Not with a bang but with a whimper
This is the way the world endsThis is the way the world endsThis is the way the world endsNot with a bang but with a whimper -- T. S. Eliot, The Hollow Men, 1925Those across the Commonwealth of Pennsylvania who lived through the disaster known as AHERF, the story of the Allegheny Health and Education Research Foundation, ending in one of the biggest non-profit health care bankruptcies in US history, may now note in passing the death some months ago--just recently announced--of its architect, one Sherif Abdelhak.Many books and articles have been written about this hubristic exercise in go-go cor...
Source: Health Care Renewal - April 7, 2015 Category: Health Management Tags: AAMC AHERF anechoic effect Source Type: blogs
Neglecting Our Own: Well-Being Disparities in Sexual Minority Medical Students
By: Andrés F. Sciolla, MD
Dr. Sciolla is an associate professor at the Department of Psychiatry and Behavioral Sciences, University of California, Davis, co-director of the Doctoring 2 course at the University of California, Davis, School of Medicine, and medical director of a community mental health clinic, the Northgate Point Regional Support Team, in Sacramento, California. He graduated from the University of Chile School of Medicine and is a board-certified psychiatrist.
When it comes to psychological distress, individuals who aspire to a career in medicine are a queer lot. At matriculation, the average medical studen...
Source: Academic Medicine Blog - March 30, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical student wellness psychological well-being self-rated health sexual and gender minorities Source Type: blogs
The medical student catch-22: Preparedness for residency vs. patient safety
The July Effect is a relatively well-known reference to the influx of new trainees entering hospital systems annually on the first of the month. Researchers have attempted to investigate the impact of the new trainees on patient outcomes with divergent conclusions. Despite the ongoing debate, educators in medicine recognized the need to prepare medical students for day 1 of residency training, by establishing core competencies to evaluate the preparedness of students. One such example of this is the American Associated of Medical Colleges (AAMC) publication, Core Entrustable Professional Activities for Entering Resid...
Source: Kevin, M.D. - Medical Weblog - March 28, 2015 Category: Journals (General) Authors: Amanda Xi Tags: Education Hospital Medical school Source Type: blogs
New Conversations Interview with Author, Senator Bill Frist
This New Conversations podcast is part of the journal’s ongoing conversation on the present and future impacts of current health care reform efforts on medical education, health care delivery, and research at academic health centers, and the effects such reforms might have on the overall health of communities. The article discussed can be found in the March 2015 issue of the journal. To read other New Conversations pieces and to contribute, browse the New Conversations collection on our website, follow the discussion on AM Rounds and Twitter (@AcadMedJournal using #AcMedConversations), and submit manuscripts using the ...
Source: Academic Medicine Blog - March 26, 2015 Category: Universities & Medical Training Authors: Journal Staff Tags: Audio Featured Guest Perspective Interview end of life care health care reform New Conversations palliative care physician-patient relationship Source Type: blogs
Top stories in health and medicine, March 5, 2015
From MedPage Today:
Flu Vaccine: A Matter of Time. The flu vaccine was about 23% effective this season.
Supreme Court Spars With Both Sides in Subsidies Case. The Supreme Court pummeled both sides with questions during Wednesday’s oral arguments over the fate of the subsidies granted to people enrolling in health insurance through federally run insurance exchanges.
Combo Regimens Active in Advanced Kidney Cancer. A fourth of patients with advanced clear-cell renal cell carcinoma (RCC) responded to treatment that simultaneously targeted two pathways involved in the disease’s pathogenesis.
AAMC: Big $$ Needed t...
Source: Kevin, M.D. - Medical Weblog - March 5, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Cancer Infectious disease Nephrology Source Type: blogs
Health Care Intelligence as a Model to Manage the Future Non-Clinical Interests of Doctors
This study hasn’t been replicated in recent years, but I expect it would reveal a greater drop in interest in full-time clinical practice. Second, alternative career organizations are increasingly common. The Society of Physician Entrepreneurs, a social network for doctors and other health-related professionals to explore bio-innovation and entrepreneurial activities, is proving to be very popular. They have 17,000 members in the U.S. alone. Likewise, the Drop Out Club is gaining popularity among doctors who look to leave medicine. Third, non-clinically relevant university courses appear to be increasing in popularity. F...
Source: Academic Medicine Blog - February 26, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective New Conversations non-clinical activities physician workforce workforce planning Source Type: blogs
Patient Modesty: Volume 72
Discussion Blog)
Source: Bioethics Discussion Blog - February 25, 2015 Category: Medical Ethics Source Type: blogs
New Conversations Interview with Author Senator Tom Daschle
Thanks for listening to this New Conversations podcast. The article discussed can be found in the January 2015 issue of the journal. We encourage you to read this and other New Conversations articles on our website, listen to author interviews and roundtable discussions here on AM Rounds, and use the hashtag #AcMedConversations on Twitter to offer your opinions, pose questions, and respond to the questions posed by your colleagues.
Please note that the opinions expressed in this podcast are the author’s alone and do not necessarily reflect the opinions of the AAMC or its members. (Source: Academic Medicine Blog)
Source: Academic Medicine Blog - February 9, 2015 Category: Universities & Medical Training Authors: Journal Staff Tags: Audio Featured Guest Perspective Interview Affordable Care Act big data health care reform New Conversations payment models scope of practice transparency wellness 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 19, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Choice Source Type: blogs
How Community Health Workers Can Reinvent Health Care Delivery In The US
As health policy, research and practice are becoming increasingly focused on improving the health of populations and addressing social determinants of health, Community Health Workers (CHWs) may be just what the doctor ordered. As part of the public health workforce with ties to the local community, CHWs can now be reimbursed by Medicaid for providing preventive services if recommended by a physician or other licensed practitioner.
This groundbreaking CMS regulatory change, along with policy support from the Affordable Care Act, holds the promise of bridging the gap between mainstream health care and community health throu...
Source: Health Affairs Blog - January 16, 2015 Category: Health Management Authors: Judy Phalen and Rebecca Paradis Tags: Access All Categories Health Care Delivery Primary Care Public Health Workforce Source Type: blogs
Questions, Answers, and New Conversations
As physicians, we are constantly seeking the answers to questions. What do these symptoms mean? What are the best options for the patient? Do I know enough about the problem or should I seek the advice of another doctor? The answers we find often lead to more questions and stimulate our curiosity to learn. Over time, most of us have developed a healthy skepticism about accepting what appears to be a simple answer to a complex question. We know that life does not usually work that way. Our journal has become aware of challenges to answering complex questions briefly and succinctly through our Question of the Year, an annu...
Source: Academic Medicine Blog - January 12, 2015 Category: Universities & Medical Training Authors: David P. Sklar, M.D. Tags: Featured From the Editor Affordable Care Act health care reform New Conversations Question of the Year Tom Daschle Source Type: blogs
2015 May See Promising Legislation Come From the 21st Century Cures Initiative
After more than a year of bipartisan work between Congressman Fred Upton (R-MI) and Congresswoman Diana DeGette (D-CO) on the 21st Century Cures initiative, promising legislation may be introduced before Congress in 2015. Over the past year, we have provided updates on the initiative and its potential to get new treatments and cures to patients more quickly and streamline the drug and device development process.
The pair of “unlikely allies” recently joined the Morning Joe television program on MSNBC to discuss their initiative. DeGette stressed that politics should not be a part of the initiative’s ultimate goal: to...
Source: Policy and Medicine - January 8, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Is there really a doctor shortage, and what can we do about it?
There is controversy about whether or not there will be a doctor shortage in the near future. I wonder why there is so much speculation. The Association of American Medical Colleges estimates that we will be short 90,000 physicians by 2020 and 130,000 physicians by 2025. If things stay as they are now, of course there will be a shortage. The number of patients is increasing while the number of doctors is decreasing. It is a matter of mathematics.
Continue reading ...
Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - December 12, 2014 Category: Journals (General) Authors: Tanya Feke, MD Tags: Policy Health reform Primary care Residency Source Type: blogs
Secrets to Chosing the Right Medical School
RICHARD GUNDERMAN, MD The competition to get into medical school is fierce. The Association of American Medical Colleges just announced that this year, nearly 50,000 students applied for just over 20,000 positions at the nation’s 141 MD-granting schools – a record. But medical schools do not have a monopoly on selectivity. The average student applies to […] (Source: The Health Care Blog)
Source: The Health Care Blog - December 3, 2014 Category: Consumer Health News Tags: THCB Harvard Med School Ranks Medical School Research Stanford US News and World Report Source Type: blogs
What Does Tolerance for Ambiguity Look Like?
By: Marie Caulfield, PhD, manager of data operations and services, Association of American Medical Colleges, Washington, DC
Last year my daughter was admitted to a teaching hospital with a kidney infection. The medical student and residents on her treatment team recommended an MRI to rule out a possible anatomical cause. Dr. R., the attending physician, guided them through the case: the medical history did not suggest an anatomical problem, treatment would be the same regardless of the findings, and scans are uncomfortable and expensive. Dr. R. firmly said, “No MRI.” The medical student was clearly uncomfortable with l...
Source: Academic Medicine Blog - November 13, 2014 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective medical students TFA tolerance for ambiguity Source Type: blogs
