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A brave new, but frightening world

Indian Journal of Radiology and Imaging
Medknow Publications
Publication Date
DOI: 10.4103/0971-3026.76042
  • Editorial
  • Communication
  • Ecology
  • Medicine
  • Political Science


Last month’s editorial[1] kicked up quite a storm. Two readers’ responses have been published as Letters in this issue,[23] while a few more, will be published in the May 2011 issue. The world has changed. It no longer follows the simpler, linear trajectory that our senior radiologists were used to. Enter medical college, pass out, join radiology, pass out, join a hospital or start a practice with an X-ray machine (ultrasound came a little later), provide good service, earn a decent living, make friends and colleagues, attend conferences and then retire or die with your boots on. The coming of ultrasound in the 1980s changed things a bit, because now there was a slightly larger investment to be made. However, this technology was still affordable; there was no PNDT (Pre-Natal Sex Determination Act) and there was no competition from gynecologists, vascular surgeons, urologists and “whoever else thinks it’s easy to wear a transducer” physician. Things started changing the 1990s, when individual radiologists turned entrepreneurs and started installing their own CT scanners and MRIs. What was once the domain of large hospitals, soon became a field that was taken over by enterprising private radiologists. With the investments rising and the stakes becoming higher, it became necessary to understand financial issues, debt, equity, depreciation, return on investment (ROI), internal rate of return (IRR), return on capital employed (ROCE) and similar other terms. Negotiations that were once only with equipment vendors, spilt over to bankers, venture capitalists, angel investors, private equity firms, third party lease operators and the like. In the early 2000s, once access to capital became easy and the younger radiologists saw that it wasn’t difficult to start their own high-end imaging centers, competition grew as well. This has led to radiologists learning about innovate marketing, sales strategies, public relations (PR) campaigns, web-based eyeball grabbing, footfall evaluation, customer relationshi

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