Nucs or MSK for fellowship

[blandsand]

R2 trying to decide what to do for fellowship. At this point I think I've narrowed it down to nucs or MSK. I find nucs more interesting but MSK will probably make me more well-rounded since I've been told not everyone is comfortable with MSK MR. I don't mind reading outside my specialty as I'll likely end up in private practice. I've contemplated doing both (via the 16-month NM/DR dual certification where most of R4 year is nucs, then MSK fellowship afterwards), but don't know if that cuts too much into body/chest/neuro/mammo training if I'm expected to read general.

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[maxxor]

R2 trying to decide what to do for fellowship. At this point I think I've narrowed it down to nucs or MSK. I find nucs more interesting but MSK will probably make me more well-rounded since I've been told not everyone is comfortable with MSK MR. I don't mind reading outside my specialty as I'll likely end up in private practice. I've contemplated doing both (via the 16-month NM/DR dual certification where most of R4 year is nucs, then MSK fellowship afterwards), but don't know if that cuts too much into body/chest/neuro/mammo training if I'm expected to read general.

I did this combo. I would recommend.

Chest you will be fine

Body…you won’t be doing rectal or prostate mr. But the rest you may or may not know how to read.

Breast: I gave that up willingly
High end neuro: gave that up willingly.

 

[blandsand]

I did this combo. I would recommend.

Chest you will be fine

Body…you won’t be doing rectal or prostate mr. But the rest you may or may not know how to read.

Breast: I gave that up willingly
High end neuro: gave that up willingly.

How much non-nucs/MSK do you have to read? What advantages did you get out of dual specializing rather than one?

 

[maxxor]

How much non-nucs/MSK do you have to read? What advantages did you get out of dual specializing rather than one?

I mean I’m academic these days and do either MSK or Nucs but will moonlight in abdominal / chest.

When I was in PP, I did about 40% MSK, 40% nucs, 20% general/er/call.

The future of radiology is multi specialty. The days of being a really good generalist and having a sort of specialty are changing as groups get bigger and referring demands for “sub specialized” interpretations increase. The bigger groups (read 75+ rads) are trending to subspecialization.

The advantage is personal interest and flexibility. I can cover either section and avoid pigeonholing that sometimes happens with doing only 1 specialty.

 

[blandsand]

I mean I’m academic these days and do either MSK or Nucs but will moonlight in abdominal / chest.

When I was in PP, I did about 40% MSK, 40% nucs, 20% general/er/call.

The future of radiology is multi specialty. The days of being a really good generalist and having a sort of specialty are changing as groups get bigger and referring demands for “sub specialized” interpretations increase. The bigger groups (read 75+ rads) are trending to subspecialization.

The advantage is personal interest and flexibility. I can cover either section and avoid pigeonholing that sometimes happens with doing only 1 specialty.

Thanks for your insight. Out of curiosity how long were you in PP and what prompted the transition to academics?

 

[maxxor]

Thanks for your insight. Out of curiosity how long were you in PP and what prompted the transition to academics?

I was in PP for a couple years. Then the boomers sold to private equity. I didn't want to sign with them and subject myself to the noncompete (5 miles from every site I read for, which would lock me out of the state as they had imaging centers in every major city/town).

The other PP jobs in my metro legit suck and are VERY long partnership tracks (4 years) which I didn't want to get screwed by again. I went local academic first, then am now remote academic for another place.

Yes, in 2023, in my non-coastal, non-hip metro area (50 mile radius from the city), the crazy boomer practices are still lockstep with 4 year tracks. It's ridiculous. So I opted out and went remote.

 

[GadRads]

I was in PP for a couple years. Then the boomers sold to private equity. I didn't want to sign with them and subject myself to the noncompete (5 miles from every site I read for, which would lock me out of the state as they had imaging centers in every major city/town).

The other PP jobs in my metro legit suck and are VERY long partnership tracks (4 years) which I didn't want to get screwed by again. I went local academic first, then am now remote academic for another place.

Yes, in 2023, in my non-coastal, non-hip metro area (50 mile radius from the city), the crazy boomer practices are still lockstep with 4 year tracks. It's ridiculous. So I opted out and went remote.

Boomers have a low threshold of screwing over the next generation of physicians for some extra cash.