A Strategic Framework to Address Growing Imbalances between Physician Supply and Demand for Radiology: A Review from the International Society for Strategic Studies in Radiology.

Radiology is undergoing a global transformation across its workforce, workplace, and workflows. Imaging demand and examination complexity continue to increase, while workforce growth has lagged. Although these challenges are global, they manifest differently across regions and practice settings. Workforce shortages, burnout, and a weakening academic mission with less emphasis on research and teaching are systemic problems. In response to growing workloads, digital technologies, including artificial intelligence, have been introduced to increase capacity. Although these tools have the potential to improve efficiency, quality, and education, their effect on radiologist productivity has been mixed. Practice models such as teleradiology and hybrid work offer more flexibility for radiologists and have improved access to imaging services, especially in rural and underserved regions. However, remote work can lead to isolation, as well as lack of collaboration and exchange of ideas, which may contribute to burnout. In addition, declining reimbursement, rising costs, and growing unreimbursed noninterpretive tasks put a strain on the radiology workforce. This review from the International Society for Strategic Studies in Radiology (IS3R) examines international experiences on the challenges affecting the global workforce capacity, imaging demand, workplace, work design, and the work environment for radiology, and offers potential solutions.