Radiology Grand Rounds Lecture Series

Duke Radiology Grand Rounds Lectures are conducted on Thursdays at 7:30 a.m.- 8:30 a.m. in Room 2002 Duke North. The mission for Radiology Grand Rounds is to provide an educational format which has a broad appeal to faculty and trainees. If you have any further questions regarding Radiology Grand Rounds, please contact Debbie Griffin at 919-684-7228.

The Health Care Pivot: Health Policy in 2017

February 9, 2017 7:30 a.m. Duke North Room 2002

Much has been written about the need to transition from a system of fee-for-service payments in health care to some type of risk-sharing arrangement with providers. In this talk, we’ll examine some of the factors that are driving policy makers to this aggressive transformation of health care financing. We’ll also examine some of the challenges for provider organizations such as Duke to respond to these changes in payment models, including consideration of models of organizational innovation from other industries. In the end, we’ll examine the potential shape of the health care market of the future.

Kevin Schulman, MD

Professor of Medicine Duke University
Associate Director DCRI

Kevin A. Schulman is a professor of medicine at Duke University, where he is a faculty associate director of the DCRI. He serves on the Executive Committee of the Duke CTSA; and he previously served on the Executive Committee of the Duke Global Health Institute. He is the Founding Director of the unique Master of Management in Clinical Informatics program (MMCi), now housed in the Duke University School of Medicine. He has served as a Visiting Professor in General Management at Harvard Business School from 2013-2016, and is currently a Visiting Scholar at the School. Dr. Schulman’s research interests include organizational innovation in health care, health care policy and health economics. He has written over 400 papers, book chapters, and business case studies. He is a member of the editorial/advisory boards of the American Heart Journal, Health Policy, Management and Innovation (www.HMPI.Org), and Senior Associate Editor of Health Services Research.

Imaging of Acute Gynecologic Emergencies

February 16, 2017 7:30 a.m. Duke North Room 2002

This talk will review common and uncommon gynecologic emergencies in women presenting to the emergency department. There will be a discussion about the imaging features of uterine, adnexal emergencies, including adnexal and fibroid torsion, acute degeneration of fibroids and pelvic inflammatory disease, highlighting the advantage and relative roles of ultrasound, CT, and MR, which can either becomplementary or confirmatory. We will also discuss the differential in the imaging diagnosis and common pitfalls ingynecologic emergencies.

Christine O. Menias, MD

Professor of Radiology Mayo Clinic College of Medicine

Dr. Christine O. Menias is a Professor of Radiology in the Abdominal Radiology section at the Mayo Clinic College of Medicine, Arizona. Dr. Menias, who was on the Washington University faculty for 15 years before coming to Mayo Clinic, is a recognized leader in the field of Abdominal Imaging, with special interests in oncologic, transplant, gynecologic and emergency radiology. She is considered an expert in the field of abdominal imaging and oncology and serves on the editorial boards of several journals in Radiology. She is also an Associate Editor of the Abdominal Radiology Journal and for Radiographics. She has recently been named the Vice-Chair for the Education Exhibits for RSNA. She has published 5 books, multiple book chapters and over 160 peer-reviewed manuscripts.

Leadership: Why and How Not To Do It

February 23, 2017 7:30 a.m. Duke North Room 2002

In recent years, there has been increasing focus on leadership and leadership development, not only in business, but also in medicine and radiology specifically. Why is this? And why should we as a profession embrace the need for leadership development? In one simple answer: complexity. The growing complexity of the world, medicine, and particularly radiology demands a more distributed leadership model, which in turn requires appropriate leadership development at all levels. This development is absent in most medical student and resident training curricula, and is offered in a limited extent if at all, in faculty development programs. With this in mind, foundational elements of leadership skills will be presented, as well as anecdotal experiences to demonstrate “how not to do it.”

Cheri L. Canon, MD

Professor and Chair of Radiology - University of Alabama at Birmingham

Cheri L. Canon, M.D., F.A.C.R. is a Professor and Witten‐Stanley Endowed Chair of Radiology at the University of Alabama at Birmingham (UAB), Department of Radiology. After completing her residency training in diagnostic radiology at the University of Alabama at Birmingham, she joined the faculty in the abdominal imaging section. Dr. Canon served as the radiology residency program director and vice chair of education for seven years. She now serves on the UAB Health Services Foundation Board of Directors. Dr. Canon received the ABR Lifetime Service Award in 2013 and was recently appointed to the ABR Board of Trustees in 2016. Dr. Canon serves as vice chair of the American College of Radiology (ACR) and previously served as the chair of the ACR Commission on Education and the ACR 2015 and 2016 Program Committees. Additionally, she sits on the boards of directors for the Association of University Radiologists, the American Institute of Radiologic Pathology, and the Academy of Radiology Research, on which she serves as academic council chair.

Imaging and Physician Decision-Making: Insights Gained from Decision Science

March 16, 2017 7:30 a.m. Duke North Room 2002

Decision science describes a field dedicated to the nature and study of decision making. In radiology, methods of decision science can be used to identify optimal decisions concerning imaging, and also to understand why some heuristic (“rule of thumb”)  approaches may be flawed. In this lecture, we will review research studies that challenge commonly held beliefs and norms in radiology, and which leverage decision science methods. The projects will focus on decision-making related to incidental findings, radiation exposure, and imaging utilization, and will use mathematical modeling and survey research methods. They will also highlight our own biases concerning imaging decisions.

Pari V. Pandharipande, MD, MPH

Associate Professor of Radiology, Massachusetts General Hospital

Dr. Pandharipande is Director of the Massachusetts General Hospital (MGH) Institute for Technology Assessment, Associate Professor of Radiology at Harvard Medical School, and an Abdominal Radiologist at MGH. She is a graduate of Cornell University, Cornell University Medical College, and the Harvard School of Public Health. She completed her residency in radiology at NYU Medical Center, and her fellowship in Abdominal Imaging at MGH. Her research is centered in imaging, cancer care, decision science, and cost-effectiveness analysis. She holds editorial board positions at Radiology, AJR, and JACR, and serves on multiple national committees related to health policy and imaging. Among such roles, she serves as Chair of the Incidental Findings Committee at the American College of Radiology. Her career goal is to ensure that every patient’s encounter with imaging adds value to their care.

Duke Radiology: Current State and Direction Moving Forward

March 23, 2017 7:30 a.m. Duke North Room 2002
Erik K. Paulson, MD

Chairman, Department of Radiology, Duke University
Robert J. Reeves Professor of Radiology

Dr. Erik Paulson is the Robert J. Reeves Professor and Chairman of Radiology at Duke University Medical Center. He previously spent time at Duke during medical school and abdominal imaging fellowship, and among his many current duties he is now the Chief of Staff for the hospital. As an abdominal imager, his clinical interests include hepatobiliary and pancreatic imaging with an emphasis on CT and MR, oncologic imaging, and abdominal interventional radiology. His research interests include CT dose reduction, clinical evaluation and application of state of the art imaging technology (with an emphasis on CT, ultrasound, and MR), dual energy CT, and imaging technology for hepatic lesion detection and characterization. Dr. Paulson has well over 200 articles published in the peer reviewed literature. As Chair, Dr. Paulson advocates for learners, faculty and the institution.

The Washington University PE Protocol: Lessons Learned in Two Decades

March 30, 2017 7:30 a.m. Duke North Room 2002

In 1997, I had the fear of doing the first pulmonary embolism (PE) protocol at the Mallinckrodt Institute of Radiology on-call. Since the introduction of this protocol in the literature and at our institution, we have seen the study gain wide acceptance. With its indication creep, the number of studies positive for PE has declined. This lecture will focus on the PE protocol in 2016 with focus on a diagnostic approach topulmonary emboli of all sorts (acute, chronic, iatrogenic, septic and neoplastic). Pitfalls in interpretation will also be included. The use of the PE CT will also be discussed in our hereditary hemorrhagic telangiectasia (HHT) center. We will end with a discussion on emerging trends and the role of other modalities.

Sanjeev Bhalla, MD

Professor of Radiology, Washington University, St. Louis

After completing his undergraduate coursework at Yale and his medical degree and internship at Columbia University in New York, Sanjeev moved to St. Louis for Radiology Residency at the Mallinckrodt Institute of Radiology (1995-1999). He completed a fellowship in Thoracic Imaging in 2000 and has been on staff at the Mallinckrodt Institute since. In 2007 he succeeded his mentor Start Sagel to become the section chief of the newly minted Cardiothoracic Imaging Section. He has been an assistant residency program director for the past 16 years and was recently named the Cardiothoracic Trustee for the American Board of Radiology. Sanjeev has been lucky enough to work with a phenomenal group of residents and fellows and is most proud of having won a teaching award every year since his fellowship.

Overcoming Physician Stress and Distress: How do we Take Care of Our Own? 

April 27, 2017 7:30 Duke North Room 2002

This talk will discuss the current drivers of physician stress and distress and then review the elements necessary to develop a successful physician mental health program.  We will review the importance of overcoming stigma and providing accessible and responsive services for both house staff and attending physicians. The talk will review data from our experience with the UNC Taking Care of Our Own Program and also discuss other models. We will also discuss a new emotional support program to address the impact of adverse patient events on physicians.

Samantha E. Meltzer-Brody, MD, MPH

Associate Professor of Psychiatry University of North Carolina, Chapel Hill

Dr. Samantha Meltzer-Brody, MD, MPH is Associate Professor and Associate Chair of Faculty Development in the Department of Psychiatry and Associate Vice Chair for Faculty Development in the Department of Pediatrics. She is the Director of the UNC School of Medicine Wellness Initiative and Director of the UNC Perinatal Psychiatry Program of the UNC Center for Women’s Mood Disorders. Since 2012, Dr. Meltzer-Brody is the founder and director of the UNC “Taking Care of Our Own” that works to address the epidemic of physician burnout.

Dr. Meltzer-Brody is also the recipient of multiple NIH-funded grants that investigate epidemiologic and genetic predictors of postpartum mood disorders. She maintains an active clinical practice in both perinatal psychiatry and physician mental health and has published over 100 manuscripts and book chapters