Are Academic Radiology Departments Missing Out by Not Using Twitter?
Only 8 percent of academic radiology departments have Twitter accounts, and only 5 percent are active, with at least 1 tweet sent in a three month period, revealed the new study, “Enriched Audience Engagement Through Twitter: Should More Academic Radiology Departments Seize the Opportunity?” published on Journal of the American College of Radiology on May 13, 2015.
Twitter users Vinay Prabhu, MD, radiology resident and Andrew B. Rosenkrantz, MD, associate professor of radiology, both at NYU Langone Medical Center, who conducted this study, observed anecdotally that Twitter might be an area of disconnect between r...
Source: radRounds - July 15, 2016 Category: Radiology Authors: Alessandra Simmons Source Type: blogs
Why a study of medical resident hours was unethical
In a recent post, I wrote about the iCOMPARE research study that is comparing the effects of increasing medical residents’ consecutive duty hours with observing the currently prescribed limits on their shifts. According to the study protocol, the primary hypothesis of the research addresses the safety of patients: that mortality under the increased residents’ duty hours will not significantly exceed patient mortality under the current mandated standard for medical residents on duty. I argued that the study design is unethical based on what is known about sleep deprivation. The study’s goal — seeing whether mor...
Source: Kevin, M.D. - Medical Weblog - April 30, 2016 Category: Journals (General) Authors: Ruth Macklin, PhD Tags: Education Residency Source Type: blogs
Rethinking Our Medical Education and Publishing Bureaucracy
Medicine has an image problem.
On one hand, medicine is full of wonder: incredible technology, incredible innovation, and incredibly bright people.
On the other, medicine is full of avarice, full of greed, and full of waste, much of it by the very same folks who bring us all that medicine has to offer: the Accreditation Council for Graduate Medical Education (ACGME).
The ACGME is an incredibly (Source: Dr. Wes)
Source: Dr. Wes - April 17, 2016 Category: Cardiology Authors: Westby G. Fisher, MD Source Type: blogs
How duty hour restrictions are hurting residency training
As I get near the completion of an intense 5-year orthopedic surgery residency program, I had an interesting interaction with our hospitals sub-committee specifically tasked to address duty hour and resident fatigue issues.
As they gave examples from other departments about changes made to their programs regarding duty hours, a clear-as-mud connection was continually made. They spoke of “improvements” made as the result of residents stepping up to serve as whistleblowers in identifying duty hour violations within various programs. I quickly chimed in to get clarification. They were assuming that increasing compliance w...
Source: Kevin, M.D. - Medical Weblog - April 10, 2016 Category: Journals (General) Authors: Anonymous Tags: Education Orthopedics Residency Source Type: blogs
Clarifying the Difference Between Medical Licensure and Board Certification
Editor’s Note: For more on this topic, check out the January issue of Academic Medicine.
By: David Price, MD, FAAFP, FACEHP, senior vice president, American Board of Medical Specialties (ABMS) Research and Education Foundation, and executive director, ABMS Multi-Specialty Portfolio Approval Program
Medical licensure and Board Certification mean very different things for physicians practicing in the United States and the patients for whom they care.
A license is required to practice medicine in this country. Medical licensure indicates that a physician has met minimum requirements for the undifferentiated practice of med...
Source: Academic Medicine Blog - January 12, 2016 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective American Board of Medical Specialties board certification Maintenance of Certification medical licensure Source Type: blogs
How Managerialists Turned Housestaff Training into a Zero-Sum Game: the Continuing Saga of the FIRST and iCompare Studies
Conclusion: the Problem is Managerialism While the ongoing trials of housestaff sleep deprivation have been largely anechoic, the recent Washington Post commentary by Clark and Harari make questions about why in the world medical academics would have set up such trials and continue to defend them even more stark.But it seems that medical academics are boxed in, playing a zero-sum game. They may know that there housestaff are overworked and sleep deprived, a situation that endangers the housestaff and their patients. Yet every reasonable way one could imagined improving the situation would require s...
Source: Health Care Renewal - December 22, 2015 Category: Health Management Tags: academic medical centers amphetamines clinical trials generic managers managerialism medical ethics post-graduate medical education resident sleep deprivation Source Type: blogs
Update On Graduate Medical Education Positions
The Accreditation Council for Graduate Medical Education (ACGME) recently published its annual Data Resource Book (DRB). The ACGME DRB provides authoritative data on trends of interest to those involved in Graduate Medical Education (GME) and physician workforce policies.
The new Book documents a small but steady growth in “pipeline” programs—which lead to initial board certification—and a larger percentage growth in the number of “continuing” programs and positions in subspecialties. It also documents that a large number of foreign medical school graduates continue to enter GME each year.
Data On GME T...
Source: Health Affairs Blog - December 17, 2015 Category: Health Management Authors: Edward Salsberg Tags: Costs and Spending Featured Health Professionals Hospitals Medicare Graduate medical education medical pipeline National Resident Matching Program Source Type: blogs
Macy Foundation Goes On The Road To Spotlight Innovations In Doctor Training
Since the July 2014 release of the Institute of Medicine’s report calling for a more publicly accountable graduate medical education (GME) system, the report has sparked an often contentious discourse among stakeholders about who wins and who loses. Because of the political difficulty in making any changes at this time, little is happening at the federal level on GME. Yet the case for GME reform made in the IOM report, and in earlier reports from the Josiah Macy Jr. Foundation that examine the future of GME, remains as strong as ever.
While, ultimately, we will likely need change in federal legislation, it’s clear that...
Source: Health Affairs Blog - December 15, 2015 Category: Health Management Authors: George Thibault Tags: GrantWatch Health Professionals Payment Policy Graduate medical education Health Philanthropy Innovation Josiah Macy Jr. Foundation Physicians Workforce Source Type: blogs
Drinking the Managerialists' Kool-Aid? - Why Did Medical Educators Launch Trials of Increased Sleep Deprivation of Physician Trainees Apparently in Violation of the Nuremberg Code?
It all seemed so bizarre. In 2014, with little fanfare, two large trials that imposed longer work hours and sleep deprivation on physician-trainees (interns and residents), ostensibly to combat the problem of excess hand-offs of patients among physicians. Both trials involved multiple academic medical centers, including some of the most prestigious in the US. Within a year, the American Medical Student Association (AMSA) and Public Citizen called for a federal investigation of the trials, calling them "highly unethical."This unprecented conflict between prestigious academic medical institutions and the la...
Source: Health Care Renewal - December 3, 2015 Category: Health Management Tags: clinical trials informed consent logical fallacies managerialism medical ethics nuremberg code resident sleep deprivation Source Type: blogs
Breaking The Graduate Medical Education Policy Logjam
This report proposed major reforms which would create a GME system with greater transparency, accountability and strategic direction that aligns with national needs. Stakeholder response to the IOM Report currently is being evaluated by Congress in the Health subcommittee of the House Energy and Commerce (E&C) committee. Their input from various stakeholders has been complex and lacking in consensus, thereby perpetuating the GME policy logjam, creating a daunting challenge and thereby decreasing prospects of any comprehensive legislative GME reform in this session of Congress.
Since the introduction of the “resident ...
Source: Health Affairs Blog - August 12, 2015 Category: Health Management Authors: Richard Rieselbach, David Sundwall, Kenneth Shine, Ted Epperly and Byron Crouse Tags: Costs and Spending Featured Health Policy Lab Health Professionals Medicaid and CHIP Medicare Organization and Delivery Population Health Quality COGME HHS House Energy and Commerce committee IOM report MACRA Primary Care Rur Source Type: blogs
Post-call MVA: a real and present danger
Earlier this month we blogged about Post-call accidents in the light of the tragic deaths of young doctors in motor vehicle accidents (MVAs) the day after calls.
The DG did mention it here
We also spoke about the various proposals that would be plausible to improve the oncall system. I am due for a meeting with clinical specialists from MOH hospitals in early August 2015, hence this issue can be brought forth for further discussion. Any improvisation to the oncall system needs to be looked at all angles, including the (i) availability of posts, workforce and resources; (ii) service needs; (iii) continuity of patient care,...
Source: Malaysian Medical Resources - July 28, 2015 Category: Global & Universal Authors: palmdoc Tags: - Dobbs - Health tips Call Fatigue MVA Sleep Source Type: blogs
Communicating the Value of Accredited Continuing Medical Education
Graham McMahon, who began his tenure as President and Chief Executive Officer of the Accreditation Council for Continuing Medical Education (ACCME) last month, announced a new resource that CME providers and other stakeholders can use and distribute to communicate the value of accredited CME. “The resource describes how accredited CME promotes engagement with healthcare professionals by providing them with opportunities for relevant, practice-based, independent education and improvement in a system that meets their needs, and promotes quality in patient care,” he states. The document includes facts about CME’s effect...
Source: Policy and Medicine - June 8, 2015 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Developing Standards ‘Of, By, And For’ Older Adults: Reflections On Patricia Gabow’s Narrative Matters Essay
Imagine three people: a healthy 30-year-old, a 60-year-old with high blood pressure, diabetes and arthritis, and a 90-year-old who is frail and has dementia advanced to the point where her speech often doesn’t make sense.
If I lined them up, any doctor could instantly tell me which was which.
Ditto if each broke a bone and I showed the physicians only their x-rays.
And if I asked the clinicians to predict each patient’s risk of complications and adverse events based on nothing more than the few words above, they would again rapidly and reliably make accurate assessments.
Yet, for the most part, our health system lumps ...
Source: Health Affairs Blog - May 29, 2015 Category: Health Management Authors: Louise Aronson Tags: Health Professionals Hospitals Narrative Matters Organization and Delivery Aging End-of-Life Care Health Policy Patricia Gabow standards of care Source Type: blogs
Understanding Competency-Based Medical Education
Editor’s Note: This post is the first of two on the topic of competency-based medical education. Check back next week to read more on this topic.
By: Robert Englander, MD, MPH, Terri Cameron, MA, Amy Addams, Jan Bull, MP, and Joshua Jacobs, MD
Dr. Englander is the former senior director of competency-based learning and assessment at the Association of American Medical Colleges (AAMC). Ms. Cameron is director of curriculum programs at the AAMC. Ms. Addams is director of competency-based admissions at the AAMC. Ms. Bull is lead specialist in competency-based learning and assessment at the AAMC. Dr. Jacobs is senior direct...
Source: Academic Medicine Blog - May 19, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective CBME competency framework competency-based medical education domains of competence milestones Source Type: blogs
