Health Services Research & Policy ■ Clinical Practice Management ■ Training & Education ■ Leadership
Health Services Research & Policy ■ Clinical Practice Management ■ Training & Education ■ Leadership
Health Services Research & Policy
■ Clinical Practice Management
■ Training & Education ■ Leadership

Radiology Firing Line

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Welcome to the Radiology Firing Line, where radiologists discuss controversial topics that are important to the imaging specialty.


In 1999, the Institute of Medicine (IOM) in their landmark report - To Err is Human - estimated that the number of deaths from medical errors is 44 ,000 to 98, 000. The report ushered the Quality and Safety Movement, which became a dominant force in all hospitals. Yet the number of deaths from medical errors climbed. It is now touted to be the 3rd leading cause of death. How easy is it to precisely quantify the number of deaths from medical errors? Not many physicians challenged the methodologies of the IOM report. Some feared that they'd be accused of "making excuses for doctors." Many simply didn't have a sufficient grip on statistics of measurement sciences. One exception was Rodney Hayward - who was then an early career researcher, a measurement scientist, who studied how sensitive the estimates of medical errors were to a range of assumptions. Saurabh Jha (aka @RogueRad) speaks with Professor Hayward for the Firing Line Podcast about his reesrach in JAMA published in 2001 - Estimating Hospital Deaths Due to Medical Errors: Preventability Is in the Eye of the Reviewer. It was a landmark publication of the time, and its objective methods have stood the test of time. Rod Hayward a Professor of Public Health and Internal Medicine at the University of Michigan and Co-Director of the Center for Practice Management and Outcomes Research at the Ann Arbor VA HSR&D. He received his training in health services research as a Robert Wood Johnson Clinical Scholar at UCLA and at the RAND Corporation, Santa Monica. His current and past work includes studies examining measurement of quality, costs and health status, environmental and educational factors affecting physician practice patterns, quality improvement, and physician decision making. His current work focuses on quality measurement and improvement for chronic diseases, such as diabetes, hypertension and heart disease.


Link to paper -

Episdoe 59 - A Rose by Another Name

Can we reduce over diagnosis by re-naming disease to less anxiety-provoking makes? For example, if we call a 4.1 cm ascending aorta “ecstasia” instead of “aneurysm” will there be less over-treatment? Saurabh Jha (aka @RogueRad) discusses over diagnosis with Ian Amber, a musculoskeletal radiologist at Georgetown University, Washington.

Episode 58 - Shared Decision Making

What role can radiologists play in shared decision making? C. Matthew Hawkins, MD discusses this important topic with patient advocate Andrea Borondy Kitts.

Episode 57 - The Dean who tweets - A conversation with Jeffrey Flier 

Saurabh Jha (@RogueRad) speaks with Professor Jeffrey Flier who was the 21st Dean of Harvard Medical School, on wide ranging topics including growing up in the Bronx, reproducibility crisis, research fraud, health policy, and intellectual diversity. Professor Flier went to Mt. Sinai School of Medicine and completed his training in endocrinology at the National Institutes of Health. He moved north, and became Chief of Diabetes Unit at Beth-Israel Hospital, Boston, spearheading their research. He was Dean of Harvard Medical School between 2007 and 2016. A prolific scientist, Professor Flier has contributed extensively to metabolic research in diabetes and obesity. He has also written about health policy. He supports intellectual diversity in universities, often leading by example. He has contributed to the literary online magazine, Quillette. He’s also famously known in medical Twitter as the dean who tweets and engages all sorts of tweeps. As one tweep once privately remarked to me “OMG, the dean of Harvard Medical School just responded to my tweet! That’s made my day.”

Episode 56 - Predictions and Parachutes

What does it take to create a decision rule? In this podcast Saurabh Jha (@RogueRad) has a discussion with Robert W. Yeh MD MBA about the deep though and complex statistics involved in creating a decision rules ti guide therapy which have narrow risk-benefit calculus, specifically a rule for how long patients should continue dual anti-platelat therapy after percutaneous coronary intervention1. They also discuss the motivation behind the legendary, and satirical, parachute RCT published in the recent Christmas edition of the BMJ2, which delighted satirists all over the world3.

Dr. Robert W. Yeh is the Director of the Richard and Susan Smith Center for Outcomes Research in Cardiology at the Beth Israel Deaconess Medical Center, and Associate Professor of Medicine at Harvard Medical School. An extremely accomplished scholar whose research transcends many types of methodologies.




Episode 55 - Making Oncology Accessible in Nepal

Saurabh Jha (aka @RogueRad) speaks with Bishal Gyawali MD PhD. Dr. Gyawali obtained his medical degree from Kathmandu. He received a scholarship to pursue a PhD in Japan. Dr. Gyawali's work focuses on getting cheap and effective treatment to under developed parts of the world. Dr. Gyawali is an advocate for evidence-based medicine. He has published extensively in many high impact journals. He coined the term "cancer groundshot. He was a research fellow at PORTAL. He is currently a scientist at the Queen's University Cancer Research Institute in Kingston, Ontario.

Episode 54 - Medical Education

What is the best way to educate medical students? Richard B. Gunderman, MD, C. Matthew Hawkins, MD and Saurabh Jha MBBS discuss medical education.

Episode 53 - Radiology in India

What are the challenges of bringing advanced imaging services to India? What motivates an entrepreneur to start build an MRI service? How does the entrepreneur go about building the service? In this episode Saurabh Jha (aka @RogueRad) discusses radiology in India with Dr. Harsh Mahajan, Dr. Vidur Mahajan and Dr. Vasantha Venugopal. Dr. Harsh Mahajan is the founder of Mahajan Imaging, a leading radiology practice in New Delhi, and now a pioneer in radiology research in India.

Episode 52 - Running an RCT - A conversation with the investigators of the REGAIN trail 

It is easy for armchair activists to bash randomized controlled trials (RCTs) with clever methodological critiques. However, it takes a lot of effort and coordination to pull off an RCT successfully. Saurabh Jha (aka @RogueRad) speaks to Dr. Mark Neuman and Lakisha Gaskins, principal investigator and research project manager of the REGAIN trial, respectively, about the logic, challenges and intricacies of conducting an RCT.

The Regional versus General Anesthesia for Promoting Independence After Hip Surgery (REGAIN) trial is an ongoing pragmatic, multi-center RCT, funded by PCORI, which randomizes patients with hip fractures to regional or general anesthesia.


Mark Neuman MD MSc, is an Associate Professor of Anesthesiology and Critical Care at the University of Pennsylvania. He is a senior fellow at the Leonard Davis Institute of Health Economics. He's a former RWJ Scholar.

Lakisha Gaskins is a research coordinator with extensive experience recruiting patients for RCTs

Episode 51 - Radiology in Africa 

What are the challenges of getting imaging to Africa? Saurabh Jha (@RogueRad) convenes a panel of experts in Africa. They discuss the challenges of bringing new technology to Africa, the new need for imaging driven by public health gains and increased longevity of Africans, the unsalubrius practice of "equipment dumping", amongst others. Panelists: Kassa Darge, MD PhD, is Professor of Radiology and Radiologist-in-Chief at Children's Hospital of Philadelphia. He is also Honorary Professor of Radiology in the Department of Radiology at Addis Ababa University in Ethiopia. Omolola Mojisola (Monica) Atalabi MBBS MBA, is Professor of Radiology and Chief of Pediatric Radiology at University College Hospital, Ibadan, Nigeria. She is President of both the Association of Radiologist in Nigeria and the World Federation of Pediatric Imaging. William Sykes is the CEO of Tecmed Arica - a medical equipment, device, service and training provider in the Southern African region.

Episode 50 - Health Economics

Norm A. Padrón, PhD, MA, MPH, is Senior Director of Applied Research and Data Analytics at the Center for Health Innovation of the American Hospital Association (AHA). She was the founder and Associate Director at the Main Line Health Center for Population Health Research at the Lankenau Institute for Medical Research. Previously, she was a Research Scientist at The New York Academy of Medicine, and Assistant Professor at the Icahn School of Medicine at Mount Sinai in the Population Health Science and Policy Department. She earned her PhD in Health Policy & Management (Economics) from Yale University, a Master's in Economics from Duke University and a Master's in Public Health from Universitat Pompeu Fabra in Barcelona, Spain.

Guest: Norm A. Padrón, PhD, MA, MPH

Episode 49 - Into America - the odds against a foreign trained doctor Into America - the odds against a foreign trained doctor

Chadi Nabhan, MD MBA FACP, is a preeminent oncologist, speaker and the Chief Medical Officer of Cardinal Health Specialty Solutions. At the great heights of his career, and a secure American citizen, Chadi recalls the struggle and effort it took to get from Syria to Boston. He credits his journey to good luck and a tenacious drive and uncompromising desire to work in the U.S. Chadi speaks for thousands of international medical graduates to fight odds to get here.

Guest: Chadi Nabhan, MD MBA FACP

Episode 48 - Net effect of expanding MedicaidNet effect of expanding Medicaid

What is the effect of expanding Medicaid on overall healthcare costs and use of the emergency room?
This type of question can't easily be answered by observational studies and requires a randomized controlled trial (RCT). But an RCT isn't easy to perform. However, a natural RCT serendipitously happened in Oregon a few years ago when Medicaid was expanded and the eligibility was deemed by a lottery system.

Saurabh Jha (@RogueRad) speaks to Professor Katherine Baicker, a leading economist and the Dean of the Harris School of Public Policy, and principal investigator of the Oregon Health Insurance Experiment, about the landmark study.

Guest: Professor Katherine Baicker

Episode 47 - Artificial intelligence

A discussion about AI and radiology with Terarecon, a leader in advanced visualization & Artificial Intelligence

Guest: Terarecon

Episode 46 - Radiologist Entrepreneurs

What motivates the radiologist entrepreneur? We talk to Kathryn Pearson Peyton MD, chief medical officer of Mammosphere

Guest: Kathryn Pearson Peyton MD

Episode 45 - Venture Capitalism & Radiology

Can radiologists make their way to silicon valley? Ajay Kohli MD, a physician entrepreneur, explains what it takes to make a medical app.

Guest: Ajay Kohli MD 

Episode 44 - Advance Practice vs Primary Care

Danny Hughes, PhD and Saurabh Jha discuss a JAMA paper: A comparison of diagnostic imaging ordering patterns between advanced practice clinicians and primary care physicians following office-based evaluation and management visits.

Guest: Danny Hughes PhD, from the Neiman Health Policy Institute

Episode 43 - Informatics

Tessa Cook, MD, PhD assistant professor at University of Pennsylvania explains radiology’s relationship with informatics.

Guest: Tessa Cook, MD, PhD

Episode 42 - Meet the PatientsMeet the Patients

Should Radiologists talk with Patients? Ian Amber MD, assistant professor of radiology at Georgetown University advocates for patient interaction.

Guest: Ian Amber MD

Episode 41 - The Many Ways of Skinning the “Statistical” Cat

A conversation with Brian Nosek, a meta-researcher, co-founder and director of the Center for Open Science. They discuss a study which showed there’s variation in analytical methods research teams use to interrogate the same data set.

Guest: Brian Nosek 

Episode 40 - Academics Vs Academics

An interview with Professor Tim Noakes, Scientist, author, adventurer and runner based in South Africa.

Guests: Professor Timothy Noakes 

Episode 39 -  Artificial Intelligence: A Resident discussion Panel

How will artificial intelligence and changing technology affect residents and medical students? Dr Jha assembles a panel of tech savvy radiology residents: Ajay Kohli, MD, Howard Chen, MD, Blake Jones, MD, and Judy Gichoya MD. 

Guests: Ajay Kohli, MD, Howard Chen, MD, Blake Jones, MD, and Judy Gichoya MD

Episode 38 - Health Policy with Elizabeth Rosenthal

Host Saurabh Jha discusses the book "An American Sicness: How Healthcare Became Big Business and How You Can Take It Back" with author and editor in chief of Kaiser Health News Elizabeth Rosenthal

Guest: Elizabeth Rosenthal

Episode 37 - Why RCTs are not infallibleWhy RCTs are not infallible

What's the Issue with Random controlled trails? Radiologist Saurabh Jha, MD, MBBS  has a conversation with Cardiologist, and frequent blogger Anish Koka MD, about RCTs.

Guest: Anish Koka MD

Episode 36- Interview with Nicole Saphier 

Dr Jha, MBBS, Interviews Dr Nicole Saphier, MD on a wide range of topics including: screening mammograms, breast density law & opining on policy in national media as a radiologist.

Guest: Nicole Saphier

Episode 35- Public Reporting of Physicians 

Why do we publicly rate doctors? Ben Harder, Managing editor in Chief, Health Analysis US News & World Report, explains.

Guest: Ben Harder

Episode 34 - Team Building

Can the clinical space learn from college basketball? Host Matthew Hawkins, MD, discusses team building with David Larson, MD, and Arun Krishnaraj, MD.

Guests: David Larson, MD,  Arun Krishnaraj, MD

Episode 33 - Deep Learning

Saurabh Jha, MBBS, sits down with Stephen Borstlemann, MD, an influencer in the medical AI community, to discuss deep learning algorithms. How will radiology and new emerging technology will co-exist in the future?

Guest: Stephen Borstlemann, MD

Episode 32 - Medicine and Law

How did America become so litigious and how does this affect malpractice lawsuits in medicine? Host Saurabh Jha. MBBS, sits down with malpractice expert Walter K. Olson.

Guest: Walter K. Olson

Episode 31 - Social influence in the Academic Space 

Host Matt Hawkins sits down with New Editor in Chief Ruth Carlos to discuss how social media can influence your academic career.

Guest: Ruth Carlos MD

Episode 30 - Leadership Sucession Planning

Live From ACR2 018 Matt Hawkins, MD sits down with newly elected ACR Board Chair Geraldine McGinty, MD, MBA, FACR to dicuss Leadership Succession.

Guest: Geraldine McGinty MD 

Episode 29 - Decision Making

Saurabh Jha,MBBS, sits down with cognitive psychologist Gary Klein, PhD, to discuss decision-making in medicine.

Guest: Gary Klein PhD

Episode 28 - Risk Adjustment

Host Saurabh Jha, MBBS, discusses the study and its implications for risk sharing and payment models with Danny R. Hughes, PhD. 

Guests:  Danny R. Hughes, PhD, senior director of the Neiman Health Policy Institute

Episode 27 - Diversity in Radiology and Medical Students

Taj M. Kattapuram, MD and Sonia C. Gupta, MD explore the gender demographics of Radiologists and medical students entering radiology.

Guests:  Taj M. Kattapuram, MD and Sonia C. Gupta, MD

Episode 26 - Burnout

Why are more radiologists suffering from burnout and what can we do to combat it? A conversation with Richard B. Gunderman, MD, PhD, and C Matthew Hawkins, MD.

Guests: Richard B. Gunderman, MD, PhD

Episode 25 - Round up of 2017

From MACRA to missed care opportunities. A look back at all the topics discussed in 2017

Guests: Tirath Patel, MD,Danny Hughes, PhD, Gregory N. Nicola, MD, Richard E. Heller, III, MD, MBA, James A. Brink, MD, FACR,  Andrew B. Rosenkrantz, MD, Ashley Prosper, MD Kristina Hoque, MD, PhD Mark Sellmyer, MD, PhD Phil Mulugeta, MD, H. Benjamin Harvey, MD, JD, 

Episode 24 - Twitter

How can you be professional on twitter? Co host Saurabh (Harry) Jha, MBBS talks with Tirath Patel MD about the Value of Twitter.


@TirathPatelMD Tirath Patel, MD

Episode 23 - Bundle Payments

Co host Saurabh (Harry) Jha, MBBS asks the question Why are we so concerned about being bundled?  

Danny Hughes, PhD, from the Neiman Health Policy Institute

Episode 22 - MACRA 

Co-host C Matthew Hawkins, MD and Saurabh (Harry) Jha, MBBS, takes on the latest in reimbursement and quality. Is the new Quality Payment Program actually better than fee for service? What does it mean to be patient facing? And how does medicine even go about measuring quality?


Gregory N. Nicola, MD, chair of the ACR Economics Committee on MACRA, and vice president of the Hackensack Radiology Group in Hackensack, NJ

Richard B. Gunderman, MD, PhD, professor and vice chair of the department of radiology at Indiana University in Indianapolis

Episode 21 - Change Management 

Guest Contributor: 

H. Benjamin Harvey, MD, JD, from Massachusetts General Hospital.

Episode 20 - Quality and Value

Guest Contributor: 

Richard E. Heller, III, MD, MBA, is vice president of clinical services and national director of pediatric radiology at Radiology Partners. Prior to that, he was chair of radiology at Advocate Children's Hospital in Oak Lawn, Ill.

Episode 19 - Health Care Rating Websites

Guest Contributor: 

Andrew B. Rosenkrantz, MD, from New York University-Langone Medical Center.

Episode 18 - Concentration in Nuclear Medicine

Guest Contributor:

Ashley Prosper is a cardiothoracic imaging fellow at the University of Southern California. An active member in the ACR, she currently serves as Communications Officer for the ACR Residents & Fellows Section.

Kristina Hoque, MD, PhD, is currently a Neuroradiology Fellow at the University of Southern California. She is continually inspired and motivated by her three young boys and the incredibly supportive family she is lucky to be a part of.

Episode 17 - Missed Care Opportunities

Guest Contributor:

James A. Brink, MD, FACR is the chair of the ACR Board of Chancellors, radiologist-in-chief at Massachusetts General Hospital in Boston and Juan M. Taveras Professor of Radiology at Harvard Medical School.

Episode 16 - ACGME

Guest Contributors:

Mark Sellmyer, MD, PhD, is the current radiology chief resident at the Hospital of the University of Pennsylvania.

Phil Mulugeta, MD, is the former chief resident and current nuclear radiology fellow at the Hospital of the University of Pennsylvania.

Episode 15 - Neuroimaging

Guest Contributor:

Jeffrey B. Ware, MD, completed his diagnostic radiology residency at the Hospital of the Univeristy of Pennsylvania in Philadelphia and is now a fellow there in Neuroradiology. His research focuses on the imaging of traumatic brain injury.

Episode 14 - Women in Radiology

Guest Contributors:

Kristina Hoque, MD, PhD, is currently a Neuroradiology Fellow at the University of Southern California. She is continually inspired and motivated by her three young boys and the incredibly supportive family she is lucky to be a part of.

Ashley Prosper is a cardiothoracic imaging fellow at the University of Southern California. An active member in the ACR, she currently serves as Communications Officer for the ACR Residents & Fellows Section.

Episode 13 - Pricing

Guest Contributor:

Adam Powell, PhD, is an adjunct professor of informatics at Northeastern University and President of Payer+Provider Syndicate.

Episode 12 - Chargemaster 

Guest Contributor:

Seth Stein is a Radiology Resident at Weill Cornell Medical Center in New York. His expertise is the hospital chargemaster, legislative loopholes, and price transparency efforts to thwart growing charges for patients.

Episode 11 - Steroids

Guest Contributor:

Neil U. Lall, MD, is a pediatric radiology fellow at Cincinatti Children's Hospital.

Episode 10 - Being a New Faculty Member

Guest Contributor:

Sonia Gupta, MD, finished her fellowship in Abdominal Imaging at Duke University Medical Center in 2015 and is now Assistant Professor of Radiology at Temple University, where her interests include MRI enterography and dual-energy CT.

Episode 9 - The Intern Year

Guest Contributor:

Tirath Y. Patel, MD, is an interventional radiology fellow at Baylor University.

Episode 8 - Virtual Colonoscopy

Guest Contributor:

Hanna M Zafar MD MHS is an abdominal radiologist focused on outcomes research at the Hospital of the University of Pennsylvania. She has published extensively on CT colonography utilization and downstream effects of incidental imaging findings based on her clinical work in abdominal US, CT and MRI.

Episode 7 - Gatekeeping

Guest Contributor:

H. Benjamin Harvey, MD, JD, is a neuroradiologist at Massachusetts General Hospital

Episode 6 - Patient Satisfaction

Guest Contributors:

Andy DeLaO is a Disrupter; Listener; Advocate; Marketer; Designer; President and CEO of, an agency focused on putting art back into healthcare; 2016 Moreton Lecturer

Adam Powell, PhD, is an adjunct professor of informatics at Northeastern University and President of Payer+Provider Syndicate

Episode 5 - The Value of Time

Guest Contributor:

Seth Trueger, MD, MPH, is an Assistant Professor in the Section of Emergency Medicine at the University of Chicago and is the Assistant Social Media Editor for Annals of Emergency Medicine. He completed his residency in emergency medicine at the Mount Sinai in New York, and completed a Health Policy Fellowship in the Department of Emergency Medicine at George Washington University in Washington, DC. Areas of interest include emergency department crowding, payment reform, and social media for health professionals. Follow Dr. Trueger on Twitter: @MDaware

Episode 4 - Will Watson Replace Radiologists?

Guest Contributors:

Andy DeLaO is a Disrupter; Listener; Advocate; Marketer; Designer; President and CEO of, an agency focused on putting art back into healthcare; 2016 Moreton Lecturer

Adam Powell, PhD, is an adjunct professor of informatics at Northeastern University and President of Payer+Provider Syndicate

Episode 3 - Quality Management

Guest Contributor:

Jason N. Itri, MD, PhD, is the Vice Chair of Operations and a member of the abdominal imaging section at the University of Cincinnati Medical Center 

Episode 2 - Imaging Requests by Mid-Level Providers

Guest Contributors:

 David Nussbaum, MD, is a neuroradiologist in private practice. Once upon a time he advised venture capitalists.
 Shuai Wan, MD, is a radiology resident at the University of Pennsylvania who is interested in health economics


Episode 1 - Breast Density Legislation

Guest Contributor: 

Amy Patel is currently Chief Resident in Diagnostic Radiology at the University of Kansas-Wichita. She will be a Breast Radiology Fellow at Mallinckrodt Institute of Radiology Washington University in Saint Louis in July 2016. 




      Saurabh Jha, MBBS

      Saurabh (Harry) Jha, MBBS, is an academic radiologist who studies the value of imaging and believes in the pedagogic benefits of arguing. He can be reached on Twitter @RogueRad.



Hawkins ACR 2014


      C. Matthew Hawkins, MD

      Matt Hawkins is a pediatric interventional radiologist driven to overhaul medicine's mediocrity and discover progress by acknowledging contrarian opinions. He can be reached on Twitter @MattHawkinsMD.



Segovis headshot


     Colin Segovis, MD, PhD

     Colin Segovis, MD, PhD is a radiology resident who deconstructs health policy and recognizes the value of debate.