祝介入放射学会50岁生日快乐 Brian F. Stainken, MD
祝介入放射学会50岁生日快乐
Happy 50th birthday to the Society of Interventional Radiology
interventionalnews.com
interventionalnews.com
这个与“新”概念联系如此紧密的专业社会，怎么可能是旧的呢？
How can it be that this specialty society, so associated with concepts of ‘newness’, is old?
我们知道，1974年，一群穿着格子喇叭裤的“小玩意”（这个词要归功于迈克·达克）聚集在美国佛罗里达州的基拉戈，谈论极客。 We know that in 1974 a group of ‘gadgeteers’ (credit to Mike Dake for the term), dressed in plaid bellbottoms, convened in Key Largo in Florida, USA to talk geek. 他们津津有味地吃着那年的新零食——彩虹糖，并用新发明的、但不那么粘的便利贴来组织他们的想法和日程安排。
They munched on that year’s new snack called Skittles, and organised their thoughts and schedules with the new-fangled sticky, but not so sticky, Post-it notes.
快进50年，我们有了最新的美国委员会认证学科、最具竞争力的初级住院医师、蓬勃发展的发现渠道、强劲的全球合作和许多模仿者。 Fast forward five decades and we have the newest American board-certified discipline, the most competitive primary residency, a thriving pipeline of discovery, robust global collaboration, and many imitators. 我们仍然有糖果和便签本，但它们并没有真正改变。
We do still have the candy and the note pads, but they have not really changed.
那么，这种非凡的转变是如何发生的呢？ So, how did this remarkable transformation happen? 为什么，在1974年数以百万计的好想法中，这个想法不仅存活了下来，而且发展得很好？ Why, of all the millions of good ideas from 1974 did this one not only survive, but thrive? 我不知道，但这是我最好的猜测。
I don’t know, but here’s my best guess.
好主意
A good idea
“虚拟现实”的引导消除了任何解剖和暴露的需要。 ‘Virtual reality’ guidance obviated any need for dissection and exposure. 更精确，风险更小。 More precise, less risk. 没有影像引导，我们就是外科医生。 Without image guidance we are surgeons. 有了它，我们就成了超级英雄，可以访问任何地方的任何结构。 With it, we are superheroes able to access any structure, anywhere. 沙札姆! Shazam! 大多数医学历史学家将医学成像列为上世纪最伟大的医学发现之一，斯文·伊瓦尔·塞丁格（sven Ivar Seldinger）在正确的时间出现在正确的地点，而我们现在所知道的介入放射学（IR）是受益者。
Most medical historians place medical imaging high on the list of greatest medical discoveries of the last century—Sven Ivar Seldinger was in the right place at the right time and interventional radiology (IR) as we know it now is a beneficiary.
有远见的
Visionaries
伊尔IR的拉什莫尔山应该是查尔斯·多特的照片，可能在中间。 The Mount Rushmore of IR should show Charles Dotter of course, probably in the centre. 附近会有很多人，坦白说，太多了，不便提及。 Nearby would be, well, a lot of folks, frankly too many to mention. 1966年的科幻惊悚片《神奇之旅》（Fantastic Voyage）中，一艘潜艇被小型化，并被注射到一位患有血栓的科学家体内。如果我们真的能体验到这个想法是疯狂的，那就想象一下，从无开始设想一种报销系统，或者发明一种社会质量指南的概念。 If the idea that we could in fact take the Fantastic Voyage— the 1966 sci-fi thriller where a submarine is miniaturised and injected into a scientist suffering from a clot, was crazy, imagine dreaming up a system for reimbursement from scratch, or inventing the concept of societal quality guidelines. 想象一下，你会对一个难以置信的医疗机构说，有一天我们会提供动脉内药物或经皮脓肿引流术，或召集一个工作组来建立一个初级专业，并取得成功！ Imagine saying to an incredulous medical establishment that someday we would be delivering intra-arterial drugs or percutaneously draining abscesses or convening a task force to build a primary specialty and succeeding! 介入放射学学会（SIR）的梦想家们都值得登上那座山。 The visionaries of the Society of Interventional Radiology (SIR) all deserve to be on that mountain. IR似乎吸引了某种类型的发明狂热者。 IR seems to attract a certain type of inventive zealot. 我们很幸运。
We are fortunate for that.
文化
Culture
我想这是SIR最耀眼的地方。 I think this is where SIR’s light shines brightest. 从早期开始，这个社会和它的会议就是大思想家的家，包容、开放和有代表性。 From its earliest days, this society and its meeting was a home for big (outrageous) thinkers, inclusive, open, and representative. 一路上我们追求了一些愚蠢的想法，并为此付出了代价，但区别我们的是我们参与的意愿。 We’ve pursued some boneheaded ideas along the way to be sure, and paid for some, but what distinguishes us is our willingness to engage. 随着我们的社会和专业的成熟，承担风险的代价也在增加，但我们的未来取决于我们不断倾听新思想的意愿。
As our society and specialty mature, the price for taking risks grows, but our future depends upon our ongoing willingness to listen to new ideas.
团队合作
Teamwork
我们是一个志愿者协会。 We are a society of volunteers. 令人惊讶的是，在2023年，近10%的志愿者是积极的志愿者，还有更多的人活跃在医院和地方层面。 It’s extraordinary that in 2023, nearly 10% were active volunteers, and many more were active at the hospital, and local levels. 这也是造成运营混乱的原因。 It is also a recipe for operational chaos. 这就是SIR员工多年来发展成为重要合作伙伴的原因。 That’s where the SIR staff over the years have evolved into essential partners. 他们反映了成员。 They mirror the membership. 他们也相信印度的承诺。 They too believe in the promise of IR. 如果没有与我们合作的许多协会专业人士的支持和指导，我们将一事无成。 Without the support and guidance of the many association professionals we’ve teamed with, we would be nowhere. 谢谢你！
Thank you.
当然，每逢重大的周年纪念日，人们都会开始期待。 Of course, with any big anniversary one begins to look forward. 从过去SIR领导人的角度，我希望未来50年能带来以下几点：
From the perspective of a past SIR leader, here is what I hope the next 50 years bring:
自省
Introspection
我们在IR中做的一些事情不是很复杂，也不是很有风险，所以我们花了很多时间。 There are some things we do in IR that are not sufficiently complex or risky to justify our very expensive time. 为了保持竞争力，我们应保持用于监督和制定方案和实践标准的时间，但我们必须倡导在结局和成本方面，由经过最适当培训和监督的医务人员提供最佳治疗。 To stay competitive, our time spent supervising and developing protocols and practice standards should be maintained, but we must advocate for the best care, by the most appropriate trained and supervised providers, both in terms of outcomes and cost. 尽管如此，我们还必须更加重视我们在全国几乎每一家医院中发挥的核心业务作用。 That said, we also must pay more attention to the central operational role we play in nearly every hospital in the country. 住院患者接触IR的比例是多少？ What percentage of inpatients are touched by IR? 有多少比例的患者加速出院，避免了并发症？ What percentage of discharges expedited, complications averted? 我们的存在节省了什么？ What savings are attributable to our presence? 核心IR需要更多的关注，更严格的定义，考虑到临床时间，更好的实践模型，更多的研究和更好的经济学验证。 |