Highlights from 16th Annual Design of Medical Devices Conference
The University of Minnesota and their industry sponsors held the 16th Design of Medical Devices Conference, touted by the organizers as the world’s largest premiere medical devices conference. Hundreds of biomedical engineers, students, physicians, and industry representatives traveled from all over the world to gather in a truly unique atmosphere. The state of Minnesota has a rich history in medical innovation. Clinicians at the University of Minnesota performed the first successful open-heart operation and implanted the first small, portable, battery-powered pacemaker. In fact, a great deal of medical device techno...
Source: Medgadget - May 5, 2017 Category: Medical Equipment Authors: Kenan Raddawi Tags: Exclusive Source Type: blogs
It ’s time for psychodynamically informed clinical thinking
In a world of diverse mental health treatments and treatment settings, psychoanalysis and psychodynamic psychotherapy have lost their former prominence. Only a small fraction of patients have the time, money, and interest to engage in long-term, open-ended mental exploration — even if doing so would get to the root of their problems and lead to lasting improvement.
More commonly, emotional distress is dealt with in emergency departments, in crisis clinics, on the medical and surgical floors of hospitals, in short-stay psychiatric inpatient units, and in non-clinical settings such as schools and prisons. ...
Source: Kevin, M.D. - Medical Weblog - May 5, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/steven-reidbord" rel="tag" > Steven Reidbord, MD < /a > Tags: Conditions Psychiatry Source Type: blogs
Executive Order Addresses Religious Objections To Contraception
President Trump has been in office for slightly over 100 days, but over that time has issued the most executive orders (EO) of any president since Truman. On May 4, 2017 he issued yet another executive order — Promoting Free Speech and Religious Liberty.
After stating the Trump administration’s support for religious freedom, the EO addresses two substantive issues. The first such provision directs the Internal Revenue Service not to take adverse action against a religious organization that speaks about a moral or political issue from a religious perspective where similar speech has “not ordinarily been treated as...
Source: Health Affairs Blog - May 5, 2017 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage contraceptive coverage contraceptive mandate executive order Hobby Lobby religious accommodation Religious Freedom Restoration Act Women's Health Zubik v. Burwell Source Type: blogs
We Could Now See Cervical Cancer Rates Increase
By ILANA ADDIS, MD
In 2014 I took my first trip to Kenya. After my plane landed in Nairobi I rode for 10 hours with my medical colleagues to Bungoma, a town on the western edge of the country. We set up our clinic in the local hospital and then spent the week training local healthcare providers on a technique called ‘Visual Inspection with Acetic Acid (VIA)’. This is an inexpensive method to screen for cervical cancer and pre-cancer in low resource settings using vinegar. As a part of the training we screened 189 women for cervical cancer in that week.
The Papaniculou (pap) smear was revolutionary in cervical cancer pr...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cervical Cancer MacArthur Amendment Source Type: blogs
Thanks to the AHCA We Could Now See Cervical Cancer Rates Increase
By ILANA ADDIS, MD
In 2014 I took my first trip to Kenya. After my plane landed in Nairobi I rode for 10 hours with my medical colleagues to Bungoma, a town on the western edge of the country. We set up our clinic in the local hospital and then spent the week training local healthcare providers on a technique called ‘Visual Inspection with Acetic Acid (VIA)’. This is an inexpensive method to screen for cervical cancer and pre-cancer in low resource settings using vinegar. As a part of the training we screened 189 women for cervical cancer in that week.
The Papaniculou (pap) smear was revolutionary in cervical cancer pr...
Source: The Health Care Blog - May 4, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Cervical Cancer MacArthur Amendment Source Type: blogs
Research Impact Part 1: Moving Away from Tracking Authors ’ Articles
I have been toying with this post for quite a while, trying to think of a good way to present the information without it being to long. Well the only way to do it is to break it into parts. I will link all of the parts together once I have finished writing and posting them.
Part 1: Moving Away from Tracking Authors’ Articles
Before I was a medical librarian my library had been tracking every article, book, and book chapter that somebody within the institution authored. It used to be a list that was published then it evolved into a database that was on a citation management software.
In the beginning it started ...
Source: The Krafty Librarian - May 4, 2017 Category: Databases & Libraries Authors: KraftyLibrarian Tags: Databases Technology Source Type: blogs
As Patients Take On More Costs, Will Providers Shoulder The Burden?
Despite the uncertainty about the future of the Affordable Care Act (ACA) and any replacement, in the coming years, more Americans will almost surely find themselves in health plans with considerable patient cost sharing at the point of service (for example, high deductibles, copayments, or co-insurance). The trend toward more limited plans has been a reality for more than a decade. For example, the average deductible has grown from $818 in 2006 to $2,069 in 2015.
Moreover, Congress may try to reduce cost-sharing subsidies and encourage people to select more limited plans in other ways, such as increasing the attractivenes...
Source: Health Affairs Blog - May 4, 2017 Category: Health Management Authors: Michael Chernew and Jonathan Bush Tags: Costs and Spending Featured Insurance and Coverage Payment Policy cost sharing high-deductible plans medical debt Source Type: blogs
Doctors aren ’t cops: We need to change gunshot reporting
On my first trauma shift as a fourth-year medical student, a young, disheveled man with blood-soaked pants hobbled into the emergency department. Wincing in pain, he offered me a bizarre history of being shot in the leg by a nail gun that went off after he dropped it on some stairs while helping a friend move. He lifted his right pant leg and removed the bloody, tattered bandana wrapped around his lower leg to reveal a pea-sized hole in his shin.
After giving the patient some pain medications and briefly examining his wound with my attending, we sent him to radiology to determine the location of the nail and assess ...
Source: Kevin, M.D. - Medical Weblog - May 4, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/shane-collins" rel="tag" > Shane Collins < /a > Tags: Education Emergency Source Type: blogs
Bully For You
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
Guest post by Dr Andrew Tagg
Six months ago Lt General David Morrison AO (Retd) came to talk to me, and the senior medical staff at my place of work, about the importance of culture of positivity in the workplace. If you’ve not heard of Morrison you’ve probably heard some of this speech.
“The standard you walk past is the standard you accept”
//www.youtube.com/watch?v=QaqpoeVgr8U
As a hundred senior and not-so senior colleagues bowed their heads and no...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Mike Cadogan Tags: Bullying Guest Post ACEM workplace bullying Source Type: blogs
Ucem osce scenario 2017.1
LITFL: Life in the Fast Lane Medical Blog
LITFL: Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog
After years of preparation, extensive reading, sleepless nights, marriage breakdowns and caffeine – your week of being show ponies has arrived as the F.UCEM examinations are upon us. Giving hope to those who pray to the Utopian FSM we have managed to locate and leak one of the OSCE examination questions for the upcoming exams – hope it helps.
UCEM OSCE SCENARIO
You are the ED Consultant in charge of a tertiary hospital ED
You are approached by the red team night regi...
Source: Life in the Fast Lane - May 4, 2017 Category: Emergency Medicine Authors: Neil Long Tags: Utopian Medicine F.UCEM OSCE Source Type: blogs
Widespread hype gives false hope to many cancer patients
After Michael Uvanni’s older brother, James, was diagnosed with a deadly form of skin cancer, it seemed as if everyone told the family what they wanted to hear: Have hope. You can beat this, and we are here to help.
The brothers met with doctors at a half-dozen of the country’s best hospitals, all with impressive credentials that inspired confidence.
Michael Uvanni was in awe when he visited the University of Texas MD Anderson Cancer Center in Houston, one of the world’s most respected cancer hospitals. It was like seeing the Grand Canyon, said Uvanni, 66, of Rome, N.Y. “You never get used to the size and scope.”...
Source: Kevin, M.D. - Medical Weblog - May 3, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/liz-szabo" rel="tag" > Liz Szabo < /a > Tags: Conditions Cancer Source Type: blogs
Other jobs have strict rules on hours worked. So should doctors.
There has been much talk over the years about resident work hours. How long is a safe shift? With safety being considered for both the patient and the resident. But no one ever discusses attending work hours. If putting in a 24-hour shift is bad for a resident, isn’t it bad for an attending as well? When I was working in critical access hospitals, I usually was on call for seven straight days or 168 hours. There was the potential for a long stretch of continuous work during that 168 hours, especially since there was no other doctor to cover for me if it got busy. Was my safety or my
patient’s safety at risk if I worked...
Source: Kevin, M.D. - Medical Weblog - May 3, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/cory-fawcett" rel="tag" > Cory Fawcett, MD < /a > Tags: Physician Hospital Source Type: blogs
Health Reform Must End the Harms of Prior Authorizations
By CRAIG BLINDERMAN, MD
As the White House continues to push for a revised Republican proposal to replace the Affordable Care Act (ACA), one thing is for certain, many of the sickest Americans will continue to suffer as they are denied medications and other treatments under current health insurance strategies to save costs.
Both the ACA, and the recently proposed MacArthur Amendment, do not address a well-established practice of health insurers’ use of restrictive prior authorization requirements to deny or delay coverage of medications and treatments to seriously ill patients. In my own practice caring for cancer patien...
Source: The Health Care Blog - May 3, 2017 Category: Consumer Health News Authors: John Irvine Tags: Repeal Replace Uncategorized ACA Cancer Insurers MacArthur Amendment Prior Authorization Source Type: blogs
How Should We Prepare For The Wave Of Retiring Baby Boomer Nurses?
Beginning in the early 1970s, career-oriented and largely female baby boomers embraced the nursing profession in unprecedented numbers following large increases in health care spending after the introduction of the Medicare and Medicaid programs. By 1990, baby-boomer registered nurses (RNs) numbered nearly one million and comprised about two-thirds of the RN workforce. As these RNs aged over the next two decades, they accumulated substantial knowledge and clinical experience. The number of boomer RNs peaked at 1.26 million in 2008, and, after a brief delay in the early part of the current decade (likely associated with the...
Source: Health Affairs Blog - May 3, 2017 Category: Health Management Authors: Peter Buerhaus, David Auerbach and Douglas Staiger Tags: Health Professionals Population Health Quality Nursing registered nurses retirement succession planning for nurses Source Type: blogs
Organising care at the NHS front line: who is responsible?
This report looks at the reality of caring for acutely ill medical patients at the NHS front line and asks how care in hospitals can be improved. It comprises a series of essays by frontline clinicians, managers, quality improvement champions and patients, and provides vivid and frank detail about how clinical care is currently provided and how it could be improved. The essays are introduced and summarised by Chris Ham and Don Berwick and the report serves as the starting point of an ongoing appreciative inquiry into improving care processes, particularly for acutely ill medical patients.ReportBlogThe King's Fund - pub...
Source: Health Management Specialist Library - May 3, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS measurement and performance Quality of care and clinical outcomes Source Type: blogs
