When Opportunity Knocks
An insider's look at health system leadership and how to get there from here
Three radiologists embark on a journey that takes them from internship to leadership. No, that's not the opening line of a joke.
ACR 2017 in Pictures
Check out these photos from ACR 2017: The Crossroads of Radiology.
This year's annual meeting held a ton of excitement for members, including lessons on machine learning, patient experience, and more.
The New Rules of Leadership
This year's RLI Leadership Summit goes deep on finding your individual leadership style, creating sustainable success, and preparing your practice to respond to change.
Faculty at the 2017 RLI Leadership Summit hail from all corners of the business world.
Investing in Radiology
The College's strategy for financial sustainability ensures a solid foundation for radiologists and their patients.
The ACR was established to serve the needs and interests of radiologists. While the challenges the profession faces have changed over time with the ever-shifting health care environment, the heart of the ACR has never wavered.
ACR 2017 CEO and BOC Chair Reports
On Sunday, James A. Brink, MD, FACR, and William T. Thorwarth Jr., MD, FACR, reported on the state of the ACR from the BOC chair’s perspective and the CEO’s perspective, respectively.
Here's what you missed
The Bulletin team has loved our time at ACR 2017. Radiologists engaged with patients, grew confident in the role with machine learning, advocated on the Hill, and learned about the most important topics facing the specialty, among countless other activities. We've rounded up some of the best news from the meeting in case you've missed it. See you next year at ACR 2018!
In Case You Missed It
ACR 2017: Tuesday, May, 23
Here are the goings-on from day three of ACR 2017
In Case You Missed It
ACR 2017: Sunday, May, 21
ACR 2017 started off with a bang. Here are the goings-on from day one of the conference.
In Case You Missed It
ACR 2017: Monday, May, 22
ACR 2017 has begun! Here are the goings-on from day two of the conference.
Meet the Moreton Lecturer
Jeffrey C. Bauer, PhD, gives a sneak peek at his ACR 2017 session — and his take on the future of health care.
Health futurist and medical economist Jeff Bauer, PhD, recently talked to the ACR Bulletin about his upcoming Moreton Lecture at ACR 2017, Forecasting Futures of Radiology at the Crossroads: It’s All Downhill from Here on Up.
The specialty’s first champion was selected based on his focus on reducing unnecessary imaging for ICU patients.
Jeffrey P. Kanne, MD, was recently named radiology’s first champion in the American Board of Internal Medicine Foundation’s Choosing Wisely Champions program.
Growing the YPS
What is the ACR doing to support members entering practice for the first time?
The ACR Young and Early Career Physician Section (YPS) represents a strong segment of the College at around 7,983 members.
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.
Matthew M. Miller, MD
Q: When did you know you wanted to be a radiologist?
Well, I would love to say there was a great thunderclap moment — an instant when even disinterested passersby would have to admit my unmistakable radiologist identity burst forth for the first time. But my path, it turns out, was a bit more gradual than that.
What has the ACR been doing to obtain new CPT codes for contrast-enhanced ultrasound?
The College is working strategically to ensure fair reimbursement.
As chair of the ACR Economics Committee on Coding and Nomenclature, I hear from members almost daily since the FDA-approved IV contrast use in liver ultrasound last year.
Onboarding: Achieving Long-term Success for the Practice and New Radiologist
The many years of education and training physicians undergo provides them with multiple transitions to new environments as learners and professionals.
YPS Executive Committee – Yearly Recap
Over the past year, the ACR YPS Executive Committee (EC) has been busy and productive.
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.
Fast Jets for RFS
Prior to residency, I had the privilege to work as a flight surgeon in the United States Air Force.
Know Your Councilors
Meet some of the members of the ACR Council.
The success of the College depends on an informed and engaged membership. In May, the ACR Council will convene at the Crossroads® to consider resolutions and elect the next group of leaders for the College.
A New Meaning to Teamwork
How radiologists can build high-functioning teams to improve job satisfaction, performance, and patient care.
To rate value to their practice and to their patients, radiologists traditionally highlighted their individual performance through relative value units (RVUs). They'd isolate themselves in reading rooms to focus on interpreting more images without interruptions.
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.
Leading the Field
Recognizing leaders in the imaging community.
Each year, the College awards individuals whose work and dedication advances and strengthens the specialty. Spanning continents and subspecialties, this year's recipients include diverse individuals from across the community of imaging.
How can practices shield their patients from "surprise" bills and insurance coverage gaps?
Last spring, I had the pleasure of speaking at the Texas Radiological Society annual meeting, where I learned first-hand the struggles some of our states have had in regard to the issues of "balance billing," also referred to as "surprise billing."
Nominees for 2017 Positions
Look who's running for office.
At ACR 2017, the ACR Council will vote on the following slate of candidates recommended by the College Nominating Committee (CNC).
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.
Poised to Lead
Radiology Leadership Institute Summit participants learn applicable business lessons.
Following through with change is hard. See past New Year's resolutions for proof.
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.
How radiologists can craft their own personal brand.
It's no secret that many radiologists spend plenty of time in a dark reading room. Even though that's changign thanks to initiatives like Imaging 3.0®, imagers work hard to define their reputations in the workplace.
Standing Out from the Crowd
What does your brand say about you and your practice?
This past September, I had the privilege of attending the fourth annual summit of the Radiology Leadership Institute® held at Babson College in Wellesley, Mass. Each year, I have found the programming to be absolutely terrific.
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.
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.
Bringing Interaction Back
New York University Langone Medical Center's department of radiology leverages technology to give radiologists a more active role in patient care.
Before PACS technology, doctors had to visit the radiology reading room to see x-rays. When PACS made scans more accessible to clinicians, their interaction with radiologists waned.
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.
Radiologists can use the power of networking to strategize for value-based care.
With all the changes happening in health care, it's more important than ever to look ahead to the future and strategize your next move.
Becoming a Change Leader
This year’s RLI Summit discussed machine learning and how to place patients in the center of care.
September 8-11 2016, marked another successful collaboration between the Radiology Leadership Institute(RLI)® through the American College of Radiology and one of the nation's top business schools, Babson College.
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.
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.
Why I Got Involved
Organized radiology runs on the efforts of vibrant and diverse volunteers. What are you waiting for?
It would never have occurred to me to run for an ACR position. I found myself running for vice speaker of the ACR Council only at the urging of several former speakers, who encouraged me to try for the position and see the difference I could make as a leader in the ACR.
The Next Step
Transitioning into a leadership position within a radiology practice or department requires a specific skill set and a lot of commitment.
Radiologists move into leadership positions within practices and departments through a variety of paths.
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.
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?
RLI Leadership Summit Toolkit
By now, we all know that radiology and health care are going through fairly large paradigm changes. For radiologists, this has translated into a shift from fee-for-service to value-based imaging models.
Competing Through Operations
Saturday, Sept. 10 – 8:30 a.m. - Noon
Well-run radiology enterprises are identifiable, distinct, and are essential to success. Such examples typically have succeeded by paying very close attention to both production and financial management.
The competing through operations session will encompass two learning modules. The first module examines the concept of operational excellence as a component of strategy. Most organizations strive to be operationally excellent but very few achieve this level of excellence. Failure to achieve operational excellence often results from the failure to fully define the concept in the context of the organization’s strategy. Operational excellence is not a ‘one size fits all’ concept. The first module will explore the sources of advantage that organizations can secure through superior operations and the critical capabilities that an organization must develop in order to successfully execute an operations-based strategy. The second module incorporates a more external, customer-focused view of operational excellence. Specifically, the module will examine the role of customer loyalty, a desired outcome of operational excellence, as a driver of both growth and profit.
Analysis of Radiology Business Models
This strategic value framework helps radiology practices best position themselves in their environments.
Lessons From the Happiest Place on Earth
Lessons in customer service
Leading in the World of Business and Medicine: Putting the Needs of Customers, Employees, and Patients First
Tips from the business world on how to make the patient front and center.
Customer intimacy, meet operational excellence
Organizations that have historically competed on customer intimacy can simultaneously strive for operational excellence.
Dynamics of Value Claiming in Negotiations
Sunday, Sept. 11 – 8:30 a.m. - 12:30 p.m.
Radiology’s financial success is secured not simply through pricing and resultant payment; rather, securing payment and revenue generation, and therefore financial success, hinges on successful negotiation.
Negotiations play a role in both creating value and dividing it among the players involved. Using experiential exercises, this session will help you develop your negotiation skills. You will assess your current abilities in deals that require value claiming or basic bargaining skills. You will learn the key attributes for claiming more value in deals. These are fundamental ideas that can be powerful tools for any level of negotiator.
Negotiation Techniques for Health Care Professionals Learn the essential components of negotiation prep and common techniques for optimizing agreements.
Mixed SignalsBoost your emotional intelligence to improve your relationships, strength your negotiating skills, and upgrade your career.
The Value of Hard WorkCreating a system for quantifying value-added activities helped one practice save its hospital contract.
How Physicians Should Negotiate with Payers Even if the practice is run efficiently, with low overhead, if the payer contracts are not properly negotiated or worded, it can result in a loss in net revenue.
Negotiation Techniques for Health Care Professionals Basic negotiation terms and how-to for radiologists
Governing in Today's Climate: Leading and Making Decisions Under Uncertainty, Speed and Change
Friday, Sept. 9 – 1:30 - 5:15 p.m
Radiology leadership has become more exciting and vital as margins have decreased, and as the way we do business changes in an environment with increasingly complex regulations and competition.
To better align with and address changes in technology, regulations, and the nature of health care, leaders must rethink how they govern their organizations. Given the rapidity and uncertainty of such changes, no longer can they over-analyze data before making decisions, nor can they rely on past experiences to determine the best future options. Risks must now be assessed differently, resources allocated in more dynamic and flexible ways, and decisions made faster while ensuring that subconscious cognitive biases don’t result in bad choices.
In this session, we'll look at how we govern today and what needs to change across mindsets, processes and decision making. We'll strive to develop a new blueprint that each organization can take back to begin a new model for governance in their practice.
Medical Practice Governing Agreements: A Little Planning Goes a Long WayAn effective governing agreement can mitigate risk and help your practice thrive.
The Anatomy of Group DysfunctionGetting to the root of practice management issues demands a look at governance structure and business model.
How to Have an Honest Conversation About Your Business StrategyOpen communication with staff at all levels can revolutionize the way you do business.
The Metamorphosis of a PracticeAs the health care industry moves toward value and away from volume, some facilities are finding both challenges and opportunities as they turn to a more service-oriented business model.
Building a Value-Based Performance
Saturday, Sept. 10 – 1:30 - 5:15 p.m
Radiology’s future will in large part depend on a significant focus on pricing and the customers’ willingness to pay, both of which hinge on a clear understanding of the derived value of services provided.
There is increasing discussion on how radiologists should view their practices in terms of the value they add to the larger health care enterprise. The challenge is figuring out how to convert this appealing but nebulous idea into something more specific and actionable?
This session, grounded in finance, will cover ideas to help you think more rigorously about value and adding value. How do you associate a value to an activity? How do you separate what are truly value-added activities from those that are not? What to do more of, less of, and to stop doing? How do you transition an imaging practice to a more value-added focus?
The ideas covered in this session will also help you in rethinking your organization’s operations and business model.
The Value of Hard WorkFind out how Samir B. Patel, MD, tangibly showcased his practice’s value to his administration via the value-based matrix.
Most Valuable (Radiology) PracticeFind out how to become a value-based practice with these suggestions from the ACR Managed Care Committee and RBMA
The Total Value Equation: A Suggested Framework for Understanding the Value Equation in Diagnostic RadiologyWhat is value, and when speaking of value creation strategies, what is it exactly that is meant?
The Strategy that will Fix Health CareThe strategy of value-based care
Defining Your Personal Brand
Friday, Sept. 9 – 8:30 a.m. - Noon
There are distinct examples of branding and personal branding that have brought recognition and the consequence of strengthened market share for both individuals and organizations in radiology.
Learn how the core concepts of personal branding can be applied to raise your professional profile and ultimately grow your practice. In this session, you will uncover your unique strengths, skills, and talents; learn how to create a compelling story, deliver a memorable elevator pitch, project a positive professional presence; and learn strategies to build your network in person and online.
The session will include a panel of your successful peers who will talk about their experiences in building a personal brand.
Personal Branding Is A Leadership Requirement, Not a Self-Promotion CampaignWhy should you work on your personal brand?
Define Your Personal Leadership Brand in Five StepsTake quick, actionable steps in determining your personal brand.
The Complete Guide to Building Your Personal BrandOne of the most comprehensive looks at how to build your personal brand
5 Steps to Building a Personal Brand (and Why You Need One)People want to do business with other people, not companies.
Immunity to Change - Closing the Knowing-Doing Gap
Thursday, Sept. 8 – 1:30 - 5:15 p.m.
Radiology has survived and flourished at the edge of innovation and change in medicine. Ensuring our continuing ability to not just envision, but also implement change, will guarantee our future.
Creating value often requires doing things differently. Such change is hard because what it demands from us goes beyond a checklist of tasks. Even if we accept change intellectually, our thoughts, feelings, unconscious biases, assumptions, habits of mind and action, and other commitments can be obstacles to executing change.
In this session, we will learn how to overcome these obstacles to change and to close the knowing-doing gap.
John Kotter’s Plan to Accelerate Your BusinessIn the fast-paced modern economy, businesses can no longer rely on just one organizational design.
How Have Kotter's Eight Steps for Change Changed?Four key revisions in John Kotter's eight step process for leading change.
Kotter's 8-Step Change Model: Implementing Change Powerfully and Successfully Whether you're considering a small change to one or two processes, or a system wide change to an organization, it's common to feel uneasy and intimidated by the scale of the challenge.
Overcoming the Barriers to Change in Healthcare SystemVarious studies show that 60 to 80 percent of major change initiatives fail. Here's how to not become a statistic.
10 Principles of Change ManagementTools and techniques to help companies transform quickly
Change Is Coming — But the ACR Stands Ready.
Is your practice on board?
In light of the new rules on value-based care, the College is determined to ensure that members realize all the tools and resources available to help them take advantage of the new payment models coming their way.
The Rule of Thirds
At one of the world’s most successful companies, executives devote their largest fraction of time to one single thing.
It's a universal truth of business that where we focus our investments is where we place our value. If you look at the way your own practice prioritizes investment, what patterns can you pick out?
Taking the Lead
Samir B. Patel, MD, created a document to safeguard his practice’s contract. What he didn’t realize is he’d started a national conversation on value.
It's a challenge all of health care is facing right now — how do you define value? At its most basic level, valuable means being worth something to someone.
Boost your emotional intelligence to improve your relationships and upgrade your career.
What qualities lead to success in business? The average response might be a high IQ or keen insight into upcoming trends.
Catch Your Wave
As alternative payment models emerge, radiologists must find their place in the shifting paradigm.
The tide of health care is turning. On one side is the traditional fee-for-service model, in which radiologists and other physicians are paid according to the number of exams they read and patients they see.
Charting the Future
Get to know the College’s new leaders.
The Board of Chancellors (BOC), the ACR’s executive body, has elected new officers for the 2016–17 year. While these leaders are well known throughout the College, these short profiles will help you get to know them better.
The Radiology Leadership Institute® is empowering radiologists who are ready to shape the future of radiology.
The only thing that is constant is change.” So said ancient Greek philosopher Heraclitus of Ephesus, and what was true in c. 500 BC still resonates today.
Ainsley V.MacLean, MD
Ainsley V. MacLean, MD, regional medical director for imaging services at MAPMG and president of the District of Columbia Metropolitan Radiological Society (DCMRS) 2016–2017 (center) poses with Shashi Ranganath, MD, assistant regional medical director for imaging services at MAPMG (left), and Andrea Giacometti, MD, FACR, diagnostic radiologist at MAPMG and councilor and past president of DCMRS.
Q: What advice do you have for future women leaders in radiology?
Rounding Up ACR 2016
Here's what you missed
The Bulletin team has loved our time at ACR 2016. Radiologists engaged with patients, partnered with programmers at a hackathon, advocated on the Hill, and learned about the most important topics facing the specialty, among countless other activities. We've rounded up some of the best news from the meeting in case you've missed it. See you next year at ACR 2017!
ACR 2016 Council Session
BOC Chair Report: Part of the Care Team
“If you’re in medicine, you’re in politics.”
In Case You Missed It
ACR 2016: Sunday, May, 17
Here's what happened yesterday at ACR 2016.
The chair of the Board of Chancellors outlines priorities for the next two years.
As I looked over the attendees of our annual meeting this year, I was seized with a sense of excitement at the prospect of serving as chair of the Board of Chancellors. I am so proud of our organization, our specialty, and our members.
The influx of baby boomers into the Medicare population is causing changes in the health care landscape. But it isn’t all dire.
Baby boomers are the largest generation of Americans ever. Every day, about 10,000 of these individuals turn 65 and become eligible for Medicare. At this rate, the number of Medicare enrollees will increase from 54 million to more than 80 million by 2030.
A Combined Approach
Radiologists are working with their colleagues to improve the patient experience through initiatives big and small.
When her husband, Nick, was diagnosed with stage 3 rectal cancer in 2004, Jennifer L. Kemp, MD, FACR, diagnostic radiologist and body imaging subspecialist at Diversified Radiology in Denver, thought she knew what to expect. By then Kemp had been a private practice radiologist for seven years, experience she thought would make navigating her husband’s care — including surgery, chemotherapy, radiation, and imaging — seem like second nature.
New Rules of Engagement
The world of radiology is changing. Here’s how the ACR is positioning the specialty for success.
This will be my last Bulletin column as your chair of the ACR Board of Chancellors. As I look back, being involved in organized medicine, in particular organized radiology, has made my professional life most rewarding.
Walking the Walk
The newest ACR commission is setting out to revolutionize patient care. In the inaugural meeting in Augusta, GA, members got a crash course in what the future of health care might look like.
“The way you have to teach patient- and family-centered care is by bringing the patient into the room.”
— Pat Sodomka, pioneer of patient-centered care
The most successful mentorships benefit both mentors and mentees.
A few years after joining Penn State Milton S. Hershey Medical Center, Eric A. Walker, MD, reluctantly participated in a mandatory junior faculty development program. Through the program, Walker was assigned a mentor, an orthopedic surgeon nearing the end of his career who often volunteered in Honduras.
Traveling Toward Patient-Centered Care
The Commission on Patient- and Family- Centered Care convened to lay the first steps in value-based care.
On February 12, 2016, thought leaders from across the country met for the inaugural meeting of the American College of Radiology’s (ACR) new Commission on Patient and Family Centered Care (PFCC).
More Than Theoretical
ACR’s impact on payment policy goes beyond intangible goals and makes a measurable difference for radiologists and their patients.
After an eventful legislative finale for 2015, I’ve been pondering the impact on radiology of the Consolidated Appropriations Act of 2016 (also called the Omnibus Reconciliation Act) enacted by Congress in December 2015. Our influence resulted in the inclusion of the roll back of the professional component Multiple Procedure Payment Reduction policy (MPPR) from 25 percent to 5 percent.
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.
Six Ways to Understand ACR Governance and Impact College Policy
The council needs your input and participation. Here’s how to get started.
The success of the College depends on an informed and engaged membership. Understanding ACR governance and how you can impact College policy is critical to achieving this goal. We present six actions you should take to help shape the future of your College.
The gap between generations of radiologists isn’t as wide as you’d think.
The millennial generation is self-absorbed. Generation X is overly cynical. The baby boomer generation lives to work. These stereotypes — and more — saturate conversations whenever the topic of age comes up.
Raising the Bar
The College recognizes leaders from throughout the radiology community.
Each year, the College recognizes individuals whose work supports quality patient care and advances the specialty. This year we honor radiologists, radiation oncologists,and ACR staff who push themselves and those around them to do more and to do it better. All awards will be presented at the ACR 2016 Convocation in May.
The Perfect Radiology Report
For the greatest impact on patient care, radiologists must write clear and concise reports.
It might be tough to imagine now, but referring physicians used to visit radiology reading rooms daily to review film-based images and talk with radiologists about exam findings.
Get the latest from the Board of Chancellors and the Council Steering Committee fall meeting, held Sept. 28 through Oct. 1, 2015.
With a packed agenda, the Board of Chancellors (BOC) and the Council Steering Committee (CSC) covered a lot of ground at the most recent meeting. Here are some of the high points to keep you informed.
3 Things to Read Today
Intriguing links from around the web
This week, we’re learning how to use big data, finding out key leadership strategies, and more.
One year ago, the College launched the ACR Strategic Plan. Where are we now?
For a strategic plan to be effective, it must be a living document with frequent evaluations, additions, deletions, and modifications to ensure we are meeting the goals. After a thorough review, the ACR Board of Chancellors concluded that we are making progress on all of the objectives in the strategic plan. We have made great strides over the past year.
The emotional tolls of radiology can make it difficult to lead, but these tips can help you overcome them and succeed.
Few people talk openly about the emotional demands of being a radiologist: confronting patient mortality, a chaotic professional environment, declining reimbursement rates, and growing pressure for productivity and accuracy on a daily basis. Radiologists-in-training and mid-career radiologists rely on the specialty’s leaders to demonstrate how to manage these challenges.
A Quality Assist
As new informatics challenges arise, radiologists support their referring clinicians and health systems in becoming more efficient.
Michael Jordan is arguably the greatest NBA basketball player of all time. Not because he won the most league titles (Bill Russell won 11 to Jordan’s six), nor because he scored the most points (Kareem Abdul-Jabbar holds that honor).
Point of Failure
Radiologists will inevitably make mistakes, and they must be prepared to handle them.
About a decade ago, Michael A. Bruno, MD, FACR, professor of radiology and medicine and vice chair for quality and safety at the Penn State Milton S. Hershey Medical Center, was interpreting a patient’s abdominal CT, when he made a mistake. The patient had an unusual partial bowel obstruction, but Bruno misinterpreted the finding.
The 2016 Special Leadership Issue
Health care is rapidly changing. Value is king, and physicians are searching for their place in this value-based, patient-centric world. This issue of the Bulletin, partnered with the Radiology Leadership Institute®, gives readers insights into bringing patient-centric care into their practices, tips for leading and inspiring change, and advice on dealing with the pressure of burnout and the possibility of failure.
Leader of the Pack
Gaurab Bhardwaj, MBA, PhD, explains the ins and outs of good organizational leadership.
John F. Kennedy once said, “Leadership and learning are indispensable to each other.” In that same vein, the Radiology Leadership Institute® (RLI) operates under the principle that leaders are made, not born.
Boots on the Ground
Taking Imaging 3.0™ from the front lines of the battlefield to your practice.
Imagine waking up to go to your practice on a Monday morning — it’s only a 10-minute walk away. The scent of mud and sewage hits your nose, and the air is filled with the sound of construction and other industrial noises. Sirens wail in the distance. You quickly sidestep the potholes that litter the ground as you enter your department, a series of beige walls meant for quick deconstruction should the need arise. Your patients often arrive by helicopter, and the minute you enter, work begins.
Welcome to being a combat radiologist. Welcome to Afghanistan.
A member-in-training perspective on diversity now and in the future
In my own experience, I don’t think the question we should be asking is, why are radiology and radiation oncology being so exclusionary?
A Look Into ACR Leadership
Who represents you in ACR's governance? Take a look at the demographic breakdown of the College's leadership.
Diversifying Your Strategy
Building a diverse team can lead to better patient care, increased referrals, and more.
In 2014, Curtiland Deville Jr., MD, assistant professor of radiation oncology and molecular radiation sciences at Johns Hopkins University School of Medicine, in Baltimore, co-authored a paper about diversity in radiology. The researchers found that just 23.5 percent of diagnostic radiologists are women and only 6.5 percent are underrepresented minorities (URMs) in medicine — blacks, Hispanics, American Indians, native Alaskans, native Hawaiians, and Pacific Islanders. But what surprised Deville was that the findings were not new.
Interruption or Opportunity?
Radiologists must handle (and embrace) interruptions throughout the workday.
Thinking that the phone rang “way too much,” John-Paul J. Yu, MD, PhD, neuroradiology fellow at the University of California, San Francisco (UCSF) Medical Center, and his colleagues tracked the number of telephone calls the center’s on-call radiologists completed during a 90-day period in 2012. The information revealed that on-call radiologists handled a deluge of calls during that window — 10,378 to be exact.
On the Road to Value-Based Care
How can a newly funded CMS grant program position you for success in demonstrating value and making a difference in patient care?
The journey to value-based reimbursement is full of twists and turns, ups and downs. On paper, the map to the future of health care seems simple enough — provide the best possible care for patients and you’ll be rewarded.
The Importance of Participating in the AMA
McKinley Glover, MD, ACR RFS vice chair, explains why he got involved in the AMA and why residents need to have a voice in the future of medicine.
The 2015 RLI Leadership Summit
Reflections by Residents and Fellows
The Radiology Leadership Institute® (RLI) Summit, a four-day program held at Babson College, brought together trainees, practicing radiologists, and allied health professionals to learn management and leadership skills from business experts. Scholarships for trainees to attend the summit are available through the RLI and through state chapters of the ACR. The RFS caught up with several scholarship winners to hear about their experiences and takeaways from the summit.
Why You Should Start Thinking About Medicine as a Business
Does an MBA fit with an MD?
Radiology residency is meant to prepare us to become the best diagnosticians within its limited four years of training. This single focus on the diagnostic side of radiology often results in a lack of understanding of the business of medicine.
The Rhode Island Radiology Society gets the state’s outpatient revenue tax overturned.
In June 2007, radiologists in Rhode Island were caught off guard.
The Skunk Works
Socioeconomics from the general, small, rural practice perspective
If you are an aviation buff, you may have heard of the Skunk Works, a top secret aerospace engineering division that has developed the most advanced aircraft in history.
What Leadership Can Do for You
At the 2015 RLI Summit, radiologists gathered to learn from some of the business industry’s best.
August 6–9, 2015, marked another landmark collaboration between one of the nation’s top business schools, Babson College, and the Radiology Leadership Institute® (RLI).
Mark H. LeQuire, MD, FACR
Q: Tell us about a colleague who inspired you.
Mentors. What an essential ingredient to success in one’s professional career. I have been blessed to have one at every stage of my life. All my mentors have had a part in shaping me, but one individual in particular inspired me to become the radiologist that I am.
The RLI’s first graduate shares lessons learned along the way.
When you imagine a successful leader, it’s easy to picture a scene not unlike that famous painting of George Washington crossing the Delaware: he’s standing in the prow of his boat, the American flag streaming behind him.
Yet for those studying the art and science of leadership, success often looks very different.
The Uberization of Imaging
Incorporating ideas from the famous ride-sharing service into radiology may introduce roadblocks to quality patient care.
Many factors have driven radiology to the sidelines when it comes to providing direct, quality patient care. Chief among these is the fact that, with the advent of PACS, imaging specialists can be seen by referring providers and hospital administrators as interchangeable, offering the same services with relatively little difference in quality.
3 Things to Read Today
Intriguing Links from Around the Web
This week, we’re measuring the doctor-patient relationship, revealing invisible colleagues, and more.
Remembering John Curry
ACR Executive Director from 1984 to 2003
John J. Curry, former executive director of the ACR, passed away April 5, 2015, but left behind a legacy of love for the College, his co-workers, and his family.
Making your practice safe for transgender patients requires subtle yet vital considerations.
In 2011, the National Center for Transgender Equality and the National Gay and Lesbian Taskforce published a report analyzing the current state of discrimination against transgender individuals in the United States. They found that 25 percent of the surveyed group of transgender people experienced some form of harassment in a medical setting.
A Memorable Meeting
The ACR Board of Chancellors (BOC) and Council Steering Committee (CSC) conducted their spring meeting May 16 and 19, 2015, in Washington, D.C.
Occurring in conjunction with ACR 2015™, the leadership discussed opportunities to bolster member engagement, to continue ACR’s commitment to fiscal responsibility, and to aid radiologists and practices in adapting to health care reform.
Bridging the Gender Gap in Radiology: Part 1
Setting the Foundation
Three years ago, I sat in a room full of applicants and waited to get over my interview jitters ahead of my first radiology residency interview. Those who had already interviewed reassured me that conversation was casual, and, indeed, the interviews were meant as a way to get to know us as opposed to being a chance to grill us on details of research or test clinical acumen. My first interviewer, a female radiologist, caught me by surprise: “Why do you think there are so few female radiologists?”
The 2015–2016 CSC begins its term with a refocused purpose and an ambitious list of goals.
The 2014-2015 was a very successful year for the Council Steering Committee (CSC), culminating with ACR 2015, an annual meeting for all members based around the theme the Crossroads of Radiology. A few of the highlights of the past year include significant planning for the new meeting, advancing the CSC liaison process, and passing a number of CSC generated and sponsored policy resolutions.
3 Things to Read Today
Intriguing Links From Around the Web
This week we have how one radiologist's battle wth cancer has helped her connect with patients, ways you can make an impact as a leader, and what patients are looking for from hospitals.
Seeking Out the C-Suite
As health care shifts, now is the time to establish relationships with your system leaders.
Radiologists are interacting more broadly in their health systems, and they shouldn’t forget the health system’s leadership, which includes titles like the CEO, CMO, and CFO (hence the term “C-suite”).
3 Things to Read Today
Intriguing Links from Around the Web
This week, we’re reading about further complications in the shift to ICD-10, recommendations for better communication, and physician thoughts on end-of-life care.
Connecting With Colleagues
Referring physicians and radiologists are working together more closely than ever. How can physician collaboration boost patient care?
The radiologist’s increased role in the care team will bring more opportunities to provide value in interactions with referring physicians.
As patient interaction increases, how can radiologists improve communication to ensure appropriate care and maximize value?
As you may have noticed in your practice, patients today increasingly expect to understand and make decisions about the health care they are receiving.
Introducing the August Special Stakeholder Issue
Learn how to connect and add value for various stakeholders with tips from stakeholder leaders.
"It's hard to place the patient at the center of health care if you're standing there yourself." - James V. Rawson, MD, FACR
How To Get CDS Adopted in Your Health System
Find out how these radiologists got early clinical decision supprt adoption passed.
In April 2014, the Protecting Access to Medicare Act (PAMA) was signed into law. Among the various provisions of the bill was a mandate requiring physicians who ordered advanced diagnostic imaging exams to consult government-approved, evidence-based appropriate-use criteria through a clinical decision support (CDS) system.
Making a Difference
One New York City radiologist bucks convention to establish a patient rounding program at her hospital.
If something sounds too good to be true, it probably is. We understand instinctively that all that glitters is not gold. Roundtrip airfare to Paris for just $150? Sure. A subscription to Wired for the one-time low cost of ten cents per month? We start looking for the strings.
Why Hiring Women and Minorities is Good For Your Practice
Prioritizing diversity isn't just a good ethical principle — it's good business sense.
What do companies like MasterCard, IBM, and Dell have in common? They’re all successful organizations that make it a point to promote diversity in their hiring practices.
Modernizing the Radiology Residency Curricula
Are we training tomorrow’s radiologists to succeed in yesterday’s health systems?
The field of radiology is in a state of flux. Changes in the financial and political landscape, along with numerous technological innovations, threaten to transform how radiology has been traditionally practiced.
The Stories We Tell
Change doesn’t just come from mandates on high.
Quality improvement and value are hot topics these days. Radiologists are seeking to ensure that they remain viable participants at the health care table.
The Customer is Always Sometimes Right
Providing quality care in an era of patient satisfaction surveys, Facebook likes, and online reviews
A recent study by radiologists at Massachusetts General Hospital (MGH) found a strong correlation between patient readmission rates and hospitals’ ratings on their Facebook pages.1
Looking Back and Looking Ahead
News from the Chair of the RFS
As the ACR Resident and Fellow Section enters its 27th year, we have much to celebrate but still significant room to grow. The amount we have accomplished in only the past few years is striking, and we aim to maintain, if not improve upon, this trajectory.
Ronald J. Boucher, MD
Q: How does your practice demonstrate the principles of Imaging 3.0™?
As a battlefield radiologist in Kandahar, Afghanistan, I was privileged to serve as chief of radiology on a multinational and multidisciplinary team. Serving during a war reinforced to me how critical Imaging 3.0 principles are to the success of health care. Our radiologists inserted themselves at the beginning of the care process for trauma patients, determining whether the patient needed to go directly to the operating room or get further CT evaluations.
Coming Through the Crossroads
Accomplishments of the 2014–15 CSC and a view of the year ahead
What a year it has been! The 22 members of the 2014–2015 CSC were extremely busy over the past year, working on new and ongoing projects in preparation for ACR 2015 and for the council at large.
Moreton Lecture: Imaging in the Era of Precision Medicine
Radiology is well-positioned as health care becomes increasingly person-based.
On Tuesday morning, James H. Thrall, MD, FACR, chair emeritus at Massachusetts General Hospital and Distinguished Taveras Professor of Radiology at Harvard Medical School, delivered the highly anticipated Moreton Lecture: “Imaging in the Era of Precision Medicine.”
A Horse of a Different Color
Imaging 3.0TM leaders reflect on physician payment reform and its effects on radiology.
Henry Ford had a famous saying: "If I'd asked my customers what they wanted, they would have said faster horses.” Ford was referring to Model Ts, but he may as well have been talking about radiology.
Hand in Hand
Taking your practice through big changes requires collaboration.
During the ACR 2015 session “Working Synergistically to Succeed Now and in the Future,” radiology practice leaders discussed tactics for leading a radiology practice through times of potentially radical change. Among the speakers’ key takeaways was bringing the entire practice on board but through negotiation and cooperation rather than through force. Follow these steps to lead your team through new territory and unfamiliar challenges.
In Case You Missed It
ACR 2015: Sunday, May, 17
ACR 2015 started off with a bang. Here are the goings-on from day 1 of the conference.
Preparing Radiologists for the Future
How is the College supporting radiologists entering new payment structures?
In a recent article in the New England Journal of Medicine, Health and Human Services (HHS) Secretary Sylvia Burwell wrote that by 2016 she expects 85 percent of payments in the Medicare program, including those within the fee-for-service system, will have a link to quality or value.
Creating Your Brand, Radiology-style
Build your practice’s image with these branding tips.
Radiologists face a struggle in today’s current health care climate. How can they promote value-based care, and how do they stand out against other specialties that now offer imaging services?
The Network Effect
A practice in Chambersburg forges a connection with health care stakeholders through education.
Did you know that Confederate soldiers headed to fight in the Battle of Gettysburg camped out the night before in a town called Chambersburg, Pennsylvania? Neither did I before traveling there. A small town of around 20,000 residents, Chambersburg is located in the Cumberland Valley beside the Appalachian Mountains. Tucked into this valley is an eight-person radiology practice called Chambersburg Imaging Associates (CIA). After hearing great things about CIA’s “Radiology Education/Interactive Team,” I took a trip up Route 81 to learn more about their approach.
How are 2014 Radiology Leadership Institute® scholarship recipients applying the skills they acquired and making a difference in their practices?
Since its inception two and a half years ago, and with more than 2,100 enrollees, the Radiology Leadership Institute ® (RLI) has prepared hundreds of radiologists to meaningfully shape the future of health care.
Constructing a Game Plan
Strategy was front and center at the BOC winter meeting.
The ACR Board of Chancellors and Council Steering Committee conducted their winter meeting Jan. 17–18, 2015, in Reston, Va.
Medicare Coverage of Screening CT Colonography
The ACR and its partners have submitted solid recommendations. Now we wait for the results.
March is Colon Cancer Awareness Month, and I cannot think of a better time to reengage policy-makers about the value of CT colonography
Prep for sessions in this pathway by using the following resources. Find out more the Radiology Leadership Institute®, how to articulate and reinforce the value of radiology, and more.
How Does the ACR Work?
Before you head to ACR 2015, find out how the College's governance works.
With so many initiatives going on at once, the College needs a well-defined, streamlined strcture that is well representative of its diverse constituency.
Following the Leaders
The College recognizes leaders from throughout the radiology community.
Each year, the College awards individuals whose work and dedication advances and strengthens the specialty. From the bustling streets of Moscow to the plains of Oklahoma, this year's recipients include individuals from across the global community of imaging. Joining the Gold Medal and Honorary Fellowship, a new award debuts this year: the Distinguished Achievement Award, which honors highly notable service to the College and the radiology profession, both clinical and non-clinical. All awards will be presented at the ACR 2015 Convocation in May.
Reorganizing for the Future
Group members at odds over the implementation of Imaging 3.0TM? It may be time to restructure.
This is a non-breaking news alert: radiology is changing from a volume- to a value-focused model of care. In response, the ACR has developed Imaging 3.0™, an initiative that encourages radiologists to add value by engaging closely with patients and other members of the health care team.
Your Board in Action
At its fall meeting, the ACR Board of Chancellors considered some of the most pressing issues confronting radiology.
The BOC and council steering committee (CSC) held their fall meeting Sept. 15–18, 2014. During the meeting, the College's leadership continued to focus on the future while responding to major challenges, including the Affordable Care Act, Medicare reimbursement and coverage decisions, lung cancer screening coverage, and decision support initiatives — a key part of Imaging 3.0™.
A Shared Vision
The ACR Strategic Plan calls for stronger connections among radiology societies.
I hope all of you had a great holiday season. As the new year rolls around, we often think about our personal resolutions for the year ahead. For our radiology professional organizations, the fall is also a busy time.
Madelene C. Lewis, MD
Q: Why is it valuable to network with other radiologists?
Networking provides radiologists with an opportunity to enhance both professional development and personal performance.
Q: Why is it valuable to attend radiology conferences?
Having practiced for more than 20 years in Montana, I always look forward to meetings with fellow mammography colleagues around the country.
The annual Radiology Leadership Institute® event prepares radiologists to lead the specialty into the future.
Nestled in the forests of rural Massachusetts, outside of Boston, Babson College is the epitome of what you’d expect of a northeastern university: a campus lined with tall trees, large colonial red-brick buildings, and grass-flanked stone walls.
The Value of Hard Work
A few years ago, Samir B. Patel, MD, of Radiology, Inc. found himself in a bind. During contract negotiations with one of the hospitals his practice serves, the hospital president told him something no radiologist wants to hear: The physician leadership had taken the position that if Patel’s group didn’t want to “play ball” and accept the hospital’s terms, the president should sever the relationship with Radiology, Inc. From the physicians’ perspective, all radiologists do is read images and, for that reason, would be easy to replace.
While most radiology practices were completely digital by the year 2000, Chinese Hospital’s radiology department in San Francisco still operated like a small-town clinic. The practice had neither a PACS nor a RIS. Instead, all of its appointments were written on desktop calendars, its records were printed and filed in jackets, and its films were stored in 27 different locations throughout Chinatown. On top of that, the department was over capacity. Patients waited months for ultrasounds and hours for walk-in X-rays — and no one was happy.
Who’s Who in the ACR Leadership
Note: click on image to enlarge.
The ACR Council passed a resolution in 1998 (which was then renewed in 2008) to include demographic information in the ACR Bulletin about the Board of Chancellors, Council Steering Committee, ACR Councilors, and ACR Alternate Councilors. The following information is provided in accordance with that policy.
The 2014 ACR Strategic Plan
Defining our vision for the future and the roadmap to get us there
The disruptions from health care reform, changing practice patterns, and declining reimbursement that have created unprecedented challenges for our specialty and our practices also challenge our professional organizations to be responsive to the changing practice environments of our members.
The Secret Ingredient
Leadership skills can make the difference between helping your practice succeed and watching your group fall behind the curve.
Frank J. Lexa, MD, MBA, chair of the ACR Practice Leaders Meeting and professor and vice chair of research and academic affairs at the Drexel University College of Medicine department of radiological sciences, discusses new payment models, redefining success, and why leadership matters for radiologists.
Reaching An Agreement
Chances are you’re handling negotiations every day. Are you making the most of these interactions?
Two men enter a conference room in New York City. They sit on opposite sides of a large table and begin discussing the possible merger of their two companies.
Q:Why is it important to participate in your state chapter?
Curiosity led me to attend my first Missouri Radiological Society (MORADS) meeting. I felt like a confused child looking into a bowl of alphabet soup — unintelligible acronyms, like HIPAA and MU, constantly floated by in discussions.
The Metamorphosis of a Practice
As the health care industry moves toward value and away from volume, some facilities are finding both challenges and opportunities as they turn to a more service-oriented business model.
It is a conundrum most radiologists face at some point in their careers: how to stay true to the needs of their patients while consistently meeting business goals for their practices.
The Benefits of Having Friends
The State Government Relations Committee focuses on building connections and creating solutions.
Christopher G. Ullrich, MD, FACR, discusses making a difference, challenging misconceptions, and keeping up the good work as his four-year term as chair of the State Government Relations Committee comes to an end.
What I Wish I’d Known
Radiologists from around the specialty share their best advice for a younger version of themselves.
No matter where you are in your career, chances are someone else has already been there. This month, the Bulletin brings together radiologists from throughout the specialty to give advice to their younger selves about what they wish they’d known earlier in their practices.
The OIG Work Plan
What are the HHS areas of focus this year?
In past columns, we outlined the history, authority, and structure of the Office of the Inspector General (OIG) of the federal Department of Health and Human Services (read more at http://bit.ly/May12RADLAW) and explained the OIG Advisory Opinion process (read more at http://bit.ly/June12RADLAW).
One Specialty, Two Approaches
ACR and RSNA programs lead the way in patient-centered care.
We've heard the clarion call: Health care's new economics require all providers to transition from volume-based to value-based care. For radiologists, that means shifting our practice paradigm from transactional to consultative and focusing on both interpretation and outcomes.
Your Board in Action
The BOC gathered at AMCLC to review the year's activities and chart a course for the coming year.
The ACR Board of Chancellors (BOC) held its spring meeting at AMCLC in May. The meeting focused on multiple initiatives that the College had undertaken in the previous six to twelve months and included a strategic planning exercise in forecasting environmental trends and future assumptions.
2014-2015 CSC Off to a Running Start
With new members in place, the CSC is focused on the year ahead.
Members of the Council Steering Committee have embraced their role and responsibilities and lost no time getting down to business following the annual meeting.
Aligning Incentives in Health Care
The recent SGR legislation brings us one step closer to a blueprint that works for stakeholders throughout the health care system.
In March of this year, I had the pleasure of attending the Oklahoma Radiological Society Meeting. We had a great discussion with radiologists about issues facing their practices and how the College was advocating in Washington on their behalf.
Q: Tell us about an unexpected experience with an associate.
She was 80, post lumpectomy, referred for radiotherapy. She was among a wave of patients avoiding mastectomy in the wake of the NSABP B-06 report providing lumpectomy and whole-breast radiotherapy equal to masectomy.
The College celebrates chapters' achievements.
The intense amount of work and dedicated from ACR state chapters and their members is an undertaking that most may not realize. State chapters provide educational opportunities, coordinate important local advocacy efforts, and dedicate themselves to making a positive impact in their communities.
The 2014 Moreton Lecture focuses on the principles of delivering high value in health care.
Michael E. Porter, Bishop William Lawrence University Professor at Harvard Business School in Boston, presented his much-anticipated Moreton Lecture, "Value-Based Health-Care Delivery." Porter focused on the challenges to radiology and the principles of delivering high value.
In Pursuit of Honor
The College gathers at AMCLC to honor 2014 fellows, honorary fellows, and gold medalists.
ACR Fellowship os not an honor given to those who ask. Instead, it is awarded to those who take service upon themselves — through hard work, dedication, and service to others. Those honored at convocation this year have certainly done that and more, serving both the College and the field of radiology.
Investing in the Future of Radiology
The Minnesota Chapter Increases Resident Involvement through AMCLC.
For many members of the ACR, AMCLC represents the highlight of the radiology calendar year and plays a central role in creating policies that affect the practice of radiology.
The Resident and Fellow Section, Young and Early Career Physician Section, American Board of Radiology, clinical research, and Neiman Health Policy Institute leadershuip outline changes to the specialty and directions going forward.
As part of Monday’s AMCLC programming, leaders representing the Resident and Fellow Section (RFS), the American Board of Radiology (ABR), the Young and Early Career Physician Section (YPS), clinical research, and the Neiman Health Policy Institute (HPI) reported on activities, accomplishments, challenges, and plans for the future.
The Way Forward
The 2014 ACR Annuaul Meeting hones in on the skills and knowledge radiologists need to thrive in the changing world of health care.
Radiologists from throughout the country and spanning the spectrum of subspecialties gathered in Washington, D.C. to chart a course for radiology in the changing seas of health care.
Remembering Harvey L. Neiman
February 8, 1943 – June 5, 2014
Harvey L. Neiman, MD, FACR, immediate past CEO of the College, passed away June 5, 2014, following a long illness. Neiman was widely considered a medical visionary who dedicated his professional life to improving patient care.
Harvey L. Neiman Reflection
As you’ve probably heard, Harvey L. Neiman, MD, FACR, our longtime and recently retired chief executive officer, passed away in early June. With Harvey’s passing, we lost a dear friend and colleague and an exceptional leader, mentor, and luminary.
Building the Future of Radiology
The Radiology Leadership Institute® aims to broaden its reach and support radiologists throughout the specialty.
Cynthia S. Sherry, MD, MMM, FACR, chief medical officer of the Radiology Leadership Institute® (RLI), explains where the RLI is headed and why leadership skills matter for radiology professionals.
Get to Know Your CFO
Establishing relationships with leaders in your health system can be beneficial for both your department and your patients.
For those of us who work within a hospital system, its corporate leadership can seem very far away from our daily lives. The so-called C-suite (home to the CEO, CFO, CMO, and COO, depending on the local vernacular) often seems to exist on a different planet than the reading room.
Today’s Science Is Tomorrow’s Clinical Practice
Exploring radiology's central role in the age of precision medicine.
In March, I had the pleasure of attending the Massachusetts Radiological Society (MRS) meeting. Phillip M. Devlin, MD, FACR, MRS president, was a wonderful host, and the meeting was outstanding.
The ACR – It’s More Than You Know
When they think about it at all, many radiologists see the ACR as an amorphous something far away and with only a tangential relation to their daily lives. Others know it as an accrediting body, a standards organization, or simply as a lobbying group for the profession.
Spreading the Word
The ACR Commission on Membership and Communications wants you to know what the College can do for you.
The Bulletin caught up with David C. Kushner, MD, FACR, chair of the Commission on Membership and Communications, to discuss its strategy for supporting members and communicating the College’s message.
Radiologists at all career stages gathered at the ACR Annual Practice Leaders Meeting to boost their skills, learn from one another, and stay ahead of the curve.
Are leaders born or made? The answer is both — researchers believe genetic factors account for about a third of leadership qualities, but the rest comes about through development and practice.1
What Have We Been Up To?
Achievements from 2013-2014 and a focus for the year ahead.
We had a great year! The twenty-two members of the 2013–2014 CSC engaged in a variety of activities over the past year to enable the continued effectiveness of the CSC and the council at large.
Strategic planning: a roadmap to the future.
Before the 2000 presidential election, a Saturday Night Live sketch featured an imitator of President George W. Bush saying the word “strategery.” While this was later attributed directly to President Bush as one of his many mispronounced words, the term became widely popular.
Communication and Collaboration
The Commission on Breast Imaging works with stakeholders from throughout the College to improve screening and address controversy.
The Commission on Breast Imaging was formed to address issues related to breast imaging and breast imagers, including development of Practice Guidelines and Technical Standards and ACR Appropriateness Criteria® as well issues related to screening and government regulations.
Practical Applications in MRI
The ACR's annual MRI conference promises access to the leaders driving the technological change.
This year’s Annual MRI Conference will bring imaging experts together with technical experts in small group settings to foster an understanding of rapidly changing MRI technologies.
On the Ballot and at the Meeting
Get the scoop on AMCLC 2014 programming and council activities.
The ACR Council will consider a broad range of policies, bylaws, practice guidelines, and technical standard resolutions during the 91st Annual Meeting and Chapter Leadership Conference (AMCLC) on April 26–30 in Washington, D.C.
An Eye to the Future
The Johns Hopkins Hospital radiology department's Future Leaders program prepares employees to lead at all levels.
What makes a good leader? The ability to motivate a team by leveraging their unique talents? An instinct for achieving success, the result of long experience? A willingness to push colleagues to be the best they can be?
Your Board in Action
Leadership changes highlight an active Board meeting.
The ACR Board of Chancellors (BOC) and Council Steering Committee (CSC) held their winter meeting January 18–19. The highlight of the meeting was the announcement of new officers for 2013–2014 and the selection of William T. Thorwarth Jr., MD, FACR, as CEO.
Looking Back: Great to Greater?
“After climbing a great hill, one only finds that there are many more hills to climb.” — Nelson Mandela
In May of 2012, my first Chair Column appeared in the ACR Bulletin. I wrote about the ACR as a battleship — defending our pillars, fighting for the rights of our members, and always keeping in mind the best interests of our patients. Now the time is at hand to write my final column as chair.
Center of Support
Radiation oncology is alive and well represneted within the College.
The ACR Commission on Radiation Oncology serves as the nexus for radiation oncology activities within the ACR. Radiation oncology has been an important component of radiologic practice since the founding of the ACR.
Candidates for 2014 Positions
Look who's running for office.
This May at the AMCLC in Washington, D.C., the ACR Council will vote on the following slate of candidates recommended by the College Nominating Committee (CNC).
The College's new CEO is poised to take the reins with both hands.
William T. Thorwarth Jr., MD, FACR, sat down with the ACR Bulletin to discuss his years as ACR’s economics chair, his relationships with other societies, and why he chose to give up clinical practice to become the College’s new chief executive officer.
In Search of a New CEO
Introducing William T. Thorwarth Jr., MD, FACR
The next CEO of the ACR needs little introduction to most of you. He is William T. Thorwarth Jr., MD, FACR. I will come back to him in more detail in a moment.
Leading the Way
The College selects invaluable members of the radiology community for its highest honors.
John Quincy Adams once said, “If your actions inspire others to dream more, learn more, do more and become more, you are a leader.”
The Road to AMCLC 2014
Opportunities abound to network with peers, advocate on behalf of the profession, and discuss the pressing issues of the day.
The 2014 ACR Annual Meeting and Chapter Leadership Conference (AMCLC) will take place April 26–30 in Washington, D.C.
The Colors of the College
“There are only 3 colors, 7 notes and 10 digits; it’s what we do with them that’s important.” — Jim Rohn, American entrepreneur, author, and motivational speaker
The Crimson Tide of Alabama, the burnt orange on the jerseys at the University of Texas, and the Black Knights at West Point. Colors instantly bring a picture into our minds.
Your Board in Action
The BOC Fall Meeting brought radiology's most pressing issues to the forefront.
The ACR Board of Chancellors and Council Steering Committee (CSC) held their fall meeting Sept. 29–Oct. 4. The meeting focused on current initiatives with an eye to the future as the College seeks to respond to major challenges, including implementation of the Affordable Care Act, Medicare reimbursement and coverage decisions, and decision support initiatives — a key part of Imaging 3.0™.
As 2013 comes to an end, have we met our goals?
Last January my column was titled “Realistic Resolutions.”(Read the article at http://bit.ly/DrGResolutions.) I talked about ways that we as radiologists could take concrete steps to demonstrate our value. So as we head into 2014, where are we as a specialty, and are those resolutions still relevant?
Lung Cancer Screening: The Time Has Come
The ACR responds to recent trial results and the USPSTF.
Screening studies, such as mammography, prostate-specific antigen testing, and EKGs, are under attack. The opponents of these tests claim they are too costly and that there are too many misses and false positives.
The chair of the ACR Annual Conference on Quality and Safety explains how a radiology department is like a Japanese car factory.
The Bulletin caught up with conference chair C. Dan Johnson, MD, FACR, chair of the department of radiology at Mayo Clinic Arizona in Scottsdale, Ariz., to discuss what's hot in quality and safety, what to expect at this year's conference, and which skills radiologists aren't learning in medical school.
Since its inception in 2012, the Harvey L. Neiman Health Policy Institute has been hard at work examining issues that affect all of radiology.
The recent changes in health care policy have been overwhelming — multiple payment procedure reduction, meaningful use, and the Affordable Care Act, just to name a few. These new programs define how imaging services and tools should be used and as well as their respective values.
Volunteers: The Heart of the ACR
"Research has shown that people who volunteer live longer." — Allen Klein
The ACR has an organizational structure similar to that of the federal government, with policy-setting and policy-implementing units functioning in concert. Councilors, who are elected and selected by state chapters, specialty organizations, and a few federal departments, meet annually to establish policy.
The ACR Commission on Neuroradiology is taking advantage of new initiatives and advancing the subspecialty.
Nearly 15 years after the "Decade of the Brain"1 (the 1990s), there remains a tremendous fascination with the organ that controls our thoughts, mood, and behavior.
Changing the Practice
Radiology research from the ACR Clinical Research Center takes center stage at this year's ASTRO meeting.
Editor's Note: World-class research from RTOG® was spotlighted at the American Society for Radiation Oncology (ASTRO) 55th Annual Meeting in September. Twenty-two RTOG research presentations were featured during the meeting, which took place in Atlanta.
CSC Liaisons, Chapter Leadership, and Member Engagement
If you've ever wondered how you and your practice are represented within the College, here's a primer.
One of the primary roles of Council Steering Committee member is to serve as a liaison to the chapters of the ACR.
As we await decisions on CMS policies, radiologists wonder what will be on the table this holiday season.
As I write this column in mid-September, I wish I had a crystal ball. Will we as radiologists have much for which to be thankful when the November Bulletin is printed?
Announcing the ACR Head Injury Institute
"Chances are someone you love will sustain a brain injury at some point during your lifetime. When they do, you'll want the best research, you'll want top-quality care, and you'll want local services and support that make life worth living." — Susan H. Connors, president and CEO, Brain Injury Association of America
"The American College of Radiology has formed the ACR Head Injury Institute (HII) to use its skills in the areas of image management, transfer, and archiving; education; research and the development of appropriateness criteria; guidelines and standards to help advance the diagnosis; and understanding and treatment of head injuries," states Alexander M. Norbash, MD, FACR, steering committee chair for this latest ACR initiative.
Q: What was your most memorable AMCLC experience?
While serving as president of the Colorado Radiological Society, I attended my first AMCLC on September 11, 2001, in San Francisco. Feeling horrified in the wake of the terrorist attacks, like everyone else that day, the attendees didn't know what to do.
Diversity 3.0: Are We There Yet?
As our new commission ramps up its efforts, there is plenty of work ahead.
In an ever changing world, diversity and inclusion become critical components of success in a global economic context.
Recognition for Radiology
Top-quality radiology teams receive recognition for outstanding diagnostic imaging and patient care.
In this age of profound changes in health-care delivery models, radiologists must find new strategies for demonstrating their value and staying viable. A new addition to the Imaging 3.0™ toolkit is the ACR Diagnostic Imaging Center of Excellence™ (DICOE™) achievement.
RadiologyInfo.org, Approaching 15 and Going Strong!
"One of the things I realized...is how few success stories there are in websites or products or businesses that exist primarily for an altruistic purpose." — Andrew Mason, founder and former CEO of Groupon
Last month in this column I told you about a new website, RadiologyCentral.org, created by the ACR and the Intersociety Committee. Now I want to focus on a tremendous success story of collaboration between the ACR and RSNA in the form of a patient-education website: www.RadiologyInfo.org.
Radiologists nationwide breathe life into Imaging 3.0™.
Imaging 3.0™ was launched at the 2013 AMCLC as a way for radiologists to demonstrate their value in the new health-care world. Now, five months later, where are we in telling and living this important story?
A unique commission brings together diverse groups with similar needs.
The Commission on General, Small, and/or Rural Practice (GSR) is a specialty commission representing ACR members who are general radiologists, practice general radiology, are members of small groups, or practice in rural locales.
Letter to the Editor
Editor’s Note: ACR member James E. Heisel, MD, of Jackson, Mich., responded to the June ACR Bulletin article "Adapting to Change" (http://bit.ly/Adapt2Change). The article sought to explain how, given the drastically shifting medical landscape, radiologists must adapt in order to thrive. Below we’ve printed some of Dr. Heisel's most salient points, along with responses from the ACR's Imaging 3.0™ Work Group.
Sharpening the Saw
The annual event of the Radiology Leadership Institute brings together radiologists to interact and inspire each other — and improve patient care.
More than a year has passed since the ACR announced the formation of the Radiology Leadership Institute. Since then, the institute has integrated a variety of webinars, lectures, and even MBA programs into its curriculum.
RadiologyCentral.org, A First Step
“Houston. Tranquility Base here. The Eagle has landed....One small step for a man, one giant leap for mankind.” — Neil Armstrong (upon landing on the moon on July 20, 1969, and then stepping out onto the lunar surface the following day)
Maybe I am giving a wee bit too much drama and importance to the recent creation of another website. But it is a step forward for our profession. RadiologyCentral.org comes to you from the ACR and the Intersociety Committee (ISC).
Back to School
While many individuals have filled the past few months with summer fun, the ACR has been busy innovating.
Who can forget that "back to school" feeling? Starting a new school year was always energizing for me, even if there was some regret that the lazy days of summer were over.
Honored to Serve
The Commission on Ultrasound works to advance the use of this important modality.
I appreciate this opportunity to share with the membership a bit about the activities and mission of the Commission on Ultrasound.
The Summer Fun Begins
The CSC jumps into action with its work-group activities.
The role of the Council Steering Committee as described in the ACR bylaws is to "represent the Council between Council meetings and provide Council liaison with the BOC, subspecialty societies represented in the ACR Council, and chapters."
Your Board in Action
A summary of the AMCLC Board of Chancellors meeting.
The ACR Board of Chancellors held its spring meeting at the AMCLC in May 2013. The meeting focused on multiple initiatives that the College has undertaken in the last 12 months to promote and advance the profession as well as to better serve as the voice of radiology.
Signs of the Times
ACR CEO reflects on his tenure and the future of the specialty.
Editor's Note: The ACR Bulletin sat down with Harvey L. Neiman, MD, FACR, CEO of the College, the state of the College, and what's in store for the ACR. Neiman recently announced that he will be retiring in the spring of 2014.
Taking the Reins
As the ACR economics team responds to the latest releases from CMS, radiologists ponder ways to enhance their role in care delivery.
July 4th is a great American holiday. As a naturalized citizen, I love everything about Independence Day, from the national anthem to the fireworks.
ACR Searches for a New CEO
"Leadership is the capacity to translate vision into reality." — Warren Bennis
In case you haven't heard the recent announcements, you may not be aware at the American College of Radiology is looking for a successor to Dr. Harvey L. Neiman, MD, FACR, CEO of the College, who has decided to retire.
Leading Radiology into the Future
A new campaign seeks funds to expand leadership education for imagers.
The changing climate of radiology was a central theme at this year's AMCLC.
State chapters that achieved excellence in various categories during the past year were recognized at this year's AMCLC.
Any state chapter leader will tell you that ACR state chapters and their members are much more than just meeting organizers.
An Age of Opportunity
Speakers during the economics session emphasized the need to transition from volume- to value-based health care.
As part of Tuesday's program, the Economics Forum included a discussion of future opportunities for radiology, including the transition to compensation driven by performance rather than productivity.
Cutting Variation to Boost Patient Outcomes
Moreton Lecturer links robust protocols to better results.
The Monday morning council session at AMCLC 2013 wrapped up with the much-anticipated Moreton Lecture, given by Brent C. James, MD, Mstat, executive director of the Institute for Health Care Delivery Research at Intermountain Healthcare in Salt Lake City. James presented the lecture "Value, Variation, and Patient-Centered Care: Building Radiology's Future."
Honoring the Best of the Best
The College gathers to honor 2013 fellows, honorary fellows, and gold medalists.
Among the highlights of the AMCLC, Sunday night's convocation stood out to many as the apogee of their conference experience.
The RFS, Young and Early Career Physicians Section, ABR, and clinical research leadership outline changes to the specialty and directions going forward.
As part of Monday's AMCLC programming, leaders representing the 2012-2013 Resident and Fellow Section, the ABR, ACRIN®, and RTOG® reported on activities, accomplishments, challenges, and plans for the future.
Shaping the Future
The 2013 ACR annual meeting focuses on reclaiming radiology's central role in health care.
Talk of transitioning to new payment models, calls for radiologists to reclaim their central role in health care, and efforts to increase member engagement were all hot topics during the 90th AMCLC, held at the Washington Hilton in Washington, D.C.
Fortress With Moats
California radiologists tackle the challenges of EHR-PACS interoperability and address the requirements of referring physicians.
Radiologists in California are confronting a serious issue with the lack of interoperability between their referring physicians' electronic health record (EHR) systems and their own PACS.
The tools and resources available to ACR members continue to grow.
ACR members enjoy ready access to a broad range of valuable experiences and services that help them stay connected and be more engaged. Such activities are central to the work of the ACR Commission on Membership and Communications.
Climbing to New Heights at the RLI Expedition
"The greatest ability in business is to get along with others and influence their actions." — John Hancock
The ACR Radiology Leadership Institute™ (RLI) was launched in July 2012 at the Kellogg School of Management on the campus of Northwestern University. I was there, and by all accounts the attendees at the sold out event felt that the program with keynote speaker Jeff Immelt, chief executive officer of GE, was a huge success.
A Job Well Done
As the College welcomes its newly elected fellows, we examine what it takes to achieve this rare honor.
Each year at the AMCLC, the College extends the title of fellow of the ACR (FACR) to members who have distinguished themselves from their peers.
The newly appointed CSC gears up for an action-packed two-year term.
With the successful 90th Annual Meeting and Chapter Leadership Conference just behind us, I am deeply honored to have the opportunity to lead the ACR Council and Council Steering Committee for the next two years. I want to thank Howard B. Fleishon, MD, MMM, FACR, for his guidance and leadership during the past two years.
The ACR and Carnegie Hall
The College reaches out to members in pursuit of excellence.
You know the old joke: How do you get to Carnegie Hall? Answer: Practice, practice, practice.
On the Ballot
ACR Council will consider a mix of policy, bylaws, practice guidelines, and technical standard resolutions at AMCLC 2013.
The ACR Council will consider a broad range of policies, bylaws, practice guidelines, and technical standard resolutions during the 90th Annual Meeting and Chapter Leadership Conference on May 4-8 in Washington, D.C. Below are resolutions that made the February 4, 2013, submission deadline.
Your Board in Action
The ACR Board of Chancellors and Council Steering Committee held their winter retreat in Dallas on January 18-20, 2013. In addition to the usual business of the board, several invited guests made presentations.
A Brief History of the American Radium Society
We should recognize and appreciate the shared connections between the ACR and this unique society.
Since the founding of the ACR Board of Chancellors, the American Radium Society (ARS) has featured a representative among its ranks. Nevertheless, many ACR members may not understand what the ARS does or what it stands for.
The Practice Menagerie
How can your group leverage a variety of personalities, including yours, to get ahead?
Imagine you're holding the phone to your ear, calling a referring physician. As you listen to the phone ring, waiting for the sound of a voice, what are you thinking about?
Kudos to Contributors
The College recognizes the following ACR members who contributed to the proposed 2013 Practice Guidelines and Technical Standards.
ACR Supports the Appropriate Decision
"The limitation of the ethical phenomenon to its place and time does not imply its rejection by, on the contrary, its validation. One does not use cannons to shoot sparrows." — Dietrich Bonhoeffer, Ethics1
The ACR Appropriateness Criteria® are evidence-based guidelines intended to assist referring physicians and other providers in making the most appropriate imaging or treatment decision for specific clinical circumstances. These criteria now cover over 180 topics and 900 variants.
Nominees for 2013 Positions
Look who's running for office.
This May, at the AMCLC in Washington, D.C., the ACR Council will vote on the following slate of candidates recommended by the College Nominating Committee.
Leading the Charge
The Pennsylvania Radiological Society is serious about leadership, and it's spreading the word.
Each time Pennsylvania's state chapter, the Pennsylvania Radiological Society, surveyed its members, leadership came in among the top areas of interest.
How Can We Help?
After 25 years, ACR Radiation Oncology Accreditation is still the gold standard.
If you represent a radiation oncology practice and want to show patients, communities, payers, and physicians that you're dedicated to providing the highest quality care, where do you turn?
Celebrating 10 Years of Success
The College's scholarly publication has completed a decade of journalistic excellence.
I am grateful for this opportunity to address the membership of ACR on the state of their journal. It's a propitious time to do so.
Ahead of the Curve
Honoring the leaders who advance the specialty and inspire us all.
At each year's AMCLC, the BOC votes on nominations for Honorary Fellows and Gold Medalists. Each recipient of these accolades has advanced the specialty, put in the time and effort to excel, and working hard to bring new value to patient care.
Connecting the College
The CSC Liaison Program brings together the ACR and its members.
Over the past several years, members of the ACR Council Steering Committee have increased their outreach to both chapters and subspecialty societies. This outreach has made a significant difference in ensuring that the CSC, the ACR, and state chapters stay informed about issues critical to the profession at the grassroots level.
Your Board in Action
ACR leaders set new goals for 2013.
In October 2012, the ACR Board of Chancellors (BOC) and Council Steering Committee (CSC) held their fall meeting in San Francisco. The meeting included presentations and updates on the progress of a variety of projects.
A new ACR commission seeks to change the traditional face of radiology.
The new Commission for Women and Diversity was formed to serve as an advisory group to the Board of Chancellors and to improve the specialty of radiology through mentorship, leadership, and service engagement with an emphasis on diversity.
A New Year, A New Beginning
The freshly minted Commission for Women and Diversity turns the spotlight on one of our specialty's most important topics.
A new member will soon join the ACR Board of Chancellors. The ACR bylaws permit the board from time to time to create or eliminate a commission, committee, or task force "to aid the Board of Chancellors in carrying on specific activities of the College."
Q: How has state chapter membership benefited you?
Each month during my second year of residency in Minnesota, faculty and residents would pile into cars for the hour-long ride to the state chapter meeting.
Yearn to Learn
What can ACR membership do for your continuing medical education?
Approximately a year and a half ago, the ACR Commission on Education (COE) underwent a major restructuring to more efficiently meet the educational needs of ACR members. The COE is composed of eight members, who oversee 148 physician volunteers serving on 18 committees and subcommittees.
A True Picture of Radiology
The College's newest institute provides research on the effects of health policy and illustrates the true value of radiology.
How do you define imaging? For some, it is the means to a successful livelihood for themselves and their staff; for others, it's an indispensable tool used to improve a patient's quality of life.
ACR-managed societies united radiologists and strengthen the specialty.
No matter your subspecialty, you'll likely find a related society.
Many Voices, One Cause
ACR Government Relations works to effect legislative change.
Over the past year, the ACR Government Relations Department and state radiological societies worked to effect change on a number of fronts.
Introducing the Harvey L. Neiman Health Policy Institute
The new ACR institute aims to explore radiology's place in the ever-evolving territory of health-care delivery and payment models.
I am very pleased to announce the inauguration of a new ACR institute: The Harvey L. Neiman Health Policy Institute. This new institute is designed to help radiologists shape their future through education, advocacy, and research.
Q: How did you choose your subspecialty?
When I was a radiology resident, I have to admit that I was mystified by nuclear medicine. Residents sometimes jokingly called the field "unclear medicine."
2012-2013 CSC Hits the Ground Running
With a new crop of initiatives underway, the CSC has never been busier.
Members of the ACR Council Steering Committee (CSC) lost no time in getting down to business following their appointment this spring. The CSC was broken into four work groups, each tasked with specific duties.
Committees under the Commission on Body Imaging are addressing such issues as incidental findings and colon cancer research.
The Commission on Body Imaging is working hard on several initiatives of importance to the body imaging community and the patients it serves.
No Tricks, Just ACR Treats
My momma always said, "Life is like a box of chocolates; you never know what you're gonna get." — Forrest Gump
Halloween is not far away, and many of us find our thoughts turning to tricks, treats, and boxes of chocolates.
Becoming Decision Makers
Two radiologists play integral roles in Michigan's Certificate of Need program.
Regulating health-care cost, quality, and access are the three main objectives of the Michigan Certificate of Need (CON) Commission. But it can be difficult to balance such distinct and sometimes conflicting facets of our health-care system.
Finding Purpose in Meaningful Use
One practice comes out ahead after implementing stage I of the incentive program.
Since 1905, Advanced Radiology Consultants LLC (ARC) has provided imaging services to patients in southwestern Connecticut.
The ACR Commission on Human Resources helps radiologists work appropriately in the medical community.
The ACR Commission on Human Resources focuses its attention on both the interface between radiologists and allied health professionals and human resources issues that affect radiologists.
Sowing Seeds of Change
The RLI launch event honors leaders and discusses leadership fundamentals.
Leaders and aspiring leaders in radiology who attended the Radiology Leadership Institute's (RLI) launch event in July were awed not only by the picturesque Northwestern University Campus in Evanston, Ill., but also by the high caliber of speakers and instructors, the networking opportunities, and the compelling content.
Back to School
ACR has a lot to offer, whether you're looking to keep your skills current or pursue something new.
It's that time of year. The days are cooling off and the leaves are getting ready to change color and fall. Meanwhile, kids and parents are getting ready for a new school year. Nervous stomachs and first-day jitters abound.
Q: What is your favorite aspect of the AMCLC?
I truly enjoy all of the AMCLC, but the Economics Forum is my favorite portion because it is always directly useful to my practice.
Welcoming the New Board
The ACR Board of Chancellors (BOC) held its spring meeting at the AMCLC in April 2012. The meeting included updates on progress made since January 2012.
Commemorating 100 Years
Texas Radiological Society leaders reflect on their centennial meeting and overall success.
The chapter task force overseeing the Texas Radiological Society (TRS) 2013 centennial meeting includes 13 subcommittees and close to 40 TRS members, who will ensure every detail — from the hotel accommodations to a one-of-a-kind educational programming — runs smoothly. This group will make next year's celebration of 100 years, held on April 5-7, 2013, in Houston, one to remember.
Radiation Oncology Is Alive and Well
The Commission on Radiation Oncology serves as the focal point for all ACR activities related to this subspecialty.
Meet the ACR Board of Chancellors, Your Executive Body
The College's executive body is designed to meet the needs of ACR members.
Radiology Leadership Institute helps radiologists move ahead.
Next month, the ACR Radiology Leadership Institute (RLI) will formally begin its curriculum to help radiologists reach their leadership potential.
ACR recognizes its state chapters that have flourished throughout the past year.
Meetings, education, and advocacy are just a few of the vital activities carried out by ACR state chapters. At each AMCLC, chapters are honored for going above and beyond to support their state's radiology community and for their involvement in organized medicine.
ACR Goes to Washington
College members visit Congress to advocate for radiology's best interests.
On Wednesday, April 25, more than 400 radiologists visited approximately 300 congressional offices on Capitol Hill.
Striving for Value-Driven Radiology
Moreton Lecturer encourages a leadership stance on reduction.
This year, the much-anticipated Moreton Lecture featured James L. Reinertsen, MD, founder of the independent health-care consulting and teaching practice The Reinertsen Group, who presented "Possible or Passible? Setting Aims for Accountable Health Care." He began by identifying volume as a key driver of any health system's financial success — "especially the volume of high-margin services such as imaging," he said.
In Pursuit of Excellence
2012 fellows, honorary fellows, and gold medalists represent radiology's finest.
AMCLC attendees reconvened Sunday evening to honor three gold medalists, two honorary fellows, and 112 new fellows at the ACR Convocation.
United We Stand
AMCLC 2012 underscores the importance of advocacy and engagement.
Encouraging member engagement, undertaking grassroots efforts, and curbing unnecessary imaging were all hot topics during the 89th AMCLC, held at the Washington Hilton Hotel in Washington, D.C.
A Meeting for all Members
The 2015 ACR annual meeting will be designed to attract all members. But why are we making a change?
In May of 2015, ACR members attending the AMCLC will engage in a new experience unlike any prior ACR annual meeting — the new conference will include clinical and scientific content. Those who have attended and enjoyed the past meetings may wonder why the ACR leadership has chosen to undertake this adjustment. Let me explain.
Turning Dollars Into Actions
Chapter president shares secrets to fundraising and member communications.
Much of the College's power to advocate for the specialty depends on its state chapters' commitment to advocacy. After all, local issues in radiology are as equally important as those at the national level.
AMCLC 2012: Innovation and Representation
Just four years ago, AMCLC attendees had to carry around a four-inch thick, 900-page agenda. Today, technological advances have made the meeting much more efficient and cost-effective.
Solving the Puzzle
Can an individualized College experience attract new and disconnected members?
Imagine that the benefits of ACR membership correspond to the colored panels on an unsolved Rubik's Cube®. Each color represents a pillar or activity of the College.
Taking the Torch
My first column as chair of the ACR Commission on Economics provides an opportunity to survey the landscape and set out our priorities for the months ahead.
The College is moving full speed ahead.
In previous issues of the ACR Bulletin James H. Thrall, M.D., FACR, has written about navigating change, and John A. Patti, M.D., FACR, has written about staying ahead of the curve.1,2 I have great admiration and respect for these and other past chairs, and I want to thank them for their mentorship.
Kudos to Contributors
The College recognizes the following ACR members who contributed to the proposed 2012 Practice Guidelines and Technical Standards.
Q: How has volunteering with the ACR furthered your personal goals?
As a resident, I was constantly told by senior radiologists that the "golden age" of radiology had ended, and we must adapt to meet the changing needs of American health care.
Preparing For Transitions
The work of the Commission on Economics is one of several major ways we provide value to its members and our specialty.
Your Board in Action
The ACR Board of Chancellors held its winter retreat during the last weekend of January. The meeting included updates on progress made since October 2011.
Accountable Care Realities
The 2012 Moreton Lecturer shares insights on the accountable care organization model.
In 2012, James L. Reinertsen, M.D., the founder of the independent consulting and teaching practice The Reinertsen Group in Alta, Wyo., will present the AMCLC 2012 Moreton Lecture, "Possible or Passable? Setting Aims for Accountable Health Care."
Looking Back So We Can Move Forward
As we approach the ACR Annual Meeting and Chapter Leaders Conference, we anticipate the excitement and energy that flows through this meeting as a catalyst for forward motion and progress.
Subject to Change
Courses at the Radiology Leadership Institute help you develop and flourish as a leader.
The ACR Radiology Leadership Institute (RLI) is taking professional education to new heights through an innovative taxonomy and a well-defined body of knowledge, which will shape the way the RLI's leadership certification courses are taught.
Preparing a Tradition
Beginning in 2015, all ACR members will get more out of the expanded annual meeting.
Each spring at the AMCLC, ACR councilors, alternate councilors, and members of the Board of Chancellors and Council Steering Committee (CSC) debate resolutions; discuss hot topics; attend lectures; elect officers, chancellors, and CSC members; and induct new fellows.
Candidates Nominated for 2012 Positions
Look who's running for office.
This April at the AMCLC in Washington, D.C., the ACR Council will vote on the following slate of candidates recommended by the College Nominating Committee (CNC).
Stepping Up to the Mic
ACR Council will vote on more than 35 critical resolutions at AMCLC 2012.
The ACR Council will consider more than 35 resolutions related to policy, bylaws, practice guidelines, and technical standards at the 89th AMCLC, held April 21-25, 2012, in Washington, D.C.
The College recognizes practices supporting past board chairs.
The ACR Board of Chancellors (BOC) tackles many challenges as the executive body of the College, and doing so requires extensive contribution and commitment. BOC members meet in person three times per year or sometimes even more frequently.
Point, Counterpoint, Recommendations, and Action
In January, I reported the news from the October Board of Chancellors meeting, and I outlined the elements of discussion contained in three point-counterpoint sessions, on RBMs, self-referral, and our identity as radiologists.
Beyond the Standard
The specialty is indebted to these five leaders.
It's not always easy to stand out as a leader in medicine — where intelligence and drive are necessary just to graduate from medical school, succeed in residency, and pass the Boards.
Looking on the Bright Side
Here are five reasons why it's a good day to be a radiologist.
It's easy to sometimes let the challenges of the specialty overshadow its successes. Questions like "How will health-care reform affect my practice?" and "Will reimbursement cuts continue?" plague many ACR members.
2013 Gold Medalists and Honorary Fellows
ACR invites you to submit your recommendations.
It's time to nominate your fellow ACR members or other outstanding international radiologists for the College's highest honors in 2013.
Promoting State Chapter Communications
One of the principal functions of the Council Steering Committee (CSC) is to communicate with state chapters. The commitment of communication and representation of the state chapters has always been evident.
Planning for the Future in Chicago
The Scientific Assembly and Annual Meeting of the Radiological Society of North America presents a multitude of opportunities for radiologists to learn, network, and plan for the future each year in Chicago.
Leading the Charge
What is leadership in radiology and how is it developed?
Merriam-Webster defines "leading" as the act of directing or guiding on a course.
The fall meeting of the ACR Board of Chancellors was held Oct. 17-20, 2011 and was attended by the Council Steering Committee (CSC). Initial presentations by the chairman, president, CEO, and treasurer updated the board on progress made since May.
Looking in the Mirror
As we strive to reach higher and higher goals, there are no truer words of guidance than those in the chorus of a famous Michael Jackson song: "I'm starting with the man in the mirror, I'm asking him to change his ways, And no message could have been any clearer, If you wanna make the world a better place, Take a look at yourself and then make a change."
Rarely does a physician impact his or her specialty with the degree of passion and dedication demonstrated by Jerome F. Wiot, M.D., FACR, throughout his career. Despite his passing on Dec. 21, 2010, Wiot unquestionably left an enduring mark on his colleagues, friends, and the field of radiology.
Amidst a busy year for breast imagers, the SBI continues to flourish.
While tremendous strides have been made in breast-cancer research and treatment during the past decade, squaring off against the disease is not an easy feat.
Relief Within Reach
Bringing imaging to medically underserved populations doesn't always require a passport.
The World Health Organization (WHO) reports that the "majority of the world's population is denied adequate access to safe and appropriate medical devices." However, many don't realize that these underserved communities are not limited to developing nations — they can be just miles away.
Leaders Among Us
The College bestows its highest honors on today's bold pioneers of imaging.
A leader is defined as one who influences others to achieve a common goal. In medicine, leadership requires a blend of skill, inner drive, passion, and commitment to the greater good.
Expressions of Gratitude
The ACR highlights the practices of its dedicated leaders.
In the October 2010 ACR Bulletin, John A. Patti, M.D., FACR, chair of the ACR Board of Chancellors, introduced a new initiative, the ACR Leadership Support Recognition Program, which recognizes the practices of leaders within the College.
Recognizing the Gold in Our Midst
Professional careers are defined by myriad events and experiences that occur over a course of time that spans generations. Average practitioners of family medicine often care for the grandchildren of the patients who entered their offices at the outset of their careers.
Preserving Tradition, Expanding Opportunity
Sketching the blueprints for this year's AMCLC.
The 2011 AMCLC will provide a unique opportunity for ACR members to influence the policy and direction of the College. Preparations have begun, deadlines have been set, and the Council Steering Committee (CSC) anticipates a vibrant meeting in Washington, D.C., from May 14-18.
Recapturing the Center
Over the past 115 years, radiologists have been blessed by the technological advances of our specialty. In each new era of health-care delivery, some new technology has captured the hearts and minds of physicians and patients.