a3cr2 and commission on communications update
TRANSCRIPT
AA33CRCR22
andand
Commission on Commission on Communications UpdateCommunications Update
Greg M. Galdino, M.D.Greg M. Galdino, M.D.A3CR2 RepresentativeA3CR2 RepresentativeRPS Executive CouncilRPS Executive Council
CaliforniaCaliforniaUCSFUCSF
7:00 AM ?!!!7:00 AM ?!!!
4:00 AM !4:00 AM !
AA33CRCR22
• American Alliance of Academic Chief American Alliance of Academic Chief Residents in RadiologyResidents in Radiology
• Academy University Radiologists (AUR)Academy University Radiologists (AUR)
• San Francisco April 21-24, 2004San Francisco April 21-24, 2004
– AA33CRCR22 Steering Committee Steering Committee
AA33CRCR22
• Resident Problem SolvingResident Problem Solving
• Film PanelFilm Panel
• ACRACR• ABRABR
• APDRAPDR
Mallinckrodt SurveyMallinckrodt Surveyhighlightshighlights
• Chief Residents (193 programs)Chief Residents (193 programs)
• 55% Response rate55% Response rate
• Not scientificNot scientific
• 53% programs increased # residents 1-353% programs increased # residents 1-3
• 6% decreased6% decreased
• 73% already compliant ACGME duty hrs73% already compliant ACGME duty hrs
• 24% made few changes24% made few changes
Mallinckrodt SurveyMallinckrodt Surveyhighlightshighlights
• Call IssuesCall Issues– 60% night float60% night float– 50% faculty coverage50% faculty coverage
• BenefitsBenefits– 81% Meal coupons81% Meal coupons– 75% Educational/Travel Fund75% Educational/Travel Fund
– 85% no reimbursement for med lic85% no reimbursement for med lic– 11stst $41,500, 4 $41,500, 4 thth $49,500 $49,500
ACRACR• Dr. Steven AmisDr. Steven Amis
• Workforce IssuesWorkforce Issues– Tapering of Radiologist ShortageTapering of Radiologist Shortage– Jobs available per seeker Jobs available per seeker
• 3.9 20003.9 2000• 2.5 20022.5 2002• 1.4 goal1.4 goal
– RRC approved accredited slotsRRC approved accredited slots– Workload about right 50% 2000, 83% 2003Workload about right 50% 2000, 83% 2003– Tide is Turning?Tide is Turning?
ACRACR
• Dr. Steven AmisDr. Steven Amis
• Self ReferralSelf Referral– Stark III Law Stark III Law
• All Imaging in office by radiologyAll Imaging in office by radiology
– Billing to MedicareBilling to Medicare• Radiologists 7%Radiologists 7%• Non Radiologists 32%Non Radiologists 32%
– BCBS, United HealthcareBCBS, United Healthcare– 1-6 Billion savings1-6 Billion savings
ACRACR
• Dr. Steven AmisDr. Steven Amis
• Malpractice / TortMalpractice / Tort– 2002 Insurers paid > revenue2002 Insurers paid > revenue– Task ForceTask Force
• International TeleradiologyInternational Teleradiology– Task ForceTask Force
APDRAPDR
• AFIP (Prelim Discussion)AFIP (Prelim Discussion)– MI, WA loss of funding from Medicare for MI, WA loss of funding from Medicare for
residents attending AFIPresidents attending AFIP– Potential solutionsPotential solutions
• Decreased time onsiteDecreased time onsite• Supplement OnlineSupplement Online
APDRAPDR
• Nuclear MedicineNuclear Medicine– 6 mo to 4 mo6 mo to 4 mo
– NRC has not yet enacted regulationsNRC has not yet enacted regulations
• ACGMEACGME– 44thth year release from boards year release from boards– PD/PC/Faculty ensure part in call / rotationsPD/PC/Faculty ensure part in call / rotations
ABRABR
• Dr. Reed DunnickDr. Reed Dunnick
• Virtual Cardiac ExamVirtual Cardiac Exam
• Timing of Oral BoardsTiming of Oral Boards
• Written TestWritten Test
• Board Fee IncreaseBoard Fee Increase
• Maintenance of CertificationMaintenance of Certification
Top IssuesTop Issues
Turf issues impact on EducationTurf issues impact on Education
24/7 Attending ER coverage 24/7 Attending ER coverage
Self Referral Position StatementSelf Referral Position Statement
• Establish Core Curricula in “threatened” Establish Core Curricula in “threatened” clinical areasclinical areas– ResourcesResources– ReciprocationReciprocation– ReinforcementReinforcement
• Support ACR and legislationSupport ACR and legislation• Marketing CampaignMarketing Campaign
– Clinician, 3Clinician, 3rdrd party payer, public awareness party payer, public awareness– Communication, Clinical role (IR)Communication, Clinical role (IR)
ER Coverage Position StatementER Coverage Position Statement
• Call critical to educationCall critical to education
• Protect autonomyProtect autonomy
• Attending CoverageAttending Coverage– In house facultyIn house faculty– TeleradiologyTeleradiology– NighthawkNighthawk– GateKeeperGateKeeper
• QAQA
• Enhance interdepartmental relationshipsEnhance interdepartmental relationships
Commission on CommunicationsCommission on Communications
• ACR Website (Launch)ACR Website (Launch)
• Resident and Medical student educationResident and Medical student education
• Links to Online Case RepositoriesLinks to Online Case Repositories
• Email addressesEmail addresses
• E bulletinE bulletin
• Marketing CampaignMarketing Campaign– ““Quality is our image”Quality is our image”
Commission on CommunicationsCommission on Communications
• eLearning Proposal for ACR websiteeLearning Proposal for ACR website– MOC/CMEMOC/CME
– MRI EducationMRI Education
• Primary educational link (CDROM cases)Primary educational link (CDROM cases)– www.cpionline .orgwww.cpionline .org
• Cases GU, Breast, Neuro, MSK, U/SCases GU, Breast, Neuro, MSK, U/S
• Secondary LinksSecondary Links– http://rad.usuhs.mil/synapse http://rad.usuhs.mil/synapse – http://www.mypacs.nethttp://www.mypacs.net
Get Involved !Get Involved !