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Journal of the American College of Radiology (JACR)
Online CME Activity

Introduction

Released:  1/1/2009   CME Expiration: 12/31/2011

This educational program is presented by the American College of Radiology to encourage readers to think critically about issues in radiology and the broader field of medicine, to provide radiologists insight into improved practice and management techniques that will improve their practices, and to encourage radiologists' participation in practice management, organizational, and policy-related activities.

 

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

The American College of Radiology designates each online JACR CME educational activity for a maximum of 1 AMA PRA Category 1 Credit. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Intended Audience

Commercial Support

Instructions for CME/SAM credit

Hardware/Software requirements

JACR Articles with CME available

Questions


Intended Audience

Radiologists interested in the areas of clinical practice, practice management, education and training, and health services policy will find JACR and its CME activity helpful.


Commercial Support

The ACR has received no commercial support for this activity.


Instructions for CME/SAM credit

It is estimated that it will require 1 hour to read the material in this continuing medical education program and answer the self-assessment questions. After completing the reading, answer the quiz and activity evaluation questions. When you're finished, you will be able to print your CME certificate.

Step by step directions

1. Login and purchase the JACR Online CME activity by clicking the Buy Now button.

2. Go to the My Education Page (reached via the ACR Campus) and launch the CME for Journal Reading Activity in JACR [date].

3. Click the link to open and read the article [available in JACR or Online at this site.]

4. Complete the quiz questions about the reading material.

5. Claim CME credit

6. Complete the evaluation questions

7. Print your CME certificate


Disclosures of Significant Relationships with Relevant Commercial Companies/Organizations

The planning committee members listed below have indicated that they have no relevant financial relationships or conflicts of interest related to the presentation of these materials.

Bruce J. Hillman, MD, Editor-in-Chief

William M. Seebeck, ACR Education Department, Assistant Director

Betsy Colgan, JACR Managing Editor


Hardware/Software Requirements

The web-based CME activity requires a version 4.x web browser or newer and is best experienced using a current generation browser such as Internet Explorer 5.5/6.0 or newer. The required reading materials can be viewed using Adobe Acrobat Reader. 

Click here to check if you have Adobe Acrobat Reader installed.

Tip: If popups are blocked, hold down the Control Key and then click the link.

More information about the software described above is available by following this link: Free Adobe Acrobat Reader.


Questions?

Email us at acrcampus@acr.org  

Or call the Education Department

(800) 227-5463 ext.4040 


Journal of the American College of Radiology 
Online CME Activity

JACR Articles available for CME credit


March 2010 CME for Journal Reading Activity        
Why Radiologists Lose Their Hospital Contracts: Is Your Contract Secure?, Lawrence R. Muroff, MD.

The CME for this activity is valid from 03/1/2010 to 03/1/2011

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR March 2010, pages 180 - 186.

Radiologists are losing their hospital contracts in unprecedented numbers; wise groups proactively contemplate this possibility and take steps to avoid this problem.  

Objectives:
1.  To detail environmental changes resulting in radiologists losing their contracts with hospitals. 

2.  To teach readers how they can address the new imperatives of radiologist-hospital relationships to preserve their contracts. 

J Am Coll Radiol 2010;6:180-186. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available. 

After 'purchase' open MY EDUCATION PAGE to access this activity.  


February 2010 CME for Journal Reading Activity        
The 2009 ACR Forum: Health Care Payment Models, Richard B. Gunderman, MD, PhD, John A. Patti, MD, Frank Lexa, MD, MBA, Jeffrey Weinreb, MD, Bruce J. Hillman, MD, James H. Thrall, MD, Harvey L. Neiman, MD.

The CME for this activity is valid from 02/1/2010 to 02/1/2011

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR February 2010, pages 103 - 108.

It is important for radiologists to understand the implications of different health care payment models currently under consideration, and to play an active role in such policy discussions.  

Objectives:
1.  To help radiologists to better understand policy maker's   considerations in the design of health care payment models.

2.  To explain how new payment models other than the current fee-for-service method of reimbursement would affect radiologists' practices.

3.  To suggest how the American College of Radiology might help radiologists adapt to the changes imposed by new payment methodologies.

J Am Coll Radiol 2010;6:103-108. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  


January 2010 CME for Journal Reading Activity        
Breast Cancer Screening With Imaging: Recommendations From the Society of Breast Imaging and the ACR on the Use of Mammography, Breast MRI, Breast Ultrasound, and Other Technologies for the Detection of Clinically Occult Breast Cancer, Carol H. Lee, MD, D. David Dershaw, MD, Daniel Kopans, MD, Phil Evans, MD, Barbara Monsees, MD, Debra Monticciolo, MD, R. James Brenner, MD, Lawrence Bassett, MD, Wendie Berg, MD, Stephen A. Feig, MD, Edward Hendrick, PhD, Ellen Mendelson, MD, Carl D'Orsi, MD, Edward Sickles, MD, Linda Warren Burhenne, MD

The CME for this activity is valid from 01/1/2010 to 01/1/2011

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR January 2010, pages 18 - 27.

The Society of Breast Imaging and the Breast Commission of the ACR are issuing recommendations for the use of imaging to screen for breast cancer. 

Objectives:
1.  To make recommendations concerning the use of breast cancer screening technologies like mammography, MRI, and ultrasonography.  

2.  To disseminate the recommendations to improve breast cancer care. 

J Am Coll Radiol 2010;6:18-27. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available. 


December 09 CME for Journal Reading Activity        
Strategies for Managing Imaging Utilization, Mark Bernardy, MD, Christopher G. Ullrich, MD, James V. Rawson, MD, Bibb Allen Jr, MD, James H. Thrall, MD, Kathryn J. Keysor, BS, Christie James, MS, John A. Boyes, MD, MBA, Worth M. Saunders, MHA, Wendy Lomers, CPA, MBA, Daniel J. Mollura, MD, Robert S. Pyatt Jr, MD, Richard N. Taxin, MD, Michael R. Mabry, MA

The CME for this activity is valid from 12/1/09 to 12/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR December 2009, pages 844 - 850.

This paper reviews the growth of diagnostic imaging, both appropriate and inappropriate, and discusses various options for managing imaging utilization.

Objectives:
1.  To detail the problems associated with unncessary imaging.  

2.  To describe ways of reducing unnecessary imaging.

3.  To discuss the virtues and problems associated with different methods of dealing with unnecessary imaging.

J Am Coll Radiol 2009;6:844-850. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  

November 09 CME for Journal Reading Activity        
Self-Referral of Imaging and Increased Utilization: Some Practical Perspectives on Tackling the Dilemma, Donald H. Romano, MD

The CME for this activity is valid from 11/1/09 to 11/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR November 2009, pages 773 - 779.

CMS continues to have concerns with self-referral of imaging, but is unlikely to amend Stark rules soon to address them.  

Objectives:
1.  To detail issues related to non-radiologists owning imaging equipment from the perspective of a former CMS employee.

2.  To explain options that might address overutilization associated with self-referral.

3.  To address political influences that impinge on potential government actions regarding self-referral.

J Am Coll Radiol 2009;6:773-779. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  


October 09 CME for Journal Reading Activity        
Quantifying Radiation Safety and Quality in Medical Imaging, Part 3: The Quality Assurance Scorecard, Bruce I. Reiner, MD

The CME for this activity is valid from 10/1/09 to 10/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR October 2009, pages 694 - 700.

The goal of the quality assurance scorecard is the creation of a series of objective quality centric data, which can be standardized, integrated into existing technology, capture all elements within the imaging chain, and be used for meta-analysis in the creation of evidence-based medicine and best practice guidelines.  

Objectives:
1.  To encourage readers to establish objective quality measurements.

2.  To apprise readers of possible quality measurements applicable to radiology.

3.  To demonstrate how quality measurement can generate best practices that can be emulated by practices nationally to improve imaging care.

J Am Coll Radiol 2009;6:694-700. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  


 
September 09 CME for Journal Reading Activity        
Radiology Coding, Reimbursement, and Economics: A Practical Playbook for House Staff, W. Banks Petrey, MD, Bibb Allen Jr, MD, William T. Thorwarth Jr, MD

The CME for this activity is valid from 9/1/09 to 9/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR September 2009, pages 643 - 648.

Current reimbursement, coding, and economic issues are discussed as they specifically apply to house staff, and aspects of the resident's or fellow's daily practice are identified that may have potential to affect the reimbursement, impact, and overall success of our specialty in our years of practice ahead.   

Objectives:
1.  To educate readers about how imaging procedures come to be reimbursed by payers.

2.  To explain the organizations and committees that work on imaging coding and reimbursement.   

J Am Coll Radiol 2009;6:643-648. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  

 
August 09 CME for Journal Reading Activity        
Enhancing Patient Safety: Standardization of CT Contrast Media Practices, Prerna Kahlon, BDS, MPAH, CPHQ, Kathryn McCullough, MS, and G. Scott Gazelle, MD, MPH, PhD

The CME for this activity is valid from 8/1/09 to 8/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR August 2009, pages 562 - 566.

This article describes our experience implementing uniform procedures for CT contrast media administration and the impact that standardization of these practices had on patient safety at a large integrated health care system.   

Objectives:
1.  To explain the causes of increased risk for outpatient contrast media administration.

2.  To describe a five-year program to improve contrast media risk assessment and reporting. 

3.   To detail system-wide changes geared to improving the safety of contrast media administration across a hospital network. 

J Am Coll Radiol 2009;6:562-566. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  

July 09 CME for Journal Reading Activity        
Beyond Substance Abuse: Stress, Burnout, and Depression as Causes of Physician Impairment and Disruptive Behavior, Stephen D. Brown, MD, Marilyn J. Goske, MD, Craig M. Johnson, DO.

The CME for this activity is valid from 7/1/09 to 7/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR July 2009, pages 479 - 485.

This paper reviews how stress, burnout, and depression represent psychiatric morbidities other than substance abuse that may cause physician impairment and disruptive behavior.  

Objectives:
1.  To promote awareness of the problem of disruptive behavior and its causes among radiologists.

2.  To evaluate which subpopulations of radiologists might be at greatest risk of burnout and other causes of disruptive behavior.

3.   To discuss possible ways to prevent job-related mental illness leading to disruptive behavior.

J Am Coll Radiol 2009;6:479-485. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  

June 09 CME for Journal Reading Activity        
2007 Survey of Radiologists: Source of Income and Impact of the Deficit Reduction Act of 2005, James W. Moser, PhD, Dawn M. Hastreiter, MD, PhD

The CME for this activity is valid from 6/1/09 to 6/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR June 2009, pages 408-416.

A 2007 survey of radiologists provides information on how Medicare reimbursement caps for the technical component of imaging contained in the Deficit Reduction Act of 2005 affected radiologists' incomes and how radiology practices adapted to lower reimbursements.  

Objectives:
1.  To review the important elements of the Deficit Reducation Act (DRA) of 2005. 

2.  To educate readers about the effects of the DRA of 2005 on imaging practice. 

3.  To evaluate which imaging practices were most affected by the DRA of 2005 and how. 

J Am Coll Radiol 2009;6:408-416. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available. 

May 09 CME for Journal Reading Activity        
Applying Evidence-Based Imaging to Policy: The Washington State Experience, C. Craig Blackmore, MD, MPH, Brian Budenholzer, MD

The CME for this activity is valid from 5/1/09 to 5/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR May 2009, pages 366-371.

The objective of this paper is to detail the Washington State experience with the HTA program. Though the direct effect of the program is limited to Washington State, the individual states serve as an important proving ground for the evaluation of strategies that may become relevant to the remainder of the country as a national dialogue on heathcare continues. 

Objectives:
1.  To detail an important new program that imploys evidence-based medicine methods to decide whether a technologic application is worthy of insurance payment. 

2.  To improve the understanding of readers about the relationships between chinical research and health care policy.

3.  To help readers deal with coming trends that will insist on better information about the usefulness of a technology before payment for its use is authorized.

J Am Coll Radiol 2009;6:366-371. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.  

April 09 CME for Journal Reading Activity         
Female Medical Students' Interest in Radiology Careers, Marilyn A. Roubidoux, MD, Marie M. Packer, MD, Kimberly E. Applegate, MD, MS, Gerald Aben, MD

The CME for this activity is valid from 4/1/09 to 4/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR April 2009, pages 246-253.

Interest in radiology among first-year medical students does not differ by gender, suggesting that the problem of women's underrepresentation in radiology may be addressed by recruitment interventions early in medical education.

Objectives:
1.  Detail the reasons relatively few women medical students choose radiology as their specialty.

2.  Discuss the reasons having relatively few women choosing radiology is detrimental to the specialty and patient care.

J Am Coll Radiol 2009;6:246-253. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.


March 09 CME for Journal Reading Activity        
Decommoditizing Radiology, Bruce I. Reiner, MD, Eliot L. Siegel, MD

The CME for this activity is valid from 3/1/09 to 3/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR March 2009, pages 167-170.


To prevent radiology from becoming a commodity, it is essential that medical imaging practitioners develop objective and reproducible quality-oriented metrics that can be used to differentiate service deliverables on the basis of quality. 

Objectives:
1.  Understand why radiology is at risk of becoming a commidity and why that would be detrimental to the especialty. 

2.  Learn how differentiation of radiological practice according to quality can be accomplished. 

J Am Coll Radiol 2009;6:167-170. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.

February 09 CME for Journal Reading Activity         
Recent Shifts in Place of Service for Noninvasive Diagnostic Imaging: Have Hospitals Missed an Opportunity?, David C. Levin, MD, Vijay M. Rao, MD, Laurence Parker, PhD, Andrea J. Frangos, MS, Jonathan H. Sunshine, PhD

The CME for this activity is valid from 2/1/09 to 2/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR February 2009, pages 96-99.

Recent Medicare data show that utilization of noninvasive diagnostic imaging is growing more rapidly in physician private offices than in hospital settings and that consequently, hospitals may be missing an opportunity to enhance their revenues. 

Objectives:
1.  Learn about trends in the growth of imaging services.

2.  Recognize why hospitals are increasingly disadvantaged in the competition to provide imaging services.

J Am Coll Radiol 2009;6:96-99. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.

  


January 09 CME for Journal Reading Activity         
Incidental Extracolonic Findings on CT Colonography: The Impending Deluge and Its Implications, Lincoln L. Berland, MD

The CME for this activity is valid from 1/1/09 to 1/1/10

To view the articles online, you need to have the Free Adobe Acrobat Reader.
You can read the printed version in JACR January 2009, pages 14-20.


The impending widespread adoption of computed tomographic colonography will lead to a large number of extracolonic incidental findings that will be interpreted inconsistently and lead to costly additional tests and procedures and is of uncertain cost-effectiveness.

Objectives:
1.  Recognize shortcomings of CTC that could lead to missed extracolonic findings.
2.  Understand how CTC could lead to unnecessary follow-on examinations for incidentally found extracolonic abnormalities.

J Am Coll Radiol 2009;6:14-20. Copyright 2009 American College of Radiology.

 

ACR Member: FREE | Non-Member: $28
Approved for 1 AMA/PRA Category 1 credit™

ACR Members will NOT be charged, but will need to proceed through the shopping cart and click SUBMIT ORDER for credit to be available.