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
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
2016 Data Collection and Submittal Changes under the Open Payments System
A representative of the Open Payments Team at CMS, hosted a Webinar on Thursday, October 29, 2015 about Open Payments and the new submittal and data collection changes for CY2015 data and CY 2016 data, respectively. This webinar comes on the heels of a presentation by Mr. Brown, presented at the Sixteenth Annual Pharmaceutical Regulatory and Compliance Congress and Best Practices Forum, in late October.
Both presentations shed light on the progress CMS has made on data submission and answered some open questions, a summary of which is laid out below.
Stakeholder Feedback Changes
The representative mentioned that they ha...
Source: Policy and Medicine - November 10, 2015 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs
HHS OIG Issues 2016 Work Plan
The Department of Health and Human Services Office of Inspector General recently released its 2016 Work Plan. OIG's annual Work Plan summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond.
The OIG was created to detect fraud, waste, and abuse; to identify opportunities to improve healthcare program economy; and to hold "accountable those who do not meet program requirements or who violated Federal health care laws." The OIG conducts audits and investigation, and can impose civil monetary penalties where appropriate, s...
Source: Policy and Medicine - November 4, 2015 Category: American Health Authors: Policy and Medicine Writing Staff Source Type: blogs
Bendigo Health, building a cloud first, mobile first health platform of the future
This morning I had the distinct pleasure of spending an hour with Danny Lindrea, solutions architect at Bendigo Health. Mr. Lindrea came to Microsoft in Redmond to meet some of the members of our worldwide health team and share information on how Bendigo is advancing information communications technologies (ICT) using Microsoft and Microsoft partner services, products, and solutions. In fact, Bendigo may very well be developing the ICT “health platform” of the future.
Bendigo Health has been servicing the Loddon Mallee region of Victoria, Australia, for over 150 years. The s...
Source: HealthBlog - November 2, 2015 Category: Information Technology Authors: hlthblog Tags: Uncategorized Azure care quality Clinical Workflow cloud collaboration doctors eHealth EHR electronic medical records EMR Health IT healthcare costs Healthcare IT HIT hospitals ICT information technology Intersystems 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
Shaken Baby Syndrome or Death by Vaccine? Doctor Speaks Out…
Conclusion
Head and spinal cord injury consistent with non-accidental injury.” (emphasis added)
Comment from Dr. Innis
“There is no conflict with Dr. Al-Sarraj’s findings, but it is the interpretation of those findings which I dispute. He is evidently prepared to review his interpretation if further information becomes available and I would like to draw his attention to the fact that Amelia had biochemical as well as anatomical abnormalities. The biochemical diagnoses of hyperglycaemia, glycosuria, coagulation abnormality (INR 1,3, APTT 39.6) all suggest she was suffering from an autoimmune disorder tissue scurvy, [1...
Source: vactruth.com - October 27, 2015 Category: Allergy & Immunology Authors: Christina England Tags: Christina England Human Top Stories Adverse Reaction Darryl Elliot ischemic encephalopathy Shaken Baby Syndrome (SBS) truth about vaccines Vaccine Death Source Type: blogs
If I Were Running the Place
<p style="font-size: 11.2px; line-height: 19.04px;"><span style="font-size: 11.2px; line-height: 19.04px;">I have a riddle for you. Start with six attorneys; add three management consultants, three financial executives/advisors and a couple of bankers. Sprinkle in, one each, clothing store chain CEO and entertainment retail chain CEO. Add executives from a supermarket chain, a construction company, and a paper products company. Fold in a hedge fund manager, real estate executive, and an accountant. Finish with a reputation management expert and exactly one educator and one physician. What ...
Source: blog.bioethics.net - October 16, 2015 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Health Care Research Ethics education government patient care syndicated Source Type: blogs
Study Looks At How Many Industry Boards of Directors Have Academic Affiliations
Conflict of interest rules for the medical community have been in the spotlight lately, though they typically center around rules that prohibit or restrict physicians from enjoying lunch on behalf of a pharmaceutical company or stocking their office with pens. A new study conducted by researchers from the University of Pittsburgh School of Medicine and published in the British Medical Journal recently decided to look at conflicts of interest from a different perspective: they looked at how many for-profit healthcare company positions were occupied by people with academic affiliations.
These researchers analyzed public disc...
Source: Policy and Medicine - October 7, 2015 Category: American Health Authors: Policy and Medicine Writing Staff Source Type: blogs
It’s time for health care to stand up to medical errors. Will we?
It’s been over a year since my older sister Anna died, so I choke up less readily while speaking about it. The raw anger is less, but the frustration of losing someone to a preventable medical mistake will always remain with me. Anna was five years older than me, my only sister, and the one I often turned to for advice. We were close despite living 600+ miles apart. She was smart and insightful; she was at ease in most social situations. I, on the other hand, was the nerdy kid sister who loved science, who became a physician in my early 40s.
In 2012, Anna’s world turned upside down when she was diagnosed with b...
Source: Kevin, M.D. - Medical Weblog - October 6, 2015 Category: Journals (General) Authors: Carol E. Gunn, MD Tags: Physician Heart Malpractice Source Type: blogs
CMS Releases 2016 Open Payments Teaching Hospital List
As they did on October 1st last year, yesterday, the Centers for Medicare and Medicaid Services (CMS) released an updated Teaching Hospital list and increased (slightly) reporting thresholds for the next year’s reporting cycle.
In looking at the new hospital file, CMS has added to its list—the agency included 1,203 last year, it is up to 1,222 this year. In terms of a “de minimis” threshold, if a payment or other transfer of value is less than $10.22 ($10.21 for 2015; $10.18 for 2014), unless the aggregate amount transferred to, requested by, or designated on behalf of a covered recipient exceeds $102.19 in a cale...
Source: Policy and Medicine - October 2, 2015 Category: American Health Authors: Policy and Medicine Writing Staff Source Type: blogs
Don’t land in the teaching hospital on a holiday weekend
“Don’t ever land in a teaching hospital on a holiday weekend, they always staff up with residents,” noted a close friend who was all too familiar with the inner workings of hospitals.
That statement sticks in my head heavily today as I prepare to visit my father’s year-old grave. My father, a man that was involved in the Department of Health & Human Services (HHS) and private sector research societies for decades, was always about making sure his family got the best healthcare possible. Yet in the end, the medical system failed him the most profound and neglectful way.
Last summer, my father, 83 an...
Source: Kevin, M.D. - Medical Weblog - September 30, 2015 Category: Journals (General) Authors: Deb Discenza Tags: Patient Hospital Patients Source Type: blogs
Academic Medical Leaders as Directors of For-Profit Health Care Corporations: the Prevalence of This "New Species" of Conflict of Interest Documented in the BMJ
Discussion As we have suggested, Anderson et al stated that being on the board of directors of a for-profit health care corporation creates conflicts of interest beyond those created by simply having a financial relationship with a health care company, e.g., by participating in a commercially sponsored research project or acting as a consultant to a company.Similar to individuals engaging in consulting relationships, directors on industry boards enter a formal contract with the company and receive financial payment for services; however, they are subject to two important differences. Firstly, unlike consultants who are com...
Source: Health Care Renewal - September 30, 2015 Category: Health Management Tags: academic medical centers boards of directors conflicts of interest institutional conflicts of interest medical schools Source Type: blogs
How Many More Annas Must Die?
It’s been over a year since my older sister Anna died, so I choke up less readily while speaking about it. The raw anger is less, but the frustration of losing someone to a preventable medical mistake will always remain with me. Anna was five years older than me, my only sister, and the one I often turned to for advice. We were close despite living 600+ miles apart. She was smart and insightful; she was at ease in most social situations. I, on the other hand, was the nerdy kid sister who loved science, who became a physician in my early 40’s.
In 2012, Anna’s world turned upside down when she was diagnosed wit...
Source: Disruptive Women in Health Care - September 29, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Policy Publc Health Quality Source Type: blogs
