October 2014 • Volume 34 • Number 4

From your 2014 AAWR President, Dr. Yoshimi Anzai

More women at the top
As I walked through my neighborhood, I noted many homes have been festively decorated for Halloween, which reminded me that Thanksgiving and RSNA are just around the corner.  AAWR has gained momentum this year and continues to be vibrant with AAWR activity.  We have focused on outreaching efforts for other radiology and radiation oncology organizations this past year. In September, the AAWR-ASTRO luncheon was sold out and was a tremendous success.  Additionally, Dr. Spring Kong has planned fantastic AAWR programs for the upcoming RSNA meeting. Please sign up for the AAWR activities during RSNA at www.aawr.org

I would love to see you all in Chicago!

 

As a part of our outreach efforts, I am pleased to announce that SNMMI has established the “WIN: Women in Nuclear Medicine” Committee, lead by Dr. Leonie Gordon from The Medical University of South Carolina.  WIN has secured the funding to establish “the Curie Fund”, allowing their women members, including women scientists, to attend AAMC Early and Mid-career professional development seminars.  I would like to congratulate all women in SNMMI for this major achievement. 

Similar to Nuclear Medicine, women are immensely underrepresented in Interventional Radiology (IR). If you have to have uterine fibroma embolization, wouldn't you like to have a woman IR doctor to talk about your best treatment option? I am thrilled to inform you that AAWR-ACR-SIR hosted a webinar last September 22nd, discussing the issue of stagnant enrollment of female medical students into radiology subspecialty. Dr. Amy Patel, an AAWR members in-training member (MIT), spearheaded this webinar. A featured guest commentator was Dr. Julia Fielding, a former AAWR President and the chair of the ACR Committee for Women. This is a remarkable event for many reasons:

o   It was lead by MIT that have an interest in IR where women are very scarce.

o   They use the webinar format that so many members that were interested in the topic could call in and share their opinions.

o   They address highly relevant issues for women that lead to a formal discussion at the AAWR Executive Committee level.

This was a great grassroots activity that I would love to see more of it in the future.  Dr. Patel has summarized the discussion points in this Focus Newsletter.

 

The bottom-line is that we need more women leaders at the top.  As more women are visible at the top of an organization, the perceived barrier for women to enter radiology professions lessens. Women leaders should also make conscious efforts to promote junior women to boost the production model of future women leaders. 

 

Studies have shown a correlation between having women on the board and better performance of the organization.  One of the largest studies conducted by Credit Suisse Research Institute revealed that companies with higher female participation at board level or in top management showed higher returns and higher appraisal.  There is a very strong outperformance of companies that have women in management. If you are interested in learning more about this column, please go to

http://www.washingtonpost.com/blogs/on-leadership/wp/2014/09/24/more-women-at-the-top-higher-returns/

 

AAWR’s mission is to promote and advance women in our professions. I would like to encourage highly talented young women in radiology and radiation oncology to become future AAWR executives.   The door is wide open for any women who want to make difference.

Update from the ACR Commission for Women and General Diversity

Katarzyna J. Macura, MD, PhD, FACR,
2005 President of the AAWR and Chair
ACR Commission for Women and General Diversity

The American College of Radiology (ACR) Commission for Women and General Diversity was established in 2013 and serves as an advisory group to the ACR Board of Chancellors on the status of women and other minorities (defined by age, ethnicity, disability, race, religion, sexual orientation, socioeconomic background, veteran status, etc.). The vision of the Commission is to achieve a radiology profession that celebrates diversity and actively promotes inclusion at all levels of training, practice and leadership.

The Commission consists of two committees, the Committee for Women, chaired by Julia R. Fielding MD and the Committee for General Diversity chaired by Johnson B. Lightfoote, MD, MBA, FACR. AAWR contributes to the Commission through the Committee for Women.

One of the important recent contributions of the Commission for Women and General Diversity was publication of a two-part position article “Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology,” where the Commission introduced the concept of Diversity 3.0[1],[2]. The goal of this concept is to “integrate diversity and inclusion into core missions of organizations and their leadership, and leverage its potential for innovation and contribution”.

The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology, and to offering policy recommendations to overcome these barriers. In Part 1 of the article, the current state of diversity and inclusion in radiology is reviewed with discussion of a business case for diversity along with the moral, ethical, and public health imperatives.

In Part 2, we addressed the impediments to professional advancement of women and other minorities, and reviewed existing barriers to improving diversity and representation in radiology.  We offered a series of strategies designed to eliminate the current specialty disparity and highlighted the need for the ACR and other radiological societies to introduce programs and incentives to improve inclusion practices and increase diversity of radiology workforce so that radiologists are better positioned to address the varied needs of increasingly diverse patient populations, and to mitigate disparities in healthcare access, delivery, and outcomes. Several strategies are specific to the needs of women in radiology and radiation oncology, and we encourage AAWR members to familiarize with these articles, and participate in further discussions on how the Commission can enrich the opportunities for career advancement and achieving work-life balance by women in radiology and radiation oncology.

Please read the report from the Committee for Women by Julia R. Fielding, MD


[1] Lightfoote JB, Fielding JR, Deville C, Gunderman RB, Morgan GN, Pandharipande PV, Duerinckx AJ, Wynn RB, Macura KJ. Improving diversity, inclusion, and representation in radiology and radiation oncology part 1: why these matter. J Am Coll Radiol. 2014 Jul;11(7):673-80. PubMed PMID: 24993534.

[2] Lightfoote JB, Fielding JR, Deville C, Gunderman RB, Morgan GN, Pandharipande PV, Duerinckx AJ, Wynn RB, Macura KJ. Improving diversity, inclusion, and representation in radiology and radiation oncology part 2: challenges and recommendations. J Am Coll Radiol. 2014 Aug;11(8):764-70. PubMed PMID: 25087987.

 

Julia R. Fielding, MD

The Committee continues to have close ties with the AAWR. The AAWR luncheon session at the ARRS meeting in May entitled “Negotiation skills” was sold out.  Attendees included young, mid-career and senior radiologists from around the country. The group discussed ways in which women can use flexible time to forge the best jobs for themselves. Specifically, Dr. Ellenbogen suggested that volunteering to work weekends or evening hours might allow a radiologist to have daytime hours free, yet keep her salary, benefits and status within the group. Senior radiologists commented on the value of professional organizations and attendance at meetings.  Because physicians often work extended hours, finding and making long term friends can be difficult. Professional interactions start friendships and networks that last a lifetime.  All senior radiologists agreed that in order to get a promotion one has to ask for it.

A special interest of the Committee for Women, and specifically junior members, is the length and requirements for paid maternity leave.  Reviewing the ABR standard, time off is at the discretion of the Program Director.  In most cases, women receive 6 to 8 weeks of maternity leave and may take an additional unpaid 6 weeks under the FMLA. We are currently in discussions to determine how best the Committee can support pregnant women. A Webinar is planned for September 22, 2014.

During the year, several new Committee members volunteered to work on projects. This widened the scope of our group to include members of the military, AAWR and radiation oncology. We look forward to continuing our work promoting Diversity.

Congrats to our recent AAWR recent award winners

Marie Sklodowska-Curie Award: Vijay M. Rao, M.D., FACR


Vijay M. Rao, MD, FACR is the David C Levin Professor and Chair of the Department of Radiology at Thomas Jefferson University.   She is a graduate of the All India Institute of Medical Sciences, India’s premier medical school. After completing her residency in 1978 at Thomas Jefferson University Hospital and has remained on the faculty ever since. She served as residency program director, Vice Chair for Education and Co-Director of Neuroradiology/ENT division for 16 years. In 2002, she was appointed Chair of Jefferson’s Department of Radiology. Upon her appointment as Department Chair, she became the first woman chair of a clinical department in Jefferson’s history.

Dr. Rao is recognized as one of the leading experts on imaging of the head and neck. She is also very active and widely recognized in health services research in radiology.  She has published over 200 peer reviewed articles, 11 book chapters and 225 abstracts in medical literature and has edited a popular atlas textbook on MRI and CT of the head and neck. She has given over 250 presentations at national radiology meetings and invited talks at other academic institutions including named lectures.

Dr. Rao has held many leadership roles in national organizations, including President of the American Society of Head and Neck Radiology, the Association of Program Directors in Radiology and the American Association of Women Radiologists. In 2006, she received the Achievement Award of the Association of Program Directors for her outstanding contributions to radiology education nationally. She served on the Board of Trustees for the RSNA Research and Education Foundation from 2008-2011.  In 2005, she was honored by the Philadelphia Business Journal as one of 25 Women of Distinction throughout the region. For many years, she has been chosen by her peers to be included on Philadelphia Magazine’s annual list of Top Doctors and Best Doctors. In 2011, she was named to the RSNA Board. In 2012, she was appointed to the Thomas Jefferson University Hospital System Board.

Dr. Rao has been a strong advocate for women. She was the only woman in the residency program when she joined in 1975. Today, under her leadership 26% of residents and 40% of faculty including 20% of division directors are women in the department of radiology at Jefferson.  She serves as a role model and source of inspiration for many radiologists. In 2010, she received the distinguished radiologist award from the American Association of Radiologists of Indian Origin. In 2014, she received the Association of University Radiologists (AUR) Gold Medal Award for distinguished service to organized radiology.

Marie Sklodowska-Curie Award:Elizabeth LaTorre Travis, Ph.D., FASTRO
Dr. Travis is the Associate Vice President for Women Faculty Programs, Mattie Allen Fair Professor in Cancer Research and Professor in the Departments of Experimental Radiation Oncology and Pulmonary Medicine at The University of Texas MD Anderson Cancer Center. 

Dr. Travis, an internationally recognized scientist, has made significant contributions to our understanding of the effects of radiation on normal tissues in her 25 years in the field.  She is best known for her pioneering work in developing a non-invasive method for measuring breathing rate in mice as an indicator of radiation damage, which remains the standard technique for assessing lung injury not only in the radiation field but in the pulmonary research community as well. She is past President of the Radiation Research Society and the first radiobiologist to be elected to the Board of the American Society of Radiation Oncology.

In her leadership role as Associate Vice President for Women Faculty Programs at MD Anderson Cancer Center, she is a consummate advocate for women faculty and is committed to furthering their academic careers by ensuring they are appointed to high profile committees and leadership positions, by leading institutional policy change to address obstacles that interfere with women’s success, and by providing career guidance to countless women faculty. In addition, she serves as a role model, not only for young women but for leaders in academic medicine. Dr. Travis is a principal investigator on two NIH grants, a U54 partnership grant with Puerto Rico, “Partnership for Excellence in Cancer Research” where she also is co-leader of the training and education program, and an R01 grant “Gatekeepers and Gender Schemas,” which seeks to understand the role that gender plays in choosing faculty for tenure track positions.

Her many honors include election as a fellow of the American Society of Radiation Oncology (FASTRO). She is the recipient of the Association of American Medical College Group on Women in Medicine and Science (GWIMS) Leadership Development Award in 2009 (for an individual) and in 2012 (for an organization) and the Chair-elect of the GWIMS steering committee. She is the immediate past President of Women Executives in Science and Healthcare. Dr. Travis was inducted into the Greater Houston Women’s Chamber of Commerce Hall of Fame in 2012 that honors women who have contributed significantly to the advancement of women and improved the quality of life for future generations of Houstonians and was elected a member of the Board of Directors of the Chamber in 2013. Most recently she was elected to the Board of Directors of the Association for Women in Science and recognized at the Houston Italian Cultural and Community Center’s 12th annual gala honoring the Italian Influence in Medicine.

Alice Ettinger Distinguished Achievement Award: Teresita L. Angtuaco MD, FACR, FAIUM, FSRU

Dr. Angtuaco received her medical doctorate at the University of Philippines in Manila in 1973. She did her residency training in Diagnostic Radiology at the Lahey Foundation in Boston, Massachusetts. She became a diplomate of the American Board of Radiology (with special competence in nuclear radiology) and the American board of Nuclear Medicine in 1981. She is currently a Professor of Radiology at the University of Arkansas Medical School (UAMS), Director of Imaging in the Radiology Department and Chief of Ultrasound. She has authored many publications with a special interest in gynecologic and obstetric ultrasound. She currently holds Professorships in 4 departments (Radiology, Ob/Gyn, Imaging and Radiation Sciences, Health Policy and Management) in three different colleges (Medicine, Public Health and Health Professions. Beyond that of her own institution, she has many accomplishments including being a professor in the RSNA International Visiting Professor Program (Thailand and China) and being a board examiner for the ABR in ultrasound. Besides her tremendous academic accomplishments, she has served as a mentor and guide for many others. She is co –founder of the  UAMS Women’s Faculty Development Caucus which is an organization of all female faculty members in both the clinical and research departments in all  five colleges at the University of Arkansas for Medical Sciences. This organization serves as the mentoring network for all junior women faculty members and creates  programs for leadership and career development. It celebrates its 25th anniversary this year.

Her relationship with the AAWR began in 1981 and she has served on multiple committees including being past AAWR President in 1999. When asked about AAWR at the 25th anniversary celebration her response was “the AAWR has not only become a symbol of how long we have come in this profession. It is a source of strength and pride.”

In addition to her many professional accomplishments, she is a wife, mother and grandmother.

 

Lucy Frank Squire Distinguished Resident Award in Diagnostic Radiology: Manish Bahl, MD

Manisha Bahl grew up in Chico, California, and graduated in three years with a perfect GPA from Stanford University, where she majored in Human Biology.  After completing her undergraduate studies, Manisha was selected as one of ten students nationwide for a prestigious one-year research fellowship at the National Institutes of Health.  She then earned her MD from the UC-San Francisco School of Medicine and a Masters in Public Health in Health Policy and Management from the Harvard School of Public Health.  Manisha is currently a fourth-year radiology resident at Duke University Hospital.  As a resident, Manisha has demonstrated a strong interest in and aptitude for research and education and has been recognized by the AAWR with the 2014 Member-in-Training Award for Outstanding ARRS Presentation in Diagnostic Radiology, by the American Society of Head and Neck Radiology with the 2013 Radiologist-in-Training Award, by the American Roentgen Ray Society with the 2014 Executive Council Award, and by the Duke University School of Medicine with the 2013 and 2014 Appleseed Awards (for medical student teaching and mentorship).  After completion of fellowship in breast imaging at Duke, Manisha plans to pursue a career in academic medicine.

Eleanor Montague Distinguished Resident Award in Radiation Oncology: Susan Hiniker, MD

Susan Hiniker graduated from University of Michigan Medical School in 2010. She is currently in her PGY-5 year of residency in the Department of Radiation Oncology at Stanford University Medical Center. Dr. Hiniker was the recipient of the Radiological Society of North America Resident/Fellow Research Award in 2012, the Stanford Society of Physician Scholars Grant in 2013, and the Thrasher Early Career Award in 2014. She has been the Resident Member for Radiation Oncology of the RSNA Oncologic Imaging and Therapies Task Force since 2011. During her residency, Dr. Hiniker has had diverse interests in radiation oncology research. Her projects include analysis of survival and neurocognitive outcomes in pediatric cancer patients undergoing radiation therapy and strategies to minimize neuropsychological sequelae of treatment, as well as post-treatment surveillance for disease recurrence after radiation therapy using novel imaging and translational-based approaches. She would like to especially thank her mentor Dr. Sarah Donaldson for her outstanding support and guidance.  Outside of work, Dr. Hiniker spends most of her time corralling her two little boys, ages 3 and 1.


AAWR ASTRO Luncheon 2014
By Chelsea C Pinnix MD, PhD

 

This year the American Society for Radiation Oncology’s (ASTRO)  56th Annual Meeting was held in San Francisco, California  with the focus of “Targeting Cancer: Technology and Biology”.  As has been the case for the past 5 years, the AAWR ASTRO luncheon was well attended with over 125 participants.  Dr. Maria Kelly, the current AAWR Radiation Oncology Chair, organized an inspiring program led by invited speaker, Courtney Lynch.  Courtney is an attorney by training and the co-founder of Lead Star, a leadership development solutions company and co-author of the best-selling book Leading from the Front (McGraw-Hill).  During the energetic and highly interactive session, Courtney focused on leadership strategies for highly successful managers and influential leadership. 

                One eye-opening aspect for attendees was recognition of cognitive discipline: the ability to inhibit an instinctual reaction and substitute with a more effective response.  In leadership positions, instincts can create pitfalls and can hinder effective leadership.   We differentiated between a “fixed mindset” and a “growth mindset” and how this framework can set the foundation for inspirational leadership.  Leaders with a fixed mindset fear challenge, do not like being measured out of fear of not meeting expectations and tend to overestimate their own ability and performance.  This is in contrast to leaders with a growth mindset that have a passion for learning, are not defined by failure, are resilient in the face of setbacks and are willing to take risks. 

                We also contrasted the leadership quality differences between men and women.  One of most striking differences recognized during the session was the desire of most women to be liked by their peers and subordinates in the professional setting.  Men on the other hand do not treat this as a priority.  We concluded that as women we must first strive to gain respect and then after that affirmation will follow. 

                In our final discussion we reviewed the components of credible performance which are as follows:

1)      Meet and exceed standards, i.e. narrow your say-do gap.  Honor the commitments you make.  The full essence of our credibility is lost in these moments.

2)      Communicate intent and expectations.  Regardless of how many people you lead (even if only one person) you must make sure there is clarity.

3)      Hold others accountable for their performance.  This can be challenging but you must communicate when there are missed goals or when expectations were not met appropriately.

At the end of our interactive session, we left armed with concrete and tangible ways to enhance our leadership abilities.  Through reflection of potential pitfalls as well as successful approaches to dynamic leadership, all audience members across the spectrum from medical students to tenured full professors felt a renewed sense of enthusiasm towards the challenge of becoming a more effective leader. 

 

AAWR/ACR/SIR Female Members-in-Training Webinar

Amy Patel MD, PGY 4

Diagnostic Radiology Resident

The University of Kansas-Wichita

 

The American Association of Women Radiologists (AAWR), American College of Radiology (ACR) and the Society of Interventional Radiology (SIR) hosted an all member inclusive webinar on September 22, 2014 discussing topics of interest to females-in-training. The guest panelist was Dr. Julia Fielding MD, FACR, the Chair for the Commission for Women for the ACR Commission for Women and Diversity. Topics of discussion included continued female medical student disinterest to pursue radiology, mentorship, maternity leave, sexism, and recognizing value/perceived barriers. 

In regards to continued female medical student disinterest to pursue radiology, reasons for this included female fears of competing in a high technology profession, avoidance of competition, fear of radiation physics, fear of radiation exposure as there is little to no formal education of this in medical school, and desire for more patient interaction. From a female member-in-training perspective, steps to remedy this include the possibility of participating in panels sponsored by medical schools or organized medical societies discussing how radiology is the ideal field for females and engaging female medical students on their radiology rotations and through state radiological societies.

The topic of mentorship was also explored. It was determined that it is not a question of the lack of female mentors available, it is the perceived lack of female mentors and needing to actively make themselves available for mentorship. Dr. Fielding discussed that we need both male and female mentors, male mentors to “boost [females] up the ladder” and female mentors to assist in achieving a successful work/life balance, academic pursuits, etc. She also felt that having 3-4 mentors at all time was most optimal in achieving a successful professional and personal life. 

In regards to maternity leave, it was discussed that there is more momentum to request 12 weeks as the current time allotted by the American Board of Radiology is six weeks over a 24 month period with additional weeks allowed at the discretion of the training program. Six weeks was felt adequate for an uncomplicated pregnancy, but it was made note that every woman is different and may require more time and should have the permission to take extra time if needed. Little was discussed in terms of support from programs, although one female member-in-training shared that she received great support from her program. Others touched upon the fact that a residency program may not be as supportive covering call and day-to-day rotations and that it may be more of a burden overall.

On the topic of sexism, the possibility of urging females to pursue more female-related fields was explored as well as being deterred from joining a practice as the “token female” position had already been fulfilled. Dr. Fielding provided excellent advice by recommending when looking for a job, to see what the males and females in the practice are pursuing so there is no danger of bias in regards to this. She also mentioned that negotiating like a man was imperative.

Finally, recognizing our value and perceived barriers of females-in-training was discussed. It was determined that our largest perceived barrier was recognizing our value and that females-in-training need to feel confident in their abilities. Dr. Fielding suggested women who are in a position of power to bring other women up, as the goal is for women to “have a seat at the table.”

Ultimately, it was determined that educating females needs to begin on a medical student level, helping them recognize there is more than one lifestyle available to them and educational, career, and personal life goals can all be within reach. Dr. Fielding put it poignantly when she said, “Don’t let anyone define what is all to you.”

 

An action committee of females-in-training has been created upon the conclusion of the webinar where these topics will be further explored and data will be compiled for the ACR Commission for Women and Diversity. An in-depth, follow-up article will be published in the Journal of the American College of Radiology (JACR).

 

 

 

 

 

Member In Training:
Gayatri Joshi, MD

 

Resident Corner: Pop Quiz!

ER Speed Rounds: Test your knowledge on entities that may potentially present in the Emergency room setting.

Case 1:

This injury pattern shown below is best described as which of the following:

A.      A:Montaggia fracture-dislocation

B.      B:Galeazzi fracture-dislocation

C.      C:Essex-Lopresti fracture-dislocation

D.      D:Lisfranc fracture-dislocation

 

Case 2:

According to the new SRU guidelines, embryonic demise can be definitively called at what crown-rump length (CRL) when there is no embryonic heart rate?

A.      A:4 mm

B.      B:5 mm

C.      C:6 mm

D.     D:7 mm

 

Case 3:

Two different patients with the same disease process are shown below. The most likely diagnosis is:

A.      A:Adenocarcinoma of the colon

B.      B:Typhlitis

C.      C:Pseudomembranous colitis

D.     D:Traumatic colitis

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Case 4: 

Initial radiographs, followed by subsequent CT images are provided. Which of the following is the best diagnosis in this 13 month old patient:

A.      A:Epiglottitis

B.      B:Retropharyngeal abscess with mediastinitis

C.      C:Croup

D.     D:Lymphoma

Case 5:

Which of the following is the best diagnosis in this trauma patient? Initial head CT and subsequent MRI images are provided.

A.      Subarachnoid hemorrhage related to avascular malformation

B.      Intraparenchymal hemorrhage related to occult metastases

C.      Extra-axial collection related to trauma

D.     Diffuse axonal injury

E.      Lacunar infarcts

 

 

Answers:

1.      B: Galeazzi fracture-dislocation. The Galeazzi fracture-dislocation involves a fracture of the distal radial diaphysis (usually at the junction of the middle and distal thirds) with dislocation of the distal ulna. The Montaggia fracture-dislocation classically involves a fracture of the proximal ulna with anterior dislocation of the radial head. An Essex-Lopresti injury involves a fracture of the radial head (often comminuted and displaced) with an associated dislocation of the distal radioulnar joint. A Lisfranc injury refers to a fracture-dislocation or fracture-subluxation of the tarsometatarsal joints.

Hunter TB, Peltier LF, Lund PJ. Musculoskeletal Eponyms. Radiographics 2000; 20:819-836.

Schultz RJ. The language of fractures. 2nd ed. Baltimore, Maryland: Williams & Wilkins, 1990.

2.      D: 7 mm.  There is a small but significant number of viable IUPs measuring 5 – 6 mm despite lack of embryonic heart motion. 15% measurement differences have been found for CRL. Given this margin of error, the SRU Consensus Conference chose 7 mm as the cut off for determining embryonic demise. Depending on the clinical situation, there may be suspicion for non-viability if there is no cardiac activity at CRL less than 7 mm, but according to the new guidelines, this does not meet the criteria for diagnosing fetal demise. Repeat ultrasound must document persistent lack of heart motion at 7 mm.

Doubilet et al. Diagnostic criteria for non viable pregnancy early in the first trimester. N Engl J Med (2013);369:1443-1451.

3.      C: Pseudomembranous colitis. The abdominal radiograph demonstrates thumbprinting and polypoid mucosal thickening which represent the plaque-like pseudomembranes protruding into the gas-filled lumen. The CT image from a different patient with the same disease process demonstrates marked pancolonic wall thickening with mucosal enhancement, sometimes referred to as the “accordion sign.”

Baldwin M, et al. Classic signs in gastrointestinal radiology.  Applied Radiology 2011;22-27.

Philpotts LE, Heiken JP, Westcott MA, Gore RM. Colitis: Use of CT findings in differential diagnosis. 1994;190:445-449.

Macari, M, Balthazar EJ, Megibow AJ. The accordion sign at CT: A nonspecific finding in patients with colonic edema. Radiology 1999;211:743-746.

Thoeni RF, Cello JP. CT imaging of colitis. Radiology 2006;240(3):623-638.

4.      B: Retropharyngeal abscess with mediastinitis. The initial radiographs show extensive retropharyngeal soft tissue thickening, causing compression on the airway at the C3-4 level, just below the epiglottis. Subsequent CT images show abscess formation in the retropharyngeal space, extending into pockets in the parapharyngeal space and inferiorly into the mediastinum.

5.      D: Diffuse axonal injury. Initial noncontrast head CT is grossly normal, with no extra-axial collection, intraparenchymal hemorrhage, subarachnoid hemorrhage, or mass lesion. MRI images show areas of microhemorrhage and T2 signal abnormality involving the subcortical lobar white matter.


Ritsuko Komaki, M.D.FACR, FASTRO
has been AAWR member since Dr .Carol M Rumach became the president of AAWR in 1982. Dr. Komaki was the president of AAWR in 2001 and received the AAWR Marie Sklodowska-Curie Award in 2005. Dr. Komaki had her Radiation Oncologist Residency program at the Medical College of Wisconsin between 1974 and 1978 .Dr. Komaki served ABR Oral Board Examiner nearly ten years. Was the Clinical Chief of the Radiation Oncology at the Columbia Presbyterian medical Center, N.Y..  She has been at the University of Texas MDACC since 1988 and has been professor of Radiation Oncology, Program director and Section Chief of Thoracic Radiation Oncology. Dr. Komaki holds Gloria Lupton Tennison Distinguished Endowed Professorship for the Lung Cancer Research.  Dr. Ritsuko Komaki has devoted herself for teaching residents and patients and developing guidelines of Lung Cancer treatment. She has been one of the panelists of NCCN Guideline for NSCLC, Thymoma and MPM. Dr. Komaki has been PI of RTOG (NRG) from MDACC and co-chair of Lung Cancer Committee for RTOG (NRG).

Ritsuko Komaki, M.D., Cathy Eng, M.D., and Kelly Hunt, M.D., were awarded a $5.9 million NCTN LAPS grant with an impact score of 10. UTMDACC has been designated a NCI Lead Academic Participating Site (LAPS) by the National Clinical Trials Network (NCTN).  The NCTN LAPS grant will replace the former Southwest Oncology Group (SWOG) U10 grant. The LAPS grant will serve as an umbrella grant to provide scientific and administrative leadership in the conduct of cancer research within all 4 clinical cooperative groups: SWOG, NRG, Alliance and ECOG-ACRIN, the Regional Cancer Centers (RCC’s), as well as our affiliate LBJ. The LAPS U10 grant utilizes a Multiple PI Plan to apply the demonstrated and complementary cooperative group leadership skills and expertise of three leading women investigators

 The University Texas MD Anderson Cancer Center (UTMDACC) has been designated a NCI Lead Academic Participating Site (LAPS) by the National Clinical Trials Network (NCTN). The NCTN LAPS grant will replace the former Southwest Oncology Group (SWOG) U10 grant. The LAPS grant will serve as an umbrella grant to provide scientific and administrative leadership in the conduct of cancer research within all 4 clinical cooperative groups: SWOG, NRG, Alliance and ECOG-ACRIN, the Regional Cancer Centers (RCC’s), as well as our affiliate LBJ. The LAPS U10 grant utilizes a Multiple Principal Investigator (PI) Plan to apply the demonstrated and complementary cooperative group leadership skills and expertise of 3 leading woman investigators: Drs. Cathy Eng (lead contact PI, Medical Oncology), Kelly Hunt (Surgical Oncology), and Ritsuko Komaki (Radiation Oncology). The project period will run from 4/15/14 – 02/28/19.

UTMDACC was one of 30 institutions in the country awarded a LAPS grant after having received an impact score of 10. With enhanced centralized coordination of related activities, the NCTN LAPS grant will provide robust participation in and accrual to Network group clinical trials targeting a broad range of adult patients with common as well as rare cancers; promote best practices in the conduct of NCTN-sponsored clinical research and ensure high quality and timely submission of clinical trial-related data and materials as required by specific protocols; support novel diagnostic imaging studies; provide scientific and administrative leadership within affiliated Network Groups, including protocol development, publication authorship, participation in Network committees / NCI Central IRB (CIRB), as well as attendance at Network Group meetings; mentorship of junior faculty, research personnel, and trainees in the leadership, conduct, analysis, and reporting of NCTN and other clinical trials.

We hope the award of the NCTN LAPS grant will encourage UTMDACC faculty to participate in the future leadership, development and conduct of cooperative group clinical trials.

AAWR will congratulate Dr. Ritsuko Komaki to have received the award of NCTN LAPS which will strengthen clinical and translational research and education.

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 info@aawr.org or calling the society at (703) 476-7650.

OR

send your membership dues on to:

MAIL

AAWR – Membership
1891 Preston White Drive
Reston, VA 20191

SECURE FAX

703-264-2093

SECURE EMAIL 

info@aawr.org

Dr Ji Buethe
Dr Christina Ferraro
Dr Taara Hassan
Dr Eleanor Marshall
Dr Anjani Naidu
Dr Emilia Olson
Dr Amanda Schaefer
Dr Sumeeta Varma
Dr Sarah Bissonnette
Ms Karla Criner
Ms Katherine Donaldson
   Alissa Evenson
Ms Lara Hewett
   Amanda Romesberg
 
 

January 2015 • Volume 35 • Number 1

 Dear Esteemed AAWR members,

It is my honor and pleasure to serve as the 34th president of AAWR, an organization with over 3 decades of success supporting professional women in these fields. AAWR has assisted thousands of women in their career advancement and has the potential to play an important role in fields of radiology and radiation oncology (which includes over 8000 women practitioners in the US alone), and it is my goal to help us reach that potential.

There is a lot for us to do. Women are still underrepresented in the medical profession and even more so in positions of leadership. Despite women making up 50% of medical school applicants, only 34% of practicing physicians and 24% of radiologists are women. The ratio of women to men practicing physicians has not changed in the past eight years. In past years, AAWR has identified barriers and women-specific challenges that contribute to these continuing inequities. As physicians, we understand that diagnosis is the crucial first step to any treatment, and AAWR is a crucial platform for the discussion of these pathologies in the workplace. This year, however, I would like us to focus our energies on moving resolutely past the diagnosis stage into treatment, to identify problems and work on specific actions towards solutions.

In working towards solutions, I want to encourage us all to move forward with an attitude of win-win collaboration. This means approaching problems not in terms of what women suffer, but rather in terms of what organizations suffer when they exclude women—and thus, what they can gain from including and supporting women. Win-win collaborations are in place in our everyday work, from collaborations between radiologists and radiation oncologists to collaborations between physicians and physicists to collaborations between physician and patient. One important collaboration to keep in mind, perhaps especially in an organization for women, is the collaboration between men and women. To this end, AAWR must work to recruit even more men members, not only to increase the diversity and range of available mentors, but also to educate and impassion more men to champion the cause of women. With a win-win attitude, we must convince men that it is in their best interests to use the strengths of women in the workplace.

In the same vein, AAWR must recognize its strengths as an organization full of professional women, and its own strong position to help contribute to other organizations. Instead of asking other organizations such as RSNA, ACR, ASTRO to help us, let’s ask them what they need, and ask ourselves what we can do for them. In approaching organizations that lack female representation in leadership, we can offer our assistance in finding strong candidates from the many talented professionals in AAWR. We can make our partnership with other organizations and events a valuable stamp of approval. As members of AAWR, we can reach out to those individuals in need and ask, how can AAWR help? After all, women and AAWR have much to offer!

Finally, in the spirit of collaboration, I would like to invite all members, leaders, and previous presidents to share your ideas. What, in your view, are the priorities for women professionals in radiology and radiation oncology? What has worked in the past? What do you wish to do, but have not yet done? Everyone, please think of one goal that is the most important for you, and write to me or call me to let me know. Contact Michele, our executive director, or any of our executive committee members. We would like to know what you need, and focus on the issues most important to you.

I look forward to working with you for an exciting new year.

Feng-Ming (Spring) Kong, MD, PhD
President of American Association for Women Radiologists/Radiation Oncologists
Professor and Chair
Department of Radiation Oncology
Medical College of Georgia
Georgia Regents University

 

Below are a few of the highlights from the AAWR meetings at RSNA.

 

Looking Back and Moving Forward; Transformation of AAWR

Immediate Past President - Yoshimi Anzai, MD MPH; University of Utah

 I would like to express my sincere appreciation to all of you, AAWR members, for your continuous support for AAWR.  Serving as the AAWR President was one of the most rewarding and fulfilling experience in my academic career.  My presidency started at the RSNA Presidential luncheon during Mrs. Beverly Huckman’s inspirational and compassionate address for which she received a standing ovation from the capacity audience. Read More


Marie Curie Award Winner; Elizabeth L. Travis, PhD, FASTRO
Lecture: Homage to Marie Sklodowska-Curie

President: Feng-Ming (Spring) Kong, MD, PhD, MPH

President Elect: Susan Johnston Ackerman, M.D

Vice President: Margaret Szabunio, MD, FACR

Treasurer: Chelsea C. Pinnix, MD, PhD

Secretary: Dr Jocelyn D Chertoff, MD, MS, FACR

Past President: Yoshimi Anzai, MD, MPH

Member-at-Large, Diagnostic Radiology: Dr. Elizabeth Arleo

Member-at-Large, Radiation Oncology: Maria D Kelly MB, BCh, FACR

Member-at-Large, Member-in-Training: Dr. Wendy Gao & Dr. Kristina Hoque

ACR Councilor: Barbara Pawley, MD

ACR Alternate Councilor: Dr. Rachel Gerson

 

Learn more about the 2015 Executive Committee

1. AAWR'S Inaugural Book Club

    a. Book Selection: “Lean In” Women, Work, and The Will to Lead by Sheryl Sandberg
    b. Tuesday, February 17, 2015. 7 pm Eastern
    c. Conference call: 1-866-670-5102
       Participant: 971529
        Please RSVP

2. ARRS – Toronto, CA- April 23rd

    a. Luncheon session – 12:00-1:00 – panel format
    b. “Future woven Leaders In Radiology: How to climb the ladder & overcome challenges”
    c. Speakers – Elizabeth Arleo, Kathleen Fink, Ashley Simonak, Jennifer Favinger
        Register Here

3. ACR – Washington, DC – May 21st
     a. 1:30-3:00
    b.“Entrepreneurial Women Leaders in Radiology”
    c.Speakers:
         i.   Stamatia Destounis – “ Skills of Entrepeneurship to build a Successful Private Enterprise”
         ii.  Kristen Destigter-  “ Women Leaders in Entrepreneurship in a large corporate group”
         iii. Carolyn Melzer – “ Women Leaders and Enrepeneurship in Academic Radiology”

4.  SPR – Seattle, WA – April 27th 
    a. Luncheon session - 12:00-1:15 PM
    b. “ Women in Radiology including challenges & climbing the leader to success”
    c. Speakers :
             i.      Jeanne Hill
             ii.      Meryle Ecklund 
             iii.      Melissa Hilmes

(reprinted with permission from the ACR Bulletin, November 2014, Vol. 69, issue 11)

Employment Unlocked

Follow these tips for a successful first job search.

Successful First Job Search in Radiology

The job search is anything but ordinary for radiologists — most of whom went directly from
college to medical school and on to internship, residency, and fellowship. “For a lot of us, this is the first time we’re looking for a job,” says Jonathan Flug, MD, MBA, assistant professor of radiology at the University of Colorado in Aurora, Colo. “And I think that, for a lot of people, it’s hard at first.”

On top of it all, the job market for radiologists hasn’t exactly been booming since the economic crisis in 2008, which may have led to “conservative hiring practices by radiology groups that are unsure what the future holds in terms of reimbursement.”1 For trainees, there is no crystal ball predicting which subspecialties will be popular or which geographic regions will have more job openings. In fact, the best advice comes — quite simply — from those who recently underwent their own search. Here are some tips from radiologists who succeeded in securing a full-time imaging gig.

1. Start Early

Timing is everything. And, luckily, radiologists are used to starting early. “You apply for medical school a year in advance,” Flug says. “You apply for residency two years in advance because we do a year of internship that’s separate. And you basically apply for fellowship two years in advance.” However, with the job search, Flug says, you only need to start applying approximately six months in advance.

Nonetheless, you will need to start thinking about other aspects of your job hunt much earlier. These decisions include subspecialization, geographic region, and what kind of practice — academic, private, clinic, etc. — you’d like to join. “Start paying more attention to the ACR Workforce Survey and what’s out there,” says Flug. For more information about this year’s survey  — an annual electronic survey to radiology practice leaders about workplace-related trends — turn to the end of the article. “As far as starting to gather information, the sooner you start, the better,” says Flug. “And if you know that you want to be in a specific location, you have to really start exploring early and be aggressive about seeking opportunities and networking, which is something we do not think about often in medicine.”

2. Network
In a stack of fifty CVs, it’s challenging to get noticed. That’s why networking is so important. For Flug, who discovered his job through a connection, national meetings like AMCLC and RSNA have been invaluable: “I went over to tell someone ‘Hi’ at a national meeting. They asked how my job search was going and introduced me to someone from their department. Next thing I knew I had an interview. Had we not met in person, I don’t think I would have gotten that interview and opportunity.”

Ryan Brady, MD, a breast-imaging fellow at the University of Minnesota in Minneapolis, notes that ACR’s annual meeting is a “valuable source of information and networking opportunities and one of the best conferences that residents can get involved in.” He adds, “Residents shouldn’t undervalue the importance of networking in the job-seeking process. The people you meet can play an important role in helping determine the type of practice you want to join.” Brady recently accepted a position with Park Nicollet Health Services in St. Louis Park, Minn., beginning in July 2015. “Though residents may not need to formally apply for a job until their last year of training,” says Brady, “they shouldn’t hesitate to discuss employment opportunities with radiology practice leaders on a more informal basis earlier in their residencies.”

Flug also sees this process as one guided by the “pay it forward” mentality. “If somebody helps you, then two years from now, when a trainee calls you up, turn around and do the same thing for them,” he says. “If we keep helping each other out, we’ll get through the tough job market. And sooner or later, the market will hopefully turn around. We need to really look out for each other in radiology.”

3. Be Open-Minded but Picky
When it comes to making decisions about the job search, the ACR Workforce Survey data shows it’s important to be open-minded. “People need to be open regarding geographic location and the type of work situation they seek for the first time,” says Edward I. Bluth, MD, FACR, chair of the ACR Commission on Human Resources, which conducts the annual survey.

However, being open-minded doesn’t necessarily mean you can’t be picky too. Remember that you want to find a position and a practice that’s a good fit for you personally. Brady suggests finding out as much as you can about a practice or department you’re considering joining — especially by talking to physicians who work there. “The more you can find out about the culture of a practice, the more informed decision you can make,” Brady explains.

Flug adds that it’s important to prioritize what’s meaningful to you — whether that’s being in a certain city or working in academic practice. “When I applied for a musculoskeletal imaging job, it was one of the hot fields,” Flug says. “But I chose it because it’s what I wanted to do.” Brady agrees, saying, “I think it’s important for residents to go into a field that they find interesting and that they think is the best long-term match for them, not to necessarily focus on a hot subspecialty in the short term just to gain a job.”

4. Provide Value
In the era of Imaging 3.0™, the ACR Workforce Survey can help gauge changes in expectations for practicing radiologists. According to Bluth, radiologists need to be open to taking on other duties and providing value outside of image interpretation. “Most job opportunities are for individuals who are subspecialists in a field but also are willing to do other radiologic activities, including interpreting other subspecialty areas,” says Bluth.

Employers are looking for well-rounded applicants who can add value, which can be difficult to prove through your CV. Brady notes, “Anything you can do to distinguish yourself during training, such as serving on committees, participating in organizations such as the ACR, or serving as a chief resident will demonstrate leadership and motivation. I think those would be attractive qualities in applicants.”

 5. Utilize Your Resources
“The ACR Career Center was the best resource for looking for jobs,” says Flug, who signed up for the daily job e-mail alerts. He notes that you can sign up based on subspecialty or location and the service is free. Flug also advises trainees to sign up as soon as they have a general sense of what they’re looking for. “You’ll get a feel for what’s out there,” he says. The ACR Career Center also has several other resources, such as information on CVs, interviews, and negotiation. Check it out at
www.acr.org/Career-Center.

Note: click on images below to enlarge.

 

Kudos

Lynne Steinbach, MD, ACR

Dr. Lynne Steinbach just assumed the role of President of the International Skeletal Society (ISS) for the next two years. The ISS is an interdisciplinary society dedicated to the learning, understanding and teaching of musculoskeletal disorders. Dr. Steinbach is the first woman to be president of this prestigious society. She is a Professor of Clinical Radiology and Orthopaedic Surgery, and is one of the country’s top radiologists in sports imaging. Dr. Steinbach is a Past President of the American Association for Women Radiologists and the San Francisco Radiological Society. She has assumed leadership positions in the International Society for Magnetic Resonance Imaging in Medicine. Dr. Steinbach was the former Chief of Musculoskeletal Imaging at UCSF and now director of Musculoskeletal Imaging Fellowship at UCSF.   - See more at: http://radiology.ucsf.edu/news/steinbach-skeletal-society#sthash.jk1oUqAh.dpuf

 

 

Want to praise a fellow AAWR member? Have an announcement to share? Send your " Kudos" to info@aawr.org, with the subject line " Kudos"   


 

We’re pleased to announce the launch of a new online tool to help you access job search and career management information, the AAWR Career Center!

 

The goal of this website is to provide you with the latest online resources and tools regarding new jobs and resumes. Whether you are an employer seeking to hire someone knowledgeable in the field or a  resident looking to take the next step in your career, the AAWR Career Center can help!

 

Members even get a 30% discount when posting jobs to the site!

Search job postings with ease at the AAWR Career Center

 
Congratulations to the 2014 recipients of the Member-in-Training Awards give at 2014 RSNA!

2014 Member-in-Training Award for Outstanding RSNA Presentation in Diagnostic Radiology

Noushin Yahyavi Firouz Abadi, MD
Resting State fMRI as a Predictor of Vision Loss in Patients with Neurofibromatosis Type 1 (NF1)-associated Optic Pathway Gliomas

Dr. Yahyavi was born and raised in a family of physicians in Tehran, Iran. She entered the medical school after ranking 1st in the Iranian national universities medical examination among almost half a million participants. After obtaining her M.D. degree from Tehran University of Medical Sciences, she moved to the United States as a post-doctoral fellow. Subsequently, she did her internship in Internal Medicine at the Cleveland Clinic Foundation and Diagnostic Radiology Residency at the Mallinckrodt Institute of Radiology, Washington University in St Louis. She is currently a diagnostic Neuroradiology fellow at the Russell H. Morgan Department of Diagnostic Radiology at the Johns Hopkins School of Medicine. She has been author or co-author of more than 20 peer-reviewed journal articles and has presented in many international and national conferences. Her honors and awards include RSNA trainee research prize, RSNA Certificate of Merit award, and multiple  travel awards from European, American, and international societies.

Her research interests/expertise includes functional imaging (resting state and task based fMRI), head and neck imaging, spine imaging and intervention, and healthcare policies and management.

 

2014 Member-in-Training Award for Outstanding RSNA Presentation in Radiology Oncology

Jennifer Shah, MD
The Role of PET/CT in the Nodal Management of Squamous Cell Carcinoma of the Oral Cavity

A native of Massachusetts, Dr. Shah completed her undergraduate studies in nuclear engineering at the Massachusetts Institute of Technology. During this time, she was involved in multiple research projects pertaining to tumor biology, which led to her interest in medicine and oncology. She went on to earn her medical degree at the University of Michigan Medical School, where she was elected to the Alpha Omega Alpha Honor Society and received other awards for academic distinction. She excelled during her internship as well, receiving the Intern of the Year Award at the St. Joseph Mercy Hospital in Ann Arbor, Michigan.  She is currently a resident physician in the Department of Radiation Oncology at Stanford. She enjoys caring for cancer patients immensely. During her residency training, she has developed particular interest in clinical research pertaining to head and neck cancer, lung cancer, glioblastoma multiforme, and esophageal cancer. Her research focuses on the role of radiation therapy and neck dissection in oral cavity cancer. She is also initiating a prospective clinical trial investigating toxicity management for radiation dermatitis. In addition to her research endeavors, Dr. Shah has a strong interest in medical education and has played an active role in mentoring medical students and contributing to the educational resources in her residency program. Upon completion of her residency training, Dr. Shah looks forward to pursuing an academic career in radiation oncology.


Call for Applications

The AAWR is pleased to welcome its newest members that joined the Association between September 1st and December 31st, 2014.

Dr Katie Jones MD
Dr Alison Palumbo, MD
Dr Kellie Schenk, MD
Dr Allyson Chesebro, MD
Dr Aurela Clark, MD
Dr Shilpa Reddy, MD
Dr Preeti Sakerkar, MD PhD
Dr Morgan Telesmanich, MD
Ms Jennifer Cheng, DO
Ms Alison Esteva Sanders            
Dr Shenise Gilyard        
Dr Lori    Schoenbrun, MD
Ms Cathy Zhang
Dr Katherine Maturen, MD
Dr Camille McGann, MD
Dr Rilinda Cela, MD
Dr Teresa Liang, MD
Dr.Christina Ma, MD
Dr. Rachel Nelson, MD
Dr. David Zaenger, MD
Dr. Mayada Dabajeh, MD
Ms. Enyioma Okechukwu            
Rutuparna Sarangi            

The AAWR would like to thank the following people for their contribution to the Research and Education Foundation between December 1, 2014 and January 31st, 2015.

Dr. William Yuh MD, ARRT 
Dr. Feng Ming Kong MD, PhD, Medical College of Georgia
Dr. Cristina Fuss MD, Oregon Health & Sciences University
Dr. Maria Ines Boechat MD, FACR University of California Los Angeles

 

Thank you for your support of AAWR – we greatly appreciate it.  Membership in the AAWR provides the society with the means to continue the many projects supporting women in radiology and radiation oncology.  In addition to the financial support, your voice added to those of your colleagues helps the AAWR to continue to address the challenges facing women in radiology and radiation oncology in today’s practices.   

We are pleased to announce that AAWR members are able to renew their 2015 membership online!   In addition, the AAWR has migrated to a new membership database and has launched a new web site which has added increased value to our members. 

Renewing your membership is easier than ever with our new online renewal system. Simply follow these steps:

Please go to www.aawr.org and click on the “Login” button located in the upper right hand corner. 

1.     Log in using your primary email address and password.   If you do not know your password, click on “forgot password”, and you will receive an email with instructions to reset it.

2. Click on "Renew Your Dues" located on the left hand side of the page under Member Links

3. Click on the "Renew Membership" located on the top tool bar or on the tool bar located on the left hand side of the page

4. Click on “Pay Open Orders” and follow the prompts to submit your payment

5. A confirmation will be emailed to you immediately after you have completed your transaction

After you have completed your renewal, take a moment and ensure your address, profile, and demographic information are up-to-date by clicking on "My Information"(located on the navigation bar on the left hand side of the page).

Don’t lose your valuable AAWR membership -- Renew online today!

If you have any questions, please contact one of our customer service staff directly in our membership department at 703-476-7650 or email them at info@aawr.org.

Thank you for your support of AAWR and the profession!  I look forward to you reinstating your membership.

Sincerely,

Feng-Ming (Spring) Kong, MD, PhD
President, American Association for Women Radiologists (AAWR)

Chief Editor
Jocelyn D. Chertoff, MD, MS

Administrative Editor
Michele Wittling
Stephanie Huppert