Money, Politics, and Ego

The AIUM is a unique organization of professionals passionate about the capabilities and potential of ultrasound to help our patients. With the annual convention freshly over, and a long list of things to work on for next year, I’ve been thinking about the AIUM and why it’s an important group for me.

Although the AIUM is not the primary organization for any of us, that’s what is special and interesting about the AIUM. We all belong to our separate subspecialty interest groups, our tribes, where there is familiarity and comfort in being surrounded by people who are like us, and do what we do, and think like we do. But what other society do you belong to that has the mix of medical and surgical specialties, sonographers, scientists, residents, students, and industry partners? The AIUM’s 19 communities and interest groups cover a diversity of interests and practices and bring people together that in the “real world” of our day-to-day work may find themselves at odds with each other.

ColeyAnd that’s the challenge of the AIUM: to be our best and fulfill our mission of providing the best ultrasound imaging care to our patients means that we have to set aside (at least in part and as best that we can) issues of money, politics, and ego.

This is not always easy.

The world around us is often not encouraging toward cooperation and service to ideals greater than immediate self-interests.

But that’s what AIUM members try to do. Even if it isn’t easy.

If you attended the recent convention in Orlando, I hope that you spent some time attending sessions or talking to people from outside your main area of interest. That’s an opportunity that you just can’t get at other meetings: to exchange ideas and excitement, to challenge and provoke, and ultimately a chance to learn and advance both personally and as medical professionals.

Similarly, the next time you pick up a copy of the Journal of Ultrasound in Medicine, read an article in an area that you don’t practice. Even if you can’t appreciate the nuances, appreciate the creativity of the work and the varied applications of ultrasound in medicine. There are a lot of bright people out there doing cool things. I would especially recommend reading the basic science articles. The technology, instrumentation, and techniques that we take for granted come from here. You may not fully grasp them any more than I do, but this is where the big leaps are going to come from, and it’s good to know what could be just over the horizon.

I hope that you’ll get as much out of the AIUM as I have over the years. I hope that you’ll step out of your comfort zone and talk with people from other disciplines and interests. I hope that you’ll ask questions and get involved. I hope that the AIUM helps you learn and grow, and that you will help the AIUM to figure out how to do that well. If we can do this together, then we and our patients will be the better for it.

What about your AIUM membership do you find most valuable? How do you benefit from the diversity of medical specialties within the AIUM? Comment below or let us know on Twitter: @AIUM_Ultrasound. Interested in volunteering for the AIUM? Check out the volunteer page.

Brian Coley, MD, AIUM President (2017–2019), is radiologist-in-chief and the Frederic N. Silverman chair for pediatric radiology at the Cincinnati Children’s Hospital Medical Center, as well as professor of radiology and pediatrics at the University of Cincinnati College of Medicine.

At the Intersection of Science, Engineering and Medicine

Flemming Forsberg PhDDuring the 2015 AIUM Annual Convention, AIUM sat down with Flemming Forsberg, PhD, recipient of the Joseph H. Holmes Basic Science Pioneer Award to talk about the award, his motivation, and the future of medical ultrasound. Here is what he had to say:

Question #1:
What was your reaction to being named the recipient of this award?

Question #2:
What motivates you?

Question #3:
What role does failure play?

Question #4:
How does the United States differ from the rest of the world when it comes to medical ultrasound?

Question #5:
Where do you see the future of medical ultrasound?


What do you see as the future of medical ultrasound? Where are there some additional intersections?
Comment below or let us know on Twitter: @AIUM_Ultrasound.

Flemming Forsberg, PhD, FAIUM, FAIMBE, received the 2015 Joseph H. Holmes Basic Science Pioneer Award from the AIUM. Dr Forsberg is Professor, Department of Radiology at Thomas Jefferson University. He also serves as Deputy Editor of the Journal of Ultrasound in Medicine.

Why My Relative is a Bad Writer

A relative of mine, whose privacy will be maintained, fancies herself a writer. Historical fiction is her self-proclaimed genre. Unfortunately, she is not a good writer and reading her stories is akin to listening to nails scratching a chalkboard. My suggestion to her, without revealing how I truly felt about her writing, was to read as much historical fiction written by others as she possibly could. Her response was, “I don’t like reading other people’s fiction.” You can imagine how hard it was to restrain the thought that ran through my head, “Now you know exactly how I feel about reading yours.”

HellerThe point of this anecdote is to help explain why I decided to become a reviewer for the Journal of Ultrasound in Medicine (JUM). You cannot possibly expect to be a good manuscript writer without reading as many manuscripts written by others as you can. And what’s even better than reading an already edited and published “fit-to-print” manuscript is to read one in its gestational state, (sometimes) full of awkward sentences, confusing presentations of data, and tables that are impossible to digest.

When I was first invited to become a reviewer for JUM, I was (presumably jokingly) instructed by top editorial staff members to “ignore the email invitation at your own peril.” Being a first-time manuscript reviewer can be a bit intimidating. You begin to question your own qualifications: “What makes my opinion valuable?” “Who am I to criticize someone else’s writing?” As a regular reader of this or any medical journal, you are exactly the person from whom opinions and criticism count. You are the intended audience of the writing and, as such, the manuscript needs to appeal to you, not only in medical accuracy, but also in relevance and in the style in which the information is presented.

A good manuscript needs to be consistent. It needs to flow effortlessly and consistently from abstract to discussion. The first step I take in reviewing a manuscript is to read it from beginning to end, without making any suggestions. I want to digest the information in the state in which it was originally presented. While this can sometimes lead to indigestion and heartburn, I resist the urge to scribble any comments, questions or suggestions along the margins of the article…at this point.

I wait anywhere from several hours to several days to allow my digestive tract to return to normal (I find probiotics to be particularly helpful for this). Then I reread the article more carefully and more slowly, dissecting each sentence, in particular the data, making sure that information is consistently presented throughout the paper and that the numbers add up. I avoid correcting grammar and linguistic choices (my grandmother, the eternal grammarian, would roll over in her grave), knowing that there are great copy editors who will take care of this. I do ensure, however, that I correct any words that are medically inaccurate (i.e., incorrect abbreviations, suboptimal word choices for ultrasound techniques).

In addition to confirming that the information is presented in the correct section, (i.e., results are not included in the materials and methods section), I ask myself what I would do differently if I were to write the paper. Is the number of subjects adequate? Does the work add substantially to the literature? Is the conclusion appropriate for what was actually done? Might the work alter medical care? Are there any pertinent articles that have not been included in the references section? Do the tables help to more clearly represent the results or are they unnecessary? Is JUM the appropriate journal for this article?

In summary, the more articles you read and, in particular, the more unedited articles you read, the better a manuscript writer you will become. Of this, I am certain.  Whether or not you choose to write scientific manuscripts, historical fiction or perhaps screenplays for the next hit HBO series, the more you know about what’s already out there and how it was written, the better your own work will be.

What are your writing, reading, editing tips? Have you ever written for JUMComment below or let us know on Twitter: @AIUM_Ultrasound.

Howard Heller, MD, specializes in diagnostic radiology at Brigham and Women’s Hospital, Department of Radiology. He is also on JUM‘s editorial advisory board.

Because Adults Need to Play

One of my favorite TedMed 2014 talks is by Jill Vialet, CEO and Founder of Playworks titled “The Power of Play”.  In it Jill describes how people and circumstances are transformed through play. There is actually a physical and mental function which play serves in our daily lives. When I first began educating health care providers in ultrasound internationally, I noticed this. Amidst directing and organizing courses–alternating lectures first, then lectures last; hands-on stations first with flipped classroom pre-class; a half-day course; a two-day course; or even a three-day course. The combination matrix never really mattered and the post-course evaluations never varied.

SonoGames 3However, one key piece of each course always ensured a winning recipe for sealing the learners’ knowledge and ending on a greatly positive note.

That was the final day’s game of Jeopardy®.

Yes, splitting the adult course attendants in two competing teams and having them play a game. Despite the relatively benign prize of candy, having them play promised a room full of noise, laughter, positive feelings, and raving post-course evaluations.

From India, Ireland, Sri Lanka, and Ghana, it didn’t matter the country. It didn’t even matter if they knew the rules of the game. What mattered, and what made the course, was play. This was true for the learners as well as the educators.

As the president of the Academy of Emergency Ultrasound (AEUS) of the Society for Academic Emergency Medicine (SAEM) in 2011, I was allotted 4 hours of conference time to plan as I wished. I immediately saw this as an opportunity to create and innovate. I envisioned a 4-hour game event of fun, focused ultrasound education, and resident competition. My friend Y. Teresa Liu, M.D. (Harbor-UCLA Medical Center) had told me about running an ultrasound game event with our mutual good friend David Bahner, MD. (the Ohio State University Medical Center).  I conferred with my education officer Andrew Liteplo, MD. (Massachusetts General Hospital).  He loved the idea.

The SonoGames® was born.

Since that first year, we have increased the aspects and the intensity of play. This past year, the organizing committee dressed in costume commensurate with the conference city. There was a best team costume competition, a best team name award, and the teams competed for medals and for the opportunity to bring the SonoCup to their home institution.

I am convinced that the success of this event is due to its focus on play and fun. We are now planning for the 2016 SonoGames® and I suspect there will be even more play, fun, laughter, and learning.  If you want to learn more about the details of how we structured the games, check out the article that appeared in the Journal of Ultrasound in Medicine. And, if you think you are up to the challenge, get your 3-member ultrasound-savvy team ready to compete!

How do you play? What other ideas do you have to incorporate play and ultrasound? Have you ever competed in an ultrasound event? Comment below or let us know on Twitter: @AIUM_Ultrasound.

Resa E. Lewiss (@ultrasoundREL) is the Director of Point-of-Care Ultrasound at the University of Colorado. She has published on medical education and Point-of-Care Ultrasound. Check out her TedMed2014 talk.