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.
Here is no water but only rock
Rock and no water and the sandy road
The road winding above among the mountains
Which are mountains of rock without water
If there were water we should stop and drink
Amongst the rock one cannot stop or think
Sweat is dry and feet are in the sand
If there were only water amongst the rock
— T. S. Elliot, The Waste Land
The difficult patient encounter does not always have to be difficult in a sense that the patient with whom you are dealing is troublesome or burdensome. A difficult encounter is many times just as much as a conversation in which you are relaying or receiving news that is negative. Hannah Perry, MD, authors a great personal story reminding us of the reasons we chose the field of medicine in the first place.
Can an increase in patient cost for an efficacious screening modality, such as breast tomosynthesis, result in decreased usage? This very question was postulated by Emily L. Sedgwick, MD, and other authors. What do you think the outcome of their research demonstrated?
Reimbursement, quality metrics, and patient outcome have been at the forefront of headlines and education in the recent years, after the repeal of the SGR and the inception of MACRA. However, due to radiology existing as mainly a consult service, the question of how we will be truly evaluated and reimbursed under this new MIPS system looms in all of our minds. Andrew B. Rosenkrantz, MD, MPA, and other authors suggest that many radiolgists and interventionalists will be reimbursed based on the MIPS costs scoring system. Read more and understand why they believe this.
Who remembers that specific high school, undergraduate, or medical school teacher who just had the “stuff” to excite and enrich your experience, making learning fun rather than an exercise in futility? These teachers became our mentors as we navigated through the long road of learning we still find ourselves on today. Rachel E. Perry, MD, and Jay R. Parikh, MD, discuss the values and process of radiology resident mentorship and the seemingly recent lack of this special “stuff” in current resident training.
Christopher Mutter, DO, ACR-RFS secretary and diagnostic radiology resident at Spectrum Health Michigan State University College of Human Medicine, Grand Rapids