A MESSAGE FROM THE PRESIDENT OF THE CAR

Doing the Right Thing at the Right Time

I am pleased to announce that this year’s Annual Scientific Meeting (ASM), which took place in Montreal from April 24 to 27, was once again a great success and garnered a record number of attendees. The feedback we have been receiving for the past few years has consistently confirmed to us that we are on the right track in terms of the meeting content and that we are providing a unique meeting for Canadian medical imaging professionals.

The CAR is proud to offer such a high-quality meeting paired with an exceptional networking opportunity. For this, we have our tremendous 2014 ASM Working Group to thank. The members of the group were Dr. Carol Dennie (Chair), Dr. Tanya Chawla, Dr. Christina Chingkoe, Dr. Phyllis Glanc, Dr. Angus Hartery, Dr. Dipinder Keer, Dr. Emil Lee, Dr. Jonathan Leipsic, Dr. Neety Panu, Dr. Michael Patlas and Dr. Donatella Tempieri. We would also like to thank our dedicated CAR staff.

The theme of this year’s event was Doing the Right Thing at the Right Time: Appropriate Imaging Utilization. Doing the right thing at the right time is not only applicable to radiology, but also to the CAR’s recent initiatives. In continuing its work on behalf of all Canadian radiologists, the CAR endeavours to seize opportunities when they arise.

An example of this is the CAR’s participation in the Choosing Wisely Canada (CWC) campaign, which was launched in April of this year. It comes at a time when governments are demanding accountability from medical professionals. The CAR was one of the first organizations to partner itself with the campaign, which boasts the Canadian Medical Association as one of its lead partners. It is meant to raise awareness regarding tests, treatments and procedures and to help patients and physicians discuss their options and make wise choices in their health care. We must lead the way.

By helping to optimize the use of the resources of our health care system, we are being proactive in the inevitable change that will occur throughout the medical profession and are helping to ensure the most appropriate actions and safest outcomes for patients. In a few years from now, we may not have the luxury of laying out the right path for our own profession.

According to the Canadian Medical Association (CMA) General Council, appropriateness is defined as “the right care, provided by the right providers, to the right patient, in the right place, at the right time, resulting in optimal quality of care.” In keeping with this definition, and with increasing attention in the past few years on appropriateness, the CAR is leading the way in terms of developing timely programs, reports and resources to help radiologists lay the groundwork for stronger, more accountable imaging care. These include:

The CAR is constantly working for its members. Through these initiatives, and others, I hope that you, as a radiologist, feel well-represented at the national level. We always welcome feedback regarding the Association and its activities.

If you are a member, we thank you for your support. If you are not a member, we strongly encourage you to join us today. Strength is in numbers. CAR members also have the opportunity to volunteer with the Association and directly influence its initiatives. Perhaps this is your chance to do the right thing at the right time.

 

 

 

 

Jacques Lévesque, MD
President, Canadian Association of Radiologists

 

2014 ASM Highlights


Dr. Ella Kazerooni giving the opening lecture

As mentioned in the President's Message, this year's Annual Scientific Meeting, which was held in Montreal from April 24 to 27, was a tremendous success. With 550 attendees from across Canada and around the world, this has been the CAR's most well-attended ASM. This year's keynote speakers were Dr. Ella Kazerooni from the University of Michigan Health System, and Dr. Alec Megibow from the NYU Langone Medical Center.


CAR 77th Annual Scientific
Program Cover

The theme of the ASM was Doing the Right Thing at the Right Time: Appropriate Imaging Utilization. Dr. Kazerooni’s opening lecture – Patient-Centred Radiology: The Right Thing for the Right Patient at the Right Time – reflected perfectly on this theme and covered crucial topics such as, patient expectations, radiologists’ responsibilities and personalized care.

Some of this year’s most memorable sessions included the Live Ultrasound Simulation Workshop (ankle tendons and ligaments), How I Do It – Live Action, Jeopardy: Radiology Style, and Slipping Through the Cracks and Into the Courtroom: A Mock Trial presented by the Canadian Medical Protective Association.

As always, the CAR offered radiology residents fantastic learning opportunities with its Resident Review, moderated by Dr. Neety Panu, and its Resident Hot Seat Sessions, moderated by Dr. Julie Hurteau-Miller, Dr. Anukul Panu, and Dr. Petter Tonseth. We also featured a very well-received group of sessions for young radiologists; the topics were Continuing Professional Development: Where Are We Going, and Why Should I Care?, Preparation for Academic Promotion, Leadership Roles, and Work-Life Balance and Happiness at Work. Read more about these in Residents' Corner.

 

CAR Award Winners

Each year, the CAR hosts its Annual Dinner and Awards Gala during the ASM. It is an occasion to celebrate and also to recognize some of Canada’s most dedicated radiologists and their achievements. We would like to thank the Canadian Radiological Foundation for having sponsored the Radiologists-in-Training, Educational Exhibit, and Scientific Exhibit awards. The event took place on Saturday April 26 at Le Windsor, one of downtown Montreal’s most prestigious and historic landmarks. We would like to congratulate all of the winners!


CAR Gold Medal Award

Dr. Martin Reed

In addition to his stellar achievements in his practice as a pediatric radiologist, Dr. Martin Reed has been active on the local, national and international scenes in advancing our profession.

Dr. Reed’s contributions to the CAR span more than 40 years. During this time, and up to 2013, he served in multiple roles on the boards of directors of both the CAR and the Canadian Radiological Foundation. He was the first to actively promote the CAR as a leader in improving the appropriateness of diagnostic imaging requests in Canada. Read more.


Dr. Jacques Lévesque, President of the CAR (right) congratulating Dr. Martin Reed on his CAR Gold Medal Award win.

Dr. Martin Reed giving his CAR Gold Medal Award acceptance speech.


CAR Young Investigator Award

Dr. Jai Jai Shiva Shankar

Dr. Jai Jai Shiva Shankar is described by his peers as a valued clinical and scientific collaborator, as well as a “driver of research and innovation”. After obtaining his medical degrees abroad (India, France and Thailand) between 2001 and 2008, he pursued fellowships in neuroradiology at The Ottawa Hospital and in interventional radiology at both The Ottawa Hospital and the Toronto Western Hospital.

He began his teaching career in 2010 as an assistant professor of neuroradiology in the Department of Diagnostic Imaging at the Queen Elizabeth II Health Sciences Centre (QEII). Since his arrival at QEII, where he is currently an associate professor of neuroradiology, he quickly distinguished himself as a leader in the neuroradiology section and was responsible for a number of new interventional efforts. Read more.

 


Dr. Jai Jai Shiva Shankar (right) being presented with the CAR Young Investigator Award by Dr. Jacques Lévesque, President of the CAR.

Departmental Clinical Audit Project Contest

Guan Huang et al. – University of Alberta
An Audit to Evaluate the Diagnostic Adequacy and Safety of Percutaneous Ultrasound Guided Pediatric Liver Biopsy

 

Radiologists-in-Training

First place Anthony Vo – University of Ottawa
Magnetic Resonance Imaging for the Determination of Femoral Head Physis
Second place Helen M. Cheung – University of Toronto Liver MRI with Gadofosoveset trisodium (Ablavar™)
Third place Farheen Manji – McMaster University
Comparison of Dual Energy Subtraction Chest Radiography and Traditional Chest X-Rays in the Detection of Pulmonary Nodules

 

Educational Exhibit Contest

First place Michael E. Cody ‒ University of California, Irvine Medical Centre
Duplex Ultrasound Imaging of Dialysis Fistulae and Grafts: Everything a Radiologist Needs to Know
Second place Kathryn Darras (Roston) – University of British Columbia
Pearls for Interpreting Cervical Spine Images in Trauma
Third place Adam A. Dmytriw – Dalhousie Medical School
Medical Emergencies in the Radiology Department

 

Scientific Exhibit Contest

First place Matthew Wright – University of Saskatchewan
Radiation Exposure from Abdomen-Pelvic CT Scans in Saskatchewan: Comparison with Historical Effective Dose Levels and Evaluation of Size-Specific Dose Estimates
Second place Brian O'Meara – Royal College of Surgeons of Ireland
Benefit of a Sharp Computed Tomography Angiography Reconstruction Kernel for Improved Characterization of Intracranial Aneurysms
Third place Sean A. Kennedy – McMaster University
Appropriateness of Lumbar MRI Referrals: A Canadian Experience

To view a list of all past winners, click here.

 

Obtaining Credits and Certificate

The Canadian Association of Radiologists (CAR) 77th Annual Scientific Meeting was an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification (MOC) Program of the Royal College of Physicians and Surgeons of Canada (RCPSC) and approved by the CAR for a maximum of 19 credit-hours.

Participants in the Live Ultrasound Simulation Workshop – Approach to Ankle Tendons and Ligaments are eligible to claim a maximum of 9 credit-hours (3 credits per hour) under Section 3 of the RCPSC MOC Program. The RCPSC recording system will automatically convert the credit-hours for this workshop to 3 credits per claimed hour (i.e., 3 hours x 3 credits = 9 credit-hours).

If you attended the meeting and have not yet done so, you can download a certificate of attendance at www.car.ca/files/cert2014. Participants should only claim the credits commensurate with the extent of their participation in the activity.

To document your learning in the RCSPC MAINPORT portal, visit https://login.royalcollege.ca/oamlogin/login.jsp

 

Announcement: Winner of Weekend in Montreal

Delegates who reserved a guest room via the CAR room block at Le Centre Sheraton during the CAR 77th Annual Scientific Meeting were eligible for a draw for a free weekend stay at Le Centre Sheraton.

We are pleased to announce that the winner is Dr. Larry Gionet. Congratulations!

 

2015 Joint Congress on Medical Imaging and Radiation Sciences

Next year, the CAR will be holding a joint annual meeting with the Canadian Association of Medical Radiation Technologists, the Société canadienne-française de radiologie, and the Ordre des technologues en imagerie médicale, en radio-oncologie et en électrophysiologie médicale du Québec. The theme of the event will be Collaborative Care – Imaging and Treatment.

This bilingual congress will offer unparalleled opportunities for collaborative learning and professional networking among radiologists, medical radiation technologists and other members of the medical imaging team.

Mark your calendars now! Join us from May 28 to 30, 2015, at the Palais des congrès de Montréal.

 

THE CAR WEIGHS IN ON BREAST CANCER STUDY

 

National association of radiologists continues to support the use of mammograms regardless of recent report

Results from the Canadian National Breast Screening Study (CNBSS) published in the British Medical Journal (BMJ) concluded that annual mammography does not reduce breast cancer deaths. The CAR is very concerned that women will feel there is no need to pursue breast cancer screening, when in fact, several other breast cancer screening reports indicate the opposite.

Full statement

National association of radiologists continues to support the use of mammograms regardless of recent report


Dr. Jean Seely

The Canadian Association of Radiologists (CAR) has joined a growing chorus of associations speaking out against the controversial Canadian National Breast Screening Study (CNBSS) published in the British Medical Journal (BMJ), which concluded that annual mammography does not reduce breast cancer deaths. The report has many flaws, and is based on outdated imaging technology used in the 1980s when the study was originally conducted, says Dr. Jean Seely, head of the Breast Imaging Section of The Ottawa Hospital and member of the CAR's working group that authored the CAR Guidelines.

Full article

Republished with permission from Technology for Doctors. Written by Rosie Lombardi.

 

Choosing Wisely Canada

The CAR is proud to be part of the Choosing Wisely Canada (CWC) campaign, which was launched on April 2, 2014. The CAR was one of the first organizations to partner itself with this pan-Canadian initiative. The campaign, of which the Canadian Medical Association is a lead partner, brings together recommendations of nine national medical organizations which make up a list of 40 tests, treatments and procedures that may not be necessary in certain circumstances. The CAR list includes Five Things Physicians and Patients Should Question for medical imaging. It is critical that the profession of radiology demonstrate leadership in appropriateness. The ultimate goal of the campaign is to ensure that patients and doctors are making the right decisions based on evidence, resulting in the most appropriate health care.

The CAR has been active in a number of activities over the years meant to aid the appropriateness of orders for medical imaging tests, such as the complete update of the CAR Diagnostic Imaging Referral Guidelines, the Computerized Clinical Decision Support (CCDS) Projects which were conducted from 2006 to 2012, the ongoing Medical Imaging Team Day education and awareness campaign, among others.

By engaging in activities to enhance the appropriateness of imaging orders, the radiology profession is contributing to more effective and efficient use of diagnostic imaging equipment and health human resources. This, in turn, improves patient care and safety by shortening wait times for patients who are most in need of diagnostic imaging and reducing unnecessary exposure to medical radiation of those who may not need it.

 

An Example of Radiologist Leadership in Health Care


Ridge Meadows' Choosing Wisely Canada Handout on Medical Imaging

The Choosing Wisely Canada campaign is a perfect tool for radiologists to become leaders in their health care team. One such example is the Ridge Meadows Division of Family Practice, based in British Columbia (BC).

They began a radiology initiative to streamline imaging referrals, reduce congestion, and improve communication between family physicians and radiologists. The initiative was funded by Shared Care Committee, a collaborative committee of Doctors of BC and the BC Ministry of Health.

An important component of the initiative happened when local radiologists, Dr. Andrew Mason and Dr. Stuart Cocquyt, held two interactive learning sessions with 65 family physicians and specialists. The sessions supported the Choosing Wisely Canada campaign and included appropriateness of imaging referrals, such as when and if to refer to radiology, imaging guidelines, and identifying red flags. The sessions also provided a platform to dialogue with each other about challenges and opportunities for improvement.

The outcome of these sessions was astounding. A post-session participant survey indicated that 96% of physicians felt they had a better understanding of which imaging they should request for their patients and that the knowledge they gained from the session would help them make more informed referral decisions.

In addition, Ridge Meadows’ medical imaging department reports that, as a result of the education sessions, as well as other activities undertaken by the initiative, communication and referrals to the imaging department are improving. The project steering committee acknowledges physician engagement and stakeholder conversations as keys to achieving positive outcomes.

For more information on this initiative contact Dr. Andrew Mason at [email protected].

 

Lifecycle Guidance for Medical Imaging Equipment in Canada

The CAR has published a comprehensive guide entitled Lifecycle Guidance for Medical Imaging Equipment in Canada. It included input from many key stakeholders and was developed with the support of the Canadian Association of Medical Radiation Technologists (CAMRT) and the Canadian Cardiovascular Society (CCS) as partners.

So far, the guide has proven to be of great interest to many facilities throughout Canada as it provides guidance on the replacement, upgrading and introduction of new and emerging technologies in medical imaging devices.

The recommendations can be easily incorporated into a medical professional of medical imaging facility’s decision-making process regarding the timing and conditions under which medical imaging equipment should be purchased, replaced or upgraded.

Ensuring the optimal condition of medical imaging equipment is crucial to patient safety and to the quality of our health care services. To download the full version of the guide, click here. For the summary, click here.

 

CANADA'S NEW ANTI-SPAM LEGISLATION

 

We need your consent now to continue communicating with you.

 

 

As of July 1, 2014, the Government of Canada will be implementing Canada’s Anti-Spam Legislation (CASL). This prevents most organizations, including not-for-profit organizations such as the Canadian Association of Radiologists (CAR), from contacting individuals by electronic means (email, text, etc.) unless they have prior express or implied consent from those individuals to do so.

In light of this, we would like to obtain your express consent in order to continue communicating with you by electronic means.

Click here to keep receiving CAR communications.

Thank you for your assistance in responding to this new regulatory requirement.

For further details, please contact us at [email protected].

 

RESIDENTS' CORNER

 

Resident Representative of the CAR Board of Directors

Each year, the CAR selects a resident to join its Board of Directors to ensure well-rounded representation of all its members. As a member of the next generation of radiologists, the Resident Representative brings an alternate perspective on issues and can contribute towards a stronger future in radiology.

This year, the CAR was pleased to welcome Dr. Stephanie Lam as the Resident Representative to its Board of Directors at the CAR’s Annual General Meeting, which took place on April 26, 2014.

Profile – Dr. Stephanie Lam


Dr. Stephanie Lam

After completing her medical degree at Université de Montréal, Dr. Stephanie Lam began her residency in Diagnostic Radiology at McGill University. She will begin her fourth year of training in July 2014. Through her involvement in the Association of Residents of McGill and the Fédération des médecins résidents du Québec as President and Vice-President respectively, Dr. Lam has demonstrated her commitment to representing residents.

Dr. Lam is thrilled to be joining the CAR Board this year as Resident Representative and hopes to increase the visibility of the CAR in the Canadian resident body by actively reaching out to residents and promoting a sense of belonging. She looks forward to working with the resident body to assist the CAR in furthering their professional and educational mission. In her spare time, Dr. Lam enjoys painting and Latin dancing. She lives in Montreal and whiles away the cold winters playing ice hockey and cheering for the Habs.

 

CAR Resident at the ACR

As has been the case for the past few years, the CAR was delighted to once again support the attendance of a Canadian resident at the American College of Radiology (ACR) Annual Meeting and Chapter Leadership Conference (AMCLC), including the Resident and Fellow Section (RFS) session. This year, Dr. Olivier Clerk-Lamalice from Université de Sherbrooke attended the meeting, which took place in Washington, DC.

What is the resident and fellow section (RFS) of the ACR?

All residents and fellows training in the United States and Canada receive complimentary membership in the ACR, and are considered members-in-training. The RFS is composed of over 5,000 members. The ACR-RFS represents radiology and radiation oncology residents within the ACR and other specialty organizations including the American Medical Association (AMA), the American Alliance of Academic Chief Residents in Radiology (A3CR2) and the American Board of Radiology (ABR). The RFS is led by the RFS Executive Committee, comprised of six members, who hold office for one year. Elections for the positions of the RFS Executive Committee are held during the AMCLC. This year, approximately 320 members-in-training have participated in the RFS Section program while attending the AMCLC.

To read Dr. Clerk-Lamalice’s full report of the meeting, click here.

 

Resident Learning Opportunities at the ASM

As mentioned in the 2014 ASM Highlights section of this eNewsletter, the CAR was proud to offer, once again, unique learning opportunities for radiology residents at its Annual Scientific Meeting, which took place from April 24 to 27, 2014. Year after year, the CAR receives extremely positive feedback regarding its sessions designed specifically for radiology residents and fellows. This year, the CAR expanded its program to include a session dedicated to young radiologists with real-life advice needed to be a successful radiologist in today’s world.

For those of you who may be interested in such learning opportunities at future meetings, here is a breakdown of those sessions:

RESIDENT REVIEW

Moderated by: Dr. Neety Panu
Summary: Case-based radiology overview of the fundamentals of imaging of the major organ systems using different imaging modalities.
Objectives:
  • diagnose common pathologies as seen on a variety of imaging modalities
  • discuss the differential diagnoses of common pathologies in the following subcategories: chest, abdomen, pediatric, musculoskeletal, vascular/interventional, neuroradiology and nuclear medicine.
  • describe key points of common radiological diagnoses
Topics covered:
  • Chest
  • Mammography
  • Abdominal MRI
  • Musculoskeletal
  • Ultrasound
  • Pediatric
  • Neuroradiology
  • Nuclear Medicine
  • Interventional Radiology
Presented by: Dr. Heather Bray
Dr. Anukul Panu
Dr. Neety Panu
Dr. Laurence Péloquin
Dr. Shia Salem
Dr. Carolina Souza
Dr. Sandeep Naik
Dr. Petter Tonseth
Dr. John Kachura
Comments made by attendees:
  • Very good and clear presentations!
  • Good selection of interesting cases to make us think.
  • Great overview! Everything a resident needs to cover.

 

RESIDENT HOT SEAT SESSIONS

Moderated and presented by: Dr. Julie Hurteau-Miller
Dr. Anukul Panu
Dr. Petter Tonseth
Summary: Small group sessions provided participating residents with a foundation for approaching cases in a “hot seat” setting in preparation for various examinations. All areas of radiology were covered. Each resident received at least four training-appropriate cases.
Objectives:
  • assimilate and apply pertinent differential diagnoses in radiology related to the sample cases
  • apply a patterned approach to radiographic disease via a case-based approach
  • analyze feedback received from the moderators and use it to improve skills while interpreting cases orally
Comments made by attendees:
  • Very comprehensive sessions. Great practise and thorough explanations given.
  • Really enjoyed the cases and discussions.
  • Excellent. Loved receiving immediate feedback.

 

YOUNG RADIOLOGISTS

Moderated by: Dr. Raquel del Carpio
Summary: This segment of the meeting covered several topics of interest to radiologists-in-training and young radiologists.
Objectives: Discuss the more practical and everyday side of the profession of radiology.
Session 1:

Continuing Professional Development: Where Are We Going, and Why Should I Care?

Presented by: Dr. Sam Daniel

Summary: Highlighted the changes in the landscape of continuing professional development with a glimpse to the future. Participants also got an opportunity to review the framework of the three learning sections of the Maintenance of Certification Program of The Royal College of Physicians and Surgeons of Canada (RCPSC).
Session 2:

Preparation for Academic Promotion

Presented by: Dr. Carlos Torres

Summary:
A review of the definitions and associated domains of scholarship of the various career paths. Paths include: clinician-teacher, clinician-educator, clinician-investigator, clinician-scientist, scientist and clinician-administrator. The criteria for promotion predominantly based on education and clinical care were discussed. An outline on how to prepare the application package for promotion was offered which emphasized tips for success.
Session 3:

Leadership Roles


Presented by:
Dr. Benoît Gallix

Summary:
Distinguishing between leadership and management. In a radiology department, like in any other organization, leaders have to deal with the mechanisms involved in motivating those members’ behaviours that are instrumental in helping the group achieve its goals.
Session 4:

Work-Life Balance and Happiness at Work


Presented by:
Dr. Patrice Bret

Summary:
An overview of strategies that can reliably raise the levels of happiness among individuals and that can help health care professionals balance and enjoy their work life better. Outcomes include longer life, better health, better relationships, higher income and increased creativity.
Special note: This presentation was especially well-received by the higher-than-average number of attendees.

 

Advocacy

As part of its current strategic plan, the CAR committed to increasing its capacity to advocate for radiologists and the profession of radiology. CAR members identified this as a key priority for their national body.

As part of that agenda, the CAR is active on several fronts, including maintaining its membership in The Health Action Lobby (HEAL) and Wait Time Alliance (WTA), working with a government relations group when necessary, and attending key events. For example, at a spring Economic Club of Canada event we heard from the newly-appointed Federal Minister of Health, the Hon. Rona Ambrose, about the need for innovation in health care, both in terms of medical technologies and health care delivery systems. Minister Ambrose stated that this is one of the most pressing public policy challenges of our times.

The addition of an advocacy manager to the CAR team in the weeks ahead will be an important step forward at a critical time. As the federal election approaches and the parties turn their attention in many directions, the CAR must identify opportunities to position the Association as a reliable and expert source on medical imaging care for Canadians and highlight radiologists as solution providers and innovators. There are many examples of how radiologists have and continue to lead innovation in medical imaging.

 

Don't Forget to Renew Your Membership or Join the CAR

More than 70% of CAR members have already renewed their membership for 2014! Don’t delay: join today and help build a stronger national association.

To pay your CAR dues:

The Canadian Association of Radiologists
c/o Membership Services
600 - 294 Albert Street
Ottawa, ON  K1P 6E6

For information on the different membership categories and dues, click here.

Not sure if you’ve already renewed for 2014? Need further information? Contact our Membership Coordinator at 613 860‑3111 ext. 0 or at [email protected].

 

Top Reasons to Be a CAR Member:

Is your organization of medical leadership by radiologists for radiologists.

 

Health Canada Consultation on Notification of Drug Shortages

Health Canada is holding a public consultation on its current approach to notification of drug shortages in Canada. It is very important that the views of individual physicians are heard by Health Canada.

Shortages of prescription drugs have been an ongoing problem for physicians and their patients for a number of years. To address information gaps, the Canadian Drug Shortages website (www.drugshortages.ca) on which pharmaceutical companies can voluntarily post information on drug shortages was launched in the fall of 2012.

The consultation, which consists of nine questions asking for feedback on the best approach to drug shortage notification, can be accessed at:

www.hc-sc.gc.ca/dhp-mps/consultation/drug-medic/consult_shortages-penuries-eng.php.

The consultation deadline is July 5, 2014.

 

In Memoriam

It was with great sadness that the CAR learned of the passing of two highly-respected radiologists and CAR supporters: Dr. Shia Salem, June 12, 2014, and Dr. Jacques Sylvestre, April 7, 2014. We extend our sincerest condolences to both the Salem and Sylvestre families.

Dr. Shia Salem

A recipient of the CAR Gold Medal Award in 2013, Dr. Shia Salem was a devoted and active member of the radiology community. He dedicated over 40 years to the CAR, as well as to other organizations, such as the Ontario Association of Radiologists. One of Canada's leading experts in ultrasound, Dr. Salem was renowned for his exemplary commitment, integrity and leadership.

Born in Hamilton, Ontario, in 1939, Dr. Salem began his radiology career at the Henderson General Hospital in Hamilton. In 1987, he accepted a position at Mount Sinai Hospital in Toronto, where he would devote the remainder of his career.

He will be sorely missed by his family, friends and fellow colleagues.

 

Dr. Jacques Sylvestre

Hailing from Sherbrooke, Quebec, Dr. Jacques Sylvestre began his illustrious career in radiology in 1956. Having served as President of the CAR in 1989, he was awarded the CAR Gold Medal Award in 1997 for his countless contributions to the Association and for his tremendous dedication to the field of radiology.

He was an exceptional leader in Canadian and international radiology and will be missed by those who had the privilege of knowing him, at both a personal and professional level.