Assessing and Improving the Interpretation of Breast Images: Workshop Summary (2015)
Chapter: Appendix: Statement of Task andWorkshop Agenda
Appendix
Statement of Task and Workshop Agenda
STATEMENT OF TASK
An ad hoc committee will plan and host a 1.5-day public workshop to examine the evidence regarding interpretive performance in breast cancer screening. The workshop will feature panel discussions and invited presentations from experts in the interpretation of screening mammography to assess the state of the evidence, identify remaining gaps, and examine potential opportunities for advancing research and practice.
Participants will be invited to discuss topics related to
- the relationship between reader volume and interpretive performance;
- the relationship between screening and diagnostic volume, and the impact of working up one’s own recalled cases on interpretative performance;
- performance criteria to identify radiologists who might benefit most from interventions;
- use of test instruments to assess interpretive performance; and
- tools and interventions to improve interpretive performance.
The committee will develop the agenda for the workshop sessions, select and invite speakers and discussants, and moderate the discussions. An individually authored workshop summary of the presentations and
discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.
WORKSHOP AGENDA
May 12, 2015
| 7:45 am | Registration |
|
8:00 am |
Welcome from the National Cancer Policy Forum and the American Cancer Society |
| Patricia Ganz, University of California, Los Angeles, Vice Chair, National Cancer Policy Forum | |
| Robert Smith, American Cancer Society | |
|
|
Overview and Goals of the Workshop |
| Diana Buist, Group Health Research Institute Planning Committee Chair | |
|
|
Overview of the 2005 IOM Consensus Report Improving Breast Imaging Quality Standards |
| Etta Pisano, Medical University of South Carolina | |
|
8:45 am |
Session 1: Challenges in the Delivery of High-Quality Mammography |
| Moderator: Barbara Monsees, Washington University School of Medicine | |
|
|
Overview of Current Challenges |
| Barbara Monsees, Washington University School of Medicine | |
|
|
Geographic Access, Equity, and Impact on Quality |
| Tracy Onega, Dartmouth Medical School | |
|
|
Audits and the National Mammography Database |
| Carl D’Orsi, Emory Healthcare | |
|
|
Group Discussion |
|
10:30 am |
Break |
|
10:45 am |
Session 2: Training/Experience and Interpretive Performance |
| Moderator: Diana Buist, Group Health Research Institute | |
|
|
U.S. and International Variation in Volume and Performance Measures |
| Diana Buist, Group Health Research Institute | |
|
|
Interpretive Volume and Accuracy in Canada |
| Isabelle Théberge, National Public Health Institute, Quebec | |
|
|
The Role of Specialist Radiology Technologists |
| Louise Henderson, University of North Carolina School of Medicine | |
|
|
Residency Requirements and Board Certification and Maintenance |
| Debra Monticciolo, Texas A&M College of Medicine | |
|
|
Group Discussion |
|
12:30 pm |
Lunch Break |
|
1:15 pm |
Session 3: Identifying Radiologists and Facilities That Would Benefit from Intervention |
| Moderator: Diana Miglioretti, University of California, Davis | |
|
|
Diagnostic and Screening Aspects |
| Patricia Carney, Oregon Health & Science University and the Knight Cancer Institute | |
|
|
Joint Criteria and Confidence Interval-Based Approaches |
| Diana Miglioretti, University of California, Davis |
|
|
Identifying Facilities Through CMS Data |
| Rebecca Hubbard, University of Pennsylvania School of Medicine | |
|
|
Group Discussion |
|
3:00 pm |
Break |
|
3:15 pm |
Session 4: Test Instruments to Assess Interpretive Performance: Challenges and Opportunities |
| Moderator: Lora Barke, Radiology Imaging Associates | |
|
|
Overview of Test Set Design and Use |
| Robert Smith, American Cancer Society | |
|
|
Overview of International Test Sets |
| Mireille Broeders, Dutch Reference Center for Screening | |
|
|
Panel Discussion: |
| Session speakers and Matthew Wallis, Cambridge and Huntington Breast Screening Service | |
|
|
Group Discussion |
|
4:30 pm |
Wrap-Up Day 1 and Adjourn |
May 13, 2015
| 8:00 am | Registration |
|
8:30 am |
Session 5: Tools and Interventions to Improve Interpretive Performance |
| Moderator: Patricia Carney, Oregon Health & Science University Cancer Institute | |
|
|
Educational Interventions to Improve Screening |
| Berta Geller, University of Vermont |
|
|
Thresholds for Performance |
| Matthew Wallis, Cambridge and Huntington Breast Screening Service | |
|
|
Panel Discussion: |
| Session speakers and Mireille Broeders, Dutch Reference Center for Screening Carl D’Orsi, Emory Healthcare | |
|
|
Group Discussion |
|
10:00 am |
Break |
|
10:15 am |
Session 6: Reactor Panel: Potential Solutions to Current Challenges |
| Moderator: Susan Dentzer, Robert Wood Johnson Foundation | |
|
|
Panelists: |
| Lora Barke, Radiology Imaging Associates | |
| Helen Barr, Food and Drug Administration | |
| Bryan Loy, Humana | |
| Barbara Monsees, Washington University School of Medicine | |
| Dana Smetherman, Ochsner Health System | |
| Robert Smith, American Cancer Society | |
| Kelly Walborn, Patient Advocate | |
|
|
Group Discussion |
|
11:45 am |
Workshop Wrap-Up |
| Diana Buist, Group Health Research Institute | |
|
12:00 pm |
Adjourn |
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