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
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.
Imaging of Acute Gynecologic Emergencies
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.
Leadership: Why and How Not To Do It
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.”
Imaging and Physician Decision-Making: Insights Gained from Decision Science
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.
Duke Radiology: Current State and Direction Moving Forward
The Washington University PE Protocol: Lessons Learned in Two Decades
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.
Overcoming Physician Stress and Distress: How do we Take Care of Our Own?
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.