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

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

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

4. the Society for Pediatric Radiology Regional Societies Founding Societies 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.

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

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

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

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

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

10. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

12. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

14. the Society for Pediatric Radiology Regional Societies Founding Societies Links  Existing virtual forums  http://globalcastmd.com/wp-content/uploads/2012/02/Navigating-the-GlobalCastMD-Virtual-Medical- Symposium.pdf. syllabus: http://globalcastmd.com/wp-content/uploads/2012/02/Trauma-Syllabus.pdf (http://www.isrvirtual.org/lms/). http://globalcastmd.com/wp-content/uploads/2012/02/Navigating-the-GlobalCastMD-Virtual-Medical- Symposium.pdfhttp://globalcastmd.com/wp-content/uploads/2012/02/Trauma-Syllabus.pdfhttp://www.isrvirtual.org/lms/  Educational links  http://www.kinderradiologie-online.de/radiology/Links.shtml http://www.kinderradiologie-online.de/radiology/Links.shtml  www.isradiology.org www.isradiology.org  http://www.aium.org/resources/guidelines.aspx http://www.aium.org/resources/guidelines.aspx  http://content.yudu.com/Library/A1wsis/DiagnosticImagingEur/resources/48.htm http://content.yudu.com/Library/A1wsis/DiagnosticImagingEur/resources/48.htm  World Interactive Network Focused on Criticial UltraSound http://www.winfocus.org/homehttp://www.winfocus.org/home  St. Jude Cure4Kids. New users can register at http://www.Cure4Kids.org/registerhttp://www.Cure4Kids.org/register  Partners in Health ultrasound manual for resource limited settings  http://www.pih.org/publications/entry/manual-of-ultrasound-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/detart1.jsp?codlan=1&codcol=15&codcch=393 http://apps.who.int/bookorders/anglais/detart1.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

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

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

17. the Society for Pediatric Radiology Regional Societies Founding Societies 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

18. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

20. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

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

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

24. the Society for Pediatric Radiology Regional Societies Founding Societies 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)

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

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

27. the Society for Pediatric Radiology Regional Societies Founding Societies 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

28. the Society for Pediatric Radiology Regional Societies Founding Societies

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

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

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

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

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

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

35. the Society for Pediatric Radiology Regional Societies Founding Societies  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 co- chair. Other Regional representatives? Child Imaging Safety

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

37. the Society for Pediatric Radiology Regional Societies Founding Societies 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 (GoToMeeting)

38. the Society for Pediatric Radiology Regional Societies Founding Societies 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)

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

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

41. the Society for Pediatric Radiology Regional Societies Founding Societies 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)

42. the Society for Pediatric Radiology Regional Societies Founding Societies 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: AfSPI (Africa): Savvas Andronikou AOSPR: Abrah Hayat, Bernard Laya ESPR: Erich Sorantin, Michael Panuel SLARP: Pedro Daltro, Celia Ferrari SPR: James Donaldson, Rebecca Stein-Wexler

43. the Society for Pediatric Radiology Regional Societies Founding Societies 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

44. the Society for Pediatric Radiology Regional Societies Founding Societies 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

45. the Society for Pediatric Radiology Regional Societies Founding Societies Situation Analysis Jasmina Bogdanovic, Jennifer Chiu, Inqu Haile, Cole Manship, Sunitha Reddy

46. the Society for Pediatric Radiology Regional Societies Founding Societies  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

47. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

49. the Society for Pediatric Radiology Regional Societies Founding Societies “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

50. the Society for Pediatric Radiology Regional Societies Founding Societies Income 2012-13(1) CURRENT ASSETS  SPR R&E Foundation pilot award50 k  ESPR website initiation costs1.8 k  Member society fees + AOSPR top up1.3 k  Individual AOSPR member donation0.5 k NON-CURRENT ASSETS  Balance, SPR contribution, staff costs1.6 k  SPR Capital injection 201325 k TOTAL = $US 80.2 k

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

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

53. the Society for Pediatric Radiology Regional Societies Founding Societies 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

54. the Society for Pediatric Radiology Regional Societies Founding Societies 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

55. the Society for Pediatric Radiology Regional Societies Founding Societies Expenditures 2012-13 (3) Project:  Operational support for committee and outreach volunteers (planning, coordinating & steering tasks through to completion) 26 staff days: 10.5k  Actual expenditure: 9.4k  Liability:.11k TOTAL = $US 10.5k

56. the Society for Pediatric Radiology Regional Societies Founding Societies Expenditures 2012-13 (4) Operating:  Secretariat & Council executive support (planning, coordinating and steering tasks through to completion), 30.5 staff days 12.5 k  Actual expenditure: 11.2 k  Liability: 1.3 k  Website initiation 1.8 k  Visibility (printing, Athens) 0.1k Total = $US14.4k

57. the Society for Pediatric Radiology Regional Societies Founding Societies Expenditures 2012-13 (5) Fund raising :  Fund raising support, 6 staff days 2.3 k  Actual expenditure: 2.1 k  Liability: 0.2 k Total = $US 2.3k

58. the Society for Pediatric Radiology Regional Societies Founding Societies Expenditures 2012-13 (6) Project + operating + fund raising TOTAL = $US27.2k 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)

59. the Society for Pediatric Radiology Regional Societies Founding Societies 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

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

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

62. the Society for Pediatric Radiology Regional Societies Founding Societies Projected expenditures 2013 -14 (4) Project – ESTMATE: to be fixed as projects develop  Outreach 9.7 k tele-reading platform (1€ per read): 3 k training costs (transport and accomm.): aprox. 6.7 k  Staff support: 5 hours/week 10.4 k TOTAL = $US20.1k

63. the Society for Pediatric Radiology Regional Societies Founding Societies 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 15.5k

64. the Society for Pediatric Radiology Regional Societies Founding Societies Projected expenditures 2013-14 (6) Fund raising  Funding support – visibility, tools, campaigns, events, institutional/ foundation identification, grant applications; 4 staff hours/week8.3 k Total = $US8.3k

65. the Society for Pediatric Radiology Regional Societies Founding Societies SUMMARY, 2013 – 14 Carry over balance 2012-2013 53 k Income  Guaranteed 25.0 k Expenditure  Project, operating & fund raising 43.9 k  Excludes all non-fixed project costs ? K Net = $US34.1k No income guaranteed for the following year

66. the Society for Pediatric Radiology Regional Societies Founding Societies 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

67. the Society for Pediatric Radiology Regional Societies Founding Societies 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!