This disbalance raises the question whether quota should be imposed to prevent unnecessary training in some subspecialties and to train sufficient residents in others. This study, which included 157 vacancies for medical specialists in radiology or NM that were published on the websites of the Dutch radiology and NM societies between December 2020 and February 2022, shows that in more than half of job postings either all-round radiologists, ABDOM radiologists, or INT radiologists were requested while the other four radiology subspecialties together with NM comprised the minority. This new curriculum could affect the employability and thus the job opportunities of new (nuclear) radiologists. Based on this change in the way residents are trained, some departments of radiology and NM in the Netherlands have decided to merge. The first (nuclear) radiologists who were enrolled in this new curriculum graduated in 2019. A major change compared to previous curricula is that the residents who finish the NM pathway are called nuclear radiologists. There are seven radiology subspecialties, i.e., abdominal (ABDOM), breast, cardiothoracic (CTH), interventional (INT), musculoskeletal (MSK), neuro- head and neck (NHN), and pediatric radiology (PED), and one specialty dedicated to NM. In this new Dutch curriculum, a resident has to choose at least one (sub)specialty and a maximum of two subspecialties. Residents who complete this integrated training can be deployed for radiology as well as NM, depending on the (sub) specialty they chose during the training. The Netherlands has been a frontrunner with this integrated training while in other European countries separate residencies for radiology and NM (with some attention to radiology) still exist. In the Netherlands, another factor to take into account regarding the job market is the relatively recent revision of the previously separate NM and radiology training curricula that have been combined into one integrated training in 2014. There were non-significant trends for non-academic hospitals more frequently requesting teaching tasks in their vacancies ( n =18) than academic hospitals ( n = 1) ( p = 0.051), and for non-academic hospitals more frequently asking for management skills ( n = 11) than academic hospitals ( n = 0) ( p = 0.075). Non-academic hospitals also significantly more frequently requested additional research tasks in their vacancies ( n = 35) compared to academic hospitals ( n = 4) ( p = 0.011). Non-academic hospitals significantly more frequently requested all-round radiologists ( n = 31) than academic hospitals ( n = 1) ( p = 0.001), while the distribution of other requested subspecialties was not significantly different between non-academic and academic vacancies. The most sought-after subspecialties were all-round (22%), abdominal (19%), and interventional radiology (14%), and 30% of vacancies preferred applicants with additional non-clinical skills (research, teaching, management, information and communications technology (ICT)/artificial intelligence (AI)). A total of 157 vacancies (146 for radiologist and 11 for nuclear medicine physicians) were included.
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