“…Consistent with methods used in earlier investigations [21,22], years of practice since training was estimated for each radiologist by calculating the number of years since graduating medical school less the typical 6-year internship through fellowship training period. Next, following an approach validated in both academic and private practices [23,24] and used in recent studies [3,6,21,25,26], we used CMS POSPUF to classify radiologists as generalists or subspecialists. This approach classifies radiologists as subspecialists if greater than 50% of their reported work relative value units are clinical services associated with a specific subspecialty [23,24].…”