As of September 2024, there were a total of 566,404 specialty physicians active in the United States. Of these, most were specialized in emergency medicine. Physician compensation Significant pay variations exist across specialties and regions, with orthopedic doctors and surgeons command the highest average annual salaries at 558,000 U.S. dollars. Meanwhile, the West North Central area offers the highest average physician compensation at 404,000 U.S. dollars annually. This region's higher pay likely stems from lower physician density in rural areas, creating less competition. Interestingly, doctors in Northeastern and Southwestern parts of the United States tend to earn less than their counterparts in other regions. Burnout among physicians Despite high salaries, U.S. physicians face high workload and stress in the workplace. Nearly half of surveyed doctors reported feeling burnout, with higher burnout rates among female doctors, younger physicians, and those in primary care compared to their counterparts. More effort to combat burnout is needed in the healthcare system. Increasing compensation was cited by physicians as the top measure to alleviate burnout, followed by adding support staff and offering more flexible schedules.

Thyroid ultrasound (US) is a key examination for the management of thyroid nodules. Thyroid US is easily accessible, noninvasive, and cost-effective, and is a mandatory step in the workup of thyroid nodules. The main disadvantage of the method is that it is operator dependent. Thyroid US assessment of the risk of malignancy is crucial in patients with nodules, in order to select those who should have a fine needle aspiration (FNA) biopsy performed. Due to the pivotal role of thyroid US in the management of patients with nodules, the European Thyroid Association convened a panel of international experts to set up European guidelines on US risk stratification of thyroid nodules. Based on a review of the literature and on the American Association of Clinical Endocrinologists, American Thyroid Association, and Korean guidelines, the panel created the novel European Thyroid Imaging and Reporting Data System, called EU-TIRADS. This comprises a thyroid US lexicon; a standardized report; definitions of benign and low-, intermediate-, and high-risk nodules, with the estimated risks of malignancy in each category; and indications for FNA. Illustrated by numerous US images, the EU-TIRADS aims to serve physicians in their clinical practice, to enhance the interobserver reproducibility of descriptions, and to simplify communication of the results.