2021 ACR Annual Meeting Recorded Sessions

Shared Decision-Making (SDM) has been mandated by CMS for lung cancer screening CT since 2015. Although SDM is intended to be patient-centered, inconsistent and suboptimal decision guides may have led to a reduced uptake of lung cancer screening in the US. In this session, we will explore the current experience in SDM from a multi-disciplinary perspective and ways for us to improve it.

Learning Objectives:

1. Describe Shared Decision-Making and its role in lung cancer screening CT.
2. Identify the current pitfalls in the implementation of Shared Decision-Making.
3. Cite 2-3 ways in which Shared Decision-Making can be improved to better serve its patient-centered purpose.

Speakers:

• Matthew Cham, MD, Moderator
• Frederic W. Grannis Jr., MD
• Sheila Ross
• David Yankelevitz, MD
• Deborah S. Dyer, MD

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, reviewers and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Lindsay Scott, PT, DPT, ATC; Beverlee Carlisle; Lisa Gunderman; Matthew Cham, MD

The following faculty members have no financial relationships to disclose:

Frederic W. Grannis Jr., MD; Sheila Ross; Deborah Dyer, MD

The following faculty members (speakers, etc.) reported the following financial relationships or relationships to products or devices they or their spouse/partner have with commercial interests related to the content of this CME activity:

• David Yankelevitz, MD – Stock Shareholder: Accumetra; Consultant: Accumetra, Pfizer, Genetech; Royalty: GE Health

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This session will present a history and current overview of VA radiology with a focus on the innovative work that VA radiologists are doing to improve patient care across the Country.

Learning Objectives:

1. Summarize how ACR is partnering with VA radiologists to support and foster their mission.
2. Discuss how VA radiologists are innovating through national initiatives including national lung cancer screening, 3D-Printing, and Patient and Family-Centered Care.
3. Recognize the contributions that VA radiologists bring to elevating patient care across the Country.

Speakers:

• Eric B. Friedberg, MD, FACR, Moderator
• Lee Becker
• Eliot L. Siegel, MD, FACR
• Lucy B. Spalluto, MD
• Ian Weissman, DO, FACR

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Beverlee Carlisle; Lisa Gunderman; Eric B. Friedberg, MD FACR;

The following faculty members have no financial relationships to disclose:

Lee Becker; Eliot L. Siegel, MD, FACR; Lucy B. Spalluto, MD; Ian Weissman, DO, FACR

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This military-unique CME session provides a diverse educational experience on issues specific to the military radiology community distinct from civilian radiologists. The operational training that military radiologists routinely undergo primes them for not only imaging interpretation during times of combat, but how to operate imaging services in a wide range of less-than-optimal working conditions. This session explores three different difficult areas unique to the practice of a military radiologist and shares the “lessons learned” with the civilian radiology audience.

The first topic to be explored is setting-up field radiological services in disaster situations- a situation not typically encountered in civilian situations but which almost every military radiologist that deployed to a theater of operations in the last two decades is highly comfortable with. Specifically, how equipment and personnel are mobilized to provide imaging support in remote or hostile areas.

The second topic addressed is cybersecurity-detailing the unique threats military radiology information systems face and how information can be protected and enhanced. Lastly, the topic of elevated breast cancer rates amongst female service members in comparison to the general population will be explored, detailing the causes of this trend and the corrective actions being introduced to reduce its incidence.

Learning Objectives:

1. Identify challenges to setting up radiological services in field conditions outside the confines of a typical hospital setting.
2. Outline the most common types of cybersecurity threats impacting healthcare: cybersecurity attacks, data loss and theft.
3. Recognize the causes of elevated breast cancer rates amongst female service members, and how they can be reduced.

Speakers:

• Eric B. Friedberg, MD, FACR, Moderator
• Mohammad Naeem, MBBS, MD, FACR, Moderator
• Jennifer E. Nathan, MD
• Eric A. Roberge, MD
• Neris M. Nieves-Robbins, MD

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Beverlee Carlisle; Lisa Gunderman; Eric B. Friedberg, MD, FACR; Mohammad Naeem, MBBS, MD, FACR

The following faculty members have no financial relationships to disclose:

Jennifer E. Nathan, MD; Eric A. Roberge, MD; Neris M. Nieves-Robbins, MD

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The COVID-19 crisis has shined a spotlight on the health disparities and inequities that have been growing in populations that have not felt welcomed by the healthcare system. Many obstacles including socioeconomic factors, pre-existing medical conditions, and language and health literacy barriers, add layers of complexity to this already challenging public health crisis. As radiologists, we are uniquely positioned to recognize and work collaboratively to inspire changes that will help our patients - and ultimately the healthcare system - overcome these obstacles and create health equity.

In Part 1 of Leading the Way to Health Equity, radiology leaders, health equity advocates and patients will help us examine the current landscape in terms of the real impact on these populations while Part 2 will discuss the tools and strategies that are required for making real change.

Learning Objectives:

1. Describe factors that contribute to health disparities and how empathy in radiology care can catalyze health equity in radiology.
2. Define the various levels of racism and understand their historical roots and recognize how structural racism contributes to health inequity.
3. Recognize that addressing racism in all its forms is a prerequisite for achieving health equity in the United States.
4. Discuss Radiology’s role in achieving and promoting health equity.

Speakers:

• Johnson Lightfoote, MD, FACR, Moderator
• Geraldine B. McGinty, MD, MBA, FACR, Moderator
• Iris Catrice Gibbs, MD, FACR
• Lucy B. Spalluto, MD
• Efron J. Flores, MD
• Zahra Khan

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, reviewers and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Lindsay Scott, PT, DPT, ATC; Beverlee Carlisle; Lisa Gunderman; Johnson Lightfoote, MD, FACR; Geraldine B. McGinty, MD, MBA, FACR; Frank Lexa, MD, MBA, FACR; Lori Deitte, MD, FACR

The following faculty members have no financial relationships to disclose:

Lucy B. Spalluto, MD; Efron J. Flores, MD; Zahra Khan

The following faculty members (speakers, etc.) reported the following financial relationships or relationships to products or devices they or their spouse/partner have with commercial interests related to the content of this CME activity:

• Iris Catrice Gibbs, MD, FACR – Honoraria: Accuray, Inc.

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The COVID-19 crisis has shined a spotlight on the health disparities and inequities that have been growing in populations that have not felt welcomed by the healthcare system. Many obstacles including socioeconomic factors, pre-existing medical conditions, and language and health literacy barriers, add layers of complexity to this already challenging public health crisis. As radiologists, we are uniquely positioned to recognize and work collaboratively to inspire changes that will help our patients - and ultimately the healthcare system - overcome these obstacles and create health equity

In Part 1 of Leading the Way to Health Equity, radiology leaders, health equity advocates and patients will help us examine the current landscape in terms of the real impact on these populations while Part 2 will discuss the tools and strategies that are required for making real change.

Learning Objectives:

1. Describe a framework for advancing racial justice and equity in the health care arena.
2. Discuss the need to respect and engage the various health system’s departmental employees who often represent the target patient population.
3. Recognize that health equity begins with applying equity to how we move our employees, their families, communities, and our patients to the center.
4. Illustrate upstream drivers of health disparities and the action needed to promote health equity.

Speakers:

• Rajan T. Gupta, MD, Moderator
• Geraldine B. McGinty, MD, MBA, FACR, Moderator
• Frank A. Lexa, MD, MBA, FACR
• Raymond K. Tu, MD, FACR
• Karthik Shivashanker, MD, MPH, CPPS
• Jacqueline Anne Bello, MD, FACR

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Beverlee Carlisle; Lisa Gunderman; Geraldine B. McGinty, MD, MBA, FACR; Anne Marie Pascoe; Lori Deitte, MD, FACR

The following moderators reported the following financial relationships or relationships to products or devices they or their spouse/partner have with commercial interests related to the content of this CME activity:

• Rajan T. Gupta, MD – Consultant: Bayer Healthcare, Bard Biopsy Systems, Philips Healthcare, DxTx Medical.

The following faculty members have no financial relationships to disclose:

Frank A. Lexa, MD, MBA, FACR; Raymond K. Tu, MD, FACR; Karthik Shivashanker, MD, MPH, CPPS; Jacqueline Anne Bello, MD, FACR

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ACR analysis of peer reviewed literature, research study data, feedback from ACR membership and expert opinion led to the following gap: Physicians and other healthcare professionals consistently request up to date information on economic trends in radiology. Frequent requests include information on CPT/RUC activities including new and revised codes so that practices can maintain coding and billing compliance, as well as updates to overall Medicare Physician Fee Schedule payment trends so that practices can future plan and allocate resources appropriately.

Learning Objectives:

1. Demonstrate understanding of trends in radiology reimbursement, and trends driving payments downwards.
2. Describe Medicare procedural changes leading to changes in coverage decisions at the local practice level.
3. Explore complexities of obtaining reimbursement for artificial intelligence applications used to complement radiology workflow.

Speakers:

• Gregory N. Nicola, MD, FACR, Moderator
• Melissa L. Chen, MD
• Sammy Chu, MD, FACR
• Timothy A. Crummy, MD, FACR
• William D. Donovan, MD, MPH, FACR
• Lauren P. Golding, MD
• Kurt A. Schoppe, MD

Accreditation Statement

The American College of Radiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American College of Radiology designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits awarded for this enduring activity are designated "SA-CME" by the American Board of Radiology (ABR) and qualify toward fulfilling requirements for Maintenance of Certification (MOC) Part II: Lifelong Learning and Self-assessment.

CME Released: 6/17/2021
CME Expires: 6/16/2022

Disclosure of Conflicts of Interest

The ACR Disclosure Policy: In compliance with ACCME requirements and guidelines, the ACR has developed a policy for disclosure and review of potential conflicts of interest, and a method for resolution if a conflict does exist. The ACR maintains a tradition of scientific integrity and objectivity in its educational activities. In order to preserve these values and ensure its educational activities are independent and free of commercial bias, all individuals, including planners, presenters, moderators and evaluators, participating in an ACR educational activity, or an activity jointly provided by the ACR must disclose all relevant financial relationships with any commercial interest.

The following planners, managers, and moderators have no financial relationships to disclose:

Nazish Khaliq; Alexis LaCount; Beverlee Carlisle; Lisa Gunderman; Gregory N. Nicola, MD, FACR; Angela Kim

The following faculty members have no financial relationships to disclose:

Melissa L. Chen, MD; Sammy Chu, MD, FACR; Timothy A. Crummy, MD, FACR; William D. Donovan, MD, MPH, FACR; Lauren P. Golding, MD; Kurt A. Schoppe, MD

Access the recorded session

Instructions to Receive Credit
In order to successfully complete any of the above activities, participants must watch the recorded session, engage in the additional resources, and complete the activity post-test and evaluation. Participants must receive an 80% or higher score on the post-test. The participant has three attempts to pass the post-test and claim credit commensurate with their participation in the activity.

For information about the accreditation of this program, please contact the ACR at info@acr.org.