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the Society for

Pediatric Radiology

Regional Societies

Founding Societies

President and Treasurer’s Report1 May 2012 – 30 April 2013

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Contents

Collaboration between physicians: membership

Education Outreach & training in lower resource settings Child Imaging safety Telecommunications Institutional performance Treasury

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

WFPI MembershipTimothy Cain, MDMembership Secretary

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Principles

Engage national and supranational Paediatric societies with assistance and support of Regional (Founding) Society

Fit into regional society networks complement, rather than compete

So far, societies only. “Working groups” not approached.

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Problems

Bank fees Accept multi-year payment to reduce proportion of

society funds going to bankers! Offer refund (money back guarantee) if 5 year payment

made up front

Definition of Society Working groups – sub-divisions of Adult radiology

societies Interested individuals in Adult radiology societies, non-

radiologists (technicians, clinicians, other) Provide allied or associate (non-voting) membership????

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Progress - regional

African Society for Paediatric Radiology (AfSPI)

Joined the Council in 2013

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Progress – national/supranational (1) Europe

British Society of Paediatric Radiology Société Francophone d'Imagerie Pédiatrique et Prenatale Sociedad Española de Radiología Pediatrica (being processed)

Pending: Gesellschaft für Pädiatrische Radiologie

Others need approaching: Swiss, Dutch, Italian societies Asia

Indian Society of Paediatric Radiology Others: need approaching, often working groups

Africa South African Society of Paediatric Imaging

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Progress – national/supranational (2)

Latin America Mostly working groups, few societies

North America State & regional societies not yet approached

Pacific Need approaching

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

EducationDorothy Bulas, MDChair, Education Committee

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

WFPI Education Committee

To promote pediatric radiology educational needs globally for

non-radiologists, radiologists pediatric radiologists.

To collate materials and tools via WFPI website, providing access to pediatric radiology education for targeted audiences worldwide.

To promote and develop international education opportunities

To support and promote educational efforts by pediatric radiology groups at regional and national levels

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Audience

Nonradiologists – nurses, RT, sonographers, MD - pediatricians,cardiologists,neonatologists

Radiologists – adult, trainees

Pediatric Radiologists – fellows, attendings

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

WFPI website

Provide easily available access to pediatric radiology education for targeted audiences worldwide.

To collate developed materials and tools – in various languages

Identify and create materials not currently available

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

WPFI Web SITE www.wfpiweb.org

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Links Existing virtual forums

http://globalcastmd.com/wp-content/uploads/2012/02/Navigating-the-GlobalCastMD-Virtual-Medical-Symposium.pdf. syllabus: http://globalcastmd.com/wp-content/uploads/2012/02/Trauma-Syllabus.pdf (http://www.isrvirtual.org/lms/).

Educational links http://www.kinderradiologie-online.de/radiology/Links.shtml www.isradiology.org http://www.aium.org/resources/guidelines.aspx http://content.yudu.com/Library/A1wsis/DiagnosticImagingEur/resources/48.htm World Interactive Network Focused on Criticial UltraSound  http://www.winfocus.org/home St. Jude Cure4Kids. New users can register at http://www.Cure4Kids.org/register Partners in Health ultrasound manual for resource limited settings http://www.pih.org/publications/entry/manual-of-ultrasound-for-resource-limited-settings WHO ultrasound guidelines http://apps.who.int/bookorders/anglais/detart1.jsp?codlan=1&codcol=15&codcch=393 NB any “outreach” links could be posted separately from education to delineate the

boundaries between the two Grant application for international work links Pediatric radiology educational/outreach initiatives by WFPI-associated departments or

individuals - information and contact Radiology initiatives run by other organisations

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

? Create material if needed?

Who determines what is needed Who vets the material What logo should it be under Who updates these resources

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Promote and develop international education opportunities

Online free access to journals Online free access to books

Michael D'Alessandro's link - "pediatric radiology". RadiologyEbooks.com http://www.radiologyebooks.com 

Collection of pediatric radiology lectures/ posters: TB - Savvas/Bernie

Flag meetings /courses of interest Team up with RSNA/ AAP/ ACR international traveling

grants grants for fellows to come to a USA centre for a

few months (currently done with ESPR/ESR)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Initial Members

George Taylor, Kassa Darge, Jennifer Nicholas - SPR Jean-François Chateil, Philippe Devred - ESPR David Stringer, Ed Lee, Winnie Chu – AOSPR Pedro Daltro, Antonio Souza – SLARP Quentin Moore - RT

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

World Federation of Pediatric Imaging

Become a Member of the Education

committee!!

Give us your time, attention, and

support

For more information contact us at:

wfpi.office@gmail.com

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Overlap: education –> outreach

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

ACR-WFPI Haiti, March 2013

ACR partnership Grace Children’s Hospital, Port-au-Prince Basic pediatric radiology course Offering advice and guidance to clinicians and radioligists

lacking access to experienced pediatric radiologists

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

ACR-WFPI Haiti, March 2013

L-> R Drs. Eva Rubio, Marthe Munden, Ron Cohen, Jennifer Nicholas, Rebecca Stein-Wexler

Follow up: tuberculosis?

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Ethiopia: introduction of a pediatric radiology fellowship (presented by Prof. K. Darge during the Annual Meeting)

Partnership: Radiological Society of Ethiopia/Addis Ababa University/Children’s Hospital of Philadelphia, US/AfSPI/SASPI ->WFPI

Under the curatorship of Prof. Kassa Darge (CHOP), a 5-person training & teaching trip organized in Dec 2012: one week lecture program, on-site training in X-ray reporting, US and

interventional/biopsy techniques combined team for examination of final year radiology trainees lectures for CME program, Radiological Society of Ethiopia

Further collaboration with South Africa/WFPI mutually beneficial

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Outreach in Lower Resource SettingsSavvas Andronikou, MDChair, Outreach & Training Committee

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Audit and Feedback: Khayelitsha

Duration = since 26 July 2012 Referrals = 551; Reports + 400 Volunteers = 49 Activity: suspended March 2013 (contact left) Future: via a platform, being tested Disadvantage: our main client is non-functional for now Advantage: start with new platform = Doctors refer

specific cases = more realistic reporting (like MSF)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Médecins Sans Frontières

All 3 readers reported: since July 2012• Sources: Tajikistan; CAR; Cambodia; Malawi

Savvas Andronikou: 43 reports Kieran McHugh: 15 reports Arzu Kovanlikaya: 21 reports

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

New outreach movement

Simplified ultrasound ACR/Haiti: follow up India: Cicero Silva Liberia: Aadil Ahmed RAPED/Mozambique: ?

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Participation in the European TB Network reveals a need for radiologists as partners

Impact on diagnosis using radiology in low resource areas

Collect material regarding TB imaging in children and host on website as a reliable resource

Support facilities and activities in Africa, Asia, Latin America and Europe – second opinion / volunteer tele-reading / targeted education and training

Initiate and participate in pediatric TB research

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

How to Create a TB network

Announce formation LOGO and Catch-phrase Volunteers:

Education materials Visits

Communicate intent to partners - (see letter)

Agree to projects Request funding Newsletter: CHIT-chat

CHITChildren’s Imaging in

Tuberculosis

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Partners?

Already in communication ISR/TB Steering group - Eric Stern WHO: Dr Matteo Zignol, Stop TB

Strategy Unit Baylor College of Medicine UNICEF: Dr Ruslan Malyuta European PTBNET: President, Prof

Beate Kampmann Imaging the World, Prof Gara and

Kara-Lee MSF: Myrto Schaeffer / Marylinne

Bonnet Epicentre Doctors for Africa CUAMM - Ezia Ruga

For future communication ACR Philippe Devred: SFIPP & MSF

France Francis Brunelle: UNITAID Arnaud Laurent, ESTHER (big HIV

UNITAID project) RAD-AID RAD PED (Alexandra Monteiro) and

WHO's Regina Ungerer Desmond Tutu Foundation Clinton Foundation The Union

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

TB Network:

Activity Group expertise Education and training

Literature collection Online lectures [Dr. Laya] Outreach visits [Haiti / Ethiopia / Baylor

/ Khayelitsha] Communications

Newsletter Other networking

Research development: Imaging the world CDC Baylor etc.

Consultation: expert panel

TB outreach Impact diagnosis

volunteer reporting / opinion TB clinics: MSF; Khayelitsha

Advocate improved Dx Imaging

Participate in global forums Affect guidelines

Research execution Imaging the World

CHITChildren’s Imaging in

Tuberculosis

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Volunteers please:

Africa Asia Pacific North America Latin America Europe Eastern Europe:

SIGN UP on www.wfpiweb.org

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Cross-cutting issuesChild Imaging Safety, Telecommunications

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Child Imaging Safety

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

There are many areas we can work on, volunteers needed

Radiation Exposure Image Gently has

agreed to work with WFPI

Its International Group, presided by Kimberly Applegate, has WFPI representatives – Erich Sorantin (ESPR),is co-chair. Other Regional representatives?

Child Imaging Safety

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

TelecommunicationsErich Sorantin, MDChair, Telecommunications Committee

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Telecommunications

Global reach = exorbitant costs OR use of virtual technology (web tools)

WFPI’s education & outreach strategy depends on the internet (online education and training, expert opinions via tele-reading: platform)Website – the WFPI hubCommunications tools (workboards, forums)Online meetings (GoToMeeting)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Telecommunications Committee

Contributes to strategic discussions and implementation strategies

Identifies and tests tools

Provides technological back up and support

Is critical to the WFPI’s success! (As such, a webpage being developed to render its contributions more visible)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performanceInes Boechat, MD & Wendy Lam, MDFounding President & Secretary

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performance (1)

Laying the foundations: step by step, “big picture” to project- specific

Through working groups (bylaws committee, strategic framework), then the Council

Underpinned by staff support

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performance (2)

GovernanceBylaws – June 2012Council formed – September 2012Council working tools (meeting & web) – readyStrategic Framework – August 2012External strategic advice – Mailman School of Public Health, Columbia University, NY, USALegal considerations on bylaws, tele-reading, incorporation – addressedMeetings: Council (BA, online) & open (RSNA 2012)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performance (3)

Council compositionPresident: Ines Boechat, SPR

Secretary: Wendy Lam, AOSPR

Treasurer: Gloria Soto, SLARP

Vice Secretary: Dorothy Bulas, SPR

Membership Secretary: Tim Cain

Representative Directors:

AfSPI (Africa): Savvas Andronikou

AOSPR: Abrah Hayat, Bernard Laya

ESPR: Erich Sorantin, Michael Panuel

SLARP: Pedro Daltro, Celia Ferrari

SPR: James Donaldson, Rebecca Stein-Wexler

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performance (4)

Project oversight & steering

Committee frameworks (objectives, approach)• Education, Outreach - ready, • Patient Safety and Telecomms – in progress

Tools • Education webpages – ready, need webmaster• Lower resource (needs assessment, volunteer

registration & data base) - readyProject frameworks – ready

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Institutional performance (5)VisibilityWebsite – launchedNewsletters – 3 this yearArticles & presentation posters/slides – produced on demand

Fund raisingCapital injectionsReporting on funds received to date: deliveredPhase II (external) funding plans – readyTB project formatted for grant applications – readyPrivate fund raising – planning underwayGrant & partnership prospection - underway

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Situation Analysis

Jasmina Bogdanovic, Jennifer Chiu, Inqu Haile, Cole Manship, Sunitha Reddy

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Agenda

• Background of Pediatric Radiology• WFPI

• History • Organizational structure

• Internal Culture• External Environment

• Global Societies• Childhood Disease Burden• Medical Equipment Manufacturers

• Challenges• Opportunities• Problem Redefined

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Challenges

1. Uneven representation and participation among members 2. Increasing communication between the societies3. Maintaining adequate staffing, resources and funding

4. Overcoming political and language barriers to improve access to care

5. Expanding representation from countries around the world

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Treasurer’s ReportGloria Soto, MD & Timothy Cain, MDTreasurer & Acting Vice Treasurer

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

“Snapshot” May 1 2012 – April 30 2013 Not yet incorporated so reporting periods in

limbo, some fusion with SPR

To be aligned depending on future organization and legal framework

Gives an overview of WFPI income and expenditures between two WFPI meetings: San Francisco (May ‘12) and San Antonio (May ‘13)

Differentiates between actual and promised sums

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Income 2012-13(1)

CURRENT ASSETSSPR R&E Foundation pilot award 50 kESPR website initiation costs 1.8 kMember society fees + AOSPR top up 1.3 kIndividual AOSPR member donation 0.5 k

NON-CURRENT ASSETSBalance, SPR contribution, staff costs 1.6 kSPR Capital injection 2013 25 k

TOTAL = $US 80.2 k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Income 2012-13 (2)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Income 2012-13 (3)

Donations in kind

1.WFPI volunteer time: Council, committees, outreach

2.SPR: staff time software and tools (website host, GoToMeeting) secretariat support through SPR/ACR Management Support

Service Agreement (book keeping, IT, legal support)

3.Image Gently staff time – newsletters visibility – booths, speakers

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (1)Definitions

All that represents meeting the WFPI’s goals:1.Communication and collaboration between pediatric imaging practitioners, via their organizations

2.Advocating for appropriate practices and resource allocation for children

3.Education

4.Patient safety, in particular radiation safety and protection

5.Outreach and training in lower resource settings

6.Research

7.Information

Can be called “operational costs”, “social mission costs”, “field costs”.

WFPI calls them PROJECT COSTS

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (2)

Definitions cont.

All that represents institutional performance (governance, smooth functioning, ensuring output).

Can be called “indirect costs”, “overheads”, “running costs”, “institutional costs”.

WFPI calls them OPERATING COSTS

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (3)

Project:

Operational support for committee and outreach volunteers (planning, coordinating& steering tasks through to completion) 26 staff days: 10.5kActual expenditure: 9.4kLiability: .11k

TOTAL = $US 10.5k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (4)

Operating:

Secretariat & Council executive support (planning, coordinating and steering tasks through to completion), 30.5 staff days 12.5 kActual expenditure: 11.2 kLiability: 1.3 k

Website initiation 1.8 kVisibility (printing, Athens) 0.1k

Total = $US14.4k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (5)

Fund raising:

Fund raising support, 6 staff days 2.3 k

Actual expenditure: 2.1 k Liability: 0.2 k

Total = $US 2.3k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Expenditures 2012-13 (6)

Project + operating + fund raising

TOTAL = $US27.2k

WFPI costs cannot generate a ratio reflecting project: institutional efforts because donations in kind mask tangible contributions (SPR/ACR) and total man hours (only paid ones show)

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projections 2013-14 (1)

Mostly forward estimates Best guesses based on last year and

policies/plans Can be modified: quarterly/bi-annual budget

revisions Revisions particularly necessary for outreach

where many factors out of WFPI’s control can affect timing and output

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projected income 2013-14 (2)

SPR 25 k capital injections (committed) 25 k

Other capital injections ?

Private fund raising ?

Initial grants? ?

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projected income 2013 - 2014 (3)

Donations in kind

1.Volunteer time: Council, committees, outreach2.SPR:

staff time software and tools (website host, GoToMeeting) secretariat support through SPR/ACR Management

Support Service Agreement (book keeping, IT, legal support)

3.Image Gently staff time – newsletters visibility – booths, speakers

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projected expenditures 2013 -14 (4)

Project – ESTMATE: to be fixed as projects develop

Outreach 9.7 k• tele-reading platform (1€ per read): 3 k

• training costs (transport and accomm.): aprox. 6.7 k

Staff support: 5 hours/week 10.4 k

TOTAL = $US20.1k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projected expenditures 2013 -14 (5)

Operating:

Website maintenance 0.5 kVisibility costs (if any) 0.5 kManagement services? (incorporate via SPR…) ?Secretariat & executive staff support, 6 hours/week 12.5 kIncorporation, legal costs 2 k

Total = $US 15.5k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Projected expenditures 2013-14 (6)

Fund raising

Funding support – visibility, tools, campaigns, events, institutional/foundation identification, grant applications; 4 staff hours/week8.3 k

Total = $US8.3k

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

SUMMARY, 2013 – 14

Carry over balance 2012-2013 53 k

Income Guaranteed 25.0 k

Expenditure Project, operating & fund raising 43.9 k Excludes all non-fixed project costs ? K

Net = $US34.1k

No income guaranteed for the following year

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

Priorities 2013 -14• Membership – reaching out worldwide

• Childhood tuberculosis

• Fund raising - awareness of the need, plans at regional levels

• Volunteers - education, child imaging safety, outreach, web/visibility, Council nominations

• Incorporation

the Society for

Pediatric Radiology

Regional Societies

Founding Societies

To conclude

“The WFPI has evolved faster than we ever imagined. Its foundations have been laid and our dreamers are becoming doers, driven by the conviction that the access to and application of pediatric imaging are essential components of children’s basic healthcare.” Ines Boechat, RSNA “My Turn”, March 2013

Thank you for your attention and support!

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