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Record W4408151289 · doi:10.1148/radiol.232625

The Growing Nationwide Radiologist Shortage: Current Opportunities and Ongoing Challenges for International Medical Graduate Radiologists

2025· review· en· W4408151289 on OpenAlex
Sohrab Afshari Mirak, Sree Harsha Tirumani, Nikhil H. Ramaiya, Inas Mohamed

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueRadiology · 2025
Typereview
Languageen
FieldMedicine
TopicRadiology practices and education
Canadian institutionsnot available
FundersNational Cancer Institute
KeywordsMedicineEconomic shortageWorkforceRadiologyBridge (graph theory)Medical physicsGraduate medical educationInterventional radiologyResource (disambiguation)Medical educationSurgeryAccreditationGovernment (linguistics)

Abstract

fetched live from OpenAlex

The United States is facing shortages in a myriad of medical fields, including diagnostic radiology (DR). The increasing number of imaging studies, owing to advancing technology and an aging population, is outgrowing the capacity of radiologists. However, there have not been effective long-term solutions to manage this issue, which could have a looming effect on patient care and radiology residents' education. The alternate pathway introduced by the American Board of Radiology (ABR) allows international medical graduates (IMGs) who have completed DR residency outside the U.S. and Canada to be eligible for board certification after 4 additional years of training in the U.S. This eligibility requirement can be met by a combination of fellowships, up to 3 years of residency, and/or faculty appointments at the same time. The criteria were updated in 2022, facilitating the certification process for applicants. The changes included completing the 4 years of training within 8 years instead of the preapproved 4 consecutive years, omitting the obligatory 4 months of nuclear radiology training, and the ability to retrospectively include 2 years of training before the date of application. Considering the lack of reliable, up-to-date data in the literature and to highlight the importance of this pathway for the radiology community, this special report discusses the contribution of IMGs to the different aspects of the health care system in the U.S., with a focus on DR, as well as the newly updated alternate pathway criteria. Potential critical logistic challenges the IMG applicants may face are reviewed. Finally, the report proposes actions that could facilitate the ABR certification process and help integrate these highly qualified IMG radiologists into the American health care system.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.011
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.982
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.011
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.319
GPT teacher head0.469
Teacher spread0.150 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it