August 1999 Newsletter

President's Message

Thomas G. Steward, MD

sewardI am honored and pleased to have the opportunity to serve as the President of the Ohio State Radiological Society for the coming year. Over the past two years prior bulletin articles have emphasized the organization and structure of the Ohio State Radiological Society. Many have summarized national and state issues including the ACR work on compliance, as well as numerous issues regarding state and federal legislative and regulatory actions. State and National Political Action Committees have been discussed.

As an organization, the Ohio chapter of the ACR has been having moderate overall success. As leaders of this organization, we constantly discuss the needs of the members, and what new ideas or concepts might increase membership and enthusiasm.

This year s state meeting held in Cincinnati was the most successful state annual meeting in many years. By responding to membership needs we featured nationally known speakers in Mammography over a two day period to provide 15 category CME credits. Quality and cost effective CME pushed the attendance of this meeting to well over 200. The radiology residents from around the state were treated to an interesting evening with ACR leadership (Neil Templeton, M.D., and Gary Price) at the meeting as well. The radiation oncology program information went out late this year. For that we apologize, and plan improvement next year. On that note mark your calendar now for next year, May 19-21, 2000. The Columbus meeting will take care of your ultrasound CME needs. We anticipate Cleveland 2001 will repeat the mammography needs and Cincinnati 2002 will provide focused MRI CME. Please continue to tell us what your state society can do for you!

Increased membership and improved communication are two goals for next year. I would like to grow our membership to nearly 100% of the eligible radiologists in the state of Ohio. To do this we need to maintain relevance to our membership. Aside from the obvious need for functioning committees especially legislative and state government regulation, three other areas of benefit need to be stressed regarding our organization.

1. The gathering of radiologists statewide three times a year provides invaluable formal and informal interactions creating relationships to discuss very real local problems throughout the state. The mechanism of dealing with these problems and the experience in solving them creates valuable networks of communication between radiology groups around the state.

2. The evolution of our political system as a significant vehicle in driving the future practice of radiology is readily apparent. The legislative committees at the Ohio State Radiological Society provided information to the legislators with basic lobbying efforts. However, the OSRS must have a political action committee to allow a vehicle where real dollars can provide real access to political figures in our state. Many of our perceived competitors in the political arena give 10% or more of their income per year to this effort. This issue is also emphasized nationally with the development and needs of the American College of Radiology s Radiology Advocacy Alliance (RAA). The RAA is the vehicle that is introducing a national PAC for radiology.

3. The third area of relevance to our members is in the very important concept of giving volunteer time and energy back to your profession for the long-term greater good of radiology and medicine for your patients. Time constraints are great for all of us. Certainly maintaining the quality of your profession should be high on your list of interests.

Aside from membership levels in the OSRS near 100% for all licensed radiologists in the state of Ohio. I would also like to ask each member to consider whether they or any member of their group or community has the background to consider fellowship to the American College of Radiology. This special honor is afforded to less than 10% of radiologists around the country and I suspect many in the state of Ohio are qualified. Please call the state chapter number or E-mail us if you need more information. Also, please note in the bulletin a summary of the guidelines for fellowship.

Also, communication between the OSRS and our membership will be dramatically improved with the new E-mail address provided here (OSRS@OSMA.org) and described in another article elsewhere in the bulletin. This will be a valuable tool to communicate with state leaders and executive council members.

Please send in the enclosed card with this bulletin with your E-mail address. Please also amend addresses and consider including both a business and a home address starring (*) your preferred mailing address. I also would like to encourage younger physicians in the state in all geographic areas to consider membership at the executive council level. Serving on committees or subcommittees is an excellent way to be more active in your state society. The OSRS attempts to include all interested physicians from all geographic areas. This is an excellent way to gain experience toward ACR fellowship. E-mail us or contact your counselors in your area for further information.

Also, please put on your calendar if possible, the 75th ACR Annual Meeting in Washington, D.C., September 25-29, 1999. A 75th anniversary party is planned Sunday, September 26, 1999 that will be quite exciting.

Silver Medal Winner

silver-medal

R. Terryll Frey, MD, of Cincinnati, was presented the Silver Medal Award at the OSRS Annual Meeting on May 2, 1999, which was held at the Westin Hotel in Cincinnati. This is the Ohio State Radiological Society’s highest award. Dr. Frey and his wife Michelle have two children, Amy and Gregory.

Dr. Frey began his career in radiology at Good Samaritan Hospital where he has remained, serving as Director of Radiology since 1991. In 1989 Dr. Frey was elected Secretary of the OSRS. After this two year term and one year as president-elect, he became OSRS President in 1990 and has served as a councilor or alternate councilor for the last 15 years as a member of the executive council of the Ohio State Radiological Society.

Dr. Frey is also active in the Greater Cincinnati Radiological Society, serving as secretary-treasurer, vice-president, and as the president in 1985.

Dr. Frey is active at the national level serving The American College of Radiology. He is currently a member of the Economics Commission and has been a member of the Council Steering Committee since 1995. Dr. Frey is an outstanding, dedicated radiologist respected by his peers.

Photos from the 1999 Meeting

Attention OSRS Members!

The Ohio State Radiological Society now has e-mail. If you, as a member, have any questions please e-mail the OSRS Headquarters at osrs@osma.org.These questions will go directly to one of the executive council members. We will do our best to answer your questions in a timely manner.

Join Today and Support Your ORSPAC

ORSPAC will help OSRS develop positive political relationships with individual legislators and political organizations. ORSPAC will allow organized Radiology in Ohio to present a unified voice when addressing important issues before the state legislature and state government agencies. ORSPAC will also add financial support to OSRS lobbying efforts in Columbus.

Radiologists must be players, not victims, in today’s political arena. To accomplish this we must take advantage of all the tools available to defend and promote Radiology’s best interest at the local, state and national levels.

If you would like to help support Ohio Radiology as a player in the Ohio political arena, mail your check today to:

ORSPAC
c/o Billie Fiori, Treasurer
88 East Broad Street, 9th Floor
Columbus, OH 43215

  • $200 Club Membership ($200 or greater donation)
  • Sustaining Membership ($75 or greater donation)
  • Resident Membership ($10 or greater)

Note:
All contributions must be by personal check.
Contributions to PAC organizations are not tax deductible.

In Memory of...

The OSRS wishes to express our deepest sympathy for the loss of our friend and colleague,

Steven L. Mayes, MD
Toledo.

Report of the Committee on Physics and Radiation Safety

George W. Callendine, Jr., PhD Jerome G. Dare, PhD, MS

I. The Ohio Department of Health has two rules outstanding which will affect the practice of Radiology: the hospital quality assurance program for X-Ray use and the comprehensive licensure of all medical radioactive materials use.

Although a QA program is required at free-standing imaging centers, a similar program for hospital is still in draft.

The use of NARM [Naturally-occurring and accelerator produced radioactive materials] which had previously required registration for medical use in the state is now subjected to licensure at an added cost. In addition the medical use of byproduct materials, radioactive material produced by nuclear reactor or recovered from fission byproducts, is currently under the jurisdiction of the US Nuclear Regulatory Commission. In the near future, the ODH will be assuming this authority.

The first directive was issued by Division of Quality Assurance, Bureau of Diagnostic Safety & Personnel Certification, Radiologic Technology Section within the Ohio Department of Health.

II. Regarding the first item, Ms. Margaret Cipkala Wanchik, chief of the Radiologic Technology Section, has graciously responded to expound on above and spend additional time to dwell on other threats to Ohio radiologists and medical physicists.

From ODH, a DRAFT Regulatory Guide Entitled: “Establishing a Hospital Quality Assurance Program for Radiation-Generating Equipment”:

Questions and Answers:

  • Question: What is the suspense date for comments on this document?Answer: The document is past the comment period.
  • Question: When will it become effective?Answer: The document became a rule 10/98.

This same section has been accepting applications for “Certified Radiation Expert (CRE).”

A person can apply in any one, two or three subspecialties of Therapeutic, Diagnostic Other than Mammography, and/or Mammography. Individuals certified by American Board of Radiology or American Board of Medical Physics will be required to submit a copy of his/her certificate with the application to obtain CRE status. Individuals possessing a Master’s degree in physics, radiological physics or medical physics must, in applying, included transcripts and records along with training and experience. The section continues to accept applications from persons without a degree who had conducted a practice as a “Qualified Radiation Expert” before 10/14/94 for at two [2] years period without any above mentioned credentials to grand fathered into the CRE classification.

Questions and Answers:

  • Question: When will the grand fathering of unqualified individuals cease?Answer: That period terminated 12/31/98.
  • Question: Must the survey be performed by a CRE or in the presence of a CRE or under the direction of a CRE? Must the CRE be on site?Answer: Individuals under a CRE can be on site alone
  • Question: Will the state inspectors be certified byAnswer: a. ABR b. ABMP c. ABHP d OTHERS: At least FDA training.

III. Mr. Roger Suppes is the chief, Bureau of Radiation Protection. Within ODH, the bureau is situated in the Division of Prevention. He has consented to an opportunity to brief us on radioactive materials management in the state of Ohio.

Questions and Answers:

  • Question: How many sites have received APRM license with Ohio?Answer: The numbers are growing in excess of 200 but agreement status will bring in more.
  • Question: When will Agreement state status be achieved?Answer: Summer of 1999.
  • Question: Have the tasks for Committees #38 #39 and #40 been completed?Answer: The tasks for these committees are ongoing.

Committee on Physics and Radiation Safety

George W. Callendine, Jr., PhD Jerome G. Dare, PhD, MS

Report to the Executive Committee Meeting of April 30, 1999. The state of Ohio will become an Agreement State, effective July 19, 1999. The Department of Health, through the Bureau of Radiological Health, will assume the management of programs formerly administered by the U.S. Nuclear Regulatory Commission. Institutions may merge their NCR-type and their Ohio Naturally Occurring Radionuclide licenses after July 19 by amendment.

The Bureau of Radiological Health within the Department of Health for the State of Ohio has recently reorganized to unify their directives. The umbrella organization called the Bureau of Radiological Health with Roger Suppes as the director is the authority for ail uses of radiation-producing machines and radioactive materials. One division will be responsible for X-ray, both medical [hospitals, clinics, medical offices, imaging centers, mobile units, etc.] and industrial. Another division will be responsible for industrial and medical nuclear material licensing and inspections for naturally occurring and accelerator produced radionuclides.

Just as it is important that the radiologists speak with one voice it is important that medical physicists in Ohio be unified when dealing with regulatory agencies. We are in the process of securing the names of all medical physicists who live and/or work in Ohio. The American College of Radiology is collating all physicists in Ohio who are members of the College. Listings of the Ohio physics members of the American Association of Medical Physicists, in the Penn-Ohio and Ohio River Valley chapters of the AAMP have be secured. The Cleveland Area Medical Physicists and other physicists who may not be members of the ACR or AAPM are being collected. A process will be developed to bring all Ohio medical physicists together. An organizational meeting is proposed for summer 1999 to be held at the OSRS office location.

Fellowship Committee Report

The following Fellowship nominations from Ohio were approved by the Board of Chancellors of the ACR. These members will receive their Fellowship at the 1999 Annual Meeting of the American College of Radiology in Washington, D.C., on September 28,1999:

  • Charles C. Church, MD
  • Charles F. Lanzieri, MD
  • Chonggi L. Mah, MD
  • Drake Richey, MD
  • Daniel Singer, MD

One Fellowship nomination was deferred for two years:

  • R. Terrell Frey, MD FACR

Radiation Advisory Council Report

S. Christopher Lee, M.D.

  1. Agreement state with NRC for radioactive material will be signed by later June or early July.
  2. Bureau of Radiation Protection of ODH will be in charge of radioactive material and X-ray program. The Bureau is also working for quality control for free standing imaging centers and radiation oncology facilities.
  3. There will be fee increase for inspection and registration of X-ray machines. It will be $10.00 more than previous fees.
  4. There are 114 certified radiation experts registered in state of Ohio. There are about 13000 licenced X-ray technologists in state of Ohio and about 25% of technologists are general machine operators.

Nominating Committee

The following names were placed in nomination for the respective offices: A motion was made to elect the nominations by acclamation.

Officers

  • President: Thomas G. Seward, MD
    Cincinnati
  • President-Elect: Daniel Singer, MD
    Toledo
  • Secretary: Thomas Poulton, MD
    Canton
  • Treasurer: Robert L. Tyrrell, MD
    Cincinnati
  • Immediate Past President: George Belhobek, MD
    Cleveland

Councilors

  • George Belhobek, MD
  • Pearl J. Compaan, MD
  • Frederich Dengel, MD
  • R. Terrell Frey, MD
  • Kathryn G. Gardner, MD
  • Robert H. Hamor, MD
  • Samuel L. Hissong, MD
  • Stanley B. Ignatow, MD
  • S. Christopher Lee, MD
  • Frank McWilliams, MD
  • Gunvantray Mehta, MD
  • John O. Olsen, MD
  • Thomas B. Poulton, MD
  • Linda Reilman, MD
  • Thomas Seward, MD
  • Daniel Singer, MD
  • Robert L. Tyrrell, MD
  • Steven R. Zeidner, MD

Treasurer's Report

Dr. Robert Tyrrell reported the society had a balance on hand of $85,927.44.

Secretary's Report

The minutes of the January executive council meeting offered by Dr. Daniel Singer were approved.

Membership Committee

New Members:

  • Jay K. Costantini, MD
    Hamilton
  • Tamara Suzanne Martin, MD
    Toledo
  • Shu-Jane Shen, MD, PhD
    Obelin

Transferred out of state:

  • Emily Lance Averbook, MD
    North Carolina
  • Douglas M. Frye, PhD
    Indiana
  • Seung Shin Hahn, MD
    New York
  • Virginia C. Poirier, MD
    Florida
  • Helen E. Sponseller, MD
    Wisconsen

Transferred to Ohio:

  • Philip Francis Murphy, MD
    Chagrin Falls, Iowa

Retired:

  • Daniel T. Bolovan, MD
    Toledo
  • Howard H. Feigelson, MD
    Wyoming
  • Paul J. Raglow, MD
    Walbridge

What is the Medicare Carrier Advisory Committee?

In early 1990, Congress created the Carrier Advisory Committee (CAC) working with state Medicare Carrier.

The purpose of the CAC is to provide a formal mechanism for physicians in the State to be informed of and participate in the development of a local medical review policy (UIRP) in an advisory capacity.

The CAC also provide a mechanism to discuss and improve administrative policies that are within Carrier discretion.

The CAC also provides a forum for an informational exchange between the Carrier and physicians.

The CAC is composed of physicians, representatives from state medical and osteopathic societies, national medical societies, Medicare managed care organizations, clinical laboratories, State Hospital Associations, representative of beneficiary, Association representatives of administrative practices (AGPA, MGKA) and congressional staff and staff from the HCFA.

Physician representatives are from Most of the various medical specialties. Currently general radiology, radiation oncology and nuclear medicine representatives are invited to Ohio CAC meetings.

The CAC holds quarterly meetings, CAC members receive the policies and agendas in advance of each meeting. The “INPUT to the new policies from all levels of physicians is very important for future Payment of physician service to Medicare patients.

In the near future, OSRS will utilize the internet to seek your “INPUT” and encourage your participation.

Morgan McBeeAugust 1999 Newsletter