Enterprise Imaging Podcast Radiology

Flight Path Ep. 2: Jessica Bordeaux on working every seat in imaging and protecting capacity

Mike Moore September 8, 2026

Flight Path Ep. 2: Jessica Bordeaux on working every seat in imaging and protecting capacity

Jessica Bordeaux, MBA, RT(R)(M)(MR), Chief Executive Officer, Raleigh Radiology. Hosted by Mike Moore. Runtime 28:30.

 

 

Episode summary

The radiologist shortage is a capacity problem, not a hiring problem. That is the reframe at the centre of this conversation, and it comes from someone who has stood in almost every part of imaging: Jessica Bordeaux started as an X-ray, mammography and MRI technologist, moved to the IT side as a PACS administrator at the VA, spent time on the vendor side, and came back to Raleigh Radiology to rise through operations into the CEO seat.

Her argument is that you cannot recruit your way out of the gap fast enough, so the useful question changes. Not how many radiologists can we add, but how many studies move through the practice safely, and how quickly the read gets back to the patient. She walks through the levers her team pulls to protect that capacity — and the discipline of measuring whether any of them actually worked.

In this episode

  • Why Jessica reframes the radiologist shortage as a capacity problem
  • The forces pushing imaging volume up, from outpatient care to an aging population to order sets that default to imaging
  • Three levers for protecting a radiologist's time, and why measurement comes after every one
  • How technology has become central to recruiting and retaining radiologists
  • What a career across the tech, IT, vendor and executive seats teaches you about the whole system

Chapters

  • 00:00 — Welcome to Flight Path
  • 00:39 — What pulled her into imaging
  • 03:59 — From the modalities to PACS IT
  • 05:07 — Business school and the why
  • 07:31 — A tour on the vendor side
  • 10:40 — The CEO seat at Raleigh
  • 13:17 — Priorities amid the shortage
  • 16:05 — Why imaging volume keeps climbing
  • 19:13 — Cutting the radiologist's admin burden
  • 21:48 — Competing for talent
  • 27:34 — The next three years

Three moments worth the timestamp

19:13 — The busywork is the capacity. When a radiologist dictates the body of an exam, the impression is often the top findings repeated. Automating it gave her team back between fifteen and twenty percent of a radiologist's time — Raleigh Radiology's own measure of its own practice.

21:48 — "If your technology doesn't work, you're no longer relevant." A line from a recent conference that stuck with her. Salary alone stopped winning radiologists a while ago.

27:34 — The next three years decide it. With the shortage expected to intensify before it eases, the practices treating capacity as the problem now are the ones that will still be saying yes to their communities later.

About the guest

Jessica Bordeaux, MBA, RT(R)(M)(MR), is the Chief Executive Officer of Raleigh Radiology. She holds an MBA, is a registered technologist in radiography, mammography and MRI, and is completing a doctorate in business administration. Before her operations and executive roles she worked as an imaging technologist, a PACS administrator at the VA, and on the vendor side of the industry.

Raleigh Radiology is an independent, physician-owned practice that runs 11 imaging centers and partners with 10 hospitals across three states, reading roughly 1.5 million studies a year with more than 40 radiologists.

Read the companion piece

Radiology's capacity problem, and the levers that actually move it — the three levers in detail, plus three questions for working out whether your own capacity plan is really a hiring plan in disguise.

About Flight Path

Flight Path is Mach7's show about where healthcare imaging is going and the people helping it get there, hosted by Mike Moore. New episodes every other Tuesday.

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