Medical School Debt Webinar
Strategic approach to managing medical school debt.

By: Brian Brotarlo

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Medical School Debt Webinar - Video

Build the Vision: The Campaign for the University at Buffalo Medical School Building

By: UBSupporters

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Build the Vision: The Campaign for the University at Buffalo Medical School Building - Video

Match Day 2014 at UMass Medical School
As School of Medicine student Alessandra Moore accepted the very last envelope of Match Day 2014, the clock struck noon and Interim Associate Dean for Studen...

By: UMass Medical School

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Match Day 2014 at UMass Medical School - Video

Eastern Virginia Medical School Match Day 2014
Scenes from Eastern Virginia Medical School #39;s "Match Day." Story: http://hamptonroads.com/2014/03/evms-students-celebrate-residencies-match-day.

By: The Virginian-Pilot

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Eastern Virginia Medical School Match Day 2014 - Video

PUBLIC RELEASE DATE:

23-Mar-2014

Contact: Jessica Maki jmaki3@partners.org 617-525-6373 Brigham and Women's Hospital

Researchers from Brigham and Women's Hospital (BWH) and Harvard Medical School (HMS) in Boston have estimated that around one million children suffer from tuberculosis (TB) annually twice the number previously thought to have tuberculosis and three times the number that are diagnosed every year. The researchers also estimated that around 32,000 children suffer from multidrug-resistant tuberculosis (MDR-TB) annually. These findings are published in The Lancet on March 23, 2014.

"Despite children comprising approximately one quarter of the world's population, there have been no previous estimates of how many suffer from MDR-TB disease," explained Ted Cohen, MD, DrPH, HMS associate professor of Medicine in BWH's Division of Global Health Equity and co-senior author of this study. "Our estimate of the total number of new cases of childhood TB is twice that estimated by the WHO in 2011 and three times the number of child TB cases notified globally each year," said Cohen, who is also associate professor in the Department of Epidemiology at Harvard School of Public Health.

"TB in a child is recognized as a sentinel event; it tells us about ongoing transmission and missed opportunities for prevention," explained Mercedes Becerra, ScD, associate professor of Global Health and Social Medicine at HMS and co-senior author of the study. "Improved estimates are essential so that we can begin to understand the unmet need for pediatric TB treatment."

In order to obtain these estimates the researchers used several sources of publicly available data and devised a new method to correct for the chronic under-diagnosis that occurs in children, using conventional TB tests which were designed for and work best on adults. The researchers used two models to estimate both the regional and global annual incidence of MDR-TB in children. Their findings indicate that around 1,000,000 children developed TB disease in 2010 and of those, 32,000 had MDR-TB.

These findings underscore the urgent need for expanded investment in the global response to TB and MDR-TB in children. "Our findings demonstrate that there is a need for improved methods for collecting data on childhood TB. A good starting place would be improved diagnostic methods for children and more systematic collection of information on how many children are suffering with this disease," explained Helen Jenkins, PhD, HMS instructor in BWH's Division of Global Health Equity and lead statistician on the project.

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This research was supported by the U.S. National Institutes of Health (U54GM088558, K01AI102944, R01AI097015), the Helmut Wolfgang Schumann Fellowship in Preventive Medicine at Harvard Medical School, the Norman E. Zinberg Fellowship at Harvard Medical School, and the Doris and Howard Hiatt Residency in Global Health Equity and Internal Medicine at the Brigham and Women's Hospital.

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New childhood tuberculosis estimates double the number previously thought

I'd heard early in the week that the initial matching process left 18 graduates of of the University of Arkansas College of Medicine without residencies. A second step of the process reduced those with no place to go to seven, same as last year. They'll have to figure out something else to do for a year and try again if they hope to practice medicine.

Here's some relevant information from the Association of American Medical Colleges:

. AAMC President and CEO Darrell G. Kirch, M.D., issued a statement on this years Match results, expressing concern about the shortage of residency positions. Noting that several hundred U.S. seniors appear not to have matched this year, he said As a result, with a serious physician shortage looming closer, we remain concerned that the 17-year cap on federal support of new doctor training will impede the necessary growth in residency positions that must occur to ensure that our growing and aging population will receive the care it needs.

The shortage of residencies has relevance even closer to home. Arkansas State University is in process of establishing an osteopathic medical schooland a group in Fort Smith is also seeking to establish an osteopathic medical school. They'll need residencies, too. ASU hopes to turn out about 120 doctors a year.

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Residencies insufficient for current medical school graduates