A3CR2 and Commission on Communications Update

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A3CR2andCommission on Communications Update

• Greg M. Galdino, M.D.
• A3CR2 Representative
• RPS Executive Council
• California
• UCSF

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700 AM ?!!!

• 400 AM !

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A3CR2

• American Alliance of Academic Chief Residents in
  Radiology
• Academy University Radiologists (AUR)
• San Francisco April 21-24, 2004
• A3CR2 Steering Committee

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A3CR2

• Resident Problem Solving
• Film Panel
• ACR
• ABR
• APDR

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Mallinckrodt Surveyhighlights

• Chief Residents (193 programs)
• 55 Response rate
• Not scientific
• 53 programs increased residents 1-3
• 6 decreased
• 73 already compliant ACGME duty hrs
• 24 made few changes

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Mallinckrodt Surveyhighlights

• Call Issues
• 60 night float
• 50 faculty coverage
• Benefits
• 81 Meal coupons
• 75 Educational/Travel Fund
• 85 no reimbursement for med lic
• 1st 41,500, 4th 49,500

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ACR

• Dr. Steven Amis
• Workforce Issues
• Tapering of Radiologist Shortage
• Jobs available per seeker
• 3.9 2000
• 2.5 2002
• 1.4 goal
• RRC approved accredited slots
• Workload about right 50 2000, 83 2003
• Tide is Turning?

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ACR

• Dr. Steven Amis
• Self Referral
• Stark III Law
• All Imaging in office by radiology
• Billing to Medicare
• Radiologists 7
• Non Radiologists 32
• BCBS, United Healthcare
• 1-6 Billion savings

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ACR

• Dr. Steven Amis
• Malpractice / Tort
• 2002 Insurers paid gt revenue
• Task Force
• International Teleradiology
• Task Force

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APDR

• AFIP (Prelim Discussion)
• MI, WA loss of funding from Medicare for
  residents attending AFIP
• Potential solutions
• Decreased time onsite
• Supplement Online

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APDR

• Nuclear Medicine
• 6 mo to 4 mo
• NRC has not yet enacted regulations
• ACGME
• 4th year release from boards
• PD/PC/Faculty ensure part in call / rotations

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ABR

• Dr. Reed Dunnick
• Virtual Cardiac Exam
• Timing of Oral Boards
• Written Test
• Board Fee Increase
• Maintenance of Certification

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Top Issues

• Turf issues impact on Education
• 24/7 Attending ER coverage

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Self Referral Position Statement

• Establish Core Curricula in threatened clinical
  areas
• Resources
• Reciprocation
• Reinforcement
• Support ACR and legislation
• Marketing Campaign
• Clinician, 3rd party payer, public awareness
• Communication, Clinical role (IR)

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ER Coverage Position Statement

• Call critical to education
• Protect autonomy
• Attending Coverage
• In house faculty
• Teleradiology
• Nighthawk
• GateKeeper
• QA
• Enhance interdepartmental relationships

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Commission on Communications

• ACR Website (Launch)
• Resident and Medical student education
• Links to Online Case Repositories
• Email addresses
• E bulletin
• Marketing Campaign
• Quality is our image

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Commission on Communications

• eLearning Proposal for ACR website
• MOC/CME
• MRI Education
• Primary educational link (CDROM cases)
• www.cpionline .org
• Cases GU, Breast, Neuro, MSK, U/S
• Secondary Links
• http//rad.usuhs.mil/synapse
• http//www.mypacs.net

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Get Involved !
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