RLI Taking the Lead Podcast

Taking the Lead 77:  Bethany U. Casagranda, DO, MBA  | One of Many: Leadership, Legacy, and Lifting Others From shoveling coal in a small southwestern Pennsylvania town to becoming the first woman and first radiologist to serve as President of the Physician Organization and Chief Medical Officer of Allegheny Health Network, Bethany Casagranda, DO, MBA, has built a career by embracing opportunity, challenging expectations and creating environments where others can succeed. In this episode of Taking the Lead, Dr. Casagranda joins host Geoffrey Rubin, MD, MBA, FACR, to reflect on the experiences that shaped her journey as a first-generation physician and musculoskeletal radiologist to educator, department chair and health system executive. She shares lessons from her blue-collar upbringing, the mentors and sponsors who influenced her career, and why building strong teams and creating opportunities for others have become central to her leadership philosophy. Their conversation explores her concept of the “horizontal ladder,” the importance of taking on roles before you feel completely ready, intentionally developing the next generation, and knowing when it is time for leaders to pass the baton. Dr. Casagranda also reflects on turning advocacy for equity and change into collective action and looks ahead to the transformation of healthcare through population health, value-based care and AI and what those changes could mean for the future of radiology. At its core, this is a conversation about courageous leadership, lifelong learning and the responsibility leaders have to make both people and organizations better all while bringing others along on the journey.   Behind the Mic! Dr. Bethany Casagranda has been married for 12 years and is the proud mom of two daughters—one is a 21-year-old senior at the University of Michigan, and the other is an 11-year-old heading into fifth grade. When she's not working, you'll often find her on the tennis court or taking advantage of any opportunity to escape to the mountains, relax by a lake in Maine, or visit England. A self-proclaimed anglophile, she's always happy when a trip takes her across the pond.   Although she always envisioned a future in radiology, Dr. Casagranda also had an interest in education and could easily have seen herself pursuing a career as an educator. When it comes to food, she's refreshingly easy to please—she hasn't met a cuisine she doesn't enjoy. Her favorite drinks tend to follow the seasons, with tequila and vodka cocktails in the warmer months and bourbon becoming the beverage of choice when the weather turns cooler.   A perfect rainy day for Dr. Casagranda is a quiet one at home, curled up in her favorite spot with honey tea, a cozy blanket, a great magazine, and some jazz playing in the background.

In this episode of the RLI’s Taking the Lead, host Geoffrey Rubin, MD, MBA, FACR sits down with Scott Bundy, MD, FACR, CEO and Chair of Strategic Radiology, to explore the defining principle that has shaped his career - an ownership mentality. From his early days growing up in the Midwest where baseball, hard work, and team dynamics were foundational to his career in private practice, Dr. Bundy shares how taking ownership of problems, opportunities, and outcomes became the cornerstone of his leadership approach. He reflects on how those early lessons carried through to helping build one of the largest independent radiology organizations in the country, navigating complex mergers, and leading through uncertainty in a rapidly evolving healthcare environment. Dr. Bundy also offers a candid perspective on how leaders are developed over time, not born, and why communication, transparency, and engagement are essential to earning trust and driving change. The conversation explores the formation and evolution of Strategic Radiology, highlighting how collaboration and shared purpose can create both scale and independence. He closes with practical advice for the next generation of radiologists: embrace responsibility early, learn from mistakes, and take ownership not just of your work, but of the future you want to build. Behind the Mic Dr. Bundy and his wife, Tracy, just celebrated their 30-year anniversary on June 1. They reside in Highland Park, Texas, a Dallas suburb, and have 2 daughters. The eldest daughter, Briar, recently graduated cum laude from the University of Georgia and will be attending law school at American University in Washington DC in the fall. The younger daughter, Berkeley, is a rising Junior at Washington and Lee University studying accounting and finance. Berkeley is also a scholar athlete. She is a member of the W & L women’s golf team which just finished 4th at the NCAA Division III golf championship. Berkeley was also named first team all-conference participating in the Old Dominion Athletic Conference and was named to the NCAA all-Southeast Regional Team.   When schedules permit, the Bundy clan enjoys traveling as a family and exploring diverse cultures with unique experiences. As a family, they have visited 5 continents and nearly 50 countries, occasionally making time for golf or snow skiing. Whether learning how to make sushi at the Tokyo fish market, visiting concentration camps in central Europe, rug making in Tunisia, or playing golf at the “world’s most dangerous course” alongside the Korean DMZ, there is no better way to understand a culture than to learn their history and immerse oneself in their local traditions and way of life. 

From his early years growing up in postwar Germany to shaping global conversations around radiology informatics and AI, Christoph Wald, MBA, MD, PhD,  has built a career defined by curiosity, craftsmanship, and a deep commitment to service. In this episode, he sits down with host Geoffrey Rubin, MD, MBA, FACR, for a wide-ranging and thoughtful conversation that traces his journey from a childhood spent building, fixing, and making music, to a career at the forefront of radiology innovation and leadership. Along the way, Dr. Wald reflects on formative influences from his father’s hands-on ingenuity to immersive experiences in music and education that instilled in him a lifelong belief in learning by doing. Dr. Wald shares pivotal moments that shaped his professional path, including his training across Germany, Scotland, and the United States, and his early exposure to collaborative, outcome-driven care at Lahey Clinic. He discusses his role in pioneering work in liver transplant imaging, launching one of the nation’s earliest lung cancer screening programs, and helping to foster a culture of peer learning grounded in trust, transparency, and continuous improvement. As the conversation turns to the future, Dr. Wald offers a thoughtful perspective on the evolving role of radiologists in the age of AI. He explores how the profession may shift from image interpretation to a broader form of information stewardship and why leading in harmony across disciplines, technologies, and teams will be essential to navigating the changes ahead. Beyond medicine, Dr. Wald reflects on the enduring role of music in his life, the importance of community, and the value of creating space for reflection in a fast-moving world. Insightful, grounded, and forward-looking, this conversation explores what it means to lead with curiosity, build culture with intention, and create alignment across people and purpose in shaping the future of radiology.                Behind the Mic Dr. Wald has been married to his wife, Ute, since 2005. An Austrian opera singer turned coach and wellness professional, she brings a creative balance to his life outside medicine. Together, they have a daughter, Maxine, a 20-year-old fashion styling student in Milan, and a nearly 12-year-old labradoodle, Barolo, often described as Maxine’s jealous younger sibling. Outside of work, Dr. Wald enjoys tennis, cooking, and sharing great meals with friends. While he doesn’t love the mechanics of travel, he values time spent in places known for exceptional food and culture - especially Northern Italy and Vienna. A self-described “pathologically curious” problem-solver, his early fascination with engineering, shaped by his father, evolved into a career in medicine after time spent in military service. Initially pursuing surgery, he discovered radiology during a clerkship and was drawn to its unique blend of technology, procedures, and intellectual challenge—something he likens to a lifelong love of solving a good “whodunit.” His tastes in food are wide-ranging, with a particular love for Italian cuisine, along with French, Greek, Middle Eastern, and select German and Austrian dishes. His drink of choice depends on the meal - beer with bratwurst, wine more often than not, and the occasional craft cocktail, which he describes as “cooking with liquids.” On a rare unstructured day, he enjoys simple pleasures: listening to music (often via the Berlin Philharmonic Digital Concert Hall), lingering over conversations with friends, or spending time in the garden where he jokingly engages in “small animal and chemical warfare” to protect his roses.

In this episode, Woojin Kim, MD, Chief Strategy Officer and Chief Medical Information Officer at HOPPR, shares his remarkable journey from his early years navigating life in the U.S. as an undocumented immigrant to becoming one of radiology’s most influential innovators in imaging informatics and AI. Drawing on formative experiences, arriving in the U.S. as an undocumented child, learning English through painstaking self‑translation, and finding stability in a supportive Korean church community, Woojin reflects on how those early years shaped the resilience, curiosity, and drive that underpin his professional journey. During this inspiring conversation, host Geoffrey Rubin, MD, MBA, FACR, traces Woojin’s evolution from MSK radiologist and imaging informatics fellow to serial entrepreneur, co‑founding companies including Montage Healthcare Solutions (acquired by Nuance), Equium Intelligence (acquired by Rad AI.) Woojin discusses the origins of his informatics mindset - the Amtrak train rides where he taught himself to code, the team culture that fueled multiple successful exits, and what he learned about scaling technology, leading through acquisition, and deploying AI across diverse health systems worldwide. The conversation dives into the current frontier of radiology AI from foundation models, automated reporting, and agentic AI systems to the critical role of governance. Woojin explains why cognitive‑load reduction, not speed alone, will define the next generation of tools, how practices can prepare for rapid technological shifts and why radiologists must remain stewards of clinical judgment as AI becomes increasingly capable. Through a blend of personal perspective and deep technical insight, Woojin offers a compelling roadmap for radiologists, leaders, and trainees navigating a future shaped by continuous learning and transformative technology. Production support for this third annual William G. Bradley Memorial episode of the RLI “Taking the Lead” podcast has been provided by the California Radiological Society Foundation. The CRS Foundation was established to honor the legacy of Dr. Bradley, a pioneer in radiology practice, research, and leadership, and is committed to advancing the future of radiology in California. Tax‑deductible contributions to the Foundation can be made at www.calrad.org/crs-foundation.

From her Mayberry‑like childhood in rural Virginia to pioneering MRCP and leading one of the nation’s largest academic radiology departments, Ann S. Fulcher, MD, Chair of Radiology at Virginia Commonwealth University, has built a career defined by service, integrity, and curiosity. In this episode, she sits down with host Geoffrey Rubin, MD, MBA, FACR, for a warm and deeply personal conversation tracing her journey from the influence of a WWII veteran father who taught her the value of duty and compassion, to the mentors who guided her toward abdominal imaging, to the unexpected leadership opportunities that emerged during her military service at Andrews Air Force Base. Dr. Fulcher reflects on becoming a department chair earlier than she ever imagined, the lessons she carried from the Air Force into academic medicine, and the evolving challenges facing radiology’s leaders today. She shares candid insights about building a cohesive culture across expanding clinical sites, sustaining research and education amid workforce pressures, and the responsibility leaders hold to champion quality and care in an increasingly productivity‑driven environment. Beyond radiology, Dr. Fulcher discusses the life‑changing role photography has played in her well‑being - awakening creativity, restoring balance, and even uplifting colleagues and patients during challenging times. Her reflections on mentorship, purpose, and “what you do with your dash” offer a moving reminder of the impact a single career can have. Engaging, humble, and full of heart, this conversation explores what it means to lead with clarity, compassion, and authenticity while never losing sight of the joy in the work itself. Production support for this episode of this RLI “Taking the Lead” podcast has been provided by the Virginia Radiological Society, a statewide professional organization dedicated to improving the health of patients and society by making imaging safe, effective and accessible to those who need it. Visit www.varadsoc.org for more information.   Behind the Mic: Dr. Fulcher is an avid traveler and passionate photographer, often combining both hobbies on adventurous trips that involve hiking and early mornings. She has explored nearly 50 countries, with favorite destinations including Chilean Patagonia for photographing pumas, Easter Island, Cuba, Tanzania, Norway’s Lofoten Islands, Svalbard, Brazil’s Pantanal, and India. Initially planning a career in Internal Medicine with a subspecialty in Allergy, she discovered her love for diagnostic problem-solving in radiology during medical school. Her favorite cuisine is ribs, and on a rainy day, she enjoys processing photographs.

Before leading Mayo Clinic’s digital transformation, John D. Halamka, MD, MA was a teenage engineer scavenging defense-contractor dumpsters for computer parts and a Stanford student who helped prototype early multimedia networks long before the internet entered everyday life. In this episode, he sits down with host Geoffrey Rubin, MD, MBA, FACR to trace his remarkable journey across emergency medicine, Silicon Valley entrepreneurship, and national health IT policy. Along the way, he built one of the first web-based electronic health records, helped shape interoperability standards that enable modern data exchange, and pioneered federated analytics (empowering global health systems to collaborate on AI development while keeping patient data local and protected ) and digital care models now being adopted around the globe. Dr. Halamka reflects on the mentors, risks, and resilience that propelled his career, and shares how adaptability, curiosity, and a simple mantra – “All will be well” - continue to guide his leadership philosophy in a rapidly evolving healthcare landscape. Behind the Mic: Dr. John Halamka is an alpinist (a mountain climber who specializes in difficult and challenging ascents, often involving mixed terrain), rock and ice climber. He and his wife also share a deep love for animals and run Unity Farm Sanctuary (unityfarmsanctuary.org) which provides lifetime care for farm animals in need. Located in Sherborn, Massachusetts, Unity Farm Sanctuary is currently home to 400 large animals including gentle giant Dudley the Scottish Highland Bull, affectionate Marky Goat, shy Gypsy Minihorse, and social butterflies Turnip Turkey and Blackbeard Rooster.

In this special episode honoring the legacy of William G. Bradley Jr., MD, PhD, FACR, sponsored by the California Radiological Society Foundation, host Geoffrey Rubin, MD, MBA, FACR, sits down with Christine B. Chung, MD, Chair of the Department of Radiology at UC San Diego and President-Elect of the International Skeletal Society, for a rich and inspiring conversation on leadership, mentorship, and innovation in academic medicine.   From her upbringing in a small town in Wisconsin to leading one of the nation’s most innovative radiology departments, Dr. Chung reflects on the early encouragement from her grandmother that set her on the path to medicine. With warmth and clarity, she shares the pivotal role of mentors such as Donald Resnick, MD, FACR, and Bill Bradley Jr., MD, PhD, FACR, and her philosophy of intentional, personalized mentorship.   In this wide-ranging discussion, Dr. Chung offers candid insights on the challenges of building a research career, the importance of creating space for creativity and inclusion in academic environments, and the value of professional networks. She also speaks to the impact of career planning and the ongoing process of reinvention throughout her career.   Along the way, she offers powerful advice for radiologists at every career stage: find your passion, build your community, and embrace opportunities to grow - both professionally and personally. No matter where you are in your career, this episode offers a thoughtful exploration of resilience, reinvention, and the enduring value of community in academic medicine.   Behind the Mic! Dr. Christine Chung married in 2023 and has two fantastic girls from her first marriage and two fur babies (dogs). Her daughters are 20 and 16 years old and her fur babies are 2.5 years and 11 months old!   Dr. Chung loves traveling with her family. Together, they’ve been to six continents. Throughout all her travels, her top three favorites are: the safari which was amazing to be the ‘visitor’ for the animals in their own habitat; Israel with the amazing religious history; and Athens seeing the acropolis/sophistication of ancient civilization.   In college, Dr. Chung ended up with a French major due to all of the French classes she took as a fun departure from science throughout her undergrad career.  

Join host Geoffrey Rubin, MD, MBA, FACR, for a candid and wide-ranging conversation with Mitchell D. Schnall, MD, PhD, FACR—Professor of Radiology and Senior Vice President for Data and Technology Solutions at Penn Medicine. A highly accomplished radiology researcher and leader, Dr. Schnall served for 12 years as Vice Chair for Research in the Department of Radiology at the University of Pennsylvania, followed by another 12 years as Chair. His national leadership includes serving as Chair of ACRIN and the ACR Commission on Research, as well as President of the Academy for Radiology and Biomedical Imaging Research. His research contributions have earned him election to the American Society for Clinical Investigation, the Association of American Physicians, and the National Academy of Medicine. In this episode, Dr. Schnall reflects on his journey—from a curious kid with a ham radio license and an Ivy League gymnast to a nationally recognized leader in academic radiology. He shares how his background in physics and engineering shaped his hands-on approach to problem-solving, innovation, and leadership—including his early work developing MRI coils and his unexpected path into breast imaging research. Dr. Schnall also discusses lessons from his time leading Penn Radiology, his philosophy on team building and faculty development, and why embracing discomfort, trusting others, and taking smart risks are essential traits for effective leadership. With humility, clarity, and a touch of humor, Dr. Schnall offers valuable insights into the realities of leading in academic medicine, the importance of intellectual generosity, and the power of staying curious throughout one’s career. Don’t miss this thoughtful conversation with a leader who continues to shape the future of radiology—while never losing sight of the joy in figuring things out. Behind the Mic! Dr. Schnall and his wife have been married for 37 years. Together, they have a 32-year-old daughter, a 29-year-old son, and an 11-month-old granddaughter! When he’s not working, Dr. Schnall loves to take things apart and put them back together. He is a serious “DIYer”, having renovated his own kitchen and multiple bathrooms at his home. He also enjoys riding his bicycle and eating spicey hot peppers!

Join host Geoffrey Rubin, MD, MBA, FACR, for an engaging conversation with Mary H. Scanlon, MD, FACR, Professor of Clinical Radiology, Vice Chair of Education, and Director of Emergency Radiology at the Hospital of the University of Pennsylvania. A long-time residency program director and past president of the Association of Program Directors in Radiology (APDR), Dr. Scanlon reflects on her inspiring journey—from growing up around horses and a veterinary clinics on the Philadelphia Main Line to becoming a fierce advocate for resident well-being and educational innovation. In this episode, Dr. Scanlon opens up about managing dyslexia, overcoming challenges as one of the few women in her residency class, pioneering MRI interpretation at Albert Einstein Medical Center, and her eventual transition to leadership roles at the VA and Penn. A candid and compelling storyteller, she shares how she supports residents through life’s most difficult moments, how she's preparing the next generation for the era of AI, and how even something as simple as asking about dentist appointments has become part of her whole-person approach to residency leadership Don’t miss this inspiring conversation with a leader who’s as fiercely committed to patient care and education as she is to authenticity and resilience. Behind the mic: When choosing her career path, Dr. Scanlon was considering either a chief or doctor, and she chose doctor because she thought the hours would be better. She’s not sure that panned out well! Outside of work, Dr. Scanlon loves Este a Greek restaurant, which serves her favorite grill fish and langoustines. She has a fabulous disabled dog, Auggie the Doggie, who has congenital cerebellar ataxia. He doesn’t walk, he rolls from place to place and needs to be carried! She loves his great spirit—he falls down and gets right back up! Dr. Scanlon loves to boat on the Chesapeake or Penns Landing when the weather is nice. On rainy days, she likes to make a fire and binge watch Oscar movies. Still to do on her bucket list is to sail around the Greek Islands.

In this episode of Taking the Lead, host Geoffrey Rubin, MD, MBA, FACR, sits down with Robert L. Mittl Jr., MD, FACR, a neuroradiologist at Charlotte Radiology in Charlotte, NC, Chief Quality Officer at US Radiology Specialists, Chair of the US Radiology National Physician Leadership Board, and member of the US Radiology Corporate Board. After graduating from Washington University Medical School in St Louis, he completed an internal medicine residency at Barnes Hospital (Wash U). As a medicine resident in the 1980s he saw the impact of emerging imaging technology on diagnosis and patient care and decided to switch specialties and completed a Diagnostic Radiology residency and Neuroradiology fellowship at the Hospital of the University of Pennsylvania. Dr. Mittl joined Charlotte Radiology (CR) in Charlotte, NC in 1993, serving as Chair of Charlotte Radiology’s Physician Operations Committee for 13 years and then President of the group for 10 years. In 2018 he led Charlotte Radiology in founding US Radiology Specialists with Welsh Carson. During his impressive career, Dr. Mittl has played a pivotal role in practice transformation, operational efficiency, and leadership development in private practice radiology and shares his journey from early career uncertainty to leading a large, subspecialized radiology group through technological advancements, organizational growth, and finding the balance between clinical excellence and non-clinical contributions.  From implementing PACS and optimizing workflow to navigating private equity partnerships and practice consolidation, his insights offer valuable lessons for radiologists at all career stages.