Medical Students, Small Towns, and the Power of Relationships
By: Scott Hippe, fourth-year medical student, University of Washington School of Medicine Scott Hippe is currently traipsing about the Pacific Northwest on his clinical rotations. His interests include rural medicine, the outdoors, and listening to or telling a good story. He will be applying to a residency in family medicine this year. Before ever setting foot in a medical school classroom, I spent a week observing competent, compassionate rural physicians care for the diverse health needs of their community. This was the first of my experiences participating in the WWAMI Targeted Rural Underserved Track (TRUST) Programâ€...
Source: Academic Medicine Blog - October 13, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Guest Perspective relationships rural health Targeted Rural Underserved Track Program underserved communities WWAMI Source Type: blogs

How To Build Healthy Places Through Cross-Sector Collaboration
Kentucky state legislator Susan Westrom summed up her experience at the Foundation for a Healthy Kentucky’s recent Bost Health Policy Forum in the following tweet: “This Foundation is pushing the envelope to improve lives of Kentuckians by building healthy places to live and work.” On September 28, the foundation held its thirteenth annual Bost Health Policy Forum in Bowling Green, Kentucky, a town of about 60,000 people in the western region of the state. This year’s event, titled “Building Healthy Places,” brought in local, regional, and national speakers who shared their knowledge and experiences in buildi...
Source: Health Affairs Blog - October 7, 2015 Category: Health Management Authors: M. Gabriela Alcalde Tags: Equity and Disparities GrantWatch Public Health education Food and Health Health Philanthropy Health Promotion and Disease PreventionGW Housing Nonmedical Determinants tran Workplace Wellness Source Type: blogs

How Aggressive are Your Student’s College Vaccination Policies?
Conclusion College campuses vary in regards to their vaccine policies.  The meningitis vaccine is the most commonly required vaccination for all incoming freshmen, based on the recommendations of the CDC. Several other vaccinations are required and recommended, with much variation by individual colleges. Most universities provide a religious exemption for students, but some do not. It is worthwhile to investigate what your university vaccine policies are, in addition to the exemptions that exist for colleges in which your student has an interest. Learn More to Make Your Own Informed Vaccination Choices For additional re...
Source: vactruth.com - September 3, 2015 Category: Allergy & Immunology Authors: Michelle Goldstein Tags: Logical Michelle Goldstein Top Picks Top Stories Mandatory Vaccination Meningitis meningococcal disease New York State Department of Health U.S. Centers for Disease Control and Prevention University of Washington Vaccine Adverse Events Source Type: blogs

Calling an Audible: Leading Family-Centered Rounds Like a Quarterback
By: Jimmy Beck, MD, MEd, acting assistant professor of pediatrics, University of Washington School of Medicine, Division of Pediatric Hospital Medicine, Seattle Children’s Hospital Note: At the time of the study mentioned in this blog post, the author was a pediatric hospital medicine fellow at Children’s National Medical Center, Washington, DC. Despite the fact that a policy statement from the American Academy of Pediatrics published in 2003 asserted that “conducting attending physician rounds in patients’ rooms with the family present should be standard practice,” I had not experienced family-centered rounds (F...
Source: Academic Medicine Blog - July 23, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective effective teaching behaviors family members and nurses family-centered rounds interdisciplinary teams patient centered care Source Type: blogs

Thank you health care providers for being on call
At 3 a.m. last Saturday, I was feverishly devouring medical journal articles on subarachnoid hemorrhages (which I now know are a type of stroke caused by bleeding into the space surrounding the brain), trying to determine just how much I needed to be panicking about the health of a loved one. With every text message update from the rural hospital he unexpectedly found himself in, which lacked both a neurology department and sufficient diagnostic testing equipment, my fears grew in intensity. As I considered the situation, I found myself revisiting a moment a few weeks back, watching my youngest sister graduate from the Uni...
Source: Kevin, M.D. - Medical Weblog - July 14, 2015 Category: Journals (General) Authors: Tags: Physician Primary care Source Type: blogs

U of Washington news: Early Start Denver Model Intervention Improves Long-term Outcomes for Children with Autism
Early intervention improves long-term outcomes for children with autism  Early intervention for toddlers with autism spectrum disorder helps improve their intellectual ability and reduces autism symptoms years after originally getting treatment, a new study shows. The study is the first in more than 20 years to look at long-term outcomes after early intensive autism intervention.  The therapy began when children were 18 to 30 months of age and involved therapists and parents working with the toddlers in their homes for more than 15 hours each week for two years. The study will appear in the Jul...
Source: Facing Autism in New Brunswick - June 8, 2015 Category: Child Development Authors: H L Doherty Source Type: blogs

Implementing Value-Based Payment Reform: Learning From The Field Of Practice
For the last four years, our team at the University of Washington (UW) has been evaluating seven value-based payment reform programs in six states for the Robert Wood Johnson Foundation (RWJF). We found that although the foundational work of value-based payment is proceeding apace for the most part, what’s missing is the sense of urgency required to move payers and providers toward patient-centered global payment based on value. Clusters of innovation are emerging across the country, and these experiments are generating valuable insights into the design and implementation of value-based payment—both what works and what...
Source: Health Affairs Blog - April 14, 2015 Category: Health Management Authors: Douglas Conrad Tags: Innovations in Care Delivery Source Type: blogs

5 years ago…”Health Reform: The Ayes Have It”
With all the calls for repeal and replacement of the Affordable Care Act it is hard to remember some of the important firsts that happened five years ago today. Reading the post Disruptive Woman Founder Robin Strongin wrote that day is a quick reminder of them. We most assuredly have a long way to go in improving our health care system, but we should take the time to reflect on and appreciate how far we’ve come. What a night…several decades in the  making as many Representatives kept reminding us. Why was last night different than all other nights? Perhaps because for the first time there was a WOMAN Speaker o...
Source: Disruptive Women in Health Care - March 23, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Health Reform Source Type: blogs

LITFL Review 167
Welcome to the 167th LITFL Review. Your regular and reliable source for the highest highlights, sneakiest sneak peeks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the blogosphere’s best and brightest and deliver a bite-sized chuck of FOAM.The Most Fair Dinkum Ripper Beauts of the Week Janu-airway continues over at EMcrit with things Scott Weingart learned at the NYC airway course. [MG]The Best of #FOAMed Emergency MedicineShould men and women have different cutoff values to define a positive troponin? EM Lit of Note discusses a r...
Source: Life in the Fast Lane - February 1, 2015 Category: Emergency Medicine Authors: Marjorie Lazoff, MD Tags: Education LITFL review Source Type: blogs

Hospice and Palliative Care: The Year in Review 2014
by Christian Sinclair, MD, FAAHPMLooking back on 2014, it seemed like hospice and palliative care issues were constantly in the news. But then again, I may be standing in the single loudest position in the echo chamber of palliative care. Even with the awareness of that bias, it is clear to me that we had many significant events this year in our field that will really influence where we go in 2015 and beyond. (Although if you look at the graph below hospice and palliative care are steady to declining in percentage of search on Google.)We have never done a formal year in review here at Pallimed, and now that we are finally...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 13, 2015 Category: Palliative Carer Workers Tags: book film hospice HuffPo media philanthropy sinclair social media twitter WaPo year in review Source Type: blogs

December 2014 Pallimed Review: Posts and Comments
If you have not noticed by now, we have really started to increase our publishing output, so since some great articles may fall off your radar, we will start doing a monthly review to make sure you didn't miss something really good. And if you are one of the few hundred subscribers with a daily option, do not forget you can always change to MWF or weekly!Our two most popular posts this month on social media were Emily Riegel's letter to the spouses of palliative care professionals and Bob Arnold's case review of when emotions or facts are at the center of goals of care discussions. Good ones to share with your teams m...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 2, 2015 Category: Palliative Carer Workers Tags: meta sinclair Source Type: blogs

The Terrible, Horrible, No Good, Very Bad Falling Gas Prices
Randal O'Toole A left-coast writer named Mark Morford thinks that gas prices falling to $2 a gallon would be the worst thing to happen to America. After all, he says, the wrong people would profit: oil companies (why would oil companies profit from lower gas prices?), auto makers, and internet retailers like Amazon that offer free shipping. If falling gas prices are the worst for America, then the best, Morford goes on to say, would be to raise gas taxes by $6 a gallon and dedicate all of the revenue to boondoggles “alternative energy and transport, environmental protections, our busted educational system, our multi-tri...
Source: Cato-at-liberty - December 11, 2014 Category: American Health Authors: Randal O'Toole Source Type: blogs

Shifting From Depression Screening Alone To Evidence-Based Depression Treatment In ACOs
In their October 2014 Health Affairs article, “Few ACOs Pursue Innovative Models That Integrate Care for Mental Illness And Substance Abuse With Primary Care,” Valerie Lewis et al. identified that the quality measures in an Accountable Care Organization’s (ACO) contract affect how well that ACO integrates behavioral and physical health integration. The authors note that depression screening is a common measure among the ACO contracts that include behavioral health measures and suggest that additional measures could lead to further improvement. In this blog, we propose some additional measures and consider whether eff...
Source: Health Affairs Blog - November 19, 2014 Category: Health Management Authors: Robert Ferguson Tags: All Categories Mental Health Quality Substance Abuse Source Type: blogs

Brain-to-brain interface
University of Washington researchers link in realtime one person’s brain with another person’s over the Internet. During the demo, signals from one person’s brain are used to control the hand motions of another person within a second. You may also read: UW study shows direct brain interface between humans Rao RPN, Stocco A, Bryan M, [...] (Source: Neurobot)
Source: Neurobot - November 9, 2014 Category: Neurologists Authors: Dimitrios A. Adamos Tags: Stories Brain Interfaces brain to brain interface EEG TMS Source Type: blogs