Why are mental health questions still allowed on physician job applications?
Dear Pamela,
Question for you in regards to disclosure about mental illness. In every job that I have applied for, as part of the credentialing process, there are questions about felonies, treatment for drug/alcohol abuse and mental illness. Why are mental health questions still allowed to be on there? I have had postpartum anxiety/depression three times now, and I feel like it is none of their damn business. So I have lied about it on my applications. Also, I feel like these question could contribute to doctors not seeking help, especially for problems that could require a mental health hospitalization. I would be so inte...
Source: Kevin, M.D. - Medical Weblog - February 25, 2016 Category: Journals (General) Authors: Pamela Wible, MD Tags: Physician Psychiatry Source Type: blogs
Stop the mental health questions on physician job applications
Dear Pamela,
Question for you in regards to disclosure about mental illness. In every job that I have applied for, as part of the credentialing process, there are questions about felonies, treatment for drug/alcohol abuse and mental illness. Why are mental health questions still allowed to be on there? I have had postpartum anxiety/depression three times now, and I feel like it is none of their damn business. So I have lied about it on my applications. Also, I feel like these question could contribute to doctors not seeking help, especially for problems that could require a mental health hospitalization. I would be so inte...
Source: Kevin, M.D. - Medical Weblog - February 25, 2016 Category: Journals (General) Authors: Pamela Wible, MD Tags: Physician Psychiatry Source Type: blogs
Bioethics & the Status of Women Filmmakers
There are currently less than 7% of films created by women making it to major film festivals —that is 7%, per year, worldwide. This percentage has remained low and static for 25 years. Film festival screenings constitute theatrical releases. Theatrical releases are required for film and/or television distribution.Low access to film festivals limit women’s ability to earn livings behind the camera in their industry. The number of screen stories genuinely reflecting women’s experiences is also disproportionately diminished. Omission of the perspective of women in film complicates matters in the purview of b...
Source: blog.bioethics.net - February 3, 2016 Category: Medical Ethics Authors: September Williams, MD Tags: Health Care syndicated Source Type: blogs
DM / DNB Cardiology Entrance Mock Test 8
This study found that though it is often associated with coronary artery disease (CAD), it can also occur in those without significant CAD. It was not specifically associated with disease of right coronary artery disease.
This cardioinhibitory response may be a manifestation of the Bezold-Jarisch reflex. Bezold-Jarisch reflex inhibits sympathetic activity (sympathetic withdrawal) and increases parasympathetic activity, resulting in bradycardia, which may be associated with vasodilatation, nausea and hypotension. Bezold-Jarisch has been described in the setting of inferior wall infarction and coronary angiography. Origin...
Source: Cardiophile MD - January 26, 2016 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Cardiology MCQ Cardiology X-ray Featured Source Type: blogs
Working Toward Happier Birthdays: An Effort In California To Lower C-Section Rates
Birth is universal, and because of this fact, it is also a big health care issue. Childbirth is the number-one reason for hospitalization in the United States. The stakes are high, both healthwise and costwise. It is the only instance that begins with one patient and ends with at least two. And at about $15,000-$20,000 per birth, it is an expensive proposition. Additionally and importantly, birth is a compelling Medicaid issue, because nationwide, Medicaid pays for half of births.
Within the topic of maternity care, cesarean section (“C-section”) figures prominently, especially in the United States, where the rate is o...
Source: Health Affairs Blog - November 3, 2015 Category: Health Management Authors: Stephanie Teleki Tags: Costs and Spending GrantWatch Hospitals Medicaid and CHIP Payment Policy Quality California California HealthCare Foundation Health Care Costs Health Care Delivery Health Philanthropy Maternal Health Patient Safety pregnancy St Source Type: blogs
Narrative Matters: On Our Reading List
Editor’s note: “Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks.
Why Doctors Need The Humanities
Danielle Ofri, a physician at Bellevue Hospital and associate professor of medicine at New York University School of Medicine, has made a name for herself as a doctor who writes—and writes well—with four books published and a slew of narrative medicine publications in the lay press and scholarly outlets. Yet when she was starting out as an attending physician at a teaching hospital ...
Source: Health Affairs Blog - October 30, 2015 Category: Health Management Authors: Jessica Bylander Tags: Elsewhere@ Health Affairs Equity and Disparities Health Professionals Narrative Matters On Our Reading List personal stories Physicians poetry Source Type: blogs
Disruptive Innovation in Childbirth Care
In considering what to write for Disruptive Women in Health Care, I couldn’t stop thinking about the idea of disruption juxtaposed with the experience of birth and the US maternity care system.
In the context of maternity care, the concept of “disruption” hints at intriguingly different possible meanings: the consequences of a newborn entering a family, disruption during the childbirth process, or the urgent need for disruptive innovation in maternity care.
Birth itself is an absolute disruption of the status quo. Birth can be tumultuous, even when it is a joyous occasion. It is a turning point, beyond which things a...
Source: Disruptive Women in Health Care - September 16, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Access Childbirth Innovation Source Type: blogs
The Time Is Now For A Consumer Health Movement
Throughout history, social movements have galvanized wide-scale improvements in population health and quality of life. HIV/AIDS activists banded together to strengthen social services for patients, educate the public about the disease, and compel research and treatment investments that have relegated the condition to a chronic, manageable disease. The Susan G. Komen Breast Cancer Foundation (now called simply Susan G. Komen) brought the issue of breast cancer out of the shadows, raising billions of dollars and saving lives by making whole families aware of the importance of prevention and early detection. Thanks to Mothers...
Source: Health Affairs Blog - September 3, 2015 Category: Health Management Authors: Karen Wolk Feinstein Tags: GrantWatch Health Professionals Population Health Quality Consumers Health Philanthropy Health Promotion and Disease PreventionGW HPV Patient Engagement Physicians Pittsburgh Source Type: blogs
Post-Partum Disorders in African-American Women
A new partnership of the National Institute for Mental Health (NIMH), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) have partnered with Delta Sigma Theta Sorority, Inc. (DST) to create the Mental Health Across the Lifespan Initiative for African-American women.
This video is part of a collection of resources, discussing mental health across the lifespan but in particular post-partum depression and post-partum psychosis.
Learn more about the initiative and its resources here. (Source: Channel N)
Source: Channel N - August 27, 2015 Category: Psychiatry Authors: sandra at psychcentral.com (Sandra Kiume) Tags: All Documentary General african-american depression lifespan mood disorders post-partum depression postpartum psychiatry psychology psychosis women Source Type: blogs
Please, don’t eat your placenta. Here’s why.
Every few news cycles placenta-eating seems to make the rounds. I’ve already seen it a couple of times this year, so I figured the Internet is trying to tell me something.
Some women, but mostly those who recommend and/or prepare placenta for them, think that ingesting placenta can cure/help postpartum depression and possibly a host of other postpartum ills and issues. Some women cook their own placenta while others get a pill form prepared by an enterprising midwife or placenta-concoctor. Is this wise? Is it safe? Is there any science?
But animals do it
This argument is used often by placentophagia proponents and honest...
Source: Kevin, M.D. - Medical Weblog - August 14, 2015 Category: Journals (General) Authors: Jennifer Gunter, MD Tags: Conditions OB/GYN Source Type: blogs
E-Cigarette Opponent Claims that E-Cigarettes are Causing Permanent Brain Damage among Youth Experimenters
According to an article on the Voice of America web site, e-cigarette use among youth can lead to permanent brain damage.According to the article:"Dr. Jonathan Winickoff, at Massachusetts General Hospital for Children and Harvard Medical School, compared teens' experimenting with any nicotine product, including electronic cigarettes, to "playing Russian roulette with the brain." Winickoff works with the American Academy of Pediatrics to protect children from tobacco and secondhand smoke. "Essentially, this drug creates a biologic need that can be permanent,” he told VOA. He said the effects include decreased working...
Source: The Rest of the Story: Tobacco News Analysis and Commentary - May 5, 2015 Category: Addiction Source Type: blogs
When Mothers On The Bus Say ‘I Love You': Two-Generational Solutions To Health
One day in clinic I gave a three-year-old patient a book at the beginning of her well child visit. The book came to me through Reach Out and Read, a national program where clinicians give books to children during each of their well child visits from ages six months to five years. My patient smiled a toothy grin, took the book, and said "Wheels on the Bus!" Her mother smiled and watched as the girl opened the book and started to sing.
The wheels on the bus go round and round, round and round, round and round.
To the lovely background music the mother and I talked about her daughter's development, eating habits, and concer...
Source: Health Affairs Blog - April 27, 2015 Category: Health Management Authors: Marjorie Rosenthal Tags: Innovations in Care Delivery Child Development Children Language Skills Literacy Nonmedical Determinants Primary Care Reach Out and Read SDH Source Type: blogs
Narrative Matters: Shining A Light On Child Health
Last month, a group of writers, clinicians, policy makers and other experts gathered at Airlie House in Warrenton, Virginia, for the 2014 Narrative Matters Symposium. About an hour outside the city, the scenic fall setting—rolling farm land and trees with auburn and gold leaves—was the perfect backdrop to take attendees outside of their normal day-to-day work and introduce them to others who also are deeply passionate about improving the health of vulnerable children.
The focus of this year’s symposium was “Vulnerable Children: Using Stories to Shine a Light on Child Health.” Manuel Pastor, professor of S...
Source: Health Affairs Blog - December 15, 2014 Category: Health Management Authors: Jessica Bylander Tags: All Categories Children Narrative Matters Personal Experience Policy Source Type: blogs
Postpartum depression may be a misnomer
. A more accurate term might be postpartum neglect — not by mothers, but of mothers.
The human infant is uniquely helpless in the early weeks and months of life. His arms fly up over his head at random moments in a primitive “startle reflex.” His sleep patterns have no rhyme or reason. He eats and poops round the clock. Serving an evolutionary purpose, in part to achieve an upright bipedal posture, the human brain does 70 percent of its growth outside of the womb.
For a new human parent, the young infant’s absolute dependence may translate to no sleep, no showers, no ability to do anything but care for the...
Source: Kevin, M.D. - Medical Weblog - December 8, 2014 Category: Journals (General) Authors: Claudia M. Gold, MD Tags: Conditions Pediatrics Source Type: blogs
Pain management and the political
There are only a few more weeks before a general election in New Zealand. This means the usual rounds of promises, muck-racking, hoardings and defaced hoardings. As I browse the research into chronic pain, and bemoan the lack of attention to the SOCIAL of the biopsychosocial model, I find myself looking at factors that almost entirely depend on a political solution. Let me explain.
Social. What is meant to fit into this part of Engel’s model? Drawing from one of his earlier works, Engel stated in his Cartwright Lecture at Columbia University College of Physicians and Surgeons (1977), that
“Health restored is no...
Source: HealthSkills Weblog - August 17, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Chronic pain Pain conditions Research Return to Work biopsychosocial disability Health healthcare pain management political Source Type: blogs
