LAUSR

There is a growing demand for subspecialty training in radiology, as demonstrated by the 46.0%/67.9% (Australia/New Zealand) of radiologists and 55.9% of new fellows who have previously or are currently undertaking subspecialty fellowship training beyond attainment of Fellowship of the Royal Australian and New Zealand College of Radiologists (FRANZCR). The clinical radiologist plays a key role in patient care and multidisciplinary discussions and access to accredited subspecialty training is of utmost importance to remain at the peak of current knowledge and beyond. Having said that, however, a trainee cannot train forever. Such is the complexity of modern radiology work that it is unfeasible to attain and maintain subspecialist level knowledge in all areas, and unreasonable to continuously add further training years beyond attainment of FRANZCR. In addition to this, there are currently fewer overall training years after medical school graduation required for areas including nuclear medicine and cardiac imaging via the Royal Australasian College of Physicians (RACP) training pathways than RANZCR. Furthermore, several areas of radiology practice have become microcredentialled after strong influence from nonradiologists, including cardiac CT and colonography, as well as a recent near-miss with prostate MRI. Moving forward, it is essential for the radiology community to govern and credential our own subspecialty training. The longer we delay this body of work, the higher the risk it will be done by practitioners external to us, without our best interests foremost.