C. Douglas Maynard, M.D.

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C. Douglas Maynard, M.D.

  1. 1. C. Douglas Maynard, M.D. Professor of Radiology Wake Forest University School of Medicine Winston-Salem, N.C. Financing Radiology Fellowship Programs ACR Resident Physicians Section 78th Annual Meeting of ACR San Francisco, California September 8-12, 2001
  2. 2. ACGME*-Approved FellowshipsACGME*-Approved Fellowships (One Year Duration)(One Year Duration) Nuclear Radiology Pediatric Radiology Vascular-interventional Radiology Neuroradiology Musculoskeletal Radiology Abdominal Imaging *Accreditation Council on Graduate Medical Education
  3. 3. Non-ACGME-Approved FellowshipsNon-ACGME-Approved Fellowships Thoracic Radiology Magnetic Resonance Imaging Cardiac Imaging Computed Tomography Women’s Imaging Cross-sectional Imaging Mammography Research Ultrasound
  4. 4. Sources of FundingSources of Funding ACGME-Approved Programs Center for Medicare/Medicaid Services (previously HCFA*) Departmental Funds (clinical revenues) Hospital’s Funds Private Practice Support Other (Military, VA, etc.) *Health Care Financing Administration
  5. 5. Sources of FundingSources of Funding Non-ACGME Programs Departmental Funds (clinical revenues) Hospital’s Funds NIH Research Fellowships Society Fellowships (RSNA, ARRS, ASNR, ACR) Private Practice Support Other
  6. 6. Future ConcernsFuture Concerns Capping of funds by government inhibits growth of residency/fellowship positions. Tight departmental budgets may cause decrease in support of fellowships. Hospital’s decreasing revenues may result in less support for GME.
  7. 7. Possible SolutionsPossible 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
  8. 8. Possible SolutionsPossible Solutions Organized Support by Private Practice Radiology (Messinger’s 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.)
  9. 9. Solutions Will Be Found . Radiology Training Will Continue to Flourish. My Prediction NOTHING CAN HOLD A GREAT SPECIALTY BACK!
  10. 10. Questions/Answers/Comments

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