Global impact
Sorry for the absence. Frankly, I ' ve felt that writing about quotidian subjects is somehow futile or beside the point. Truth and logic no longer matter in the making of policy. But, I suppose life must go on.We Americans are often too self-obsessed and don ' t bother to know or understand much about the rest of the world. On the other hand, the U.S. does matter, a lot. Reading the new BMJ (British Medical Journal) illustrates the point. It ' s as much about the U.S. as it is about Britain.For example, there ' sTravel ban threatens medical research and access to care in the US, medical groups warn. This tells the story of...
Source: Stayin' Alive - February 7, 2017 Category: American Health Source Type: blogs

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the February Issue The February issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: Expanding Group Peer Review: A Proposal for Medical Education Scholarship Dumenco and colleagues share their experience with a group-peer review exercise and suggest expanded use of team reviews could enhance the quality of medical education scholarship. A podcast on this article is available in iTunes. A Case Suspended in Time: The Educational Value of Case Reports Packer a...
Source: Academic Medicine Blog - January 31, 2017 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview administrative burden biomedical research peer review scoping review Wikipedia Source Type: blogs

ABIM Stationary Sidebars: MOC and UCSF
I attended the University of California, San Francisco's (UCSF) electrophysiology program from 1993-1994. As I continue to explore the myriad of conflicts of interest inherent to the American Board of Medical Specialties (ABMS) Maintenance of Certification (MOC) program, it has come as quite a surprise to me that so many members of my alma mater (and the institution itself) were either passive or (Source: Dr. Wes)
Source: Dr. Wes - January 20, 2017 Category: Cardiology Authors: Westby G. Fisher, MD Tags: AAMC ABIM ABMS AMA AMA House of Delegates conflicts of interest Maintenance of Certification MOC NCQA UCSF Source Type: blogs

Racism and discrimination in health care: Providers and patients
“People fail to get along because they fear each other; they fear each other because they don’t know each other; they don’t know each other because they have not communicated with each other.” — Martin Luther King, Jr. A patient of mine recently shared a story with me about her visit to an area emergency room a few years ago.* She had a painful medical condition. The emergency room staff not only did not treat her pain, but she recounted: “They treated me like I was trying to play them, like I was just trying to get pain meds out of them. They didn’t try to make any diagnosis or help me at al...
Source: Harvard Health Blog - January 16, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Health Health care Managing your health care Source Type: blogs

Fighting the injustice of health disparities: Honoring the legacies of Dr. Martin Luther King Jr. & Dr. John M. Eisenberg
For the past several years I have run this post and just as it was those years, it is this year a very important message. We, as a nation, have made progress and I believe Dr. King would be proud. But our work is far from complete – particularly where health care is concerned. Another doctor, Dr. John M. Eisenberg, a physician of tremendous stature whose life was also tragically cut short (not by an assassin’s bullet but by brain cancer) was equally passionate about the dignity of life and justice for all Americans. Dr. Eisenberg, who among other things, served as the Director of the Agency for Health Care Policy and R...
Source: Disruptive Women in Health Care - January 16, 2017 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Choice Source Type: blogs

Happy 90th Birthday, Academic Medicine! Part II
To celebrate the journal’s 90th birthday this year, members of the editorial office and editorial board selected influential, interesting, and fun articles from the archive to share with you. Below is Part II of our dive into the archive. Check out Part I here. For more about the journal’s history, check out this timeline of milestones from the last 90 years. We hope you enjoy these highlights from our archive. In the comments section below or on Twitter using #HappyBDayAcMed, please share you own favorite articles with us.   Toni Gallo, Senior Staff Editor Our Post-Convention Caribbean Cruise Did you know...
Source: Academic Medicine Blog - November 21, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured #HappyBDayAcMed art in medicine assessment Flexner Report history of medicine teaching and learning moments women in academic medicine Source Type: blogs

Happy 90th Birthday, Academic Medicine! Part I
This article, an address to the Vermont Medical Society in 1941 marking the state’s sesquicentennial and published in the journal in 1942, includes stories of physicians who did just that. It also details the development of independent and university-affiliated medical schools in Vermont in the 1800s, describing their founders, their curricula, and their tuition. These colorful tales make me glad I grew up in Vermont in the late 1900s rather than a century or two earlier! Lauren Maggio, Editorial Board Member The Checklist This Teaching and Learning Moments essay tells the story of a mom, 20 hours after giving birth, and...
Source: Academic Medicine Blog - November 17, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured academic medicine journal gaming healthcare workforce history of medicine medical education research narrative medicine Review Criteria for Research Manuscripts Source Type: blogs

CMS ’ Hospital Quality Star Ratings Fail To Pass The Common Sense Test
In July of 2016, the Centers for Medicare and Medicaid Services (CMS) implemented a new overall star rating system on the Hospital Compare website. Almost all hospitals are now rated between one and five stars (higher is better) depending on performance on a series of quality metrics. CMS’ intent for the new star ratings is to “help patients and families learn about hospital quality, compare facilities side by side, and ask important questions about care quality.” However, patients and families will find the newly released star ratings from CMS confusing at best and misleading at worst. Many well-known hospitals that...
Source: Health Affairs Blog - November 14, 2016 Category: Health Management Authors: Susan Xu and Atul Grover Tags: Hospitals Medicaid and CHIP Medicare Quality CMS Star Rating System Star ratings Source Type: blogs

Legislation Introduced to Modify Hospital Quality Star Ratings Release
We have previously covered another of CMS’ transparency initiatives—its hospital star ratings—and some of the concerns industry has with the program. After a delay, CMS released the star ratings amid significant industry criticism. At the same time, a recent bipartisan bill would require CMS to take down overall hospital quality star ratings. Of note, according to a recent analysis, these rankings have been found to actually further confuse consumers, rather than provide actionable data to improve health care choices and the market overall. Bill in Congress Reps. Kathleen Rice (D-N.Y.) and James Renacci (R-Ohio) in...
Source: Policy and Medicine - September 19, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

What ’s New and In the Queue for Academic Medicine
What’s New: A Preview of the July Issue The July issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: After the “Doc Fix”: Implications of Medicare Physician Payment Reform for Academic Medicine Rich and Reschovsky examine the potential effects of alternative payment models on the work of academic clinical program leaders endeavoring to sustain the tripartite mission of patient care, education, and research. Race Matters? Examining and Rethinking Race Portrayal in Preclinical Me...
Source: Academic Medicine Blog - July 5, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview assessment disabilities health care inequality health equity medicare parental leave payment models pregnancy race portrayal Source Type: blogs

What’s New and In the Queue for Academic Medicine
What’s New: A Preview of the July Issue The July issue of Academic Medicine is now available! Read the entire issue online at academicmedicine.org or on your iPad using the Academic Medicine for iPad app. Highlights from the issue include: After the “Doc Fix”: Implications of Medicare Physician Payment Reform for Academic Medicine Rich and Reschovsky examine the potential effects of alternative payment models on the work of academic clinical program leaders endeavoring to sustain the tripartite mission of patient care, education, and research. Race Matters? Examining and Rethinking Race Portrayal in Preclinical Me...
Source: Academic Medicine Blog - July 5, 2016 Category: Universities & Medical Training Authors: Journal Staff Tags: Featured Issue Preview assessment disabilities health care inequality health equity medicare parental leave payment models pregnancy race portrayal Source Type: blogs

The Orlando Shootings and Homophobia in Healthcare
By CRAIG KONNOTH After the horrific shooting in in Orlando, the conversation has turned to homophobia—specifically, the homophobia of a man who sees two men kissing, buys an AR-15, goes to a gay nightclub, and killed 49 individuals.  But homophobia does not always come with a high capacity rifle—sometimes it comes with lab coats and syringes.  As the 53 individuals who were critically injured in the shooting receive medical care, we must come to terms with the anti-gay discrimination that pervades our medical system. Take blood donation for example.  Orlando residents have provided blood with such generosity that ...
Source: The Health Care Blog - June 26, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Grading Hospital Report Cards (Again)
By MICHAEL MILLENSON Medicare recently delayed a plan to issue a simple “star” rating of individual hospitals’ care after 60 senators and 225 House members signed letters supported by major industry groups that questioned Medicare’s methodology. Rick Pollack, president and chief executive officer of the American Hospital Association (AHA), hailed the hiatus and pledged to make ratings more “useful and helpful for patients.” Perhaps. But while a summary grade for care quality has never fit hospitals—where the orthopedists could have a leg up on competitors, while the cardiac surgeons’ results are dishearteni...
Source: The Health Care Blog - May 27, 2016 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

AAMC Social Determinants of Health
The Association of American Medical Colleges (AAMC) has made available a collection of papers on the social determinants of health. “Achieving Health Equity: How Academic Medicine Is Addressing the Social Determinants of Health” offers a snapshot of some of the strategies medical schools and teaching hospitals have launched to narrow inequities and address social factors that affect community health: http://bit.ly/248djN8 (Source: BHIC)
Source: BHIC - May 25, 2016 Category: Databases & Libraries Authors: Patricia Devine Tags: Minority Health Concerns Source Type: blogs

Will Hospitals Help Or Hinder A Better Report Card?
Medicare recently delayed a plan to issue a simple “star” rating of individual hospitals’ care after 60 senators and 225 House members signed letters supported by major industry groups that questioned Medicare’s methodology. Rick Pollack, president and chief executive officer of the American Hospital Association (AHA), hailed the hiatus and pledged to make ratings more “useful and helpful for patients.” Perhaps. But while a summary grade for care quality has never fit hospitals—where the orthopedists could have a leg up on competitors, while the cardiac surgeons’ results are disheartening—it’s a...
Source: Health Affairs Blog - May 23, 2016 Category: Health Management Authors: Michael Millenson Tags: Featured Health Professionals Hospitals Medicare Quality hospital ratings hospital report cards MACRA Source Type: blogs