Medical school

Four in 10 doctors said they were not trained in medical school how to prescribe controlled substances

The lack of education leads to two types of prescribing habits: doctors who will freely prescribe controlled substances, sometimes inappropriately, and those who don’t prescribe it at all.

Do doctors belong in politics?
“Are you fed up with physician-pols who believe that their scientific credentials allow them to make authoritative pronouncements without letting facts get in the way of political sentiments?

Somewhere between medical school and arrival at the top of the political heap, both Drs. Frist and Dean seem to have forgotten such apparently trivial matters as the scientific method – testing hypotheses, indicating limitations and …

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A future where medical schools are answerable to shareholders?

It could happen: “In the first scenario, academic medicine flourished in the private sector and medical research, training and service became commercial business activities. But, although overall efficiency and effectiveness improved, equity and innovation suffered.”

Malpractice fears lead to mammography over reads

More defensive medicine: Malpractice fears leads to mammography overreads

“An article in the July issue of Radiology suggests that this anxiety may be the reason for the large number of false positives and recalls in the United States.

Dr. Joann Elmore of the University of Washington medical school, said that this caution does not necessarily make women safer and does increase their anxiety about breast cancer.

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How one doctor uses Google in his medical practice

A recent study (via Clinical Cases and Images), suggested that many turn to the search engine first for information on their health:

Google, the internet search engine, has now become one of the patientÂ’’s best friends, second only to the family doctor.

A survey of 1,000 people found that 12 per cent turn first to Google. Fewer consult family and friends, the media or medical encyclopaedias when faced …

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JAMA defensive medicine study explains why doctors order more tests

Malpractice fears put doctors on defense
“When Geoffrey Blatt went to medical school, he was taught not to order unnecessary tests for his patients. Now, even some patients with headaches get brain scans.

‘You’re afraid of the one-in-10,000 patient that may have a brain tumor,’ the Kansas City neurosurgeon said.

And afraid that the patient may sue for malpractice.

Defensive medicine like this has become standard operating …

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A community in rural Canada has decided it needs a doctor so badly it is willing to pay to train one

“Residents in the town of Deloraine, near Brandon, have launched a Be-a-Med-Friend campaign to fund a scholarship for an aspiring doctor.

They hope to persuade 125 people to donate $10 a month to give a medical student up to $15,000 a year for four years.

In exchange, …

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Only 27 percent of IM residents are picking primary care careers
“Other studies have focused on why students are turning away from primary care disciplines and have found that declining reimbursement for nonprocedural care, the opportunity for a controllable lifestyle and a medical culture in which subspecialists are seen as more prestigious have played a big part . . .

. . . He didn’t think that would be …

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Oops: A glitch in the USMLE Step 2 Clinical Skills exam erroneously fails some medical students

“Dr. Scoles said that he was personally calling those who the problem affected. The error is ‘something that the organization deeply regrets, but it [uncovering the error] shows the kind of process that we’re committed to, to keep checking and rechecking,’ he said.

Of the 38 students affected, 14 were from U.S. medical …

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They found Legionnaries’ disease in a teaching hospital in NYC

“Legionnaires’ disease is a bacterial infection with pneumonia-like symptoms that first became widely known after a 1976 outbreak killed 34 people attending an American Legion convention in Philadelphia. According to the Centers for Disease Control and Prevention, 8,000 to 18,000 people contract the disease each year in the United States, and it is rarely fatal except for people with …

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Some medical schools are using acting classes to teach doctors to become more empathic

“I would argue that these physicians should be very well trained or most patients will see right through the act.”

Doctor David Hartman, a blind student who earned his MD

A blind student earns his M.D.

Amazing. Medical school is hard enough for those with their vision intact.

A student is saying many of his colleagues graduating from Pennsylvania medical schools may move to neighboring states because of the rising cost of malpractice insurance

The malpractice situation is affecting new graduates as they become more attuned to the current crisis.

Avoiding the “Doorknob Phenomenon”

“The four familiar words physicians always dread come when the office visit is ending, doctor’s pen clipped back onto the white coat pocket and hand reaching for the door. “Oh, by the way,” the patient says. What comes next could be as innocuous as a harmless freckle or a bombshell. Doctors call it ‘the doorknob phenomenon.’ . . .

. . . Charon teaches a …

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Leaders in medicine are trying to figure out how to make primary care attractive to students and residents once again
“AAMC has formed a group to consider broad issues around improving chronic care, including how a change in emphasis could be one way to attract more students into primary care. This group started its work last fall and is expected to produce a proposal sometime this year, Dr. Whitcomb said.
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Treating non-small cell lung cancer (NSCLC) after it becomes resistant to chemotherapy

Treating non-small cell lung cancer (NSCLC) after it becomes resistant to chemotherapy has been the subject of intense scientific and clinical research. The study of targeted therapy, in which a drug or biological agent attaches only to a specific receptor on a malignant cell, led to the approval and release of the anilinoquinazolines gefitinib (Iressa) and erlotinib (Tarceva), for the treatment of patients with NSCLC who have failed or can …

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A study suggests that older doctors know less, provide lower-quality care, and may expose patients to greater risks than physicians recently out of medical school
“. . . older doctors generally agreed that the rapid increase in new medical knowledge can be a challenge to keep pace with, especially as doctors already are pressed for time to see all their patients.”

The study was from the Annals of …

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Why you should care about the growing debt of medical school graduates

“In conclusion, the current medical school debt burden influence not only the student’s future career goals but will also influence the level of care the average patient can look forward to and will likely cause more frustration with medical care as a whole. The decreasing desire to pursue medicine as a career will likely only decelerate the …

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Russian medical school is no walk in the park

Nonphysicians eager to prescribe medication

“‘A person who is not a physician ought to be able to practice within their training,’ Dr. Nelson said. ‘If they want to increase their scope, they should do it through education, not legislation.'”

Agreed. If you want to prescribe medication, go to medical school. Or get a DO, NP, or PA degree. People should adapt to the system instead of …

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