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ARROgram #12
April 13, 2004
Spring 2004 ARRO Executive Committee Meeting Report

The ARRO Executive Committee met on April 1, 2004 in Chicago for the annual Spring meeting, and here is the report regarding some of our activities over the past few months.

1. Election results: The Executive Committee welcomed its new junior officers and bade farewell to the outgoing senior officers. We want to thank Drs. David Buck, Mark Engleman, and Anurag Singh for their dedication and commitment during their two years of service on the Executive Committee. The ARRO Executive Committee for the 2004-05 year is:

Dr. Reshma Jagsi rjagsi@partners.org -ARRO Chair and Delegate to the AMA

Dr. Vipul Thakkar (thakkav@ccf.org)-ARRO Vice-Chair, Website Coordinator, Representative to the ACR and ACRO

Dr. Steven Frank (sjfrank@mdanderson.org)-ARRO Treasurer, Representative to the RRC and AAPM

Dr. Shilpen Patel (shilpenp@yahoo.com)-ARRO Education Officer, Representative to ADROP and ASCO

Dr. Eric Hansen (erickhansen@yahoo.com)-ARRO Election Officer, co-Assistant Website Coordinator, Alternate Delegate to the AMA

Dr. John Wilson (wilsonj@xrt.upenn.edu)-Events Officer, co-Assistant Website Coordinator

2. Boards retiming: The ARRO Executive Committee is pleased that the ABR has agreed to our request that residents be allowed to take the radiobiology and physics sections of the written exam in the summer beginning their fourth year of training, effective for the class graduating in 2006 and thereafter. Thanks to all of you who participated in our survey regarding your preferences regarding boards timing. We have been informed that those taking this option will not face additional fees. We also inquired, after getting messages from several residents on this point, whether the two classes would be curved separately (to avoid giving an unfair advantage to the class that has to study only for the physics and bio sections, while the other class has to sit for all three sections at once). The reply was that "the ABR does not grade the written exam on a 'curve.' They establish a passing grade prior to the exam administration. The grade is close to 70% correct answers, but is adjusted for the difficulty of the am, according to the ABR biometrician. Since the exam will have all 'A' type questions [explanation: no more matching or true-false] the passing grade may be lower, but has not been determined yet."

3. Unsealed sources-new requirement: The RRC for Radiation Oncology will require experience with unsealed sources. This requirement will go into effect in 2005 and will fulfill NRC requirements for radiation workers. While some programs perform such procedures in the radiation oncology department, others do so in nuclear medicine, and residents will need to ensure that they obtain adequate experience to meet these new requirements. Didactic lectures will be required of individual residency programs, board questions will be incorporated into the written exam, and six cases (I-131, strontium, etc) will be required to be logged during residency.

4. Case logs: The RRC requires programs to have residents use the web-based case log system. This requirement went into effect on July 1, 2003, but the RRC has found that one third of programs aren't using the system. They will be enforcing this strictly, so beware so that you don't have to go back and do this all from memory when your program gets reviewed, which will be much harder! The use of medical record numbers and social security numbers in this system is considered acceptable and does not violate HIPAA.

5. In-service exam: ARRO is corresponding with the ACR to ensure that detailed explanations of the answers are made available to residents, as well as to improve the extent to which the in-service examination reflects the types of questions included in the written board examination. If you have questions, please e-mail Vipul.

6. Book discounts: The ARRO Executive Committee has secured book discounts for some of the most commonly needed books (including new Perez & Khan) on www.ecampus.com. You can access these discounts by clicking on "sponsored schools" in the upper right corner. ARRO is listed at the bottom of the list of sponsored schools/organizations. If questions, e-mail Vipul.

7. Survey Results Publication: The results of the ARRO annual surveys from 2000-02 will be published in the upcoming issue of the Red Journal. The surveys yielded a number of interesting findings regarding the current state of residency training, residents' career motivations and aspirations, and demographics.

8. Survey lottery winners: We are pleased to announce the results of the lottery that was held to thank the participants in the 2003 ARRO survey. Dr. Daniel Landis of the JCRT won $250, Dr. Gayle Tillman of Stanford won $100, Dr. Zach Fowler of Emory won $50, and Dr. Scott Soltys of Stanford won $50. We will soon be submitting the ARRO 2003 surveys for publication, which, thanks to all of you, achieved the highest response rate in a decade!

The new Executive Committee has a number of exciting ideas for the coming year, and we promise to keep you posted regularly. We are redesigning our website and hope to have a more user-friendly and interactive site up soon. We will report back to you regularly to keep you updated. Please don't hesitate to contact any of us if you have comments, suggestions, or questions. Thanks!

Reshma Jagsi, MD, DPhil
ARRO Executive Committee Chair,
Resident in Radiation Oncology Massachusetts General Hospital

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