The theme of this update from your CAR is external
relations. A primary
focus of CAR relations with other organizations and governments is to
ensure the highest quality of care for your patients and to protect and
enhance the profession of radiology. As you consider the following
activities, you will feel confident that your CAR is appropriately
connected on your behalf.
College of Radiology –
The CAR’s relationship with
is extremely important. The ACR helps the CAR identify current
and impending issues Canadian radiologists will face in the near
future, if not today. The experience, knowledge and sheer number of
members in the ACR makes it an invaluable resource and ally of any
radiologist in the world, certainly the CAR. We have fostered this
relation with invitations to the ACR to speak directly to your CAR
Board – Dr. Arl Van Moore, then Chairman of the ACR, shown
right, as he addressed the Board in May. We are also pleased that Dr.
James Thrall, current ACR Chairman, will be our keynote speaker at our 2009
Annual Scientific Meeting and
the CAR will also meet with him and
the ACR leadership at the upcoming RSNA meeting. In addition, the ACR
offers a reduced membership fee to the ACR for members of the CAR, a
significant value benefit for both organizations.
Society of North America
– Similarly, the CAR has a close
relationship with RSNA
and invites input from RSNA to your CAR Board.
President Dr. Theresa McLoud met with CAR Presidents in May (see
right). In addition, the CAR will meet with the RSNA leadership,
including Dr. McLoud, at the upcoming RSNA meeting (Nov. 29th to Dec.
5th). Other leadership meetings planned include the Royal College of
Radiology, American College of Radiology, Royal Australian and New
Zealand College of Radiologists,
National Health Services (United
Kingdom) and Canadian Association of Nuclear Medicine… plus
Radiology Quality Network (IRQN) –
The CAR is now a member of the IRQN
which focuses on "matters related to the elements fundamental to
the delivery of quality radiology services, the promotion of
evidence-based and appropriate utilisation of radiology, the processes
relating to quality control, quality assurance, quality improvement and
practice accreditation." Our alliance fits extremely well with the
CAR’s focus on quality assurance while enhancing your
association’s international positioning. Most recently, the
provided input on the teleradiology position being developed by the
The CAR is a member of Image
Gently which is a
"coalition of health care organizations dedicated to providing safe,
high quality pediatric imaging nationwide. The primary objective of the
Alliance is to raise awareness in the imaging community of the need to
adjust radiation dose when imaging children. The ultimate goal of the
Alliance is to change practice." In connection to this alliance, the
CAR is mentioned in the publication
as one of just several
international members. Our next meeting with this alliance will be at
the upcoming RSNA meeting.
International Network –
is "a major
international initiative involving organizations from around the world.
G-I-N seeks to improve the quality of health care by promoting
systematic development of clinical practice guidelines and their
application into practice." Dr. Martin Reed, Chair of the CAR
Guidelines Working Group, attended the 2008 international G-I-N
conference in Helsinki, Finland in September, where he advanced the
CAR’s position as a key player on the international
stage with his presentation and poster
on CAR Guidelines projects.
the Healthcare Enterprise (IHE) –
The CAR is also a
member of the IHE
which "is an initiative by healthcare professionals and industry to
improve the way computer systems in healthcare share information." With
technology at the heart of the radiology profession, being a part of
this organization and monitoring trends and developments in technology
Health Services (United Kingdom) –
the NHS in the UK, Erika Denton and Tony Newman-Sanders, visited Ottawa
in May for a special meeting with the CAR. The purpose of the meeting
was to share the CAR’s experience in applying guidelines to
decision support software. The CAR is sought out as a leader in
guidelines applications, and exchanging experiences at this
international level ensures your CAR keeps abreast of global trends in
all areas of radiology.
to Your CAR Board of Directors –
In order to serve you well, the
CAR seeks input from fellow radiology organizations. One example
– at its Board meeting earlier this year, the CAR heard from:
American College of Radiology, Radiological Society of North America,
American Institute of Ultrasound in Medicine, Royal College of
Physicians and Surgeons of Canada, Canadian Association of Medical
Radiation Technologists, Canadian Association of Nuclear Medicine,
Canadian Society of Diagnostic Medical Sonographers, Canadian
Association of Registered Diagnostic Ultrasound Professionals, Canadian
Interventional Radiology Association, Canadian Radiological Foundation,
Canadian Heads of Academic Radiology, College of Family Physicians of
Canada. We will continue to foster these and new relationships in
College of Physicians and Surgeons of Canada –
As one of
its National Specialty Societies, the CAR has a direct alliance with
The CAR provided input in 2008 to the Specialty Committee on
Diagnostic Radiology as it undertook a review of specialty needs. CAR
member Dr. Grant Stoneham was named the new Chair of the committee in
2008, filling a position exceptionally held previously by fellow CAR
member Edna Becker. Ensuring a close CAR liaison with that committee
will be critical to the future of the specialty. In November CAR
President David Vickar and CEO Adele Fifield attended a RCPSC one-day
conference on Health Human Resources held by the RCPSC. This month, Dr.
Vickar will also be meeting with the RCPSC and the Subspecialty
Committee on Pediatric Radiology, chaired by CAR member Ravi Bhargava.
Finally, the CAR is an approved accreditor of Continuing Medical
Education for the RCPSC and the CAR is currently undergoing a
re-accreditation application which is being aptly chaired by CAR member
Louise Samson, Past President of the RCPSC.
– The CAR is part of the Canadian
National Medical Organizations of the CMA
which enables the CAR to
remain abreast of national medical issues and trends. Then CMA
President, Dr. Brian Day, gave the keynote address at the 2008 CAR
Annual Scientific meeting in May. Following that, in August, the annual
conference of the CMA was attended by CAR President David Vickar and
Past President Bob Miller. The current President of the CMA is CAR
member Robert Ouellet. The CAR is also a part of the Wait
Alliance, a separate alliance
that is facilitated under the CMA.
Interventional Radiology Association (CIRA) –
Fifield was pleased to speak to the CIRA
executive at its meeting in
Montreal in October. Given our like memberships, collaboration between
the CAR and CIRA will enable our associations to determine how best to
address issues of particular interest to interventional radiologists.
Association of Medical Radiation Technologists
President David Vickar and CEO Adele Fifield participated in CAMRT’s
strategic planning meeting in February, and in June, Past
President Robert Miller attended CAMRT’s Annual Conference.
the profession of radiology continues to change, it is essential for
your CAR to be active in determining changes in the scopes of practice
of technologists. In this regard, the CAR and CAMRT are active in a
joint committee on this topic.
strong provincial-national relations is a key goal of your
CAR - your CAR intends to play an integral role in helping to ensure an
equally bright future for radiology in all provinces. For example
– President David Vickar and CEO
Adele Fifield attended the Atlantic Radiology Conference and spoke at
the Annual General Meeting of the Nova Scotia Association of
Radiologists (NSAR) in October. The conference also facilitated
meetings with the Presidents of both the NSAR and New Brunswick
Association of Radiologists (NBAR). Earlier in the year, Past President
Robert Miller visited Newfoundland, New Brunswick and Nova Scotia to
update members of the CAR, followed by visits to New Brunswick and
Prince Edward Island by Vice President Jamie Fraser.
des radiologistes du Québec (ARQ) –
an ARQ decision earlier in the year to not continue as a universal
member of the CAR in 2008, the CAR has shown its commitment to working
on behalf of all CAR members. In addition to meeting in July with the
ARQ executive, the CAR has had ongoing discussions with the ARQ, and
took part in the Société
radiologie conference (more below on that). The positive growth in the
relationship between our associations was reflected in the
letter in September to its members. The letter encourages members to
join the CAR in 2008 and highlights our new dynamic and the need for a
strong national association to protect the interests of radiologists.
We look forward to a strong and vibrant relationship with the ARQ in
canadienne-française de radiologie (SCFR) –
The CAR was
present at the 2008 SCFR conference in Quebec City in November. In
addition to being an exhibitor,
the CAR was well represented by CAR
Board members Jacques Lévesque and Céline Bard,
a presentation on behalf of the CAR, as well as CEO Adele Fifield and
Josée Roy-Pilon, Director of Communications and Events. The
will be an annual event of the CAR!
Alberta Society of
Radiologists (ASR) –
In October President David Vickar spoke at
the ASR’s Annual General Meeting in Lake Louise. A highlight
that conference was appropriateness criteria in imaging. Our Guidelines
Working Group Chair, Martin Reed, was a speaker at the event.
Association of Radiologists –
President Elect Ted Lyons speaks to Manitoba radiologists in November.
Columbia Radiological Society (BCRS) and Teleradiology –
In early 2008, President Elect Ted Lyons spoke to members of the BCRS
to highlight the achievements and future direction of the CAR. In
October CEO Adele Fifield also spoke to the BCRS Annual General
Meeting. Adele also joined a panel discussion on teleradiology at the
meeting. Member interest and in some cases concern, is increasing
around the formal introduction of teleradiology companies into Canada
this fall. Adele was able to reiterate how the CAR, in anticipating the
need to be prepared for teleradiology, held a conference on
teleradiology several years ago, followed by a member survey in
2006/2007. This survey facilitated the CAR’s updating of its
teleradiology standard this year – a fine example of how the
is protecting the quality of your evolving profession.
Voice to Government
our previous update, we share some details of government
level meetings the CAR has been undertaking. As we move ahead, the CAR
also looks forward to collaborating with your provincial radiology
associations on projects within your regions.
Provincial Territorial Radiation Protection Committee –
In November CEO Adele Fifield spoke at the meeting in Ottawa of the
pan-Canadian committee of health policy and decision makers. In this
presentation, we were able to highlight our extensive work in radiation
awareness including our popular brochure
produced earlier this year.
– In June President David Vickar, President Elect
Ted Lyons, Guidelines Working Group Chair Martin Reed, and CEO Adele
Fifield met with Joy Smith in Winnipeg, then Chair of the federal
government’s Health Committee. Ms. Smith was extremely
in CAR Guidelines projects, and that relationship will continue to be
fostered through the new Conservative government. More on CAR work at
this federal level in an upcoming update.
While in Halifax for the Atlantic Radiology
Conference, President David Vickar and CEO Adele FIfield met with NS
government representatives from the WINS (Wait Time Improvement in Nova
Scotia) strategy concerning a CAR Guidelines project being undertaken
by the NS government. The meeting emphasized the need for direct
radiologist involvement in guidelines projects in order to educate
physicians on the value of guidelines and to improve guidelines uptake.
In November Guidelines Working Group Chair Martin
Reed met with Saskatchewan government officials concerning the CAR
Guidelines project it is undertaking. This visit will be followed by
one by CEO Adele Fifield. As with other Guidelines projects, the CAR
offers its active involvement in guidelines projects in order to
promote physician understanding of the importance of appropriateness in
– While in BC for the BCRS AGM, CEO Adele
Fifield met with BC government officials to discuss CAR guidelines and
quality assurance initiatives, as well as the government’s
on patient safety. The meeting identified clear potential for future
addition and similar to these in all provinces will be a
focus of the CAR throughout 2009. We have heard your concerns in recent
months regarding the need for updated equipment, increased manpower and
protecting the quality of imaging care in Canada. Our responsibility in
voicing your concerns is of the utmost priority for your CAR.
– source of CME opportunities –
Don’t forget to visit your CAR website regularly for updated
information on accredited continuing education
recently, we’ve added the course "Practical
Whistler" to be held February
8th - 13th, 2009.
to your Canadian Radiological Foundation –
The CRF, your
charitable foundation, funds research and education in radiology. A
report on CRF’s current study of imaging equipment and
utilization in Northern Canada will come out next year. Please donate
to your CRF when you pay your CAR dues or at anytime through the CAR
– Those of you who have yet to pay your 2008 CAR
dues have recently received or will receive an invoice in the mail. It
is critical that you please pay your dues online
or by calling
613-860-3111. Let’s build the CAR momentum by ensuring your
has the strongest voice possible, a voice that is made up of each and
every one of you!
Look for an overview of the work currently being undertaken by Board
Working Groups on your behalf in your next update.
Our warmest regards,
Adele Fifield, O.Ont., CAE, B.A., B.Ed.
Chief Executive Officer
Association of Radiologists