September 16th, 2011 by BobDoherty in Health Policy, Opinion
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Graduate Medical Education has for the most part escaped big budget cuts in the past, mainly because powerful lawmakers have aligned to protect funding for teaching hospitals in their own states and districts. Plus, the Association of American Medical Colleges, the American College of Physicians, hospital organizations, and many others long have made funding for GME a top legislative priority.
GME, though, could be on the chopping block as Congress’s new “Super Committee” comes up with recommendations to reduce the deficit by at least $1.2 trillion over the next decade. A report from the Congressional Budget Office of options to reduce the deficit to suggests that $69.4 billion could be saved over the next decade by consolidating and reducing GME payments. Earlier this year, the bipartisan Fiscal Commission on Fiscal Responsibility and Reform also proposed trimming GME payments.
How then should those who believe that GME is a public good respond? One way is to circle the wagons and just fight like heck to stop the cuts. But that raises a basic question: is GME so sacrosanct that there shouldn’t be any discussion of its value and whether the current financing structure is effective and sustainable?
Another approach, the one taken by the ACP in a position paper released last week, is to Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
September 4th, 2011 by Iltifat Husain, M.D. in News
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Add Yale’s School of Medicine to the growing list of medical schools that are embracing the iPad as the primary source of medical teaching.
This upcoming year Yale will be giving their medical students, all 520 of them, an iPad 2 with an external wireless keyboard. We’ve covered with great depth the growing list of medical schools using iPads as the main tool for learning — such as Stanford, UC-Irvine, and many more.
“Yale School of Medicine this year will outfit all students with iPads and no longer provide printed course materials. The initiative, born out of a going-green effort, could Read more »
*This blog post was originally published at iMedicalApps*
September 2nd, 2011 by GruntDoc in News
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The headline is disingenuous: yes, there’s a Med School headed for Austin. Congrats, Brackendridge!
Kinda amusing tale after the quote:
Lawmakers and local leaders are hopeful a plan unanimously adopted at Thursday’s University of Texas System Board of Regents meeting means they could finally get what they’ve long been waiting for: a new medical school.
One of the elements of the plan outlined by Chancellor Francisco Cigarroa is to “advance medical education and research in Austin.” Even before Thursday’s meeting ended, state Sen. Kirk Watson issued a press release reading between the lines, calling for the creation of a flagship health science center and medical school in Austin. “Within the next 30 days, I plan to offer a path – and a challenge for our community – to build on [Cigarroa’s] statement so we realize these goals that so many of us have shared for so long,” Watson said. “It’s time for Austin to come together and act, creating a flagship initiative that can fortify our future and lead the world in the fields of medical education, healthcare and bioscience.”
via Is the UT System Preparing for a New Medical School? — Higher Education | The Texas Tribune.
For those interested in the funny politics of a med school in Austin, you have to look back to the 1970′s. Read more »
*This blog post was originally published at GruntDoc*
August 12th, 2011 by Shadowfax in Opinion, True Stories
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Yesterday, I presented the case of a woman with double vision and ptosis and challenged you all to a game of “spot the lesion.” To be honest, I found this stuff impenetrable as a medical student and it was only by sheer force of will that I was able to commit it to memory for exactly long enough to pass a test on it before immediately purging it from my memory. I did this several times for various board exams and such, but it never really “stuck.” Hated neuro beyond words, I did.
As mind-numbing as I found it all in the abstract, I get excited about these cases in application. I may not remember where exactly the internal capsule is or what it does, but when I see someone with an interesting neuro deficit due to a lesion there, all of a sudden it makes so much more sense, and is, dare I say it, cool. I know, kinda sad.
This case is as classic (and cool) as you will ever see. It’s a complete palsy of the Oculomotor Nerve (CN 3 for those keeping score at home).
So how do you approach figuring that out? Read more »
*This blog post was originally published at Movin' Meat*
August 2nd, 2011 by DrWes in Opinion
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It’s the hardest thing in the world for a doctor to do.
After all, doctors are do-ers. That is how they have managed to achieve their degrees: hard work, discipline, perseverence. Who else would be willing to memorize all those organic chemistry equations long enough to vomit them back on paper? Who else would tolerate long nights and weekends on a constant basis? But they do it because it’s the right thing to do. They do it because someone has to. People don’t get sick nine to five. They get sick at 2 am. And so, by it’s very nature over the years, medical education becomes a sort of natural selection: only the strong survive.
Historically, doctors endure the system because they know that there are rewards for this hard work personally, professionally, socially, and financially. So throughout their training, doctors learn to perfect the art of doing. That’s what people come to expect. Oh my God, doctor, he’s choking: do something! He’s turning blue: do something! But he fainted, doctor! Do something!
One of the best parts of medical school is learning the answers to these mysteries of medicine and how to fix them. In the past, this gave doctors an aura of deity: they could be trusted to fix just about any ailment that befell man. It was awesome. With time, a sense of invincibility and omnipotence set in.
And like flies to a flame, we bought it. Lock. Stock. Barrel.
In fact, Read more »
*This blog post was originally published at Dr. Wes*
