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Clinical and Medical · Mid level

Radiologist job description

A Radiologist interprets medical images and reports what they show: X-rays, ultrasound, CT, MRI and mammograms. They protocol scans so the right images are taken, report urgent cases fast, perform image-guided biopsies and drainages, and advise clinicians on the next best test. Many radiologists also report remotely through PACS. A good radiologist gives accurate, clear reports within the agreed time, calls critical findings immediately and keeps radiation doses as low as the diagnosis allows.

DetailFor this role
DepartmentClinical and Medical
LevelMid level
Reports toHead of Department (Clinical)
Direct reportsCT Technician, MRI Technician, X-Ray Technician
Experience2 to 6 years after MD in hospital or diagnostic centre radiology

Radiologist job description template

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Job title: Radiologist

Department: Clinical and Medical

Reports to: Head of Department (Clinical)

Location: [City], [office, branch or site]

About the role

A Radiologist interprets medical images and reports what they show: X-rays, ultrasound, CT, MRI and mammograms. They protocol scans so the right images are taken, report urgent cases fast, perform image-guided biopsies and drainages, and advise clinicians on the next best test. Many radiologists also report remotely through PACS. A good radiologist gives accurate, clear reports within the agreed time, calls critical findings immediately and keeps radiation doses as low as the diagnosis allows.

Key responsibilities

  • Protocol CT and MRI requests, choosing sequences, contrast and coverage that answer the clinical question.
  • Report X-rays, ultrasound, CT and MRI studies with clear findings, impression and recommendations.
  • Report emergency scans such as trauma and stroke head CT and acute abdomen CT within the agreed turnaround.
  • Phone critical findings such as brain bleed, pneumothorax or bowel perforation to the treating doctor and document the call.
  • Perform ultrasound, Doppler and mammography, comparing with previous imaging wherever available.
  • Perform image-guided biopsies, FNACs, drainages and nephrostomies under ultrasound or CT guidance.
  • Supervise contrast safety by screening kidney function and allergies, and treat contrast reactions.
  • Follow radiation protection practice with technicians, including dose optimisation, lead shielding and dosimeter use.
  • Present imaging findings and staging at tumour boards and clinical meetings.
  • Review discrepancies and missed findings at the department's peer review meeting and apply the lessons.

Requirements

  • MD or DNB in Radiodiagnosis, or DMRD
  • Valid registration with the National Medical Commission or a State Medical Council
  • Fellowship in neuro, body, musculoskeletal or interventional radiology is an advantage
  • 2 to 6 years after MD in hospital or diagnostic centre radiology

KRAs and KPIs for a Radiologist

Key result areas for the appraisal form, each with a KPI you can measure every month or quarter.

Key result areaHow to measure it
Emergency turnaroundEmergency CT reports within 60 minutes of scan completion for 95 percent of cases
Routine turnaroundRoutine CT and MRI reports within 24 hours for 95 percent of studies
Critical findings100 percent of critical findings called within 30 minutes and documented
Reporting accuracySignificant discrepancies below 2 percent of peer-reviewed reports
Contrast safetyKidney function and allergy screening documented before 100 percent of contrast studies
Procedure safetyMajor complications below 1 percent of image-guided procedures

Skills and tools

CT and MRI reportingUltrasound and DopplerMammographyImage-guided interventionsEmergency imagingContrast reaction managementRadiation protectionConcise report writingFocus over long reporting sessions

Tools used day to day: PACS and reporting workstation, CT scanner, MRI scanner, Ultrasound and Doppler machine, Mammography unit, Voice recognition dictation, Personal dosimeter.

Reporting line and career path

Head of Department(Clinical)RadiologistCT TechnicianMRI TechnicianX-Ray Technician

Interview questions for a Radiologist

  1. A trauma head CT arrives at 3 am while 20 routine scans are waiting. How do you prioritise?
  2. How do you word a report when you find a small lung nodule by chance?
  3. A patient becomes breathless right after contrast injection. What do you do?
  4. You notice a finding missed on a colleague's earlier report. What do you do?
  5. How do you choose between CT and MRI for low back pain with leg weakness?
  6. How do you keep radiation doses low when scanning children?

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Frequently asked questions

What does a radiologist do?

A radiologist is a doctor who interprets medical images such as X-rays, ultrasound, CT, MRI and mammograms, and writes reports that guide treatment. They decide how scans should be done, report emergencies quickly, call critical findings to doctors, and perform image-guided biopsies and drainages.

What is the difference between a radiologist and a radiographer?

A radiologist is a doctor with an MD, DNB or DMRD in radiodiagnosis who interprets scans and performs image-guided procedures. A radiographer or imaging technician holds a diploma or degree in medical imaging technology and operates the X-ray, CT and MRI machines to take images safely.

What is the difference between a radiologist and a sonologist?

A radiologist is trained in all imaging, including X-ray, CT, MRI and ultrasound, through a postgraduate degree in radiodiagnosis. A sonologist performs and reports ultrasound only, and may be an MBBS doctor with recognised ultrasound training or a specialist such as a gynaecologist doing pregnancy scans.