Vol 9, No 9, September 2002
Phoenix, Arizona
Proceedings of the Annual Meeting of the American Association of Academic Chief Residents in Radiology April 2002 Chief residents from university and community training programs, both large and small, gathered together during the Association of University Radiologists (AUR) 50th annual meeting for educational programs and discussions of topics of common interest. The Steering Committee of the American Association of Academic Chief Residents in Radiology (A3CR2), under the able leadership of Michael O’Brien, chief resident from the University of Arizona, met early in the morning of the 1st day to be sure that all preparations were in order for the 31⁄2-day program. The chief residents attended the afternoon opening joint session, sponsored by Society of Chairmen of Academic Radiology Departments, and then broke out into their own business meeting. At the business meeting session, reports were received from various Steering Committee representatives to other organizations. These included the American College of Radiology Resident Physician Section and the American College of Radiology Intersociety Summer Conference. Progress reports were also received from the Web masters at the University of Maryland and the co-chairs of the Problem Solving sessions and Film Panels which were to take place later in the meeting. Other representatives attended the American Medical Association residents’s section and the American Association of Physicists in Medicine committee on physics education and the Resident Roundtable of the Society of Computer Applications in Radiology. The afternoon session was concluded with the A3CR2sponsored Joint Session, The Brogdon Panel, in honor of faculty advisor and former sponsor Byron G. Brogdon of the University of South Alabama. In keeping with the 50th anniversary theme, the Steering Committee chose to
invite former A3CR2 representatives who are now prominent academic radiologists to relate their experience and thoughts on establishing an academic career through residency. Mandar Pattekar, of William Beaumont Hospital, moderated the interchange between residents and the distinguished panel. Participants were Laurie Loevner, former chief resident at University of Michigan and a neuroradiologist at the University of Pennsylvania; Robert Mattrey, former chief resident and now director of research at the University of California at San Diego; William Thompson, former chief resident and now senior faculty member at Duke University after serving as professor and chair of radiology at the University of Minnesota; and Ronald Zagoria, former chief resident and now vice-chairman at Wake Forest University. The next day began with a breakfast presentation by E. Stephen Amis, vice-chairman of the Board of Chancellors of the American College of Radiology. Dr Amis spoke about the College’s interest in resident issues and residents’ plans for the future. After the Vydareny Film Interpretation Competition, where residents were the key members of their institutions’ team, the group reconvened in small sessions to discuss problems common to radiologic practice. This year’s session concentrated on resident training during times of faculty shortage. The chairs moderating the sessions were Loren Macey of the University of Colorado and Edward Bouchard of the University of North Carolina. Common problems in meeting educational objectives for residency training were discussed. After the AUR sessions, the resident group reconvened for Film Panel presentations. Co-chairs for the Film Panel were Michelle Pontious of Virginia Mason Medical Cen-
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ter and John O’Neill of the University of Florida-Jacksonville. At this session, moderators from preselected institutions presented unknown interesting cases. Discussants from other institutions received only selected images and some clinical information in advance. As in the past, resident discussions and differential diagnoses were most educational and invariably included the proper diagnosis. The 3rd day was opened with a presentation by Kay Vydareny, a member of the American Board of Radiology, on Board activities of concern to residents. After this breakfast meeting, the residents participated in other AUR activities until their luncheon session. This special session included the Malcolm Jones oration in honor of the first faculty sponsor and founder of A3CR2. The oration was given by William Thompson, of Duke University. Dr Thompson is a distinguished academic radiologist and a former chair of A3CR2. The second Problem Solving session was held, in which additional discussions were held on successful methods of preparation during residency for the American Board of Radiology examination. A position paper was developed of comments and concerns from both Problem Solving sessions that could be brought forward to the Association of Program Directors in Radiology at their Sunday morning breakfast session. Later in the afternoon, a newly developed program was continued as a substitute for one of the popular film panels. This was a tutorial session on cardiac magnetic resonance imaging and was superbly presented by Scott Pereles, of Northwestern University. The session was well received by the chief residents, and similar tutorials are scheduled to be held in the future. The 4th day of programming began with a joint breakfast with the Association of Program Directors in Radiology on dealing with a problem resident. This was followed in the afternoon by a second film panel of interesting case presentations and discussions and was concluded with the final business meeting. This was also the session where the chief residents from Mallinckrodt Institute of Radiology at Washington University in St Louis presented
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results from the A3CR2 survey. Although less than half of all programs participated in this survey, meaningful results compared with data from prior years. The data bank of previous survey results maintained at Washington University are a valuable resource of material for presenting trends and changes in radiology resident education. This material is annually submitted for publication in Academic Radiology and has been helpful to chief residents and directors of various programs, both university and community based. The business meeting was concluded with the selection of this year’s Steering Committee. This is done by lottery among those incoming chief residents in attendance. A true cross section of representatives from various programs agreed to participate in next year’s activities and represent the group to other organizations. Leadership of the Steering Committee was transferred to Tara Henrichsen, of the Mayo Clinic. All of the Steering Committee representatives were thanked for their efforts on behalf of the organization. The residents attended the annual banquet, where Gold Medal recipients were honored. In addition to the announcement of the Vydareny Film Interpretation winners, various awards were given to residents for presentations at the annual meeting. The A3CR2 Advisor’s Award was given to Edwin Wang, of the University of Michigan, for his presentation on “Radiology Resident On-Call Coverage of Emergency Department Ultrasound?” Dr Robinson then turned over faculty sponsorship of A3CR2 to Wilbur Smith, of Detroit Children’s Medical Center. At the following morning’s breakfast, Michelle Pontius and John O’Neill presented the conclusions from the Problem Solving session. A vigorous discussion ensued among the program directors in attendance. Jim Goddard also presented results from the Mallinckrodt survey and issued a plea for more participation next year. More than 200 residents were again in attendance at this year’s annual meeting. They are all indebted to their chairs and program directors for supporting their attendance and participation. This was found to be an ideal
Vol 9, No 9, September 2002
setting for residents to mix with academic radiologists and chief residents from other programs. Invaluable information was gathered in both formal and informal sessions for presentation and application to their programs at home. Although there is at least 50% turnover of participants at each annual meeting, those incoming chief residents in attendance are looking forward to their institution’s participation at next year’s annual meeting in
Phoenix, Arizona
Miami, Fla. We hope that chief residents from other programs who were unable to attend this year will be able to do so next year. Wael Saad, MD Arvin Robinson, MD University of Rochester Medical Center Rochester, NY
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