Dear AAWR Member, I invite you to turn to "Portraits from AAWR" for answers to questions about a career in radiology, and the balancing act between the family and the professional life. I hope you will find this collection to be informative, entertaining, and heartwarming. I have been inspired by the wonderful words of wisdom from these accomplished women radiologists and I promise that so will you. Happy reading! Please send us your comments related to this anthology. If you would like to share your own story, please contact our office at aawr@acr.org to receive an entry template. *Compiled by Katarzyna J. Macura, MD, PhD, 2005 President of AAWR |
Ristuko Komaki, MD, FACR
Teacher, Researcher, and Clinician I am a Professor of Radiation Oncology and Gloria Lupton Tennison Distinguished Endowed Professor for the Lung Cancer Research at the University of Texas M.D. Anderson Cancer Center in Houston, Texas. I was the AAWR President 2001 and have received the Marie Sklodowska-Curie Award in 2005. I have also, received an award medal-commemorating centenary of discovery of Radium from the Society in Tribute to Maria Sklodowska-Curie. This award was given to me based on my activity promoting achievements of Marie Sklodowska-Curie and personal achievements in Radiation Oncology on August 24, 2006. I was raised in Hiroshima where I met Ms. Sadako Sasaki at age 10-years-old who developed acute granulocytic leukemia due to the exposure from the Atomic Bomb at her infancy. Sadako’s death at 11 years old triggered my decision to become researcher and physician of malignancy. I have worked with Sadako’s older brother and classmates to create “ the Sadako’s Memorial Statue” which is standing at the Peace Memorial Park in Hiroshima where thousands of origami crane birds have been sent from all over the world to pray the Peace in the World. The Origami Crane is the symbol of “Happiness and Longevity” and that we will recover from illness and tragedy if we fold one thousand of Origami Cranes. I still teach 10 th or 11 th grade school children about Sadako and how to fold Origami Cranes. Sadako’s legacy lives in me and the AAWR has recognized my legacy, which I deeply appreciated. What has changed about your career and self-perception since you were younger? When I faced Sadako’s death due to Leukemia when she and I were at age of 11 years old, this event has changed my perception of the life of human beings. Ms. Sadako Sasaki was one of my friends at the elementary school and we used to compete for running in the fall athletic meeting. She became short of breath and was found to have Acute Granulocytic Leukemia, which was most likely caused by the exposure of Atomic Bomb when she was an infant. I would like to give a message to younger generation that we should not repeat the war and we all have to give up the nuclear weapons. Incredible number of people would be suffered by more recent nuclear weapons, which would not be due to only immediate death, but also deaths due to malignancies and cardio/vascular effects due to the exposure to the radiation several years to forever after the exposure. The other message to younger generation is that when we face any tragedy, we have to think about how to turn around to make it better or positive. We did not want to waste Sadako’s death. We wanted to do something for positive, so she would have been proud of us. Who had the biggest influence on your career? My parents had the biggest influence on my career. My parents have lost everything due to the Atomic Bomb in Hiroshima except their children and their own lives. They told me that education was the only one thing they could give us, since they were so poor financially. Both of my parents were well-educated couple in a different way. My father was self-taught person from a family of Sake Brewery and among 12 children He was the youngest child and his father died when he was 10 years old. He supported himself to go to the Kyoto University, which is one of the most prestigious Universities in Japan. He had been on the way to be the top of CEO in one of conglomerate companies, but the second war made him to change his job to help his family in Hiroshima. On the other hand, my mother came from Samurai family. Her father was well known was the member of the cabinet in the Agriculture, then a secretary of the Mr. Asano who was the Lord of Hiroshima prefecture. My mother read all European and Asian histories by 7 years old and was supported by maids and secretaries for her father. The second war and A-Bomb have changed my parents’ life tremendously, but influenced my thinking and career development as well as my fiend’s death. Back row, from the left-hand side: Charles Washington (Director of the Radiation Oncology Clinical Operation, MDACC), Mitch Latinkic (Senior Administrative Director of Radiation Oncology at MDACC), Michael Gillin, Ph.D. (Deputy Chair of Medical Physics at MDACC), and James D. Cox. M.D. (Head of Radiation Oncology, MDACC, Husband of Dr. Komaki), Kasia Macura, M.D., Ph.D. (President of AAWR). Front row, from the left-hand side: Zhongxing Liao, M.D. (AAWR Chair of Radiation Oncology who nominated Dr. Komaki to receive the AAWR MSC award), Lena Tang (Administrative assistant at the Proton Center), Ritsuko Komaki, M.D. (AAWR MSC award recipient), Nancy Ellerbroeck, M.D. (AAWR President elect), Jang Zhang, M.D. (Post-doc fellow at MDACC from Beijing supported by RSNA research grant and AAWR international member) and Janet Strife, M.D. (recipient of AAWR Alice Ettinger Award). Ritsuko Komaki , MD, FACR is Professor of Radiation Oncology and Gloria Lupton Tennison Distinguished Endowed Professor for the Lung Cancer Research at the University of Texas M.D. Anderson Cancer Center in Houston. Kathleen A. Ward, MD, FACRKathleen A Ward, MD, FACR2002 President of AAWR Mother, Wife, and Radiologist As the oldest of seven daughters, I met my first feminist in my father whose favorite quote was “blessed art thou amongst women.” A child of the 50’s and 60’s, I grew up in a family of virtually all women and attended a girls’ high school as well as a women’s college. My mother immigrated to the United States from Ireland at the age of five, brought across the pond by her mother who alone raised her nine children after her husband’s untimely death. From the age of nine until his five-year stint in the army during World War II, my father worked for the butcher next door to support his family of eight during the Depression. Both Mom and Dad unfortunately never had the opportunity to attend college, let alone medical school, but that never prevented them from ensuring that all seven of their children graduated from college, six of us going on to postgraduate degrees and all but one in education or health care. Growing up in a house filled with love and laughter, we never entertained the thought we would not attain our goals. From my parents, I learned more than the importance of love and education. I learned about flexibility and compromise, qualities that have served me well in both my career and family life. The flexibility I have found in my career choice of radiology has allowed me the best of both worlds: a fulfilling and stimulating career and a complete and loving family life. Working part-time in private practice radiology while my children were young afforded me the opportunity to attend virtually every school recital and little league game, as well as providing me the time to chauffeur my children to their many music lessons, choir rehearsals and opera performances. Part-time employment also allowed me time to become involved with the AAWR and my local and state radiological societies. Among my proudest career moments are my years as president of the AAWR and president of the Chicago Radiological Society as well as my recognition as a fellow of the American College of Radiology, an achievement in which the AAWR and its support were especially critical. I certainly would be remiss if I did not also acknowledge the support of a loving husband as crucial to both our family’s happiness and my personal achievements. As my children became young adults, with my daughter in conservatory in New York City and my son halfway through upper school, flexibility also allowed me the opportunity to return to academic practice and full-time employment in the department where twenty years earlier I had completed my training. I happily now find myself working along side many of the very same radiologists, technologists and sonographers I had known during my residency years, all the while time marveling at how radiology has changed over the past twenty-five years. What would be your most important advice to your junior colleague? My advice to my young residents and junior colleagues remains the same counsel that I received from my parents. Flexibility is key to achieving career fulfillment and happiness in the home. Each of us must find our own path and remember to stop and smell the flowers. What do you like most about your current life/career? While we radiologists face turf issues from competing medical specialties, medical malpractice crises, as well as increasing insurance company demands and government regulation in the face of diminishing reimbursement, we must remember that we are fortunate to be able to practice in a specialty where the day is never dull and in a field in which we continue to learn and grow. Many years ago, I wrote an article for the AAWR focus regarding having it all. I firmly believe we can still have it all; one only has to look to our many women colleagues in radiology for proof. August 2006 Family Photo: (left to right) Daniel Reiter, Mark Reiter, Elizabeth Reiter, and Kathleen Ward
Hedvig Hricak, MD, PhD, DR. HCHedvig Hricak, MD, PhD, Dr. HC2002 Marie Sklodowska - Curie Awardee I consider myself a most fortunate woman. I enjoy my job as Chairman of the Department of Radiology at Memorial Sloan-Kettering Cancer Center (MSKCC). It allows me to work with many talented and dedicated people. I can mentor many of the young radiologists, and I take particular pleasure in helping young women develop their careers. I am able to do clinical and translational research with enthusiastic, hardworking colleagues in my subspecialty. The Department is growing much faster than I expected, and it is an invigorating challenge to keep up with the increasing demand for imaging—a national trend. Lately I have become involved in projects related to national policy issues by serving on the Scientific Advisory Board of the National Cancer Institute and chairing the National Academy of Science Committee on Nuclear Medicine. Being on the Board of the RSNA is another exhilarating educational experience. There are so many individuals contributing huge amounts of energy and time for the good of the specialty. The only problem is that, living in New York, I do not like the distance from our son, Peter, who is in San Francisco working for Lucas Films. Congratulations and happy 25 th birthday, AAWR. Of all the honors that I have been fortunate to receive by working with outstanding individuals at UCSF and MSKCC, the Marie Curie award from the AAWR is closest to my heart, as Marie was a Slav woman who achieved success and family bliss in an adopted country. Who had the biggest influence on your career? The biggest influence on my career as a physician-scientist was Dr. William Eyler, who was the editor of Radiology and head of the Department of Radiology at Henry Ford Hospital when I was on the junior faculty there. He taught me that to advance radiology, one should go beyond describing interesting cases and get one's hands dirty in the lab, design protocols, engage in hypothesis-driven research and apply for grants. It was not only highly motivating and educational, but a load of fun. In those days, protected research time did not exist. I did my laboratory studies at 6 o'clock in the morning before the clinical day started. I still vividly remember Dr. Eyler coming to the reading room to substitute for me—more than once. For my first big scientific presentation at the AUR, Dr. Eyler came with his wife to coach me and support me from the audience. I'll never forget this inspirational beginning for which I am forever grateful. What would be your most important advice to your junior colleague? You can achieve whatever you set out to do, but you cannot do everything at the same time. You have to decide on YOUR priorities, and be comfortable with them – understanding their long-term consequences. Don’t try to do it all at once – you will be continuously “haunted” by guilt and will not be a very happy person. "Surviving": From left to right, myself, Alexander R. Margulis—my husband and a great leader and inspiration to all—and Professor Lee from Beijing. Hedvig Hricak, MD, PhD, Dr. HC is Professor and Carroll & Milton Petrie Chairman of the Department of Radiology at Memorial Sloan-Kettering Cancer Center
| Karen L Reuter, MD, FACR
Karen L. Reuter, MD, FACR1993 President of AAWR Medicine has been a life-long interest. In grade school, I chose books for reports on the history of medicine and biographies of health care professionals such as Clara Barton. Television shows such as Dr. Kildare, Ben Casey and Frontier Doctor were entertainments I enjoyed. As with many of my college contemporaries, I first prepared for a career in teaching, in my case, biology in high school. After embarking on this path, immediately adding genetics to the preplanned teaching curriculum, and teaching high school for one year, I completed a master's program in biology and then medical school. It was the training to become a physician which was my most satisfying endeavor; I knew early on in medical school I had made the correct decision. Currently, I am a Professor of Radiology through Tufts Medical School. To show my appreciation for my medical training at Tufts I am an active alumna of my class and serve on the Alumni Council for the School. Sarah S Donaldson, MD, FACRSarah S. Donaldson, MD, FACR1998 Marie Sklodowska-Curie AwardeeClinician, mentor, role model “Why can’t you?” he asked, after I asserted that I couldn’t go to medical school because: 1) “I’m a girl; To these preconceived notions, my employer, William S. Fletcher, M.D., replied: 1) “ Dartmouth Medical School is looking for women”. 2) “10 years from now you’ll be 10 years older, whether or not you go to medical school”. 3) “You can apply for a scholarship or a loan”. 4) “If you think you are more qualified than the Admissions Committee to determine ones suitability as a student, you probably shouldn’t be one”. Having a supportive, and successful mentor was my good fortune. Dr. Fletcher gave me my first job after my graduation from nursing school. He became my mentor, soul mate, and enduring friend. Recognizing that Dr. Fletcher was behind my own successes every step of the way influenced me to do the same for those students, residents, and junior faculty I might encounter along my journey. My advice to other women is to be prepared, so that you, too, will be ready to walk through the door, when it opens for you. Set your goals high, stay focused, and work hard. Quite honestly I can say I have no regrets in life. I am most grateful for the opportunities and experiences which began to unfold when I realized the answer to his question was “I can”. Photo Left: Spring 1961, senior student nurse at University of Oregon Nursing School, Portland, Oregon
Kinda K Olson, MD, FACRLinda K. Olson, MD, FACR1991 Marie Sklodowska - Curie Awardee I’ve spent my entire career in one place with the perfect position for my interests and skills. I arrived at UCSD in an era when the pace allowed my “elders” to provide guidance and support and when my performance evaluations were dependant on teaching and clinical productivity. My mentors were people like Drs. George Leopold, Bob Berk, Elliott Lasser, Lee Talner, Jack Forrest, Paul Friedman and Barbara Gosink. They made the workplace a fun and challenging place to be. In addition, since we‘ve attracted top-notch residents over the years, I’ve had the privilege and pleasure of working with the future leaders of our profession. The residents not only entertained me but also taught me things that I’d never have learned on my own. For example, ten years ago I didn’t know how to turn on a computer. Because of their know-how and patience, I’ve successfully entered the PACs era and thanks to them will hopefully extend my career for many more years because of these skills. Who had the biggest influence on your career? My radiologic mentor says that he is my “Radiologic Father” and he is right. Thirty-one years ago Dr. Ike Sanders showed me that a radiologist could be an integral part of the medical team. My vivid memory of him is watching him look at a series of films in his office, telephone in hand, discussing the case with the referring doc and a gaggle of residents and students hovering over him hoping to see the findings on the film. I’m grateful to his rambunctious, entertaining, demanding and compassionate teaching of the practice of Radiology. The other equally important influence on my career has been my husband, Dr. David Hodgens. Two years after we were married I lost both my legs and one arm in an accident. The first thing he said to me in the ICU was “I didn’t marry your arms and your legs. If you can do it, I can do it.” And boy did he ever “do it.” While maintaining a busy full-time Radiation Oncology practice, he supported my having a full-time academic radiology job and a family. Because of my disability, he often did the physical work at home of two adults so that we could always have a good time. He taught me how to use each other’s strengths, how to confront situations head-on, and how to keep work and home separate as much as possible. I can’t count the times he listened to me practice a lecture and give me constructive criticism. In addition we’ve lived more outdoor adventures than most people ever even dream of. So the picture I chose for inclusion of the 25 th AAWR celebration is a picture of Dave carrying me up the trail to Nevada Falls in Yosemite National Park. I think it typifies our wonderful journey through life together. Thank you Dave. What would be your most important advice to your junior colleague? Maintain the highest standards of work quality, efficiency, and teamwork so that your colleagues never feel that they are making up for you or that having a woman means having someone who doesn’t work as hard as everyone else. Remember the 3 A’s: accessibility, affability, ability, especially in the PACs era. Make yourself an indispensable part of the health care team in your hospital. Photo Left: Linda K. Olson with husband, Yosemite 1995
Barbara L Carter, MD, FACRBarbara L Carter, MD, FACR1999 Alice Ettinger Awardee Academic radiology is a most rewarding career, especially if one can be at the right time in the right place. As a young, enthusiastic radiologist, I tried keeping up with the newer techniques such as introducing CO2 into the retroperitoneum for the evaluation of the adrenal glands, injecting CO2 into the peritoneal cavity for the visualization of the uterus and ovaries, and IV administration of CO2 in detecting pericardial fluid, etc. When CT scanning was introduced, I was given the opportunity to be one of the early body scanners, doing a CT scan on patients prior to an autopsy made it possible to understand what we were looking at. During this evaluation, some hazards occurred - such as keeping the body in the office overnight for further study the next day, My colleague, Steven Hammerschlag, a neuroradiologist was dismayed when the night watchman found it and made an emergency call to the hospital administrator who was attending a meeting in Chicago. This caused a bit of an uproar. Considerable anxiety was created when we were correlating body images with frozen sections made by our anatomist. These sections were x-rayed in our department across the street, which were conveyed on trays obtained from the dinning room. Potholes in the street caused a spillage of the frozen sections, which was of concern because traffic was going by - possibly conveying a policeman or a reporter. It was not prudent at that time to be throwing body sections into the street. Despite these another incidents it was a fascinating time to actually see the pancreas, liver, kidneys, uterus, ovaries, heart chambers, brain, even ossicles in the middle ear. It was a fascinating, exciting time and a unique opportunity to teach residents and students and to be able to share all the findings with our colleagues here in Boston and around the country. I was then able to present our findings to ENT radiologists in Europe at an international meeting, many of whom had not heard about or knew very little about CT scanning. What a wonderful specialty - Radiology! Photo Left: Barbara L Carter in 1947
B.J. Manaster, MD, PhDB.J. Manaster, MD, PhD1996 President of AAWR Photo Left: B.J. Manaster with husband For me, it seemed as though the AAWR was always there. I may have been one of the first woman radiologists in this group to have arrived on the scene when the “bad old days” of job discrimination seemed behind us. While we all still experienced the occasional misogynist (or misguided) statements (“what will we do when you go and get pregnant?”), jobs were plentiful and salaries usually not discriminatory. Promotion was fully expected on the basis of productivity and academic time was provided. We women started to contemplate not only working with the men, but actually running the show. This is where the AAWR helped me tremendously. Networking led to advice from various wise women, and new recommendations for “must reads”. Pat Heim’s wonderful book Hardball for Women became our bible, and we started deliberately taking up space, sitting at the head of the table and expecting to be heard. This is something no one of us could have done alone, but look at the results! Radiology has grown and prospered, in no small measure because of the women contributing their ideas and energy to the field. Most of those leaders are right here with us in this great organization, and I thank my colleagues for their wisdom and encouragement. If you could go back and speak to your younger self, what piece of wisdom would you share? This is probably quite standard; I finally realized that while I may have the “right” answers, particularly in an administrative realm, that is less than half the battle. While it is great to bring fresh perspectives, quantitative analysis, and creativity to the table, it is even more important to find a way to bring colleagues to consensus and active support of an idea. These two aspects of management have been suggested as “male” and “female” traits respectively. While I was very good at the male portion, I needed help with the female (consensus) portion. I think I’ve become more even-handed and less polarizing with age and maturity, but it would have made my life and work easier to discover it earlier! What do you like most about your current life/career? I have moved back into a primarily educator role. Lecturing, and organizing books and web products about my subspecialty, is what I do best. I now have the time to do this well, which is exceedingly pleasing to me. Photo Left: “Hanging out with my family in the great outdoors: the most important thing I can ever do."
M Ines Boechat, MD, FACRM. Ines Boechat, MD, FACR2000 President of AAWR Ines Boechat, MD, FACR was AAWR president in 2000. Originally from Brazil, she trained in Pediatric Radiology at Boston’s Children’s Hospital Medical Center under the mentoring of John Kirkpatrick. She moved to the USA in 1981, after marrying Vicente Gilsanz, MD, whom she originally met in Boston. They have three children – Paola, Diego and Monica, source of great pleasure and pride. She enjoys traveling and the exchange of experiences with colleagues of other countries. Dr. Boechat has practiced at UCLA since 1982, where she is a Professor of Radiology and Pediatrics, Chief of Pediatric Imaging and Director of the Pediatric Radiology Fellowship Program. She is currently the First Vice President of the Society for Pediatric Radiology, and President of the SPR Research and Education Foundation. Over the years, she witnessed not only a dramatic change in the field of imaging, but also the increasing number of women entering Medical Schools. One of her most important professional and personal objectives is to ensure gender equity in medicine and she finds the AAWR to be one of the best organizations to support and advance it. What would be your most important advice to your junior colleague? “Practice in the area that you enjoy the most; be conscious of your value as a member of the group and advocate for it.” Katarzyna J. Macura, MD, PhDKatarzyna J. Macura, MD, PhD2005 President of AAWR I earned both MD and PhD degrees from the Medical University of Lodz in Poland. While a medical student, thanks to my husband, I discovered Medical Informatics. I emigrated to the US to launch a successful career in Medicine and Informatics. When I arrived in the US with two small children, nothing seemed to be easy, a new language, a new life style, and new challenges. But suddenly everything became possible. I focused on proving myself, breaking the language barrier, and advertising my talents. Thanks to serendipity, I discovered Radiology. Thanks to hard work, I advanced in both Informatics and Radiology, and all along I was able to raise two wonderful sons. Thanks to my family, I am able to maintain my happiness. Thanks to challenging and stimulating work in academia, I maintain my professional satisfaction. The AAWR has contributed to my professional growth in many ways. I joined the AAWR as a first year radiology resident. Early on I became actively involved in the development of the AAWR web site. As an editor of the web site I learned to manage online publishing and most importantly I became immersed in the history of the AAWR. My work for the society led to my nomination to the Executive Board, and subsequently to the honor of becoming the 24 th President of the AAWR. I am grateful to the society for giving me a forum for the expression of my talents and for encouraging my personal growth. The skills that I learned through my service will stay with me for years to come, as I advance my academic career and make further contributions to organized Radiology. Thank you AAWR! What do you like most about your current life/career? My work as an academic radiologist is challenging and stimulating, and I can make a difference as a teacher, doctor, and researcher. My most cherished moments at work include residents’ and fellows’ appreciation for educating them, patients’ gratitude for being a physician who listens and cares, and those days when I make progress in research experiments and get recognition for my work. What would be your most important advice to your junior colleague? Do not get discouraged when a failure comes your way. Just re-assess the problem, prepare new strategy and try again. We learn from mistakes and failures, we gain experience, we grow stronger and one can only get better. Remember to reach for the moon; even if you miss, you will land among the stars.
Katarzyna J. Macura, MD, PhD is Assistant Professor in the Russell L. Morgan Department of Radiology at the Johns Hopkins University. Her specialty is cross-sectional body imaging. Ewa Kuligowska-Noble, MD, FACREwa Kuligowska-Noble, MD, FACR2004 President of AAWR Teacher, Researcher in the field of Minimally Invasive Radiological Procedures, International advocate for the AAWR I arrived in the United States at the age of 34, following my ex-husband, with no knowledge of English, no money and without my two children who were being held hostage in communist Poland. It took five years to become Board certified again, this time in the U.S.A., to smuggle my children to this country and start my second academic career in Radiology. Over the years, I was promoted to Chief of Ultrasound, Body Imaging and Professor of Radiology. With my present husband and best friend of the last 28 years, John Noble, M.D., I have had the joy of raising our five boys. Throughout my career, I have focused my efforts on the younger generation as a teacher and tried to be a role model. I have encouraged women in medical school to choose Radiology as a career and women in residency to pursue academic careers. As a result, I was awarded Teacher of the Year in Warsaw and twice at Boston University School of Medicine. Recognizing the deficiency of up to date training of medical students and residents in Poland and other countries emerging from communism, I started a Polish American Foundation and have trained 57 young radiologists who are now becoming leaders of Radiology in Poland and Eastern Europe. I was awarded the “Polonia Semper Fidelis Award” by the Polish Academy of Science for this work in 1996. I have introduced AAWR and its mission to the European Congress of Radiology over the past five years by sponsoring an AAWR booth, giving papers and Chairing sessions at the ECR meetings. What would be your most important advice to your junior colleague? At this stage of my career, looking retrospectively on my life, I would like to send a message to young female radiologists. “Build your careers around the aspects of Radiology that most interest you”. “Be a mentor for the younger generation of radiologists, guide them through their labyrinth of career decisions”. “Most importantly, achieve a balance between career success and a fulfilling, happy personal life”.
Kimberly E. Applegate, MD, MS, FACRKimberly E. Applegate, MD, MS, FACR2003 President of AAWR The 2003 presidential year was a wonderful and fulfilling experience, but not without a few challenges. We had a third management contract negotiation during the year, having moved from the ACR a few years prior to RSNA, IMM and finally a new administrative assistant with IMM. Consequently, some of our institutional memory was lost and we worked very hard to improve the organizational structure with more information on our website and creation of a leadership ladder structure. Melissa R. de Christianson created a fantastic 20 th anniversary FOCUS newsletter and we updated the Survival Guide for Women Radiologists with a second edition. We continued to support the RSNA’s annual meeting (a) lactation rooms and (b) child care program provided by Accent on Childcare Arrangements. Organizationally, we created a History Committee chaired by Dr. Ann Lewicki, a Past Presidents Circle chaired by Teresita Angtuaco and split the Finance and Strategic Planning Committee into two separate ones. We created web-based exhibits on the career of Lucy Frank Squire and augmented the Marie Curie electronic exhibit. Finally, every woman chair of an academic radiology department was invited and agreed to become a member of the AAWR. Why did you choose radiology? When I applied to medical school, I had planned to become an internal medicine physician. I did not know much about specialties in medicine, only about primary care and obstetrics. In the 3 rd year of med school, we rotated on the 6 core rotations: medicine, surgery, OB/GYN, family practice, psychiatry, and pediatrics. I found myself acting as the 'gopher', going and getting the lab, path, and radiology results. I most enjoyed taking a chest radiograph to the radiologist and he could tell me so many things about my patient! It was amazing to me. Perhaps, growing up watching the original Star Trek television series was also an influence. I had been intrigued by the doctor who could do so much without the need for surgery. It fit my ideal of medicine: to do more with less (pain and invasion of the patient). What attracted you to pediatric radiology as a subspecialty? Later, while training in diagnostic radiology, I spent 3 months at a children's hospital. The radiologists there were just outstanding physicians. They were not only experts in their field, they could quote the literature as evidence for why they interpreted an imaging test as they did. They consulted the referring clinical doctor and proactively suggested a different diagnosis or an alternative test. Finally, they discussed the tests they performed on patients and provided results directly to the patient's families. Yes, radiologists talked to patients and their families! I watched these superb individuals work so respectfully together as a group; they clearly loved what they did. I was hooked. Why did you choose academic medicine? The short answer is: Curiosity killed the cat. Much of what drives me to learn and try to do my work better, is curiosity. I love learning; I love helping others and this career allows me to do both. The academic environment also allows me to do research to improve the care of children, to share what I know, and learn from others, and to be a part of policymaking. What kinds of stresses do you encounter in your job? There are many. First, there is the constant fast-paced clinical work. Second, there is the pressure to do more service for the institution and many national committees and organizations. Third, there is my desire to do research. These different aspects of my work compete for my time. And they take time away from my family. It seems that there is never the right balance between work and personal/family time. What challenges have you encountered from being a woman in the medical profession? There have been many. At first, the challenges were obvious and sometimes seemed ridiculous: Being paid less than my colleague because he had purchased a new house and had 2 kids to support. Being told in medical school that I needed to act more paternal and less maternal. Jokes in poor taste that were told by male residents or staff at the expense of women; unwanted advances by surgeons in the operating room. As I have gotten older, the challenges are more subtle, but equally effective in providing barriers to achieving one’s career goals. Perhaps most important, the differences in how women communicate as compared to men, have an impact on the respect and advancement of women in medicine. Being heard and acknowledged as an equal (never a better physician) is still unusual. Perhaps in a few specialties with a majority of women it occurs: obstetrics and pediatrics. How do you balance your busy schedule with your home life? That is a moving target; there are times when my family needs special time and times when things are going along smoothly; I liken it to a bit of a roller coaster. The most important thing that makes my life work well is my husband: if he were not supportive of what I do and believe that what I do is important, it would never work. We are both academic physicians with professional goals. Yet, we share the many responsibilities of the home and our 3 children. It can get rather crazy at times and it requires a lot of juggling, patience, extreme organization, and hard work, but I would not want it any other way. I also look for support from my friends and colleagues who understand our lifestyle; too many people criticize it and I have learned to ignore them. What are some of the typical things you do in a day's work? Typical: read plain radiographs and ultrasound exams all day; work with residents; talk with families of children who are having imaging tests (to both ask them what is going on with the child and to report our test findings to them, decreasing their anxiety); meeting with a research colleague to discuss problems or results of the project; signing reports; always doing some sort of committee work. The day flies by and I always hope to learn something new or re-learn something I have forgotten! What are some of the best and worst moments of your career? Best moments: achieving positive change that those in positions of power flat out stated could not be done. It is like David beating Goliath. Examples are the work I did in a mission hospital in Nepal; working within organized radiology societies to make it (a) more friendly toward women and (b) more public health oriented; supporting a colleague when it was terribly unpopular but it was the right thing to do; competing successfully for awards and grants. What I cherish is the wish for us all to succeed in our professional and personal goals; in order to do that, we need to work together in the AAWR community of women. One of the best books I can recommend toward this philosophy is ‘She wins, you win: the most important rule every [business]women needs to know’ by Gail Evans, the first women executive vice president of CNN. Worst moments: finding myself unable to communicate in a positive way with my colleagues. What kind of changes have you seen in the medical profession in recent years? There have been so many and so rapid that it is astonishing. The apprenticeship model was in full force when I was a med student and resident; I see med students as students now and much less involved in the PRACTICE of medicine. I am concerned that there will be less 'ownership' of medicine by younger physicians. There will certainly be less research by the next generation of physicians (it will be done by PhDs, not MDs). The fast pace is difficult to sustain; limits the teaching; limits the communication with other med specialties; limits the time to learn new things and talk to patients; academic medicine is in crisis and I liken the feeling I have to a vacuum effect: private practice's lifestyle and money are pulling physicians away. There are generational attitudinal differences in how we spend our time. The younger physicians are much better at protecting their time and less willing to invest their time and energy in their career when compared to older physicians. They also want to be paid more (but may have more debt than older physicians). Perhaps these differences are healthy, especially the demand to either work part-time or more available childcare. What advice would you give to a young woman today headed toward a career in radiology? The short answer: Go for it. Just do it! The longer answer: There is no richer, more multi-faceted, and rewarding work than radiology. Please talk to people to find out what it is like and what the different options are both locally and nationally. Visit web sites for different specialties. We are proud to have a great web site at: www.aawr.org. We have added an exhibit on Marie Curie for school children to understand her life and the many barriers women faced in her time. While we have come a long way since then, we also have along way to go to promote equal opportunity for all people in medicine and radiology. Please see the MIT web site (search under 'Nancy Hopkins') and the recent Nature article by Ben Barres for detailed and fascinating discussions on the barriers to women in science. Finally, remember to say a quiet thank you to those women who made the way easier for those who now follow. They sacrificed much to gain a MD degree and I have listened to many stories that would astonish young women today.
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