Maintaining the Public Trust - The American Board of Radiology

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ABR Foundation ReportPsychometrics and Evaluation Division Report(continued from Page 17)tests and produced technical reports for the majorityof those examinations. The division also produced aprocedural documentation on standard setting usingthe Angoff procedure and gave a presentation on theAngoff procedure and the hierarchy of learning at allABR test assembly meetings. Division staff participatedin numerous conference calls, including Category SteeringCommittee calls and calls with vendors regardingexam security matters.Practice analysis survey instruments for DR, radiationoncology (RO), and medical physics were developed;surveys were conducted; and results were reported tothe Board. A report on the DR practice analysis surveywas also prepared. Two articles on Certifying Examinationtransparency were published: one in the AmericanJournal of Roentgenology (DR) and one in the Journal ofthe American College of Radiology (RO). The division prepareda report on comprehensive evaluation, an internalanalysis of the ABR’s testing program. A study on thereliability of the RO oral examination was conducted,and results reported.Division staff attended psychometrics and testingmeetings conducted by the ABMS, the Association ofTest Publishers, and the American Educational ResearchAssociation. ABMS Member Boards were surveyedregarding their re-examination fees and reference policies.Finally, division staff began work on conversion toan Item Response Theory (IRT) scoring method.An ABMS program providing assistance in creatingappropriate certification exams has been launched inSingapore. ABMS boards in selected specialties havebeen offered the chance to review the training, certification,and healthcare delivery systems in Singaporeas a basis for making a decision regarding participationin this ABMS-International program. Trustee DennisBalfe, MD, assistant executive director for DR initialcertification, and Kay Vydareny, MD, AED for DR, haveperformed the evaluation for the ABR and recommendpursuing participation, conditional upon agreementto specified protections for the primacy of the ABR’smission benefiting patients and diplomates in the U.S.This progam has not financially impacted the ABR; infact, 10-year projections include a revenue stream thatshould help keep downward pressure on fees for U.S.candidates and diplomates.18by William R. Hendee, PhDChair, ABR FoundationBoard of Directors, 2009-2011The American Board of RadiologyFoundation (ABRF) hasbeen engaged in several productiveventures over the past year.In August 2010, the ABRF held itssecond multidisciplinary summitin White Flint, Maryland (asuburb of Washington, DC) on the topic of “ImprovingPatient Care through Effective e-Communication inImaging.” Invited speakers included:• William Crounse, MD, senior director of worldwidehealth for Microsoft Corporation;• Ronald Arenson, MD, chair of radiology and biomedicalimaging, University of California, San Francisco(UCSF);• Keith Dreyer, DO, PhD, vice chair of radiology (informatics),Massachusetts General Hospital;• Joel Goldwein, MD, senior vice president and medicaldirector, Elekta, AB; and• Kevin Grumback, MD, professor and chair of familyand community medicine, UCSF.On November 2, 2010, James Thrall, MD, president ofthe American College of Radiology, delivered the 2ndAnnual Steven A. Leibel, MD Memorial Lecture duringthe annual meeting of the American Society of RadiationOncology (ASTRO). The lecture was co-sponsoredby the ABRF and is given each year in recognition of themultiple contributions of Dr. Leibel to radiation oncologyand radiology, as well as his leadership as president ofthe ABR from 2004 to 2006.On August 1, 2011, the ABRF co-sponsored the LeibelLecture at the annual meeting of the American Associationof Physicists in Medicine in Vancouver, BritishColumbia. This year, the lecture took the form of asymposium on “Advanced IMRT Planning and Deliveryand Future Directions.”Last July, ABRF representatives participated in the IntersocietySummer Conference in Santa Fe, New Mexico,sponsored by the ACR. The topic was “The RadiologicalConglomerate: Optimizing the Structure and Functionof Our 50+ Radiological Societies.”The ABRF has produced 10 web modules on Ethics andProfessionalism, with the support of six organizations—
the American College of Radiology(ACR), the Radiological Society ofNorth America (RSNA), the AmericanSociety for Radiation Oncology(ASTRO), the American Associationof Physicists in Medicine (AAPM),the American Radium Society(ARS), and the ABR. The topics ofthe modules are:• Attributes of Professions andProfessionals• Physician-Physician and Physician-Patient Interactions• Personal Behavior, Peer Review,and Contract Negotiations withEmployers• Conflicts of Interest• Ethics of Research• Human Subjects Research• Vertebrate Animal Research• Relationships with Vendors• Publication Ethics• Ethics in Graduate and ResidentEducationCritical reviews of the modules wereprovided by members of two committees:the ACR-RSNA Committeeon an Ethics Curriculum and theACR Committee on Professionalism.The availability of the moduleson the RSNA website began inOctober 2011, with direct links tothe modules provided on websitesof the sponsoring organizations.The ABRF hopes to engage federalagencies in its efforts to improve thesafety and accountability of medicalimaging and radiation therapy.Members of the ABRF Board ofDirectors have discussed this objectivewith representatives of severalagencies, including the Centers forMedicare and Medicaid Services,the Food and Drug Administration,the Agency for Healthcare Researchand Quality, and the National CancerInstitute. Also, cooperation hasbeen explored between the ABRFand patient advocacy groups, includingthe National Patient SafetyFoundation and the MassachusettsCoalition for the Prevention ofMedical Errors.Consistent with its mission toimprove accountability to the publicin the medical use of radiation, theABRF is working on a collaborativeinitiative entitled “The Safe Use ofRadiation in Medical Imaging.” Thegoals of this initiative are (1) loweringthe frequency of preventableerrors and risks in radiation-basedprocedures, and (2) reducing themagnitude of unavoidable risksin radiation-based procedures.The ABRF views this initiative as amultidisciplinary effort to enhancethe value and reduce the risk of themedical use of radiation.In July 2011, several individualsfulfilled their commitment to theABRF Board of Directors: Robert E.Campbell, MD; N. Reed Dunnick,MD; Beth A. Erickson, MD; and C.Douglas Maynard, MD. New boardmembers are John D. Forsyth,MA, the first public member of theboard; Valerie P. Jackson, MD; R.Gilbert Jost, MD; Vijay M. Rao, MD;and Paul E. Wallner, DO. Also, GlennS. Forbes, MD, succeeded William R.Hendee, PhD, as chair of the Boardof Directors.The ABRF looks forward to continuedpursuit of its mission to improvepublic accountability and patientsafety in the medical use of radiation.Board of Directors(as of July 1, 2011)• Glenn S. Forbes, MD, ChairRochester, Minnesota• Richard L. Morin, PhDTreasurerJacksonville, Florida• Jennifer L. Bosma, PhDExecutive DirectorTucson, Arizona• K. Kian Ang, MD, PhDHouston, Texas• Dennis M. Balfe, MDSt. Louis, Missouri• Gary J. Becker, MDTucson, Arizona• James P. Borgstede, MDDenver, Colorado• John D. Forsyth, MADes Moines, Iowa• Bruce G. Haffty, MDNew Brunswick, New Jersey• William R. Hendee, PhDWhitefish Bay, Wisconsin• Valerie P. Jackson, MDIndianapolis, Indiana• R. Gilbert Jost, MDSt. Louis, Missouri• Vijay M. Rao, MDPhiladelphia, PennsylvaniaThe American Board of Radiology Foundation is a not-for-profit organization.Your contributions are fully tax-deductible. To make a donation, go to: www.abrfoundation.org/donate.html.• Paul E. Wallner, DOBethesda, Maryland19
Page 7 and 8: Throughout the year, consideringall
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