Spring 2018 • Volume 38 • Number 1

Maria D Kelly MB, BCh, FACR
2018 AAWR President


Hello, AAWR members!

There are some exciting things happening at AAWR and we wanted to get your feedback.

First, we have recently formed a corporate support committee co-chaired by Drs. Julia White and Susan Ackerman. To help accomplish our committee’s objectives, we are looking for members who have special relationships with vendor representatives or ideas on how to raise money. Our goal is to be able to underwrite our activities throughout the year and perhaps expand our presence at the more specialized meetings. We would also like to create 2 AAMC scholarships so that the recipient has all their costs covered if selected for the Early career or Mid-career leadership training seminars. It is our hope that we can also expand the number of awards we offer.

We are also working with GE on a variety of initiatives to help mentor women for leadership roles in their practices. One idea is to join their regional networking events. To this end, we would like to set up regional chapters of AAWR. We are looking for members interested in participating.

Lastly, this year’s ASTRO AAWR luncheon will include a speed mentoring session to include members from Academic medicine, private practice, and federal employment. In addition to the luncheon there will be an  ASTRO-AAWR Joint Session: Achieving Gender Equity in Radiation Oncology.

If you have vendor relationships, ideas on fundraising, or are interested in participating in an AAWR regional chapter, please contact info@aawr.org.

We look forward to hearing from you!

Maria Kelly
President, AAWR

 

Barbara Pawley, MD
Assistant Professor of ER and Pediatric Radiology

How does this happen to us?  We just emerged from the snow and ice and summer is now upon us.  We have many accomplishments to crow about… or if you are a smaller bird you might “tweet” about them.

The ACR was a great success.  For the third year, we have had a Women’s caucus.  We had standing room only and even added some chairs in the hallway. We had great representation from various groups including students, residents and ACR representatives. The topic of leave for caregivers was discussed.  We hope beneficial changes will arise from this discussion.

Another enlightening breakfast meeting drew about 70 attendees. Dr. Cheri Canon shared her words of wisdom with the crowd. Her willingness to relay personal experiences made it a valuable session.

There is an interesting article by David Sarkany, MD, MS-HPEEA et al, in JACR. 2018.02.018, “Educating Radiology Residents about Patient- and Family-Centered Care: The Time Has Come”.  It highlights a common theme.  There is much discussion about the value added by each of the divisions of medicine contributing to patient care.  The article prompts us to give additional thought to the concept of the value radiologists contribute.

The late Fall AAWR meeting is now on the horizon.  I look forward to seeing everyone at the RSNA and the AAWR R&E Foundation Dinner.

 

Respectfully submitted by AAWR Secretary,

 Barbara Pawley, MD

 

 


Educating Radiology Residents About Patient- and Family-Centered Care:
The Time Has Come


JACR 
June 2018Volume 15, Issue 6

David Sarkany, MD, MS-HPEd'Correspondence information about the author MD, MS-HPEd David Sarkany,  Carolynn M. De,Benedectis , MD, Michael Morrow, DO, Susan Sotardi, MD,  Danielle Del Re, DO,  Devon DiVito, MD, Priscilla J. Slanetz, MD, MPH

 

Introduction

Patient- and family-centered care (PFCC) has gained increased attention in recent years, especially with the current focus on value over volume and improving the patient experience, but it is not a new concept in medicine or radiology. After a recent New York Times article highlighted how a radiology department failed to provide a radiologist’s husband timely results , it is more critical than ever that radiology practices determine how to better care for their patients. Patients need radiologists to help navigate the technological maze of care. Although technology has revolutionized health care, demonstrating increased diagnostic certainty and streamlined workflows, it has had an untoward effect of weakening the physician-patient relationship. It has become increasingly clear that radiologists should no longer hide in the dark . If we argue that radiologists cannot hide from patients, then what about trainees? Trainees must develop the necessary skills to successfully navigate the evolving patient-centered landscape.

Read Full Article from JACR


Speed Mentoring at ACR

The American Association for Women Radiologists in conjunction with the American College of Radiology hosted another successful Speed Mentoring session at the 2018 ACR Annual Meeting. The event, in its sophomore year, has grown exponentially both in involvement from leaders as well as interest from residents and fellows. This year’s expanded line up of mentors included a more diverse range of discussion topics. Private practice, as well as academic Radiologists, participated. We had so many dynamic Radiology leaders present to mentor residents and fellows and have only highlighted a few below. A full list of participating mentors is available at the end of this article.

Topics in early career Radiology included an excellent discussion from Dr. Jonathan Flug on how to take the professional leap from trainee to attending. Career development was a very popular topic and residents and fellows had the opportunities to learn expert tips for job interviews from Dr. Frank Lexa and contract negotiation from Dr. Alexander Norbash. For the next stage of his career, Dr. James Brink helped residents and fellows learn how to get promoted.

Radiologists with vast experience in research, such as Drs. Bruce Hillman and Katarzyna Macura, provided invaluable advice on how to get involved in and stay involved in research throughout a successful career in Radiology. Dr. Ruth Carlos also gave specific insights on how to become a reviewer for a radiology journal.

Dr. William Herrington shared his wide breadth of expertise regarding the ACR leadership structure, helping young Radiologists understand the many opportunities for leadership in a diverse number of areas. Regarding leadership development, Dr. Cheri Canon graciously provided her tips on how to be a successful leader. Dr. Carolyn Meltzer addressed the topic of physician burnout while Dr. Susan Ackerman facilitated a discussion on work-life balance. These discussions complemented each other to give residents and fellows the tools they need not only to advance but to also thrive as leaders in the Radiology community.

Dr. David Youmans, Chairman of the Radiology Advocacy Network, discussed the many opportunities available in Radiology advocacy for both residents and fellows. This introduced residents and fellows to the many leadership positions available to advocate for the best care for our patients.

To round out the discussion, Dr. James Rawson paid it forward by offering his expertise on how residents and fellows can become good mentors.

Residents and fellows have the opportunity to be mentors at any stage of training; the time to be a mentor is now! We are greatly appreciative to all of the mentors who participated this year, giving their time to help build the next generation of Radiology leaders.

For a complete list of leaders, please see below. Photos and videos from the event are available on twitter using the hashtags #speedmentoring and #ACR2018.

2018 Speed Mentoring Mentor list

  1. Susan Ackerman, MD — Maintaining Work-Life Balance
  2. Bibb Allen Jr., MD, FACR — Understanding Coding and Billing in a New Practice
  3. Kimberly Applegate, MD, MS, FACR — Making a Career in Radiology Quality Improvement and QA/QI in the Workplace
  4. James Brink, MD, FACR — How to Get Promoted
  5. Cheri Canon, MD, FACR — Success in a Leadership Role
  6. Ruth Carlos, MD, FACR — Becoming a Reviewer for a Radiology Journal
  7. Jonathan Flug, MD, MBA — Taking the Professional Leap From Trainee to Attending
  8. C. Matthew Hawkins, MD — Fostering a Career Focus in Informatics
  9. William Herrington, MD, FACR — Understanding the ACR Leadership Structure and Organized Radiology
  10. Bruce Hillman, MD, FACR – How to Become an Editor of a Peer-Reviewed Journal
  11. Frank Lexa, MD, MBA — Advice for Interviews
  12. Katarzyna J. Macura, MD, PhD, FACR — Writing a Grant and Obtaining Grant Funding
  13. Geraldine McGinty, MD, MBA, FACR — Making the Decision: Academic versus Private Practice\
  14. Carolyn Meltzer, MD, FACR – Avoiding Burnout
  15. Alexander Norbash, MD, FACR — Contract Negotiation
  16. Suzanne Palmer, MD — State and Local Practice Leadership
  17. James Rawson, MD, FACR — Becoming a Good Mentor
  18. Kurt Schoppe, MD — What Every Physician Should Know About the RUC
  19. Ezequiel Silva III, MD, FACR — How to Get Involved in Healthcare Economics
  20. Eric Stern, MD, FACR — International Outreach
  21. Nina Terry, MD — TBD
  22. William Thorwarth Jr., MD, FACR — Patient Reported Outcome Measures: Get Ready
  23. David Youmans, MD, FACR — How to Get Involved in Radiology Political Advocacy



 

 

“Be fearless…or at least appear to be”
AAWR Muffins and Coffee Event at the ACR Annual meeting 5/21/18
Cheri Canon, MD, FACR
Reported by Michelle Dorsey, MD

 

The title of this talk arose out of a recent conversation Dr. Canon was having with a gentleman at a meeting, who told her that she was absolutely fearless. Dr. Canon felt it was an ironic statement, as she notes that not a day goes by that she doesn’t feel paralyzed with fear. She notes that fear is good, a protective response, but it also has unintended consequences. As leaders, we should not make decisions out of fear. Instead, use fear to guide you. The feeling of fear is an indicator that something is important and that it means something to you. Frequently it means that you are afraid to fail. It is important to listen to your body’s responses to situations, and Dr. Canon notes that when she reflects on the times she has made mistakes, it is because she failed to listen to her own internal little voice.  Your emotions express yourself in your body and fear is that feeling deep in your belly. You should listen to that feeling so you can manage it. You can’t be truly fearless, because as a leader people follow you and you make decisions that affect their lives. It is appropriate to have a bit of fear about it, as otherwise it’s just arrogance. You can’t avoid fear, but you also can’t avoid decisions.

 

Next, Dr Canon reflected on what drives fear in her life. For her, budget time is a fearful time as she is managing a department and making financial decisions which will affect people’s livelihoods.  She also finds that she gets nervous for her monthly faculty meeting because she cares deeply about the people she will be addressing. She notes that words matter, so we must be careful how we select them. In the past, board meetings also scared her, as she was frequently the only woman in the room as well as the youngest person. She recollected a time when a man commented that he liked having her at the board meetings because he “loved to see what color your hair is going to be.” She replied, “they now make hair dye that doesn’t interfere with making good decisions.” She notes it is important to be confident and be authentic. Also, being vulnerable and willing to share your mistakes is vital, so that people can relate to you as a real person.

 

Dr Canon went on to discuss that being confident changes your physiology. It is good to practice a powerful stance-the superwoman pose-although not in your boss’ office! Studies have shown that hormonal levels change when you assume a power posture, and your testosterone levels increase. These hormonal changes can impact how you conduct yourself. She encouraged us to try it out before our next big meeting.

 

There are inherent differences that exist between men and women, Dr Canon remarked. For example, at board meetings frequently the decisions have already been made before the meeting even starts. Men have pre-meetings, have discussed how they will vote and know their talking points. Women approach board meetings differently, they prepare and bring data with the hopes that there will be a collective discussion and a group decision. Dr Canon notes that this is not how board meetings work and instead women should do the pre-work necessary to prepare for the meeting.

 

Dr Canon’s advice is to practice empathy, as emotional intelligence is the foundation of good leadership. Empathy is not just being nice, but instead taking the time to consider the perspective of the other person. It requires you to pull yourself out of your own thoughts. Empathy enables you to better understand the impact of your decisions, as well as know where people are coming from, which is critical when you need to convince them of your position. Try to practice empathy every day.

 

Everything doesn’t have to be perfect, in fact it will never be, Dr Canon cautions. We will always fall short, and that is the reality. Try to reflect and be insightful about why the project failed. This process should make you feel a bit uncomfortable, as it always stings a bit to examine why it is that you failed. Once you have learned from it, then it is time to move on. Don’t dwell on your mistakes, as there will always be more down the line! If there is a project you are hesitating about or are avoiding confrontation,  you need to push yourself forward. It is important to act on something even if you are afraid of making a mistake. Dr Canon advises that you are not pushing yourself hard enough if you are not making a few mistakes.

 

Dr Canon then went on to discuss the differences between introverts and extroverts. She noted that leaders are usually thought of as extroverts but some of the most successful leaders are introverts. She referenced a book by Jim Collins called Good to Great. The book examined companies on the stock market that had a dramatic rise and then sustained that level of success for 15 years. They evaluated the leadership in those companies and found that many were quiet leaders (introverts) yet were very successful. Companies with charismatic, larger-than-life leaders weren’t able to sustain their improvements as those leaders tended to be egocentric, were not interested in a team approach, and just wanted to move forward their agenda. She notes that our current interview processes are flawed, and tend to favor the outgoing, gregarious candidate, but she has seen these types of hiring practices backfire. Attending a one hour webinar on unconscious bias isn’t going to solve this problem. Introspective, introverted leaders should be recognized and encouraged.

 

Dr Canon highlighted the need for mentors and sponsors, with the note that having a sponsor is more impactful than a mentor. Everyone should try to find a sponsor, someone who is willing to put their credibility on the line for you. Women should be sponsors of other women-we need to intentionally pull them up and give back to the next generation of leadership. She encouraged us to think about how you want to craft your legacy-what do you want to be remembered for?

 

Finding your passion is this is the best mitigant against burnout said Dr Canon. She was told once that being a Chair is a “series of near-death events.” For her, it has been a process of gaining experience which then gives her perspective that the problems are, in fact, solvable. You just have to find the right team, be patient, and learn to remain calm-don’t overreact. She notes that all things come to an end, both good and bad. You cannot let fear take over. In fact, when you stop feeling afraid, it is usually a bad sign. Fear in other people can manifest as bad behaviors. You should try to connect to other people’s fear, which can allow you to overcome that behavior. But if you can’t quell a bad behavior, then you must promptly act on it as a leader. Do not let bad behavior rule the day.

 

Dr Canon concluded that we should embrace our fear. Be strong and power through it.

 

An interactive discussion followed with highlights below:

o   It is important to build relationships with people outside of work. One way to do the pre-meeting work is by making connections with people. Be authentic in these attempts.

o   Don’t micromanage people! Seek out experience from others, assemble a great team, and appreciate your support staff. Remember to tell your staff thank you.

o   Discussion ensued about how to back out of commitments without disappointing someone. Dr Canon recommends going through the schedule exercise: look at your schedule and see what events or meetings that you are looking forward to attending. If you are dreading it, then it’s time to get out. If it’s a valuable committee, you should try to pass on the opportunity to attend, in order to bring someone else up. You should spend your bandwidth on the things that you love. Everything will fall into place if you do what you love.

o   It was put forward that women do the job first and ask for the title later. Dr Canon agrees that if you do a good job then the titles will come. But, if the doors are not opening like they should, then it is time for you to be more intentional. See who is on the other side of the door to help you open it. Reach out to them to get their opinion.

o   In a similar vein, it was discussed that women earn their positions (show they can perform in the role before achieving it) while men get their positions on the promise of being able to do well, without actually demonstrating their ability. Dr Canon noted that she has seen a positive trend that women are asking more and negotiating more, although she is unsure if that relates to the fact that she is a female Chair, which makes women more comfortable with the ask. She notes it is important to take your emotions out of it, know what you are asking for and present a good case.

o   Imposter syndrome was discussed as another version of fear. It shows you have humility, but you have to power through it and not let it rule your life.

o   Women tend to not reveal things unless specifically asked. Ask!

Queen bee syndrome is dying out. In the earlier days, women leaders became self-protective because there was often only one opportunity in an organization for a woman leader, and they had to defend their positions. Now, the behavior is going aw

UPCOMING EVENTS


ASTRO 2018 Annual Meeting

• Sunday, October 22nd AAWR/ASTRO Women's Luncheon- “Roundtable Discussions of Radiation Oncology Career Options: Academics, Private Practice or Government”

• Date TBD ASTRO-AAWR Joint Session: “Achieving Gender Equity in Radiation Oncology

• Networking event at MARIA MIA in San Antonio


RSNA 2018
• Sunday, November 25th: Celebration Dinner at Palmer House

• Monday, November 26th:  AAWR Business Lunch 12-1:30 pm

• Tuesday, November 27th:  AAWR Presidents Lunch 12-1:30 pm
Dr. Geraldine McGinty: "1st Year as 1st Lady - Reflections on Year One as the 1st Female ACR BOC"

• Wednesday, November 28th: AAWR Educational Session 8:30-10am
Parental/FMLA Leave in Residency - A Panel Discussion with Dr. Cheri Canon, UAB (Chair & ABR Board of Trustee), Dr. Lori Deitte, Vanderbilt (President,  Association of Program Directors in Radiology (APDR), & Dr. Allison Grayev, U.Wisconsin (PD). 

• Wednesday, November 28th: AAWR Speed Mentoring 10:30-11:45 am

• Wednesday, November 28th: AAWR Higginbotham Resident Lunch 12-1:30 pm

Want to praise a fellow AAWR member? Have an announcement to share? Send your " Kudos" to info@AAWR.org

The AAWR is pleased to welcome its newest members that joined the Association  Nov 22, 2017 - March 29, 2018

Dr. Jacquette Caldwell
Dr. Erin Cooke
Tulay Ekinci
Dr. Janine Katzen
Dr. Jina Pakpoor
Dr. Courtney Raybon
Monica Sheth
Dr. Fara Shikoh
Dr. Yining Wang
Dr. Elysa Widjaja
Fan Yang
Hong Yu
Asha Ziembiec

Chief Editor
 Dr. Barbara Pawley

Administrative Editor
Stephanie Huppert