Radiology Career Guide: On-Site vs. Teleradiology, Salary Trends, Pros & Cons

Radiology is a vital medical specialty that significantly impacts patient care and outcomes.

As a radiologist, you have the unique opportunity to play a critical role in diagnosing and treating patients, contributing to their overall health and well-being.

In this article, we’ll explore the various career paths available in radiology, including permanent and locum tenens opportunities, and the nuances of compensation trends. We will also discuss the implications of the current radiologist shortage, compare on-site and teleradiology roles, and highlight the benefits of pursuing a radiology career. 

Our goal is to provide valuable insights to help you navigate and thrive in this rewarding profession.

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Table of Contents

Radiologist Shortage: Causes and Implications

The Association of American Medical Colleges (AAMC) estimates that by 2034 the shortage of radiologists and other specialists could exceed 35,000. Key factors contributing to this shortage include:

  • An aging workforce: Many radiologists are nearing retirement, with 56% of active radiologists aged 55 and older. As these professionals retire, the demand for new radiologists will increase, widening the coverage gap.
  • Extensive education and training requirements: Becoming a radiologist requires over a decade of education and training, including a five-year residency and often additional fellowship training. This lengthy process deters many candidates.
  • Increased demand for imaging services: An aging population with a higher prevalence of chronic diseases has driven the demand for imaging services. Conditions like cardiovascular disease, cancer, and neurodegenerative disorders require advanced imaging for accurate diagnosis and management.

The shortage of radiologists is a significant issue that can result in longer wait times for imaging services, delayed diagnoses, and an overall decline in the quality of care. This problem is especially severe in rural and underserved areas, where access to specialized healthcare services is already limited.

Efforts to tackle this shortage include expanding radiology residency programs, incorporating more radiology content into medical school curricula, and leveraging teleradiology. These measures aim to increase the number of practicing radiologists and enhance the efficiency of radiological services through technological advancements.

Now, let’s review the differences between on-site radiology and teleradiology.

On-Site vs. Teleradiology Jobs: Benefits and Challenges

Radiologists can choose between on-site roles at healthcare facilities and remote roles through teleradiology, each offering unique benefits and challenges. Understanding these differences can help you make informed career decisions that align with your personal and professional goals.

On-site Radiology Benefits
  • Direct patient interaction: On-site radiologists can interact directly with patients and other healthcare professionals, improving diagnostic accuracy and patient care.
  • Access to advanced equipment: Hospitals and clinics typically have state-of-the-art imaging equipment, enhancing the quality of diagnostic services.
On-site Radiology Challenges
  • Location constraints: Radiologists must live near their workplace, limiting flexibility.
  • Longer hours: On-site radiologists often work longer and more irregular hours, including nights and weekends.
Teleradiology Benefits
  • Flexibility: Teleradiology provides significant flexibility in terms of working hours and location, making it ideal for those seeking a better work-life balance or living in areas lacking nearby healthcare facilities.
  • Accessibility: Teleradiology services can reach underserved areas, helping to address the radiologist shortage in rural regions.
Teleradiology Challenges
  • Technical limitations: Dependence on high-quality internet and advanced telecommunication infrastructure.
  • Isolation: Lack of direct interaction with patients and colleagues can negatively affect job satisfaction.
Work Schedules: Embracing Flexibility and Variety

Radiologists can choose from a variety of work schedules that cater to their preferences and lifestyles, offering flexibility and accommodating diverse professional and personal needs. This flexibility is one of the key benefits of a career in radiology, allowing clinicians to tailor their work commitments to their individual circumstances. Here are some common work schedules available to radiologists:

Traditional Full-Time Schedules
  • Standard work week: Radiologists working full-time in hospitals or clinics most often follow a standard work week, which might include regular office hours from Monday to Friday. This schedule provides stability and predictability, making it easier to plan personal activities and commitments.

 

Part-Time Schedules
  • Reduced hours: Some radiologists choose part-time schedules, allowing them to work fewer hours per week. This option particularly appeals to those balancing professional responsibilities with personal or family obligations. Part-time schedules can range from a few days a week to specific hours each day.

Shift-Based Schedules
  • 7-on/7-off: In this popular arrangement, radiologists work for seven consecutive days, followed by seven days off. This schedule offers a balanced work-life dynamic, providing extended periods off for rest, travel, or personal projects. It’s a common choice in hospital settings and is favored for its predictability and extended downtime.
  • 12-hour shifts: Some radiologists work 12-hour shifts that can occur during the day or night. This schedule often results in fewer working days per month, allowing for longer periods of rest and recovery.

Locum Tenens
  • Flexible assignments: Radiologists working locum tenens take on temporary assignments, varying in duration from a few days to several months. This schedule offers maximum flexibility, enabling radiologists to choose when and where they work. It’s an excellent option for those who enjoy traveling or want to explore different work environments without long-term commitments.

Specialty-Specific Schedules
  • Night shifts and on-call duties: Certain specialties within radiology, such as emergency radiology, may require night shifts or on-call duties. These schedules ensure 24/7 coverage and are essential for timely diagnoses during emergencies. While these shifts can be demanding, they often come with higher compensation and additional time off.

Custom Schedules
  • Tailored arrangements: Some healthcare facilities offer customized schedules to meet the specific needs of their radiologists. These schedules could include flexible start and end times, job-sharing arrangements, or compressed work weeks. They help accommodate individual radiologists’ unique preferences and lifestyle demands.


Overall, the variety of work schedules available in radiology allows professionals to find a balance that suits their personal and professional lives. This flexibility not only enhances job satisfaction but also helps attract diverse individuals to the field, accommodating different stages of career and life.

Compensation in Radiology: Understanding the Pay Scale

According to the US Bureau of Labor Statistics, radiologists are among the highest-paid professionals in America. ZipRecruiter estimates the average annual radiologist salary is $345,000, or $166 an hour. Locum tenens radiologists can earn up to $450 per hour, averaging more than $728,000 annually. 

Several factors affect a radiologist’s pay, including their educational history, employer type, subspecialties, and location. Experienced radiologists can earn higher salaries, especially those in high-demand specialties or regions. Compensation also varies based on whether the radiologist works on-site or through teleradiology.

Can’t decide between permanent and locum tenens radiology?
Read our Guide to Radiologist Salaries in 2024

Top 10 States for Radiologists: Where You Can Earn the Most

StateAnnual SalaryMonthly PayWeekly PayHourly Wage
New York$409,782$34,148$7,880$197.01
Pennsylvania$375,232$31,269$7,216$180.40
New Hampshire$366,923$30,576$7,056$176.41
New Jersey$361,359$30,113$6,949$173.73
Wyoming$357,458$29,788$6,874$171.86
Washington$356,971$29,747$6,864$171.62
Wisconsin$354,413$29,534$6,815$170.39
Massachusetts$354,403$29,533$6,815$170.39
Alaska$353,475$29,456$6,797$169.94
Oregon$350,612$29,217$6,742$168.56

Source: ZipRecruiter

Radiologist compensation remains competitive, with substantial earnings potential in both permanent and locum tenens roles. Hourly rates and annual salaries vary based on experience, location, and work arrangements, ensuring radiologists are well-compensated for their expertise.

Radiology Career Benefits: Stability, Demand, and Lucrative Compensation

Pursuing a career in radiology offers numerous benefits, making it an attractive choice for medical professionals:

  1. High demand and job stability: The increasing need for radiological services, spurred by advances in medical imaging and the rise in chronic diseases, ensures job security.
  2. Lucrative compensation: Radiologists enjoy some of the highest salaries in the medical profession, with the potential for substantial bonuses.
  3. Flexible work options: Opportunities in teleradiology and locum tenens allow for diverse and flexible work arrangements.
  4. Technological advances: Radiologists work with cutting-edge technology, enhancing their skills and staying at the forefront of medical advancements.
Addressing Workforce Challenges

The need for more radiologists poses significant challenges for the healthcare system. It affects patient care, particularly in underserved areas, and increases the workload for existing radiologists, potentially leading to burnout. Addressing these challenges requires a multifaceted approach:

  1. Training programs: Expanding radiology training programs and offering incentives for students to enter the field can help increase the number of practicing radiologists.
  2. Telehealth expansion: Enhancing teleradiology services can alleviate shortages in rural and underserved areas, ensuring timely diagnostic services.
  3. Retention strategies: Improving working conditions, offering competitive salaries, and providing professional development opportunities can help retain radiologists.
Find Your Ideal Role in Radiology

A career in radiology promises job stability, high demand, and lucrative compensation. Although the industry faces workforce challenges, solutions like teleradiology and enhanced training programs ensure radiologists continue to play a crucial role in patient care. Diverse opportunities and flexible work arrangements make radiology an appealing and rewarding career choice for medical professionals considering this field.

At OnCall Solutions, we are dedicated to bridging the gap between healthcare employers and the skilled radiologists they need. Whether you are an experienced radiologist or a medical professional exploring new career opportunities, we are here to support you every step of the way. Reach out to an OnCall recruiter today. 

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