The official newsletter of the
American Association for Women Radiologists

July 2014 • Volume 34 • Number 3

From your 2014 AAWR President, Dr. Yoshimi Anzai

Confidence matters.                                   

In and outside of medicine, women make up half of the workforce.  We are closing the gap in the middle management positions, such as director of residency or fellowship programs in radiology or radiation oncology.  Women are as competent as men in many areas; clinical work, teaching, research, and administration. However, women are rarely represented at the top of many organizations. Many think this may be due to childcare responsibility and maternal instinct leading to an emotional tug between work and family balance.  While this may be true, it is not only factor that attributes to women being invisible at higher levels of leadership positions. 


One of the major attributes for this may be a lack of self-confidence. Even with the same credentials and accomplishments as their male counterparts, women feel less confident in themselves and underestimate their abilities.  This is detrimental to women, as success correlates as closely with confidence as it does with competence.  Confidence matters as much as competence.


There is a very nice article, The Confidence Gap, by Kitty Kay and Claire Shipman in Atlantic Monthly, (April 14, 2014), which reviewed how women lack confidence. Despite have the same credentials and competency as men. If you have time, they also have a book, called “The Confidence Code: Science and Art of Self-Assurance – What Women Should Know” that was released in April.


Linda Babcock, a professor of economics at Carnegie Mellon University and the author of Women Don’t Ask, has found, in studies of business-school students, that men initiate salary negotiations four times as often as women do, and that when women do negotiate, they ask for 30 percent less money than men do. A study by Hewlett-Packard found that women applied for a promotion only when they believed they met 100 percent of the qualifications listed for the job. Men were happy to apply when they thought they could meet 60 percent of the job requirements.  Men are good at leaning in, while women are holding back


How do we explain the difference in self-confidence? Some speculate this might be due in part to hormones. (Right ?!).  Testosterone apparently fuels self confidence in men. Contrary to this, estrogen supports bonding and connection and discourages conflict and risk taking, which may hinder self-confidence in some situations. Thus women hold back.  The natural result of a lack of self-confidence is inaction. Women often do not act for fear of being wrong or making mistakes.


One of the complex issues here is that when women act as confident as men, by trying to imitate male leaders, they are often viewed as “bossy” or “arrogant”. Women do not receive social acceptance for these actions.  Women have a very narrow social window of being right, well respected and liked. 

If you lack confidence and want to build it, the good news is that confidence can be acquired. Recognizing it might be the first step.  Knowing when you are faced with a lack of confidence, you want to be self-encouraging.  Some say  “Fake it until you make it”, though fake confidence does not last long and is an ineffective tool in building and creating a long-lasting self confidence.


When I read this article, I thought deeply not only about myself and AAWR members, but also my 14-year-old daughter.   How can I raise her to be a self-confident woman? I do not have a magic pill to give. I believe we should complement and encourage girls more so than boys, providing them with the self-assurance and voice they need to speak up even when they are surrounded by self-confident boys.

This last spring, AAWR activities were very vibrant.  The AAWR-ARRS luncheon was very well attended. In fact we run out of food.  Dr. Julia Fielding and many participants had an open discussion on “how to negotiate”.   Please see a separate report by Dr. Elizabeth Arleo.  The AAWR-SPR luncheon was also sold out, thanks to the major efforts by Dr. Lynn Fordam and many pediatric radiology members.  Over 80 people, including many chairs and ACR leaders, attended the ACR-AAWR breakfast. Dr. Darlene Metter, our featured guest speaker, provided insightful tips for all women in radiology and radiation oncology.


I am pleased to announce that SNMMI (Society of Nuclear Medicine and Molecular Imaging) has invited me to attend their new initiative, Women in Nuclear Medicine, to give the AAWR perspectives of supporting women in radiology and radiation oncology.   SNMMI is committed to supporting women that have subspecialized in nuclear medicine and molecular imaging.  Please see the separate report on this Focus Newsletter.


I sincerely hope you have a wonderful summer!


Yoshimi Anzai, MD MPH

AAWR President

Carol M. Rumack, MD, FACR –
recipient of the American College of Radiology 2014 Gold Medal
By: Katarzyna J. Macura, MD, PhD, FACR

 Carol M. Rumack, MD, FACR, has had an exemplary career as a researcher, educator, and leader in radiology, and has been a role model and mentor to countless radiologists in the United States and abroad. Most importantly, Carol has been an inspiration and advocate for women in radiology.

Dr. Rumack grew up in Pittsburgh, Pennsylvania as one of four children of parents who were both physicians. She credits her parents for inspiring her to pursue a career in medicine. She attended college at the University of Chicago. She completed her medical degree at the University of Wisconsin and did her internship at the University of Maryland in Baltimore. While in Baltimore she visited the Johns Hopkins University where she met one of her mentors, Dr. John Dorst, who fostered her interest in pediatric radiology.  She attended the University of Colorado School of Medicine, to complete her diagnostic radiology residency, and during her third year of residency, her husband Barry was sent to Scotland to the University of Edinborough for additional training. Dr. Rumack accompanied him by arranging “away” rotations in ultrasound and learned that her institution, the University of Colorado, was one of three powerhouses of the emerging and rapidly evolving subspecialty of ultrasound at the time. Dr. Rumack returned to Colorado and completed her residency and pediatric radiology fellowship under the mentorship of Joseph Holmes and Michael and Marilyn Manco-Johnson. Following training, she joined the faculty of the University of Colorado and currently serves as Professor of Radiology and Pediatrics and Associate Dean of Graduate Medical Education. Over the past three decades she has educated countless medical students, residents and fellows and to date continues to participate in the educational curriculum of her department.  

During her early career Dr. Rumack evaluated numerous infants for the detection of intracranial hemorrhage and presented her first paper on CT evaluation of intracranial hemorrhage at the 1977 meeting of the American Roentgen Ray Society in Boston. Soon thereafter she began evaluating the brain with ultrasound at a time when ultrasound was an underutilized modality for imaging pediatric patients. Pediatric ultrasound became the focus of her research efforts leading to 66 publications, 78 scientific presentations and exhibits, and 83 invited lectures. She is lead author of the seminal textbook, Diagnostic Ultrasound, which continues to be the most authoritative reference in the area of ultrasound.


Dr. Rumack has served numerous radiology organizations and has excelled in leadership positions including Chair of the Residency Review Committee for Diagnostic Radiology and the ACR Commission on Ultrasound. She has served on the Board of Directors for the Academy of Radiology Research, the ACGME and the Society for Pediatric Radiology. Carol has had a long and distinguished service to the ACR on a variety of volunteer positions including Councilor for the American Association for Women Radiologists (AAWR), member and co-Chair of the ACR Nominating committee, ACR Chancellor, and ACR President.


Dr. Rumack is a fellow of the American College of Radiology, the American Institute of Ultrasound in Medicine and the Society of Radiologists in Ultrasound. She is a former AFIP Distinguished Scientist and the recipient of the Alice Ettinger and Marie Curie Awards from the American Association for Women Radiologists. In 2007 she was the recipient of the Society for Pediatric Radiology’s Pioneer Award for her substantial contributions to the field of ultrasound. She is the recipient of the American Roentgen Ray Society Gold Medal.


One of Carol’s most significant contributions was her leadership role in the American Association for Women Radiologists (AAWR). As the society’s inaugural president, she led an organization dedicated to the advancement of women in radiology at a time when women were unable to fulfill their potential as professionals in our specialty. Through her efforts women began assuming roles of increasing importance in radiology and radiation oncology and were able to make substantive contributions to our field. The stellar careers of many of current women leaders can be traced back to the mentorship received at AAWR from pioneers such as Dr. Rumack. The AAWR was honored with the 2005 Women in Medicine Leadership Development Award from the Association of American Medical Colleges (AAMC), an achievement recognizing the role AAWR had played since 1981 in providing the encouragement, tutoring and networking to women radiologists who had worked tirelessly to advance radiology by championing education and research, and lending their leadership skills to many professional organizations. Dr. Rumack’s continuous involvement over the three decades in AAWR activities has contributed to development and implementation of educational and career support programs that helped women radiologists achieve both a personal and a professional fulfillment and recognition. AAWR members are grateful to Carol for her vision, determination and her work on behalf of all women in radiology that have led to the advancement and appreciation of women, and have enriched our specialty with outstanding  women leaders radiologists and radiation oncologists.

Congratulations to the 2014 recipient of the Women in Neuroradiology Leadership Award, 
Yvonne W. Lui, MD. 

A graduate of Yale University School of Medicine, Dr. Lui completed her radiology residency and neuroradiology fellowship at NYU. Her research expertise is in the use of novel MR imaging techniques to study brain trauma. Dr. Lui is faculty at the School of Medicine and Sackler School of Biomedical Sciences. She is an expert in clinical neuroimaging including interpretation of brain and spinal cord imaging and has a lifelong commitment to education.

As a leader in neuroradiology: She serves as reviewer for intramural, foundation, as well as NIH scientific review committees; She is a board examiner for the American Board of Radiology; She has lectured widely on neurological disorders; She has been a moderator at several national and international meetings including Radiological Society of North America (RSNA) and American Society of Neuroradiology (ASNR); She is a member of the editorial staff for the American Journal of Neuroradiology, for which she serves as Editor of the AJNR Podcast which sees over 12,000 downloads worldwide each month. She is a member of the Executive Committee for the New York Roentgen Society.

Her research expertise is on Traumatic Brain Injury and she leads a multidisciplinary translational research team using novel MR imaging techniques to study metabolic, functional and tissue structural alterations after injury. She has received federal funding (CTSA and NINDS) as PI on two projects investigating TBI including a RO1 grant.

SNMMI Steps up to Address Gender Inequity
Dr. Yoshimi Anzai

At the 60th annual meeting of the Society of Nuclear Medicine and Molecular Imaging (SNMMI), the very first session on “Women in Nuclear Medicine” was well attended by many women and some men that hold leadership positions. This was a remarkable event indicating that the SNMMI has recognized gender issues and is committed to supporting women in Nuclear Medicine. The first women President of SNMMI, Dr. Naomi Alazraki from Emory University, started the session with the presentation “Statistics of Women Physicians and Scientists in Nuclear Medicine compared with Women in other Medical Fields”. This was followed by the past AAWR President, Dr. Elizabeth Oates, Chair of University of Kentucky, in her presentation “Women in Nuclear Medicine and Radiology” as well as Dr. Leonie Gordon from the Medical College of South Carolina, presented, “The establishment of the Curie Fund to advance women into leadership”. Lastly, I presented “Experiences from AAWR and Women in Neuroradiology”, followed by an open panel discussion. The session was well attended to capacity. Moreover, I felt strong enthusiasm among all participants for continuing these initiatives in SNMMI. At the end of the session, we took a group photo (please see attached). Throughout the session, the lack of women in leadership roles was quite visible as there are only three women presidents out of 60 presidents (5%). This is similar to the ASNR (American Society of Neuroradiology), although ASNR has made major cultural changes in the last several years, thanks to outstanding women leaders in our field. I believe that SNMMI is now leading full speed in the same direction. Less than one month after the SNMMI annual meeting, the telephone conference was held to discuss how we can move forward with Women in Nuclear Medicine leadership. SNMMI has secured the fund to support women to attend the AAMC Mid-Career Women Faculty award: The Curie Fund. They are planning to form a committee to provide for future planning on the 2015 annual meeting. One unique aspect of the SNMMI is that it has a large number of women scientists, technologists and pharmacists. We need to provide support for these diverse groups of women in the organization. The SNMMI leadership is fully supportive of this initiative and I am grateful and excited to see this happening in the Society of Nuclear Medicine. I am very proud of my husband, Satoshi Minoshima, MD PhD, who was the program chair for the 2014 annual SNMMI meeting. He worked behind the scenes to create the session for “Women in Nuclear Medicine”. Additionally, I congratulate women leaders in nuclear medicine; Drs. Elizabeth Oates, Naomi Alazraki, and Leonie Gordon, and Darlene Metter, to name a few, for their efforts to support women in their medical subspecialty. As the AAWR President, I would like to outreach many other specialty groups in radiology and radiation oncology to collaborate to create similar initiatives. I strongly believe that a gender-balanced workforce will lead to a collegial and cohesive work environment, and ultimately improve the quality of patient care.

AAWR at ARRS Luncheon 2014

By Elizabeth Kagan Arleo, MD

On Wednesday, May 7th at the ARRS annual meeting at the Manchester Grand Hyatt in San Diego, nearly 40 residents, fellows and Attendings – including two good men – gathered for the AAWR luncheon. Dr. Yoshimi Anzai, AAWR President, presided, kicking off the event by presenting Dr. Manisha Bahl, MD, MPH with the AAWR trainee award for best scientific presentation.

  Dr. Anzai then introduced Dr. Julia Fielding, Professor of Radiology and Chief of Abdominal Imaging at UNC Chapel Hill, who spoke on “Negotiations: How to Get the Job You Really Want.” The menu included salad with grilled chicken, iced tea, and delicious-looking cookies.

 The discussion began by acknowledging the relatively tight job market, and how the change in the boards, with the elimination of the orals, may affect hiring patterns. Many in the room we reassured, however, to hear from ACR’s Dr. Paul Ellenbogen that there are still ~1200 Radiology jobs available annually, which roughly matches the number of Radiology residents graduating annually.

Then importance of “Professionalism” was discussed, during residency, during a job search, and beyond. A formal, well-groomed appearance is part of this, noted Dr. Fielding, advising, “Get the best suit you possibly can and consider a necklace or broach that will really pop.” She then shared a specific negotiation tactic from an executive coach: Ask for what you want, more than once if you have to – if you don’t ask, it’s not going to happen - but also remember the “3 Rule:” have 3 acceptable alternatives to optimize the chances of a positive outcome. Specific recommendations for salary negotiation included: if you ask for more money, then offer to do more of something else (such as call) to justify it; or if you would accept a lower number, then negotiate for less associated call (or something else of value). Also, remarked Dr. Ellenbogen, be like a car salesman and do not propose a round number: if you would be satisfied with $200,000, then asking for $202,899 not only makes it look like you did your homework, but also gives wiggle room for negotiation.          

 The importance of “doing your homework” about potential places of employment, salaries, and promotion criteria was also emphasized.  One attendee recommended looking for moonlighting opportunities at employment places of interest as a way of proving yourself in advance of a know job availability so that if/when a job comes up, you will potentially be considered first. She also recommended the following websites for salary information:




·         AAMC

Tips for getting promoted from Assistant to Associate Professor in an academic environment were also covered. “Being an Associated Professor is a great place to be,” said Dr. Fielding. To get there, figure out what track you are on, get a checklist of requirements in your hand, be on two useful hospital committees, and have someone who wants to see you get promoted were advised.

Finally, the luncheon concluded with the important point that negotiation should be about relationship-building. Explain your visions and goals, but also why you want to do what you want to do. Ending on a positive note, Dr. Fielding said, “you can get what you want….just remember that in negotiation, you want to build a bridge, not burn one.”


Upcoming Events


Monday, September 15, 2014
Ticketed Event
12:15 p.m. - 1:15 p.m

AAWR Program at RSNA 2014 

Sunday, November 30, 2014
9:00 am: AAWR Board Meeting

Monday, December 1, 2014

12:00 pm: AAWR Business Lunch

Tuesday December 2, 2014
12:00 pm: President Lunch "Win Win Collaboration”

Wednesday December 3, 2014
7:00 am: International Breakfast
8:30 – 10:00 am: Refresher Course
12:00 pm: Resident's Lunch “Career advancement: Win-Win Consideration” 

Full Agenda


Click to be Notified when Registration Opens



The New Fellows Breakfast at the ACR was a huge success.  Dr. Darlene Metter, a Professor in the Department of Radiology at the University of Texas Health Science Center, gave the key note address.  Through sharing her motivation for becoming involved in the AAWR, she encouraged the audience to “join the party and bring a friend”.  Find details of her talk in an upcoming issue of JACR and get inspired to broaden your relationships by recruiting other successful women to AAWR. 


Photos Curiosity of Dr. Robert Macura

Reminder - Pay Your 2014 Annual Membership Dues

2014 Annual dues are now due.

The AAWR is in the process of transferring the membership database and website to a new system.  To pay your dues, you may request an invoice by emailing or calling the society at (703) 476-7650.


send your membership dues on to:


AAWR – Membership
1891 Preston White Drive
Reston, VA 20191




Visit the AAWR Bookstore and Support the AAWR!

Take a moment to visit the AAWR Bookstore at our website

Take a moment to visit the AAWR Bookstore at our website! The book selection is based on the Radiology Bibliography from the AAWR Survival Guide for Women Radiologists "The AAWR Pocket Mentor" and also includes authors who are AAWR members. Review the listing. If you find a title that is of interest to you, make the selection and you will be directed to the website to complete the purchase. For every book sold though a direct referral from the AAWR website, our association can earn up to 15% in referral fees with no extra cost to you.

The AAWR earns referral fees when a visitor follows a link from the AAWR website to and makes a purchase. Our referral is 5% of the sale price for most Product purchases, and 2.5% of the sale price for most Marketplace Product purchases. An individual item link to a book sold by and discounted 10-30% will earn a referral fee of 15% of the sale price if the purchase is a direct sale. A direct sale occurs when the customer adds the individually linked book from the AAWR Bookstore to her or his shopping cart immediately upon entering the site. If the customer searches before adding the title to her or his shopping cart, the sale is considered an indirect sale and earns a lower referral fee of 5% of the sale price. Additional qualifying items purchased during the same shopping session earn a referral fee of 5% (2.5% for qualifying Marketplace items).

Chief Editor
Chelsea Pinnix, MD, PhD

Marcia C. Javitt, MD, FACR

Associate Editors
Meghan Blake, MD
Margarita Racsa, MD, MPH

Administrative Editor
Michele Wittling