Post-match fourth-year medical students: I cannot stress enough how important it is to build a foundation in personal finance and make a student loan plan. I wrote this book just for you, and every word is available online ad-free. Now is the time.

@SPuro88 Discussed at length in the article but not the tweet.

@btq96r Prob not enough hunger to keep every group alive. More consolidation coming. Though attitudes may change. I don't think the mindset is generational or a one-way street. It's a reflection of recent history (e.g. PE, consolidation) and uncertainty (e.g. regulation, industry, AI).

@PraveenRangana9 1) Not forever, I don't think it's sustainable. There will be a change, though how the specialty lands is up for debate. Lots of unknowns, and even I wouldn't weigh my predictions that highly. 2) Yes, the alternative is universal employment, which will almost certainly suck.

Added a listicle this week of miscellaneous advice for learning radiology to my previous series:

There was a story this past summer that I didn't write about on the blog: a completely new group formed to take back work from a reportedly unsatisfying private equity practice:

Independent Radiology crested the 110+ group mark over the weekend spanning 43 states.

@jocmy85 In bankruptcies, the equity/stockholders eat last. In that situation, by far the most likely scenario is that most if not all the RP-stock is just worth $0.

@jocmy85 If RP were to go bankrupt, its new owner would probably own these practices after restructuring & business would continue as usual. If the gov were to get involved, potentially different story but prob just fines if history is an indicator (which would hasten said bankruptcy).

One of those Doximity digest emails reminded me that it was exactly one year ago that I first wrote about job boards in radiology. This is what first got me thinking about doing something different with Independent Radiology (and the monthly jobs post).

One imagines Aetna has learned from recent events and likes its chances.

Radiology consolidation by the numbers, via AJR: "Between 2014 and 2023, the number of radiology practices decreased by over 17%, while the number of practices with 25-49, 50-99, and 100 or more radiologists grew by 33%, 126%, and 349%, respectively."

@vedantacharya20 Lots of reasons for its struggles. But I suspect servicing $1.7 billion in debt before its bankruptcy and $800 million after is a lot to ask of most retail businesses.

His essay: I'm not sure he's right, but I will admit it's hard not to think of the spaceship humans in Wall-E sometimes.