wisconsin radiological society newsletter1 wisconsin radiological society esletter • .i-rad.org...

1 Wisconsin Radiological Society Newsletter • www.wi-rad.org • Spring 2019

Greetings! Your Wisconsin State chapter of the American College of Radiology hopes this first newsletter of 2019 finds its members in good health after enduring a winter punctuated by the January polar

vortex. The spring thaw is finally upon us, just in time for the 70th Annual WRS Spring Meeting taking place on Saturday April 13, 2019 at the American Club in Kohler, WI. This year’s meeting will build upon the success of last year in which there was record attendance both of practicing radiologists and residents. For those in attendance, it was a great opportunity to catch up with many colleagues from across the state. As in the past the program will consist of engaging lectures focusing on both traditional didactics and economics/policy. This year, for the first time, our program will also include a series of robust didactic sessions for radiation oncologists. Our ACR keynote speaker, Dr. Matt Hawkins, will provide the annual ACR update, discuss coding and reimbursement in radiology, and incorporating IR into clinical radiology practice. Our other keynote didactic series speaker, Dr. Lincoln Berland, will be speaking on ACR incidental findings guidelines and their application. The radiation oncology breakout sessions will presented by Medical College of Wisconsin radiation oncologists Dr. Candice Johnstone, Dr. William Hall, and Dr. Lindsay Puckett. Additional information including links to the meeting brochure and registration for this year’s meeting can be found in this newsletter and on the WRS website. I hope to see you in Kohler!

2018 was another busy year for the WRS government relations team headed by Dr. Gregg Bogost and the WRS lobbyist, Michael Blumenfeld. With their guidance and dedication, over the years our team has developed a good working relationship with the Wisconsin Medical Society government relations. In

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President’s MessageTyler Prout, MDWisconsin Radiological Society President

WISCONSIN RADIOLOGICAL SOCIETY NEWSLETTER

Derrick Siebert, MD – Newsletter Editor Spring Issue • 2019

President’s Message continued on next page

CONTENTS:President’s Message

pages 1-3

We See You! Increasing the Visibility of Radiation

Oncology in the Wisconsin Radiologic Society

page 3

WRS Honors Patrick Turski, MD, FACR, Flaherty Lifetime

Achievement Award pages 4-5

New and Revised CPT Codes for Radiology in 2019

page 6

ACR New Fellows pages 7-8

Legislative Update pages 9-10

Resident’s Corner page 10

WRS Committee on Diversity Chartered

page 11

Paul A. Larson Leadership Fund pages 12-13

2019 WRS Annual Meeting page 13

In Memoriam: Eric B. Wilson, MD

pages 14-15

From the Desk of the Editor page 15

WRS Members 20+ Years page 16

2018-19 Board of Directors page 17

Thank You WRS Sponsors! page 18


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addition, we have fostered relationships with key state legislators. These efforts have enabled the WRS, on multiple occasions, to be aware of issues that can affect the practice of radiology in Wisconsin earlier than others. The value of being “early” on legislative issues cannot be overstated. A recent example is breast density notification laws. In 2017, state Representative Mike Rohrkaste (R-Neenah) approached the WRS asking for guidance on this issue. He was considering introducing breast density notification bill at the request of a constituent who was diagnosed with advanced breast cancer after dense tissue masked the tumor on her mammogram. Our team, which also included breast radiologists Dr. Jennifer Bergin of Radiology Waukesha, SC and Dr. Mai Elazaby of UW-Madison department of radiology, worked closely with Rep Rohrkaste’s office for over a year on the issue. I want to especially thank them both for their expertise and generous donation of time. Although the WRS remained neutral on the legislation, we anticipated a strong likelihood that the bill would pass and continued to work throughout the process. We testified at State Assembly hearings presenting both pros and cons of breast density legislation. As a result of our efforts the WRS was able to favorably influence language in the bill requiring patient notification while minimizing institutional burden and preventing more prescriptive language. The bill passed and was signed into law on April 5th, 2018. Wisconsin is the 35th state to pass breast density legislation. Another key government relations victoroy in July 2018 was restoration of the $750,000 cap on non-economic damages. The Wisconsin Supreme court reversed the 2016 appellate court’s ruling that the caps were unconstitutional. Following the 2016 appellate court’s ruling several medical groups, including WRS, committed resources and submitted an amicus brief asking the Wisconsin Supreme Court to take the case and rule that the non-economic damages cap is reasonable. Your membership in the WRS and the WRS advocacy team played a role in this decision. Over the past 5-10 years the trend for healthcare related economic and policy issues has been at the federal level (i.e. MACRA, PAMA, SGR repeal) but is now shifting to greater emphasis on state level issues (i.e. scope

of practice, reimbursement cuts, DBT coverage, and out of network billing, etc.) Consequently, an engaged and effective government relations team will be more important than ever moving forward. In preparation for greater state level activity Dr. David Youmans, MD FACR, Chair of the ACR Radiology Advocacy Network (RAN), is ramping up an initiative increasing state advocacy support from the ACR. There will be greater interstate networking of RAN champions sharing their collective knowledge and experience. By sharing details of work the WRS has done on behalf of Wisconsin radiologists, my hope whether still in residency or established in your practice, it may stimulate interest in radiology advocacy and encourage you to join our team. You can also learn more about the RAN at https://cqrcengage.com/acradiology/home?1

I commend current Resident Section President, Dr. John Swietlik, for spear-heading a resident focused introductory lecture series on healthcare economics, policy, and practice management issues. This lecture series kicked off last fall with a lecture on radiology advocacy. A second lecture was presented by UW medical physicist Tim Szczykutowicz, PhD entitled “Compliance with ACR and Joint Commission Requirements for CT.” These lectures were webcast to other residency programs around the state and recordings are available on the WRS website under the RFS section. The increasing contributions and engagement I see from our resident section instills great confidence that, in the hands of these future leaders, the best days of radiology are ahead.

The WRS, like the ACR, celebrates diversity. To that end the WRS leadership has proposed a bylaw amendment, for the formation of our own chapter committee on diversity, to be voted on at the spring meeting. Pending approval, the committee goals will be: to increase awareness, recognize the value of diversity, and improve the participation, representation, and contribution of women and minorities to the practice of radiological professions in Wisconsin. I am indebted to the current ad hoc committee co-chairs Dr. Candice Johnstone and Dr. Lori Mankowski Gettle who have been instrumental in the organization of this effort. I am confident


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their able leadership and passion will make this a success. Along the same line, the WRS is actively seeking out underrepresented groups in our chapter. A proposal has been forwarded, and will be voted on at the spring meeting, for the creation of a radiation oncology committee within the WRS. The goals of this committee are: to provide greater rad-onc representation within the chapter, greater access to WRS leadership, to develop resources

for advocacy on behalf of radiation oncologists, to provide networking opportunities, and finally mentorship and educational opportunities to WI radiation oncologists. Exciting times are ahead for the WRS and the ACR. I am grateful for the opportunity to serve as your president for the past year. I am confident in the future of the WRS and our profession as I hand over the gavel to our next set of leaders.

Several new initiatives sponsored by the WRS board of directors are aimed at increasing the relevance of the WRS to radiation oncologists

and increasing the involvement of radiation oncologists in the WRS and ACR.

Radiation Oncology Break-out Session at the Annual MeetingNew this year at the Wisconsin Radiological Society’s Annual Meeting is a Radiation Oncology Break-out session. This session will present three topics relevant to practicing radiation oncologists and radiation oncology residents. This two-hour session will feature three radiation oncologists from the Medical College of Wisconsin. CME credit will be earned for attendance.

Dr. Lindsay Puckett’s “A Hearty Discussion – Cardiac Assessment and Guidelines for Radiation Therapy” will focus on cardiac assessment and follow-up of patients who have had chest radiation. Dr. William Hall will discuss “Pancreatic MR-Guided Radiation Therapy, a window into the Image Guided Future.” Dr. Candice Johnstone will discuss, “Anatomy of the

Brachial Plexus and Heart – Tips for Contouring.” Please plan to join us and encourage your residents and colleagues to attend as well!

Announcing the formation of a Radiation Oncology SubcommitteeThe WRS Radiation Oncology Subcommittee is tasked with identifying the major issues facing Radiation Oncology in Wisconsin and to pursue solutions to these issues. This committee will foster education, mentorship, and networking among radiation oncologists and hopes to increase the number of radiation oncologists involved in WRS and ACR and in leadership locally and nationally. If you are interested in becoming a member of this committee, contact the current WRS President and/or President-Elect.

Radiation Oncology Resident goes to WashingtonDr. Saryleine Ortiz de Choudens has been selected as one of two resident representatives of the WRS at the 2019 ACR Annual Meeting. She will join the WI delegation and participate in the Resident and Fellow activities at the ACR.

We See You! Increasing the Visibility of Radiation Oncology in the Wisconsin Radiologic SocietyCandice Johnstone, MDWisconsin Radiological Society Alternate Councilor


WRS Honors Wisconsin Radiologist, Patrick Turski, MD, FACR with its highest honor, the Flaherty Lifetime Achievement AwardDerrick Siebert, MD Wisconsin Radiological Society Newsletter Editor

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The Wisconsin Radiological Society’s Lifetime Achievement Award, known as the Flaherty Award, is designed to recognize the career

achievements and outstanding contributions to the Profession of Radiology by physicians practicing in Wisconsin. It is selected for demonstrated contributions to the advancement of medical practice and lengthy volunteer service in leadership roles which reflect with distinction upon the Practice of Radiology in Wisconsin.

Dr. Turski was born in East St. Louis, Illinois in August 1950. He attended Assumption High School and fondly recalled his favorite summer job unloading refrigerator trucks. “Going between the below zero temperatures of the freezer truck, into the hot Illinois summer, and back into the storage freezer was quite an invigorating experience,” Patrick recalled. He remained in Illinois for undergrad at the University of Illinois where he graduated Summa Cum Laude with a B.S. in Chemistry. In addition he was named an Edmund James Scholar during his time as a Fighting Illini.

For medical school Patrick moved to Chicago where he attended Rush Medical College. He chose medicine because he enjoyed the challenge of patient care and wanted a career that could make a difference in peoples’ lives. Early in his training Dr. Turski realized the power of medical imaging. “Modalities such as CT and MRA provide the most objective and accurate information in medicine,” Patrick remarked.

Internship and Residency were completed at the University of Wisconsin Hospitals and Clinics in Madison. While an intern he met Dr. Joe Sackett, a neuroradiologist who introduced Patrick to the field and convinced him to pursue this as a career. In addition Dr. Charlie Strother, one of the pioneers

of interventional neuroradiology, also demonstrated the value of endovascular therapy to Pat. Neuroradiology fellowship was completed at the University of California in San Francisco. Fellowship program director, Dr. T. Han Newton strongly encouraged Dr. Turski to excel in the field and was noted as one of Patrick’s significant mentors. In addition, while a fellow, he was awarded a neuroradiology Research Fellow Grant at the Centre International des Etudiants Medecins Paris France, under the supervision of Dr J. Vignaud in Paris and Dr. G. Salomon in Marseilles from July-Dec 1980.

Following fellowship Pat returned to the University of Wisconsin where he spent the remainder of his career. One of the things that drew Patrick back to Wisconsin was the strong vascular imaging research program led by Medical Physicist Chuck Mistretta, PhD. During his 37 years in Madison Dr. Turski accomplished a great deal. From 1986-93 he was named the Chief of MRI, from 1993-96 he was the Division Chief of Neuroradiology, and from 1995-2005 he was the John Juhl Professor and Chairman of the Department of Radiology. During his career Dr. Turski has written 150 peer reviewed articles, 25 book chapters, 1 monograph on MRA, 1 book on MRA, and has been invited as a lecturer to meetings across the globe.

In addition to his career and academic achievements Dr. Turski has also been involved with the WRS, ACR, and other professional organizations. The WRS


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has been fortunate to have Patrick as a member since 1984 and it’s President in 2003. Within the ACR Dr. Turski was recruited by Dr. Arliss Pollack to work on the first CPT codes for MRA in the early 1990s. Through both the ASNR and ACR he worked on these and other codes and wound up being chair of the ASNR Heath Economics committee for 7 years. Ultimately the MRA codes were presented to the RUC and CMS and have been in effect ever since, largely unchanged since their adoption. In addition he was the ASNR representative to the ACR commission on neuroradiology and drafted the ACR Standards & Guidelines for MRA of the head and neck. Of note Patrick has been involved in the last 3 revisions of these documents.

Since retiring Pat and his wife Deborah, a pathologist, have decided to spend the winters in Tucson, AZ. The 4 seasons of golf were a big draw. In addition to golf Patrick enjoys tennis, blues guitar, and sailing on Lake Mendota. They have two grown children, Michael who is an Attorney working in Chicago and Megan who works for Tekada Pharmaceuticals in La Jolla, CA.

The list of accomplishments attributable to Dr. Turski is extensive. This short article does not do justice to an illustrious career spent in caring for patients, researching for the betterment of the field, and

working with professional organizations to ensure the future of the profession. When asked what advice he has for young radiologists Patrick replied, “Always maintain your optimism and humor. Good things happen from positive thinking.” The Wisconsin Radiological Society would like to congratulate Dr. Patrick Turski on his accomplishments and achievements during his career by presenting him with its highest honor, The Flaherty Lifetime Achievement Award. It is well earned.

The Flaherty Award is named after its first recipient, Dr. Timothy Flaherty, M.D., FACR, a true luminary in the field of Radiology, who provided inspiration to generations of Wisconsin Radiologists with career achievements including past Presidency of the both the WRS and Wisconsin State Medical Society, representation of Wisconsin Radiology as AMA Board of Trustees Chairman, JCAHO Board Member, Wisconsin Air National Guard General, and Chairman of the physician-owned Wisconsin Malpractice Insurance Company all while serving the Neenah area throughout an outstanding 50 year Radiology career.

Previous awardees include Dr. Flaherty, James Youker, M.D., FACR, Andrew B. Crummy, Jr., M.D. FACR, J. Frank Wilson, M.D. FACR, FASTRO, and Paul A Larson, M.D., FACR.


New and Revised CPT Codes for Radiology in 2019Tim Crummy, MD, FACRWRS Councilor and Member of the ACR Council Steering Committee

Diagnostic Radiology Fine Needle Aspiration Codes:

10021, Fine needle aspiration biopsy, without imaging guidance; first lesion and 10004 for each additional lesion biopsied without imaging guidance.

10005 Fine needle aspiration biopsy, including ultrasound guidance; first lesion and 10006 each additional lesion biopsied with ultrasound guidance.

10007 Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion and 10008 each additional lesion biopsied with fluoroscopic guidance.

10009 Fine needle aspiration biopsy, including CT guidance; first lesion and 10010 each additional lesion biopsied with CT guidance.

10011 Fine needle aspiration biopsy, including MR guidance; first lesion and 10012 each additional lesion biopsied with MR guidance.

Breast Magnetic Resonance Imaging with Computer-Aided Detection:

There are 4 new breast MRI codes for 2019. Two codes are for breast MRI without contrast and two codes are for breast MRI without and with contrast. All of the codes bundle computer-aided detection, when it is performed as part of the procedure.

Ultrasound Elastography: There are 3 new codes for ultrasound elastography, including 76981 Ultrasound, elastography; parenchyma (eg, organ); 76982 first target lesion; and 76983 each additional target lesion.

Contrast-Enhanced Ultrasound: There are now codes are available for reporting ultrasound using dynamic microbubble sonographic contrast administration to evaluate lesions: 76978 Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion and 76979 each additional lesion with separate injection.

Magnetic Resonance Elastography:Magnetic resonance elastography can be reported using 76391 Magnetic resonance (eg, vibration) elastography.

Per the usual coding cycle, these codes were written in 2017 and became effective on January 1, 2019. This is the standard time necessary for the codes to be written approved by the CPT Editorial Committee, valued by the Relative Value Update Committee (RUC) (pronounced “ruck”), accepted by CMS, and published in the CPT book.


The WRS Congratulates 3 New Fellows of the American College of RadiologyDerrick Siebert, MDWisconsin Radiological Society Newsletter Editor

One of the highest honors the ACR can bestow on a member in good standing is recognition as a Fellow of the American College of Radiology.

ACR Fellows demonstrate a history of service to the College, organized radiology, teaching, and/or research. Only 10 percent of College members have been awarded this honor. Fellowship is awarded to diagnostic radiologists, radiation oncologists, interventional radiologists, medical physicists, and nuclear medicine physicians at the Convocation held during the ACR annual meeting. Every year the Wisconsin Radiological Society nominates candidates to the ACR. The degree of Fellow of the American College of Radiology (FACR) has been conferred on the following Wisconsin radiologists listed below who have been approved and elected by the ACR Board of Chancellors:

Fellow: Donna Blankenbaker, MD Dr. Blankenbaker, MD, is a Professor of Radiology and musculoskeletal radiologist at the University of Wisconsin School of Medicine and Public Health where she has practiced since 2001. Donna completed medical school at the University of Nebraska. She completed both her radiology residency and accredited musculoskeletal imaging fellowship at the University of Wisconsin in Madison. She is the Medical Director of Outpatient Radiology for the University of Wisconsin School of Medicine and Public Health and Director of Medical Imaging at UW Health Sports Medicine Research Park.

Donna has made significant contributions to the field of MSK radiology. She has over 70 peer reviewed articles, over 60 book chapters, edited 2 books, and hundreds of presentations to her credit. Dr. Blankenbaker has won

numerous awards for her work including: Outstanding teacher of the year in the UW Department of Radiology, Magna Cum Laude and Cum Laude awards at the RSNA, and Outstanding Medical Student teaching awards. She has served as the Musculoskeletal Section Editor for the American Journal of Roentgenology (AJR) since 2008. Dr. Blankenbaker is the Secretary for the Society of Skeletal Radiology and serves on many hospital, national, and international committees.

In her free time Donna loves to travel. She has been to all 7 continents and seeks out travel to far flung and remote places. In addition, she enjoys hiking, cycling, skiing, kayaking, and other outdoor activities.

Fellow: Carolyn Haerr, MD Dr. Haerr is a Clinical Associate Professor at the University of Wisconsin School of Medicine and Public Health where she has been practicing since 2002. In addition she is the Lead Interpreting Radiologist for Mammography at Unity Point Health-Meriter Monona Clinic, a position she has held since 2013. Carolyn completed medical school at the University of Nebraska. Following medical school she completed a pediatrics residency at the University of Colorado and was a pediatric emergency room physician for 3 years in Denver, CO. Dr. Haerr decided to pursue a career in radiology and completed her training at Presbyterian/St. Luke’s Hospital in Denver, CO. This was followed by a musculoskeletal fellowship at Mallinckrodt in St. Louis, MO.

Carolyn served as the Chief of MSK radiology at UW Madison for 5 years. In addition she has given numerous lectures, presentations, and has been

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heavily involved in numerous quality and patient care initiatives. In her free time Carolyn and her husband enjoy seeing their two young adult children. She also enjoys reading, travel, and art.

Fellow: Peter Hanson, MD Dr. Hanson is a Diagnostic and Interventional Radiologist with Medical X-Ray Consultants in Eau Claire, WI where he has practiced since 2001. Peter completed medical school at the University of Iowa. Residency was at the University of Utah in Salt Lake City, UT where he was elected Chief Resident. An interventional

radiology fellowship was completed at the University of Pennsylvania in Philadelphia.

Peter has been involved in the leadership of the WRS since 2013 when he was elected as a Director at Large. Since that time he has served as Alternate Councilor, Secretary/Treasurer, Vice President, and currently President-Elect. He will start as WRS president after the WRS Spring Meeting this year. In addition Peter is involved in medical governance on a local level currently serving as Chair of the Department of Radiology at Sacred Heart Hospital in Eau Claire, member of the Medical Executive Committee, Medical Staff Vice-President, member of the Performance Improvement Committee, and a member of the Quality Care Committee.

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Image courtesy of the Texas Radiological Society


After roughly 8 years of one-party control, Wisconsin now has divided state government. Democratic Governor Tony Evers and the

Republican-controlled State Legislature are still trying to figure out how to work together.

Governor Evers spent most of his first two months in office touring the state and working on his proposed 2019-21 budget, which he introduced on February 28. Proposals of interest to WRS are discussed below.

Out of Network Billing

Pressure is building at the State and Federal level to address patient concerns when receiving bills from hospital providers who are out-of-network, with “surprise” costs passed on to the patient. WRS, the Wisconsin Medical Society, the Wisconsin Society of Anesthesiologists, and the Wisconsin Chapter of American College of Emergency Physicians met with former Governor Walker’s Office of Commissioner of Insurance (OCI) to provide input from physicians’ perspective and combat insurance industry proposals which would cap physician payments near Medicare levels. Due to the change in administration, the status of Wisconsin-specific legislation is unclear at this time.

On the federal level, President Trump’s administration said that addressing surprise medical bills is a top priority. A bi-partisan group of federal lawmakers say they plan to release legislation within the next several months to address the issue.

The American College of Radiology joined 100 other medical groups in supporting a set of joint principles related to surprise billing legislation released by the American Medical Association (AMA) in February. AMA Principles include:

• Strong state and federal oversight and enforcement of network adequacy standards.

• Limiting patient cost-sharing for unanticipated medical bills to in-network rates.

• Requiring patients to be notified in advance of anticipated out-of-pocket costs when scheduling care with out-of-network providers.

• Any limits on what out-of-network providers are paid should reflect actual charge data for the same service in the same geographic area from a statistically significant and wholly independent database.

• Physicians should be provided with direct payment/assignment of benefits from the insurer rather than putting the patient in the middle.

State Budget

Governor Evers’ proposed state budget includes the following items of interest to WRS. In order to become law, these items will need to be approved by the Legislature and signed into law by Governor Evers. Republican leaders in the Legislature have said that they oppose many of Evers’ major budget proposals such as Medicaid expansion. The two sides will need to compromise on the funding plan in order for it to be signed into law. The next step in the budget process is for the Joint Finance Committee to hold public hearings across the state, likely in April.

Medicaid Expansion: Accepts federal funding to expand the BadgerCare income eligibility threshold from 100% of the Federal Poverty Level to 138% of the Federal Poverty Level. The Evers administration estimates that this will result in 82,000 individuals gaining coverage and produce a savings of $324 million over two years.

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Legislative UpdateGregg Bogost, MD, FACRChair Legislative Committee of WRS and Erin Fabrizius Blumenfeld and Associates


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Increased Payments to Critical Access Hospitals: Increases disproportionate share, hospital access, critical access and other payment rates for hospitals serving a large number of Medicaid recipients by $367 million over two years.

Health Care Reform: Enacts a series of health care reform proposals, including protections for individuals with pre-existing conditions, essential health benefit coverage requirements and coverage of preventive

services without cost-sharing. This includes requiring Wisconsin health plans to cover mammography, colorectal cancer screening, annual tomography for lung cancer screening and other procedures without deductibles, co-pays or co-insurance.

Reinsurance Program: Provides $200 million in total funding for Wisconsin’s reinsurance program which provides payments to insurers for covering high-cost individuals on the federal marketplace exchange.

My name is John Swietlik. My involvement with WRS began during my first year of residency. I received a recommendation to

attend the annual spring WRS meeting to learn more about the background of politics, healthcare, and economics as it affects the practice of Radiology. The meeting piqued my interest, and I decided to become involved and learn more. I was asked to become the Vice President of the Resident and Fellow Section (RFS) in 2017. In April 2018, I had the honor to be elected President of the RFS of the WRS.

During my time as RFS president I have worked to increase the awareness and information other trainees have regarding WRS and ACR through a grassroots movement. This has involved electing resident representatives from the four radiology residencies in the state. The representatives act as liaisons and communicate WRS and ACR information to each program. Additionally, we have implemented a WRS lecture series on the healthcare economics and policy. These lectures meet the ACGME requirement for resident education on systems-based practice, an area often lacking in radiology training. Our goal is that the increased exposure and education residents receive

will result in increased involvement with the WRS and ACR during their career.

In May of 2018 I had the pleasure to attend the ACR annual meeting in Washington DC, thanks to the WRS travel scholarship. The scholarship afforded me the opportunity improve my understanding of the healthcare policy and economics that affect the field of radiology, and to gain exposure into what the WRS and ACR are doing to shape how those areas affect the future of the field. Part of this experienced included attending “Hill Day”, where the WRS contingent traveled to capitol hill to meet with the teams of State Senators Ron Johnson and Tammy Baldwin, along with multiple State Representatives. Throughout my time in Washington I was able to get first-hand experience of what advocacy at both the national and state level is able to accomplish.

My experience as WRS-RFS President at the ACR annual meeting reiterated the importance of involvement with both the ACR and WRS. It is important to ensure radiologists have a seat at the table that their voice is heard on topics that will affect the future of the profession.

Resident’s CornerJohn Swietlik2019 WRS Resident and Fellow Section President


WRS Committee on Diversity Chartered Candice Johnstone, MDWisconsin Radiological Society Alternate Councilor

According to the Association of American Medical Colleges (AAMC), women have comprised approximately 50% of the medical

school student body since the early 2000’s.1 However, 1 in 3 radiologists and 1 in 10 radiology department chairs are women.2 Similar proportions are seen in radiation oncology. Research has noted a general trend in academic medicine that women are less likely than men to attain senior-level positions for a variety of reasons.3 Reasons noted by researchers include: implicit bias and discrimination, constraints of traditional sex roles, lack of effective mentors, and unequal allocation of resources. In addition there is a lack of outside professional activities and positions of influence for women. 4

Underrepresented minorities comprise 15% of medical school graduates but only 8% of radiology residents. Reasons for the decreased representation of minorities in radiology and radiation oncology likely overlap with challenges faced by women including lack of exposure to the specialty, lack of mentorship, and unconscious bias.5

Many studies show benefits of a diverse workforce, for example increased productivity and faculty retention.6,7,8 Medical literature also demonstrates that a more diverse workforce benefits patient care and lowers overall cost.9,10 Given the data, it is important for radiology and radiation oncology to increase the diversity of its workforce and leadership to better serve referring physicians and patients.

The WRS Committee on Diversity was formed to identify major issues facing women and underrepresented minority Radiology and Radiation Oncology professionals in Wisconsin. Under the guidance of the ACR and WRS this committee will

promote the success of women and minorities in Radiology and Radiation Oncology. The committee aims to increase the number of women and minorities in the profession as well as in local and national leadership by fostering education, mentorship, and networking opportunities for women and minorities in radiology and radiation oncology. This committee will be co-chaired by Drs. Candice Johnstone and Lori Mankowski Gettle. Please contact the WRS president or president-elect if you are interested in joining this committee.

References:1. https://www.aamc.org/download/481178/data/2015table1.pdf

2. https://www.aamc.org/download/481206/data/2015table11.pdf

3. Carr PL1, Raj A, Kaplan SE, Terrin N, Breeze JL, Freund KM. Gender Differences in Academic Medicine: Retention, Rank, and Leadership Comparisons From the National Faculty Survey. Acad Med. 2018 Jan 30. doi: 10.1097/ACM.0000000000002146. [Epub ahead of print]

4. Jagsi R, Guancial EA, Worobey CC, Henault LE, Chang Y, Starr R, Tarbell NJ, Hylek EM. The “gender gap” in authorship of academic medical literature--a 35-year perspective. N Engl J Med. 2006 Jul 20;355(3):281-7.

5. JACR 2014 Vol11 No8 Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology Prt 2.

6. Hong L, Page SE. groups of diverse problem solvers can outperform groups of high-ability problem solvers. Proc Natl Acad Sci U S A 2004;101:16385-9.

7. Catalyst. (2007). The Bottom Line: Corporate Performance and Women’s Representation on Boards.

8. Cropsey KL, Masho SW, Shiang R, Sikka V, Kornstein SG, Hampton CL; Committee on the Status of Women and Minorities, Virginia Commonwealth University Schoolof Medicine, Medical College of Virginia Campus. Why do faculty leave? Reasons for attrition of women and minority faculty from a medical school: Four-year results. J Womens Health (Larchmt). 2008;17: 1111–1118.

9. Cohen JJ, Gabriel BA, Terrell C. The case for diversity in the health care workforce. Health Aff (Millwood). 2002;21:90–102.

10. Wallis CJ, Ravi B, Coburn N, Nam RK, Detsky AS, Satkunasivam R. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study. BMJ. 2017; 359:j4366. doi: 10.1136/bmj.j4366.


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Paul A. Larson Leadership Fund

The Paul A. Larson Leadership Fund recognizes Dr. Larson’s lifetime contribution to the practice of radiology, service to the American

College of Radiology (ACR), and Wisconsin Radiological Society (WRS).

The leadership grants are to be awarded under the direction of the Oshkosh Area Community Foundation as approved by the Paul A. Larson Fund Board of Directors, to applicants and/or members of WRS including but not limited to Members-In-Training and full/active members in good standing, who apply for financial support to further the educational and leadership needs of WRS and ACR, on both a local, state, and national level.

Contribution Levels

A donation of any amount is greatly appreciated, and all contributions are tax deductible. To be acknowledged by the society for your contribution, please consider donating at one of the following levels:

Group Platinum ........ $10,000Gold............... $5,000

Silver ............. $3,500Bronze ........... $2,500

Individual Platinum ........ $2,000Gold............... $1,000

Silver ............. $750Bronze ........... $500

How to Donate

All checks written to the Paul A. Larson Leadership Fund MUST list the following:

Payable to: Oshkosh Area Community FoundationMemo: Paul A. Larson Leadership Fund

Donors should send checks directly to the WRS Office:

Wisconsin Radiological Society (WRS)6737 W. Washington St., Suite 4210Milwaukee, WI 53214

The Oshkosh Area Community Foundation is not able to accept/cash checks endorsed to the Wisconsin Radiological Society on behalf of the Paul A. Larson Leadership Fund.

2018 Paul A. Larson Leadership Fund Donors

• Paul and Peg Larson• A.G. Bharatkumar, MD• Radiology Associates of Appleton, S.C.• Living Well Foundation, Inc. (Radiology Associates

of the Fox Valley, S.C.)

Highlights of Dr. Paul Larson

Dr. Larson completed residency in Diagnostic Radiology at St. Vincent Hospital in Worcester, MA. He came to Wisconsin for Fellowship in Angiography and Interventional Radiology at the Medical College of Wisconsin before joining Radiology Associates of the Fox Valley.

Dr. Larson served over 20 years on the Board of the WRS including as President in 2005-6 and as Chair of the Fellowship Committee from 2007-17, during which time the WRS had one of the highest per capita number of new ACR Fellows. He was ACR Councilor from 2001-6 during which time he served on the ACR


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Council Steering Committee. He then joined the ACR Board of Chancellors as Chair of the Commission on Quality and Safety from 2006-12. Dr. Larson was elected Vice-President of the ACR and also served as observer to the Canadian Association of Radiologists in 2012-13. His service to the ACR also includes 4 years on the ACR Executive Committee and 3 years on the Budget and Finance Committee.

Dr. Larson is also involved in technologist education. He served on two American Registry of Radiologic Technology (ARRT) exam committees starting in 1992 and in 2014 was elected to the ARRT Board of Trustees. He is currently President of the ARRT through July 2019 and will remain on the Board through 2022. He also served on the Board of Directors of the Joint Review Committee on

Education in Radiologic Technology from 1995-2001, including 5 years as Secretary-Treasurer. He was Chair of the RSNA Associated Sciences Committee from 2000-3.

Dr. Larson’s other activities include membership on the Board of Directors of the Wisconsin Medical Society since 2015, 3 years on the American Board of Radiology Non-interpretive Skills Committee, and multiple hospital committee positions and chairmanships. He served 12 years on the Board of the Oshkosh Youth Soccer Club and 6 years on the Board of the Oshkosh Area United Way (OAUW), including as President. He and his wife, Peg, were the Campaign Co-Chairs for the 2018 OAUW campaign, which set a record for funds raised.

Saturday, April 13, 2019The American Club Resort

419 Highland Dr. Kohler, Wisconsin 53044

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Wisconsin Radiological Society

70TH ANNUAL MEETING

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In Memoriam: Eric B. Wilson, MD, FACRPaul A. Larson, MD, FACR

Former WRS President Eric B. Wilson, MD, FACR died in Oshkosh in November 2018 at age 80. Dr. Wilson was born in Carrollton,

IL where his father was a General Practitioner. He developed an early interest in science and medicine. He completed his undergraduate and medical school studies at the University of Illinois followed by internship at Milwaukee County Hospital. After 2 years in the Army, he completed residency in radiology at University Hospital in Madison. Following a brief stint as an instructor in Madison and a fellowship at the Armed Forces Institute of Pathology in Washington, DC, he was recruited by Dr. Timothy Flaherty, with whom he trained and worked with in Madison, to join Beatty and Associates (later Radiology Associates of the Fox Valley). Dr. Wilson practiced with that group from 1970-1997, primarily at Mercy Medical Center in Oshkosh.

Dr. Wilson was a major leader at local and state levels and was influential at the national level. He served on the Wisconsin Radiological Society Board of Directors from 1982-1995 and was President during a critical time in 1989 when the first relative value scale was being implemented. The Eastern Wisconsin region was set up for poor reimbursement due to errors in calculations by the Health Care Financing Administration (forerunner of CMS). Through his efforts, the errors were corrected, earning him the nickname of “The Bulldog.”

Dr. Wilson served as an ACR Councilor from Wisconsin from 1990-1995 during an important time of reorganization and democratization of the ACR. He was a leader in those efforts with Radiologists from DC and Minnesota. At the time, their advocacy was not appreciated by some of the ACR leadership, but they earned grudging respect. A high-ranking

former ACR staff member once referred to Dr. Wilson as “Eric the Terrible,” a clear sign that he made a difference. He became an ACR Fellow in 1995. Through the efforts of Dr. Wilson and others, much of the ACR leadership is now chosen in contested elections by the Council. Those positions include: Speaker, Vice-Speaker, much of the College Nominating Committee, Council Steering Committee, and a few members of the Board of Chancellors.

Dr. Wilson was an early proponent of advanced imaging both in his own practice and more broadly. Due to his efforts Mercy Medical Center was the first area hospital to offer diagnostic ultrasound (1975) and CT (1977). As CT, and later MRI, developed he realized that many facilities, especially in smaller communities, would not have enough patient volume to afford their own equipment. Through his work as an early President and long-time board member of Shared CT Services (later Shared Medical Services), many patients and physicians throughout Wisconsin enjoyed the benefits of local imaging through mobile scanners on trucks before their facilities were ready for in-house equipment. This concept continues today in many locales with PET/CT scanning.

Based on his research, especially with Drs. Eklund and Cardenosa in Peoria, IL, Dr. Wilson brought the concept of a “breast care center” to Oshkosh before those centers became basic components of most institutions. At a time when most radiologists wind down their careers, he worked to improve his own skills in breast imaging and brought image guided breast biopsies to the practice. The success of the center at Mercy Medical Center undoubtedly led to their proliferation in northeast Wisconsin.

In Memoriam continued on next page


From the Desk of the EditorDerrick Siebert, MD Wisconsin Radiological Society Newsletter Editor

In Memoriam continued from previous page

Dr. Wilson made many other important contributions in Oshkosh and beyond. In particular, he was one of the founders of the Mercy Health Foundation. He served on the Board for 15 years including 3 as President, and was the first Emeritus Member of the Board. He was also President of the Mercy Medical Center Staff and the Winnebago County Medical Society, a delegate to the state medical society from 1983-1991, and a member of the Mercy Board of Directors from 1987-1995. He was Chair of the American Cancer Society (Wisconsin) breast cancer detection project.

Outside of medicine, Dr. Wilson was a trustee or board member of many local organizations including the Oshkosh Chamber of Commerce and Firstar Bank (now part of US Bank). In recognition of his extensive activities, Dr. Wilson received the Wisconsin Medical Alumni Distinguished Service Award.

Dr. Wilson’s survivors include his wife of 54 years, Marilyn, two children, Andrew and Amber, and his brother Stuart, a prominent retired surgeon at Medical College of Wisconsin. He is missed by many, but his legacy lives on, including for many who never met him.

Thank you for taking the time to read the latest Wisconsin Radiological Society Newsletter. I hope the information contained in these

pages has been of value to our membership; not only to learn about what the society is doing, but also to learn about other members. I would like to thank all the members who took the time to write an article for the newsletter. It makes my job a lot easier to have others write about subjects they are familiar with or have an interest in. If you have any

ideas for articles in upcoming newsletters or would like to write an article yourself please contact me at, [email protected]. I would also like to thank Kelli Slominski, the Account Coordinator for the Wisconsin Radiological Society. Whenever I needed any important pieces of information she had it to me in record time! I look forward to seeing many of you at the WRS Annual Meeting in Kohler this April. Again, please contact me if you have any ideas or suggestions for the newsletter.


Wisconsin Radiological Society Members 20+ Years James C. Aceto, MDJames Richard Andersen,

MDRichard Joint Baker Jr.,

MD, FACRKathleen M. Baus, MD,

FACRStephen M. Bejvan, MDHarold F. Bennett, MD,

PhD, FACRJames J. Beres, MDDennis James Bielke, MDGregg A. Bogost, MD,

FACRHarry M. Brammer III,

MDMichael A. Braun, MD,

FACRLynn S. Broderick, MD,

FACRBenjamin George

Broghammer, MDChristopher J. Canitz,

MDGuillermo F. Carrera,

MD, FACREdward J. Chesna, MDWingate F. Clapper, MDJames S. Collison, MDPatrick D. Conway, MD,

FACRPeter A. Cooley, MDRobert P. Cronin, MDMark W. De Clute, MDParesh B. Desai, MD

Shobha P. Desai, MDBeth A. Erickson-

Wittmann, MD, FACRHenry K. Feider, MDW. Dennis Foley, MD,

FACRGregory A. Francken,

MDJohn R. Gassner, MDJames Joseph Geraghty,

MDLynn M. Gilles MDElizabeth M. Gore, MDPaul John Grebe, MD,

FACRDavid Christopher Gregg,

MDGregory M. Grewe, MDThomas M. Grist, MD,

FACRSteven M. Gryniewicz,

MDCraig A. Hackworth, MDStephen James Handrich,

MDMalcolm K. Hatfield,

MD, FACRJohn S. Heighway, MDJoseph A. Heitz, MDLloyd E. Hendrix, MDJohn A. Jerisha, MDMack A. Karnes, MDMichael E. Kehoe, MD,

FACR

Frederick Kelcz, MD, PhD, FACR

James Gerard Kirschbaum, MD

Gregory Joseph Knudson, MD

Randall K. Kohlhase, MD

Paul A. Larson, MD, FACR

Colleen A. Lawton, MD, FACR

Fred T. Lee Jr., MD, FACR

Brian T. Lipman, MDThomas J. Lisk, MDBrian Edward Lundeen,

MDPaul Madsen, MDBrian R. Manske, MDJohn C. McDermott, MD,

FACRJulie K. Mitby, MDRobert John Monette,

MDAlan S. Muraki, MDMartin Nelson, MDCarl E. Olson, MD,

FACRDavid L. Olson, MDJohn S. Pallin, MDJane Cary Pallin, MDWilliam J. Pao, MD,

FACRJohn K. Park, MD

Pamela Ann Propeck, MD, FACR

Scott D. Rand, MD, PhDLawrence J. Reif, MDMark F. Rich, MDAlessandro R. Rossi, MDChristopher J. Schultz,

MD, FACRTimothy Herbert Seline,

MDEric R. Sover, DOEdward William St. Ville,

MDJohn Craig Stien, MDTimothy L. Swan, MD,

FACRRobert J. Swoboda, MDJohn Archer Terrell, MDJames A. Toniolo, MDMichael J. Tuite, MD,

FACRJohn Lipscomb Ulmer,

MDMark S. Wadina, MDJohn Warner, MD, FACRDarryl M. Washa, MDDebra A. Wiedmeyer,

MDJohn F. Wochos, MSRandal Zabrowski, MD


PresidentTyler Prout, MDUniversity of Wisconsin, Dept. of [email protected]

President-ElectPeter Hanson, MDMedical X-Ray Consultants, [email protected]

Vice PresidentNewrhee Kim, MDUniversity of Wisconsin, Dept. of [email protected]

Secretary/TreasurerDerrick Siebert, MDRadiology Associates [email protected]

BOARD OF CENSORS

Paul Grebe, MD, FACRAurora Medical Group Imaging [email protected]

Joseph Budovec, MD Medical College of Wisconsin, Dept. of Radiology

[email protected]

Susan Rebsamen, MD, FACRUniversity of Wisconsin Medical, Dept. of Radiology

[email protected]

COUNCILORS TO THE AMERICAN COLLEGE OF RADIOLOGY

Newrhee Kim, MDUniversity of Wisconsin, Dept. of [email protected]

Peter Hanson, MD, FACRMedical X-Ray Consultants, [email protected]

Tyler Prout, MDUniversity of Wisconsin, Dept. of [email protected]

Timothy Crummy, MD, FACRMadison Radiologist, [email protected]

Joseph Budovec, MD Medical College of Wisconsin, Dept. of Radiology

[email protected]

Eric Dorn, MD, FACRWisconsin Radiology Specialists, [email protected]

Paul Grebe, MD, FACRAurora Medical Group Imaging [email protected]

ALTERNATE COUNCILORS

Cristopher Meyer, MD, FACRUniversity of Wisconsin, Dept. of [email protected]

Candice Johnstone, MDMedical College of [email protected]

Jennifer Bergin, MDRadiology Waukesha, [email protected]

Meghan Hanson, MDGreen Bay Radiology, [email protected]

Mary Ellen Jafari, MSGundersen Health [email protected]

Ian Weissman, DO, FACRMilwaukee Veterans Affairs Medical [email protected]

Stacy O’Connor, MDMedical College of [email protected]

Douglas Davis, MD, PhDMadison [email protected]

DIRECTORS AT LARGE

Andrew Schemmel, MDUniversity of Wisconsin Hosp & [email protected]

Adam Zorn, MDMedical College of [email protected]

Meghan Hanson, MDGreen Bay Radiology, [email protected]

Ian Weissman, DO, FACRMilwaukee Veterans Affairs Medical [email protected]

Jennifer Bergin, MDRadiology Waukesha, [email protected]

Lori Mankowski Gettle, MD, MBAUniversity of Wisconsin, Dept. of Radiology [email protected]

Neil Kennedy, MDMadison Radiologists, [email protected]

A.G. Bharatkumar, MD, FACRMilwaukee Veterans Affairs Medical [email protected]

Frank Thornton, MD, FRCSUniversity of Wisconsin Medical Foundation

[email protected]

RESIDENCY AND FELLOW SECTION

President: John Swietlik, MDUniversity of Wisconsin Hosp & [email protected]

Vice-President: Eric Smith, MDMedical College of [email protected]

BOARD OF DIRECTORS 2018-2019


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