DATES OF INTEREST

VISITING PROFESSOR

Dr. Supriya Kulkarni

- February 3rd & 4th

ISSUE 58 JANUARY/FEBRUARY 2015

This is the beginning of a new year and with all the excitement of the holidays behind us, we are back to real life. As we make our own plans for the future and try to stick to our new year’s resolutions, some people may also be making plans for us and we need to understand what will be shaping our future as a profession. Today, it’s all over in the news: the American Department of Health and Human Services (HHS) Secretary, Sylvia Burwell, made a significant announcement regarding Medicare’s planned shift to value-based reimbursement in healthcare. She stated that “for the first time, [HHS] is setting clear goals and establishing a clear timeline for moving from volume to value in Medicare payments.” HHS set forth an aggressive timeline for this shift: by 2016, 30 percent of provider Medicare reimbursements will be outcome-based, with an increase to 50 percent by 2018. Accountable Care Organizations (ACOs) and bundled payment models will play a central role in this shift. The idea of bundled payment is not new to us. We started to implement Quality Based Procedures (QBP) and Health Based Allocation Models (HBAM) 3 years ago, but it’s now taking serious momentum south of the border.

So, what does it mean for radiology? In my previous editorial, I quoted Reed Dunnick, RSNA Past-President, who was foreseeing value-based medicine and patient-centered imaging. The American College of Radiology believes that utilization management is key and that the savings generated by appropriate utilization can be the incentive required to radiology’s involvement in the shared savings model. But this is not enough. We need to demonstrate our added value by improving collaboration with our colleagues’ clinicians; we need to implement proactive quality improvement measures, promote appropriateness and clinical service integration. As radiologists, technologists and support staff, we are here to help, guide and provide the best service we can. We are probably at the beginning of a major paradigm shift for radiology - exciting times ahead!

All the best,

Dr. David Koff Chief of Diagnostic Imaging, HHS Chair, Department of Radiology, FHS

INS IDE THIS ISSUE

Educational News 2

Rounds 3

Our Radiologists

Dr. M. Patlas

Dr. N. Hemmati

Visiting Resident

4

4

Academic Get-

together

5

Undergrad Corner 6

The Research Corner 7

The Back Page 8

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M E D I C A L I M A G I N G B U L L E T I N

EDUCATIONAL NEWS

Pediatric Visiting Professor - Dr. Jorge Davila-Acosta

Wednesday, February 11th, 2015 - 8:00 a.m. - “Non Neoplastic Imaging of the Spine and the Spinal Cord”

Wednesday, February 11th, 2015 - 12:00 p.m. - “Spine Ultrasound”

McMaster Site Only - Large Seminar Room 2S32, DI Department

Tuesday, March 3rd and Wednesday, March 4th, 2015

Dr. Achala Vagal - Neuro

Tuesday, March 31st and Wednesday, April 1st, 2015

Dr. Julie Ritner - Obs/Gyn

Monday, May 4th and Tuesday, May 5th, 2015

Dr. Tim Mosher - MSK

(Annual Peter W. Cockshott Lecture)

LOCATION for the above Visiting Professor lectures will be at

St. Joseph’s Healthcare, Hamilton

(Main Charlton Campus)

VISITING PROFESSOR SERIES

FUTURE VISITING PROFESSOR SERIES

Dr. Supriya Kulkarni Assistant Professor, Medical Imaging, University of Toronto

Staff Radiologist Division of Abdominal Imaging & Breast Imaging University Health Network, Mount Sinai Hospital

Women’s College Hospital Toronto, Ontario

“Digital Breast Tomosynthesis: Updates” Tuesday, February 3rd, 2015 - 6:00 p.m. - SJHH: Room T2202, Level 2, Campbell Auditorium

“Understanding Atypical Breast Lesions”

Wednesday, February 4th, 2015 - 7:30 a.m. - SJHH: Room T2202, Level 2, Campbell Auditorium

“Cystic Lesions of the Breast: Diagnosis and Management”

Wednesday, February 4th, 2015 - 12:00 p.m. - SJHH: Room T2202, Level 2, Campbell Auditorium

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M E D I C A L I M A G I N G B U L L E T I N

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OUR RADIOLOGISTS

M E D I C A L I M A G I N G B U L L E T I N

Dr. Michael Patlas has been appointed to the Editorial Board of the Current Problems in Diagnostic Radiology (CPDR).

Congratulations!

The MUMC radiology staff welcomes Dr. Nasim Hemmati to the McMaster site. Dr. Hemmati will doing a locum here for the next few months. Dr. Hemmati has spent the last 5 years as a resident at McMaster and will be starting a fellowship at the Juravinski site in July 2015.

Welcome Dr. Nasim Hemmati

Visiting Resident

Submitted by: Teresa Chondor

The Sisters of St. Joseph International Outreach program are pleased to announce Dr. Rita Nassanga, a visiting resident from Uganda. Dr. Nassanga will be the fourth Diagnostic Imaging Resident to take part in a three-month Residency Exchange Program. Rita has been described by her colleagues as “eager to learn and also willing to share her knowledge and skills, which will be instrumental for the department, when she gets this exposure in Canada”. Please help in making this rotation and stay in Canada successful!

Welcome Dr. Rita Nassanga

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ACADEMIC GET-TOGETHER

M E D I C A L I M A G I N G B U L L E T I N

Monday, January 19th, 2015 7th Annual Academic Get-Together

The Hamilton Club

Dr. Susan Reid Dr. David Koff Dr. David Landry

Dr. Karen Finlay Dr. Frank Leduc

Ms. Sandra Monteiro Dr. Meg Chiavaras

“Galette des Rois” was also celebrated, complete with pastry dessert!

Dr. Meg Chiavaras was named the “2014 Academic Radiologist of the Year”

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M E D I C A L I M A G I N G B U L L E T I N

UNDERGRAD CORNER

News from Undergrad!

Dr. Carmen Otero Undergraduate Program Director

INTERESTED IN TUTORING?

MF4 commences April 20, 2015 to June 26, 2015. MF4 includes Immunology, Infectious diseases and Neoplasia. Tutors meet twice weekly with their student group ( approx. 6-7 students per group).

Scheduling should be either Monday - Thursday or Tuesday - Friday. Meetings can happen at any

HHS site. If you are interested please contact Patti Drochner at drochn@mcmaster.ca or 905-525-9140 ext. 22856.

FIRST TIME TUTOR?

You must take MacEssentials, the MD Program tutor training program before you can tutor. MacEssentials are offered in January and in June. It is a 2-evening program. Next course will be January 21st & 28th, 2015 in MDCL. To register contact Jane Bennett, curriculum coordinator MD Program (bennj@mcmaster.ca)

Department of Radiology Research Day 2015

Further details regarding the venue, agenda and abstract submissions will be available soon.

Save the Date

Wednesday, April 29th, 2015

Watch for further details

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THE RESEARCH CORNER

M E D I C A L I M A G I N G B U L L E T I N

During the January Resident Education Rounds, a talk titled, Introduction to Research – Getting it Right from the Start, was presented by Sandra Monteiro (Program for Educational Research and Development Department) and I. During this talk, residents questioned how best to set up their research projects, including how big of a sample size they need to have and what type of analysis should be done. One of the topics that we did not have time to cover was on how to ensure validity of a research project by avoiding bias and reducing error. One of the main strategies to prevent bias and reduce error is to ensure you have designed your study well. Key considerations when setting up a research study are: • Your analysis should include all randomized participants, regardless of if they drop out of

the study or stop taking study medication. • Your withdrawal policy should be stated in the protocol and the data for those patients

should remain blinded until all patients are unblinded. • Adherence must be maximized. Even if patient stops treatment, they should continue to

come to visits/have their data collected. • Pilot test your project so that key errors can be avoided on the large scale project. Double-check the accuracy of the data. Include edit checks and reports that will check

for outliers or inconsistent data and run these checks frequently during the study. By taking the time to design your research project correct from the start, this will help to ensure a quick close out and straightforward analysis!

Submitted by: Jane Castelli, Project Manager - MIIRC@M jane.castelli@miircam.ca

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THE BACK PAGE

Submissions to: Mary Ann Zadvorny

McMaster Site, HSC - Room 2N48 - zadvorny@hhsc.ca, Ext. 74489

M E D I C A L I M A G I N G B U L L E T I N

Happy Valentines Day! February 14th

FAMILY DAY - Monday, February 16th

Family Day was first held in Canada in the province of Alberta in 1990. It is supposed to reflect the values of family and home that were important to the pioneers who founded Alberta, and give workers the opportunity to spend more time with their families. Family Day was introduced in Saskatchewan in 2007 and in Ontario in 2008. British Columbia observes Family Day as a statutory holiday for the first time in 2013. One of the reasons for introducing Family Day was that there was a long period when there were no holidays from New Year's Day until Good Friday. Hamilton Health Sciences observes the Family Day stat holiday on Monday, February 16th, 2015.

Enjoy the day!

Follow these tips to keep you, your family and those around you warm and well in extremely

cold weather. To keep warm and well during spells of cold weather: Draw your curtains at dusk and keep your doors

closed to block out draughts. Have regular hot drinks and eat at least one hot

meal a day if possible. Eating regularly helps keep energy levels up during winter.

Wear several light layers of warm clothes (rather

than one chunky layer). Keep as active in your home as possible. Wrap up warm and wear shoes with a good grip if

you need to go outside on cold days. If you have reduced mobility, are 65 or over, or

have a health condition such as heart or lung disease, you should heat your home to at least 18C and make sure you wear enough clothes to stay warm. It's a good idea to keep your bedroom at this temperature all night.

If you're under 65 and healthy, you can safely

have your house cooler than 18C, if you're comfortable.