I’ll be honest, I had no plans to go into teleradiology straight from residency. However, I fell into it because economic conditions meant choices were slim as I started my career in 2014.

Steve Jobs once famously said that you have to start with the customer experience and work backwards to the technology. I am a strong believer in this mantra as it serves imaging providers very well when we think of our radiologists as our “internal customers.” How can we create a better work experience? Where can we remove annoyances, eliminate distractions, or improve efficiency?  

Practicing in teleradiology is amazing, or it’s your worst nightmare.

How do I know? Because I’ve been in two telerad positions that couldn’t have been more different.

For 20 years, my radiology practice was a large part of my life and my identity.

I was a solo practitioner at a small community hospital in Kansas. It was a lot of work, but I adored the people I worked with and I took pride in being the one to serve friends, family, and other familiar faces from my small-town neighborhood.

As the chief of surgery specializing in breast care, I’ve seen firsthand the negative impact the national physician shortage can have on women’s health—especially in underserved communities. At my community hospital, it’s hard for us to bring in a new doctor, a new nurse, anyone at all. There is just such a shortage of talent right now.

With the amount of volatility and uncertainty in the U.S. economy, it’s no surprise that even radiologists, who are used to being in high demand, are starting to wonder: How would a recession affect my current employment?

When you’re a radiologist, your work isn’t just what you do—it’s who you are. The career is all-consuming; if you follow a traditional path in private practice, you simply have to come to terms with the fact that you’ll devote your life to it—and for nine years, I did.

The pandemic delayed breast care for many women. We all know, however, that you can’t put cancer on hold. Combine that with the intensifying shortage of radiologists in this country and we’re seeing more and more patients who desperately need care.