Summer 2019 • Volume 39 • Number 2

President's Address

Elizabeth Kagan Arleo, MD

Associate Professor of Radiology

New York-Presbyterian Hospital / Weill Cornell


 
Dear AAWR Members,

In the past six months, the AAWR has achieved unprecedented victories for women in radiology and radiation oncology.  

First, as published in JACR in March 2019, the Society of Chairs of Academic Radiology Departments (SCARD) decided to “support the American Association for Women Radiologists and pledge to strive for departmental, institutional, and organizational change that provides 12 weeks of paid parental leave for eligible (as defined per the Family Medical Leave Act) faculty members of all genders.” [1] Thank you to Dr. Cheri Canon, SCARD President-elect – this victory would not have been possible without her efforts.  

Second, in the same JACR issue, the American Board of Radiology published its revised Core Examination eligibility policy, allowing “residents who are in or beyond their 32nd month of DR training to take the examination if (1) the program director attests that the resident is believed to have sufficient knowledge and experience, and (2) the candidate attests that he or she understands the potential consequences of taking the examination early. This policy change would allow up to a 4-month leave of absence, in addition to standard vacation and meeting time, during the first 3 years of radiology residency.” [2] Thank you to Dr. Valerie P. Jackson, the ABR Executive Director – this change would not have been possible without her thoughtful consideration.  

Third, and related, working with our pro-bono law firm with attorneys with expertise in employment law, the AAWR wrote a statement for the Association of Program Directors in Radiology (APDR) and Association of Program Directors in Interventional Radiology (APDIR) explaining that residents are considered employees under federal law and are thus eligible for up to 12 weeks of leave consistent with the 1993 Family Medical Leave Act (FMLA). The APDR and APDIR approved this statement [3], thanks to the efforts of Dr. Lori A. Deitte, APDR Past President, and Dr. Mollie Meek, APDIR President-elect. 

In other big news, at ACR, we had a unanimous vote in favor of changing our name – while keeping the AAWR acronym – from the American Association for Women Radiologists to the American Association for Women in Radiology. The motivation behind this change is to improve inclusivity. Electronic voting was also approved during this meeting, which will also allow for improved member input. 

Here is what you can do as an AAWR member to amplify the aforementioned victories and otherwise get more involved: 

 

  • If you are in private practice, and you think your practice or a practice you know might be ready to consider 12 weeks of paid parental leave, then email me at ela9033@med.cornell.edu – I have been reaching out to potentially trailblazing practices across the country and would appreciate any leads. 

 

For additional ways to more actively participate as an AAWR member: 

  • In Q3, participate in our first electronic voting to update the AAWR bylaws, and if you’re a radiation oncologist (RO), then attend an AAWR event ASTRO 

  • In Q4, whether you’re an RO or a DR (Diagnostic Radiologist) attend in person or virtually some of the many outstanding AAWR events planned for RSNA 

  • Stay updated on up-coming events: https://www.aawr.org/Events 

As always, I welcome questions, comments, and concerns. 

Wishing everyone an enjoyable summer, 

Elizabeth 

 

 

Elizabeth Kagan Arleo MD 

President, AAWR 

 

References 

  1. Canon C, Enzmann DR, Grist TM, Meltzer CC, Norbash A, Omary R, et al. Letter to the Editor: Society of Chairs of Academic Radiology Departments Statement of Support for Paid Parental Leave. JACR 2019; 16(3): 271-272. Accessed April 29, 2019. https://www.jacr.org/article/S1546-1440(18)31594-1/fulltext 

  1. Wagner BJ, Jackson VP. Letter to the Editor: The ABR Diagnostic Radiology Core Examination: Change in Policy Regarding Timing for Eligibility to Take the Examination. JACR 2019; 16(3): 271.Accessed April 29, 2019.   

  1. Association of Program Directors in Radiology (APDR) Statement of support for 12 weeks family leave in residency. Accessed April 29, 2019. https://apdr.org/uploadedFiles/Content/Program_Directors/Statement%20of%20support%20for%2012%20weeks%20family%20leave%20in%20residency_APDR.pdf 

AAWR Nomenclature Change & Electronic Voting 

Dr. Kimberly Beavers
Memorial Sloan Kettering Cancer Center

 

 

The 2019 American College of Radiology Annual Meeting was very successful for your AAWR. In addition to successful Evening for Equality, Speed Mentoring, and Power Hour events, the AAWR met to vote on two important agenda items.  

First, the AAWR voted to allow electronic voting from our membership. This allows more of our membership to voice their opinion and cast votes on important issues to our society. After the input of our membership, the AAWR quorum present at the ACR meeting unanimously voted to approve electronic voting. 

Secondly, the AAWR voted to make a key change to our name to increase inclusivity and broaden our outreach. The AAWR has traditionally stood for “The American Association for Women Radiologists.” This currently includes Radiologists, Radiation Oncologists, trainees, and medical students. Following thoughtful discussion and input from AAWR members, a vote was cast to change our name to “American Association for Women in Radiology.” With this subtle but important change in name, we will broaden the reach of our society to be supportive of women in many areas of radiology, including but not limited to, medical physicists, biomedical engineers, radiology technologists, and radiology industry leaders. We believe that each step toward inclusivity and diversity strengthens our organization. We are proud to broaden the reach of our organization, advocating for all women in Radiology. 

In the coming weeks, the AAWR website and marketing materials will be updated with the new name and logo.  

Interested in joining AAWR? Please visit aawr.org for information. Membership is open to all genders. For trainees and medical students, membership is free! To join, visit www.aawr.org.  

Kimberly Beavers is a rising Breast Imaging Fellow at Memorial Sloan Kettering Cancer Center. She is the co-chair of the AAWR Social Media Committee. She can be reached on twitter @kbeaversmd or via email at kimberlybeaversmd@gmail.com.  

 

AAWR's Evening For Equality at ACR 2019

Dr. Yasha Parikh
Beaumont Hospital - Taylor


The first Evening for Equality at the annual American College of Radiology meeting was extremely successful. This event celebrated the women who have worked tirelessly for gender equality. A red carpet was set up, photographer included, outside the ballroom with an AAWR and Koios backdrop, providing a nice background for photos prior to entering the event. This certainly created an elevated mood prior to even entering the event.

The evening began with a cocktail hour and appetizers, featuring a cocktail named the “McGintini”, aptly named for Geraldine McGinty, MD, the current chair of the board of chancellors. Attendees were able to mingle while trying a variety of global appetizers including sushi and samosas. A cannoli station was the perfect finale for the cocktail hour, where we were able to “create your own” Cannoli, choosing flavors and toppings as we pleased. As we took our seats for the main feature of the evening, we were greeted by buckets of candy, recreating the movie theatre feel.

Dr. Arleo gave a few words before the main feature of the evening - the viewing of the movie On the Basis of Sex, a film portraying the life of Ruth Bader Ginsburg. Her life has been devoted to obtaining gender equality, and the film displayed exactly this, following her career, step by step, from beginning to now. The very last scene was a powerful image of the RBG herself walking up the stairs of the Supreme Court.

Dr. Alyssa Simeone, a third year radiology resident at Mount Auburn Hospital, described the evening perfectly. “An Evening for Equality hosted by the AAWR as a highlight of the ACR meeting. The relaxed social environment allowed for further conversations with new colleagues and friends in a fun and creative setting. Also, learning more about Ruth Bader Ginsburg, her journey, adversaries, passion, and persistence was truly inspiring!”

This exact sentiment was definitely felt by all. We are looking forward to similarly inspiring events at future American College of Radiology meetings!

AAWR Power Hour at ACR 2019 

Kristin Kelly Porter, M.D., PhD
Assistant Professor, Abdominal Imaging Section
UAB Department of Radiology
 




On Monday, May 20th from 7-8 am EST in the Maryland A/B Conference room at the Wardman Park Marriott, Dr. Kasia Macura addressed a full-house audience and explained the complex structure of the American College of Radiology (ACR).  She also highlighted the opportunities for the individuals in attendance to become involved in the ACR. 

Dr. Macura emphasized that the foundation of the ACR is its members, comprised of over 38,000 radiologists, radiation oncologists, nuclear medicine physicians, and medical physicists. She discussed the distribution of the state ACR Chapters and its members, the majority of whom are in private practice.  Dr. Macura also emphasized the importance of and opportunities that exist for a resident engagement at the state and local level. 

Dr. Macura detailed that the ACR Council is the 300+-member legislative body of the ACR, and that each state chapter has one counselor for every 100 ACR members in the chapter. There are also alternative pathways for becoming a councilor that includes involvement in radiological societies, such as the AAWR. The ACR Council meets annually to establish policy, based on recommendations submitted as resolutions during the ACR Annual Meeting. During the Annual ACR meeting, the Council also elects a Speaker and Vice Speaker who serve two-year terms. 

Since the Council is so large, it is not easily assembled throughout the year.  The Council Steering Committee (CSC) is a smaller representative body within the Council that serves as a more easily mobilized representative voice of the ACR membership. The CSC represents the Council when it is not in session and its members are both elected and appointed. Elected members of the CSC include the Council Speaker and Vice Speaker. Dr. Macura emphasized that the Council and the CSC shape the future of the radiology profession, and she encouraged everyone in the room to have the courage to run for a position. Further, each state chapter has a seat for a Young and Early Career Professional Section (YPS) alternate Councilor. Finally, she said that 36% of the CSC members are women and encouraged increased involvement. 

Dr. Macura then went on to describe the ACR Board of Chancellors (BOC), which is the 32-34 member executive body of the ACR. The BOC conducts business in accordance with ACR bylaws; it implements programs and activities to accomplish ACR policy goals through commissions, committees and special task forces formed to work on specific issues and needs. Women represent 31% of the BOC, which meets at least three times per year.  Similar to the CSC for the Council, the BOC has a smaller Executive Committee, which is comprised of nine members: the Chair and the Vice-Chair of the BOC, the President, the Vice-President, the Secretary-Treasurer, the Speaker and Vice-Speaker of the Council, and two additional BOC chancellors. The Executive Committee conducts ACR business between regular meetings of the BOC and reports on its activities at each regular board meeting. 

Dr. Macura also briefly mentioned the Administrative arm of the ACR, which is led by the ACR CEO. 

In closing, Dr. Macura highlighted the trends of female involvement in the ACR Council and leadership, stating, “There’s a lot of talent out there.  We [the ACR] want all of the talent, so we need to cast a wide net.” She celebrated the 17 women receiving fellowship status in the ACR in 2019, emphasizing that only 10% of radiologists achieve this honor.  The event closed with the inspiring stories of many in the audience about how they became involved in the ACR, encouraging others to follow.  

AAWR Caucus at ACR 2019
Paid Parental and Family Leave

By Michelle Dorsey, MD
AAWR Board of Directors Member-at-Large

 

Much has been accomplished by the AAWR in the past year with regards to paid parental and family leave. The AAWR has been advocating for 12 weeks of paid parental or family leave for all, regardless of gender, where they work, or at which stage they are in their career. Significant recent milestones include the approval of AAWR-written policies at SCARD (Society of Chairs of Academic Radiology Departments) in October 2018 and by the APDR (Association of Program Directors in Radiology) and APDIR (Association of Program Directors in Interventional Radiology) at the AUR (Association of University Radiologists) Annual Meeting in April 2019. Specifically,

· SCARD now pledges “to strive for departmental, institutional, and organizational change that provides 12 weeks of paid parental leave for eligible (as defined per the Family Medical Leave Act) faculty members of all genders.” [1].

·APDR now “recognizes that under the FMLA, eligible radiology trainees of all genders have the right to take up to 12 weeks of unpaid family leave, and encourages program directors to make this right known to their trainees, as indicated by federal law [2], and to provide notice of any additional rights under relevant state family leave laws.” [3].

·Related, the ABR’s revised Core Examination eligibility policy allows “residents who are in or beyond their 32nd month of DR training to take the examination if (1) the program director attests that the resident is believed to have sufficient knowledge and experience, and (2) the candidate attests that he or she understands the potential consequences of taking the examination early. This policy change would allow up to a 4-month leave of absence, in addition to standard vacation and meeting time, during the first 3 years of radiology residency.” [4].

The AAWR Women’s caucus at ACR thus focused on these recent victories and next steps, with key discussion points as follows.

The AAWR was unsuccessful this year in adding an emergency resolution to the ACR Council Steering Committee (CSC) 2019 docket, which would have further addressed paid family leave issue at an ACR level. Only one emergency resolution was accepted, so the AAWR resolution was not alone. The specific feedback received about the proposed resolution was that while many CSC members agreed with the goal, the CSC did not think this topic had been discussed broadly enough for it to successfully pass Council at this time. It was recommended that the AAWR more broadly socialize the idea of 12 weeks paid family leave particularly amongst private practice groups, which comprise a large segment of membership in the ACR. Towards this end, the AAWR’s Women’s Caucus at ACR focused on these issues. Additionally, in April 2018, AAWR also held an online webinar focused on paid leave in radiology private practice, which will be the topic of the AAWR Educational Panel at RSNA in December 2019.

The proposed paid family leave resolution is essentially reaffirming the already existing federal law regarding leave, although goes a step further in requiring that leave should be paid. The US lags behind all other developed countries in this issue. For example, Canadian parents can take

78 weeks off for the birth of a child, and get 60-95% of that leave paid [6]. Even private sector companies and government agencies like the Department of Defense have paid leave policies.

The importance of culture change to the success of this initiative was uniformly recognized. Societal values need to change to better support families and children. Cultural support is needed so that parents do not need to be afraid to miss call or, for residents, to miss a rotation. The pressures remain real and parents do not want to be perceived to be a burden or a risk to others. Changing the culture has to start here with us, and we must broaden the message to include other groups and socialize the importance of acceptance.

The significance of including our trainees in this policy change was discussed at length. Residents are technically considered employees and are eligible for the full 12 weeks of leave. Residents are allowed to sit for boards any time after their 32nd month of training, as long as the program director certifies they are ready and the resident understands consequences.

Additionally, policy inclusivity is needed for private practices. In private practice, there are many reasons, medical or otherwise, for which people need to take time off. We must be willing to help our partners as they face life’s challenges. Radiologists need to support each other regardless of gender, and regardless whether it is for an illness or the birth of a child. It was recognized that small practices can find cross-coverage challenging, but that there are ways of mitigating the impact, such as locums coverage.

It was widely accepted that paid leave is part of a broader discussion of lifestyle and wellness. We must take better care of our own people, or risk burn out. The ACR has a well-being program and is committed to this cause. Further, the importance of leaders who model affirming behaviors was identified. Leaders should take time off for pregnancy, kids’ soccer games, and family events. Unless the leaders change their behavior, staff will not feel empowered to ask for time off for similar events.

A wide-ranging discussion of possible solutions ensued and included:

· Encourage more paternity leave so that the risk of hiring a young woman or a man is the same. We need to support men becoming new fathers as well.

· Add additional slots in residency programs to cover for all kinds of leave, including research. It was noted that these extra positions might need to be self-funded.

· Consider the well-being of the residents that are left covering for those on leave, as they may end up with more call and more shifts to cover; alternatively, those taking leave often scrupulously try to make up the call before or after absence. Regardless, consideration must be given to those left working and their well-being.

· Develop talking points and answers, which take into consideration multiple scenarios. For example, if someone has two children in their residency, they are missing 6 months of training, which could push out their eligibility for graduation depending on their program. Policy implications of these types of cases must be thought through and discussed.

· Overstaff practices by one FTE so there is coverage for unforeseen leave. Business plans need to include an extra FTE to mitigate burn out.

· When interviewing for a job, asking about culture is just as important as time off and salary. Ask how people cover for one another when they get ill.

· Be aware of insidious cultural shift in practices. The culture may start off as accepting but can spiral rapidly downhill when the practice becomes short staffed.

· Consider using locums physicians, as pregnancy is a plannable life event.

· Hiring part-time radiologists can be a buffer in the practice. They frequently can flex hours up and down during times of need.

· Learn from other specialties. Pediatrics has already adopted policies on paid leave and can be used as a case study.

· Develop a friendly competition among practices or programs to try to encourage faster movement.

· Evaluate your organization’s strategic plan. Highlight how paid leave can help your organization achieve success.
 

Finally, it was noted that this conversation is not the end; rather it is just the beginning. Everyone can help with changing the culture by modeling and supporting rest and recovery when needed.

 

 

References

(1) Canon C, Enzmann DR, Grist TM, Meltzer CC, Norbash A, Omary R, et al. Letter to the Editor: Society of Chairs of Academic Radiology Departments Statement of Support for Paid Parental Leave. JACR 2019; 16(3): 271-272. Accessed April 29, 2019. https://www.jacr.org/article/S1546-1440(18)31594-1/fulltext

(2) U.S. Department of Labor. Wage and Hour Division. Fact Sheet #28D: Employer Notification Requirements under the Family and Medical Leave Act. Accessed April 29, 2019. https://www.dol.gov/whd/regs/compliance/whdfs28d.pdf

(3) Association of Program Directors in Radiology (APDR) Statement of support for 12 weeks family leave in residency. Accessed April 29, 2019. https://apdr.org/uploadedFiles/Content/Program_Directors/Statement%20of%20support%20for%2012%20weeks%20family%20leave%20in%20residency_APDR.pdf

(4) Wagner BJ, Jackson VP. Letter to the Editor: The ABR Diagnostic Radiology Core Examination: Change in Policy Regarding Timing for Eligibility to Take the Examination. JACR 2019; 16(3): 271.Accessed April 29, 2019. https://www.jacr.org/article/S1546-1440(18)31469-8/fulltext

 

 

 

 

 

 

ACR 2019 Capitol Hill Day
Dr. Christine Xue
Loma Linda University

As a first year radiology resident, I had the privilege to attend the 2019 American College of Radiology Annual Meeting for the first time, where I learned how to advocate for policies affecting the fields of radiology, radiation oncology, and medical physics. This meeting culminated in the annual Capitol Hill Day, where over 500 attendings and residents-in-training met with federal elected officials on behalf of the ACR to discuss upcoming legislature involving both the radiology community and its patients.

I accompanied the California Radiological Society with Drs. Mark Alson, Mark Yeh, and Erica Kinne to visit the offices of Congressmen Devin Nunes, Pete Aguilar, Jim Costa, Adam Schiff, and Ted Lieu, who represent districts in Southern and Central California. We spoke to these Congressmen and their legislative aides regarding four major topics:

o Allowing women ages 40-49 to continue obtaining screening mammograms without facing cost sharing requirements, through the Protecting Access to Lifesaving Screenings (PALS) Act of 2019.

o Deferring interest on student loan debt until after students have completed residency, through the Resident Education Deferred Interest (REDI) Act of 2019.

o Avoiding surprise billing, which refers to unanticipated out-of-network bills charged to patients even when they receive care from in-network hospitals and doctors offices. These “surprise bills” are often from out-of-network providers contracted by hospitals who contribute to a portion of the patient’s medical care, unbeknownst to the patient.

o Encouraging Medicare to reimburse services provided by Radiology Assistants (RAs), through the Medicare Access to Radiology Care Act (MARCA) of 2019. RAs refer to radiology technicians who have undergone additional training to further assist in imaging services, such as fluoroscopic procedures.

Our radiology delegates discussed these issues articulately and passionately and were received with enthusiasm. In turn, we learned about healthcare policies that our Congressmen were hoping to address in the future, such as providing CPT codes for Street Medicine services. These meetings helped create and maintain relationships with our lawmakers, setting the stage for future discussions relevant to the field of radiology.

Social media played a key role in the success of Capitol Hill Day. Participants used platforms such as Twitter and Facebook to broadcast the day’s events and share photos of meetings with federal elected officials and their office staff. Through Twitter, I learned that delegates from the Indiana Radiological Society even met with the United States Surgeon General, Dr. Jerome Adams. By lunchtime, the hashtag #ACRHillDay2019 was trending in Washington D.C on Twitter. Sharing

these moments on social media allowed us to increase our visibility as radiologists and patient advocates to the public.

I am grateful to the American College of Radiology and California Radiological Society for organizing this event and inviting residents to experience this unique marriage of politics and medicine. In addition, I would like to thank the American Association for Women in Radiology for giving me a chance to share my experience and encourage others to participate. It is our responsibility as both physicians and constituents to establish a dialogue with our lawmakers in order to support policies that act in our patients’ best interests.

AAWR 2019 Speed Mentoring at ACR

Dr. Kimberly Beavers
Memorial Sloan Kettering Cancer Center


 

The third annual “Speed Mentoring” event at the American College of Radiology Annual meeting sponsored by the AAWR in collaboration with the ACR young physicians’ section was the most successful yet. With 145 attendees, the Roosevelt conference room was abuzz with the exchange of ideas amongst mentors, in-training members, and medical students. This years’ event featured nineteen mentors from across the country and encompassing a diverse number of specialties, career stages, and interests in radiology.

Dr. Jonathan Flug, a musculoskeletal radiologist, advised attendees on the transition from trainee to attending physician. He encouraged attendees to find a mentor to teach cultural nuances of a new practice. He also advised to meet early and often with practice leadership about expectations, performance, and setting goals.

Dr. Nina Kottler, VP of Clinical Operations for Rad Partners, encouraged attendees to stand out by being the person who raises their hand to ask a question when nobody else does. She emphasized the importance of getting noticed by showing up and asking questions. She also provided valuable expertise on getting involved in informatics in Radiology.

Dr. Dave Youmans, interventional radiologist and chair of the Radiology Advocacy Network, provided the wisdom of his experience in leadership. He advised attendees to remember to pause both before saying no and before saying yes to opportunities. Having a developed sense of self and professional purpose requires time and experience. Like a muscle, the ability to say yes and no to opportunities is a developed skill to be strengthened.

Dr. James Rawson, radiologist at Beth Israel Deaconess Medical Center, shared his knowledge on mentorship and sponsorship. Dr. Rawson explained “a mentor talks to you. A sponsor talks about you.” He also emphasized the importance of sharing opportunities with others. For example, if a leadership opportunity arises that does not fit your professional goals, make a concerted effort to find a colleague who would be a better fit.

Dr. K. Elizabeth Hawk, nuclear medicine and neuroradiologist at both Stanford and Rad Partners, emphasized the importance of the Radiology Leadership Institute (RLI). She explained that RLI teaches skills typically not included in radiology residency curriculum. These include conflict negotiation, personal branding, effective teams, leadership skills needed in both academic and private practice careers. These additional skills give young radiologists a huge advantage when starting their careers and pursuing leadership opportunities.

These are only a few examples of the vast amount of knowledge shared by so many expert radiologists during this dynamic session. The AAWR is incredibly grateful for the enthusiasm of both the mentors and mentees who participated in this years’ session. It is our hope that this event will continue to grow, forging lifelong professional connections throughout all levels of radiology experience. For a complete list of mentors and their contact information, please visit https://www.acr.org/Lifelong-Learning-and-CME/Meetings-and-Course-Calendar/ACR-Annual-Meeting/YPS/Mentor.

Dr. Kimberly Beavers is a rising Breast Imaging Fellow at Memorial Sloan Kettering Cancer Center and AAWR Social Media Co-Chair. She can be reached on twitter @kbeaversmd or via email at kimberlybeaversmd@gmail.com.

Breast Body Fellowship
Dr. Chelsea Schmitt

USF Morsani College of Medicine.


Though I am just beginning the radiology residency application process, I have already started to be asked what subspecialty I would like to pursue. While I have just begun to scratch the surface of what each radiology subspecialty entails, two that have caught my attention so far are breast and body imaging. Both fields seem to offer a great deal of patient interaction and hands-on procedural work. At the recent AAWR Speed Mentoring event I had the chance to meet AAWR president Dr. Elizabeth Arleo who told me that during her fellowship she trained in both! While it may still be early for me to decide on a subspecialty, it seemed worthwhile to take a look at what options are available for combined Breast/Body fellowships.

Dr. Erin Crane MD, co-director of the Breast Body Fellowship Program at Georgetown University told me that the combined program provides a year of comprehensive, advanced training in both subspecialties, which has been attractive to trainees with broader interests in more than one subspecialty. She remarked that “Historically, having high level proficiency in more than one specialty has been marketable and sought after in the job market.” She also noted that “Fellows benefit from the flexibility to pursue careers in academic radiology and private practice.”

“Radiology has become highly subspecialized,” remarked Dr. Miriam Romero MD, Program Director of the Breast Body Imaging & Intervention Fellowship at University of Southern California. In fact, a 2016 survey showed that 98.6% of residents planned to pursue a fellowship1. Dr. Romero commented that “this decision may be influenced by radiology practice consolidation, increasing complexity of diagnostic and interventional radiology exams, and clinician demand for subspecialty interpretations.” She noted that these trends all favor subspecialized, fellowship-trained radiologists over “general” radiologists. However, she told me that “outside of academic practices, interpreting studies in more than one area is the norm rather than the exception.” She said that when Breast Body fellows graduate, they are highly sought after in both the private job market and for academic positions.

With some variation, the majority of programs seemed to split the time evenly between the two subspecialties, 6 months in each. These programs provide instruction in the many modalities of breast imaging: screening mammography, tomosynthesis, breast ultrasound, and breast MRI. Many of them also referenced opportunities to rotate in other areas of breast care including surgery, oncology, pathology and radiation oncology. The majority of the body imaging training seemed to emphasize either MRI and/or ultrasound. Robust opportunities for practice in image-guided procedures seemed standard during both components of the fellowships. Additionally, the programs offered many supplementary educational activities including journal clubs, tumor conferences, research, and teaching opportunities.

In my research I found that the number of fellowship programs offering this combined training has greatly decreased over the past few years. An analysis of a survey of breast imaging fellowship programs published in 2014 in the JACR stated that 25 programs offered 6 months of breast imaging fellowship training usually as a component of a combined breast/body fellowship or incorporated into a women’s imaging fellowship2. A search today only reveals 7 programs easily identified online as offering combined fellowships in breast and abdominal imaging on their websites: Columbia University, Weill Cornell Medicine, Keck School of Medicine at University of Southern California, University of Maryland Medical Center, Georgetown University, Brigham and Women’s Hospital, and Memorial Sloan Kettering Cancer Center.

Speaking with Janine Katzen MD, AAWR member and Breast Imaging program director at Weill Cornell Medicine, I learned that this decrease may be due in large part to the change in the structure of board certification in recent years. While oral boards were previously taken at the end of the fourth year of residency, these have been eliminated and now the Core multiple choice exam is taken at the end of the third year. This change, providing the opportunity for mini-fellowships during the last year of residency, has greatly changed the desirability of combined residency programs and with it, the number of combined residency programs offered.

Though the structure may have changed, there is still opportunity for those who would like to obtain broad training in both body and breast radiology, both within and outside of one of those 7+ available programs. According to Dr. Katzen, one popular pathway is to complete a mini-fellowship in body radiology and then to go on to complete a full fellowship in breast imaging. Those desiring to maintain some amount of dual expertise may look for opportunities to participate in electives or call activities that entail body-based imaging.

So if you’re considering a more generalist practice environment, are passionate about women’s health, and looking for training that will allow you to approach it from multiple perspectives, or are hoping to gain a broader array of procedural skills then maybe you should consider one of these opportunities to train in both breast and body imaging.

If your program offers a combined Breast/Body fellowship opportunity but you don’t see it listed in this article, or if you have more thoughts about combined fellowships that you’d like to share please tweet us @AAWR_org so we can spread the word! We’d love to hear your perspective!

 

1 Huang, Patel, Scruggs, Levin. In Pursuit of Fellowship: Results From a 2016 Survey of US Trainees. Curr Probl Diagn Radiol. January;48(1):22-26.

2 Farria, Salcman, Monticciolo et al. A Survey of Breast Imaging Fellowship

Programs: Current Status of Curriculum and Training in the United States and Canada. J Amer Coll Radiol. September;11(9):894-898

AAWR AWARDS
The Marie Sklodowska-Curie Award
, is presented annually to an individual who has made an outstanding contribution to the advancement of women in radiology/radiation oncology.  The nomination form will address the important role the nominee has had in leadership, clinical care, teaching, and/or scholarship and how the nominee’s accomplishments have impacted women in our profession.  The nominee must be a long-term member of the AAWR. Presentation of the award will take place at the AAWR Annual Business Meeting Luncheon during the RSNA Annual Meeting.

The Alice Ettinger Distinguished Achievement Award, recognizes lifetime achievement and lasting contribution to the American Association for Women Radiologists and to the radiology/radiation oncology profession. Candidates must be long-term members of the AAWR and must have distinguished careers as mentors, teachers, and leaders in radiology/radiation oncology, and public service.

The Lucy Frank Squire Distinguished Resident Award recognizes outstanding contributions in clinical care and scholarship. The nominees must be a member of the AAWR and must be in residency training at the time of the award. Only one nomination per residency program. Nominees will be evaluated on the basis of outstanding contributions in clinical care, teaching, research, or public service.

The Eleanor Montague Distinguished Resident Award in Radiation recognizes outstanding contributions to radiology or the AAWR, community involvement, service during residency, or research endeavors. Nominees must be members of the AAWR and must be in residency training at the time of the award. Only one nomination per residency program. Nominees will be evaluated on the basis of outstanding contributions in clinical care, teaching, research, or public service.  
NOW OPEN- DEADLINE AUGUST 6th 2019

AAMC Professional Development Seminar for Mid-Career Women Faculty
AMC Professional Development Seminar for Mid-Career Women Faculty
Applications (usually) begin Early August – but can change depending on AAMC schedule
The successful applicant will be provided with meeting registration fee only. All other expenditures will be at the expense of the applicant. The selected recipient will also be asked to submit an article to the AAWR Focus Newsletter that describes one particularly helpful aspect of the meeting.
NOW OPEN- DEADLINE AUGUST 6th 2019

Member-in-Training Awards for Outstanding RSNA and ASTRO Presentations 
The AAWR Research and Education Foundation will recognize the outstanding scholarly work of two AAWR member fellows/residents. The resident/fellow scholars must be the first author and presenter of an abstract accepted for scientific presentation at the RSNA or ASTRP annual meeting. An award will be given for diagnostic radiology and for radiation oncology. Applicants must be a member of the AAWR on January 1 of the year of application. The online application will ask all applying residents and fellows to provide: the title of the accepted abstract, and the applicant’s involvement within the AAWR (e.g. committee member, prior award recipient, lunch attendee, etc). 

NOW OPEN- DEADLINE AUGUST 6th 2019

Image result for twitter       A little birdie told us… 

Check out some of the many accomplishments of our talented members that have been shared on #RadTwitter recently! 

Melissa Chen 

@MelissaChenMD 

Co-Hosted a JACR Tweet Chat: Achieving Health Equity in Radiology 

https://twitter.com/JACRJournal/status/1121549887823392769 

 

Lori Deitte 

@LoriDeitte 

Authored a JACR Journal Article “Providing and Receiving Feedback: It Takes Two to Tango!” 

https://twitter.com/theAPDR/status/1133390658687967232 

 

Kristen DeStigter 

 

Had a recent article written about her program utilizing ultrasound to improve maternal mortality in Uganda 

https://twitter.com/UVMLarnerMed/status/1134782696343908352 

Courtney Dey 

@CourtneyBDey 

Authored an RRA Task Force paper “Making Learning Fun: Gaming in Radiology Education” published in April's edition of Academic Radiology 

https://twitter.com/EVMSrad/status/1121432938422390785 

 

Michelle Dorsey 

@M_Dorsey_MD 

Received a Service to the Citizen Award for her work in the White House Leadership Fellowship program 

& Received a volunteer service award from the ABR 

https://twitter.com/M_Dorsey_MD/status/1133920982773616646 

https://twitter.com/M_Dorsey_MD/status/1140695428804927489  

Shadi Esfahani 

@ShadiEsfahani 

Elected as President of Massachusetts Radiological Society -Resident Fellow Section for 2019-2020 

https://twitter.com/MRSRFS/status/1133442484103712769 

 

Erin Gomez 

@ErinGomezMD 

Presented a poster at AUR 2019 “Structured Radiology Curriculum for Emergency Medicine Residents: Improving Patient Care and Interdepartmental Teamwork through Collaborative Education” 

https://twitter.com/liljasolnes/status/1115667486207246339 

 

Rachel Gerson 

@rachelgersonmd 

Spoke at the Women in Tech Regatta 2019 "Side Hustle Success: Why Knot Dive into Your Side Hustle Now?" 

https://twitter.com/rachelgersonmd/status/1120191474065268737 

 

Lauren Golding 

@LaurenGoldingMD 

Lecturer at ACR 2019: MACRA and QPP Field Guide 

Debated at ACR 2019 Economics Forum on the topic of MACRA 

 

https://twitter.com/ncradiology/status/1131036041165639685 

 

https://twitter.com/DrGMcGinty/status/1130561066998665216 

 

Mai-Lan Ho 

Gained acceptance to the Academy for Radiology & Biomedical Imaging’s 2019 Council of Early Career Investigators where she will represent the SPR & have the opportunity to participate in the 10th Annual Medical Imaging Showcase on Capitol Hill. 

Presented a lecture on Skull Base Trauma at ASPNR 2019 

 

https://twitter.com/SocPedRad/status/1115307977018359819 

 

https://twitter.com/BJR_Radiology/status/1123661578451075072 

 

Hedvig Hricak 

@hedvighricak 

Published article in Journal of Clinical Oncology - Improving Cancer Diagnosis and Care: Patient Access to Oncologic Imaging Expertise 

Was featured in a video on Disruptors in MRI Interpretation at ISMRM 2019 

 

https://twitter.com/JimBrinkMD/status/1126176198063734785 

 

https://twitter.com/AcadRad/status/1129083846488670208 

Heather Ivy 

@drheatherivy 

Lectured on leadership for OKStateRads 

 

https://twitter.com/DrvonBorstel/status/1118982544995831812 

Reshma Jagsi 

@reshmajagsi 

Featured Speaker for AAWR Diversity Forum Lunch "MeToo Comes to Medicine: Transforming the Culture" 

Speaker at ASCO 2019 " Establishing a Mutually Respectful Environment in the Workplace" 

https://twitter.com/KatarzynaMacura/status/1130789228554653696 

 

https://twitter.com/UMRogelCancer/status/1134823120332828673 

Ann Jay 

@AnnJayMD1 

Hosted an APAMSA meeting for mentoring incoming 3rd year medical students 

Spoke at Maret School's Asian Heritage Month Assembly 

https://twitter.com/AnnJayMD1/status/1132436634824257538 

 

https://twitter.com/MaretSchool/status/1128291593868410880 

 

Bonnie Joe 

@BonnieJoeMD 

Published in AJR: Utility and Outcomes of Imaging Evaluation for Palpable Lumps in the Postmastectomy Patient 

Co-Hosted a UCSF Tweet Chat on Diagnosing and Treating Hereditary Cancers 

https://twitter.com/DrBritDash/status/1123818850187980800 

 

https://twitter.com/UCSFimaging/status/1121531335229808645 

Nolan Kagetsu 

@nkagetsu 

Authored an article in JACR: Microaggression in Radiology 

https://twitter.com/nkagetsu/status/1118576365094219777 

Tabby Kennedy 

@tabby_kennedy 

Won Universiy of Wisconsin’s Medical Student Teacher of the Year award 

https://twitter.com/JRobbinsMD/status/1137866899478458369  

Amy Kotsenas 

@AmyKotsenas 

Elected Vice Speaker of the ACR 

https://twitter.com/MNRadSoc/status/1130498915021860865 

Elizabeth Krupinski 

@EAKrup 

Published an article in Academic Radiology: How Certain Are Your Radiology Reports And Are We Alone in Our Uncertainty? 

https://twitter.com/AliRaja_MD/status/1143987456666210304 

 

Jean Kunjummen 

@drjkunj 

Presented a Grand Rounds lecture at Emory: “On Closer Look: Advantages or Digital Breast Tomosynthesis” 

 

https://twitter.com/EmoryRadiology/status/1103275761602048000 

 

Lauren Ladd 

@laurenladd17 

Presented a Grand Rounds lecture on Gender Disparity in Radiology at Case Western Reserve SOM 

 

https://twitter.com/CleMammoEd/status/1129228631958544384 

Quynh-Thu Le 

Highlighted by the Video Journal of Oncology for her work in immunotherapy for head and neck cancer 

https://twitter.com/VJOncology/status/1128014571971780608 

 

Madelene Lewis 

@Radlewism 

Radvocacy award winner at ACR 2019 

https://twitter.com/DrGMcGinty/status/1130457852806619136 

Christie Lincoln 

@CMLincolnMD 

Selected as new chair-elect of the Baylor College of Medicine Faculty Senate 

https://twitter.com/rstraxMD/status/1143889560285392897 

Katarzyna Macura 

@KatarzynaMacura 

Elected as the new vice president of the ACR 

https://twitter.com/Hopkins_Rad/status/1131519537877098496 

 

Kirti Magudia 

@KMagudia 

Won the 2019 Morton A. Bosniak Research Award 

Received a 2019-2020 RSNA Fellow Grant 

https://twitter.com/UCSFimaging/status/1125860375407267842 

 

https://twitter.com/UCSFimaging/status/1107718425063903233 

Janice McDaniel 

Commissioned into Cleveland Army Reserves 

https://twitter.com/AkronChildrens/status/1143622334437384193 

Theresa McLoud 

Guest speaker on Cardiothoracic Imaging Podcast 

https://twitter.com/DexterMendozaMD/status/1120814499336998913 

Carolyn Meltzer 

@brainbanker 

Received 2019 ASNR Gold Medal 

https://twitter.com/EmoryRadiology/status/1131166971947626496 

Darlene Metter 

Elected as incoming Texas Radiologic Society President 

https://twitter.com/TxRadSociety/status/1111811199216349185 

Kathleen Meyer 

Featured in a television segment about a more comfortable mammography experience 

https://twitter.com/Hologic/status/1082276047385702400  

Elizabeth Morris 

@DrLizMorris 

Authored a piece for HealthManagement.org: What is the future of breast cancer screening? 

https://twitter.com/ehealthmgmt/status/1131656062845759504  

Elizabeth Oates 

Received the Society of Nuclear Medicine & Molecular Imaging (SNMMI) 2019 Presidential Education Award 

https://twitter.com/UK_WIMS/status/1141366749100568577 

Amy Patel 

@amykpatel  

Elected Vice-Chair/Chair Elect of ACR YPS Executive Committee  

Spoke the opening words for Relay for Life of KC North 

https://twitter.com/herseherself/status/1130125532815863810  

 

https://twitter.com/amykpatel/status/1143543231537393670  

Jordana Phillips 

@DrJordanaP ‏ 

Promoted to Assistant Professor of Radiology at Harvard Medical School 

https://twitter.com/DrSoGu/status/1137008889197547520  

Etta Pisano 

Authored a blog post on the ACR Voice of Radiology Blog “TMIST Trial Expands Mammography Access to the Uninsured” 

https://twitter.com/RMilesMD/status/1121781392885653504  

Chara Rydzak 

Awarded the AAWR Early Career Award 

https://twitter.com/OHSURadiology/status/1131346896071487488 

ValerieStine 

Co-Contributed an ASNR Case of the Week: Stroke-like migraine attacks after radiation therapy (SMART) syndrome 

https://twitter.com/TheASNR/status/1139173894458421250 

Jaclyn Thiessen 

Received VA Resident award from OHSU Radiology 

https://twitter.com/OHSURadiology/status/1143657082685493248 

Karen Tran-Harding 

Authored a SheMD blog post: The Physician Gender Bias - What Every Female Has Faced 

https://twitter.com/sheMDTweets/status/1144198214549159937  

Diane Twickler 

Co-Hosted a speed mentoring event at UTSW Radiology 

https://twitter.com/UTSW_Radiology/status/1101497746178088960 

Tavala Vagal 

Won the 2019 Women in Neuroradiology Leadership Award presented by the ASNR, ACR and AAWR 

https://twitter.com/LilyWangDr/status/1138157366539628546  

Rona Woldenburg 

Discussed medical school admissions with Zucker Pipeline Program students 

https://twitter.com/ZuckerSoM/status/1143900474485219328 

Judy Yee 

@JudyYeeMD 

Received 2019 Esgar Society Honorary Fellowship 

https://twitter.com/JudyYeeMD/status/1136408460231417857  

 

 

 

We LOVE hearing about the triumphs of our members! If you know of an AAWR member who has done something awesome recently and we missed it, tweet us at @AAWR_org so we can all give them the props they deserve!  



Welcome!
The AAWR is pleased to welcome its newest members that joined the 
 Association since January 2019

 
Nikki Ariaratnam MD
Ritu Arya
Ellison Atkinson
Jenny Bencardino MD
Cecil Benitez
Dina Blumwest
Holly Brideau
Zabecca Brinson MD
Kimberly Brockenbrough Active member
Elise Brunsgaard
Kaleigh Burke MD
Teresa (Tess) Chapman Self
Karen Cheng MD
Christina Cinelli
Lauren Corley DO
Donna D'Alessio MD
Ariadne DeSimone MD, MPH
Natalie Domeisen
Jessica Domitrovic
Eda Dou MD
Sarah Ebert MD
Meridith Englander MD
Amina Farooq
Janet Ching-Mei Feng Ph.D.
Sarah Freathy MD
Lauren Golding MD
Chelain Goodman MD, Ph.D.
Laura Gordon
Allison Grayev MD
Rebecca Grotewiel
Kelsey Guerreso MD
Sana hava
Ayushi Jain
Sara Janos
Ann Jay MD
Khushboo Jhala
Meredith Johnson MD
Natalie Karr
Michelle Kim MD
Ariel Kniss
Madison Kocher
Hollie Lai MD
Sheila Lee MD
Elizabeth Levin MD
Trevor Lewis MD
Chelsea Life
Megan Lipford PhD
Francesca LoBianco M.S.
Madison Looney  B.A. 
Mary Lowdermilk MD
Laura Madsen MD
Ellie Magera
Shekinah Malone
Teresa Martin-Carreras MD
Eralda Mema MD
Ronald Mercer MD
Amber Mittendorf MD
Natasha Monga MD
Brooke Morrell
Cari Motuzas
Tarannum Mujtaba MD/MBA
Moozhan Nikpanah
Shannon Offerman MD
Saryleine Ortiz
Suzanne Parets
Niki Patel
Ashitha Pathrose MBBS
Jessica Peterson
Vaishali Phalke MBBS, DMRD, DNB
Jordana Phillips
Marika Pitot Ms.
Sarvenaz Pourjabbar MD
Traci Pritchard
Lauren Proctor
Shayna Rich MD,  PhD
Bisola Salisu
Jennifer Schroeder
Mandy Shelley
Lauren Snider
Sahar Soleimani MD PhD
Sarah Stephens
Jessica Telleria MD
Taylor Tran N/a
Nina Vincoff MD
Katie Vo MD
Charlotte Wallace
Amr Wardeh
Joelle Wazen
Theresa Weber MD
Jessica Wen PhD
Stefanie Woodard MD
Sherry Yan MD
Kristie Yang
Emi Yoshida
Yara Younan
Marianna Zagurovskaya MD
Justine Zhang  
Alyssa Zimny