President and Treasurers Report 1 May 2012 30

President and Treasurer’s Report 1 May 2012 – 30 April 2013 Regional Societies the Society for Founding Societies Pediatric Radiology

Contents Collaboration between physicians: membership Education Outreach & training in lower resource settings Child Imaging safety Telecommunications Institutional performance Treasury Regional Societies the Society for Founding Societies Pediatric Radiology

WFPI Membership Timothy Cain, MD Membership Secretary Regional Societies the Society for Founding Societies Pediatric Radiology

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. Regional Societies the Society for Founding Societies Pediatric Radiology

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, nonradiologists (technicians, clinicians, other) Provide allied or associate (non-voting) membership? ? Regional Societies the Society for Founding Societies Pediatric Radiology

Progress - regional African Society for Paediatric Radiology (Af. SPI) Joined the Council in 2013 Regional Societies the Society for Founding Societies Pediatric Radiology

Progress – national/supranational (1) Europe Asia 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 Indian Society of Paediatric Radiology Others: need approaching, often working groups Africa South African Society of Paediatric Imaging Regional Societies the Society for Founding Societies Pediatric Radiology

Progress – national/supranational (2) Latin America North America Mostly working groups, few societies State & regional societies not yet approached Pacific Need approaching Regional Societies the Society for Founding Societies Pediatric Radiology

Education Dorothy Bulas, MD Chair, Education Committee Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Audience Nonradiologists – Radiologists – nurses, RT, sonographers, MD - pediatricians, cardiologists, neonatologists adult, trainees Pediatric Radiologists – fellows, attendings Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

WPFI Web SITE www. wfpiweb. org Regional Societies the Society for Founding Societies Pediatric Radiology

Links Existing virtual forums Educational links http: //globalcastmd. com/wp-content/uploads/2012/02/Navigating-the-Global. Cast. MD-Virtual-Medical. Symposium. pdf. syllabus: http: //globalcastmd. com/wp-content/uploads/2012/02/Trauma-Syllabus. pdf (http: //www. isrvirtual. org/lms/). http: //www. kinderradiologie-online. de/radiology/Links. shtml www. isradiology. org http: //www. aium. org/resources/guidelines. aspx http: //content. yudu. com/Library/A 1 wsis/Diagnostic. Imaging. Eur/resources/48. htm World Interactive Network Focused on Criticial Ultra. Sound http: //www. winfocus. org/home St. Jude Cure 4 Kids. New users can register at http: //www. Cure 4 Kids. 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/detart 1. 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 Regional Societies the Society for Founding Societies Pediatric Radiology

? Create material if needed? Who determines what is needed Who vets the material What logo should it be under Who updates these resources Regional Societies the Society for Founding Societies Pediatric Radiology

Promote and develop international education opportunities Online free access to journals Online free access to books Michael D'Alessandro's link - "pediatric radiology". Radiology. Ebooks. 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 for fellows to come to a USA centre for a few months (currently done with ESPR/ESR) Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Overlap: education –> outreach Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

ACR-WFPI Haiti, March 2013 L-> R Drs. Eva Rubio, Marthe Munden, Ron Cohen, Jennifer Nicholas, Rebecca Stein-Wexler Follow up: tuberculosis? Regional Societies the Society for Founding Societies Pediatric Radiology

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/Af. SPI/SASPI ->WFPI Under the curatorship of Prof. Kassa Darge (CHOP), a 5 -person training & teaching trip organized in Dec 2012: Ø one week lecture program, on-site training in X-ray reporting, US and interventional/biopsy techniques Ø combined team for examination of final year radiology trainees Ø lectures for CME program, Radiological Society of Ethiopia Further collaboration with South Africa/WFPI mutually beneficial Regional Societies the Society for Founding Societies Pediatric Radiology

Outreach in Lower Resource Settings Savvas Andronikou, MD Chair, Outreach & Training Committee Regional Societies the Society for Founding Societies Pediatric Radiology

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) Regional Societies the Society for Founding Societies Pediatric Radiology

Médecins Sans Frontières All 3 readers reported: since July 2012 • Sources: Tajikistan; CAR; Cambodia; Malawi Savvas Andronikou: 43 reports Kieran Mc. Hugh: 15 reports Arzu Kovanlikaya: 21 reports Regional Societies the Society for Founding Societies Pediatric Radiology

New outreach movement Simplified ultrasound ACR/Haiti: follow up India: Cicero Silva Liberia: Aadil Ahmed RAPED/Mozambique: ? Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology CHIT Children’s Imaging in Tuberculosis

Partners? Already in communication For future communication ISR/TB Steering group - Eric Stern ACR WHO: Dr Matteo Zignol, Stop TB Strategy Unit 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 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 Regional Societies the Society for Founding Societies Pediatric Radiology

CHIT TB Network: Children’s Imaging in Tuberculosis Activity Group expertise Education and training Impact diagnosis volunteer reporting / opinion TB clinics: MSF; Khayelitsha Advocate improved Dx Imaging Participate in global forums Affect guidelines Research execution Imaging the World Literature collection Online lectures [Dr. Laya] Outreach visits [Haiti / Ethiopia / Baylor / Khayelitsha] Newsletter Other networking Research development: Communications TB outreach Imaging the world CDC Baylor etc. Consultation: expert panel Regional Societies the Society for Founding Societies Pediatric Radiology

Volunteers please: Africa Asia Pacific North America Latin America Europe Eastern Europe: SIGN UP on www. wfpiweb. org Regional Societies the Society for Founding Societies Pediatric Radiology

Cross-cutting issues Child Imaging Safety, Telecommunications Regional Societies the Society for Founding Societies Pediatric Radiology

Child Imaging Safety Regional Societies the Society for Founding Societies Pediatric Radiology

Child Imaging Safety 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 cochair. Other Regional representatives? Regional Societies the Society for Founding Societies Pediatric Radiology

Telecommunications Erich Sorantin, MD Chair, Telecommunications Committee Regional Societies the Society for Founding Societies Pediatric Radiology

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 hub Communications tools (workboards, forums) Online meetings (Go. To. Meeting) Regional Societies the Society for Founding Societies Pediatric Radiology

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) Regional Societies the Society for Founding Societies Pediatric Radiology

Institutional performance Ines Boechat, MD & Wendy Lam, MD Founding President & Secretary Regional Societies the Society for Founding Societies Pediatric Radiology

Institutional performance (1) ØLaying the foundations: step by step, “big picture” to project- specific ØThrough working groups (bylaws committee, strategic framework), then the Council ØUnderpinned by staff support Regional Societies the Society for Founding Societies Pediatric Radiology

Institutional performance (2) Governance Bylaws – June 2012 Council formed – September 2012 Council working tools (meeting & web) – ready Strategic Framework – August 2012 External strategic advice – Mailman School of Public Health, Columbia University, NY, USA Legal considerations on bylaws, tele-reading, incorporation – addressed Meetings: Council (BA, online) & open (RSNA 2012) Regional Societies the Society for Founding Societies Pediatric Radiology

Institutional performance (3) Council composition President: Ines Boechat, SPR Secretary: Wendy Lam, AOSPR Treasurer: Gloria Soto, SLARP Vice Secretary: Dorothy Bulas, SPR Membership Secretary: Tim Cain Representative Directors: Af. SPI (Africa): Savvas Andronikou AOSPR: Abrah Hayat, Bernard Laya ESPR: Erich Sorantin, Michael Panuel SLARP: Pedro Daltro, Celia Ferrari SPR: James Donaldson, Rebecca Stein-Wexler Regional Societies the Society for Founding Societies Pediatric Radiology

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) - ready Project frameworks – ready Regional Societies the Society for Founding Societies Pediatric Radiology

Institutional performance (5) Visibility Website – launched Newsletters – 3 this year Articles & presentation posters/slides – produced on demand Fund raising Capital injections Reporting on funds received to date: delivered Phase II (external) funding plans – ready TB project formatted for grant applications – ready Private fund raising – planning underway Grant & partnership prospection - underway Regional Societies the Society for Founding Societies Pediatric Radiology

Mailman School of Public Health Columbia University Situation Analysis Jasmina Bogdanovic, Jennifer Chiu, Inqu Haile, Cole Manship, Sunitha Reddy Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Challenges 1. Uneven representation and participation among members 2. Increasing communication between the societies 3. 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 Regional Societies the Society for Founding Societies Pediatric Radiology

Treasurer’s Report Gloria Soto, MD & Timothy Cain, MD Treasurer & Acting Vice Treasurer Regional Societies the Society for Founding Societies Pediatric Radiology

“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 Regional Societies the Society for Founding Societies Pediatric Radiology

Income 2012 -13(1) CURRENT ASSETS SPR R&E Foundation pilot award 50 k ESPR website initiation costs 1. 8 k Member society fees + AOSPR top up 1. 3 k Individual AOSPR member donation 0. 5 k NON-CURRENT ASSETS Balance, SPR contribution, staff costs 1. 6 k SPR Capital injection 2013 25 k TOTAL = $US 80. 2 k Regional Societies the Society for Founding Societies Pediatric Radiology

Income 2012 -13 (2) Regional Societies the Society for Founding Societies Pediatric Radiology

Income 2012 -13 (3) Donations in kind 1. WFPI volunteer time: Council, committees, outreach 2. SPR: § § § staff time software and tools (website host, Go. To. Meeting) secretariat support through SPR/ACR Management Support Service Agreement (book keeping, IT, legal support) 3. Image Gently § § staff time – newsletters visibility – booths, speakers Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Expenditures 2012 -13 (3) Project: Operational support for committee and outreach volunteers (planning, coordinating & steering tasks through to completion) 26 staff days: 10. 5 k Ø Ø Actual expenditure: 9. 4 k Liability: . 11 k TOTAL = $US 10. 5 k Regional Societies the Society for Founding Societies Pediatric Radiology

Expenditures 2012 -13 (4) Operating: Secretariat & Council executive support (planning, coordinating and steering tasks through to completion), 30. 5 staff days Ø Ø 12. 5 k Actual expenditure: 11. 2 k Liability: 1. 3 k Website initiation Visibility (printing, Athens) 1. 8 k 0. 1 k Total = $US 14. 4 k Regional Societies the Society for Founding Societies Pediatric Radiology

Expenditures 2012 -13 (5) Fund raising: Fund raising support, 6 staff days Ø Ø 2. 3 k Actual expenditure: 2. 1 k Liability: 0. 2 k Total = $US 2. 3 k Regional Societies the Society for Founding Societies Pediatric Radiology

Expenditures 2012 -13 (6) Project + operating + fund raising TOTAL = $US 27. 2 k 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) Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

Projected income 2013 -14 (2) SPR 25 k capital injections Other capital injections Private fund raising Initial grants? (committed) 25 k ? ? Regional Societies the Society for Founding Societies ? Pediatric Radiology

Projected income 2013 - 2014 (3) Donations in kind 1. Volunteer time: Council, committees, outreach 2. SPR: § § § staff time software and tools (website host, Go. To. Meeting) secretariat support through SPR/ACR Management Support Service Agreement (book keeping, IT, legal support) 3. Image Gently § § staff time – newsletters visibility – booths, speakers Regional Societies the Society for Founding Societies Pediatric Radiology

Projected expenditures 2013 -14 (4) Project – ESTMATE: to be fixed as projects develop Outreach • tele-reading platform (1€ per read): 3 k • 9. 7 k training costs (transport and accomm. ): aprox. 6. 7 k Staff support: 5 hours/week 10. 4 k TOTAL = $US 20. 1 k Regional Societies the Society for Founding Societies Pediatric Radiology

Projected expenditures 2013 -14 (5) Operating: Website maintenance 0. 5 k Visibility costs (if any) 0. 5 k Management services? (incorporate via SPR…) ? Secretariat & executive staff support, 6 hours/week 12. 5 k Incorporation, legal costs 2 k Total = $US 15. 5 k Regional Societies the Society for Founding Societies Pediatric Radiology

Projected expenditures 2013 -14 (6) Fund raising Funding support – visibility, tools, campaigns, events, institutional/ foundation identification, grant applications; 4 staff hours/week 8. 3 k Total = $US 8. 3 k Regional Societies the Society for Founding Societies Pediatric Radiology

SUMMARY, 2013 – 14 Carry over balance 2012 -2013 53 k Income Guaranteed 25. 0 k Expenditure Project, operating & fund raising Excludes all non-fixed project costs 43. 9 k ? K Net = $US 34. 1 k No income guaranteed for the following year Regional Societies the Society for Founding Societies Pediatric Radiology

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 Regional Societies the Society for Founding Societies Pediatric Radiology

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! Regional Societies the Society for Founding Societies Pediatric Radiology