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Article ; Online: Ongoing Impact of COVID-19 on Breast Radiologists' Wellness.

Dodelzon, Katerina / Grimm, Lars J / Plimpton, S Reed / Markovic, Daniela / Milch, Hannah S

Journal of breast imaging

2024 Volume 5, Issue 3, Page(s) 287–296

Abstract: Objective: Assess the ongoing impact of COVID-19 on mental well-being of breast radiologists nationwide two years after the start of the pandemic and compared to early in the pandemic.: Methods: A 27-question survey was distributed from December 2021 ...

Abstract	Objective: Assess the ongoing impact of COVID-19 on mental well-being of breast radiologists nationwide two years after the start of the pandemic and compared to early in the pandemic. Methods: A 27-question survey was distributed from December 2021 to January 2022 to physician members of the Society of Breast Imaging. Psychological distress and anxiety scores were calculated, and factors associated with them were identified with a multivariate logistic model. Results: A total of 550 surveys were completed (23% response rate); the mean respondent age was 50 +/- 10 years. Fifty percent (265/526) of respondents reported two or more psychological distress symptoms, down from 58% in 2020 (P = 0.002), whereas 70% (362/526) of respondents reported increased anxiety, down from 82% in 2020 (P < 0.001). As in 2020, reporting financial strain and childcare adversely affecting job ability were associated with worse psychological distress scores (OR 3.6, 95% CI: 1.6-8.3, P = 0.02 and OR 6.0, 95% CI: 2.5-14.4, P = 0.002, respectively). Less time spent consulting, educating, and discussing results with patients was associated with higher psychological distress (OR 5.3, 95% CI: 2.1-13.2, P = 0.036) and anxiety (OR 6.4, 95% CI: 2.3-17.5, P < 0.001). Diminished research collaboration was associated with higher anxiety (OR 1.8, 95% CI: 1.1-2.9, P = 0.019). Conclusion: The COVID-19 pandemic continues to cause mental health symptoms in breast radiologists, especially for those with pandemic-specific childcare needs and financial distress. Pandemic-related decreased opportunities to connect with patients and colleagues negatively impacts radiologists' mental health.
MeSH term(s)	Humans ; Adult ; Middle Aged ; COVID-19/epidemiology ; SARS-CoV-2 ; Pandemics ; Depression/etiology ; Radiologists
Language	English
Publishing date	2024-02-28
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbac100
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Teach the Mentor: A Six-Session Program Universally Improves Mentorship Skills Among a Diverse Group of Radiology Faculty.

Milch, Hannah S / Luhar, Aarti / Manning, Brian / Aberle, Denise R / Sayre, James / Moriarty, John M

Journal of the American College of Radiology : JACR

2024

Language	English
Publishing date	2024-01-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2024.01.001
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Article ; Online: Call for a New Radiology Subspecialty in Imaging-Based Screening.

Milch, Hannah S / Haramati, Linda B

Journal of the American College of Radiology : JACR

2020 Volume 18, Issue 1 Pt B, Page(s) 198–201

MeSH term(s)	Diagnostic Imaging ; Internship and Residency ; Radiography ; Radiology/education
Language	English
Publishing date	2020-12-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2020.09.026
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Article ; Online: Factors Contributing to Disproportionate Burnout in Women Breast Imaging Radiologists: A Review.

Dodelzon, Katerina / Milch, Hannah S / Mullen, Lisa A / Dialani, Vandana / Jacobs, Sarah / Parikh, Jay R / Grimm, Lars J

Journal of breast imaging

2024 Volume 6, Issue 2, Page(s) 124–132

Abstract: Physician burnout continues to increase in prevalence and disproportionately affects women physicians. Breast imaging is a woman-dominated subspeciality, and therefore, worsening burnout among women physicians may have significant repercussions on the ... ...

Abstract	Physician burnout continues to increase in prevalence and disproportionately affects women physicians. Breast imaging is a woman-dominated subspeciality, and therefore, worsening burnout among women physicians may have significant repercussions on the future of the breast imaging profession. Systemic and organizational factors have been shown to be the greatest contributors to burnout beyond individual factors. Based on the Mayo Model, we review the evidence regarding the 7 major organizational contributors to physician burnout and their potential disproportionate impacts on women breast radiologists. The major organizational factors discussed are work-life integration, control and flexibility, workload and job demands, efficiency and resources, finding meaning in work, social support and community at work, and organizational culture and values. We also propose potential strategies for institutions and practices to mitigate burnout in women breast imaging radiologists. Many of these strategies could also benefit men breast imaging radiologists, who are at risk for burnout as well.
MeSH term(s)	Male ; Humans ; Female ; Radiologists ; Physicians ; Burnout, Professional/epidemiology ; Physicians, Women ; Workload
Language	English
Publishing date	2024-02-08
Publishing country	United States
Document type	Review ; Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbad104
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Article ; Online: Impact of COVID-19 on Breast Imaging Practice Operations and Recovery Efforts: A North American Study.

Dodelzon, Katerina / Grimm, Lars J / Tran, Khai / Dontchos, Brian N / Destounis, Stamatia / Dialani, Vandana / Dogan, Basak / Sonnenblick, Emily / Zuley, Margarita / Milch, Hannah S

Journal of breast imaging

2024 Volume 3, Issue 2, Page(s) 156–167

Abstract: Objective: To assess the impact of the COVID-19 pandemic on breast imaging facilities' operations and recovery efforts across North America.: Methods: A survey on breast imaging facilities' operations and strategies for recovery during the COVID-19 ... ...

Abstract	Objective: To assess the impact of the COVID-19 pandemic on breast imaging facilities' operations and recovery efforts across North America. Methods: A survey on breast imaging facilities' operations and strategies for recovery during the COVID-19 pandemic was distributed to the membership of the Society of Breast Imaging and National Consortium of Breast Centers from June 4, 2020, to July 14, 2020. A descriptive summary of responses was performed. Comparisons were made between demographic variables of respondents and questions of interest using a Pearson chi-square test. Results: There were 473 survey respondents (response rate of 13%). The majority of respondents (70%; 332/473) reported 80%-100% breast imaging volume reduction, with 94% (447/473) reporting postponement of screening mammography. The majority of respondents (97%; 457/473) continued to perform biopsies. There were regional differences in safety measures taken for staff (P = 0.004), with practices in the West more likely reporting no changes in the work environment compared to other regions. The most common changes to patients' experience included spacing out of furniture in waiting rooms (94%; 445/473), limiting visitors (91%; 430/473), and spacing out appointments (83%). A significantly higher proportion of practices in the Northeast (95%; 104/109) initiated patient scheduling changes compared to other regions (P = 0.004). Conclusion: COVID-19 had an acute impact on breast imaging facilities. Although common national operational patterns emerged, geographic variability was notable in particular in recovery efforts. These findings may inform future best practices for delivering breast imaging care amid the ongoing and geographically shifting COVID-19 pandemic.
Language	English
Publishing date	2024-03-19
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbab002
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Article ; Online: Communicating With Breast Imaging Patients During the COVID-19 Pandemic: Impact on Patient Care and Physician Wellness.

Milch, Hannah S / Grimm, Lars J / Plimpton, Steven R / Tran, Khai / Markovic, Daniela / Dontchos, Brian N / Destounis, Stamatia / Dialani, Vandana / Dogan, Basak E / Sonnenblick, Emily B / Zuley, Margarita L / Dodelzon, Katerina

Journal of breast imaging

2024 Volume 4, Issue 2, Page(s) 144–152

Abstract: Objective: Assess the impact of COVID-19 on patient-breast radiologist interactions and evaluate the relationship between safety measure-constrained communication and physician wellbeing.: Methods: A 41-question survey on the perceived effect of ... ...

Abstract	Objective: Assess the impact of COVID-19 on patient-breast radiologist interactions and evaluate the relationship between safety measure-constrained communication and physician wellbeing. Methods: A 41-question survey on the perceived effect of COVID-19 on patient care was distributed from June 2020 to September 2020 to members of the Society of Breast Imaging and the National Consortium of Breast Centers. Non-radiologists and international members were excluded. Anxiety and psychological distress scores were calculated. A multivariable logistic model was used to identify demographic and mental health factors associated with responses. Results: Five hundred twenty-five surveys met inclusion criteria (23% response rate). Diminished ability to fulfill patients' emotional needs was reported by 46% (221/479), a response associated with younger age (OR, 0.8 per decade; P < 0.01), higher anxiety (OR, 2.3; P < 0.01), and higher psychological distress (OR, 2.2; P = 0.04). Personal protective equipment made patient communication more difficult for 88% (422/478), a response associated with younger age (OR, 0.8 per decade; P = 0.008), female gender (OR, 1.9; P < 0.01), and greater anxiety (OR, 2.6; P = 0.001). The inability to provide the same level of care as prior to COVID-19 was reported by 37% (177/481) and was associated with greater anxiety (OR, 3.4; P < 0.001) and psychological distress (OR, 1.7; P = 0.03). Conclusion: The majority of breast radiologists reported that COVID-19 has had a negative impact on patient care. This perception was more likely among younger radiologists and those with higher levels of anxiety and psychological distress.
Language	English
Publishing date	2024-02-28
Publishing country	United States
Document type	Journal Article
ISSN	2631-6129
ISSN (online)	2631-6129
DOI	10.1093/jbi/wbac005
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Article ; Online: Lung Cancer Screening Among Mammography Patients: Knowledge, Eligibility, Participation, and Interest.

Novogrodsky, Eitan / Haramati, Linda B / Villasana-Gomez, Geraldine M / Goldman, Jessica / Rosenfeld, Cyril / Rosenblum, Jessica K / Sayre, James W / Hoyt, Anne C / Goldin, Jonathan G / Milch, Hannah S

Journal of the American Board of Family Medicine : JABFM

2023 Volume 36, Issue 4, Page(s) 557–564

Abstract: Objective: To determine lung cancer screening eligibility, knowledge, and interest and to quantify the effect of the expanded 2021 lung cancer screening eligibility criteria among women presenting for screening mammography, a group with demonstrable ... ...

Abstract	Objective: To determine lung cancer screening eligibility, knowledge, and interest and to quantify the effect of the expanded 2021 lung cancer screening eligibility criteria among women presenting for screening mammography, a group with demonstrable interest in cancer screening. Methods: A single-page survey was distributed to patients presenting for screening mammography, from January-March 2020 and June 2020-January 2021, at 2 academic medical centers on the East and West Coasts. The population served by the East Coast institution has greater poverty, greater ethnic/racial diversity, and lower education levels. Survey questions included age, smoking history, lung cancer screening knowledge, participation, and interest. Lung cancer screening eligibility was determined for both 2013 and 2021 USPSTF guidelines. Descriptive statistics were calculated, and data were compared between groups using the Chi-square test, Mann-Whitney nonparametric test, and the 2-sample Results: 5512 surveys were completed; 33% (1824) of women reported a history of smoking-30% (1656) former smokers and 3% (156) current smokers. Among women with a smoking history, 7% (127/1824) were eligible for lung cancer screening using 2013% and 11% (207/1824) using the 2021 USPSTF criteria. Interest in lung cancer screening was high (73%; 151/207) among eligible women using 2021 USPSTF criteria, but only 42% (87/207) had heard of lung cancer screening and only 28% (57/207) had received prior LDCT screening. Conclusion: Eligible screening mammography patients reported high levels of interest in lung cancer screening but low levels of knowledge and participation. Linking mammography and LDCT appointments may improve lung cancer screening participation.
MeSH term(s)	Humans ; Female ; Lung Neoplasms/diagnostic imaging ; Early Detection of Cancer ; Breast Neoplasms/diagnostic imaging ; Mammography ; Smoking/epidemiology ; Mass Screening
Language	English
Publishing date	2023-06-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2239939-2
ISSN	1558-7118 ; 1557-2625
ISSN (online)	1558-7118
ISSN	1557-2625
DOI	10.3122/jabfm.2022.220423R1
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Article ; Online: COVID-19 and Breast Radiologist Wellness: Impact of Gender, Financial Loss, and Childcare Need.

Milch, Hannah S / Grimm, Lars J / Plimpton, S Reed / Tran, Khai / Markovic, Daniela / Dontchos, Brian N / Destounis, Stamatia / Dialani, Vandana / Dogan, Basak E / Sonnenblick, Emily B / Zuley, Margarita L / Dodelzon, Katerina

Journal of the American College of Radiology : JACR

2021 Volume 18, Issue 7, Page(s) 1017–1026

Abstract: Purpose: The purpose of this study was to evaluate the emotional and financial impact of coronavirus disease 2019 (COVID-19) on breast radiologists to understand potential consequences on physician wellness and gender disparities in radiology.: ... ...

Abstract	Purpose: The purpose of this study was to evaluate the emotional and financial impact of coronavirus disease 2019 (COVID-19) on breast radiologists to understand potential consequences on physician wellness and gender disparities in radiology. Methods: A 41-question survey was distributed from June to September 2020 to members of the Society of Breast Imaging and the National Consortium of Breast Centers. Psychological distress and financial loss scores were calculated on the basis of survey responses and compared across gender and age subgroups. A multivariate logistic model was used to identify factors associated with psychological distress scores. Results: A total of 628 surveys were completed (18% response rate); the mean respondent age was 52 ± 10 years, and 79% were women. Anxiety was reported by 68% of respondents, followed by sadness (41%), sleep problems (36%), anger (25%), and depression (23%). A higher psychological distress score correlated with female gender (odds ratio [OR], 1.9; P = .001), younger age (OR, 0.8 per SD; P = .005), and a higher financial loss score (OR, 1.4; P < .0001). Participants whose practices had not initiated wellness efforts specific to COVID-19 (54%) had higher psychological distress scores (OR, 1.4; P = .03). Of those with children at home, 38% reported increased childcare needs, higher in women than men (40% versus 29%, P < .001). Thirty-seven percent reported that childcare needs had adversely affected their jobs, which correlated with higher psychological distress scores (OR, 2.2-3.3; P < .05). Conclusions: Psychological distress was highest among younger and female respondents and those with greater pandemic-specific childcare needs and financial loss. Practice-initiated COVID-19-specific wellness efforts were associated with decreased psychological distress. Policies are needed to mitigate pandemic-specific burnout and worsening gender disparities.
MeSH term(s)	Adult ; Anxiety/epidemiology ; COVID-19 ; Child ; Female ; Humans ; Male ; Middle Aged ; Pandemics ; Radiologists ; SARS-CoV-2 ; Surveys and Questionnaires
Language	English
Publishing date	2021-03-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2021.02.022
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Zs.A 6636: Show issues

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Article ; Online: Biopsy Marker Standardization: What's in a Name?

Portnow, Leah H / Thornton, Cynthia M / Milch, Hannah S / Mango, Victoria L / Morris, Elizabeth A / Saphier, Nicole B

AJR. American journal of roentgenology

2019 Volume 212, Issue 6, Page(s) 1400–1405

Abstract: OBJECTIVE. ...

Abstract	OBJECTIVE.
Language	English
Publishing date	2019-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	82076-3
ISSN	1546-3141 ; 0361-803X ; 0092-5381
ISSN (online)	1546-3141
ISSN	0361-803X ; 0092-5381
DOI	10.2214/AJR.18.20577
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Article ; Online: MR. Implant: Rapid Evidence-Based Determination of Implant Safety Status.

Fay, Jill S / Milch, Hannah S / Gutman, David / Law, Amy S / Mardakhaev, Edward / Saraiya, Mansi Shah / Lipton, Michael L

Journal of the American College of Radiology : JACR

2018 Volume 15, Issue 7, Page(s) 993–997

MeSH term(s)	Decision Making ; Evidence-Based Medicine ; Humans ; Internship and Residency ; Magnetic Resonance Imaging ; Organizational Policy ; Patient Safety/standards ; Prostheses and Implants ; Radiology/education ; Surveys and Questionnaires
Language	English
Publishing date	2018-04-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274861-1
ISSN	1558-349X ; 1546-1440
ISSN (online)	1558-349X
ISSN	1546-1440
DOI	10.1016/j.jacr.2018.02.029
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