Pediatric Radiology Board Report with Strategic Plan Suggestions

1. Report for the ESPR & SPR BoardsNovember/December 2013 Full donor report to follow, Jan 2014

2. Membership Regional: no change National/supranational • GPR (German Speakers PediatricRadiology Society) • SPIN (Society of Paediatric Radiology in Nigeria)

3. Education: website • Site migration, then re-think education pages • A lot of written material out there, people have other ways to get to it • More useful: a condensation of the literature in bite sized chunks in one place relevant to the various groups who access our site. • Shift the focus to building up repositories of online educational talks & training modules • Need a policy/strategic plan: website, education & outreach committees • Cover content, format, access (paywalls/free), intellectual property & legal responsibility

4. Education: website

5. Education: other • Live web streaming SPR: major breakthrough opportunity for WFPI. Take up elsewhere? • Mini-symposium, journal • New ACR-WFPI training course in Haiti planned for March 2014 • South African tour, summer 2013

6. Outreach: tele-reading/TB (1)(Almost all referrals: pediatric TB) Médecins sans Frontières/Doctors without Borders • June ’12 to date: approx. 120 reports (sometimes > 1 communication and film per case) • Onsite clinician training on pediatric TB image interpretation in South Africa • Joint MSF-WFPI Q&A assessment • Tele-reading submissions 2012 (806) • Conclusions: technician training &digital machinery raises quality • Article submitted for publication

7. Outreach: tele-reading/TB (2) Khayelitsha, South Africa • July ‘12 – Spring ’13: Referrals = 551; Reports + 400, 49 volunteers • Just re-started, taken over by Stanford University • Only cases needing 2nd opinion now being referred (= manageable flow, no substitution) • Firewall = no platform yet, dedicated email • Audit for publication in mini symposium • Audit 1: Referral card information, radiograph information  • Audit 2: Volunteer officer database phases 1 & 2 • Additional possible work for future on this database

8. Outreach: tele-reading/TB (3) Other tele-reading site possibilities 2014 • IGICH, Bangalore, India (mainly CT): ? • Liberia: non-starter (digital machine broken down) • Malawi (Baylor clinics) • Swaziland (National TB program) Other TB activity • Savvas’ 7 minute snippets • Need tele-reading & field training (onsite & online)to gain momentum before expanding network Platform: use paying platform for CT, free platform for jpegs?

9. Outreach: Volume Sweep Imaging (VSI) - Ultrasound (1) Team WFPI (SA, DB, IB), Brian Garra (Co-Founder, Imaging the World), Kara-Lee Pool (UCLA), leading institutions & radiologists in South Africa Focus • VSI-US of the mediastinum for TB nodes • VSI-US of the head for hydrocephalus • VSI-US of the kidneys for hydronephrosis Particular interest in the detection of enlarged mediastinal lymph nodes in children presenting with Tuberculosis

10. Outreach: VSI-US (2) Research – comparing VSI-US performed by ultrasound naïve volunteers and comparing diagnostic capability to gold standard imaging. Publication: the group hopes to produce a number of papers as a result of research. The results can be translated into practice in developing countries anywhere in the world.

11. Outreach: VSI-US (3) Sponsors to date Pfizer likely to sponsor the probe If comes to fruition: a WFPI flagship project

12. Other outreach movement • Mozambique/UCLA/RADPED • Pneumonia vaccines, WHO

13. Child Imaging Safety • Global Summit Radiological Quality & Safety, Washington, DC, May 2013 • WHO meeting Radiation Safety, Geneva, Sept 2014 • WFPI-IG partnership taken on form • WFPI’s niche currently low resource (IG covering the rest)

14. Institutional performance (1) Governance • Council: picking up speed • Circulation of WFPI output at regional and national levels is uneven but improving as Regional Organization Representatives step into their roles • Bylaws: need revision (officer positions, extending membership to non-pediatric radiology organizations) • Incorporation & management services

15. Institutional performance (2) Visibility • Newsletters – circulation rising (Africa, Middle East, Asia) • Website hits can’t currently be monitored – will be on new site • Facebook “likes” rising • Word of mouth, WHO/other mtgs, members’ annual mtgs • Mini-symposium, publications and training output Fund raising • ESPR capital injection • Pfizer, Sidra • Stuart Royal’s plans

16. Treasury 2013-14 Income • Need to start fund raising now to secure funding in 18 months time (grant application is a slow process) Expenditures: • On track re projected expenditures presented during Annual Meeting May 2014 (see website) • BUT management services costs as yet unknown

17. Priorities, late 2013/ early 2014 Projects • Education: • Website overhaul – policy, content • Mini-symposium • SPR web streaming? • Outreach • Initiate US project • Pursue TB/tele-reading in MSF, Khayelitsha, Malawi & Swaziland Institutional • Incorporation & management services • Fund raising • Keep building up the Council’s strength as a governing body