ACR Weekend Reads: Patient-Centered Care

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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.

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Radiation Oncology Corner: A New Year

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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!

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ACR 2018: A First-Time Attendee’s Perspective

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“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

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ACR-RFS Goes to Washington

Lee PostLeft 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.

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ACR 2018: Thinking Differently

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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.

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Transparent Conversations

An informed healthcare consumer seeks care for recurrent kidney stones only to walk away with a steep bill. How could price transparency have helped?

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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.

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Radiology Consulting and Entrepreneurship

How to Leverage Your MD in Business

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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.

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Radiation Oncology Corner


Getting to Know Candice A. Johnstone, MD

 
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Q. How did you pursue radiation oncology as a career?
 A. I attended Harvard University, followed by New York University for medical school and then back to the Joint Center for Radiation Therapy for residency in radiation oncology. My first faculty position was at the Geisel School of Medicine and for the past seven years, I’ve been serving as associate professor at the Medical College of Wisconsin. For five years, I served as the medical director for the Froedtert and the Medical College of Wisconsin Cancer Network, and currently serve as the medical director for the Kraemer Cancer Center. My focus is on breast, thoracic, and palliative radiation oncology. 

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Meet the ACR Leadership: James V. Rawson, MD, FACR


 

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 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.

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How to Make the Most of ACR 2018

 

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  1. 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:

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Calling all #Radvocates!

 

A primer for ACR Capitol Hill Day 2018

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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.

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Barriers to Choosing Radiology

 

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 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.

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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.

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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.”

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#HeForShe at ACR 2018

ACR members will stand together to create a bold, visible force for gender equality at the annual meeting

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#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?

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Radiologist? Here’s How Your CME/SA-CME Requirement Works

CME is required — but it doesn’t have to be painful

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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.

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My Rutherford-Lavanty Fellowship Experience

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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.

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Radiation Oncology Corner: RO Journal Club

 

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Join us for our upcoming RO Journal Club! Reid Thompson, MD, will be speaking on AI in radiation oncology.

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Image is Everything

How the public responded to the 2017 ACGME resident-hour restriction changes

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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.

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Meet the ACR Leadership: Vice Speaker Richard Duszak Jr., MD, FACR

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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®.

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An Opportunity for YPS Members to Re-Think the Peer Review Process

 

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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.

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Can You Ever Be Too Close to Your Patients?

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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.

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The Medicare Quality Payment Program: Year Two Updates

               

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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.

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Preview of YPS Programming at ACR 2018

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The YPS executive committee has put together an exciting program targeted for its members at the 2018 ACR annual meeting in May.

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Reflections on the Moorefield Fellowship

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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.”

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Finding My Specialty

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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.

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Diversity and Inclusion in IR

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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.

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Making a National Impact

Regardless of Your Pedigree

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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.

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Flight Plan for Travel

To Lusaka, Zambia

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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.

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Radiation Oncology Corner

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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.

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 Patience and Patient Relationship Codes

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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.

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Playing the Waiting Game

How Delays in Interpretation Affect Patient Emotions

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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?

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My Nth Dimensions Experience

 

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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.

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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.

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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.

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Radiation Oncology Corner: Advocacy Day at the Capitol

WSRS Advocacy Day

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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.

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Remembering Carl M. Mansfield, MD, ScD, FACR

 

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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.”

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Apply for the 2018 RLI Leadership Summit Resident & Fellow Scholarship!

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Black History Month Blog Series

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February is Black History Month

To commemorate and celebrate the contributions to our nation made by people of African descent, American historian Carter G. Woodson established Black History Week. First celebrated in 1926, the week was expanded into Black History Month in 1976 as part of the nation’s bicentennial.

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February 2018 JACR Highlights

Elections, Elections and Artificial Intelligence

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Black Women and Breast Cancer: Disparities Continue

 

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“Without a sense of caring, there can be no sense of community.” — Anthony J. D’Angelo

Did you know that the latest statistics from the American Cancer Society reveal that since the 1990s, the breast cancer mortality rate has dramatically fallen by 40 percent? This decline is primarily due to the utilization of screening mammography, in conjunction with newer, more effective, and personalized cancer treatment. Mammography, however, still remains the gold standard in screening for breast cancer. Did you also know that black women are 42 percent more likely to die from breast cancer than white women, even though they tend to be diagnosed less often with the disease? Why is that?

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Stronger Together

Why get involved in ACR leadership?

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During residency training, time becomes quite valuable- we only have a relatively short window to master the clinical subject matter and learn a wide breadth of information in order to have a future successful practice treating patients.

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Why I Chose to Serve

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Serving in the ACR-RFS is one of the most fulfilling opportunities in residency. I ran for communications officer in order to grow our resident and fellow network and strengthen our presence in the ACR. Residents and fellows do have a voice in the ACR and can make a significant impact but only if we present a united voice. This inspired me to run for communications officer and become a more engaged member of the ACR-RFS.

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The Shift From Me to We

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The terrific thing about being a radiology resident is that the second we matriculate into our programs, we are automatically members of the ACR. With this membership, we are a part of a very large organization of residents, fellows, attending physicians, and retired physicians who have made their mission entirely about securing our future and advocating for radiology.

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2018 Call for Nominations


The ACR Resident and Fellow Section announces the opening of nominations for the 2018-2019 Resident and Fellow Section Leadership.

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Are you frustrated by the political atmosphere and stress that last year’s election season placed on our lives, jobs, and relationships? Are you sitting at your reading station asking yourself, “How can I make a difference? How can I stop feeling like decisions are being made for me instead of by me?”

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Price Transparency Blog Series

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The term price transparency, a label meant to evoke the idea of openness in healthcare pricing, often means different things to different people. Patients might define it as gaining an understanding of the out-of-pocket costs they’ll incur as a result of a medical procedure; on the other hand, a medical practice may consider itself transparent if it is forthcoming about the total cost billed.

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Media Training for Radiologists

Tips for an on-camera interview


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As radiology evolves, you may be asked to give an interview about the changing field and technology. That’s great news! Being interviewed by local or national media has the potential to simultaneously educate the public on patient care issues while also raising your profile and advancing knowledge about our profession.

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Upcoming RFS Journal Club Session: How to Read and Critique Deep Learning Papers

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