(Private Practice) Day to Day life in your specialty?

[happyatethem]

Trying to get a sense of what the individual specialties look like on the outside. I know everyone reads bread and butter across specialties but curious to know what a subspecialist reads in private practice. Specific questions would be:

1. Any obvious differences to workflow and variety of imaging you read vs what you did in training?
2. What studies are your highest RVU compared to effort?
3. What studies are you saddled with that no one else reads and how does this get distributed amongst rads in your subspecialty?
4. Favorite studies to read and why?
5. What do other services/physicians call and ask you about? (Trying to ask what value you think you best provide and whether it is meaningful to you).
6. How many RVU's do you read? What standard are you held to annually?
7. What procedures do you do, and how did you learn procedures that you weren't trained for but had to pick up due to practice need?
8. If there were new technologies or scans that have come up after your training, how did you master them? Was it mostly via conferences?
9. What does mentorship/camraderie look like in your field? To what extent does it matter?
10. What does ownership of your labor mean to you? Is it actually any better than being employed or just different?
11. How risky is your specialty in terms of getting sued?
12. (Highly interested in hearing from people in states without malpractice caps) What happens if you get sued beyond your coverage?
13. What are your recommended asset protection strategies?
14. How does a practice grow? Is it just covering more hospitals or expanding specialty specific studies offered to your population catchment?
15. Do you still enjoy it? Have you mastered your craft, and if so, how long did it take?

Appreciate it if anyone could take the time to answer. Personal communication would be fine too.

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[Tiger100]

Too many questions to answer.

Not a whole lot difference amount different subspecialties except for IR.
In the community, DR is not very different from academics. But IR is very different. IR in the community is usually low end procedures with very few high end procedures a few times a months.
RVU doesn't matter that much since there is always redistribution of income.
Most risky specialty for lawsuit is mammo by a huge margin.
Private practice is boring for the most part.
ER calls a alot. PAs and NPs call a lot. Oncology, hospitalist and general surgery come next. Orthopods and neurosurgeons barely call.
Talk to an asset protection attorney. It is very different in different states.
Takes 5-7 years to become a very competent radiologist. 30-40% never get to that point.