ABNM-ABR Proposal Principles • New single training pathway – 3 DR + 2 NM – with multiple entry points (undefined) – NM/DR certificate under ABR • ABNM Dissolution – NR fellowship dissolution (including ABR-NR CAQ) – Single NR trustee replaced by NM/DR trustees (number and make-up undefined) Jadvar
ABNM-ABR Proposal Timeline • April 3, 2015 – Original TF letter describing the proposal – Published in JNM August 2015 • April 8, 2015 – ABNM-ABR-SNMMI leadership conference call • June 3 -5, 2015 (Annual Meeting) – HOD informed – SNMMI letter (signed by PH) not supportive of proposal due to lack of detail, mailed to ABNM and ABR Exec Dirs – SNMMI & SNMMI-TS survey established soon after • July 17, 2015 – SNMMI received response letter from ABNM along with FAQ Jadvar
ABNM-ABR Proposal Timeline • July 24, 2015 – ABNM, ABR (MG), and SNMMI leadership meeting during ACR-ISC meeting, Tabernash, CO • August 17, 2015 – HOD conference call • August 24, 2015 – BOD conference call • September 9, 2015 – -HOD conference call • September 18, 2015 – Joint SNMMI-ABNM BOD conference call Jadvar
ABNM-ABR Proposal SNMMI Survey Summary • ~20% response rate (547 of 2695 full physician members) • ~80% US, ~20% international responses • ~80 -90% physician respondents (makes sense since they are most directly affected) • On average: ~55% “against” (either straight or agree with original non-supportive SNMMI letter); ~29% “for” the proposal • Board status seemed to predict decision (against/for): – ABNM only (n=199, 60%/17%) – Dual-boarded (n=90, 37%/50%) – ABR only (n=18, 17%/56%) • ABNM-only MDs most motivated (11: 1 compared to ABR only) to respond and felt disenfranchised by proposed ABNM dissolution Jadvar
ABNM-ABR Proposal Request for SNMMI Response • Need YES or NO answer to proposal (no shades of gray!) • Response by early October 2015 (ABR deadline, inflexible) • Learned critical features based on prior meetings: – ABNM dissolution is not negotiable and is prerequisite to move forward – 4 m NM during DR for full scope of practice: off the table – Single pathway geared toward recruitment from med school – No pathway for non-imaging specialists – No definition of “broad consensus” – No defined “exit strategy” Jadvar
ABNM-ABR Proposal Timeline (Cont’d) • September 30, 2015 – SNMMI letter sent to ABR and ABNM re BOD decision to decline proposal as presented – Invited broad stakeholder dialogue to address current challenges • November 6, 2015 – ABNM letter from Dr. Louise Thomson sent to diplomates – Published in December 2015 issue of JNM • December 2015 – SNMMI TF: “Pathways to the Future of Nuclear Medicine“ – Invitation letter sent to NM community stakeholders • January 30, 2016 – First meeting of the SNMMI TF Jadvar
Pathways to the Future of Nuclear Medicine • Goal: high-quality value-driven clinical nuclear medicine practice • 2 -step process • Step 1 (NM community representatives) – SNMMI leadership, Academic Council, Young Professionals Committee, ABNM, ACNM, NMRO, ACGME (NM-RRC), NMPD • Step 2 (Radiology community representatives) – ABR, ACR, RSNA, Society of Chairs of Academic Radiology Departments, Residency Review Committee for Diagnostic Radiology, Association of Program Directors in Radiology Jadvar
Pathways to the Future of Nuclear Medicine Step I (NM Stakeholders) • SNMMI Leadership: Hossein Jadvar (President; TF Chair); Sally Schwarz (President-Elect); Bennett Greenspan (VP-Elect; TF Associate Chair) • SNMMI YPC: Erin Grady • SNMMI AC: David Brandon • SNMMI BOD: Vasken Dilsizian • SNMMI HOD: Leonie Gordon • SNMMI-TS: (Aaron Scott, Sara Johnson) • ABNM: Munir Ghesani (George Segall as observer) • ACNM: Patrick Colletti (Rathan Subramaniam as observer) • ACGME (NM RRC): Jon Baldwin • NMRO: Shana Elman • NMPD: Daniel Lee Jadvar
“Roundtable on the Future of Nuclear Medicine Training” Osborne JR, Beylergil V, Samitt C, Graham M; JNM December 2015 • Perspectives from a dual-certified physician-scientist, NM chief resident, NM leader, and neutral health care management consultant • Quotes: – “The beginning of wisdom is to call things by their proper name; choose a job you love, and you will never have to work a day in your life” (Confucius) – “A genuine leader is not a searcher for consensus but a molder of consensus” (Martin Luther King, Jr. ) – “The optimist sees the opportunity in every difficulty” (Sir Winston Churchill) – “In the middle of difficulty lies opportunity” (Albert Einstein) Jadvar
“Roundtable on the Future of Nuclear Medicine Training” Osborne JR, Beylergil V, Samitt C, Graham M; JNM December 2015 • “top-down strategy will not work; bottom-up rather than top-down” • “provider will need to think as retailers do and develop products that meet consumers’ needs” • “evolving from path of traditionalism as volume player to path of innovation and transformation as value leader” • “Real commitment and leadership will be required at the highest level of the SNMMI, the ABNM, and the ACGME, as well as collaborative efforts with their counterpart radiology organization” Jadvar
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