Black History Month Blog Series
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.
My Nth Dimensions Experience
The summer of 2017 with Nth Dimensions gave me great vision for my career in medical school.
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?
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.
Price Transparency Blog Series
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.
The Shift From Me to We
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.
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.
Why get involved in ACR leadership?
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.
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.”
February 2018 JACR Highlights
Elections, Elections and Artificial Intelligence
Why I Chose to Serve
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.
2018 Call for Nominations
The ACR Resident and Fellow Section announces the opening of nominations for the 2018-2019 Resident and Fellow Section Leadership.
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?”
Apply for the 2018 RLI Leadership Summit Resident & Fellow Scholarship!
Black Women and Breast Cancer: Disparities Continue
“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?
Media Training for Radiologists
Tips for an on-camera interview
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.
December 2017 JACR Highlights
Looking into the future
Radiation Oncology Corner
What does AI mean for radiation oncology and why should you care?
Lately, there has been a lot of speculation about the potential impact of AI in the field of medicine. Let us explore what AI could mean for the field for radiologists and radiation oncologists.
January 2018 JACR Highlights
A fresh new start
So you want to start a prostate mpMRI practice?
A radiologist shares his tips for building a successful program.
So you want to start a multiparametric prostate MRI (mpMRI) practice? You are not alone…and you can do it. That said, the decision of whether or not to enter into the expanding clinical space of prostate mpMRI is complex and one that should not be entered into lightly.
Upcoming RFS Journal Club Session: How to Read and Critique Deep Learning Papers
RADxx — A Networking Group for Women in Informatics
RADxx, a new networking group for the advancement of women in informatics, is garnering momentum.
Quality New Year Resolutions for 2018
As the ball drops, we rejoice in the arrival of 2018. Moments of reflection intermingle with optimism for a new year, a fresh beginning. Many will pledge fragile confidences to shave their holiday beards or inches off their waistlines. Professionally, consider prioritizing quality improvement this year.
Without an ethical base, will smart machines pick up preconceptions that are dangerous to patient care?
From Small Talk to Real Connection
A conversation between strangers takes one cancer survivor on a journey of advocacy.
Reinventing Curbside Consults
A hospital integrates radiology eConsults into its EMR to make it faster and easier for PCPs to get answers about imaging and improve patient care.
How one key phrase significantly improved best practices and clinical value.
- Physicians at RadPartners recognized that referring clinicians were ordering unnecessary imaging follow-up when it wasn’t specified as extraneous.
- The team decided to combat this problem by incorporating into their best practice guidelines that radiologists include the phrase, “No follow-up imaging is recommended” directly in their reports.
- Since implementation of best practice guidelines created by RadPartners, including the no follow-up statement, adherence to the guidelines has improved by as much as 81 percent.
Bridging the Gap
University of Chicago radiology residents work to improve the involvement and career advancement of women, URMs, in radiology
Radiology, like many medical specialties, has struggled to train and graduate physicians to match the evolving diversity reflected in regional and national demographics. Despite comprising half of all medical school trainees, women have consistently represented less than 30 percent of radiology training programs, with even more dismal statistics being reported for underrepresented minorities (URMs).
Radiation Oncology at RSNA
The radiation oncology program at the RSNA annual meeting offers a unique opportunity to learn about the latest updates in oncologic and imaging practice.
The Economics Committee of the Patient- and Family-Centered Care Commission conducts a survey about patients’ imaging expectations, with positive results.
Although much research has been done to gauge patient attitudes toward their imaging experience, it has mainly been confined to hospital-wide or regional surveys. Since the stated goal of the Economics Committee of ACR’s Patient- and Family-Centered Care Commission (PFCC) is to provide input in the development of ACR-backed value-based payment models and measures that deliver patient-defined value, committee leadership decided to assess what patients currently value in the process of obtaining a diagnostic image, as well as their expectations for the radiologist in that process.
Cost Lacking in Shared Decision-Making Discussions
Lack of awareness of the price of imaging keeps patients from making informed choices on care.
Shared decision-making is a term applied to the communication process between a physician and patient. It balances information asymmetry: the physician knows the medical aspects and the patient knows values, lifestyle and treatment preferences. Discussions between physician and patient include available treatment options, potential outcomes, risks versus benefits, and patient values and preferences. 1-3
A Moving Target
As patients assume more responsibility for financing their own health care, price transparency in imaging should be on every radiologist’s radar.
Ever since taking a spill two weeks ago, Mr. Grant has experienced lower back pain. Worried about the lingering aches he’s feeling, he sets up an appointment with his primary care physician (PCP). After an evaluation, his PCP recommends that he get imaging work done at an outpatient imaging center affiliated with the hospital.
RSNA Primer - Navigating Your RSNA 2017 Visit
First, welcome and know that you will have an incredible experience ahead of you at RSNA’s 103rd Scientific Assembly and Annual Meeting! Here are some tips that may be helpful as you prepare for a week of learning and exploring at McCormick Place in Chicago.
A Resident’s View of ACR Capitol Hill Day and Radiology Advocacy
A resident learns about ACR advocacy thanks to the generosity of MORADS.
As one of the fortunate radiology residents chosen to represent the Missouri Radiological Society (MORADS) at the ACR 2017 Annual Meeting and Capitol Hill Day, I had the pleasure of learning some hands-on advocacy information on what it takes to support radiologists’ interests as they pertain to patient care and other important aspects.
Social Media @RSNA2017
Make the most out of your meeting
Happy Fall to All! RSNA is fast approaching! There will be thousands of people to meet, tons of great lectures to go to, and many fun parties. How do you make the most out of such an event? Social Media, obviously!
Radiation Oncology Corner
Meet Matthew B. Spraker, MD, PhD, Chief Resident in radiation oncology at the University of Washington School of Medicine, and the current recipient of the E. Stephen Amis, Jr., MD, Fellowship in Quality and Safety
The Spotlight on AI and Machine Learning
Artificial intelligence and machine learning rise to the forefront at the sixth annual RLI® Summit.
Customer insight, the collective intelligence of teams, lean operations, and value-based imaging…all important topics in radiology today. Still AI and machine learning steal the spotlight every time.
November 2017 JACR Highlights
A Quick Lesson on #Radvocacy
A Rutherford Fellow finds out how the government relations team works directly for radiologists and patients on pertinent issues that will affect your practice.
Daniel Ortiz, MD, with Martin Heinrich, Senator from New Mexico
This September, I had the honor to be sponsored by the ACR to serve as a Rutherford-Lavanty Fellow in government relations (GR). The fellowship offers a week-long comprehensive experience encompassing introduction to many of the facets of the incredible ACR GR team that works tirelessly to represent the interests of the radiology community and our patients.
Through the (YPS) Looking Glass
A YPS member reflects on her ACR CSC experience
This past spring, I was incredibly honored to be appointed to the ACR CSC. While my appointment was met with warm praise from my wonderful YPS colleagues, I knew that by taking on this role the congratulations would have to be earned by hard work and dedication to the College through my service on the CSC.
Radiation Oncology Corner
An interview with Seth A. Rosenthal, MD, FACR, FASTRO; Chair, ACR Commission on Radiation Oncology
Meet the 2017 Valerie P. Jackson (VPJ) Education Fellowship Recipients
This year’s VPJ fellows share what they learned about the operations of the ACR Education Department
The Valerie P. Jackson Education Fellowship provides the opportunity for radiologists to gain direct exposure to the operations of the ACR Education Department.
Flying on Autopilot: Epinephrine Autoinjectors on the Radiologist’s Toolbelt
At the end of a long shift, are you ready to jump in and save a patient's life?
As the clock ticks down toward the end of a call shift, you plow through a stack of plain films that steadily increased as you diagnosed uncomplicated diverticulitis in the patient from the emergency department. The end is near; soon you will be out the door. Suddenly, the phone just inches away, piercingly shrieks, shattering the calm silence. Your technologist informs you a patient is reacting to a contrast bolus; he struggles to breathe. You franticly arrive at the gantry. Now what?
Career Planning, Transitioning and Avoiding Burnout
Advice to radiology students, residents and fellows on setting realistic goals and achieving work-life balance
As a medical student and resident/fellow, your career steps are well-outlined. Study for the next test, pass boards, apply for residency, fellowship, or your first job. After training, your next steps become more ambiguous. A wrong move or non-ideal job can lead to significant stress, burnout, loss of income, or even the end of a career. With appropriate planning, savvy decision-making, and smart guidance, mistakes can be avoided and your career can be successful and satisfying.
October 2017 JACR Highlights
The discussion of physician burnout and possible solutions to this ever increasing problem is discussed by Nicole Restauri, MD, with the help of epic literary geniuses such as T.S. Elliot.
The ACR’s YPS BOC Position
An excellent leadership opportunity in the ACR
At the ACR annual meeting in May 2016, Resolution 42b was submitted and sponsored by the BOC and CSC, and was passed by the Council. This resolution was submitted in response to the ACR’s strategic plan to have a renewed focus on the ACR’s Young and Early Career Professional Section (YPS).
September 2017 JACR Highlights
ACR Recommendations for Screening Average Risk Women for Breast Cancer
Future Demand a Supply for Radiology Services
“I’m Not Going to Let You Do Anything to Me”
Lincoln Berland, MD, focuses on a very important topic in radiology and throughout medicine today: the patient-centered approach and shared decision-making. Often, the only tool necessary for persuading a patient that a procedure or diagnostic test should be performed is listening.