Proceedings of the 52nd Annual Meeting of the Association of University Radiologists

Annual Meetings

Vol 12, No 2, February 2005

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Proceedings of the 52nd Annual Meeting of the Association of University Radiologists The 52nd Annual Meeting of the Association of University of Radiologists (AUR) was held in San Francisco, California, on April 21-24, 2004 and attended by over 900 registrants. The meeting was held in conjunction with the Society of Chairman of Academic Radiology Departments (SCARD), the Association of Program Directors in Radiology (APDR), the American Alliance of Academic Chief Residents in Radiology (A3CR2), the Alliance of Medical Student Educators in Radiology (AMSER), the Radiology Research Alliance (RRA), the Radiology Alliance for Health Services Research (RAHSR), the Association of University Radiologists-Europe (AUR-E) and the Association of Program Coordinators in Radiology (APCR). The meeting program covered the full spectrum of the interests of academic radiologists, from teaching to research to patient care and administration. The meeting’s offerings included scientific sessions, plenary sessions, society-specific sessions, the Kodak Introduction to Management Program, the RSNA Introduction to Grantsmanship Program, the Phillips-AUR Academic Faculty Development Program, the GE-AUR Radiology Research Academic Fellowship (GERRAF) Session, the Awards Ceremony, the Kay Vydareny Film Interpretation Competition, and several enjoyable social functions.

PLENARY SESSIONS HIGHLIGHTS Six Plenary Sessions were held. The first of these was sponsored by A3CR2 and RAHSR and was entitled “Critical Thinking Skills: Evidence-Based Radiology.” Kimberly E.

Applegate, MD, MS, and Ruth C. Carlos, MD, MS, moderated the session. Along with John Eng, MD, C. Craig Blackmore, MD, MPH, Valerie L. Ward, MD, X. Andrew Zhou, PhD, L. Santiago Medina, MD, MPH, and Andrea S. Doria, MD, they provided a tutorial on the principles of health services research as they apply to practicing evidence-based radiology and evaluating the literature. SCARD held a joint session on PET scanning that included a discussion of “PET For Malignancy” by Lionel S. Zuckier, MD, “Cardiac PET” by Josef Machac, MD, and “PET Brain Imaging: Current and Emerging Applications” by Ronald L. Van Heertum, MD. The AUR /RRA Research Symposium was entitled “The Imaging/Genetics Interface.” King C. P. Li, MD, MBA, moderated the session. He and David R. PiwnicaWorms, MD, PhD, and Sanjiv S. Gambhir, MD, PhD, discussed the unique attributes of molecular imaging and the current status of research in genetics. APDR sponsored a session moderated by Duane G. Mezwa, MD, and Jocelyn D. Chertoff, MD. The session featured a talk by William Herring, MD, on the results of the annual APDR survey of program directors entitled “What the ACGME Can Do for You.” Dr. Chertoff moderated a panel discussion of “What Can the ACGME Do For Program Directors?” Panelists Judith S. Armbruster, PhD (Executive Director of the Radiology Residency Review Committee), William Herring, MD, Carol M. Rumack, MD (Chair of the Radiology Residency Review Committee), and Coralie Shaw, MD, responded to questions from the audience. APDR, AUR, SCARD, and A3CR2 jointly sponsored a session moderated by Michael J. Shortsleeve, MD, enti-

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tled “Quality-Competency-Certification.” Robert Hattery, MD, and William R. Hendee, PhD, discussed patient safety issues from the recent report of the Institute of Medicine and how the six competencies emphasized by the American Board of Radiology are reflected in the Board’s primary certification and maintenance of certification programs. This was followed by a Keynote Address by James H. Thrall, MD, on “Future Directions in Clinical Practice and Research.” The Brogdon Panel Session, sponsored by the A3CR2, APDR, SCARD, and APCR was on “Relationship Enhancement” and saw a return of Drs. Lynne and Harold R. Neitzschman, Jr. They discussed this topic at the 2003 AUR meeting and it was very popular.

SCIENTIFIC SESSION HIGHLIGHTS There were 76 oral paper presentations during the 10 scientific sessions. In addition, 41 poster presentations and 45 educational exhibits were on display. The scientific program covered a wide range of topics including education, breast imaging, health services research, MR, nuclear medicine, neuroradiology, cardiopulmonary imaging, angiography, musculoskeletal imaging, pediatric imaging, administration/socioeconomic issues, management, computers in radiology, and papers presented by the GERRAF fellows.

SCARD HIGHLIGHTS In addition to its joint sessions, SCARD held a threepart session moderated by Stephen R. Baker, MD. The first session on “How Do We Evaluate Program Directors” included presentations by Vijay M. Rao, MD, Wilbur L. Smith, Jr., MD, Janet L. Strife, MD, and Steven Perlmutter, MD. The second session was presented by Dr. Baker, who talked about “Demographic Trends in Radiology: South Asians and Women.” In the third session, several presentations on “Why Are Women Not Choosing Radiology?” were given by E. Stephen Amis,

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Jr., MD, Kimberly E. Applegate, MD, MS, Maureen T. Barry, MD, Valerie P. Jackson, MD, Janet L. Strife, MD, and Kay H. Vydareny, MD.

APDR HIGHLIGHTS In addition to its plenary sessions, the APDR sponsored three breakfast sessions with APCR. The first session, entitled “Getting Real With Professionalism,” was presented by Janet L. Strife, MD, Maxine Papadakis, MD, and Shannon R. Kirk, MD. The second session was a faculty development seminar and featured presentations by Win May, MD, and Beverly P. Wood, MD, MSc, on “Scholarship in Clinical Education: How to Establish and Document an Educator’s Portfolio.” The third joint breakfast session, which was also sponsored by A3CR2, was moderated by Charles S. Resnik, MD, who gave a presentation on “RRC and Fellowship Programs.” During this same session, Judith S. Armbruster, PhD, talked about “RRC Issues and Accreditation Requirements.” The APDR also held a session on “GME Answers to the Most Commonly Asked Questions,” moderated by Michael J. Shortsleeve, MD, and presented by Judith S. Armbruster, PhD, and Carol M. Rumack, MD. For the second year in a row, the APDR sponsored a two-part faculty development/program directors/program coordinators workshop, moderated by Coralie Shaw, MD. In Part I, Martha B. Mainiero, MD, presented “Responsibilities of Program Directors,” Pauline Marek and Lois A. Shuman presented “Role of the Residency Coordinator,” and Jannette Collins, MD, MEd, FCCP, presented “Program Policies and Documents.” In Part II, Carol M. Rumack, MD, presented “Radiology External Reviews,” Jannette Collins, MD, MEd, FCCP presented “Faculty and Resident Evaluation,” and Felix S. Chew, MD, presented “Educational Infrastructure for Radiology Residency.” As an annual event, the APDR, APCR, and A3CR2 jointly sponsored a “Problem-Solving” roundtable discus-

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sion. Charles S. Resnik, MD, and Wilbur L. Smith, Jr., MD, moderated this year’s roundtable.

APCR HIGHLIGHTS In addition to the sessions it jointly sponsored with APDR and A3CR2, the APCR presented two sessions. The first was a series of roundtable discussions on “Frequently Asked Questions in Program Administration.” The second was a two-part session. The first part was a presentation by Sandra Avila on “Communicating Across Cultures” and the second was a presentation by William R. Hendee, PhD, on “Supporting Residents Through the Boards.”

A3CR2 HIGHLIGHTS In addition to the Brogdon Panel and other jointly sponsored sessions, the A3CR2 sponsored two breakfasts, two film panels, a problem-solving session and a position discussion. The first breakfast, conducted jointly with the American College of Radiology, included a forum moderated by E. Stephen Amis, Jr., MD (Representative to the ACR Resident Group) and Sanjay K. Shetty, MD (ACR Representative) on the role of the ACR in presenting programs in quality assurance, radiological education, and national issues involving radiological care. The second breakfast included presentations by William R. Hendee, PhD, N. Reed Dunnick, MD, and Robert R. Hattery, MD, on the mission of the American Board of Radiology and information about the ABR written and oral examinations. Film panels were conducted as discussions of cases of clinical interest presented as unknowns. Critical educational points from each case were presented. Fauzia Qureshi, MD, and Ian J. Wilson, MD, conducted both panels. Wilbur L. Smith, Jr., MD, Charles S. Resnik, MD, Christopher Kay, MD, and Madhavan Krishnan, MD, conducted the problem-solving sessions. The theme of these sessions was achieving the appropriate balance be-

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tween direct supervision and residents’ independent work (with night call as a case study). Participants also considered the statutory supervision requirements and the need for resident trainees to assume independent experience in a learning situation. The position discussion, conducted by Wilbur L. Smith, Jr., MD, Madhavan Krishnan, MD, and Christopher Kay, MD, focused on a summary document and creation of a position paper from the problemsolving work output and how to make A3CR2 a more relevant organization.

AMSER HIGHLIGHTS AMSER is an alliance whose members are interested in the teaching of radiology to medical students. They co-sponsored two sessions with the APDR. The first was on “Internet Resources for Radiology,” presented by Spencer B. Gay, MD, and the second was entitled “Learning, Teaching, and Communicating Using the Internet: RadiologyEducation.com,” presented by Michael P. D’Alessandro, MD. Back by popular demand was the jointly sponsored Electronic Education Exhibits, moderated by Judith K. Amorosa, MD. In addition to the jointly sponsored sessions, AMSER offered a full program of presentations. One was a Skills Session, which addressed preparing presentations for teaching with PowerPoint. This was a two-part session presented by Ken L. Schreibman, MD, PhD. A breakfast session included presentations on “Teaching With PDAs” (James J. Choi, MD), “Tools and Techniques to Support the Apprentice Learner in Radiology” (Michael P. D’Alessandro, MD), and “Radiology in the Clinical Setting as Part of Surgery, Medicine, Ob/Gyn, and Pediatrics: Virtually” (Judith K. Amorosa, MD). In another session, Richard B. Gunderman, MD, PhD, and Beverly P. Wood, MD, MSc, talked about “Self-Directed Learning: Using Learner-Centered Teaching to Develop Lifelong Learners.” In a session entitled “Medical Student Teaching Methods,” Petra J. Lewis, MD, presented “Radiology

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Curriculum for Medical Students,” Felix S. K. Chew, MD, presented “Teaching Large Groups of Students,” and Robert A. Novelline, MD, presented “Small Student Group Teaching.”

RRA HIGHLIGHTS In addition to a plenary session, a second RRA session provided an update on the activities of the National Institute of Biomedical Imaging and Bioengineering (NIBIB), the National Cancer Institute (NCI), and the Academy of Radiology Research (ARR). The session was moderated by C. Leon Partain, MD, PhD, and presented by Ronald L. Arenson, MD, Roderic I. Pettigrew, MD, PhD, and Daniel C. Sullivan, MD.

RAHSR HIGHLIGHTS In addition to a plenary session on critical thinking skills conducted with A3CR2, RAHSR sponsored several other sessions. These included an Applied Health Services Research Colloquium entitled “Efficacy of Radiology Informatics,” moderated by Curtis P. Langlotz, MD, PhD, with presentations by Charles E. Kahn, Jr., MD (“Decision Support and Artificial Intelligence”), Elizabeth S. Burnside, MD, MPH (“Bayesian Network Applications”), Curtis P. Langlotz, MD, PhD (“Real-Time Decision Support and Structured Reporting”), and Chris L. Sistrom, MD (“A Critical Look at Information Technology in Radiology”). Kelly H. Zou, PhD, moderated a session entitled “Advanced Research Topics and Works in Progress.” This traditional RAHSR session allowed more time for discussion to encourage lively interaction between audience and speaker. The speakers were Yoshimi Anzai, MD (“Impact of Imaging on Physicians’ Treatment Decisions for Sinusitis”), John A. Carrino, MD, MPH (“Development of a Prediction Model Using MRI Feature Analysis”), William Hollingworth, PhD (“Imaging for Blunt Cerebrovascular Injury: What is the Value of Additional

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Information?”), Max P. Rosen, MD, MPH (“Smoking Cessation Following Screening Chest CT: How to Motivate Patients to Alter Behavior”), and Kelly H. Zou, PhD (“Reproducibility Analysis of Functional MR Imaging Data”). RAHSR also sponsored a Research Issues Colloquium entitled “Research Mentoring: Learning from Experience,” moderated by John Eng, MD. This involved an interactive discussion in which panelists gave personal experience, advice, and pearls drawn from their academic careers. Panelists included Elizabeth G. McFarland, MD, Ella A. Kazerooni, MD, MS, and Stephen Chan, MD.

AUR-E The AUR-Europe Session featured talks by Johan G. Blickman, MD, PhD, on “Installing PACS In a Large Teaching Hospital: ‘Nonstructural’ Pitfalls and Hints” and Peter Dawson, MD, PhD, on “Modern Computed Tomography: What Is the Dose Burden, and Does it Matter?”

KAY VYDARENY FILM INTERPRETATION COMPETITION The annual Kay Vydareny Film Interpretation Competition was an entertaining and educational program, and a highlight of the AUR meeting. The two-part event brought together department chairs, chief residents, and faculty members, who competed in teams to diagnose ten challenging but ‘fair’ cases during each of two rounds. The top ten finalist teams competed in round two. Cases were selected and presented by representatives from last year’s winning teams: Brown University/Rhode Island Hospital, Dartmouth-Hitchcock Medical Center, and the University of Cincinnati School of Medicine. The competition was won this year by the Mallinckrodt Institute of Radiology.

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AUR-PHILLIPS ACADEMIC FACULTY DEVELOPMENT PROGRAM The AUR-Phillips Academic Faculty Development Program celebrated its 10th year in 2004. The goal of the program was to bring together promising junior radiology faculty members early in their academic careers for a half-day program of education and networking. Forty junior faculty members from around the country were invited to attend the program, each receiving a $1000 stipend to defray the expenses of attending the program and the AUR meeting. Elizabeth G. McFarland, MD, organized and chaired the program, with Ella A. Kazerooni, MD, MS, serving as co-chair. The program began with a lunchtime presentation by Richard B. Gunderman, MD, PhD, entitled, “Why Do Some Excel?” The program included a chairman roundtable discussion (“Your Career: How a Chair Can Help”), a mid-career roundtable discussion (“Beginning and Maintaining Academic Productivity”), and presentations on funding opportunities through the RSNA, teaching and medical education research, making better decisions, and the disciplines of the work ethic. In addition, time was dedicated to small group sessions on developing research ideas. Faculty included Ronald L. Arenson, MD, Lynn S. Broderick, MD, Stanley Baum, MD, Felix S. K. Chew, MD, Jannette Collins, MD, MEd, FCCP, N. Reed Dunnick, MD, Laurie L. Fajardo, MD, Mark S. Frank, MD, G. Scott Gazelle, MD, MPH, PhD, Richard B. Gunderman, MD, PhD, Wayne Hanson, PhD, Ella A. Kazerooni, MD, Elvira V. Lang, MD, Curtis P. Langlotz, MD, PhD, Ann N. C. Leung, MD, Laurie A. Loevner, MD, Robert F. Mattrey, MD, Beth McFarland, MD, Etta D. Pisano, MD, Geoffrey D. Rubin, MD, and Steven E. Seltzer, MD.

KODAK INTRODUCTION TO MANAGEMENT PROGRAM Based on the success of the 2003 program, the Eastman Kodak Company once again sponsored a Radiol-

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ogy Management Program designed for approximately 30 radiologists and administrators. In addition to the traditional program, an Advanced Program for Alumni of the AUR-Kodak Radiology Management Course was offered. Both programs were chaired by Pablo R. Ros, MD, MPH, and focused on motivation/compensation (recruitment and retention) in academic radiology, change management, negotiating skills: the case of financial negotiation for equipment purchases, strategic planning and organization in an academic radiology department, how to integrate education and research needs in a modern academic department, and business plans for new ventures. The program employed a combination of case-study method, keynote talks, and social events. Faculty included Ronald L. Arenson, MD, Leonard Berlin, MD, Paul J. Chang, MD, N. Reed Dunnick, MD, Dieter R. Enzmann, MD, Gary M. Glazer, MD, Richard B. Gunderman, MD, PhD, Valerie P. Jackson, MD, Wayne Langlois, Atul V. Minocha, MBA, Lawrence R. Muroff, MD, FACR, Jeffrey S. Oxendine, MBA, MPH, Pablo R. Ros, MD, MPH, Steven E. Seltzer, MD, Richard L. Baron, MD, Stephen Chan, MD, Jocelyn D. Chertoff, MD, Julia Fielding, MD, Jay A. Harolds, MD, Silvia Ondategui-Parra, MD, MPH, MSc, and Max P. Rosen, MD, MPH.

RSNA INTRODUCTION TO GRANTSMANSHIP WORKSHOP The Radiological Society of North America once again sponsored an Introduction to Grantsmanship workshop. The program was directed by G. Scott Gazelle, MD, MPH, PhD, and included presentations on reviewing the radiology research agenda, moving from the unfunded to the funded radiology investigator, establishing pathways to success: evaluating your data, discussing experimental designs for laboratory and clinical studies, outlining the NIH review and study session processes, and identifying funding opportunities and the RSNA Department of Research. Speakers included Thomas J. Brady, MD, David

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T. George, PhD, King C. P. Li, MD, MBA, and Etta D. Pisano, MD.

HONORS AND AWARDS A high point of the AUR meeting is the presentation of honors and awards to its members and contributors. Etta D. Pisano, MD, AUR President, presided over the ceremonies. The Stauffer Awards were presented to the authors of the best articles published in Academic Radiology in the previous year. In memory of Herbert M. Stauffer MD, these awards have been presented annually since 1981. This year’s awardee for outstanding clinical research was K. Borowska-Matwiejczuk, MD, and colleagues for “Assessment of Fetal Distress Based on Magnetic Resonance Examinations: Preliminary Report” (Academic Radiology 2003; 10:1274-1282). The awardee for outstanding laboratory research was John F. Meinel, Jr., BSE and colleagues for “Spatial Variation of Resolution and Noise in Multi-Detector Row Spiral CT” (Academic Radiology 2003; 10:607-613). The 2004 AUR Memorial Award winner for the best study submitted by a resident or fellow went to Jonathan K. Wood, MD, from the University of Wisconsin, for “Patient, Faculty and Self-Assessment of Radiology Resident Performance: A Method of Measuring Professionalism and Interpersonal/Communication Skills.” The Joseph E. and Nancy O. Whitley Award has been presented annually since 1991 to recognize exemplary scientific presentations on radiology education. This year, the award was given to Kitt Shaffer, MD, PhD, from the Dana Farber Cancer Institute, for “Blended Learning in Medical Education: Use of an Integrated Approach Using Web-Based Small-Group Modules and Didactic Instruction for Teaching Radiologic Anatomy.” The A3CR2 Advisor’s Award was established in 1995 for the best scientific abstract presentation by a resident during the scientific sessions of the AUR annual meeting,

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and this year was presented to two individuals from Harborview Medical Center. The awards were presented by Wilbur Smith to Anand Suresh, MD, for “Resident Error Rates on After-Hours Neuroradiologic CT Examinations: A Study Performed as Part of a New Resident Rotation on Noninterpretive Aspects of Radiology” and to Shawn E. Parnell, MD, for “Residents and Attending Radiologists Make Different Errors on Chest Radiographs in Trauma Patients: A Study Performed as Part of a New Resident Rotation on Noninterpretive Aspects of Radiology.” Three awards were presented for the best papers presented by a resident or fellow during the scientific sessions of the annual meeting, and three awards were presented for the best scientific exhibits by a resident or fellow. For the paper presentations, the first place award went to Timothy J. Ziemlewicz, BS, a medical student from Detroit Medical Center/Wayne State University for “Functional Magnetic Resonance Imaging of the Brain During Deception in a 4T Magnet.” The second place award went to Melissa A. Hilmes, MD, from University of Michigan Hospitals for “Evaluation of the Ability of Individual Phases of Multi-detector CT Urography and Different Windowing to Detect Urinary Tract Pathology,” and the third place award was given to Whitney J. Goodwin, MD, from the University of Arkansas for Medical Sciences for “Angiography and Intervention in Asymptomatic Patients With Computed Tomography Coronary Artery Calcium Scores Over 400.” The first place scientific exhibit award was given to Shane M. Bezzant, MD, from Wilford Hall Medical Center for “Teaching Radiologic Chest Anatomy With ThreeDimensional Models.” The second place award was given to Jonathan P. Gordon, MD, PhD, from University of Virginia Hospitals for “Web-Based System of Instruction and Self-Evaluation in Billing and Reimbursement for Imaging Studies” and the third place award went to Daniel R. Murphy, a medical student from the University of Miami School of Medicine for “An Interactive Guide to Chest Radiography.”

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Since their inauguration in 1992, the GE-AUR Radiology Research Academic Fellowships (GERRAF), fostering scholarship in radiology research, have been one of the most sought-after awards in academic radiology. GERRAF fellowships are cosponsored by GE Medical Systems and the AUR. The class of 2004 GE-AUR fellows included Orit A. Glenn, MD (“Evaluating the Diagnostic Potential and Clinical Usefulness of Fetal Magnetic Resonance Neuroimaging”), J. Paul Jacobson, MD (“Minimally Invasive Treatment of Painful Osteoporotic Vertebral Compression Fractures: A Trial to Compare Outcomes in Patients Undergoing Kyphoplasty Versus Vertebroplasty”), and Pina C. Sanelli, MD (“CT Perfusion Used to Evaluate Vasospasm Following Aneurysmal Subarachnoid Hemorrhage”).

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The AUR has awarded Gold Medals since 1978 to exemplary academic radiologists. This year the award was presented to Steven E. Seltzer, MD. G. Scott Gazelle, MD, MPH, PhD, presented the Gold Medal tribute. The APDR honored two individuals for their contributions to education and the APDR with the APDR Achievement Award. Coralie Shaw, MD, presented the award to Jannette Collins, MD, MEd, FCCP, and Theresa McLoud, MD, presented the award to Robert A. Novelline, MD. Jannette Collins, MD, MEd, FCCP University of Wisconsin Hospital and Clinics and Medical School, Department of Radiology, Madison, WI

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