AA33CRCR22

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Commission on Commission on Communications UpdateCommunications Update

Greg M. Galdino, M.D.Greg M. Galdino, M.D.A3CR2 RepresentativeA3CR2 RepresentativeRPS Executive CouncilRPS Executive Council

CaliforniaCaliforniaUCSFUCSF

7:00 AM ?!!!7:00 AM ?!!!

4:00 AM !4:00 AM !

AA33CRCR22

• American Alliance of Academic Chief American Alliance of Academic Chief Residents in RadiologyResidents in Radiology

• Academy University Radiologists (AUR)Academy University Radiologists (AUR)

• San Francisco April 21-24, 2004San Francisco April 21-24, 2004

– AA33CRCR22 Steering Committee Steering Committee

AA33CRCR22

• Resident Problem SolvingResident Problem Solving

• Film PanelFilm Panel

• ACRACR• ABRABR

• APDRAPDR

Mallinckrodt SurveyMallinckrodt Surveyhighlightshighlights

• Chief Residents (193 programs)Chief Residents (193 programs)

• 55% Response rate55% Response rate

• Not scientificNot scientific

• 53% programs increased # residents 1-353% programs increased # residents 1-3

• 6% decreased6% decreased

• 73% already compliant ACGME duty hrs73% already compliant ACGME duty hrs

• 24% made few changes24% made few changes

Mallinckrodt SurveyMallinckrodt Surveyhighlightshighlights

• Call IssuesCall Issues– 60% night float60% night float– 50% faculty coverage50% faculty coverage

• BenefitsBenefits– 81% Meal coupons81% Meal coupons– 75% Educational/Travel Fund75% Educational/Travel Fund

– 85% no reimbursement for med lic85% no reimbursement for med lic– 11stst $41,500, 4 $41,500, 4 thth $49,500 $49,500

ACRACR• Dr. Steven AmisDr. Steven Amis

• Workforce IssuesWorkforce Issues– Tapering of Radiologist ShortageTapering of Radiologist Shortage– Jobs available per seeker Jobs available per seeker

• 3.9 20003.9 2000• 2.5 20022.5 2002• 1.4 goal1.4 goal

– RRC approved accredited slotsRRC approved accredited slots– Workload about right 50% 2000, 83% 2003Workload about right 50% 2000, 83% 2003– Tide is Turning?Tide is Turning?

ACRACR

• Dr. Steven AmisDr. Steven Amis

• Self ReferralSelf Referral– Stark III Law Stark III Law

• All Imaging in office by radiologyAll Imaging in office by radiology

– Billing to MedicareBilling to Medicare• Radiologists 7%Radiologists 7%• Non Radiologists 32%Non Radiologists 32%

– BCBS, United HealthcareBCBS, United Healthcare– 1-6 Billion savings1-6 Billion savings

ACRACR

• Dr. Steven AmisDr. Steven Amis

• Malpractice / TortMalpractice / Tort– 2002 Insurers paid > revenue2002 Insurers paid > revenue– Task ForceTask Force

• International TeleradiologyInternational Teleradiology– Task ForceTask Force

APDRAPDR

• AFIP (Prelim Discussion)AFIP (Prelim Discussion)– MI, WA loss of funding from Medicare for MI, WA loss of funding from Medicare for

residents attending AFIPresidents attending AFIP– Potential solutionsPotential solutions

• Decreased time onsiteDecreased time onsite• Supplement OnlineSupplement Online

APDRAPDR

• Nuclear MedicineNuclear Medicine– 6 mo to 4 mo6 mo to 4 mo

– NRC has not yet enacted regulationsNRC has not yet enacted regulations

• ACGMEACGME– 44thth year release from boards year release from boards– PD/PC/Faculty ensure part in call / rotationsPD/PC/Faculty ensure part in call / rotations

ABRABR

• Dr. Reed DunnickDr. Reed Dunnick

• Virtual Cardiac ExamVirtual Cardiac Exam

• Timing of Oral BoardsTiming of Oral Boards

• Written TestWritten Test

• Board Fee IncreaseBoard Fee Increase

• Maintenance of CertificationMaintenance of Certification

Top IssuesTop Issues

Turf issues impact on EducationTurf issues impact on Education

24/7 Attending ER coverage 24/7 Attending ER coverage

Self Referral Position StatementSelf Referral Position Statement

• Establish Core Curricula in “threatened” Establish Core Curricula in “threatened” clinical areasclinical areas– ResourcesResources– ReciprocationReciprocation– ReinforcementReinforcement

• Support ACR and legislationSupport ACR and legislation• Marketing CampaignMarketing Campaign

– Clinician, 3Clinician, 3rdrd party payer, public awareness party payer, public awareness– Communication, Clinical role (IR)Communication, Clinical role (IR)

ER Coverage Position StatementER Coverage Position Statement

• Call critical to educationCall critical to education

• Protect autonomyProtect autonomy

• Attending CoverageAttending Coverage– In house facultyIn house faculty– TeleradiologyTeleradiology– NighthawkNighthawk– GateKeeperGateKeeper

• QAQA

• Enhance interdepartmental relationshipsEnhance interdepartmental relationships

Commission on CommunicationsCommission on Communications

• ACR Website (Launch)ACR Website (Launch)

• Resident and Medical student educationResident and Medical student education

• Links to Online Case RepositoriesLinks to Online Case Repositories

• Email addressesEmail addresses

• E bulletinE bulletin

• Marketing CampaignMarketing Campaign– ““Quality is our image”Quality is our image”

Commission on CommunicationsCommission on Communications

• eLearning Proposal for ACR websiteeLearning Proposal for ACR website– MOC/CMEMOC/CME

– MRI EducationMRI Education

• Primary educational link (CDROM cases)Primary educational link (CDROM cases)– www.cpionline .orgwww.cpionline .org

• Cases GU, Breast, Neuro, MSK, U/SCases GU, Breast, Neuro, MSK, U/S

• Secondary LinksSecondary Links– http://rad.usuhs.mil/synapse http://rad.usuhs.mil/synapse – http://www.mypacs.nethttp://www.mypacs.net

Get Involved !Get Involved !