Jill Wruble
Jill Wruble is a radiologist[1] and fellow at Johns Hopkins Medicine[2] who is best known as a speaker on overdiagnosis due to incidental imaging finding in United States medicine.[3][4]
Biography
[edit]Wruble is a director at the National Association of Veteran Affairs Physicians and Dentists[5][6] and a fellow at Johns Hopkins Medicine, in Radiology and Radiological Science.[2] She retired from the United States Army as a major. She is a graduate of Williams College and the New York College of Osteopathic Medicine. She was a clinical assistant professor who taught residents at Yale School of Medicine as recently as 2016.[7][8]
Work on Incidentaloma
[edit]Wruble's TEDx Penn talk discussed the issue of doctors treating abnormalities found on tests, leading to expensive further testing and potential overdiagnosis and overtreatment. In light of the COVID-19 pandemic and the reduced availability for elective surgeries in some areas, she is among the doctors calling for a reevaluation of aggressive cancer screenings and treatment that may cause harm to patients.[9]
She says that with contemporary CT scans providing a large number of very detailed images, "[w]e now see things that we would have never seen before, like a lesion that may never be a problem"[9] and that it is typical to see multiple abnormalities with each scan.[8] Wruble is concerned with "the unintended consequences of medical testing"[10] and along with co-author Joann Elmore has written about her skepticism of computer aided diagnosis as a tool for detecting breast cancer.[11][12] A paper that she contributed to, "Effective Radiology Reporting"[13] is often cited in papers on incidentaloma.
References
[edit]- ^ "Dr. Jill Wruble, Radiologist in New Haven, CT | US News Doctors". Health.usnews.com. Retrieved 2016-02-01.
- ^ a b Day, Jo Ann. "Meet Our Fellows | Johns Hopkins Radiology". www.hopkinsmedicine.org. Retrieved 2021-07-21.
- ^ "Jill Wruble | Box | New York Tech".
- ^ "NYIT Magazine Fall 2015 by NYIT Magazine". Issuu.com. Retrieved 2016-02-01.
- ^ "Director Jill Wruble, D.O." NAVAPD.org. Retrieved 2016-02-01.
- ^ "Leadership". NAVAPD. Retrieved 2021-07-21.
- ^ "Jill Wruble, DO > Radiology & Biomedical Imaging | Yale School of Medicine". Radiology.yale.edu. Archived from the original on 2016-01-31. Retrieved 2016-02-01.
- ^ a b Boodman, Sandra G. (2016-01-06). "Heavy Use Of CT Scans Raises Concerns About Patients' Exposure To Radiation". Kaiser Health News. Retrieved 2021-07-21.
- ^ a b "Covid-19 forces physician to rethink treatments that are overdone or unnecessary". Washington Post. ISSN 0190-8286. Retrieved 2021-07-21.
- ^ Lenzer, Jeanne (2016-04-29). "Experts and activists discuss how to get "right care" for patients". BMJ. 353: i2406. doi:10.1136/bmj.i2406. ISSN 1756-1833. PMID 27129484. S2CID 33547748.
- ^ "Computers Match Accuracy of Radiologists in Screening for Breast Cancer Risk". SBBS. 2018-05-06. Retrieved 2021-07-21.
- ^ Elmore, Joann G.; Wruble, Jill (2018-05-01). "Man Versus Machine: Does Automated Computer Density Measurement Add Value?". Annals of Internal Medicine. 168 (11): 822–823. doi:10.7326/M18-0941. ISSN 0003-4819. PMID 29710227. S2CID 13996153.
- ^ Ware, Jeffrey B.; Jha, Saurabh; Hoang, Jenny K.; Baker, Stephen; Wruble, Jill (2017-06-01). "Effective Radiology Reporting". Journal of the American College of Radiology. 14 (6): 838–839. doi:10.1016/j.jacr.2017.01.045. ISSN 1546-1440. PMID 28434849.