TUFTS UNIVERSITY SCHOOL OF MEDICINE

Samson Munn, M.D. Curriculum Vitae and Bibliography Group Process and Diagnostic Radiology in Clinical and Academic Radiology Practice 22 July 2009

Associate Radiologist-in-Chief

Department of Radiology, Box 299

Tufts Medical Center, Floating 438A

800 Washington Street

Boston MA 02111-1552

Associate Professor and Vice Chair, Department of Radiology

School of Medicine, Tufts University

136 Harrison Avenue

Boston MA 02111-1817

telephone: 617.636.2884

electronic mail: smunn@tuftsmedicalcenter.org

facsimile: 617.636.8323

legal name: Samson Munn

full, legal name: Charles Samson Munn

EDUCATION

1973 A.B. (psychology) University of California, Berkeley

1978 M.D. Boston University

POSTDOCTORAL TRAINING

Internship (PGY 1)

July 1978 – June 1979 Internal Medicine Boston City Hospital

Residency (PGY 2–4)

July 1979 – June 1982 Radiology Tufts / New England Medical Center / Boston V. A. Medical Center

Fellowship / Chief Residency (combined) (PGY 5)

July 1982 – June 1983 Imaging Boston V. A. Medical Center

LICENSURE/REGISTRATION

England/UK active reference # 7011527 initially June 2008

United States

New York active license/certification # 162304-1 initially June 1985

Massachusetts active registration # 44407 initially July 1979

California active certificate # G 47197 initially March 1982

New Mexico active license # 2003-0275 initially June 2003

Arizona active license # 32587 initially March 2004

Georgia active license # 054654 initially April 2004

CERTIFICATION

National Board of Medical Examiners: # 196538 2 July 1979 (lifelong)

American Board of Radiology: Diagnostic Radiology 4 June 1982 (lifelong)

Royal College of Radiologists (England/UK): Clinical Radiology pending

ACADEMIC APPOINTMENTS – Tufts University School of Medicine

July 1982 – September 1986: Instructor Department of Radiology

October 1986 – March 2004: Assistant Professor Department of Radiology

April 2004 – January 2009: Lecturer Department of Radiology

Converted from Assistant Professor to Lecturer due to 2004–2008 California move.

February 2009 – [current]: Associate Professor Department of Radiology

HOSPITAL APPOINTMENTS

July 1983 – May 1997: Department of Radiology, New England Baptist Hospital

Staff Radiologist

Division Chief, Nuclear Medicine

Radiation Safety Officer

July 1997 – March 2004: Department of Radiology, New England Medical Center

Radiologist

Division Chief of Nuclear Medicine (Interim) (January and February 2002)

July 1997 – April 2004: Department of Radiology, Lemuel Shattuck Hospital

Radiologist

Chief, Department of Radiology (September 1998 – March 2004)

Radiation Safety Officer

July 2002 – July 2003 (hospital closing date): Department of Radiology, Waltham Hospital

Radiologist

Chief, Department of Radiology

May 2004 – June 2008: Department of Medical Imaging, Kaiser–Permanente Medical Center (Santa Rosa, Sonoma County, California)

Radiologist

Radiation Safety Officer (most of 2004 – 2007)

Chief, Department of Medical Imaging (May 2004 – July 2007)

Division Chief, Mammography (May 2004 – April 2008)

June 2008 – [current]: Department of Radiology, Tufts Medical Center

Associate Radiologist-in-Chief (for Quality and Core Operations)

Staff Radiologist

HOSPITAL, MEDICAL SCHOOL, OR UNIVERSITY COMMITTEE ASSIGNMENTS

Boston University Medical Center

Medical student member of the Human Studies Committee for one year (~ 1977, only the second year a medical student was permitted to serve on BUMC’s IRB)

New England Baptist Hospital

Member, Cancer Committee (~ 1990 – ~ 1997)

Member, Radiation Safety Committee (~ 1989 – ~ 1997)

Moderator, Thoracic Conference (~ 1990 – ~ 1997)

Radiation Safety Officer (~ 1989 – ~ 1997)

Lemuel Shattuck Hospital

President, Medical Staff (two terms, April 2000 – April 2004)

Vice President, Medical Staff (April 1998 – March 2000)

Chair, Medical Executive Committee (April 2000 – April 2004)

Chair, Radiation Safety Committee (July 1997 – April 2004)

New England Medical Center

Radiation Safety Committee (~ 2002 – ~ 2004)

Kaiser–Permanente Medical Center (Santa Rosa, Sonoma County, California)

President, Medical Staff (July 2007 – June 2008)

Chair, Imaging Utilization Committee (January 2005 – June 2008)

Tufts Medical Center

Quality of Care Committee (February 2009 – [current])

Institutional Review Board (February 2009 – [current])

Credentials Committee (July 2008 – [current])

Physician Organization Nominating Committee (April 2009 – [current])

JCAHO Work Team (Summer 2008 – [current])

Radiation Safety Committee (Summer 2008 – [current])

OTHER MAJOR COMMITTEE ASSIGNMENTS

See also OFFICE AND COMMITTEE ASSIGNMENTS IN PROFESSIONAL SOCIETIES, below.

National

As Chair (Imaging) of the northern California Kaiser–Permanente Breast Care Task Force (see below), I became appointed one of two representatives of Kaiser–Permanente’s largest region (northern California) to the Permanente Federation’s Interregional Breast Care Leaders (early 2007 through May 2008). A multidisciplinary team of clinicians from all Kaiser–Permanente regions (from Hawaii to Maryland, and from Colorado to Washington State), the IRBCL works to improve quality of care in screening for and diagnosis of patients with breast cancer nation-wide, toward reducing mortality and improving screening and diagnostic measures in terms of effectiveness and patient experience. Northern California came to excel in several metrics nationally within Kaiser–Permanente with respect to breast diagnosis, most of which occurred under the aegis of the Breast Care Task Force.

Regional

Background: Kaiser–Permanente cares for 4 million people or more in northern California – about one-third of the insured market regionally and 46% of those insured in Sonoma County. It comprises 18 medical centers, 14–15 of which are equal to or larger than Tufts Medical Center. The region employs 6–7,000 physicians, including well over 200 radiologists, and 65,000 other employees. Medical centers extend from as far south as San Jose to Santa Rosa in the north, and from as far east as Sacramento to the Pacific coast, including such populous areas as San Francisco, Oakland, Sacramento, Fremont, Richmond and San Rafael. Being large and an HMO in which physicians are employed in a model of joint responsibility for patients, imaging and order-entry are naturally vastly more streamlined and algorithmic in nature than in the pay-for-service or typical academic sectors.

Appointed to the following five regional roles by northern California, Kaiser–Permanente headquarters:

Chair (Imaging), regional Kaiser–Permanente Breast Care Task Force (November 2006 – June 2008) (caring for over 1½ million women). Jointly with the other Chair (Surgery), responsible primarily for assuring prompt access to breast biopsy, fast turnaround of diagnostic breast imaging reporting, reporting of mammography quality data, communication with patients, breast diagnosis best practices, etc.

By virtue of the above role, became Interim Chair (through June 2008) of the regional Mammography Chiefs’ Committee. Composed of the Chiefs of the mammography sections of the ~ 18 local medical centers’ Radiology Departments. This was a venue to pool knowledge, planning and effort toward best practices; primarily operational. (Member of the Committee: May 2004 – April 2008; see below.)

Member of the Executive Sub-Committee of the regional Imaging Utilization Committee (June 2005 – June 2008). This Sub-Committee determines all imaging algorithms applied regionally in northern California Kaiser–Permanente, and then implements them throughout the medical centers.

Individually responsible for northern California Kaiser–Permanente regarding:

· the carotid ultrasonography regional utilization algorithm;

· one of two regionally promulgated computerized order-entry paths for that exam;

· the upper GI regional utilization algorithm (leading to a drastic reduction in the ordering of that exam regionally, and nearly to its elimination at several medical centers);

· near elimination of intravenous urography at multiple medical centers in favor of better imaging modality choices; and,

· early data collection and analysis of utilization of head CTs engendered in the Emergency Department, with consequent utilization recommendations.

Working with a few others, jointly responsible for similar northern California regional utilization algorithmic design and analysis regarding:

· abdomen CT;

· CT pulmonary angiography;

· lumbar spine, knee and shoulder MRI; and,

· abdomen ultrasonography.

Member of the regional Medical Imaging Chiefs’ Committee (May 2004 – July 2007). This committee dealt with radiology personnel issues, JCAHO matters, policies and procedures, best practices, long range planning, etc.

Member of the regional Medical Imaging Technology Committee (May 2004 – December 2006). This committee was responsible for all radiology equipment choices from PACS systems to MRI-guided biopsy needles to ultrasound machinery, the distribution of all radiology equipment throughout the 18 medical centers, and all related budgeting.

The following role was related to being a medical center’s Section Chief of mammography:

Member of the regional Mammography Chiefs’ Committee (May 2004 – April 2008).

TEACHING RESPONSIBILITY

On the faculty of the Department of Radiology of Tufts University School of Medicine continually for the past 25 years, having the honor, pleasure and privilege to teach:

medical students at NEMC and at Lemuel Shattuck Hospital (where there was a Tufts radiology elective under my aegis); such teaching tended to be more didactic, and scheduled at an approximate average of one lecture every 2-3 months or so at NEMC (and, obviously, much more often at Lemuel Shattuck Hospital during the months students signed up there), during the years of 1983 – 2004;

radiology residents at NEMC (now at TMC), the Boston VA Medical Center (then a major Tufts Medical School affiliate), and at New England Baptist Hospital (then a significant Tufts Medical School affiliate in orthopedics, particularly); such interaction was approximately 10% of my time during the period of about 1983 – 1990, approximately twice monthly during 1991 – 1996, and essentially 50% of my week during the 1997 – 2004 period; and,

fellows (primarily in CT) at NEMC and the Boston VA Medical Center; this service was greater in the 1980s at the VA during, but greater in the 1990s at T-NEMC, amounting to approximately a day each 2–3 weeks. Neither of the TMC (then T-NEMC) nor VA CT/imaging fellowships still exists.

Please note that the Radiology Departments of the Boston VA, of New England Baptist Hospital and of Lemuel Shattuck were affiliated importantly with Tufts/NEMC during those years; the Shattuck’s and Baptist’s Radiology Departments remain affiliated currently. This teaching service has always included formal lectures, impromptu clinically sparked teaching, and rigorous, detail-oriented clinical teaching in the course of interpreting cases.

Finally, from a teaching standpoint, fortunate to have a rich, personal radiology teaching collection on which to base discussion and lecture, garnered from almost 30 years of collecting, combined with:

· inheriting (with permission) the large Radiology Department teaching collection of Waltham Hospital upon its close in 2003; and,

· cases very kindly gifted to me from Drs. Alice Ettinger and Susan Goldstein (both deceased). The former was a sterling radiologist, mentor and teacher, formerly Radiologist-in-Chief at T-NEMC and Professor and Chair of Radiology at Tufts Medical School; the latter was the caring, hard-working Chief of Radiology at Lemuel Shattuck Hospital for many years, immediately preceding my tenure as Chief of Radiology there.

PROFESSIONAL SOCIETIES

European Society of Radiology

American Society of Nuclear Cardiology

Radiological Society of North America

American College of Radiology

American Roentgen Ray Society

New England Roentgen Ray Society

Association of University Radiologists

Massachusetts Medical Society

Massachusetts Radiologic Society

Global Lawyers and Physicians

Society of Breast Imaging

OFFICE AND COMMITTEE ASSIGNMENTS IN PROFESSIONAL SOCIETIES

American College of Radiology and American Registry of Radiologic Technologists: ACR-representative to and member of the CT Examination Committee of the ARRT, 2003 – 2008. Honored to have been appointed by the ACR for this assignment at the ARRT, which was later extended a year beyond usual. The involvement was to travel to Minneapolis twice yearly for 3 days, sitting on a committee at the headquarters of the ARRT composed of a psychometrician, a radiation physicist, clinical CT technologists, teaching CT technologists, an ARRT administrator, and an accomplished CT radiologist (myself), in order to compose scientifically and assiduously the Registry’s certifying examinations for technologists to attempt to qualify for CT certification. This involves painstaking review and re-review of wording and statistics of thousands of questions and answers regarding CT anatomy, physics, radiation safety, imaging pathology, contrast media, consent and other medico-legal matters, and imaging techniques.

American College of Radiology: Reviewer for the Computed Tomography (CT) Accreditation Program, 2002 – 2004. A reviewer has the honor and responsibility to review, evaluate and pass or fail techniques and sample images from sites around the country attempting to gain accreditation from the ACR in computed tomography (CT). Received case documents and images from 2–3 applicant sites most weeks during those 2-3 years, and submitted a written report of each.

American College of Radiology: Reviewer for the Radiography/Fluoroscopy (R&F) Accreditation Program, 2002 – 2004. A reviewer has the honor and responsibility to review, evaluate and pass or fail techniques and sample images from sites around the country attempting to gain accreditation from the ACR in radiography and fluoroscopy. I received case documents and images from 1–2 applicant sites most weeks during those 2-3 years, and submitted a written report of each.

CITIZENSHIP(S)

U.S.A.

Poland

Israel

Germany

FOREIGN LANGUAGE(S)

German: granted official German governmental Zertifikat, Deutsche als Fremdsprache [Certificate, German as a Foreign Language] # PH332609, May 1998

Yiddish: some spoken and reading ability, better understanding

BIBLIOGRAPHY:

Group Process

Reviews, peer-reviewed:

Munn, S. Dialogue toward agenocide: encountering the Other in the context of genocide. Journal of Humanistic Psychology 2006;46(3):281–302.

Book chapters, peer-reviewed:

The Austrian Encounter Munn, Samson in Kimenyi, Alexandre and Scott, Otis, Anatomy of Genocide: State-Sponsored Mass-Killings in the Twentieth Century (New York: Edwin Mellen Press, 2001, ISBN 0-7734-7600-8) 321–337.

The Austrian Encounter Munn, Samson in Lappin, Eleonore and Schneider, Bernhard, Die Lebendigkeit der Geschichte. (Dis-)Kontinuitäten in Diskursen über den Nationalsozialismus [The Aliveness of History. (Dis-)Continuations in Discourses Regarding National Socialism] (St. Ingbert: Röhrig Universitätsverlag, 2001, ISBN 3-86110-285-4) 417–437.

Three chapters by Munn, Samson, in Bar-On, Dan, Bridging the Gap: Storytelling as a Way to Work through Political and Collective Hostilities (Hamburg: edition Körber-Stiftung, 2000, ISBN 3-89684-030-4):

· To Reflect and Trust — Aims of the Project and My Personal Involvement [erroneously entitled "'To Reflect and Trust' (TRT). Commitments and aims of the project" in the published version]. Pp. 28–29.

· Choosing among Special People — The Northern Ireland Encounters. Pp. 67–70.

· A Great Deal of Pressure. Pp. 125–126.

Einführung in die Arbeit der Nachkommen von Opfern und Tätern [Introduction to the Work of Descendents of Survivors and of Perpetrators] Wolff, Roswitha; Munn, Samson; "Scholz, Sabine"; Kuhl, Dirk; and Goschalk, Julie in Staffa, Christian and Klinger, Katherine, Die Gegenwart der Geschichte des Holocaust [The Presence of the History of the Holocaust] (Berlin: Institut für vergleichende Geschichtswissenschaften, 1998, ISBN 3-9805206-1-7) 59–70.

Invited lectures:

Storytelling and Encounter Keynote address at the Storytelling as the Vehicle? conference, 29 November 2005, Belfast, Northern Ireland. Sponsor: Healing Through Remembering (Belfast).

Power of Dialogue in Social Change Keynote address at the 2005 Rev. James E. Coffee Human Rights Awards ceremony, 8 December 2005, Santa Rosa, California. Sponsors: Sonoma County Commission on Human Rights, Listening for a Change, and Volunteer Center of Sonoma County.

The Foundation Trust Keynote address at the 8 February 2001 Racism, Hatred and Reconciliation conference of the United Nations’ NGO Committee on Mental Health, in New York.

Subsequent Generations’ Dialogue and Friendship First plenary co-presenter at the 1–3 September 1999 The Presence of the Absence / The Aliveness of History : International Conference for Descendants of Survivors and of Perpetrators of National Socialism, in Vienna, Austria.

Second Generation, Post-Holocaust Dialogue Co-presenter of Grand Rounds at the Department of Social Work, Brigham and Women’s Hospital (Boston), 18 February 1998.

Opposite Sides of a Shared History Keynote address of a 2 June 1996 evening presentation (of the same title) held at Royal Geographic Society (London). Sponsors: Second Generation Trust (London) and Institut für vergleichende Geschichtswissenschaften [Institute for Comparative Historiography] (Berlin).

Conference organized:

The first International Conference of Jewish—German Intensive Dialogue Groups. Boston 26–28 July 1996. Conceived by Professor Dan Bar-On, Ph.D. (Ben Gurion University of the Negev). Organized and chaired by Samson Munn, M.D. Two subsequent such Conferences have taken place so far, in Berlin and Vienna.

Documentary films (neither producer nor writer, but rather subject):

Children of the Third Reich Timewatch, B.B.C. (London), © 1993; produced by Catrine Clay. Samson Munn was one of four highlighted participants of a group of eighteen: daughters and sons of Holocaust survivors who meet for profound encounters with sons and daughters of German Nazis. 50 minutes. Broadcast nation-wide in the U.K. (several times on the B.B.C.), in the U.S. (several times on the Arts and Entertainment and The History Channel cable-TV networks), and in Holland, Australia, Canada, France, Israel, Turkey and elsewhere.

Eine unmögliche Freundschaft [An Impossible Friendship] Provobis (Berlin), © 1998; produced by Michael Richter. Documented the psychological and experiential development of friendship between Samson Munn (the son of two concentration camp survivors) and Dirk Kuhl (the son of the Gestapo commandant of Braunschweig). 48 minutes. Broadcast several times in Germany and Austria.

Out of the Ashes Timewatch, B.B.C. (London), © 1995; produced by Catrine Clay. 48 minutes. Examined Samson Munn and two others, and has been broadcast nation-wide in the U.K. (several times on the B.B.C.), in the U.S. (several times on the Arts and Entertainment and The History Channel cable-TV channels), and in Israel, Holland and elsewhere.

Newspaper interviews (not author) — two amongst many:

L'impensable dialogue: Les mémoires de la Shoah – IV [The Unthinkable Dialogue: The Memories of the Holocaust – IV] Le Monde (Paris), 28 April 1995, page 16, by Annick Cojean. Samson Munn was one of five commentators interviewed and quoted in this full-page article, the fourth in a series in France’s most prestigious newspaper.

Anreden gegen die Schweigespirale: Wie Kinder von hohen Nazis und Nachkommen der Holocaust-Opfer in London versuchten, einander zu begegnen [Arguing Against the Spiral of Silence: How Children of Major Nazis and Descendents of Holocaust Victims Sought to Encounter One Another in London] Süddeutsche Zeitung (Munich) 4 June 1996, page 3 (a favored, prestigious position in German newspapers), by Birgit Weidinger. Samson Munn was one of three quoted commentators in this article in one of Germany's most respected and widely read newspapers.

Radio interviews (neither producer nor interviewer, but rather subject):

Die Lebendigkeit der Geschichte [The Aliveness of History] Bayerischer Rundfunk © November 1999; produced by Nicole Ruchlak. Recorded in Vienna and broadcast from Munich, Samson Munn and a colleague were interviewed about their friendship and about their international work in dialogue.

The Austrian Encounter Deutsche Welle © summer 1997; produced by Silvia Pfeifer. Samson Munn and a couple of the participants in The Austrian Encounter were interviewed in Vienna for an English language program on national German radio. Munn is the founder and facilitator of the Encounter.

Encounter between Children of Survivors and Children of Perpetrators [during a religious affairs program on] B.B.C. Radio 4 © 1996; 2 June 1996. Samson Munn was one of two people interviewed for about five minutes in this Sunday morning program broadcast throughout the U.K.

Children of the War Today at One, Blue Danube Radio, Österreichischer Rundfunk (Austrian National Radio, Vienna), 13 March 1995, © 1995; produced by Jane Duke. Samson Munn was interviewed for 11 minutes by Hal Rock about the creation of The Austrian Encounter, then merely at its beginning, in this Austrian, but English language, radio program.

Second Generation Reconciliation Outlook, B.B.C. (London), 10 November 1993, © 1993; produced by Kate Howells. Samson Munn was one of two people interviewed for 7 minutes by John Waite in this radio, news magazine program, broadcast throughout the U.K.

Radiology

Presenting primary data, peer-reviewed:

Munn, C.S. Enhanced cardiac radionuclide imaging techniques. United States Patent and Trademark Office: 28 April 2009; patent # 7,526,331.

Munn, S. The way to a man's heart is through his stomach: much “diaphragmatic” attenuation is likely gastric, and effervescent granules enhance cardiac imaging. European Journal of Radiology 2004;52(3):271–5. (Erratum: European Journal of Radiology 2005;54(2):316.)

Munn, C.S., and Cohen, R.E. Rubbery products that shrink due to the application of energy and hypo-allergenic rubbery products. United States Patent and Trademark Office: 20 September 2005; patent # 6,946,172.

Szot, A., Jacobson, F.L., Munn, S., et al. Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. International Journal of Medical Informatics 2004;73:65–73.

Munn, C.S., and Cohen, R.E. Rubber products that shrink due to the application of energy and hypo-allergenic rubbery products. United States Patent and Trademark Office: 24 April 2001; patent # 6,221,447.

Munn, C.S., Kiser, L.C., Wetzner, S.M., and Baer, J.E. Ovary volume in young and premenopausal adults: US determination. Radiology 1986;159(3):731–2.

Epler, G.R., McLoud, T.C., Munn, C.S., and Colby, T.V. Pleural lipoma: diagnosis by computed tomography. Chest 1986;90:265–268.

Multiple patents related to hypo-allergenic rubbery products (such as catheters and surgical gloves) issued in several European countries; for instance, German patent # 297 17 772.9. (Full list available on request.)

Reviews, peer-reviewed:

Oza, U.D., and Munn, S. Imaging HIV/AIDS: body cavity-based lymphoma. AIDS Patient Care and STDs 2003;17(3):129–132 (invited review).

Munn, S. Imaging HIV/AIDS: Burkitt’s lymphoma. AIDS Patient Care and STDs 2002;16(8):395–399 (invited review).

Newberg, A.H., Munn, C.S., and Robbins, A.H. Complications of arthrography. Radiology 1985;155:605–606 (noninvited review).

Pugatch, R.D., Munn, C.S., and Faling, J. Computed tomography of the lung, pleura, and chest wall. Clinics in Chest Medicine 1984;5(2):265–280 (invited review).

Editorials, peer-reviewed:

Munn, S. Special consent for mammography in women with breast implants? Plastic and Reconstructive Surgery (accepted February 2009).

Munn, S. Opinion: when should men undergo mammography? American Journal of Roentgenology 2002;178:1419–1420.

Case reports, peer-reviewed:

Rencus, T., Smith, J., Munn, S., and Elgazzar, A. Displaced uterus simulating aneurysm on a multiphase bone scan. Clinical Nuclear Medicine 2003;28(7):574–576.

Munn, S. Pseudoazygos lobe caused by lymph node pneumatocele. Journal of Thoracic Imaging 2002;17(4):310–313.

Tyagi, G., Munn, C.S., Kiser, L.C., et al. Case report: malignant mesothelioma of the tunica vaginalis testis. Urology 1989;34(2):102–104.

Published letters to the editor, peer-reviewed:

Munn, S. Ovary volume: a reconsideration of “Ovary volume related to age.” Gynecologic Oncology 2008;109:146.

Munn, S. Re: Value of ECG-gated Thallium-201 Dipyridamole SPECT in Borderline Cases of Myocardial Perfusion Scan. Acta Cardiologica Sinica 2006;22:117.

Munn, S. Doc, I don’t wanna know!: patient-requested noninformed consent. American Journal of Roentgenology 2001;177(2):473.

Published abstracts, peer-reviewed:

Oza, U.D., and Munn, C.S. Pictorial review of common and uncommon radiological manifestations in AIDS. Radiology (supplement) 2001;221(P):684.

Wetzner, S.M., Kiser, L.C., and Munn, C.S. Duplex imaging: new diagnostic applications. Radiology (supplement) 1983;149(P):72.

Eastcott J.W., Bennett M., Munn C., Broitman S.A. Differential Growth of Allogeneic Lymphocytes and Bone Marrow Cells in Irradiated NZB Mice. Federation Proceedings 1977(1 March);36(3):1225.