RFS news highlights resources, issues, and news relevant to in-training members of the ACR. If you have a topic idea or would like to contribute to the blog, please email RFS Secretary Christopher Mutter, DO.
MACRA and MIPS: A Resident Primer
As residents, attending physicians often insulate our learning environment from the political whirlpool of insurance reimbursements. However, the education and awareness of the financial climate affecting our daily practice is crucial to our training as radiologists. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is frequently reported on in medical news and literature.
American Alliance of Academic Chief Residents in Radiology (A3CR2):
What Does This Mean to You?
Members of the A3CR2 Executive Committee gather at the AUR 2017 annual meeting in Hollywood,Fla. Pictured from left to right are Daniella Asch, MD (Secretary); Daniel Ortiz, MD (President); Dexter Mendoza, MD (Vice President); William Sherk, MD (Treasurer).
So you have been bestowed one of the greatest honors you can get as a resident; you are now a chief resident. Surprisingly, this is faced by many with mixed emotions of excitement, honor, anxiety, and isolation. A popular stated quote is “It’s lonely at the top.” However, you don’t have to be alone.
August 2017 JACR Highlights
The difference between stupidity and genius is that genius has its limits. — Albert Einstein
Evaluation of the “Angelina Jolie Effect” on Screening Mammography Utilization in an Academic Center: The increased awareness that celebrities bring to a specific topic, product, or practice is a very well-known and real phenomenon.
On the Path to Becoming an American-Trained Radiologist
The radiologist is the key to a correct diagnosis. Radiology has a large number of examinations to achieve that objective — conventional radiology, ultrasound, CT, magnetic resonance, hybrid imaging, SPECT scanner, PET-CT, and PET-RM. But the art of radiology is in the accurate selection of these tests.
Waiting It Out
A doctor-turned-patient’s point of view
My eyes fixed on the ultrasound monitor, I watched as the core biopsy needle was advanced into the lymph node and then deployed with a loud click. It wasn’t the first time I’d been part of an ultrasound guided biopsy.
RFS and Member Experience at ACR 2017: Part 2
ACR 2017 was a great success to say the least! Medical students, residents, and fellows gathered from around the country with a common goal; to learn how to advocate for our patients, make connections with our colleagues, and contribute to the dynamic evolution of radiology.
The Medical Student Experience at ACR 2017
For as long as I can remember, I’ve been exposed to images and radiology equipment. My dad is a service engineer for medical imaging equipment, and I remember going to work with him and scrolling through images on a screen, or taking screws out of a CT cover, or seeing how close I could get to the MRI before the magnet started pulling on my braces.
Resident Highlights: July 2017 JACR
RadExam: the Resident Perspective
We live in a world of metrics. In this month’s JACR®, Dr. Petra Lewis et al. describe a new question bank, RadExam. The current problem: The evaluation of residents’ knowledge is too sporadic and not specific to their level of training. The authors’ suggestion was to create a large question database, from which questions could be sourced to create content- and level-specific tests. …What does this mean for current residents?
Resident Highlights: June 2017 JACR
The future of radiology reimbursements, big data, machine learning, residency training, and imaging abroad are some of the themes found in June’s featured articles…plus an opinion on burnout on the profession, a how-to on succeeding in the academics of radiology, and reducing errors from cognitive biases. Check out the following highlighted articles.
Greetings from the Chair of the Resident and Fellow Section (RFS)
Congratulations to everyone as you complete training and transition to practice, survive yet another of residency, begin radiology residency, or graduate medical school!
What Happened at AUR 2017?
Get a resident’s-eye-view of one of radiology’s biggest meetings
It was that time of the year again... when you meet the people that helped you grow or that grew with you, have good meals together, celebrate achievements, get valuable advice, and welcome new members to the family. No, I am not talking about Christmas or Thanksgiving. On May 8–11, 2017, the 65th AUR Annual Meeting attracted academic radiologists from around the country to sunny Hollywood, Fla., with the theme “Leading Change and Bringing Value.”
My Amis Fellowship Experience
The stage lights were shining so brightly as I peered out into the enormous ballroom filled with hundreds of attendees at the 2017 ACR annual meeting in Washington, D.C. Nearly a year ago, when I had been selected for the ACR’s Amis Fellowship in Quality in Safety, I never imagined that I would be serving as a member of one of ACR’s four Reference Committees. Yet, here I was, sitting center-stage alongside much more senior ACR members, recording member comments regarding the rules and regulations that we had proposed.
May 2017 JACR Highlights
TI-RADS, social media enhancement of peer reviews journals, and exposure to medical imaging with RadiologyInfo.org — These are a few articles that may be helpful reading and practice for radiology residents in training. A supplemental edition was also printed in order to focus on revised ACR Appropriateness Criteria guidelines in nearly all modalities.
ACR 2017 RFS Meeting Highlights
This year’s third edition of The Crossroads of Radiology, which included the 25th RFS meeting, may have been the most stimulating and event-packed meeting that I have had the pleasure of attending yet.
RFS Member Experience at ACR 2017: Part 1
The 2017 ACR meeting was an incredible behind-the-scenes experience into the political side of medicine and radiology.
Primer on Radiology Advocacy
"An idea is like a play. It needs a good producer and a good promoter even if it is a masterpiece. . ." — David Bornstein in How to Change the World: Social Entrepreneurs and the Power of New Ideas
Residents and fellows are perfectly positioned to be effective advocates as we are accustomed to championing our patients and specialty from our reading rooms, angio suites and clinics every day; however, most of us are not comfortable pursuing state and national advocacy opportunities. This daunted me, too when I was first getting started, but rest assured, there are countless opportunities to get involved (and options compatible with almost everyone’s time budget).
Let’s review a few pieces of advice I have learned along the way and share some opportunities for you to get started advocating today!
Meet the ACR Leadership: Bibb Allen Jr., MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with Bibb Allen Jr., MD, FACR.
Social Media Primer
Four years ago, the night before my very first ACR national meeting, I signed into an, until that point, unused Twitter account.
Is There a Doctor on Board?
The thought of this title may send shivers down your non-clinical spine. Colleagues often jest that radiologists are loners hiding in a dark room away from civilization, who have little interaction with any patients.
April 2017 JACR Highlights
SIR Annual Meeting Update
The Society of Interventional Radiology Annual Meeting concluded this March and as usual it was a bustling and exciting event for residents, fellows and attendings who share an interest in interventional radiology.
The ACR Rutherford Fellowship Experience
This past month, I had the opportunity to participate in the American College of Radiology’s J.T. Rutherford-Lavanty Fellowship in Governmental Relations in Washington, DC, during a crucial time in our nation’s history, at the epitome of health care reform.
Meet the ACR Leadership: James A. Brink, MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with James A. Brink MD, FACR.
A Primer on 3D Printing
The potential for three-dimensional printing (3DP) models in medicine is virtually infinite. Radiologists are in a unique position to be the leaders in an emerging field, owing to our combined anatomical and cross-sectional imaging expertise.
Fast Jets for RFS
Prior to residency, I had the privilege to work as a flight surgeon in the United States Air Force.
Radiology and the Evolution of Battlefield Medicine
Imaging has been integral to wartime medicine since the early days of radiology. How is the specialty adapting to support the changing needs of patients on the battlefield?
When you picture the development of military medicine, how prominently does imaging factor in? The evolution of radiology has been intertwined with modern-day warfare for the past 120 years.
Primer on Patient and Family Centered Care
Radiology is changing and not in the way you may think. Advances in imaging technology have always shaped our chosen profession and will continue to do so throughout our training and during our future practice. But it is not a new technology or imaging modality that is bringing change to radiology. Rather, it is a concept that is not new at all: patient- and family-centered care (PFCC).
Meet the ACR Leadership: William T. Thorwarth, Jr., MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with William T. Thorwarth, Jr., MD, FACR.
RFS Journal Club: Alternative Payment Models in Radiology
This month’s resident and fellows journal club featured an article written by Ezequiel Silva III, MD, Geraldine B. McGinty, MD, MBA, Danny R. Hughes, PhD, and Richard Duszak Jr, MD entitled, “Alternative Payment Models in Radiology: The Legislative and Regulatory Roadmap for Reform,” which was featured in the October 2016 edition of the JACR®.
February 2017 JACR Highlights
Ensure Your Voice is Heard: March Madness
Need to hear some positive news in the realm of political advocacy?
The Moorefield Fellowship Experience
This past October, I was honored to participate in the American College of Radiology Moorefield Fellowship in Economics and Health Policy.
A Day in the Life of UVA Resident Connor Louden, MD
New and prospective residents are often curious about what their daily life will be like as radiology residents. Here’s a typical day described by Connor Louden, a third-year diagnostic radiology resident at UVA.
RSNA Resident and Fellow Council
As a trainee, we are often so focused on our own education that it can become easy to allow non-clinical interests to fall aside. However, both the ACR and RSNA offer valuable opportunities for trainees to get involved in organized radiology.
Meet the ACR Leadership: William T. Herrington, MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with William T. Herrington, MD, FACR.
January 2017 JACR Highlights
2017 RFS Call for Nominations
JACRⓇ December 2016 Highlights
The December issue of the JACRⓇ covers, health care spending, nonclinical mini-fellowships, and self-aggrandization among other things. There was also a special issue dedicated to patient and family centered care. Here are a handful of articles of special interest to radiologists in training.
When Students Become Teachers: The Southern Sudan Medical Education Collaborative
In April 2011, I had the distinct pleasure of joining the Southern Sudan Medical Education Collaborative (SSMEC) on a trip to Juba, which is now the capital city of the Republic of South Sudan. This would come to be one of the most formative and memorable experiences of my life.
A Primer on Machine Learning
Machine Learning (ML) and other artificial intelligence (AI) tools have become a staple in the non-medical and medical news as these techniques are applied to increasingly complex challenges. Much like the term "big data," these terms get loosely applied to varied projects, but it is important to know the fundamentals and situations where ML can be effectively applied.
Meet the ACR Leadership: Alexander Norbash, MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with Alexander M. Norbash, MD, FACR.
The Importance of Self-Motivation in a Non-Clinical Mini-Fellowship
One morning during my fourth-year mini-fellowship in quality and patient safety, I walked into work and ran into one of the radiology fellows, who was surprised to find that I had arrived on time. “My mini-fellowship involved watching ESPN in my underwear,” he quipped.
Recap of the 2016 AMA Interim Meeting: A Radiology Resident’s Perspective
The 2016 Interim Meeting of the American Medical Association (AMA) recently convened in Orlando, FL, from November 11‒November 15.
Backbreaking Work: The Ergonomics of Radiology
As diagnostic radiologists, we are often perceived as having less physically demanding jobs than many of our colleagues in other specialties. We are not rounding for hours, constantly bending over to examine patients, or standing at an operating table for marathon surgeries.
Meet the ACR Leadership: Geraldine McGinty, MD, MBA, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR. For this installment, we talk with Geraldine B. McGinty, MD, MBA, FACR, Vice Chair of the ACR Board of Chancellors (BOC). She was previous Chair of the Commission on Economics and assistant professor of radiology at Weill Cornell Medicine.
Spreading the Word about Global Radiology by Starting a Dedicated Journal
Helping others abroad is a large and immensely important part of global radiology. I would like to take a moment to highlight a few other parts that I have had the opportunity to watch blossom. These too add to the infrastructure of this essential movement.
RFS Voices: The Radiology Match: Perspectives of A Current and Former Caribbean Medical Student
Options for Managing Student Loan Debt
Deciding how to manage student loan debt while in radiology residency is a confusing process; It’s a long road and there are all manner of jargon and rules / restrictions to be aware of — which makes the prospect downright unenjoyable.
Shattering Radiology’s Glass Ceiling
My experience as the first female chief in an all-male program.
I was sitting in the CT reading room when I received the text message from my Program Director…"Congratulations Chief!"
Meet the ACR Leadership: Bruce Hillman, MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we interview the ACR Leadership to get insight into their background and involvement in the ACR.
For this installment, Anthony Trace, MD, PhD, resident at Eastern Virginia Medical School, interviews Dr. Bruce Hillman, MD, who is the Founding Editor-in-Chief of the Journal of the American College of Radiology, Professor and Former Chair of Radiology at the University of Virginia.
ASTRO Annual Meeting
The American Society for Therapeutic Radiation Oncology (ASTRO) just wrapped up its annual meeting in beautiful Boston, Massachusetts. The theme of this year’s 58th annual event was “Enhancing Value, Improving Outcomes,” and did it ever ring true.
JACRⓇ September 2016 Highlights
The September Issue of the JACRⓇ covers sharing cases on social media, bundled payments, state legislative fellowships, and the “unknown” in radiology education, among other things. Here are a handful of articles of special interest to radiologists in training.
ACR RLI Leadership Summit 2016 Highlights
Do you think those in business have little to teach physicians about how to work effectively in a hospital? Think again.
Out of the Dark
The Johns Hopkins Radiology Resident Consult Service
Advancements in imaging technology in the last several decades have ushered in a new golden age of radiology. The development of PACS, new imaging modalities, and new protocols and techniques has greatly improved our ability to serve our patients and our referring providers.
Porting for Patients
In the spring of 2016, I traveled to Nepal with the help of a grant from the American College of Radiology. My goal was to help the department of radiology at the NAMS/Bir hospital in Kathmandu recover after a series of devastating earthquakes.
Meet the ACR Leadership: Howard Fleishon, MD, FACR, MMM
For this installment, I will be interviewing Howard Fleishon, MD, who is the current Secretary/Treasurer of the ACR. He also serves as the Vice Chair of the Commission on Government Relations.
RFS Voices: Uganda
I am overjoyed that I could participate in the recent Imaging the World trip to Uganda as a radiology resident and videographer.
YPS Leadership Perspectives: Taj Kattapuram, MD
This is first installment of a series entitled “YPS Leadership Perspectives.” Throughout the series, we will interview the YPS Leadership to get insight into their background and involvement in the ACR.
You Do Make a Difference: RADTOBERFEST
$352 million over ten years. What does this staggering statistic represent? It represents the money saved by reducing the Multiple Payment Procedure Reduction (MPPR) cut from 25 percent to 5 percent.
RFS Journal Club Recap: Econ Speak 101
Proudly brought to you by the ACR RFS Economics Advisory Group (RFS-EAG), I am thrilled to announce that the newest season of the Economics Journal Club has officially kicked off.
Job Search Part Three: Interview Success and Getting the Offer
You’ve earned an interview. Continue to impress and join your new group.
All of the hard work you have done until now has hopefully been showcased in your cover letter and CV. Do not be disappointed if you receive interviews from only a small number of groups you contacted.
JACRⓇ August 2016 Highlights
The August Issue of JACRⓇ covers the use of generic follow up recommendations, the “fellowship arms race,” after-hour overreads, and variations in teaching strategies, among other things. Here are a handful of articles of special interest to radiologists in training.
Meet the ACR Leadership: Cheri Canon, MD, FACR
This is an installment of a series titled “Meet the ACR Leadership.” Throughout the series, we will interview the ACR Leadership to get insight into their background and involvement in the ACR.For this installment, we will be interviewing Cheri Canon, MD, who is the current Vice President of the ACR. She is also the past Chair of the Commission on Education. Dr. Canon is the chair of the University of Alabama Department of Radiology.
RFS Voices: Adventures in Peru
This year’s Goldberg-Reeder grant recipient travels to Cusco, Peru.
As I prepared to pick up my bags from the conveyor belt at the Cusco, Peru airport, I was a little nervous. But that was nothing compared to the excitement I felt at beginning my journey. I had been waiting for what felt like a lifetime for this moment.
How to Land an Interview With Your Perfect Group
You’ve found your preferred job. Use this advice to get the interview.
So you’ve found the job you want. Now you have to land an interview. First impressions are everything.
Developing A Resident Health Care Economics Curriculum: Perspectives and Advice
In the day-to-day crunch to gain clinical knowledge as a trainee, it’s tempting to put off learning the economic fundamentals. After all, health care economics isn’t tested on the Core exam and nobody will ask about it when you’re on call.
Meet the ACR Leadership: Adam Specht, MD
This is the first installment of a series titled “Meet the ACR Leadership.” Throughout the series, we will interview the ACR Leadership to get insight into their background and involvement in the ACR.
For the first installment, I will be interviewing Adam Specht, MD, who is in his second year on the ACR College Nominating Committee (CNC), for which he was elected Vice Chair.
Is Consolidation the Answer?
The RFS Journal Club debates the pros and cons of one of the biggest trends in health care today.
Despite the Federal Trade Commission’s anti-trust efforts, hospital consolidation continues to grow. Between 2007 and 2012, 835 hospitals were involved in 432 merger-and-acquisition deals, with another 95 occurring in 2014. Sixty percent of hospitals are now part of a larger health care system, and it is predicted that up to 20 percent of all U.S. hospitals will be involved in a merger in the next five years.
JACR June 2016 Highlights
The June Issue of the JACR® covers the misuse of the term “intact,” knowledge and ordering habits of clinical residents, a radiology resident consultant service, a rebuttal to radiology commoditization and more. Here are a handful of articles of special interest to radiologists in training.
RFS Voices: Job Search
Job searching season is here. Follow these tips to find a position that suits your needs.
It’s July, and change is upon us. For trainees in medicine, this heralds the beginning of a new academic year.
Culturally Connected: The RFS International Subcommittee
Do you have an interest in bettering the world around you?
Some of my earliest memories take place at my best childhood friend’s home with her Italian born parents. I distinctly remember running through their backyard with rows of oversized aromatic rosemary bushes and soft, fragrant basil plants.
A Resident’s View — AMA 2016
Attending the AMA meeting can have an impact on your career.
Recently, I had the honor of being invited by Arl Van Moore, Jr., MD, FACR, to serve as an alternate delegate representing the American College of Radiology to the American Medical Association annual meeting.
Why I Belong to A3CR2
(And why you should too.)
As a chief resident, have you ever wondered how to motivate and engage your fellow residents?
News from the Chair of the Resident and Fellow Section
Growth and Maturation of the ACR Resident and Fellow Section
The American College of Radiology Resident and Fellow Section (RFS) has grown tremendously since its inception 28 years ago.
JACR May 2016 Highlights
What should readers be checking out in the May 2016 JACR?
The May Issue of JACR covers keeping “as above” out of the impression, an innovative fourth-year resident elective, unhappiness in radiologists, developing a state RFS chapter, and more. Here are a handful of articles of special interest to radiologists in training.
Patient Interaction Revamped
Residents at Indiana University School of Medicine get out of the reading room to deliver patient results in person.
"If someone would have just come in here and told me my ultrasound was negative, I would have doubted them or not believed them. To go through the images and have everything explained shows me that the test is truly normal and there is someone dedicated to looking at every image." — Ms. C (a patient who participated in a radiologist consultation)
Radiology Advocacy in an Election Year
How do current politics impact radiology?
As you’ve surely noticed, the current election season is in turmoil. Next January we will have a new president and potentially a very different political climate to navigate.
ACR 2016 RFS Meeting Recap
The RFS Executive Committee put together a packed schedule for the RFS meeting at the ACR 2016 annual meeting.
Last month, RFS members from across the country gathered for the ACR 2016 meeting in Washington, D.C. After the welcome, there were updates from the various subcommittees under the umbrella of the RFS and discussion on topics most relevant to the next generation of radiologists.
Kathmandu: Week 2
Installing Nepal’s first PACS in a government hospital proves more complex than expected.
Read about Dr. Kapalczynski’s first week in Nepal. And check back each week for updates on his project.
Sitting in the radiology department lounge, I sunk deeper into my worn and somewhat dilapidated armchair as I listened to a half dozen phone calls being fielded by the hospital’s elusive IT administrator.
RFS JACR® Highlights: April
What should I read this month?
The April issue of the JACR® covers job seeking strategies, how to correctly use the term “nonspecific” in your reports, the growing competitiveness of fellowships, and more. Here are a handful of articles of special interest to radiologists in training.
Increasing the Numbers for the Match
Radiologists across the country were surprised to see 13.7 percent of diagnostic radiology residency positions go unfilled in the 2015 match, despite the specialty having one of the most competitive residency tracks in the United States for many years.
Kathmandu: Week 1
A resident’s introduction to Nepal proves exciting, chaotic, and rewarding.
It was my first day in Kathmandu and I remember feeling a bit overwhelmed as my tiny taxi weaved through the dusty congested streets of the Himalayan capital.
Resident’s Preview of ACR 2016
Get a peek at special meeting content for residents and fellows
The 24th annual meeting of the ACR Residents and Fellows Section (RFS) will be held May 14–15, 2016, in conjunction with ACR 2016 annual meeting in Washington, D.C. Registration for the RFS meeting is free for all residents and fellows.
A Resident’s Primer on Radiology Advocacy
My Rutherford Fellowship Experience
I was incredibly fortunate to complete the ACR Rutherford-Lavanty Governmental Relations Fellowship last month in our nation’s capital. The fellowship, established in 1993, was named in honor of the first ACR lobbyist, J.T. Rutherford, and Donald F. Lavanty, ACR’s principle legislative consultant for 42 years.
Preparing for the Business of Radiology: A Nontraditional Approach
One physician’s path from management consultant to radiology resident
Alexander Misono, MD, MBA is a radiology resident at Massachusetts General Hospital, but he’s already switched careers. After a stint in management consulting, Misono changed course and headed to medical school. The Bulletin caught up with Misono to discuss the areas of overlap in radiology and business and the various paths to gaining business experience in a medical context.
Potential impact of social media on global radiology education
Social media is a fascinating virtual world where people meet, interact, and share their thoughts. According to most recent estimates, Facebook had 1.44 billion monthly active users and Twitter had 320 million. And it just keeps on growing.
Global Health Informatics
The ACR RFS International Outreach Subcommittee at the 2015 ACR annual meeting presented several projects that students have worked on in various countries as part of global health elective months.
What Is the ACR Doing About MACRA, MIPS, and APMs?
A Resident’s View
If you’re wondering what the ACR is doing to position radiology for success in the changing health care system, I’ve got an answer for you: A lot.
Is Co-Management the Future of Health Care?
A recent Imaging 3.0 case study charts one practice’s strategy for adapting to the future of health care.
As we all know, the current health care system is continually changing. We’re seeing more direct employment of physicians by hospitals, new payment models, and increasing demands for more efficient and cost-effective health care. In this dynamic health care climate, the ultimate focus for an organization revolves around the patient’s experience, quality of care delivered, and cost.
The Moorefield Fellowship
Melissa Chen, MD, neuroradiology fellow at Baylor College of Medicine in Houston, tells the Bulletin about her time as an ACR Moorefield Fellow, spending time with the economics and government relations departments at ACR HQ.
3 Questions About the Council Steering Committee
Andrew Moriarity, MD, RFS representative to the Council Steering Committee (CSC), explains the role of the committee in ACR governance — and why it matters to you.