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I N S I D E T H I S I S S U E
Educational News 2
Rounds Calendar 3
Residency Program
Dr. Karen Finlay
Dr. David Landry
Dr. Xi Wang
Jan Vezina
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2012 Graduation 5,6
2012 Fellows 7
Our Radiologists
Dr. Colm Boylan
Dr Sheila Chou
New Radiologists
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Our Staff
Joan Vardy
Maryellen Chambers
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New JHCC Grand Opening
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OHIP News The Diagnostic Image Repository
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St. Joseph’s Healthcare DeMystifying Diagnostics III
Breast Screening Program
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The Back Page 13
Medical Imaging Bulletin J U N E 2 0 1 2 I S S U E 3 5
Hospital Stat Holidays
- Canada Day, July 2
- Civic Day , August 6
- Labour Day , September 3
Decoding Diagnostics
November 21st
Dear All, This is the last edition of our newsletter before the
summer. We will be back in September with a revamped and
rejuvenated format that I hope you will like. We waited until after
the graduation dinner to give you the latest news and photos before
publishing this issue. Please join me in offering the graduating
residents, our warmest and sincere congratulations: Kelly
Ainsworth, Mary Grant, Dmitry Golev, Vajid Khan, Mat Kuruvilla and
Xi Wang. All of our residents have been successful in passing the
Royal College exams. I am very proud of all of you - 100% success.
It has been such a pleasure to get to know our residents over the
past 4 years and wish them every success in their future
endeavours. We are happy to see Mary, Dmitry and Xi, staying to do
fellowships here at HHSC: Mary in Women’s Imaging at
JHCC, Dmitry a rotating fellowship in MSK and Xi
in cross-sectional at JHCC. We will miss Kelly, Mat and Vajid who
are leaving. Kelly is going to Sick Kids in Toronto, Mat, a
fellowship in Nuclear medicine in Edmonton, and Vajid
to St. Michael’s in Toronto for a
body fellowship. Good luck to all of you. Again, a sincere thank
you to Karen Finlay for her 11 years of dedication to our Residency
Program, making it one of the best in the country. She can be proud
of her achievements. Good
luck to David Landry who will take over July 1st as our new
Residency Program Director. No doubt he will be an excellent
program director and will benefit from
Karen’s guidance. David will be supported by our new
residency assistant, Janet Vezina. Janet is based at MUMC in
the new radiologists’ office area, working
2½ days a week and doing a great job. I wish to congratulate Dr.
Colm Boylan, who has been appointed Chief Radiologist
at St .Joseph’s Healthcare. It is and will
continue to be, a pleasure working with Dr. Boylan, particularly at
a time where we try to optimize the provision of our services in
Hamilton and our community at large. It is with mixed feelings that
we bid farewell to Dr. Sheila Chou, who is leaving the JH&CC to
join Joseph Brant Hospital in Burlington. We are sorry to lose her
and wish her much success in her new endeavours. I have the
pleasure of welcoming our new staff, starting July 1st: - Dr.
Michael Di Ianni, General Site, Breast and Body Division - Dr.
Brian Stewart , JH&CC, also part of the Body Division - Dr.
Yongdong Wang, MUMC Site, Pediatric radiologist - Dr. Michael
Colapinto, General Site, Cross-sectional Imaging Decoding
Diagnostics is being held on November 21, 2012 at Liuna Station.
This is an educational day Dr. Julian Dobranowski and myself are
building, under the umbrella of
McMaster University and the LHIN. The targeted audience is
primary care physicians and nurse practitioners. This is an
exciting opportunity to promote appropriateness on a variety of
medical topics, and we’ll start recruiting
speakers over the summer. We need your input, so please stay
tuned. I will discuss the new Ministry of Health funding cuts in
radiology and the impact it will have on our activities in future
editorials . Have a great summer! All the best,
Dr. David Koff Chief of Diagnostic Imaging,
HHS Chair, Dept. of Radiology, FHS
D A T E S O F I N T E R E S T
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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
Mark your calendar!
2012-2013 Schedule, (Tuesdays and Wednesdays):
October 2 & October 3, 2012
November 6 & November 7, 2012
January 8 & January 9, 2013
February 5 & February 6, 2013
March 5 & March 6, 2013
April 23 & April 24, 2013
May 7 & May 8, 2013
NOTE: Location for all future Visiting
Professor lectures will be at
St. Joseph’s Healthcare Hamilton
VISITING PROFESSOR SERIES
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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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M E D I C A L I M A G I N G B U L L E T I N
RESIDENCY PROGRAM DIRECTOR
Congratulations to Dr. Xi Wang on being selected as the top
winner in the annual competition for the
Physicians’ Services Incorporated
Foundation Resident Prize. Dr. Wang’s
project entitled “Clinical Predictors
of abnormal findings on unenhanced
computed tomography of the head in non-trauma patients in the
emergency department”, has also
been awarded an additional prize
from the Canadian Society of Clinical Investigators/Medical
Research Council.
“I would like to congratulate you
on receiving this award and
hope
you will continue to be productive
in medical research”. Dr. J.
Mark Walton
Award Winner - Dr. Xi Wang
Thank you, Dr. Karen Finlay, for 11 years of dedication to our
Residency Program.
You have made our program one of the best in the
country!
Dr. Karen Finlay Welcome Dr. David Landry to your new position
as
Residency Program Director, effective July 1.
There is no doubt you will be an excellent program director!
Dr. David Landry
Dr. Xi Wang
Jan Vezina is our new residency program assistant for the
Diagnostic Radiology Program. She started her new position on May
1st.
Jan comes to the program with 10 years of fundraising experience
in a hospital setting and is excited for this new opportunity. She
looks forward to meeting and working closely with both staff and
residents.
Jan can be reached at [email protected], Ext. 75294
Welcome - Jan Vezina
Jan Vezina
mailto:[email protected]
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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
2012 GRADUATION
Congratulations to our graduates!!
We are so proud of you and what you have accomplished!
Our new FRCPC McMaster cohort:
Dr. Kelly Ainsworth - good luck with your Pediatric fellowship
at the Hospital for Sick Children
Dr. Mary Grant - all the best with Breast and Oncology Imaging
fellowship at the Juravinski Hospital
Dr. Dmitry Golev - best wishes for your
Musculoskeletal fellowship at St.
Joe’s and JHCC!
Dr. Vajid Khan - good luck with your Cross-sectional fellowship
at St. Michael's Hospital in Toronto.
Dr. Mat Kuruvilla - goodbye and good luck your Nuclear Medicine
fellowship at the University of Alberta
Dr. Xi Wang - all the best during your cross-sectional
fellowship at the Juravinski
Dr. Michelle Walker - thanks for all your hard work during
fellowship and sincere best wishes for
your future
Submitted by Dr. Karen Finlay
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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
OUR 2012 GRADUATES
Congratulations
!!
Everyone passe
d!
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Ren Yuan – Cross Sectional “It has been a
very challenging, yet productive year
at St. Joseph’s! I appreciate all the support and
help during the year from staff radiologists, colleagues,
technologists, nurses, and lastly but not least, Kim! I look
forward to the reunion of my
family and my future career in
radiology!”
Andrew Peppin – Cross Sectional Andrew will be
undertaking further training in
thoracic imaging at Toronto’s
University Health Network and will
be returning to St. Joe’s as
a full time associate staff
radiologist in March 2013.
Euan Stubbs Combined MSK Fellowship – St. Joe’s
& Juravinski Healthcare Euan, his wife,
Jennifer and 11-month old daughter Katie, left for Corner Brook,
Newfoundland to work as a locum for the summer months. The family
will then head back to Edinburgh in Scotland where Euan will take
up a full-ime consultant post with NHS Fife. Euan and his wife
Jennifer, became new parents last summer, just three weeks into his
MSK Fellowship. They are looking forward to
introducing their “Canadian” daughter,
Katie, to her extended families in Scotland.
Sanjay Gupta Combined MSK Fellowship – St. Joe’s
& Juravinski Healthcare
Sanjay completed the combined MSK Fellowship this past year. He
had previously completed fellowships in Emergency Medicine, Primary
Care Sport Medicine and also completed his family medicine
residency. Sanjay worked as an Emergency Physician for UHN in
Toronto for several years and for six years was the Blue Jays
stadium physician responsible for all attendees and the teams
for medical emergencies. “MSK
Fellowship has been great. - great
learning environment with friendly people. Looking forward
to working in Mississauga”.
Anirban De – Cross Sectional “I am taking up
a job as a Consultant
Radiologist in Leighton hospital in
Crewe which is south of Manchester. I'll be spending the
summer with my family. Enjoyed doing the 'edge walk' on CN Tower
during my stay in Canada.”
Arun George – Cross Sectional My wife, Kylie and I, intend to
travel around Australasia for few months before I start as a
Consultant in New Zealand later this year. Of course our 17 month
old son Nathan, will also be with us. We will keep our options open
about where to settle, at least until our son Nathan starts school.
Despite where I work, I hope to contribute to healthcare
development in India throughout my life.
M E D I C A L I M A G I N G B U L L E T I N
St. Joe’s bids a fond farewell
to their 2011 – 2012 Fellows Kim Harper
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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
OUR RADIOLOGISTS
Dr. Sheila Chou
Farewell to Dr. Sheila Chou. Dr. Chou is leaving JHCC to join
Joseph Brant Memorial Hospital in Burlington.
Good luck in your new endeavours!
Dr. Koff is pleased to announce
that the Board has accepted the
Search Committee’s unanimous recommendation, and
effective April 1, 2012, Dr. Colm Boylan is the Chief of DI for
SJHH. After completing MRCP and FRCR Examinations in the UK, Dr.
Boylan held medical and surgical positions at various hospitals
throughout Ireland and England. In Canada, Colm obtained extensive
sub-specialty training in Abdominal, Thoracic, Breast and Obstetric
Imaging, through fellowships completed at University of Toronto.
Demonstrating strong interest in quality and patient safety, Colm
has dedicated his efforts to the St. Joseph's Healthcare team since
2005. Dr. Colm Boylan
Colm is well known to SJHH, having served as an extremely
effective Acting Chief since early 2011; Colm brings tremendous
enthusiasm and passion to the job and I am thrilled that he has
agreed to take on this very important role. Please join me in
congratulating him and welcoming him to the role. Dr. Colm Boylan
can be reached at [email protected] His administrative Assistant,
Kim Harper, can be reached at [email protected], Ext 34072
FAREWELL - Dr. Chou
WELCOME - OUR NEW RADIOLOGISTS
Dr. Yongdong Wang McMaster site
Dr. Michael DiIanni General Site
Dr. Brian Stewart JH&CC Site
Dr. Michael Colapinto General Site
Dr. Colm Boylan
mailto:[email protected]:[email protected]:[email protected]
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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
OUR STAFF
I had the pleasure and honor to present the HHS Nursing
Excellence Award - MUMC to Joan Vardy during Nurses Week
Celebrations.
“Joan is an excellent Diagnostic Imaging nurse as she
advocates for her patients, comforts them and makes sure they
receive the best care while in the department. Joan's nursing
skills really shine during difficult procedures as she is ready for
anything. Though nursing in Diagnostic Imaging is not mainstream
nursing, it is an area that requires talented, experienced and
caring nurses, and Joan is one that should be recognized as such.
“
Joan, we thank you for your leadership and contributions to
those in our community who we are privileged to serve.
Congratulations from your friends and colleagues in Diagnostic
Imaging.
Joan Vardy
Code Captain of Excellence Congratulations to Maryellen
Chambers, who has the distinction of
being honored with a ‘2012
Code Captain Excellence Award’. Mary
Ellen works as a Booking Clerk for the Diagnostic Services
Department in the Central Booking Office. Upon moving to Central
Booking in 2010, Mary Ellen volunteered for the role of Code
Captain for the new office. Since the office was
a ‘new’ space with many
employees who came together from
all of the sites, Mary Ellen stepped
forward as a leader and immediately started organizing the area for
emergency preparedness. Mary Ellen reached out to the Code Captains
in the main Diagnostic Imaging and Nuclear Medicine Departments for
guidance when orientating herself to the role. Mary Ellen worked
diligently to prepare all EDM resources for the area, including the
Code Binder, Evacuation Routes and Maps, Attendance Lists and
Toolkit. Her enthusiasm to the role was recognized and appreciated
by all of her colleagues. They even presented
Mary Ellen with a special ‘Code
Captain’ vest, which they created
themselves, complete with safety
reflectors, caution tape and an
orange feather boa. Nobody can miss who the
Captain is now! Mary Ellen works collaboratively with management to
ensure that any safety concerns the staff may have are brought to
our attention. She works independently each month to organize the
staff for monthly drills and always ensures she orients new staff
regarding Emergency Preparedness. Mary Ellen shows her commitment
to her Code Captain role by ensuring everyone is informed of any
changes or updates to procedures. She also provides exemplary
leadership during incidents, such as the recent Code Grey at
Hamilton General, when she ensured all CBO staff were aware of
procedures to follow and located flashlights for staff in mere
seconds!
Congratulations and thank you both for your dedication!
Nursing Excellence Award
Submitted by Cheryl Tillmanns
Submitted by David Wormald
Maryellen Chambers surrounded by her friends in Central
Booking
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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
Juravinski Hospital and Cancer Centre
New Juravinski Hospital and Cancer Centre
Staff members, patients, visitors, community partners and a few
special guests gathered to celebrate the opening on May 14.
The Honorable Deb Matthews and Ted McMeekin tour the new
Diagnostic Imaging Department with Dr. David Koff, Chief of
Diagnostic Imaging.
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The Diagnostic Image Repository (DI-r)
M E D I C A L I M A G I N G B U L L E T I N
Your patients move through the
healthcare system; now their images
can too… Kathy Fader has joined the DI-r Division
within Mohawk Shared Services, to work directly with hospital
stakeholders within each site and location to ensure optimum use
and adoption of the DI-r. Kathy’s role as
Business Delivery Manager will assist sites
with training and adoption of the DI-r with clinicians and other
care-givers. Kathy can be reached at 289-426-5315 or by email at
[email protected].
Access x-rays, diagnostic images and associated reports from
other hospitals. Use the DI-R to reduce the possibility of
unnecessary re-takes and duplicate studies. Bypass the need to have
images burned to CD and shipped from other hospitals; access images
directly from the DI-r. Gain access to your
site’s exams and reports via
OneView, the DI-r viewer, even if your local PACS
is unavailable. View patient images and associated reports from
over 50 participating hospitals in LHINs 1, 2, 3 and 4. Use DI-r
images to collaborate with colleagues and take advantage of
specialized diagnostic imaging captured at other hospitals. Get a
more complete picture of your patient, use the DI-r to access the
full DI exam.
Clinicians may request access to the DI-r OneView© web
application for use within the HHS network by contacting HHS
Computer Access Management at [email protected] or phone ext. 44201.
A hospital ID badge must be presented at this time and
the “One View User Terms &
Conditions” form signed. Clinicians will be
provided with a copy of the “Cheat Sheet” and the
list of current sites available
in One View –SWO DI-r.
Submitted by Cheryl Tillmanns
Changes in OHIP fee schedule - David Wormald As you may be
aware, The Ministry of Health and Long-Term Care (MoHLTC) announced
changes to the OHIP fee schedule on May 7,
2012 as part of Ontario’s
Action Plan for Health Care.
To that end, it is the
provincial government’s intent to
update and rebalance OHIP fees
to reflect current medical practices
and new technologies allowing the
government to invest in more home care and expanded health care
services. The new funding policy will result in the following
changes effective April 1, 2012:
2.5% reduction in technical fee ( Diagnostic Imaging and Nuclear
Medicine) 5.0% reduction in professional fee ( Diagnostic Imaging
only ); 5.0% reduction in professional fee for BMD The addition of
a professional fee code for Pet scan - Esophageal carcinoma MRI and
CT – 3D reconstructions reduced by 50%. Computed Tomography (CT)
and/or Magnetic Resonance Imaging (MRI) for Chronic Low Back Pain ;
X-ray, CT or MRI studies of the lumbar spine are only eligible for
payment when rendered for low back pain with suspected pathology.
Examples include, but are not limited to: infection, tumour,
osteoporosis, ankylosing spondylitis, fracture, inflammatory
process, radicular syndrome, and cauda equina syndrome.
Diagnostic Services has been working with our colleagues in the
Finance Department to identify the financial impact and make the
requisite changes in our financial billing system. We have also
implemented a communication plan to advise key stakeholders of
these changes.
Over the past several days, the Ontario Hospital Association
(OHA) has received several inquiries from hospitals respecting
recently announced changes to the OHIP Schedule of Benefits in
relation to diagnostics, particularly the reduction in fees for
self-referral. While this latter provision remains ambiguous for
Diagnostic Imaging and MDU, HHS continues to work with the OHA and
the MoHLTC about this and related matters in an effort to clarify
important details, such as operational implementation of technical
and professional fees. The MoHLTC has advised that they will be
consulting with the health sector to support implementation that
will not impact patient access.
mailto:[email protected]:[email protected]
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Charlton Campus On April 24th, Diagnostics Services at the
Charlton Campus invited Administrative Assistants from Hamilton
area Physicians Offices to attend a half-day educational
program/luncheon. The program consisted of several presentations
given by our admin staff with respect to the booking process and
recent changes for diagnostic services. Fantastic feedback was
received from those in attendance. Comments included: “The
central booking clerks are excellent
and a pleasure to deal with”
“Thank you so very much! This
was a great afternoon filled
with useful information!” “Always a
helpful forum for us to learn
and find out about changes in
the system” We appreciate the participation, feedback
and support from the Administrative Assistants in attendance and
value our daily interaction and working relationship in our quest
to deliver quality service to our patients and referring
physicians. We look forward to our next educational program to
enhance our collaborative efforts to achieve our patient focus goal
of delivering safe, timely, quality care. Thank you goes out to all
our wonderful admin staff for their excellent presentations: Jenn
Stacey, Paula Comley, Robin Gagnon, Debra McHarg, Maria Spilotro,
Lynne DeSantis, Angela James, Janice Taylor, Helena Sprajc, Anna
Amatangelo, Paulette Janus, Sandy Rulys, Andrea Kinar and Marsha
Peti. Thank you also to Carol Collier and Kim Harper for your
assistance with registration. We also wish to thank Ahmed Mujaffar,
Manager, Diagnostic Services for supporting this venture!
M E D I C A L I M A G I G B U L L E T I N
Reererefdffff St. Joseph’s Healthcare Hamilton
DeMystifying Diagnostics III
Submitted by Terri Millsip
Event Planning Team Patricia Lino, Manager, Business Services,
Clinical Informatics
Julie Childerhose, Interim Coordinator, Special Projects &
Research Terri Millsip, Administrative Assistant
Cancer Care Ontario has recognized
St. Joseph’s Healthcare, King Campus
OBSP as one of the LHIN’s
highest performing hospitals with regards to wait times
to diagnosis for breast cancer. They have diagnosed 95% of all
breast assessment cases that do not require tissue biopsy within
the 5 week benchmark and 95% of all breast assessment cases that
require a tissue biopsy within the 7 week benchmark. These targets
exceed the 90% target for diagnosis without a tissue biopsy within
5 weeks and diagnosis with tissue biopsy within 7 weeks. The King
Street Campus is the second largest organized breast screening
center in Hamilton. The dedication and commitment of the staff is
the major contributing factor to this excellent performance. Keep
up the great work!
St. Joseph’s Healthcare, King Campus
Women’s Health Center/Ontario Breast
Screening Program
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The Back Page
Submissions to: Mary Ann Zadvorny - Chedoke Campus, Patterson
Bldg., Rm. 311 [email protected], Ext. 74490
M E D I C A L I M A G I N G B U L L E T I N
A big thank you to Jordan Hagel for his excellent support for
the past four and half years, updating the
McMaster Radiology website.
Jordan has left for a new position at Kijiji Canada.
We wish Jordan every success!
Diagnostic Imaging – Angiography Suite $2 million will be
donated to the Angiography Suite Campaign. It celebrates all donor
gifts made throughout the previous year. Interventional
radiologists are using this diagnostic imaging technology to
visualize the inside of blood vessels and organs of the body, with
particular interest in the arteries, veins and heart chambers.
Physicians need these images to support patient care ranging from
biopsies to treating bleeds in the head to mapping blood vessels
prior to complex neurosurgery.
Position Available WEB ADMINISTRATOR (P.T.)
Dept. of Radiology – McMaster University
Responsibilities: administering day-to-day co-ordination of
change requests and updates to the Faculty of Health Sciences
Radiology web site. Experience Required:
Sound understanding of on-line environment
Strong knowledge of Javascript, jQuery, ASP vbscript,
Dreamweaver and Flash, HTML, CSS, Adobe, Photoshop, illustrator,
Acrobat, Microsoft windows, Macromedia, Word, Excel, Access
Knowledge of XML, Flash (AS2) and Dreamweaver templates, would
be an asset. Remuneration
A guaranteed 4 hours per week minimum
$20.00/hour Interested parties can contact Marilynn Scott
([email protected]) for further details and a copy
of the Terms of Reference. Deadline for Applications: Monday,
July 16, 2012
Dr. De Arniband Dr. Michael DiIanni Dr. Arun George Dr. Sanjay
Gupta Dr. Sabarinath Nair Dr. Andrew Peppin Dr. Brian Stewart Dr.
Euan Stubbs
A fond farewell & best wishes to our 2011/12 Fellows
finishing
on June 29th
Welcome to our new 2012/13 Fellows
Dr. Violette Cohen-Hallaleh Dr. Anand Gaikwad Dr. Dmitry Golev
Dr. Mary Grant Dr. Steve Landers Dr. Michelle Ong Dr. Vital
Rangashamanna Dr. Kathy Richard Dr. Jack Straiton Dr. Xi Wang
Farewell Jordan
Thank you to all of our readers and contributors.
Wishing you a very happy and safe summer !
See you in September
mailto:[email protected]:[email protected]
