ACR Weekend Reads: Honing Leadership Skills
Looking for content to peruse with your coffee this weekend? Check out these ACR Weekend Reads which include stories, studies, and strategies surrounding optimal leadership in your field.
JACR® August Highlights
Preparing for RSNA 2018
First time attending the big meeting in Chicago? Here are some tips for new attendees.
Winter is coming… along with the largest medical conference of the year. For the first-timer, the RSNA meeting overwhelms the senses. Vendors arrange the newest equipment on plush carpet that will soon to trampled by thousands of healthcare professionals from around the world. Academic elites clash with the titans of industry. How does the junior resident or medical student survive? Below are few tips from a resident insider to assist you in planning your trip to the Windy City this November.
Radiation Oncology Corner: Preventing Resident Burnout
A new academic year is upon us and with it comes the excitement of new colleagues and mentors, advancement to a more senior level, and an increase in responsibilities. The effects of resident burnout have been well-documented in several journals and often linked to long hours in high-stress environments that we have little control over. The results of such emotional exhaustion, cynicism, and depersonalization are poor work performance, which can negatively affect patient care. Most of these studies have evaluated burnout in the fields of internal medicine, family medicine, and various surgical subspecialties. In oncology specifically, it has been noted that rates of physician burnout continue to be high.
ACR Weekend Reads: Report to the Patient
Looking for content to peruse with your coffee this weekend? Check out these ACR Weekend Reads on the benefits of structured and readable report writing for you, your practice, and your patients.
ACR Weekend Reads: Social Media
Looking for content to peruse with your coffee this weekend? Check out these ACR Weekend Reads on how social media can help radiologists forge relationships with their colleagues, referring physicians, and patients.
My Rutherford-Lavanty Fellowship Experience
In June, I had the honor of traveling to Washington, D.C., as part of the ACR Rutherford-Lavanty fellowship in government relations. This prestigious fellowship offers radiology residents a rare opportunity to experience, first-hand, how healthcare policies are formed in our nation’s capital. Named in honor of the first ACR lobbyist, J.T. Rutherford, and Donald F. Lavanty, ACR’s principal legislative consultant for 42 years, the fellowship began in 1993 and close to 200 enthusiastic radiology residents have participated in the program. On average, three to eight radiology residents serve as fellows, spending one week at the ACR’s government relations office working with staff on current healthcare issues affecting the specialty.
JACR® July Highlights
2018 AMA Annual Meeting Recap
While radiologists are increasingly showing their willingness to advocate on behalf of their specialty, there are issues of a certain scope and scale that demand that the entire house of medicine work in concert. When legislators and their constituents want to hear from doctors as a whole, the AMA — the largest single physician organization in the U.S. — is relied upon to craft and communicate a response. That is what the AMA House of Delegates (HOD) — composed of over 500 representatives from every level of training and specialty — sought to do at the recent AMA Annual Meeting in Chicago.
Radiation Oncology Corner
Social Media in the RO Community
I recently had the pleasure of interviewing Miriam A. Knoll, MD, a radiation oncologist at the John Theurer Cancer Center at Hackensack University Medical Center. We discussed the topic of social media and its importance in the field of radiation oncology. Despite its significant impact on our field, many have been slow to adopt social media as a tool. Knoll has been very successful in using it, and has valuable insights into the topic. Follow Miriam A. Knoll, MD on Twitter @MKnoll_MD and on Instagram @Dr.Mimi.K.
Here’s What You Missed
Given all the recent hype surrounding informatics, anticipation for the 2018 Society for Imaging Informatics in Medicine (SIIM) conference in Washington, D.C., was high. Attendees may have had visions of terminator robots repurposed to produce diagnostic reports, holographic virtual reality reading rooms, or computers that detected blood products in the skull faster than humans dancing in their heads. It may have come as only a mild disappointment, then, for them to discover only one of those was unveiled at SIIM.
YPS: 2017-2018 Executive Committee Update
The ACR YPS consists of members of the College who are either under the age of 40 or within their first eight years of practice following the completion of training. The YPS comprises over 6,000 members and is represented by a seven-member executive committee that is elected by those members attending the College’s annual meeting each May. The members of the Executive Committee (EC) for the 2017-2018 term were:
ACR Weekend Reads: Patient-Centered Care
Looking for content to peruse with your coffee this weekend? Check out these ACR Weekend Reads on the importance of patient-centered care in radiology.
Radiation Oncology Corner: A New Year
I am excited and honored to be the RFS’ new radiation oncology representative over the next year! I hope to bring fun and relevant topics to you all each month to help shed light on hot button topics, or simply engage with leaders across our field to gain new insight and perspective!
ACR 2018: A First-Time Attendee’s Perspective
“Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it is the only thing that ever has.” — Margaret Mead
ACR-RFS Goes to Washington
Left to right: Michael J. Lee, MD, Richard Goldman, MD, FACR, and Amir Pirmoazen, MD
ACR 2018 Hill Day was the perfect way to punctuate an incredibly successful meeting. Hundreds of residents and fellows traveled to Washington, D.C., for a dizzying five days of programming, including hearing from the smartest and most fearless minds in radiology, querying expert panels, electing brand new leadership, and reuniting with old friends and meeting countless others. The meeting culminated with us joining our respective state caucuses, donning our most persuasive business attire, and heading to Capitol Hill.
ACR 2018: Thinking Differently
ACR 2018 kicked off with the 26th annual RFS meeting. After an introduction from Colin Segovis, MD, PhD, the outgoing RFS chair, the keynote address was delivered by Vice Speaker Richard Duszak, Jr., MD, FACR. Duszak urged the RFS to “think differently” about how we measure and provide value as radiologists. “Always assume we can do something better,” said Duszak. He emphasized the need for radiologists to support value-based care with concrete data and urged us to act as patient advocates through our practice.
An informed healthcare consumer seeks care for recurrent kidney stones only to walk away with a steep bill. How could price transparency have helped?
During the nearly 20 years I practiced as a thoracic surgeon, medical technology and its costs spiraled exponentially. With the growing influence of insurance companies as third-party payers, most physicians have become familiar with the often opaque requirements which accompany requests for expensive imaging studies now used routinely, such as MRI and CT. During a recent attack of recurrent kidney stones, I encountered first-hand how this situation can negatively impact the patient. Even given my intimate knowledge of the inner workings of today’s healthcare system, I was surprised and ultimately frustrated with the myriad problems patients routinely encounter in seeking care.
Radiology Consulting and Entrepreneurship
How to Leverage Your MD in Business
The newly revamped RFS Economics Advisory Group hosted its first journal club webinar on April 23, 2018. The topic of discussion was “Radiology Consulting and Entrepreneurship: How to Leverage Your MD in Business.” RFS members submitted questions to an expert panel comprised of Rasu Shrestha, MD, MBA, Ricky Caplin, MBA, Woojin Kim, MD, William Boonn, MD, and Jose Morey, MD. Collectively, their experience covers a broad array of topics, including informatics, healthcare start-ups, IT consulting, and AI.
May 2018 JACR Highlights
It’s that time of year again!
Radiation Oncology Corner
Getting to Know Candice A. Johnstone, MD
Meet the ACR Leadership: James V. Rawson, MD, FACR
In a brief paragraph, tell me about yourself, what spurred your involvement in the ACR and what has kept you going?
Early in my career, I became involve in the Georgia Radiological Society. I served as Education Chair and an Alternate Councilor from Georgia. This allowed me to see ACR from the Council floor. As I interacted more with ACR leaders, I got more involved serving on committees, chairing committees, and ultimately chairing the Commission on Patient- and Family-Centered Care and becoming a member of the Board of Chancellors.
How to Make the Most of ACR 2018
- Understand the function of the ACR
The ACR is a unique body representing radiologists throughout the United States. In order to better understand what it does for its members, it is important to know how the organization functions. To that effect, there is a very important series of articles to read prior to your trip to Washington, D.C., in May:
Calling all #Radvocates!
A primer for ACR Capitol Hill Day 2018
On Wednesday, May 23, radiologists and radiation oncologists attending the 2018 ACR Annual Meeting will have the chance to meet their congressional representatives during the highly anticipated Capitol Hill Day. Whether you are a first-time attendee or a seasoned advocate, follow these simple tips to make the most of this unique opportunity to engage with our legislators on pressing issues affecting our patients and our profession.
Barriers to Choosing Radiology
When much of the general public thinks of a radiologist, they think of someone who sits in a dark room all day, staring at a computer. Another common perception is that radiologists choose the profession because it is the easiest job and garners the best pay. The last, and perhaps most upsetting perception, is that radiologists choose the field to avoid human contact. However, in my time as a medical student I have found radiologists to be some of the most sociable physicians that I’ve encountered.
Advocacy at-a-Glance and Capitol Hill Day: What You Need to Know About ACR 2018
ACR 2018 is steadily approaching! This year, the meeting will revert to its previous format where emphasis will be placed on governance and the business of advocating for radiology.
Advocacy kicks off the morning of Sunday, May 20. The RFS will host its own advocacy session where RADPAC® will discuss the integral role that trainees play in defining our profession’s future. RADPAC will also do a similar presentation at the YPS meeting on Sunday morning, stressing the importance of becoming involved in advocacy efforts early in one’s career. In addition to the RADPAC portion of the RFS meeting’s advocacy session, the Radiology Advocacy Network (RAN) will discuss the integral role it plays in our advocacy efforts and ways to get involved. Advocacy at the state level will be discussed Sunday afternoon from 3:00-4:00 p.m., during a session titled “State Government Relations Strategies and Opportunities to Strengthen Your Advocacy Program.”
#HeForShe at ACR 2018
ACR members will stand together to create a bold, visible force for gender equality at the annual meeting
#HeForShe. You may have come across this hashtag on social media, in e-mails, and at ACR 2017. Have you ever wondered what it’s all about?
JACR Highlights – April 2018
Radiologist? Here’s How Your CME/SA-CME Requirement Works
CME is required — but it doesn’t have to be painful
My passion is to simplify your life as a rising radiologist. This past year, I waded through the details of CME requirements and called various boards for clarification on behalf of us all. Here’s my distilled guide to your CME and SA-CME requirements.
My Rutherford-Lavanty Fellowship Experience
Rebecca Spangler, director of congressional affairs (left), and Kimberly Beavers, MD (right).
I recently had the opportunity to travel to ACR’s Washington, D.C., headquarters for the Rutherford-Lavanty Fellowship. This unique fellowship allows radiology residents to spend a week with ACR staff to learn more about the day-to-day operations of the Washington, D.C. office. While many know that the ACR participates in legislative advocacy, others are unaware of the tireless hours put in by our dedicated staff to protect our patients and profession on a daily basis. Rather than only detailing my personal experience, I would like to highlight a few of the ACR staff members that I had the privilege of working with this week.
Radiation Oncology Corner: RO Journal Club
Join us for our upcoming RO Journal Club! Reid Thompson, MD, will be speaking on AI in radiation oncology.
Image is Everything
How the public responded to the 2017 ACGME resident-hour restriction changes
The 2003 Accreditation Council for Graduate Medical Education (ACGME) hour restrictions impacts many residents practicing today. As interns, these rules spared the sleepless nights of around the clock rounds, post-op checks, and rapid responses. Countless media reports, studies, and lounge conversations since inception could not statistically provide any evidence to support or refute either point.
Meet the ACR Leadership: Vice Speaker Richard Duszak Jr., MD, FACR
This post is a reboot of the series titled “Meet the ACR Leadership,” which highlights current ACR leaders by providing insight into their background and involvement in the College. For this installment, we talk with ACR Vice Speaker Richard Duszak Jr., MD, FACR, professor and vice chair for health policy and practice at Emory University School of Medicine and affiliate senior research fellow at the Harvey L. Neiman Health Policy Institute®.
An Opportunity for YPS Members to Re-Think the Peer Review Process
Many radiology practices are not routinely meeting the goals of providing timely feedback to radiologists in a way that meets the needs of their stakeholders. The peer review process for radiologists is imperative to success building for those we routinely take care of.
Can You Ever Be Too Close to Your Patients?
As a member of a patient and advisory council at a major Boston hospital where I resided for several months during a complex liver transplant in 2005, a topic of ethics came up recently. The subject was "To Hug or Not?" The conversation was framed with a story about a physician whose human instinct tells him to offer a hug to his patients when they become upset, but in the current cultural climate, he has found himself holding back, unsure of what the patient wants and needs in that situation, and what the perception will be if he offers a hug.
The Medicare Quality Payment Program: Year Two Updates
MACRA called for CMS to implement the creation of a new federal value-based payment system. In response, CMS established the Quality Payment Program (QPP), replacing and consolidating a number of previously existing smaller Medicare payment programs. 2017 represented Year One of the QPP, with physicians’ performance in that year impacting their 2019 payments. The 2017 QPP regulations were designed to allow participants to “pick your pace,” with greatly reduced regulatory burden compared with the anticipated full implementation of the program. As of this writing in February 2018, we are now early in Year Two of the QPP. In Year Two, CMS has advanced a number of the program’s requirements while at the same time adding certain new flexibilities and options. This article highlights a number of these key updates to the QPP for 2018.
Preview of YPS Programming at ACR 2018
The YPS executive committee has put together an exciting program targeted for its members at the 2018 ACR annual meeting in May.
Reflections on the Moorefield Fellowship
In medical school, the most common concern I heard from my attending physicians was, “I wish I knew more about business before I started as an attending.” No one talked about the business of medicine with medical students or residents for a variety of reasons, the most vocal being, “medical school and residency is the time to learn medicine.”
Finding My Specialty
Having had minimal exposure to radiology during my preclinical years, it was a specialty that I wasn’t even considering beginning my MS3 clinical rotations.
Diversity and Inclusion in IR
As co-chair of the Society of Interventional Radiology’s Diversity and Inclusion committee and a member of the ACR Commission on Women and Diversity, diversity and inclusion in radiology, particularly in IR, is an important topic to me.
Making a National Impact
Regardless of Your Pedigree
Eastern Virginia Medical School. Chances are you have never learned of this small hybrid program in Coastal Virginia. I, personally, have found this program to be a fantastic place to train and have loved my time here, but it may not be a place from which you expect your next resident and fellow section chair to hail.
JACR Highlights – March 2018
The Ides of March
Flight Plan for Travel
To Lusaka, Zambia
With the support of the ACR Foundation Goldberg-Reeder international travel grant, I spent 4 weeks across January and February of 2018 (my final year of radiology residency) living in Zambia’s capital, Lusaka, and working at the University Teaching Hospital, an 1800-bed hospital that serves as the premier center of medical education for Zambia.
Radiation Oncology Corner
The ACR annual meeting always features excellent programming such as the activities of the ACR Council as well as programming specifically designed for students, residents, and fellows. This is a great opportunity to discuss and explore critical topics in economics, health policy, and advocacy as well as an opportunity to interact with your peers and leaders within the profession. Highlights include the annual meeting of the ACR Council, an Economics Forum, a speed mentoring session for RFS and YPS members, and a keynote on artificial intelligence.
Patience and Patient Relationship Codes
The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 instructs the Centers for Medicare and Medicaid Services (CMS) to include a category in the Merit-based Incentive Payment System (MIPS) that holds physicians accountable for costs.
Playing the Waiting Game
How Delays in Interpretation Affect Patient Emotions
Each day, radiology practices complete hundreds to thousands of studies. As residents, these demands gloom over us as an impending responsibility upon graduation from fellowship. As Friday 5:00 PM rolls around, often that voice in our head says, “This oncology workup can wait until Monday.” We may not consider the patient’s perspective. How do patients feel waiting each day their results are not available?
My Nth Dimensions Experience
The summer of 2017 with Nth Dimensions, a summer internship program especially designed for first year minority students, gave me great vision for my career in medical school.
Two Sides of the Same Coin
How a radiology ratings website could balance quality metrics with costs to the patient — all while helping to prevent radiologists from becoming commoditized.
From the moment I saw my son at school, I knew something was wrong. He was crying inconsolably and holding his elbow in flexion. We drove straight to a children’s ER, and the X-rays told the story: my 6-year-old had a displaced lateral condylar fracture, which would require surgery.
Radiation Oncology Corner: Advocacy Day at the Capitol
WSRS Advocacy Day
Last week, I had the opportunity to attend Advocacy Day through our ACR state chapter, the Washington State Radiological Society (WSRS). This was my first foray into direct advocacy and I was pleasantly surprised by what a successful, informative, and important day it was.
Remembering Carl M. Mansfield, MD, ScD, FACR
On Jan. 11, 2018, the field of radiation oncology lost one of its iconic figures. Carl M. Mansfield, MD, ScD (Hon.), FACR, a renowned radiation oncologist, had a celebrated career of many “firsts.”