January 2018 JACR Highlights

A fresh new start

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Is Anyone Listening? Physician Knowledge of Radiation Exposure During Imaging Examinations
Campaigns such as Image Wisely® and the ACR Appropriateness Criteria® were established to bring awareness to healthcare professionals about the risks of ionizing radiation exposure and provide a source where both the appropriate and least harmful modality could be used when evaluating a patient. Jason Hobbs, MD, and coauthors have provided us with some interesting data that demonstrates other specialties may not have a clear picture of what modalities provide risk for ionizing radiation. However, they also demonstrate that providing these other specialties with direct guidance has shown improvements to their knowledge of what to order in the future. This demonstrates that a more hands-on approach may be necessary to reduce radiation risks in the years to come.

See One, Do One, Write One | Thursdays With Rita
Academic journals are great resources for patients, residents, and practicing physicians to learn many innovative and state of the art treatments, research, and procedures. However, we cannot forget about the more humanistic side of medicine. I find myself drawn to the more patient-centered articles first because not only is it an easier read but it also reminds me of why I chose medicine as a career. Cory M. Pfeifer, MD, did not disappoint me with an article that emphasizes a patient-centered approach rather than just a procedural, outcome approach of medicine.

Expanding Role of Certified Electronic Health Records Technology in Radiology: The MACRA Mandate
Electronic health systems and MACRA account for a vast majority of change in physicians’ lives over the past half-decade. The process of incorporating certified electronic health record technology into the daily PACS workflow of radiologists has been troublesome. Unfortunately, this presents a problem as many of the payment models directly use health record technologies for reimbursement purposes. Gregory N. Nicola, MD, and coauthors discuss the importance of integration in order to increase quality of care and emphasize the value of radiology moving forward as a specialty.

Hypermetricosis: The Hidden Epidemic
I admit that the word “hypermetricosis” was a word that I was not familiar with until now. It was only after reading this article that I was fairly certain that I have been confronted with this concept for most of my life as I charted my course in becoming a physician. Darren M. Donahue, JD, and Adam V. Ratner, MD, do a great job in putting a name to a possible flaw in the healthcare system today so that we may be apt to address this issue together when the time comes.

Civil Discourse | Twenty-four–Seven In-house Faculty and Resident Education
Continuity in radiology resident training versus quality in radiology resident training is an important dichotomy to balance and at times these do not go hand-in-hand. Changing healthcare delivery models has caused many changes in the life of a general resident which are starkly different from our predecessors. Duty hour restrictions is a change that has affected all specialties across the board, however, the drive to have 24-7 attending coverage in an inpatient setting has directly affected radiology resident training. Lori A. Deitte, MD, and coauthors have provided a comprehensive discussion of this trend and possible solutions to continue quality training of residents who will, in all likelihood, be affected by these staff changes in the near future.

Residents’ and Fellows’ Column | Big Data and Machine Learning: A Resident’s Perspective of the 2016 Intersociety Conference the 2016 Intersociety Conference
It is always my pleasure to focus on the excellent work of fellow residents in the JACR® and this month, physicians David C. Gimarc, MD, and Alexander S. Misono, MD, have distinguished themselves well. The perspective of fellow residents and future radiology colleagues is important because they will be the innovators in this future of constant change. This article is a must read if you are interested in what machine learning and big data will mean for your future in radiology.


Christopher Mutter, DO, ACR-RFS secretary and diagnostic radiology resident at Spectrum Health/ Michigan State University College of Human Medicine

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