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 Nathan Coleman, MD.
Want to Be the Next RO Representative?
It’s that time of year — ACR RFS executive positions are open and applications are due March 14.
The RFS is a small committee made up of residents from radiology and radiation oncology. There is one position available for radiation oncology residents and this position connects you to both the residents within ACR and with the radiation oncology physicians who are members of the College. Specifically, you work closely with the Council of Affiliated Regional Radiation Oncology Societies and the ACR Commission on Radiation Oncology.
The Business of Radiology
Radiology is one of the most exciting and rapidly changing fields of medicine. New developments such as AI and increasingly powerful scanners have the potential to radically change and improve how we care for our patients. With innovation, however, comes an increasingly complex set of leadership and management challenges. As radiologists, we must be the ones leading the charge in finding solutions to these challenges to best serve our patients. However, effectively accomplishing this task will require skills beyond those learned in clinical training.
An Overview of the Resolution Process
The ACR has a unique place among radiologic organizations, as the College is member-driven. Members generate the policies that guide the actions of the College through the process of resolutions. Each year at the annual meeting, the 373-member legislative body of the College —the Council — reviews and votes on resolutions that will become the policies that will guide the College. The topics of the resolutions are broad and each resolution starts with a member, or group of members, working with the Council through a member’s representative councilors and alternate councilors, ACR chapter, or College leadership.
Let RLI Kickstart Your Career
The radiology landscape has changed dramatically over the past decade — and the pace of change will not subside any time soon. The breadth and scope of what radiologists need to know has expanded significantly. This means that employers are now seeking candidates with more comprehensive skill sets. Designed for residents and fellows, the Radiology Leadership Institute® (RLI) Kickstart Your Career event provides residents with valuable career development skills and advice related to interviewing, selecting a good mentor, and how to succeed in that first year.
Price transparency may not control costs, so why does it matter?
There has already been much ado over the new CMS policy, which went into effect on January 1st, requiring all hospitals to post pricing information online. Superficially, this is a win for patients and their advocates. As with everything in healthcare, however, reality is not so simple. The vast majority of price lists are difficult to find and generally incomprehensible to the average layperson. Additionally, chargemaster prices for hospitals are often meaningless for patients with third-party insurance, as payors negotiate privately and aggressively with hospitals regarding what they will ultimately reimburse for a given service.
JACR® March Highlights
What Might Be Driving Women Away From Radiology?
Radiology has been slow to attract women. Although medicine in general saw equal representation of the genders around 2008, the field of radiology has only 25 percent women. More importantly, the gender disparity in radiology has not changed significantly in 30 years.
RO Corner: A Letter to Fourth-Year
As we approach that time of year when rank list submissions are due, I wanted to offer my two cents to fourth-year students who are about to enter the field of radiation oncology.
Radiation Oncology Corner: The Healing Arts of Cancer Medicine (Part 2)
I recently spoke with Patrick W. McLaughlin, professor of radiation oncology and medical director for the University of Michigan’s community practices at Providence Hospital in Southfield and the Assarian Cancer Center in Novi, Mich. While McLaughlin’s primary focus is treating prostate cancer, and while he has achieved much acclaim for pioneering MRI-guided, vessel-sparing prostate brachytherapy, he has another passion that is outside the box of classic physician scientist and instead coincides with the healing arts of medicine. In part 1 of this blog post, McLaughlin discussed how the Assarian model come to fruition.
My “Amazing Amis” Fellowship Experience
Through my physician journey, I have come to realize that I am driven by the desire to deliver high-quality care, while providing exceptional patient experiences. Breast imaging, more than any other specialty, not only encourages me in my pursuit but also expects me to pursue these aims. I have been involved in multiple quality improvement and patient safety initiatives as a radiology resident at the Augusta University Medical Center, which subsequently led me to apply to the ACR’s E. Stephen Amis, Jr., MD, Fellowship in Quality and Safety.
Reflections From a Moorefield Fellow
My introduction to the economic aspects of healthcare began early in medical school. While I had no previous economics or business experience (I was a history major during college), I was quite fortunate that Baylor College of Medicine offered a business and medicine elective during my first year. I will admit that, initially, a large draw was the generous amount of peanut butter and jelly sandwiches provided during each class. However, our professor proved to be an extremely engaging speaker, with his experience as an insurance executive allowing him to provide a truly unique perspective on the intersection of business and medicine. I still remember how he remarked that in the financial world, doctors are known for their “high income, no business sense.”
The Ins and Outs of Academic Radiology
The Introduction to Academic Radiology (ITAR) program is a four-day, in-person course sponsored by RSNA, the American Roentgen Ray Society (ARRS), and the Association of University Radiologists, held annually at the RSNA and ARRS conferences. The program aims to facilitate attendees’ transitions into academic radiology careers, providing insight into how to produce valuable research, enter productive mentor-mentee relationships, navigate an academic career, and understand radiologists’ involvement in health policy. This year, I was fortunate enough to be accepted as an attendee of ITAR.
JACR® January Highlights
Radiation Oncology Corner: The Healing Arts of Cancer Medicine
RadMeds.com: An Educational Resource
At the start of my pediatric radiology fellowship at the University of Michigan, I accepted a challenge from one of my mentors to read the entire 13th edition of Caffey’s Pediatric Diagnostic Imaging by the end of the year. It was an ambitious but attainable goal, and it was going well until the third week. This is when I found myself, yet again, learning/reviewing management of acute reactions to contrast media. “Why is it,” I thought “that I review this material every year, and I’m still not confident in my ability to apply it?” Worse still, I realized that I had never considered adjusting the doses for kids, and here I was, working at one of the best children’s hospitals in the country!
Assessing Radiology Residents
For additional information on RadExam (including FAQs and a link to the honor code) please click here.
JACR® November Highlights
It’s Time to Image Wisely®
The modern radiologist must be mindful of the public perception of medical imaging. Radiation exposure in healthcare and industrial accidents is seldom far from the news, particularly as utilization of CT increases. We must strive to optimize care for our patients by assuring that the best test is performed for screening, diagnosis, or surveillance. Remaining informed of the risks and benefits of medical imaging as well as best practices is essential to appropriately educate referring practitioners and patients.
RO Corner: The Financial Toxicity of Cancer Care
A recent American Society of Clinical Oncology podcast with ASCO CEO Clifford A. Hudis, MD, discussed findings from recent studies focusing on the financial toxicity associated with the high costs affiliated with cancer treatments. He went on to state that many patients “are not taking their prescribed medications because of cost” and “they’re often not paying their other household bills, or taking other drastic measures because cancer treatment that they have to receive has become so expensive.”
Advanced Imaging Protocols and Medical Billing
Residents, fellows, and radiology assistants in our institution oversee the imaging requests and protocol the CT and MRI studies in order to ensure optimal patient care, appropriate use of resources, and to comply with Joint Commission requirements. The Joint Commission asks that radiology practices verify advanced imaging study appropriateness prior to the acquisition of images. We protocol roughly 500 CT and MRI studies per day, excluding the non-contrast enhanced head, neck, and facial bones CT studies, which are delegated to the technologists. At the affiliated Veterans Health Administration (VA) medical center, attendings and residents are in charge of the protocols. In private practices, CT or MR technologists and radiologists are.
Entrepreneurial Women in Radiology
Barriers to Success and Role Models for the Future
The revamped RFS Economics Advisory Group hosted its second journal club webinar on Sept. 11, 2018. The topic of discussion was “Entrepreneurial Women in Radiology: Barriers to Success and Role Models for the Future.” RFS members submitted questions to an expert panel comprised of Marta Heilbrun, MD, vice chair for quality in the department of radiology and imaging Sciences at Emory University, ACR BOC Chair Geraldine McGinty, MD, MBA, FACR, and Kimberly E. Applegate, MD, MS, FACR, professor of radiology and imaging sciences at Emory University. A 2016 JACR® article titled, “Entrepreneurial Women in Radiology: Role Models of Success” served as a talking point from which meaningful dialogue was generated.
JACR® October Highlights
RLI Summit 2018: In the Spirit of Collaboration
The moderator laid out the terms of the exercise: turn to a partner, ask them the following question, and then…listen. The charge seemed like such a simple request, but as I sat alongside my partner, intently hearing each word she said and watching her reactions to her own words, I realized why we had been given the task and the power that such a simple question holds: “What would you say has been the highest point in your life?” I was enamored by the expressions on her face as she described her own personal marvelous moment. She glowed with pride and an unexplainable calm came over her face. In describing that memory, she was reliving it, and I was with her as she did. I too was sensing her emotions, her motivations, and her connection to that point in time that clearly meant so much to her.
RO Corner: Getting Involved in ACR’s RO Organizations
With multiple ACR events at the upcoming 2018 Annual Meeting of the American Society for Radiation Oncology, I wanted to take some time to dive into radiation oncology organizations within the College that radiation oncologists are a part of —specifically what these organizations (the ACR Commission on Radiation Oncology and the Council of Affiliated Regional Radiation Oncology Societies, also known as CARROS) do for our community. I had a chance to talk with Seth A. Rosenthal, MD, FACR, chair of the ACR Commission on Radiation Oncology, Nancy A. Ellerbroek, MD, FACR, president of CARROS, and William Small, Jr., MD, FACR, CARROS councilor.
AAWR: Advancing Women in Radiology and Radiation Oncology
The American Association for Women Radiologists (AAWR) is a professional organization, founded in 1981 for women in radiology and radiation oncology. Its mission is promoting women in the profession through networking and mentorship across generations, in addition to sponsoring activities that impact women. With the changing landscape of radiology featuring more women in prominent positions, organizations like AAWR help encourage greater participation of women at all levels of the field.
The Way Ahead
Notes from the AI and Medical Imaging workshop
As a trainee, the dynamic perspectives on the application of AI systems throughout the imaging chain have served as fascinating glimpses into the future of the field and the ever-changing landscape of diagnostic and prognostic processes. It’s difficult to miss the idea from conference to conference and publication to publication, but, as an outsider, the direction of the concepts associated with AI in medical imaging may appear fragmented with questions about safety, investigation, implementation, reimbursement, workflow, and regulation. However, in August, multiple professional societies and the National Institutes of Health (namely the National Institute of Biomedical Imaging (NIBIB) and Bioengineering and the NIH Clinical Center), brought together representatives from academia, industry, and government to discuss, debate, and organize thoughts on this topic. As a member of the ACR RFS, I was offered the opportunity to attend by the ACR Data Science Institute™, and the following are some highlights:
Reflections on the 2018 ACR Valerie P. Jackson Education Fellowship
It’s easy to take for granted the incredible free resources we have at our disposal in the radiology world. One example is ACR’s Case in Point™, a daily image-based case with multiple choice questions and explanations delivered straight to your inbox. Have you ever considered from where and by whom this content is generated and maintained?
Women in Radiology | An Interview with Melissa A. Davis, MD, MBA
Melissa A. Davis, MD, MBA, is assistant professor of radiology and biomedical imaging and section chief of emergency radiology at Yale University School of Medicine. She is also the clinical lead for the Yale Center for Outcomes Research and Evaluation. I’d like to extend my thanks to Dr. Davis for sharing her thoughts and experiences as they relate to women in radiology.
RO Corner: The Changing Landscape of Medical Education
Unlike the core subjects that make up the medical school curriculum, the information given and time dedicated to radiation oncology is relatively sparse. It takes upfront knowledge of the field and motivation on the part of the medical student to expose themselves to radiation oncology, and the initiative to learn the basics of the field. One innovator however, is helping to change the landscape of radiation oncology education. I had the pleasure of speaking with Daniel W. Golden, MD who has spent his career working to improve radiation oncology education for medical students and residents.
Implementation of Comprehensive Lung Cancer Screening Programs — Thinking Beyond the CT
JACR® August Highlights
Diversity in Radiology
Are we where we need to be?
The simple answer is no, and the hard truth is that overcoming this is a significant challenge, but no less imperative to the future of the success of our profession. Providing the best possible care to an increasingly diverse patient population will only be achieved when we have a similar diversity amongst our workforce in radiology. That diversity will also prove essential to adapting to the increasing complexity of the demands facing our specialty. Diversity enables an environment where differences in backgrounds, mindset, and understanding can contribute to enhanced innovation, collaboration, and problem solving. It may also help to address long-standing inequality issues within our healthcare system.
Machine learning application is on the rise in just about every field of healthcare, signaling changes that have some specialists, including radiologists, speculating on how the ever-improving technology may change their position in the landscape.
AI means vastly different things to people. Some are excited for what it could mean for improvements in workflow — the so-called non-interpretative uses of AI. Some are wary that developing programs to interpret images will eventually lead to the radiologic equivalent of Skynet, where machines control everything and human radiologists are subservient.
Preparing for RSNA 2018
First time attending the big meeting in Chicago? Here are some tips for new attendees.
Winter is coming… along with the largest medical conference of the year. For the first-timer, the RSNA meeting overwhelms the senses. Vendors arrange the newest equipment on plush carpet that will soon to trampled by thousands of healthcare professionals from around the world. Academic elites clash with the titans of industry. How does the junior resident or medical student survive? Below are few tips from a resident insider to assist you in planning your trip to the Windy City this November.
Radiation Oncology Corner: Preventing Resident Burnout
A new academic year is upon us and with it comes the excitement of new colleagues and mentors, advancement to a more senior level, and an increase in responsibilities. The effects of resident burnout have been well-documented in several journals and often linked to long hours in high-stress environments that we have little control over. The results of such emotional exhaustion, cynicism, and depersonalization are poor work performance, which can negatively affect patient care. Most of these studies have evaluated burnout in the fields of internal medicine, family medicine, and various surgical subspecialties. In oncology specifically, it has been noted that rates of physician burnout continue to be high.
My Rutherford-Lavanty Fellowship Experience
In June, I had the honor of traveling to Washington, D.C., as part of the ACR Rutherford-Lavanty fellowship in government relations. This prestigious fellowship offers radiology residents a rare opportunity to experience, first-hand, how healthcare policies are formed in our nation’s capital. Named in honor of the first ACR lobbyist, J.T. Rutherford, and Donald F. Lavanty, ACR’s principal legislative consultant for 42 years, the fellowship began in 1993 and close to 200 enthusiastic radiology residents have participated in the program. On average, three to eight radiology residents serve as fellows, spending one week at the ACR’s government relations office working with staff on current healthcare issues affecting the specialty.
JACR® July Highlights
2018 AMA Annual Meeting Recap
While radiologists are increasingly showing their willingness to advocate on behalf of their specialty, there are issues of a certain scope and scale that demand that the entire house of medicine work in concert. When legislators and their constituents want to hear from doctors as a whole, the AMA — the largest single physician organization in the U.S. — is relied upon to craft and communicate a response. That is what the AMA House of Delegates (HOD) — composed of over 500 representatives from every level of training and specialty — sought to do at the recent AMA Annual Meeting in Chicago.
Radiation Oncology Corner
Social Media in the RO Community
I recently had the pleasure of interviewing Miriam A. Knoll, MD, a radiation oncologist at the John Theurer Cancer Center at Hackensack University Medical Center. We discussed the topic of social media and its importance in the field of radiation oncology. Despite its significant impact on our field, many have been slow to adopt social media as a tool. Knoll has been very successful in using it, and has valuable insights into the topic. Follow Miriam A. Knoll, MD on Twitter @MKnoll_MD and on Instagram @Dr.Mimi.K.
Here’s What You Missed
Given all the recent hype surrounding informatics, anticipation for the 2018 Society for Imaging Informatics in Medicine (SIIM) conference in Washington, D.C., was high. Attendees may have had visions of terminator robots repurposed to produce diagnostic reports, holographic virtual reality reading rooms, or computers that detected blood products in the skull faster than humans dancing in their heads. It may have come as only a mild disappointment, then, for them to discover only one of those was unveiled at SIIM.
Radiation Oncology Corner: A New Year
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!
ACR 2018: A First-Time Attendee’s Perspective
“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
ACR-RFS Goes to Washington
Left 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.
ACR 2018: Thinking Differently
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.
Radiology Consulting and Entrepreneurship
How to Leverage Your MD in Business
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.
May 2018 JACR Highlights
It’s that time of year again!
Radiation Oncology Corner
Getting to Know Candice A. Johnstone, MD
Meet the ACR Leadership: James V. Rawson, MD, FACR
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.
How to Make the Most of ACR 2018
- 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:
Calling all #Radvocates!
A primer for ACR Capitol Hill Day 2018
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.
Barriers to Choosing Radiology
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.
Medical Billing Fundamentals
What all radiologist should know
This is one of my all time favorite internet memes. It makes me reflect on how many times I’ve learned about [insert zebra disease here] instead of a real world skill, like how medical billing works…
JACR Highlights – April 2018
My Rutherford-Lavanty Fellowship Experience
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.
Radiation Oncology Corner: RO Journal Club
Join us for our upcoming RO Journal Club! Reid Thompson, MD, will be speaking on AI in radiation oncology.
Image is Everything
How the public responded to the 2017 ACGME resident-hour restriction changes
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.
Meet the ACR Leadership: Vice Speaker Richard Duszak Jr., MD, FACR
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®.
Reflections on the Moorefield Fellowship
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.”
Making a National Impact
Regardless of Your Pedigree
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.
JACR Highlights – March 2018
The Ides of March
Flight Plan for Travel
To Lusaka, Zambia
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.
Radiation Oncology Corner
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.
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?
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.
Apply for the 2018 RLI Leadership Summit Resident & Fellow Scholarship!
February 2018 JACR Highlights
Elections, Elections and Artificial Intelligence
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.
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.
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.
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?”
Upcoming RFS Journal Club Session: How to Read and Critique Deep Learning Papers
January 2018 JACR Highlights
A fresh new start
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.
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.
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.
December 2017 JACR Highlights
Looking into the future
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).
Navigating Patients Through the Internet of Misdirection
The importance of providing patients with peer-reviewed material in the information age
“My doctor ordered a CT scan, but I am worried about the effects of radiation. You’re a radiologist, what are your thoughts?” Substitute ‘CT scan’ in the preceding sentence with most radiology studies and a familiar question surfaces.
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.
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
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!
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.
ACR Resident and Fellow Journal Club Meeting Recap
Find out about the most recent meeting and what you missed. Don't miss the next one, scheduled for November 16, 2017.
An ACR Resident and Fellow Journal Club meeting was held October 19, 2017. The focus of the meeting was to discuss possible scenarios in which diagnostic/interventional radiologists may be evaluated under the cost category under the Merit-Based Incentive Payment System (MIPS) track of the Quality Payment Program (QPP).
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).
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.
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.
Radiation Oncology Corner
An interview with Seth A. Rosenthal, MD, FACR, FASTRO; Chair, ACR Commission on Radiation Oncology
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?
Radiation Oncology Corner
This month: Radiation Oncology, Radiology, and the ACR: A Perfect Union
Radiation oncology and radiology are two specialties that are uniquely intertwined. In fact, the history of radiotherapy (RT) began almost immediately after the discovery of X-rays in 1895. As physicians rapidly discovered inventive and practical diagnostic uses of X-rays, it became apparent that prolonged exposure to radiation caused tissue damage, and the first therapeutic utilization of X-rays to treat cancer patients began as early as 1896.
Comparative Effectiveness Research: A Necessary Tool for Implementing Imaging 3.0.
Radiologists should know the cost effectiveness and the risks-benefits of all tests they have juristiction over.
As a part of my attendance at AIRP this August, I had the opportunity to participate in the “Introduction to Comparative Effectiveness Research and Big Data Analytics for Radiology” mini-course, a new seminar created to illustrate how comparative effectiveness research can be applied to the practice of radiology. The course is supported by the Value of Imaging through Comparative Effectiveness (VOICE) program at New York University and grants from the National Institute of Health.
The Union Experience as a Resident-Physician and Future Radiologist
A radiologist-in-training fights for the rights of his fellow residents and comes out with excellent results!
Contract negotiations are difficult and time consuming. Whether bargaining over the price of a car or negotiating a three-year contract valued over 100 million dollars per year that affects over 1200 physicians, emotions run high and tempers may flare. I recently participated in the latter as a member of the contract negotiations team representing the resident physician union at the University of Michigan. Regardless of pro-union or anti-union sentiments, readers should agree that we are fervently pro-physician. I am honored to have had the opportunity to negotiate the best possible contract for my fellow resident physicians, all of whom work tirelessly for the health of their patients.
Tweet Chat Tips
Don’t forget to participate in the next # JACR Tweet Chat on Thursday, September 28th at noon EDT — Topic: Personal Branding!
Tweet chats in radiology are a fantastic way to engage in discussion with colleagues and patient advocates across a global scale, during radiology meetings and/or all year round. However, the concept of a tweet chat may be daunting to some who want to participate but don’t know how or where to begin. As radiology-related tweet chats become more frequent, this quick guide has been crafted to demystify the basics of a virtual discussion with the hope that more radiologists at all levels of training will participate in the future.
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.
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.
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.
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.