October 7th, 2011 by admin in Opinion, Research
Tags: Amanda Godall, CEO, Diario Medico, Doctors, Experience, Henry Mintzberg, Hospital, IHQ, Knowledge, M.D., Management, Managerial Position, Managers Not MBAs, Master in Business Administration, Physican, Research, Social Science and Medicine
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It’s been more than five years since Henry Mintzberg released the enlightening book ‘Managers, not MBAs’, a well-reasoned criticism of prevailing management education that basically revolves around Master in Business Administration (MBA) programs. Financial crisis was not even in sight but Mintzberg, a professor at McGill University in Montreal and one of the most important guiding lights in the questionable field of management, already pointed out that it was a serious danger for modern organizations to rely on professionals that had just finished their MBAs as the prime source for senior managerial positions.
Mintzberg focused his criticism on two essential aspects. First, most programs are aimed at people with no previous experience or knowledge about organizations and how they look like from the inside… and these same people then storm into companies believing that the real world works exactly as business school taught them it does. The second point is that many of these business schools spread a perverted set of values, such as the hunt for short-term profit, the belief that a good aim justifies any means and the urge to translate all human behaviors into accountable figures (the ‘countophrenia’ depicted by Vincent de Gaulejac in his must-read ‘La Société Malade de la Gestion’).
Then the crisis rose, and many CEOs of the biggest organizations had their share of responsibility for it, as they were enjoying multi-million dollar bonuses while taking their companies to the edge of bankrupcy. Most of them came from the most famous business schools in the world. I have outlined in the past the outrageous conflict of interests of many of these institutions, starting with Harvard, as Charles Ferguson perfectly displayed in his brilliant documentary ‘Inside Job’.
‘Social Science and Medicine’ published in its August issue a very interesting work by Amanda Godall, professor at the IZA Institute for the Study of Labor in Bonn, Germany. Godall’s is the first empirical research on the correlation between hospital results and having MDs in their top managerial positions. Read more »
*This blog post was originally published at Diario Medico*
October 6th, 2011 by RyanDuBosar in Research
Tags: Annual, Debate, Epidemic, Fear, Flu, Health Care Workers, Internal Medicine 2011, London, Low Rate, Mass General, Monmouth Medical Center, Suzanne Koven, The Boston Globe, The Children’s Hospital, Uneasy, Vaccination, Vaccines
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Health care workers’ fear of flu shots has risen as an issue again.
Refusing flu vaccination has risen among health professionals again and again. And again. And again and again.
Vaccination rates for health care workers stands at 35%, which is “a dismal rate,” according to Margaret C. Fisher, MD, a pediatric disease subspecialist and the medical director of The Children’s Hospital at Monmouth Medical Center. She spoke about vaccinating adults and health care workers at Internal Medicine 2011.
The issue is as annual as the flu itself, and this time, a physician at London’s Imperial College NHS Trust has jumped into the debate, tackling misinformation given within his country’s own health service. He said: “A very interesting question for me is Read more »
*This blog post was originally published at ACP Internist*
October 5th, 2011 by ChristopherChangMD in Research
Tags: Anaphylaxis, Bioavailability, Canada, Effect, Epinephrine, Epipen, Expired, Research, Safe, Safety
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Though one should always use an EpiPen that is not expired, it is better to use an expired EpiPen to treat anaphylaxis than to do nothing at all.
Some Canadian researchers studied expired EpiPen auto-injectors 1 to 90 months past the expiration date.
What they found was that the older the EpiPen, Read more »
*This blog post was originally published at Fauquier ENT Blog*
October 5th, 2011 by Paul Auerbach, M.D. in Research
Tags: Abscess, Antibiotics, Colon, CT, Descending Colon, Diverticulitis, Elderly, Large Bowel, Middle-aged, Non-surgical, Oral Antibiotic, Outpouching, Transverse Colon, Uncomplicated
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Diverticula are small outpouchings that develop at weak points along the wall of the colon (large bowel), probably because of high pressures associated with muscle contractions during the passage of stool. When these sacs become obstructed and/or inflamed (most frequently in middle-aged or elderly individuals), they enlarge and create pain and fever. Usually, the left lower quadrant is involved, because diverticula tend to form in the left-side portion of the colon (descending colon) more frequently than in the right-side portion (ascending colon) or horizontal connecting section (transverse colon). A ruptured diverticulum can cause a clinical picture much like that of a ruptured appendix, with pain in the left side of the abdomen instead of the right side. The victim should seek medical attention, and his diet be limited to clear fluids. Antibiotics (metronidazole, metronidazole combined with doxycycline, amoxicillin-clavulanate, trimethoprim-sulfamethoxazole, cefixime, ciprofloxacin, or cefpodoxime) should be administered if help is more than 24 hours away.
As the population ages, diverticulitis is expected to become more prevalent. In a recent article Read more »
This post, Diverticulitis Expected To Become More Prevalent In An Aging Population, was originally published on
Healthine.com by Paul Auerbach, M.D..
October 5th, 2011 by Felasfa Wodajo, M.D. in Opinion, Research
Tags: Apple, Commentary, Communication, Featured, Intraoperative Images, iPad, iPhone, Journal of Surgical Radiology, Measurement, Mobile, Mobile Health, O.R., Operating Room, Sensors, Size, Small, Surgery, Surgery Videoconferencing, Visualization, Wireless Networking
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As we discussed in the first of this two part series, mobile devices are already entering the world of the surgeon. Currently, it is mostly downloadable apps that promise to help surgeons with the informational portions of their tasks, such as tracking the cases they have done, e.g. Surgichart or helping in the consent process, e.g. Surgery Risk
While apps that are dedicated to the technical aspects of surgery, such as the excellent AO Surgery Reference, are becoming available, in the future we will see the iPad (or its brethren) actually in the operating room. Why ? Because the iPad has many characteristics that make it a great an advanced surgical instrument.
First is its small size. Every modern operating room has stacks of electronic equipment hanging from the ceiling or in large cabinets for patient monitoring and controlling in-field devices. Since the iPad already supports a bevy of standard wireless communication protocols, many of these large boxes’ functions could likely be off-loaded to an iPad with clever engineering. One immediate advantage would be that Read more »
*This blog post was originally published at iMedicalApps*
