review of specific imaging areas to exclude relevant pathologies, second order findings, and seek pertinent negatives (the true search pattern).

3. Decide
Make the decision/diagnosis. This includes deciding if an observation is real or artifactual as well as settling on the differential or significance of a finding. Practice deciding to the best of your ability without perseverating on findings by endlessly scrolling back and forth or agonizing. Practice making a targeted review on the internet to help categorize a finding without getting too deep down the rabbit hole, and be willing to phone a friend or an attending to get an outsider’s more experienced perspective when you need it. Cultivating independence is critical, yes, but we can also get more reps and do more work if we don’t get too bogged down. Try to do it alone when you can, but don’t get trapped in your own head.

4. Describe
Dictate the report with the goal of an organized and concise but thorough findings section as well as a clear, actionable impression. I personally subscribe to the “the more you write, the less they read” perspective, but everything is truly a balance, and the goal is not for you to emulate any specific style but rather to figure out how you want to practice and how to do your best work.

5. Polish
Proofread and hone that report until it is as good as you can make it. I argue that sloppiness never stops at transcription errors or other seemingly less important things; it percolates and permeates. It’s important to practice doing your best work, and that may mean adjusting how you work so that you make great reports routinely.

More on Attention

Within the spectrum of giving each case your full attention, you need to set yourself up for success, and that means not cutting corners. That includes reviewing the history and utilizing relevant priors. Yes, it takes some more time upfront, but it also guides your search pattern and informs your decision-making. It is critical to the practice of radiology. And you will make so many fewer mistakes if you get into the practice of doing this consistently.

You would probably severely underestimate how many times I have seen people be wrong in their conclusion or agonize over a decision that didn’t even have to be made because they failed to look in the chart for relevant history, to look at prior scans and prior reports in your system, or even to see if there were prior radiology reports hiding in Epic available in Care Everywhere. There are countless age-indeterminate or nonspecific findings—including those that generate useless follow-up imaging and unnecessary admissions—that, with some scrutiny, are chronic or stable for years. You’re never going to bat a thousand on this kind of stuff, but you might as well try.

Additionally, those prior reports are often your greatest teacher. So please do not waste these opportunities.

Maximum Learning

Additionally, I strongly recommend that when reading follow-up scans, you take a moment to look at the presentation scan. In many cases, that initial scan when that stroke is less obvious or the pre-operative scan before a lesion is resected gives you the most valuable visual exposure instead of just monitoring a mostly stable ball of blood or resection cavity. Don’t rob yourself of the opportunity to see the full spectrum of radiology/pathology, and try to find things and see how they look and really evolve over time. These are an important part of your learning, so don’t waste them.

It is very reasonable to review your case first before looking at the priors and their reports so as to give yourself the opportunity to approach each case de novo. This is admirable if time-consuming, but don’t take the desire to bring fresh eyes to each experience as an excuse to cut corners and not review the priors.

Your Job

It’s your job, with the help of your attendings, to figure out:

Where you are strong
Where you are weak
Which things you don’t like doing

It’s worth pointing out that the things you don’t like doing are often the things that you struggle with. There is a saying that practice makes permanent, so it’s important not to just try to get through the day but to really focus on these steps to build your skills and work on your tired moves:

If you don’t do things the thoughtful way on a regular day with no pressure, then you’re never going to do them well when you’re tired and under pressure. So we need to work on doing things the “right” (read: consistently improving) way every time, over and over again during the regular workday, to build up the muscles of doing radiology a better way.

And, those things we don’t enjoy aren’t as fixed as you might think if you’re able to cultivate a craftsman’s mentality.

There may be no universal right way to practice radiology, but there are definitely some wrong ones.

About working as a hospital employee, from “The Young Physician Trap: Trading Autonomy for Salary” in Claim Denied:

And then comes the pay cut. It’s framed as “efficiency.” Or “underperformance.” The implication is clear: you’re the problem.

By now, the hospital knows they have you.

You bought a home. You structured your life around the salary they dangled. Maybe you counted on loan forgiveness. There might be a non-compete at play. Maybe your spouse’s career is tied to the area. Leaving suddenly isn’t easy.

// 01.02.26

Radiology Jobs

01.01.26 // Radiology

I believe in the importance of thriving independent private practices for the field of radiology. True private practice—where doctors control the organization, are responsible to their peers and patients, and earn the full fruits of their labor—is the benchmark that sets the market and provides the anchor against exploitation from unscrupulous employers.

My group, like most groups in this market, is hiring. Here are several more 100%-independent radiologist-owned private practices across the US that are recruiting. If you’re in the market for a new position, consider reaching out with your CV. (Click the triangles for more information.)

RAPA

(Central Arkansas [Little Rock, Conway, Searcy, and Pine Bluff] & Northwest Arkansas)

40+ radiologists covering 20+ sites (hospitals + clinics) with a multi-subspecialty mix of inpatient, outpatient, and ED imaging.

Robust reading room assistants and IT presence to promote peak efficiency
Unified Clario reading list, Inteleviewer PACS, Powerscribe dictation (no switching stations or PACS to read other sites)
RadAI automated impressions to improve efficiency.

Partnership track – Central Arkansas (Little Rock, Conway, Searcy, and Pine Bluff) and Northwest Arkansas:

1 year to partnership
10 weeks vacation + 1/2 day off per week on average for partners
Highly competitive compensation combined with low cost of living
Internal moonlighting options to boost income
Robust CME allowance, signing and moving bonuses, full benefits
Many work-from-home shift options
Minimal after-hours requirements – overnight shifts are fully staffed with telerads

100% Remote Nighthawk, partnership track:

7 on/14 off, 10 pm-7:45 am CST
1 year to partnership
Competitive compensation, robust CME allowance, signing bonus, full benefits

Daytime Teleradiology:

100% remote.
Subspecialty work available with up to 50/50 split with general radiology
Option for employed or partner track. Partner track includes call weekend shifts, approximately 1 in 5 weekends.

Employee track:

General radiology, mammography, and other options available
Fully remote, hybrid, or on-site options available
Flexible scheduling
Competitive salaries
Robust CME allowance, signing and moving bonuses, full benefits

Greatest needs are IR, mammography, body imaging, MSK, and nuclear medicine, but all subspecialties and general radiologists are welcome.

Learn more at http://rapaxray.com/
Contact: recruitment@rapaxray.com and Dr. Brandon Kelly at bkelly@rapaxray.com

Eastern Radiologists

(Greenville & Coastal North Carolina)

Eastern Radiologists is a private practice in Eastern North Carolina that is physician-owned and operated and seeking to hire multiple radiologists due to growth and retirement. The well-established private practice serves a large geographic region through 14 area hospitals and several state-of-the-art imaging centers. Support is provided by nearly 70 subspecialty radiologists.

Currently seeking candidates in all subspecialties.

Details:

Positions are available in Greenville and other coastal communities in Eastern North Carolina.
Most are partnership track positions which include evening and weekend call responsibilities, but other employment options can be considered. Employment positions can be customized to fit desired schedule/income. Internal moonlighting is available for extra income.
Most specialties can work nearly 100% in their desired field of interest.
Great benefits, competitive salary including profit sharing and bonus, generous vacation and paid family leave, and business/educational discretionary account.
Sign-on bonus

Learn more at https://www.easternrad.com.
Contact: Erica Askew at easkew@easternrad.com

Iowa Radiology

(Des Moines, Iowa)

34-radiologist subspecialized collegial private practice with long-term stability providing coverage to 30 locations across Central and North Central Iowa. Ownership of several outpatient imaging locations yields distributions from technical fees, and Des Moines is one of the fastest-growing areas in the country with a low cost of living, excellent schools, and low taxes.

Partnership track:

2-year partnership track with 12 weeks vacation
On-site daytime coverage; hybrid night and weekend call coverage
Greatest needs: Breast, Neuro, General. All subspecialties considered for the right candidate.

Employee track:

Fully remote, hybrid, or on-site options
Excellent salary and benefits package, including up to 10 weeks of vacation depending on role/shift
Immediate Need: 3^rd Shift Radiologist
- Nine-hour shift, 7 on/14 off, 100% teleradiology
- 90-120 cases/shift; ~40 of those CT
- Base compensation $450,000 w/ additional compensation opportunities
  - Additional comp consideration based on subspecialty (for example, can final read neuro cases)
  - Moonlighting available
  - RVU productivity incentives
- Full benefits package including 401k, health/dental/vision, pension, life insurance, etc. ($83k benefit value annually)
- Malpractice and tail paid
Other Available positions: General, Breast, Flex Shift, Overnight
- Overnight shift is 10p-8a CST, 7 on/14 off, 100% teleradiology with average 90-120 total cases per shift
- Evening shift is 4p-12a CST, alternating weeks M-F only (26 weeks and no holidays/weekends)

Learn more at http://www.iowaradiology.com
Contact: recruit@iowarad.com

Midwest Radiology

(Minneapolis – St. Paul, Minnesota)

Large 175+ subspecialized practice with 17 weeks of vacation. Two-year shareholder track for new graduates and a one-year track with experience.

Positions (On-site):

Body (100% Body) – Regions Hospital

Mix of shifts worked on-site
Mixture of hospital, outpatient, and remote
Interpret MRI, CT, U/S, and radiographs
After-hours coverage provided internally by the emergency radiology section
No neuro or MSK

Body/Mammo – Western Wisconsin

45-minute drive from the Twin Cities.
No overnights, evenings, or weekends required.
Interpreting CT, US, body MRI, plain film and mammography studies.
Onsite procedures include general fluoroscopy, minor ultrasound, paracentesis, and thoracentesis.
No neuro or MSK.

General Body/Mammo

Regional hospital sites north and west of the Minneapolis/St. Paul area.
Interpreting CT, US, body MRI, plain film and mammography studies.
Onsite procedures include general fluoroscopy, minor ultrasound, paracentesis and thoracentesis.
No neuro or MSK.

Pediatric Radiologist (100% Peds if desired)

General pediatric imaging including fluoroscopy, CT and ultrasound.
Experience in MR is optional.
Hospital-based.
100% pediatrics if desired (may split time between pediatrics and an additional section).

Neuroradiologist (100% Neuro)

Daytime, on-site neuroradiologist.
All evenings and 95% of weekend call shifts are off-site.
Hybrid weekday (2-3 remote daytime shifts/week).
Onsite procedures include lumbar punctures, myelograms, and swallow studies.
Functional MRI a plus but not required.
Subspecialty CAQ required.
No body or MSK.

Positions (Remote):

Daytime Body

Fellowship-trained 100% body position
Fully remote, daytime, Monday through Friday position with no evenings, weekends, or nights required.

Overnight Body/MSK (Partnership)

1 year to shareholder for experienced radiologists, shareholders work 121 shifts per year (17.3 weeks)
Shifts are 10pm to 7am
At least two years post-fellowship experience required
Multiple other overnight radiologists (Body, MSK, and Neuro) will be working the same shifts allowing for collaboration.
24/7 IT, transcription/editing, and clerical/QA staff assistance.

Learn more at www.midwestradiology.com.
Contact: Barry.Lindo@MidwestRadiology.com

Mecklenburg Radiology Associates

(Charlotte, North Carolina)

Established in 1917 and fiercely independent, MRA is a well-respected subspecialized practice of 60 radiologists and growing. They especially take pride in their group culture (seriously, there are some really nice people in that group including one of my old senior residents).

Partnership track:

3-year partnership track with 8 weeks of vacation per year
$400K starting salary and an additional $75K sign-on bonus ($125K with 2+ years of experience)
On-site daytime hospital and imaging center coverage. Hybrid evening and weekend call coverage, including the option to read from home.
Available positions: Breast, Body, Cardiovascular, Neuro, Light IR, MSK, Nuclear Medicine, and General

Employee track:

Fully remote, hybrid, or on-site options
Competitive salary
Available positions: MSK, General, Overnight ER, Swing Shift ER, Neuro, Body, and Cardiovascular

Learn more at www.meckrad.com/recruitment.
Contact: Charlene Eichinger at ceichinger@meckrad.com

Radiology of Huntsville

(Huntsville, Alabama)

ROH is 60+ physician, high volume, private practice with a 2-year partnership track and nominal buy-in. Hiring for a remote partnership-eligible overnight position as well as onsite/remote openings in most subspecialites. Huntsville is a tremendously livable, high-tech, and growing mid-sized city (a #1 Best Place to Live in the U.S. by U.S. News and World Report).

Remote Overnight Shareholder/Partner and Limited Shareholder Offers

Shareholder/Partner Offer (remote):
- 1 week on followed by 2 weeks off + 36 additional 2nd shifts annually for full Shareholder status.
- Average Shareholder compensation of $1MM.
- Additional internal “moonlighting” paid per RVU. Legitimate seven-figure position with immediate economic parity with existing Shareholders.
Alternative Coverage / Compensation Options: (remote)
- 1 week on / 1 week off for $1.1MM total compensation
- 1 week on followed by 2 weeks off for $700,000 total compensation
Shift Details:
- 10PM – 7AM Central Time
- 2 radiologist overnight team with additional triple coverage until midnight and after 6AM
- RVU Benchmark expectation of 115 wRVUs

Onsite and Remote, Daytime and Second Shift opportunities

Abdominal / Body
Emergency
General Radiology
MSK
Neuroradiology
Nuclear Medicine
Pediatric
Light Interventional

Learn more at www.radiologyofhuntsville.com.
Contact: Brandy McCown at bmccown@radhunt.com or call 256.713.0621.

Radiology and Imaging Specialists

(Central Florida: Lakeland/Winter Haven, SW Orlando, Bradenton)

Independent and long-standing group covering a diverse mix of financially sound hospital partners, outpatient imaging centers, an ASC/OBL, clinics, and a multi-specialty group. 50+ radiologists and 10+ midlevel providers. In-house and experienced IT, Credentialing, HR, and Admin team including dedicated Radiology Liaison support 24/7/365.

Recruiting for Body, Breast, Cardiac, Neuro, IR, and General.

Partnership Track:

1-year track for diagnostic radiologists, 2-year track for interventional radiologists
10 weeks of vacation
Sign-on bonus for diagnostic radiologists
Call compensation for interventional radiologists
Internal moonlighting available but not required
Full benefits including CME allocation

Employee or Contractor:

Flexible scheduling: Hospital (ED/IP) or outpatient coverage options available
Fully remote, hybrid, or on-site depending on location(s) and coverage schedule desired
Competitive compensation models (including benefits if employed/full-time)

Learn more at http://risimaging.com.
Contact: Alice Varnadore, Executive Assistant at avarnadore@risimaging.com

South Texas Radiology Group

(San Antonio, Texas)

STRG is a well-established, expanding, independent subspecialty practice of 70+ radiologists serving 15 hospitals, multiple freestanding ED facilities, and a large outpatient imaging practice (STRIC). Both onsite and remote positions are available.

STRG is a forward-thinking practice with a strong and cohesive culture. Multiple AI projects are in place and in progress to improve efficiency and quality. Internal moonlighting opportunities are available.

Shareholder Track:

Flexible associate period as short as 18-months.
Leads to full partnership with board of directors membership.
Equity ownership within a large expanding outpatient imaging practice (STRIC)
Competitive salary with up to $800K starting salary for experienced applicants. Up to $600K starting salary for inexperienced applicants.
Excellent benefits package
Onsite and work-from-home options for daily work and call
Hiring across all specialties, with a current emphasis on Body Imaging and Cardiothoracic/Body

Emergency Radiology Track:

1 week on/1 week off (7/7) and 1 week on/2 weeks off (7/14) positions available
Competitive salary with excellent benefits package available.
Fully remote and onsite options available.

Employee Mammography Position (Onsite):

Competitive base salary with excellent benefits package
No call. No nights or weekends.
Remote opportunities available for general radiology or body imaging work if interested.

Employee Position – All Subspecialties (Onsite, Hybrid, or Remote ):

Competitive base salary with excellent benefits package
5.5 weekends (day shift) per year. No evening or overnight call.

Learn more at https://stric.com/.
Contact: Waynea Finley at wfinley@strg-pa.com

Reno Radiological Associates

(Reno, Nevada)

Serving Northern Nevada since 1947, RRA is a strong, highly subspecialized, democratic, extremely collegial, high-earning group of 25 radiologists working in perhaps the best city in the country for raising a family and enjoying unparalleled access to natural beauty, endless outdoor activities (perhaps the best ski-city in the US), and incredible weather (jokingly referred to as “the cheapest city in California” for its proximity to Lake Tahoe (<30 min), Napa Valley, national parks, and more without the super high cost of living and no state income tax).

Shareholder Track (onsite):

1 year to 75% partner, 2 years to 100%
Top 90+% comp nationally, maximally generous benefits
8/9/10+ weeks of vacation
Remote shifts + opportunities for extra income, $100 buy-in

Employee Track (remote or onsite):

High comp, Maximally generous benefits, opportunities for extra income
Onsite preferred, fully remote night available (8p-3a PST)

Independent Contractor:

Flexible shift options, high compensation

Learn more at http://www.renorad.com/
Contact: CEO Anthony Dispenziere at adispenziere@renorad.com

Vantage Radiology & Diagnostic Services

(Near Seattle, Washington)

~35 subspecialized radiologists practicing near Seattle and enjoying a quality lifestyle focused on work-life balance, located minutes from urban amenities, and with easy access to abundant outdoor activities in the natural beauty of the Pacific Northwest. We’ve provided professional services for two hospitals since 1970 and are co-owners of their affiliated imaging centers.

Competitive salary ($370-570k) with a signing bonus for a 4-day work week and 8 weeks of vacation.
Benefits include a CME allowance, memberships to professional societies, profit-sharing, malpractice and disability insurance, 401K contributions, and a commitment to associate mentorship.
All partners and partner-track associates share in general call responsibilities (many from a practice-provided remote home workstation). Overnight call is covered by our internal nighthawk team.

Openings:

Breast:

Approximately 75% breast imaging and 25% general radiology.
Qualified candidates must be skilled in all breast imaging studies and procedures including screening and diagnostic mammography, ultrasound, MRI, and needle/Savi Scout localization and biopsy.
Participation in weekly breast tumor conference.
No IR requirements

Neuroradiology:

Full-time or 3/4-time partnership-track hybrid position
Neuroradiology daytime shifts. Typical general ER/inpatient evening and weekend call shifts from home.
No breast or IR requirements

Body:

Full-time or 3/4-time partnership-track hybrid position
Caseload consists of a mix of abdominal imaging to include body MRI and multiphase CT as well as general
radiology. Typical general ER/inpatient evening and weekend call shifts from home.
No breast or IR requirements

Learn more at https://www.vrads.com/
Contact: recruiting@vrads.com

Inland Imaging

(Washington, Oregon, Montana)

Inland Imaging is a 120+ radiologist-owned private practice proudly serving multiple outpatient, clinic, and hospital sites throughout the Inland Northwest region. We own and operate one of the first outpatient interventional labs in the West in addition to 7 outpatient imaging centers.

Our practice:

Sub-specialty interpretations available across all locations.
All studies are accessible on a common PACS system, one common voice recognition system, and one common worklist
Internal Nighthawk System providing final interpretations on all ER, STAT, and Inpatient Exams. 24/7 Neuroradiology Coverage and IR Call Coverage.
2-year Partnership Track.
Full-Time Radiologist Average Time Off = 15 weeks with the ability to decrease or increase total time off.
Average after-hours obligations = 9 weekends per year and 22 evening/swing Shifts.
Salary Range – $450,000 – $600,000
Full Benefit Package including health, life, vision, dental, disability, and life.
401k match, profit-sharing contribution, and cash balance plan.
Hybrid Work Options

Current Openings:

Remote overnight ER
Neuroradiology (choice of Spokane, Seattle, Walla Walla, Tri-Cities, or Missoula)
Washington
- Tri-Cities (with $75k signing bonus)
  - Breast
  - Neuro
  - MSK
- Spokane – Pediatrics
- Moses Lake – General/Breast (with $90k signing bonus, $20k relocation benefit, and annual retention bonus)
- Colville – General/Breast
Montana
- Missoula – IR
Oregon
- Pendleton – General/Breast

More information about these positions can be found on our Independent Radiology listing.

Learn more at https://inlandimaging.com/careers
Contact: Sarah Russell, CEO at srussell@inlandimaging.com

Charleston Radiologists

(Charleston, South Carolina)

Charleston Radiologists, PA (CRPA) is a private 18-physician radiology group providing care to Charleston and the surrounding area for over 50 years.

Partnership track:

Open to any fellowship-trained radiologist willing to do a mix of general & subspecialty work
$500K+ starting salary based on experience, followed by
90% of partner salary in year 2
2-year partnership track
Sign-on bonus based on experience
8+ weeks vacation
Nighthawk coverage beginning January 2026
Benefits include health insurance, malpractice insurance, HSA, 401K match, $7,500 CME allowance, relocation stipend (over $78,000 in annual benefits)
On-site daytime coverage. Hybrid evening and weekend call coverage, including the option to read from home.

Employee track:

Fully remote, hybrid, or on-site options
Competitive salary based on experience

Contact: Tonya McGue at tonyamcgue@gmail.com

Grand Traverse Radiologists

(Traverse City, Michigan)

Established in 1938, GTR is a 100% physician-owned and operated private practice in a four-season resort town on the bays of Lake Michigan.

High compensation and 12 weeks vacation
Post-call weekend days off
Internal moonlighting available
Positions/partnerships are on-site, but multiple shifts can be done from home.
Collegial and youthful group with an average age under 40. All partners are equal.
Hiring for growth. Lists are caught up!

Needs: Body, Breast, ER/General, and IR

Learn more at https://www.grandtraverseradiologists.com
Contact: Dr. Anthony Livorine at alivorine@gtradiologists.com

If you’re a group looking to advertise, get in touch. The monthly post here is limited to just a handful of groups at a time, but last year, I launched Independent Radiology as a resource for the broader community, a dedicated private practice radiology job board featuring 140+ groups. If you’re in the market, please also check it out for your job-hunting needs.

In 2025, I shared something like 90 regular posts and 30 asides (clearly, I have not fully embraced the microblog component of the site I added during the 2023 redesign). The total wordcount of all that writing is a bit over 70,000 words (closer to 55,000 excluding blockquotes). So I wrote a book this year. Kinda. Well, it’s something at least.

I also have 65 articles drafted, some of which will definitely never generate photons on any of your devices, but many of which just need polishing and will appear here in 2026. As a reminder, all regular posts find their way to the archive list, and the asides are collected here. Happy New Year!

// 12.31.25

From The World I See, a memoir by the godmother of AI, Dr. Fei-Fei Li:

This, collectively, is the next North Star: reimagining AI from the ground up as a human-centered practice. I don’t see it as a change in the journey’s direction so much as a broadening of its scope. AI must become as committed to humanity as it’s always been to science. It should remain collaborative and deferential in the best academic tradition, but unafraid to confront the real world. Starlight, after all, is manifold. Its white glow, once unraveled, reveals every color that can be seen.

// 12.30.25

What I Read in 2025

12.29.25 // Reading

The annual book list has become a fun tradition for me over the past twelve years as a way to track what I’m reading and my impressions. I am prone to book chugging, so the pausing and recording is a practice I find valuable.

Over the past few years, I’ve also shared some of my highlights and thoughts as dedicated posts throughout the year. If you read posts within the miscellaneous or reading categories of the site, this is one way I’ve been learning in public/showing my work. For those who enjoy such things, several of my takeaways from my 2025 reading will appear in 2026.

This summer, I took on a new role as Program Director for the radiology residency at the Baylor University Medical Center in Dallas, and I got rid of exactly nothing in terms of other commitments, so things remain…busy.

Fooled by Randomness by Nassim Nicholas Taleb
The Science of Storytelling by Will Storr
The Quest for Cosmic Justice by Thomas Sowell
Economic Facts and Fallacies by Thomas Sowell
Social Justice Fallacies by Thomas Sowell (Sowell is an old and often cited conservative economist. I am genuinely surprised it took me this long to ingest any of his work. Regardless of your political leanings, it is very much worth reading).
Alchemy by Rory Sutherland (maybe my favorite book on marketing ever?)
The Inevitable Ruin by Matt Dinniman (I am annoyed that I ever started reading another LitRPG series before it finished its run, though Dungeon Crawler Carl is at this point the only one to transcend nerdom to reach broader culture and is slated for film)
The Lessons of History by Will & Ariel Durant
The Magicians by Lev Grossman (Magicians Trilogy #1; dark, frenetic fantasy, moving the magic school concept into college for a different kind of angst. Overall: really, really good.)
The Silver Arrow by Lev Grossman (Grossman’s middle-grade fantasy book, which I bought for my son, who understandably enjoyed it more than I did)
Nexus by Yuval Noah Harari (a mostly troubling book on the power of information networks: relevant always, especially relevant in the era of social media, serious food for thought in the coming era of AI)
Abundance by Ezra Klein and Derek Thompson (Wouldn’t this be nice! Also, great cover.)
The Magician King by Lev Grossman (The Magicians #2)
The 5 Types of Wealth by Sahil Bloom
The War of the Noobs by Ryan Rimmel (Noobtown #8)
Let’s Explore Diabetes with Owls by David Sedaris (Sedaris is one of the best humorists/essayists alive?)
Antifragile by Nassim Nicholas Taleb (Constantly referenced but not always correctly, finished up Taleb’s Incerto series)
When the Moon Hits Your Eye by John Scalzi (Scalzi writes highly enjoyable, fast-paced sci-fi, including a lot of light-hearted standalone romps. The premise for this one? The moon literally turns into cheese.)
How Not to Invest by Barry Ritholtz (see his take on the forecasting-industrial complex and the narrative fallacy.)
Providence by TurtleMe (The Beginning After the End #11)
From Strength to Strength by Arthur Brooks (a few quotes here; the book is intended for a mid-life crisis, but why wait?)
The Magician’s Land by Lev Grossman (The Magician’s #3, satisfying finale)
The Bear by Andrew Krivak (Spare, beautiful prose)
He Who Fights with Monsters 12 by Travis Deverell
Wild Problems by Russ Roberts (Solid decision-making treatise; my takeaways here)
Don’t Believe Everything You Think by Joseph Nguyen
The Vaster Wilds by Lauren Groff (beautifully written, if sometimes a bit overwrought, with some obvious parallels to The Bear though a bit more heavy-handed.)
Wind and Truth by Brandon Sanderson (Stormlight #5, first arc finale: truly impressive mechanics to make a story of this scope function and build to its climax. But. The X-Men of mental health and pop psychology is frankly a little bit tedious. I appreciate the sentiment that flaws can also be strengths and vice versa, but every character is filling roles that are just way too tidy, like a tick on a big checklist. Also, the number of Cosmere Easter eggs and references is becoming oppressive.)
Finding Ultra by Rich Roll
The Undoing Project by Michael Lewis (Interesting look at the friendship and Nobel Prize-winning work of Kahneman and Tversky; if you somehow haven’t already read it, take the tour of the mind that is Thinking, Fast and Slow and its spiritual sequel, Noise)
Me Talk Pretty One Day by David Sedaris
The Memoirs of Gluckel of Hameln (a 16th-century German-Jewish widow writing for her children, which I’ve shared brief pieces of here and here).
Happy Go Lucky by David Sedaris
The Diamond Age by Neal Stephenson (like Snow Crash depicted the metaverse, the Diamond Age is an interesting exploration of a possible AI/technology age from back in the cyberpunk era of the 1980s)
A Farewell to Arms by Ernest Hemingway (I saw this on the list of books that became public domain this year. Hemingway’s prose style is both lively and spare and has aged better than most.)
Things Become Other Things by Craig Mod. (I’ve been reading Mod’s newsletter for years, a fan from his early days before transient minor celebrity courtesy of the inclusion of some of his atypical/interesting recommendations for travel to Japan in the New York Times’ annual travel list [coincidentally, it seems like everyone is visiting Japan these days]. I do not know him, but his writing is generally so intimate that it creates one of those strange para-social relationships, such that even as a reader across the world, you feel like you do. This is a book about walking across the Kii peninsula (per Mod, the “drooping penis” of Japan) and a memoir about his childhood. It is good. I don’t write any narrative nonfiction like this, but if I did, I’d only hope it would be as affecting.)
Demon Copperhead by Barbara Kingsolver (2023 Pulitzer Prize winner; holy moly, this book is dark. Impressive retelling of Dickens’ David Copperfield reimagined for the opioid crisis in Appalachia.)
Draft no. 4: On the Writing Process by John McPhee (McPhee is, like, really good. His discussion on structure, among other things, is great).
Can I Retire? By Mike Piper, CPA (answer: no)
The Wealth Ladder by Nick Maggiulli (good/useful conception, discussed here)
The Laws of Medicine by Siddhartha Mukherjee (very short book, discussed here)
Deep Future by Pablos Holman (a mostly optimistic look at the need to move from the lucrative but shallow software to deep tech)
On the Shortness of Life by Seneca (My feeling when reading any old philosophy is always how bizarrely timeless it is. There is nothing new under the sun.)
The Sabbath by Abraham Joshua Heschel (Published in 1951 by a Polish-American rabbi. You’d never know English was not his native tongue. The beautiful central argument is that the Sabbath is a cathedral in time instead of space.)
The Glass Hotel by Emily St. John Mandel (probably my least favorite of her books but still excellent; I loved Station Eleven and also really enjoyed Sea of Tranquility)
The Art of Spending Money by Morgan Housel (good sequel to The Psychology of Money)
On the Edge by Nate Silver
The Catcher in the Rye by JD Salinger (My class never read this in high school. I remember one of the other literature classes did and the suggestion that it was relatable. Maybe I’m too old, but Holden is insufferable.)
Consider the Lobster by David Foster Wallace
The Great Gatsby by F. Scott Fitzgerald (Also in the public domain as of a few years ago.)
Scratch: Writers, Money, and the Art of Making a Living, edited by Manjula Martin
The Perks of Being a Wallflower by Stephen Chbosky (Catcher in the Rye meets the 1990s),
Shopkeeping by Peter Miller. (I’ve never been to Miller’s famous bookstore in Seattle, but now I’d really like to. Owning a store seems incredibly difficult, but also, if you had one that had loyal customers and a real neighborhood vibe, maybe super fulfilling?)
The Worlds I See by Dr. Fei-Fei Li (Half history of AI, half American dream memoir of a remarkable scientist and her journey. Some people are just built differently.)
Going Infinite by Michael Lewis (This story about crypto and SBF is just ludicrous from top to bottom.)

Here are the prior years: 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, and 2014.

Treadmill Desks Are So Worth It

12.26.25 // Miscellany, Radiology

I finally got a standing desk, which means I was finally able to try a foldable treadmill under it. I love it.

In early 2024, I started using an under-desk elliptical, and it worked surprisingly well. One downside is that since it is only self-paced, it’s easy to stop.

This fall, I got the WALKINGPAD P1, which is a foldable treadmill I stow behind my door when not in use. It’s reasonably quiet and has served me well for a couple of months so far. If I were to buy one right now, I actually really meant to get the R2, which has a handle that allows for higher speeds and, more importantly to me, also means it’s easier to move and can be stably stored upright. If folding and stowage weren’t important to me, I’ve also heard good things about the Pacerocker, which has a 9-level incline feature to make things harder without increasing your walking speed (though I have no idea if having an incline would make it too hard to concentrate?). I may still upgrade to the R2 at some point.

Prior to purchasing, I had wondered if I’d be able to work while walking. I figured if I couldn’t, I could at least use it for meetings and maybe lighter/passive tasks like email.

The answer is I can definitely work while walking, at least at modest speeds, and I can easily clock 15-20k steps walking intermittently during a workday.

Admittedly, super fine motor control with the mouse is a bit harder, especially at higher walking speeds. It can, for example, be hard to measure lesions if you’re bouncing, so I find myself walking at a slower pace than my natural cadence. But while mouse control is a little harder, typing on the keyboard is surprisingly natural. It also definitely remains much easier to scroll effortlessly with my Contour Shuttle, which uses a finger, than power scrolling with the mouse.

Additionally, while the treadmills are definitely movable, it doesn’t mean they’re the kind of thing that you really want to have to wheel all the way to and from their corner multiple times per day. I find that when I would like to sit, I tend to just fold the treadmill back under the desk into the leg nook and use it as a bit of a footrest or put my feet along its sides. Having a standing desk means that you can adjust the height a bit as needed to keep things comfortable to accommodate those few extra inches. The main downside of sitting in front of the folded treadmill is that the wheels on your chair can easily bump up against it. It’s best to sit slightly back, so having a pull-out keyboard tray (which I do) really helps with positioning. This is the main reason I wish I’d bought the model with the handle, which would make it easier to move around and probably obviate the need to ever do this. If you try it and don’t like sitting at it folded, the answer is probably just to use it in one session per day and move it away when you’re done.

I think standing desks on their own are somewhat overrated. I like standing at work sometimes for variety, but it’s also sorta meh? Unless you like to do a little dancing in place, the data suggest that standing isn’t really magically better than sitting, and there is some data that they’re not great for your lower extremity veins if you clock too many hours. Being sedentary has more to do with not moving than the actual position you’re staying still in.

The opportunity to try work-walking was my main motivation for wanting a standing desk at home in the first place. I’m not a teleradiologist, so I’m not cranking in my pajamas during the workweek as a full-time job, but as a component of my hybrid workweek, the treadmill desk has been awesome.