CURRICULUM VITAE



CURRICULUM VITAEApr 18, 2019Susanna C. Spence, M.D.PRESENT TITLE:Associate ProfessorClinical Director of Quality, Safety and Patient ExperienceAssistant Chief of Radiology, Lyndon B. Johnson HospitalAssistant Chief of Staff for Transformation, Lyndon B. Johnson HospitalADDRESS:McGovern Medical School at UTHealthDepartment of Diagnostic and Interventional ImagingDivision of Emergency, Trauma and MSK Imaging6431 Fannin, MSB 2.130BHouston, TX 77030CITIZENSHIP:USAUNDERGRADUATE EDUCATION:B.S. Biology, 2000Duke UniversityDurham, North CarolinaGRADUATE EDUCATION:Doctorate of Medicine, 2005University of Texas Health Science Center – San AntonioSan Antonio, TexasPOSTGRADUATE TRAINING:INTERNSHIP:Transitional Year, 2005-2006Methodist Hospital – TMCHouston, TexasRESIDENCY:Diagnostic Radiology, 2006-2010; Chief Resident 2009-2010UT Health Science Center Medical School at HoustonHouston, TexasFELLOWSHIP:Sports, Orthopaedic and Emergency Imaging, 2010-2011UT Health Science Center Medical School at HoustonHouston, TexasACADEMIC APPOINTMENTS:Assistant Professor, July 2011-Aug 2017Department of Diagnostic and Interventional ImagingUniversity of Texas Medical School at HoustonHouston, TexasAssociate Professor, Sept 2017 - PresentDepartment of Diagnostic and Interventional ImagingUniversity of Texas Medical School at HoustonHouston, TexasHOSPITAL APPOINTMENTS:Staff Radiologist, 2010-PresentMemorial Hermann Hospital - TMC, SouthEast, Memorial CityHouston, TexasStaff Radiologist, 2010-PresentHarris Health System/Lyndon B. Johnson General Hospital Houston, TexasLICENSURE:Texas Medical License # M9023, February 2009CERTIFICATION:American Board of Radiology, 2010PROFESSIONAL ORGANIZATIONS:REGIONAL:Texas Radiological Society (TRS), 2006-PresentTRS Program Committee, 2013 - presentTRS Program Committee Vice Chair: 2018 ProgramTRS Program Committee Chair: 2019 ProgramTRS 2017 Local Planning Committee Co-ChairTRS-ACR Alternate Councilor: 2016-2017TRS-ACR Councilor: 2017-2018TRS Board of Advisors, 8/2018 - presentTexas Medical Association (TMA)Harris County Medical Society (HCMS)HCMS Alternate Delegate- Elect to the TMA, Jan 2018-Dec 2019HCMS Membership Committee: Jan 2019-Dec 2019NATIONAL:American College of Radiology (ACR), 2006-PresentRadiological Society of North America (RSNA), 2006-PresentRSNA Quality & Safety Abstract Reviewer 2016, 2017American Society of Emergency Radiology, 2012-PresentASER Resident Education Committee, 2013-2018Educational Development Tools Subcommittee Chair 2013-16ASER Website and Social Media Committee, 2016-PresentASER Membership Committee, 2016-2018Society of Skeletal Radiology, 2012-PresentAssociation of University Radiologists (AUR) 2006-2011, 2014-PresAssociation for Medical Student Educators in Radiology, 2016-Association for Clinician Educators in Radiology, 2016-PresAUR Research & Education Fundraising Committee, 2017-PresAmerican Roentgen Ray Society, 2006-2012, 2015-PresentARRS Efficacy, Education, Administration, Informatics section Abstract Reviewer 2017, 2018, 2019HONORS AND AWARDS:Medical Student Research Poster Presentation Honorable Mention, 2002Gold Humanism Honor Society, 2005Alpha Omega Alpha Honor Society, 2005Outstanding Interesting Case File, 1st year resident, 2007Fluoroscopy and Barium Award, 2007Certificate of Merit presented at the American Roentgen Ray Society (ARRS) National Meeting, 2008Certificate of Merit for Outstanding Interesting Case File and Co-Grand Prize Award winner, 2nd year resident, 2008Certificate of Merit presented at the Radiological Society of North America (RSNA) Scientific Assembly & Annual Meeting in 2008, 2011, 2012Outstanding Interesting Case File, 3rd year resident, 2009Radiological Society of North America (RSNA) Research and Education Foundation Resident/Fellow Research award 2009Cum Laude Award presented at the American Society of Emergency Radiology (ASER) 2013 Postgraduate Course in Emergency and Trauma Radiology, 2013Dean’s Teaching Excellence Award at UTHealth Science Center Medical School, 2013-2014, 2015-2016, 2017-2018The Teacher of the Year Award, Dept. of Diagnostic and Interventional Imaging, UT Medical School at Houston, June 2014UT Shared Visions Conference, 2nd place winner for project on improving MICU radiographic turnaround time, Oct 2014. UTHealth Harris Health Spring Quality Competition Third Place Winner, March 2015Houstonian Top Doctors 2016 (top doctors nominated by their peers)UTHealth Harris Health Fall Quality Competition Third Place Winner, October 2016UTHealth-Harris Health Spring Quality Competition Third Place Winner (mentor and collaborator on QI project presented by Dr. Rekha Krishnasarma), March 2017Magna Cum Laude Award at the Radiological Society of North America (RSNA) Annual meeting, 2017, for exhibit titled: Simplifying the Judet-Letournel System for Everyday Practice: A Visual Guide. Award given to 26/1812 presentations.Harris Health Innovations Summit Transformation Award – 2018 EDITORIAL POSITIONS:Journal Reviewer (ad hoc), Emergency Radiology, 2015-presentSERVICE ON THE UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON COMMITTEES:Curriculum Committee, 2013-PresentMSIII and MSIV Clerkship Evaluation Subcommittee 2015-2016MSIII and MSIV Clerkship Evaluation Subcommittee 2017-2018Clerkship & Advanced Clinical Education Eval. Subcomittee 2018-2019SERVICE ON DEPARTMENT OF DIAGNOSTIC AND INTERVENTIONAL IMAGING (DII) COMMITTEES:DII Texas Radiological Society Centennial Planning Committee, 2012-2013DII Quality Improvement Committee, 2013-PresentAnnual Faculty Peer Review Committee, 2014, 2015, 2016, 2017DII ICD-10 Physician Champion 2014Program Evaluation Committee, 6/2015-PresentMonthly Peer Review Committee, 1/2015-PresentDII Curriculum Committee 2016-PresentDII Consult to Collection Committee 4/2018-PresentSERVICE ON UTMSH AFFILIATED HOSPITAL COMMITTEES:Memorial Hermann Health SystemMedical Informatics Committee, 2012-2015MHMD Acute Care Medical Informatics CPC Subcommittee, 3/2016-PresentMHH Report Standardization Committee 2015-PresentMHMD ED/Radiology/ISD Workgroup, 7/2016-Present MHH Rad CPC Quality Subcommittee, 3/2018-PresentMHH Radiology CPC Committee, 3/2018-PresentHarris Health SystemHarris Health Utilization Review Committee, 1/2018-PresentLBJ Performance Improvement Committee, 4/2016-PresentLBJ Throughput Committee, 1/2018-PresentLBJ Solutions Team, 1/2018-PresentLBJ Medical Executive Board Vice Chair Search Committee, 7/2018-9/2018LBJ Utilization Review Committee 10/2018-PresentSERVICE TO THE COMMUNITY:Clinical Learning Environment Review (CLER) Faculty Focus Group, 1.5 hours with the CLER site visitors, 5/19/2014, 5/25/2016Resident Interesting Case Files Judge and/or Reviewer: 2011-2013Medical Student Interviews, 2011-2013, 2015American College of Surgery Imaging For a Trauma Patient Best Practices Guidelines multidisciplinary guideline development committee, 3/2017-PresentQUALITY IMPROVEMENT:Quality improvement Projects (prior/completed):Decreasing MRI wait times and improving scan quality for outpatients at Lyndon B. Johnson (LBJ) hospital: Feb 2013-Present. Presented to the LBJ All Clinicians Staff Meeting Fall 2015 and at RSNA 2014. Decreasing utilization of pulmonary embolism protocols in Memorial Hermann ERs, while increasing yield. An interdisciplinary project between Emergency Medicine and Radiology, Jan 2013-Apr 2014Standardizing radiology resident templates for increased consistency and accuracy, a department-wide initiative. May 2013-June 2015. 2015 initiative: incorporate physician feedback into standardized reports. Improving Turnaround Time for obtaining radiographs in the Medical ICU. 10/2013-present. Now expanding to Cardiovascular ICU (Aug 2014-pres) and 5HVI (Dec 2014-pres)Improving utilization of national guidelines and recommendations in the follow up of incidental findings July 2014-Dec 2014.Decreasing waste on the county magnet, and improving resource utilization of knee MRIs and patients with chronic knee pain/knee osteoarthrosis. A radiology-driven multidisciplinary project between Baylor and UT Radiology, Orthopaedics, Physical Therapy and Primary Care. April 2014-June 2015. Presented to the LBJ Spring All Clinicians Staff Meeting 2015, Presented at the Radiological Society of North America meeting 2015. Bringing evidence-based guidance to radiology and non-radiology residents and interns consenting for Computed Tomography scans during pregnancyInstituting protocols and raising awareness of American College of Radiology (ACR) guidelines for MRI of suspected hip fractures in the elderly, an interdisciplinary initiative (ED, ortho, radiology)- Jan-June 2015Rapid hip MRI for evaluation of pediatric septic hip or osteomyelitis, an interdisciplinary initiative (ortho, radiology) 2015Morning x-rays in the IMU: bundling x-ray, medication administration and lab draws to decrease interruptions in patient sleep while obtaining timely information for referring clinicians. Aug –Nov 2014. First year resident modules: providing baseline modules on guidelines and clinical criteria to first year residents through online rotation-by-rotation modulesIncreasing utilization of correct CT abdomen-pelvis CPT codes at Harris Health, for utilization management, affecting ~ 1400 cases/week. Aug 2015-Feb 2016. Presented to Harris Health Utilization Committee 10-2-2015, 2-5-2016. Standardizing Department templates as part of a broader Memorial Hermann initiative to standardize templates system-wide: Dec 2015-Feb 2016. Decreasing Turnaround Time for CT examinations in the LBJ Emergency Department. Jan 2016-present. Abstract accepted to ARRS 2017Multiple other QI projects from 2015-onwards, described under mentoringLBJ inpatient throughput and hospital-wide flow, Jan 2018-Present. Multiple embedded projects including EC-inpt transfer and early discharges.Active Quality Improvement/Throughput/Administrative Projects (2019):Radiology-related:Lung cancer screening: workgroup proceeding with approvals to add Lung Cancer Screening to the Harris Health schedule of benefitsMR metal screening form on stat EC patients: proceeding with approvals to make this mandatory prior to the orderCT tech worklist: automate checking of labs, pregnancy test, IV status and protocol to optimize flow of patients through the EC and outpatient CT scannersExpand musculoskeletal procedures to Harris Health Ambulatory Surgery CenterSet up new process of providing EC patients with an actual outpatient CT appointment prior to leaving, to ensure timely follow up exam prior to clinicEvaluate and develop radiology dashboards in EpicCreate combined accession numbers at LBJ for report streamlining and speed of ordering trauma CTStandardizing department-wide templates at both Memorial Hermann and LBJExploring options for a more robust peer and resident review system a Harris HealthInstituting procedures and collecting feedback for a smooth roll out of the CareSelect radiology decision support software at Harris HealthOptimizing radiology indications (working through techs and referring service lines)Throughput/General Admin:Multidepartmental throughput initiative involving bed management, transport, case management, nursing and EC for optimizing pt movement EC floor. Numerous approvals and IT builds related to this process.Adding “anticipated date of discharge” for optimizing discharge planning by all service lines, with case management assistance to keep updatedAssisting with designing and validating throughput and utilization metrics“Discharge Czar” – setting up an escalation process for residents to escalate discharge issues for resolution Quality Improvement/Leadership Certifications or Sponsored Courses:Radiology Leadership Institute: Level I certificate, June 2014Level II certificate, February 2017Clinical Safety and Effectiveness course: Oct 2013-May 20149 months, 1 full day per month plus a completed projectRSNA Advanced Level Quality Certificate: Nov 2014Enterprise Data Warehouse Training Level 1 certificate Jan 2015Certificate of Medical Quality: certification received Jan 2015Assoc. of University Radiologists (AUR) Faculty Development Course, Apr 2015Academy of Radiology Leadership and Management (ARLM) Certificate of Achievement, Apr 6, 2015AUR Radiology Management Course, Apr 2016.UT System Women’s Senior Leaders Network Workshop: “Sponsorship – Developing Future Women Leaders in the UT System” January 9-10, 2017, Austin, TXTexas Medical Association Leadership College, Graduated class of 2018CURRENT TEACHING RESPONSIBILITIES:Medical Undergraduate Education:MSII radiology week lecture on Radiology of Trauma (1 hr, all 245 MSII students), and provide small group cases (2 hours): Mar 18, 2014, Mar 17, 2015, Mar 15 2016.MSIV RAD 4001 course: 1 hr lecture/ month, every month the course is offered, from 2011 to present, ~ 40 of these lectures givenMedical student (Erik Albach) for summer research June – September 2014, with poster presentation in October 20142 Medical Students (Eric Willis, Patrick Foss): mentoring for summer research and at the workstation for clinical learning, June – August 2015Workstation teaching of medical students taking Rad 4001 on ER/MSK 4th year electives (varies from 0-8 hrs/mo), and also students taking the Rad 4004 med student musculoskeletal radiology elective starting in 2018Graduate Medical Education:Radiology Residents:-Didactic1st year Fundamentals course: 2 lectures/ year on ER/MSK (~3-5 hours/year, 2011 onwards). Additional testing & educational session in the simulation lab, 3-6 hrs/year (6/2015, 7/2015, 7/2016, and plan annually hereafter)Added small group cases following didactics 0ctober 26, 2016Noon conferences: 4 lectures/ year on Quality and 2 ER/MSK in 2015Board reviews: ~2/ year on MSK, combined Baylor and UT 4th year residentsCreated new quality improvement curriculum for residents along with Eduardo Matta, composed of 6 noon conferences and an interactive project for first years, in the 2015-2016 academic year, continuing to the presentCreated new lecture for the Radiology Residents on “Practice Habits,” to include their work distribution, RVUs by year and location, day vs. night work etc. -Workstation/ In practiceOngoing one-on-one teaching during workstation checkout (avg 10-15 hrs/ week) review of every single case dictated by the resident, with relevant teaching pointsWorkstation and procedural education of 3 MD Anderson musculoskeletal fellows per year, from 2011-present. Usually 2 months on service, occasionally 1.In-servicing residents on templates, correct dictation protocols, billing compliance, 3/hrs year during new resident orientation in addition to a new 2016 small group conferenceNon-radiology Residents: Workstation/ clinical 1st year orthopedics residents for their one month elective (now 5 residents per year, each take 1 month). Approximately 6-12 hours/ year with physical therapy residents on rotation with Dr. William JonesOrientation of LBJ IM Residents on appropriate Radiology ordering, 9/21/2015.MENTORING OF RESIDENTS: Mentoring a resident experiencing difficulties in training until his successful graduation, 7/2011- 6/ 2014Mentoring 11 first year residents (Amin, Birkenfeld, Boyce, Guillory, Guirguis, Krishnasarma, Rachakonda, Rajagopal, Simmons, Tayyab, Vahora). Improving hands on and theoretical knowledge in the management of contrast reactions by residents. Presented to the LBJ All Clinicians Staff Meeting 3/16/2016.Accepted to the Texas Radiological Society 2016 meetingMentoring of a resident experiencing difficulties in training, 6/2015-pres.Mentoring 3 first year residents (Johnson, Maneveese, Wei) on their first quality improvement project: decreasing time to get an MRI for inpatient/EC and Memorial Hermann. Mentoring 3 first year residents (Breland, Chen, Desai) on their first QI project: decreasing wait times for general anesthesia pts undergoing MRI at Lyndon B. Johnson hospital. Presented to the LBJ All Clinicians Staff Meeting 3/16/2016.Mentoring 4 second year residents (Bledsoe, Kebbel, Mathew, Xu) on their first QI project: Follow up and Management of Incidental Findings. Ensuring patients with incidental findings requiring follow up to exclude malignancy do not get lost to follow up. Mentoring 3 second year residents (Bosserman, Jordan, Mai) on their first QI project: Dose Management. Ensuring CT radiation dose is kept to the minimum necessary for diagnostic purposes. Mentoring and education of 2 fellows per year as part of the Sports, Orthopaedic and Emergency Radiology Fellowship, including interpretation of MR, CT, x-ray and ultrasound, as well as performing procedures:Diedre Rippl, Bradley Birt 2011-2012Jason Wolf, Lee Myers 2012-2013Craig Cook, Jesse Proett 2013-2014Benjamin Saverino, Brian Bosworth 2014-2015Michael Mahlmann, Haider Virani 2015-2016Charles “Brad” Chism, William Weathers 2016-2017Moreko Griggs, Daniel Maland2017-2018Joseph Ifokwe, Jordan McDonald2018-2019CURRENT CLINICAL SERVICE RESPONSIBILITIES:Currently divided between ER/trauma and orthopedics/musculoskeletal radiology responsibilities at both Memorial Hermann and Lyndon B. Johnson hospitals.Diagnostic radiology/ image interpretation, including resident supervisionInterventional musculoskeletal procedures (joint/tendon/bursa aspirations, injections both for therapeutic and diagnostic purposes).Leadership roles:Clinical Director of Quality, Safety and Patient Experience (June 2015 – present).This role, in collaboration with our Vice Chair of Quality, encompasses peer review, resident discrepancy review, engaging with other departments for mutually beneficial workflow changes, running/mentoring and documenting resident QI project participation and presentation, participating in system-level QI metric selection and implementation, workflow/reporting standardizationAssistant Chief of Radiology – Lyndon B. Johnson hospital (Mar 2016- present). Role encompasses a broad variety of tasks including project implementation, equipment selection, workflow modification, improving stakeholder satisfaction, prioritizing capitalAssistant Chief of Staff for Transformation – Lyndon B. Johnson Hospital, (Jan 2018 – present). 20% protected time for this role focused mostly on large, interdisciplinary and collaborate throughput initiatives involving the Emergency Center, Inpatient and Outpatient PUBLICATIONS: Abstracts –Educational and/or ReviewsSpence S, Kumaravel M. Femoral Head Fractures: A Critical but Frequently Missed Injury. Radiological Society of North America (RSNA) 94th Scientific Assembly & Annual Meeting, November 30–December 5, 2008. Chicago, IL.Spence S, Kumaravel M. Review of Femoral Head Fractures with a Focus on Management. American Roentgen Ray Society Annual Meeting, April 26–May 1, 2009. Boston, MA.Spence S, Kumaravel M. Lateral Ankle Injuries Rediscovered: a Review of Lateral Ankle Injuries with a Focus on the Peroneal Tendons and Peroneal Retinacula. Radiological Society of North America (RSNA) 95th Scientific Assembly & Annual Meeting, November 29- December 4, 2009. Chicago, IL.Kumaravel M, Ramos J, Beckmann N, Spence S, Klinglesmith R. Chip fractures around the knee– the tip of an iceberg! Radiological Society of North America (RSNA) 96th Scientific Assembly & Annual Meeting, November 28-December 3, 2010. Chicago, IL.Cook C, Spence S, Beckmann N, Kumaravel M. Plates and screws in the ankle – What are they all about? ?American Society of Emergency Radiology Annual Meeting, September 14–17, 2011. Key Biscayne, FL.Kumaravel M, Beckmann N, Spence S. Prefemoral fat pad impingement. International Skeletal Society Annual Meeting, September 17- 24 2011. San Diego, CA.Kumaravel M, Cook CE, Beckmann NM, Spence SC, Adickes M, Lowe W. ?Microfracture Treatment of Cartilage Injuries: All You Ever Wanted to Know. Radiological Society of North America (RSNA) 97th Scientific Assembly & Annual Meeting, November 27-December 2, 2011. Chicago, IL.Kumaravel M, Beckmann N, Spence S. Prefemoral fat pad impingement. Society of Skeletal Radiology, March 18–22, 2012. Miami, FLSpence SC, Cook CE, Beckmann NM, Kumaravel M. ?Ankle CT for Trauma: ?Did You Think There Was a Tendon, Retinacular or Ligamentous Injury Too? Radiological Society of North America (RSNA) 98th Scientific Assembly & Annual Meeting, November 25-30, 2012. Chicago, IL.Spence SC, Cook CE, Beckmann NM, Kumaravel M. Soft Tissue Injuries of the Ankle and Foot on CT: So Much More to See. ?American Society of Emergency Radiology Annual Meeting, September 12–15, 2012, New Orleans, LA.Beckmann N, Spence S, Kumaravel M. CT Imaging of Acute Cervical Spine Soft Tissue Injury. ?American Society of Emergency Radiology Annual Meeting, September 12–15, 2012, New Orleans, LA.Kumaravel M, Proett J, Beckmann N, Spence S. Triceps – all you wanted to know. Society of Skeletal?Radiology,?March 17-20 2013. San Antonio, TX.Kumaravel M, Virani H, Beckmann N, Spence S. Imaging review of percutaneous pelvic fracture fixation. International Skeletal Society Annual Meeting. October 2-5, 2013. Philadelphia, PA.Spence S, Beckmann N, Kumaravel M. Be Slick with the SLIC: A Common Language for Cervical Spine Trauma. American Society of Emergency Radiology Annual Meeting, October 9-12, 2013. Cambridge, MA. Cum Laude Award.Cheekatla C, Chinapuvvula NR, Spence S, Kumaravel M, West OC. CT Appearance of Traumatic Venous Injuries. ?American Society of Emergency Radiology Annual Meeting, October 9-12, 2013. Cambridge, MA.Spence S, Martin S, Beckmann N, Kumaravel M. Knee Arthroplasties from Start to Finish: Preoperative Planning, Techniques, Types and Complications. Radiological Society of North American (RSNA) 99th Scientific Assembly & Annual Meeting, December 1-6, 2013. Chicago, IL.Beckmann N, Spence S, Kumaravel M. Thoracolumbar Injury Classification and Severity Score (TLICS): Introduction to a New Classification of Thoracolumbar Spine Injuries. Radiological Society of North American (RSNA) 99th Scientific Assembly & Annual Meeting, December 1-6, 2013. Chicago, IL.Beckmann N, Kumaravel M, Spence S. Sub-axial Cervical Spine Injury Classification System (SLIC): Introduction to a New Classification of Sub-axial Cervical Spine Injuries. Radiological Society of North American (RSNA) 99th Scientific Assembly & Annual Meeting, December 1-6, 2013. Chicago, IL.Beckmann NM, Kumaravel M, Spence SC. “Osseous Fixation Pathways of the Pelvis”. American Society of Emergency Radiology Annual Meeting, September 10 – 13, 2014. Portland, OR. Beckmann NM, Spence SC, Kumaravel M. “Traumatic Uveal Prolapse”. Oral presentation by Dr. Beckmann at the 2014 American Society of Emergency Radiology Annual Scientific Meeting, September 10 – 13, 2014. Portland, OR.Cheekatla S, Chinapuvvula N, Spence SC. Spectrum of CT Appearance of Traumatic Venous Injuries. Radiological Society of North American (RSNA) 100th Scientific Assembly & Annual Meeting, November 30 – December 5, 2014. Chicago, IL.Beckmann NM, Spence SC, Kumaravel M. “Radiographic Assessment of Osseous Fixation Pathways in Pelvic and Acetabular Fractures”. Radiological Society of North American (RSNA) 100th Scientific Assembly & Annual Meeting, November 30 – December 5, 2014. Chicago, IL.Beckmann NM, Kumaravel M, Spence SC. “Total Assessment of Shoulder Arthroplasties: What the Surgeon Looks for Pre-op, Intra-op, and Post-op”. Radiological Society of North American (RSNA) 100th Scientific Assembly & Annual Meeting, November 30 – December 5, 2014. Chicago, IL.Kumaravel M,?Anwer U, Beckmann N, Spence S. “Nano fractures – All you wanted to know”. Society of Skeletal Radiology Annual conference. Scottsdale, AZ. March 8 -11 2015.Anwer U,?Kumaravel M,?Beckmann N, Spence S. “Costochondral fractures – How not to miss”. Society of Skeletal Radiology Annual conference. Scottsdale, AZ. March 8 -11 2015.Virani H, Anwer U, Spence S, Beckmann N, Kumaravel M. Extensor Mechanism Injuries Demystified. Electronic exhibit and CME presentation at American Roentgen Ray Society Annual Meeting, April 19-24 2015, Toronto Canada. Spence SC, West OC. Spinal Variants and Congenital Anomalies the Mimic Acute Injury. American Society of Emergency Radiology Annual Meeting, Sept 16-19, 2015, Key Biscayne, FL. Spence SC. Simplifying the Judet-Letournel System for Everyday Practice: A Visual Guide. Radiological Society of North American (RSNA) 103rd Scientific Assembly & Annual Meeting, November 26 – December 1, 2017. Chicago, IL. *Magna cum laude award. Abstracts –Quality Improvement or ScientificSpence SC, George V, Serlin SB, Matta EJ. Improving MR Availability on the County Magnet. American Society of Emergency Radiology Annual Meeting, September 10 – 13, 2014. Portland, OR.Spence S, Cardenas G, Patel B, Warner M, Matta E. We Need You NOW! Improving Radiographic TAT in the MICU. UT Shared Visions Conference, October 14-16, 2014. San Antonio, TXSpence SC, George V, Serlin SB, Matta EJ. Watching the Hours Tick By: Improving the Availability and Efficiency of Limited County MR Resources. Radiological Society of North American (RSNA) 100th Scientific Assembly & Annual Meeting, November 30 – December 5, 2014. Chicago, IL.Spence SC, Willis M, Zare M, Reed B, Bingham B, Low J, Matta E. Leading Quality Improvement via Interinstitutional and Interdepartmental Collaboration in the Management of Knee Osteoarthrosis: From X-ray to Arthroplasty. Radiological Society of North America Ann Mtg, Nov 29-Dec 4, 2015. Chicago, IL. Tayyab SJ, Spence SC. A Multifaceted Approach to Improving Radiology Resident Proficiency in Managing Acute Adverse Reactions to Intravenous Contrast Administration. Texas Radiological Society Annual Meeting, April 22-24, 2016, San Antonio, TX.Riascos-Castaneda R, Bonfante E, Choi J, Mora J, Sitton C, Spence S. Causes of Spinal Hemorrhage in a Level One Trauma Center. American Society of NeuroRadiology Meeting, May 21-26, 2016, Washington DC.Barzin-Dahse S, Riascos R, Sitton C, Patel R, Spence S. Radiological Outcome Following Traumatic Grade 1 Injury in Blunt Cerebrovascular Injury Patients: a Retrospective Analysis of a Level I Trauma Center. American Society of NeuroRadiology Meeting, Washington DC, May 21-26, 2016Spence S, Albach E etc. Effect of Body Mass Index on the Incidence of Cervical Spine Injury Following Motor Vehicle Collision: A Protective Effect of Obesity? American Society of Emergency Radiology Annual Meeting, San Francisco, CA, Sept 14-17, 2016Hasapes, J, Spence S, Barrera, N, Norsworthy, J, Bedi, J, Coleman, R. Time Savings Using Scanner Integrated Ultrasound Protocols. American College of Radiology Quality and Safety Meeting, Boston MA, Sept 16-17, 2016 Spence S, Sharma K, Phan A, Hasapes J. Analyzing Delays in the ED: How to Optimize Processes in a Methodical Way. American Roentgen Ray Society annual meeting New Orleans, LA, April 30-May 5, 2017Refereed Original Articles in JournalsMonkul ER, Hatch JP, Nicoletti MA, Spence S, Brambilla P, Lacerda AL, Sassi RB, Mallinger AG, Keshavan MS, Soares JC. Fronto-limbic brain structures in suicidal and non-suicidal female patients with major depressive disorder. ??Mol Psychiatry 2007 Apr; 12(4):360-366. PMID 17389903Spence S, Teichgraeber D, Chandrasekhar C: Emergent Right Upper Quadrant Sonography. J Ultra Med 28:479-496, 2009. PMID 19321676Pollono EN, Madoff DC, Spence SC, Suarez-Almazor ME. Multiple hepatic artery aneurysms in a patient with systemic lupus erythematosus. Lupus 2010 Jan;19(1):93-5. PMID 19884215Spence SC, Strobel NHP, Beckmann N, Kumaravel M. Traumatic Portacaval Shunt: A Case Report and Literature Review. J Radiol Case Rep. 2013; 7(11): 1-6. PMID 24421924Golshani A, Kamdar A, Spence S, Beckmann N. Congenital Indifference to Pain: An Illustrated Case Report and Literature Review. J Radiol Case Rep 2014; 8(8): 16-23. PMID 25426241Beckmann NM, Spence SC, Kumaravel M. “ASER Saturday, September 13th Case-of-the-Day #2: Traumatic Uveal Prolapse”. Emerg Radiol. 2014 Oct 21(5): 468-469Beckmann N, Spence SC. Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentations and Partial Physeal Closure. Case Rep Radiol. 2105; 2015:465018. PMID 26640764Weather W. Spence SC, Beckmann N, "Osseous Scaphotrapezial Coalition," Case Rep Radiol, vol. 2015, Article ID 345351, 3 pages, 2015. PMID: 26783484Spence SC, Kumaravel M. Core Curriculum Illustration: Posterior Column Acetabular Fracture. Emerg Radiol. 2016; 23(1), 97-99. PMID: 26453371Spence SC, Cardenas G, Patel B, Matta E. Voice of Experience. ICU Radiographs and the Beginning of the Imaging Value Chain. J Am Coll Radiol 2016; 13(4): 483-486. PMID: 26412751.Spence SC, McAlister W, Reed B, Zare M, Bingham B, Low J, Willis M. A Multispecialty Collaboration to Reduce Unnecessary Imaging for Knee Osteoarthritis. J Am Coll Radiol 2016; 13(11): 1343-1346. PMID 27319371 Beckmann NM, Cai C, Spence SC, Prasarn ML, West OC. Is Elevated Body Mass Index Protective against Cervical Spine Injury in Adults? Emerg Radiol?2018 Aug;25(4):415-424 PMID: 29603036ChaptersAvritscher R, Spence SC. ?Periprocedural Management of Fluids, Electrolytes and Acid-base Disturbances. In: Patient Care in Vascular and Interventional Radiology. In: Society of Interventional Radiology, Syllabus Series, 2nd. Lippincott Williams and Wilkins: Baltimore, MD, 2009.West O, Spence S, Chinapuvvula R, Beckmann N. Cervical Spine Chapter in: Imaging Skeletal Trauma, Saunders 4th ed. Philadelphia, PA. 2014; pp. 43-89.West O, Spence S, Chinapuvvula R, Beckmann N. Thoracic Spine Chapter in: Imaging Skeletal Trauma, Saunders 4th ed. Philadelphia, PA. 2014; pp. 90-127.WHERE SHOULD THIS GO?Expert panel and one of the segment writers for the:ACS TQIP Best Practices Guidelines in Imaging. American College of Surgery. page document released by the American College of Surgery to provide guidance to trauma centers for best practice and accreditation purposes. Greatest input for: Penetrating Neck Imaging, Bariatric Patients, Dealing with Incidental Findings, Radiology Performance Improvement.Oral PresentationsSpence S, Ferguson E, Berkowitz E, Oldham S. The Juxtadiaphragmatic Area: How the Diaphragm May Mask or Mimic Pathology. Electronic and oral presentation at the American Roentgen Ray Society Annual Meeting, April 14-18, 2008. Washington DC.Spence S. Hot Topics in Sports Imaging. Texas Radiological Society Annual Meeting, February 28th, 2014. Plano TX.Spence S, Cardenas G, Patel B, Warner M, Matta E. We Need You NOW! Improving Radiographic TAT in the MICU. Oral presentation at UT Shared Visions Conference, October 14-16, 2014. San Antonio, TX.Spence S, Cardenas G, Patel B, Warner M, McBride J, Matta E. Improving and Sustaining Improvements in Radiographic Turnaround Time. Oral presentation, American College of Radiology Annual Quality & Safety Meeting, Feb 13, 2015. Phoenix, AZSpence SC. Demystifying the Midface. American Society of Emergency Radiology Annual Meeting, Sept 14-17, 2016, San Francisco, CA.Spence SC. MidFace Fractures Made Easy. Texas Radiological Society webcast noon conference to all Texas Radiology Residency Programs, February 21, 2017Spence SC. Demystifying Midfacial Fractures, American Society of Emergency Radiology Annual Meeting, Sept 6-9, 2017, Toronto, Canada.Spence SC. MSK General Review Track: Arthritis and Metabolic. MD Anderson Cancer Imaging and Intervention Course, Houston TX, Apr 5-8, 2018. Spence SC. University of Washington’s Annual Trauma Review Course, Aug 12-15, 2018, as the “featured” out-of-state speaker. Facial fractures (30 mins)Acetabular fractures (30 mins)Wrist & hand (30 mins)Forearm & elbow (30 mins) Spence SC. American Society of Emergency Radiology Annual Meeting, Sept 26-29, 2018, McLean, Virginia. Acetabular Fractures. Spence SC. Invited Professor, Baylor Dallas. Facial trauma, Acetabular trauma, Hand and Wrist Trauma (2.5 hours) to ~25 residents and faculty. Jan 11, 2019. Spence SC. University of Washington’s Annual Trauma Review Course, Aug 11-14, 2019. Invited to speak: Acetabular fractures Spence SC. American Society of Emergency Radiology Annual Meeting, Sept 11-19, 2018, Scottsdale Arizona. Invited to speak: Facial Emergencies.Moderating“Host” for hour-long CME discussion presentation in Emergency Radiology. RSNA 99th Scientific Assembly & Annual Meeting, December 1-6, 2013. Chicago, IL.Moderator of the Body Imaging Section, Texas Radiological Society Annual Meeting, March 6-8, 2015, Austin, TXModerator of the Musculoskeletal Imaging and Quality Improvement Sections, Texas Radiological Society Annual Meeting, April 22-24, 2016, San Antonio, TXCo-moderator of the Management of Incidentalomas Section, Texas Radiological Society Annual Meeting, April 7-9, 2017, Galveston, TXModerator of the Musculoskeletal Imaging Section, Texas Radiological Society Annual Meeting, March 23-25, 2018. Frisco, TXModerator of Quality Segment, American Society of Emergency Radiology Annual Meeting, Sept 26-29, 2018 McLean, Virginia.Moderator of Ethics & Fellowship Updates AND QI/Economics/Regulatory/AI segments of the Texas Radiological Society Annual Meeting, March 29-31, Austin, TXModerator of Nontraumatic Musculoskeletal Imaging Section, American Society of Emergency Radiology Annual Meeting, Sept 11-14, 2019, Scottsdale, Arizona.Other Oral Presentations:Local CME lectures given:Spence S, McAlister W: co-presenters. Initial Evaluation and Work up of Knee Osteoarthrosis. Thomas Street Clinic (Baylor clinic), Harris Health System, 12-1pm, 10/14/2014 Spence S. Improvement Stories: Sustaining and Spreading Improvement. Clinical Safety and Effectiveness Program, 1-1:30pm, 4/12/2017Hasapes J, Spence S: co-presenters: The Future of Radiology Ordering. Ambulatory Care Services Grand Rounds (Baylor/UT). 12-1pm, 9/19/201 7Spence S. Improvement Stories: Sustaining and Spreading Improvement. Clinical Safety and Effectiveness Program, 4/13/2018Local (external to UT/MHH/LBJ) non-CME lectures given: Spence S. An Interdisciplinary Quality Improvement Initiative, Baylor Radiology Grand Rounds, 12-1pm, 10/16/2017 Other Extra-departmental Oral Presentations: Multiple in person 10-20 min presentations at Harris Health outpatient clinics for the knee osteoarthritis project. Variable size: 7-50 physicians/ ancillary staff.Cypress 9/15/2014Strawberry 9/15/2014Gulfgate 9/19/2014Martin Luther King 9/25/2014Vallbona 9/25/2014El Franco lee 9/24/2014Casa de Amigos 10/8/2014Aldine 10/8/2014Settegast 10/10/2014Northwest 10/21/2014Bear Creek 10/21/2014Acres 10/23/2014Squatty Lyons 11/18/2014Spence S. Rheumatoid Arthritis. Orthopedic Surgery Resident morning conference (approx. 14 residents), 5/30/2017Other15 cases contributed to the American Society of Emergency Radiology Online Core Curriculum Electronic Education, Pelvis and Hip Section:Spence S, Kumaravel M. Basicervical Proximal Femur Fracture. Spence S, Kumaravel M. 3-Part (Proximal and Distal + 1 Trochanter) Proximal Femur Fracture. Spence S, Kumaravel M. Subtrochanteric Femur Fracture. Spence S, Cheekatla S. Hip Dislocation – Anterior. Spence S, Kumaravel M. Acetabular Fracture – Posterior Column.Spence S, Kumaravel M. Posterior Column and Posterior Wall Acetabular Fracture. Spence S, Kumaravel M. Posterior Wall Acetabular Fracture. Spence S, Kumaravel M. Transverse Acetabular Fracture with Posterior Wall Fracture. Spence S, West OC. Central Hip Dislocation Spence S, Kumaravel M. Anterior Column Acetabular Fracture. Spence S, Kumaravel M. Sacral Fracture. Spence S, Kumaravel M. Subcapital Femoral Neck Fracture. Spence S, Kumaravel M. AVN of the Femoral Head: Stage IISpence S, Kumaravel M. AVN of the Femoral Head: Stage IV. Spence S, Jarolimek AM. Iliac Wing (Duverney) Fracture. Spence S, Huynh P. Invasive Lobular Carcinoma. Society of Breast Imaging Case of the Month, February 2010.Spence S, Beckmann N, Kumaravel M. Ectrodactyly-Ectodermal Dysplasia-Clefting Syndrome. Published in eBook: Intergalactic Online MSK [Musculoskeletal] Conference Cool Case Book 3, Edited by Mike Richardson, Publisher: Bare Bones Publishing. 2013Spence S, Beckmann N, Kumaravel M. ?ALPSA lesion. Published in eBook: Intergalactic Online MSK [Musculoskeletal] Conference Cool Case Book 3, Edited by Mike Richardson, Publisher: Bare Bones Publishing. 2013Spence S. Improving Radiographic TAT in the MICU. 3 minute video created by the UT system about this QI projects, and shown during the awards ceremony at the UT Shared Visions Conference in San Antonio 2014. Spence S. Phone interview for , our largest radiology non-society-based website 10/5/2015Spence S. Administrative approval presentations for the LBJ knee Osteoarthritis QI project:LBJ Quality Review Committee (QRC) 9/2/2014Ambulatory Care Services QRC 9/3/2014Quality Governance Council 9/9/2014 (Holly Hall) ................
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