ACR Bulletin August 2019

Demystifying Policymaking

The transparent manner in which the ACR makes policy distinguishes it from other radiology professional societies.

August Images 4 web10.jpgChristoph Wald, MD, PhD, FACR, chair of Reference Committee II for ACR 2019, presides over an opening hearing at the Council session

A representative body of 373 individuals elected or selected by ACR chapters and other organizations, the ACR Council is empowered by our bylaws to “establish official actions and policies for the College.” Convening each spring in Washington, D.C., our council debates a variety of resolutions — for example, several may
pertain to practice parameters and technical standards, and others relate to meatier and sometimes controversial issues such as board certification and firearms safety.

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Final Read

What is your most memorable experience from the ACR annual meeting?

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Time's Up

This year’s Diversity Forum made the case for building a more welcoming specialty.

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ACR 2019’s Diversity Forum, entitled, “#MeToo Comes to Medicine: Transforming the Culture,” featured a talk by Reshma Jagsi, MD, DPhil, deputy chair of the department of radiation oncology and director of the Center for Bioethics and Social Sciences in Medicine at the University of Michigan. The standing-room-only forum centered around the issues of gender inequities, including unconscious biases, gendered expectations of society, and overt discrimination and harassment.

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Advocating for the Profession

Over 500 radiologists, fellows, and residents participated in the annual lobbying effort during ACR 2019.

August Images 4 web7.jpgAshley Evens, MD, Kimberly M. Beavers, MD, Andrew Cibulas, MD, Rajendra P. Kedar, MD, FACR, and Michael Damiano, MD, participate in Hill Day.

Capitol Hill Day is an annual reminder that legislative advocacy is alive and well in radiology, ensuring protection of our patients and profession in the future. This year’s Hill Day had one of the highest levels of engagement and participation in history. Over 500 radiologists visited over 275 congressional offices to discuss four key legislation issues affecting radiology and patient care.

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Dollars and Sense

The Economics Forum focused on payment policies under MACRA, CPT® code valuation, the work of the RUC, and Medicaid payments.

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The 2019 Economics Forum, moderated by Ezequiel Silva III, MD, FACR, chair of the ACR Commission on Economics, kicked off with “the payment schedule that loves to be ignored,” said the ACR’s advisor to the RUC, Kurt A. Schoppe, MD. But the role of the Hospital Outpatient Prospective Payment System in reimbursement policy is becoming more important. Schoppe advised radiologists to take an active role in hospital cost reporting, to educate themselves using ACR resources, and to act now by raising concerns with hospital finance departments.

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Global Image

ACR 2019 Global Humanitarian Award winners bring radiology to those most in need.

August Images 4 web6.jpgLeft to right: Guillermo E. Pepe, Guillermo Pepe, MD, and Richard N. Hirsh, MD, FACR, celebrate receiving the GHA award at ACR 2019.

Women are the bedrock of our societies. That belief drives the work of this year’s ACR Foundation’s 2019 Global Humanitarian Award winners, who are making a global difference in the lives of women, their families, and communities by creating accessible breast health services.

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Making Data-Driven Decisions

In a changing medical landscape, patients are increasingly taking charge of their care.

August Images 4 web5.jpgMoreton lecturer Ben Harder discusses the importance of data-driven healthcare decisions.

This year’s Moreton lecturer wants to equip patients with the information they need to make the best decisions about their healthcare. And not just any information, says Ben Harder, managing editor and chief of health analysis at U.S. News & World Report, but good information — as in, information that comes from data.

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Auspicious Connections

Matching seasoned radiologists with eager minds yields two-way edification.

August Images 4 web4.jpgACR BOC Chair Geraldine B. McGinty, MD, MBA, FACR, poses for a selfie with her mentee Candace S. Potter, MD.

“Show me a successful individual and I’ll show you someone who had real positive influences in his or her life.” A quote attributed to actor Denzel Washington manifested in a wildly popular mentoring match-up during ACR 2019 — leaving mentors and mentees alike grateful for a chance to propel radiology into a changing future.

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Being Well Together

The ACR 2019 keynote address called on practice leaders to harness the power of leadership to decrease burnout on their teams.

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It is a well-known fact that physician burnout is a worsening problem. But how do we help ourselves? How do we help others? These were the questions posed toACR 2019 attendees during the keynote address by Lotte N. Dyrbye, MD, MHPE, an internist at the Mayo Clinic in Rochester, Minn. During her address, Dyrbye, whose research focuses on the well-being of medical students, residents, and physicians, urged attendees to address physician burnout head on by reducing the stigma around the problem and demonstrating how radiologists can support their fellow professionals.

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Clearing the Barriers

How can radiologists take charge to improve awareness, decrease stigma, and challenge the uptake rate when it comes to lung cancer screening?

August Images 4 web9.jpgDebra S. Dyer, MD, FACR, chair of the ACR’s Lung Cancer Screening (LCS) 2.0 Steering Committee, discussed the importance of LCS at the ACR Grand Rounds presentation on May 17 in Reston, Va.

Lung cancer is by far the leading cause of cancer death among both men and women. In fact, each year more individuals die of lung cancer than of colon, breast, and prostate cancers combined. This amounts to approximately 390 deaths per day.1

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The Economics of the Hippocratic Oath

When we discuss healthcare economic principles with patients, we build upon their trust in us.

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“I will remember that I do not treat a fever chart, a cancerous growth, but a sick human being, whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.”

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Building External Relationships

ACR is working with radiology leaders in the VA to increase engagement, participation, and member value.

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As the Civil War came to a close, President Lincoln made a pledge to those who had fought: “To care for him who shall have borne the battle, and for his widow, and his orphan.” That vow is carried through today by the physicians and medical staff who serve and honor America’s veterans. These words resonate with me and my colleagues who have pledged to serve these patients. As physicians, we are proud to work for the Veterans Health Administration — which offers unique opportunities to develop quality and patient-outcome measures in radiology, as well as system-wide, value-based initiatives.

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ACR 2019 Special Report

The Pursuit of Organizational Excellence

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“In my years on the BOC, I have been very impressed by the degree to which the college reflects on its myriad activities and attempts to refine and improve them for the benefit of its members,” said now past ACR President James A. Brink, MD, FACR, during his Presidential Address. Brink spoke about the College’s robust strategic planning process that enabled the organization to affirm its core values of leadership, integrity, quality, and innovation and articulate its core purpose — to serve patients and society by empowering members to advance the practice, science, and professions of radiological care.

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