Honoring the Invaluable Contributions of our JACR Peer Reviewers

Lee_ChristophChristoph I. Lee, MD, deputy editor of the Journal of the American College of Radiology, contributed this post.

As the deputy editor of the Journal of the American College of Radiology (JACR), I work with editor-in-chief Ruth Carlos, MD and our peer reviewers to inform, educate and engage radiologists. Together we curate scholarly content that provides our colleagues with the information and tools they need to provide evidence-based, patient-centered care and advance the practice of radiology, radiation oncology and medical physics. Our efforts are made possible through the long-term commitment of peer reviewers who advise on the JACR’s content and provide meaningful feedback on how submitted manuscripts can be improved.

This year, we introduced the JACR Silver Medal in Manuscript Review to recognize the contributions of peer reviewers who have reached the milestone achievement of providing at least 50 high-quality manuscript reviews over a lifetime.

Congratulations to the following inaugural recipients, who were honored during our annual JACR banquet at the Radiological Society of North America Annual Meeting in Chicago:

  • Lincoln L. Berland, MD, FACR
  • Richard Duszak Jr., MD, FACR
  • Birgit Ertl-Wagner, MD
  • William A. Murphy, Jr., MD, FACR
  • Lee Bennett, MD, MA, FACR
  • David C. Levin, MD, FACR

The JACR acknowledges the critical contributions of our reviewers, who work tirelessly to provide timely and meaningful feedback for our authors and editors. We also recognize their service through SA-CME Credits, published acknowledgments and milestone awards such as the JACR Silver Medal.

The role of peer review for medical journals is critical to ensure that high-quality science is published and to help authors improve their manuscripts prior to publication. We are fortunate to have exemplary peer reviewers for the JACR.

Ready to start reviewing for the JACR? Please visit the JACR website for more information and to complete your profile. The JACR also recently created the JACR Reviewer Toolkit to provide a comprehensive reviewer guide to support article review and ultimately help the JACR maintain its tradition of innovative excellence.

  • Have you ever participated as a peer reviewer for an academic journal? Share your experience.

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Providing the Best Care for our Patients

Geraldine McGinty_MGF1866Geraldine McGinty, MD, MBA, FACR, chair of the ACR Board of Chancellors, contributed this post.

As physicians, our goal is to provide the best care for our patients. How can we deliver?

As I mentioned during the #WeAreRadiology session last week at RSNA 2019, it’s only when our patients bring their experiences and ideas into the room that we can work together to help design health care systems that work for them. If our work revolves around the care of patients, why aren’t we putting their needs and ideas at the center of our work?

Recently, during a conversation with Neil M. Rofsky, MD, MHA, FACR, he shared with me the stories of two physician colleagues at UT Southwestern Medical Center who have embodied this principle: Rising Star Award honoree David Fetzer, MD, and Patient and Family Recognition Award honoree Daniel Costa, MD.

Dr. Fetzer’s work includes developing new service lines to help transform the perception of ultrasound imaging and intervention. He has championed the use of contrast-enhanced ultrasound to more accurately diagnose patients, allowing physicians to more effectively tailor their treatment decisions for patients.

Dr. Costa excels at the intersection of diagnostic skills and direct patient care. He has also proven himself to be a consummate team player with colleagues, referring providers, patients and their families. His colleagues say he is known for treating every patient like family, ensuring that they – and their caregivers – feel valued and comfortable, and that their questions, concerns and feelings are heard. Dr. Costa played a critical role in establishing one of the top prostate cancer programs in the country.

Though each of us may play different roles in our departments and organizations, one thing is clear— building a constructive relationship between providers and patients creates the foundation for high-value care. Like Drs. Fetzer and Costa, we ought to set the standard of care for not only radiology, but also for our institutions – and medicine – as a whole. The need to provide care in collaboration with our patients so that we can meet their goals underpins the work of the American College of Radiology® (ACR®)’s Commission on Patient- and Family- Centered Care (PFCC).

How do you provide PFCC in your practice? Is it time to make a change? The ACR provides several resources for physicians who want to implement PFCC and take your patient-centered care to the next level.

  • How are you and your colleagues working to improve PFCC in your practice? What tools or techniques have worked best for you?

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Safeguarding the Future of Radiology

Dayal_AnupriyaAnupriya Dayal, MD, radiation oncologist at Temple Health-Fox Chase Cancer Center and Pennsylvania delegate, American Medical Association Resident and Fellow Section House of Delegates, contributed this post.

As a member of the American Medical Association (AMA)’s Resident and Fellow Section House of Delegates (HOD), I recently attended the AMA Interim Meeting to help represent the views and perspective of radiation oncologists like myself. The HOD is the AMA’s policy-making body and is made up of a diverse group of physicians, medical students and residents representing every state and medical field. We work together in a democratic process to create and implement policy on various health care conflicts to ensure safe, high-quality and efficient care for patients and communities around the country. Our recent meeting focused on the protection of residents and fellows displaced by unexpected hospital closures and radiation oncology safety measures.

The Hahnemann hospital closure earlier this year was an unexpected event that disrupted the training of 960 resident and fellow physicians. There were no safeguards in place to protect affected residents and fellows. As a result, trainees were left unsure of the future of their careers. On top of that, the incurred relocation costs – added to an average debt of around $200,000 – have left many in an unexpected financial strain.

The AMA, along with the AMA Resident and Fellow Section coauthors, intervened to help find a solution for these residents and fellows. Our new policy allows us to partner with interested parties to identify viable options to secure malpractice tail-end insurance for residents and fellows impacted by the Hahnemann closure and for those impacted by any future teaching hospital closures, at no cost to those who are displaced. We’ve also committed to working with the Centers for Medicare and Medicaid Services to establish regulations that will help protect residents and fellows affected by training program closures.

Additionally, we discussed the recently released CMS Hospital Outpatient Prospective Payment System final rule, which includes a provision to change all radiation therapy services from “direct supervision” to “general supervision.” This rule is supported by the misguided notion that radiation therapy can be administered without the presence of an MD and is a glaring safety and scope of practice issue.

Radiation oncologists are the only medical professionals trained in reviewing toxicity of treatment, daily patient setup variability, real-time imaging interpretation for accurate radiation guidance and other clinical parameters which determine the safety of further radiation treatment administration. Our role is critical to ensuring safety in delivering high doses of radiation that may otherwise be fatal without supervision. As such, the AMA provided convincing testimony to encourage reconsideration by CMS.

As physicians, we are compelled to be advocates for not only our profession but also – and more importantly – for our patients. As radiologists, we provide expertise not only to other health care professionals, but also specialty-specific health policymaking. Membership in the American College of Radiology and the AMA help ensure that we have a seat at the table of health policy discussions that impact both our daily work and the future of medicine.

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