The Community-Based Academic Radiologist

Kalambo, Megan; Parikh, Jay R.

doi:10.1016/j.jacr.2018.06.021

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…5 However, mentorship may be limited in community-based academic settings, where faculty are uniquely accountable to productivity metrics typical of community hospitals as well as scholarly dissemination expectations of academic centers. 7 In addition, academic physicians in community-based settings far from their academic affiliate may find identifying local career advancement mentorship challenging. (3) to support fellow faculty in realizing professional success.…”

Section: Problemmentioning

confidence: 99%

Outcomes of a Peer Mentoring Circle: An Innovation to Improve Academic Physician Career Advancement in a Community Hospital Setting

Kaushik¹,

McCallin²,

Sedillo³

et al. 2022

Academic Medicine

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Problem Faculty retention is a prominent topic in academic medicine. Investment in faculty career development supports faculty vitality, advancement, and retention. Academic physicians in community-based settings far from their academic affiliate may find identifying local career advancement mentorship challenging. Approach In June 2018, a career advancement in-service day at The Children’s Hospital of San Antonio and Baylor College of Medicine in Houston was convened to design a peer mentoring circle (PMC). Using self-determination theory, this program aimed to help PMC members develop goals; schedule and attend regular meetings; format, review, and critique member curricula vitae and portfolios; and hold one another accountable to submitting award and promotion applications. Outcomes Eleven inaugural PMC cohort members attended regular monthly meetings from July 2018 to June 2019 (median, 6 members per meeting). All members were competent in accessing the PMC repository of materials. Statistically significant improvement (P < .01) was seen in self-reported knowledge and skills relevant to award or academic promotion support and resources. Compared with no patient care or teaching awards and 1 academic promotion among non-PMC faculty, 5 PMC members (45.5%) earned a patient care award, 4 (36.4%) earned a teaching award, and 5 of 10 faculty members (50.0%) achieved academic promotion (P < .001 for all). On the retrospective pre–post survey, members endorsed several PMC strengths, including personal and emotional support, professional support, and accountability. Next Steps Next steps include establishing a local faculty development office, convening a second cohort, revising evaluation methods, expanding membership, and offering 1-on-1 career counseling. Community-based academicians who aim to replicate this program should organize a career advancement and faculty development in-service day, identify local faculty members to manage meetings, retain a repository of resources, set deadlines and hold one another accountable to them, and celebrate achievements and support one another in failure.

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Section: Problemmentioning

confidence: 99%

Outcomes of a Peer Mentoring Circle: An Innovation to Improve Academic Physician Career Advancement in a Community Hospital Setting

Kaushik¹,

McCallin²,

Sedillo³

et al. 2022

Academic Medicine

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“…Attention has previously been drawn to the unbalanced representation of women in academia 41 and their disproportionate domestic burden. 1 , 16 , 17 Now, it is important to recognize the unprecedented challenges faced by female junior faculty during this pandemic. Medical societies and professional organizations are in a position to publish white papers and elevate support for inclusion of women.…”

Section: Strategies To Mitigate Delayed Promotion Of Female Academic ...mentioning

confidence: 99%

“… 14 Academic medical centers often expect faculty members to undertake clinical and/or basic science research alongside other scholarly activities. 15 , 16 And while there is variability from institution to institution, 1 , 17 research productivity is a key component scrutinized by promotion and tenure committees during review of academic radiologists' applications for academic promotion. 3 , 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Mitigating delayed academic promotion of female radiologists due to the COVID pandemic

Tso

Parikh

2021

Clinical Imaging

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“…The emergence of community based academic radiology (CBAR) practice [1] has paved the way for institutions to offer improved access to subspecialized radiology services in the community with the goal of improving disease outcomes through earlier stage detection and treatment [2]. The strategy for gaining and maintaining community market share has become largely patient driven, challenging health systems to adapt to the changing needs of the patient-consumer [2,3].…”

Section: Introductionmentioning

confidence: 99%

What Women Want: Real Time Results for Screening Mammography in the Era of Value-Based Care | A Single Institution Experience During the COVID-19 SARS-COV2 Pandemic

Kalambo,

Omofoye,

Cohen

et al. 2023

Asp Biomed Clin Case Rep

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Objective: Direct radiologist to patient communication has been linked to higher levels of patient satisfaction, compliance, and overall treatment outcomes. Recent studies examining patient expectations in breast imaging indicate that 90% of women prefer result communication and review of imaging directly from their radiologist. Though the primary components of diagnostic breast imaging are patient centered, supplemental data suggests that screening mammography result consultation may represent an additional opportunity for engagement in the new era of patient-experience driven care. The primary aim of our study was to examine patient preferences for receiving real time screening mammography result communication (RTRC) and characteristics that may influence their willingness to participate. Material and Methods: This quality-improvement based, IRB-approved, study was performed at three community-based academic breast radiology centers in a large metropolitan area between October 5, 2020, and January 2, 2021. Female patients presenting for screening mammography were invited to opt in for RTRC and/or participate in an electronic, HIPAA-compliant, simple survey that could be completed on the personal subject’s phone or tablet. Subjects opting in for RTRC were invited to wait in a consultation room during staff radiologist review. Once interpreted, the radiologist would discuss the results and next step recommendations with the patient. Self-reported patient demographic characteristics and RTRC preferences by age, race, ethnicity, level of education, household income, prior personal or family history of breast cancer, active (non-breast) cancer history and prior history of abnormal mammogram were assessed by categorical variable analysis using Chi-squared tests. A p-value <0.05 was determined to be statistically significant. Results: 1714 screening mammograms were performed across our three community-based breast imaging centers and 11% (186/1714) of women completed the survey during the study timeframe. White women (92%) were statistically more likely to opt in for RTRC when compared with non-white (80%) counterparts (p=.026). Patients with a personal history (p=0.001) or family history (p=0.006) of breast cancer were statistically more likely to opt in for RTRC when compared with other cohorts. A positive correlation was observed between prior history of abnormal mammogram and preference for receiving RTRC (93%) but did not achieve statistical significance (p=.082). There was no correlation observed between RTRC preference and an active (non-breast) cancer diagnosis (p=0.415). Conclusion: Our study confirms previous data suggesting that patients vastly prefer direct verbal communication ahead of written letter result notification. Our study also suggests that screening mammography RTRC may be of particular interest in patients with higher (personal or familial) risk for developing breast cancer. While this service may operationally add demand on radiologist-patient face time and cost to care delivery, an awareness of patient preferences and cohorts that may find value in this service option can be prioritized to optimize both patient experience and clinical workflow. Additional studies are warranted to further validate which practice models would achieve most benefit from this tailored service offering.

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The Community-Based Academic Radiologist

Cited by 9 publications

References 39 publications

Outcomes of a Peer Mentoring Circle: An Innovation to Improve Academic Physician Career Advancement in a Community Hospital Setting

Outcomes of a Peer Mentoring Circle: An Innovation to Improve Academic Physician Career Advancement in a Community Hospital Setting

Mitigating delayed academic promotion of female radiologists due to the COVID pandemic

What Women Want: Real Time Results for Screening Mammography in the Era of Value-Based Care | A Single Institution Experience During the COVID-19 SARS-COV2 Pandemic

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