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Objective:
This study aims to study current radiology subspecialty hiring and employment trends.

Materials and Methods:
American College of Radiology (ACR) members, nonmembers, and Radiology Business Management Association (RBMA) members were surveyed using predominantly structured closed-end questions about a variety of current and recent radiology practice characteristics, consistent with earlier surveys. The sample drew from ACR members (30,440) and nonmembers (13,015) and RBMA members (1,736). Responses were group practice deduplicated and weighted and compared to 2021. Fully qualified respondents were defined as employed either part-time or full-time, and self-reported that they had at least some input into hiring decisions made at the practice-level. Partially qualified respondents were defined as employed radiologists who self-reported that they had no input into decision-making at the practice-level.

Results:
There were 1815 fully or partially qualified survey respondents. In 2022, 63% of decision makers (fully qualified) indicated that their practices hired radiologists with the average practice hiring two radiologists. Most radiologists (76%) were hired for full-time positions. Body imaging and neuroradiology represented the largest numbers of hired radiologists (.72 and .53, respectively). Fully qualified respondents indicated that the specialties they would prioritize hiring in 2023 were breast (44%) and body (41%) imaging. Significantly more radiologists moved to a different job in 2022 compared to 2021 (mean 1.34 radiologists per practice in 2022 from 0.87 in 2021, <em>p</em> = 0.0028). Significantly more radiologists went from full-time to part-time employment in 2022 compared to 2021 (mean 0.87 radiologists per practice in 2022 from 0.64 in 2021, <em>p</em> = 0.0196). Practices hired significantly more part-time radiologists in 2022 compared to 2021 (mean 0.48 radiologists per practice in 2022 from 0.30 in 2021, <em>p</em> = 0.0203). Of currently employed radiologists, 7% plan to seek new employment in the next year, not significantly different from 2021.

Conclusion:
Radiologist recruiting remains robust with similar actual and projected hiring compared to the past year. Radiologist movement to different jobs increased in 2022 compared to 2021. In addition, significantly more radiologists went from full-time to part-time, and practices hired significantly more part-time radiologists in 2022 compared to 2021. Current information on practice needs and radiologists’ employment plans may help inform radiology practice leaders seeking to optimize group size.