Vol 12, No 12, December 2005
CARLOS
Proceedings of the 2005 Annual Meeting of the Radiology Alliance for Health Services Research The Radiology Alliance for Health Services Research (RAHSR, pronounced “razor”) seeks to encourage excellence in radiology health services research and stimulate interest in it as an academic career. The RAHSR annual meeting is held in conjunction with the annual meeting of the Association of University Radiologists (AUR). During the meeting, RAHSR is responsible for organizing a number of educational and scientific sessions, many in collaboration with the other societies and alliances that are affiliated with AUR. The 2005 annual meeting was held May 4⫺7 in Montreal. The RAHSR program began with a combined session with A3CR2 concerning evidence-based radiology. This was designed as a tutorial course on topics related to health services research, with a few advanced topics aimed at more experienced audience members. The session faculty were Drs. Kimberly Applegate, Yoshimi Anzai, Christopher L. Sistrom, Ben A. Dwamena, Martin H. Reed, and Ruth C. Carlos. The topics included the history and principles of evidence-based radiology, how to critically evaluate the literature, common performance measures of diagnostic imaging tests, meta-analysis, clinical decision rules in radiology, cost-effectiveness analysis, and quality of life measurement as a clinical outcome. Dr. Dwamena chaired the session. To broaden the appeal of the session, a breakout session providing hands-on tutorial followed the didactic sessions. The breakout session was divided into small groups that tackled the development of a research question. At the end of the session, each group shared the devised research question and the process. The session was well attended, and the audience included radiologists at all levels, from chief residents to senior investigators. The topic of the RAHSR Applied Health Services Research Colloquium was medical errors and patient safety issues in radiology, chaired by Dr. Diego Jaramillo. Dr.
Jaramillo opened the session with a concise overview of current issues in radiology and one institution’s experience in improving processes in patient safety. Leonard Lucy, legal counsel to the American College of Radiology, discussed the issue from a legal perspective and summarized current legislation. Dr. John Smith provided an institutional perspective on topic. One of the most well-attended sessions, the colloquium generated vigorous discussion from the audience and additional insightful commentary from the panelists. Speakers in the RAHSR Open Seminar had a chance to present new projects, preliminary results, or new methodologies in a format that is an RAHSR tradition in which almost as much time is allocated for discussion as the presentation itself. This year, topics included methods on handling multiple observers, measuring multiattribute health-related quality of life and examining the dialectics of reporting. Dr. Kelly Zou chaired the seminar, which generated a number of interesting questions from the audience. This year, RAHSR hosted the RAHSR/RRA joint Plenary Session. The timely topic was “Evidence-Based Radiology: Lessons Learned From Vertebroplasty Research.” Dr. L. Joseph Melton summarized the epidemiology of vertebral body fractures. Dr. David Kallmes provided an update on the INVEST study, a randomized clinical trial on the efficacy of vertebroplasty. Dr. William Hollingworth reviewed vertebroplasty and kyphoplasty reimbursement policies of the United States and other countries. Dr. Jerry Jarvik, who chaired the session, led a lively debate with the audience, which included Dr. Barbara McNeil, following speaker presentations. The RAHSR Research Issues Colloquium is an interactive discussion in which panelists give personal experience, advice, and pearls drawn from their academic careers. This year, panelists included pairs of mentors and
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mentees from representing different career stages. Drs. Curt Langlotz and Janie Hrung represented the trainee perspective and Drs. Jerry Jarvik and Yoshimi Anzai represented the junior faculty perspective. Dr. Jeffrey Carr represented a mid-career perspective. As usual, the panelists’ presentations generated lively questions and comments from the audience. RAHSR sponsored a scientific session in which peerreviewed AUR abstracts concerning health services research were presented. The session was chaired by Dr. Annette Johnson. During the RAHSR business meeting, reports were given by the membership committee chair, the program committee chair, and the secretary-treasurer. Suggestions were discussed for the 2006 meeting. Dr. Jerry Jarvik is the 2006 program committee chair, and Dr. Elizabeth Burnside is the 2007 program committee chair. Dr. John Eng was elected secretary-treasurer.
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For the third year, RAHSR organized a one-to-one mentoring program. In this program, AUR members were asked to give 1 hour of time during the AUR meeting to meet with an advisee. Advisees were invited to choose from a list of the volunteer mentors. The call for mentors, invitation to potential advisees, and meeting arrangements were all handled via e-mail. The goal of the program is to provide less experienced academic radiologists an opportunity to meet with more experienced members of RAHSR/AUR and to discuss issues related to career development or research. Intended topics include advice about career path and/or discussion of work in progress. Ruth C. Carlos, MD, MS e-mail:
[email protected] From the Department of Radiology University of Michigan 1500 E. Medical Center Drive Ann Arbor, MI 48109-0030