Ep. 575 Physician Employment Models: Exploring Benefits & Challenges with Dr. Ryan Trojan

Could hospital employment be your path to practicing 100% interventional radiology (IR)? In this episode of BackTable, host Dr. Ally Baheti sits down with Dr. Ryan Trojan, an interventional radiologist at INTEGRIS Health in Oklahoma City, to discuss the pros and cons of hospital employment contracts in IR.
---
This podcast is supported by:
Medtronic Emprint
https://www.medtronic.com/emprint
---
SYNPOSIS
The physicians take a deep dive into the evolving employment models in the IR landscape. Dr. Trojan shares his journey from a private IR-DR blended practice to becoming directly employed by a hospital, highlighting the financial challenges, contract negotiations, and administrative dynamics along the way. He explains the growing loss of IR talent to lucrative diagnostic contracts and emphasizes the importance of advocating for IR’s value to hospital systems, from decreasing length of stay to supporting ECMO, trauma, and transplant services. The discussion covers financial security, administrative support, and the benefits of having aligned goals with the hospital in order to grow an IR practice. Dr. Trojan also addresses common misconceptions about IR and private practice, detailing how the landscape is likely to change over the coming years, and offers advice on navigating employment contracts.
---
TIMESTAMPS
00:00 - Introduction
03:02 - Transition to Hospital Employment
12:15 - Advocating for IR’s Value
16:07 - Contract Structures and Compensation Models
25:07 - Benefits and Downsides of the Employed Model
28:27 - Negotiating Contracts and Fair Market Value
41:12 - Conclusion
---
RESOURCES
Dr. Trojan’s contact information:
ryan.trojan@integrishealth.org