ACR Bulletin | June 2016

Final Read

Courtney Tomblinson,MD

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Q: Why did you choose the imaging specialty?

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June Case of the Month

Access case here.

Authors: Tony Alias, BS, Medical Student, Texas A&M School of Medicine, College Station, TX, Jessica A. Page, MD, PGY2, Radiology Resident, Department of Diagnostic Radiology, Texas A&M Health Sciences Center/Baylor Scott & White Health, Dallas, TX, and Richard E. Seggerman, MD, Body Imaging Division, Texas A&M Health Sciences Center/Baylor Scott & White Health, Dallas, TX

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3 Things to Read Today

Intriguing links from around the web


This week, we’re looking at how different generations respond to patient-centered care, the ins and outs of MACRA and TCPI, and more.

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MACRA: How We Got Here

Learn the ins-and-outs of value-based care.iStock 57127560 SMALL

Take home points:
1. Even agreed-upon legislative reforms take time and political pressure to bring about.
2. The SGR created incentives to “patch” the ill-conceived legislation rather than pay for its repeal.
3. MACRA represents a shift from an old mechanism of payment adjustments to a new value-based paradigm.

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Radiology Advocacy in an Election Year

How do current politics impact radiology?


As you’ve surely noticed, the current election season is in turmoil. Next January we will have a new president and potentially a very different political climate to navigate.

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ACR 2016 RFS Meeting Recap

The RFS Executive Committee put together a packed schedule for the RFS meeting at the ACR 2016 annual meeting.

Washmap web

Last month, RFS members from across the country gathered for the ACR 2016 meeting in Washington, D.C. After the welcome, there were updates from the various subcommittees under the umbrella of the RFS and discussion on topics most relevant to the next generation of radiologists.

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Patient Interaction Revamped

Residents at Indiana University School of Medicine get out of the reading room to deliver patient results in person.

JUN BLOG RFS KerridgeElective web

"If someone would have just come in here and told me my ultrasound was negative, I would have doubted them or not believed them. To go through the images and have everything explained shows me that the test is truly normal and there is someone dedicated to looking at every image." — Ms. C (a patient who participated in a radiologist consultation)

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Three Things to Read Today

Intriguing Links from Around the Web


This week, we’re reading about burnout in radiology, the unrecorded amount of time patients spend managing care, and obstacles women face in medical school.

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A Radiologist’s Boundaries

Who is responsible for determining medical necessity: radiologists or referring providers?


Medicare and many other payers require that services rendered to beneficiaries must be “reasonable and necessary”1 in order for a physician to be paid for them. Thus, despite what many radiologists believe, medical necessity must be a key part of their professional judgment. Will an imaging study or the procedure that a patient undergoes help the physician diagnose or treat illness or injury?

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Charting the Future

Get to know the College’s new leaders.


The Board of Chancellors (BOC), the ACR’s executive body, has elected new officers for the 2016–17 year. While these leaders are well known throughout the College, these short profiles will help you get to know them better.

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Catching Up With the ABR

As the new Core Exam enters its fourth year, here’s what you should know about the changing world of board certification.


In 2013, the American Board of Radiology (ABR) introduced a new process for board certification that included two written examinations — the Core Exam and the Certifying Exam. These new tests replaced the previous model, which relied on two written exams and one oral exam.

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3 Things to Read Today

Intriguing links from around the web

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This week we’re learning about the power of a story, the most productive way to start your day, and a strategy to make friends in the ED.

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Change Agents

The Radiology Leadership Institute® is empowering radiologists who are ready to shape the future of radiology.


The only thing that is constant is change.” So said ancient Greek philosopher Heraclitus of Ephesus, and what was true in c. 500 BC still resonates today.

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Ten Years Later

What will the radiologist’s job description look like in a decade? ACR June16 P5 10

“Change is certain, success is not.” At least that’s what Richard Duszak Jr., MD, FACR, professor and vice chair for health policy and practice in the department of radiology and imaging sciences at Emory University in Atlanta, often tells his colleagues. The statement is a play on a quote from historian E.H. Carr: “Change is certain, progress is not.”

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The New MACRA Committee

The Commission on Economics goes into operational mode as it approaches new payment models.

Econ chair

The Commission on Economics has known for years that a transition from volume- to value-based payment is inevitable. As early as 2001, “Crossing the Quality Chasm: A New Health System for the 21st Century,” a report published by the Institute of Medicine, called for “aligning payment policies with quality improvement” and “bundled payments for priority conditions.”

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Taking Aim

The chair of the Board of Chancellors outlines priorities for the next two years.

BOC Chair

As I looked over the attendees of our annual meeting this year, I was seized with a sense of excitement at the prospect of serving as chair of the Board of Chancellors. I am so proud of our organization, our specialty, and our members.

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Making Lemonade

The influx of baby boomers into the Medicare population is causing changes in the health care landscape. But it isn’t all dire.


Baby boomers are the largest generation of Americans ever. Every day, about 10,000 of these individuals turn 65 and become eligible for Medicare. At this rate, the number of Medicare enrollees will increase from 54 million to more than 80 million by 2030.

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