Medicine as a Profession Is Imperiled, States the Journal of American Physicians and Surgeons – Yahoo Finance

TUCSON, Ariz., Dec. 18, 2019 (GLOBE NEWSWIRE) -- Many American physicians are wondering whether they still can be physicians. We physicians have lost control of our profession, our patients safety, and our ability to freely practice patient-centered Hippocratic medicine in the United States, writes San Antonio ophthalmologist Kristin Held, M.D., in the winter issue of the Journal of American Physicians and Surgeons. Dr. Held is president of the Association of American Physicians and Surgeons (AAPS).

In 1984, a semesters tuition at the University of Texas Medical School at San Antonio, one of the lowest-cost schools in the nation, was $300. In 2018-2019, tuition was $19,783. According to the Association of American Medical Colleges (AAMC), the average cost for one-year tuition, fees, and health insurance at a public medical school was $37,556 for in-state students. The median student medical school debt was $194,000 in 2018.

Encumbered with such debt, young physicians are no longer free to set up practice on their own. The AMA reported that 47.4% of practicing physicians were employed, and only 45.9% owned their own practices in 2018.

Many young physicians are leaving medicine before they start, and are being replaced by midlevel providers, nurse anesthetists, nurse practitioners,optometrists, and a never-ending cascade of eligible clinicians promoted to physician by politicians, bureaucrats, and private-equity corporations. Physicians, unlike these physician extenders, are subjected to never-ending, costly certification requirements. Sometimes the only work they can find is part-time and unpredictable. And while their costs keep going up, payment keeps going down.

A rapid-fire succession of new government rules has turned physicians into glorified data-entry clerks to benefit third-party payers. Medicare for All is the next step in destroying patient-centered medicine in favor of serving the system.

Dr. Held writes that to preserve the profession of medicine and the patient-physician relationship, Its time to opt out of government-corporate-medical-industrialcomplex-run medicine. As a cataract surgeon, she faced a daunting challenge in declaring her Medical Independence Day.

Physicians need to work together for solutions that preserve individual freedom,common sense, compassion, and respect for life, she concludes.

The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

Contact: Kristin S. Held, M.D., kksheld@al.com, or Jane M. Orient, M.D., (520) 323-3110, janeorientmd@gmail.com

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Medicine as a Profession Is Imperiled, States the Journal of American Physicians and Surgeons - Yahoo Finance

Scientists find way to supercharge protein production – Washington University School of Medicine in St. Louis

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Discovery promises to aid production of protein-based drugs, vaccines, other biomaterials

Tubes of green fluorescent protein glow more brightly when they contain more of the protein. Researchers at Washington University School of Medicine have found a way to increase protein production up to a thousandfold, a discovery that could aid production of proteins used in the medical, food, agriculture, chemical and other industries.

Medicines such as insulin for diabetes and clotting factors for hemophilia are hard to synthesize in the lab. Such drugs are based on therapeutic proteins, so scientists have engineered bacteria into tiny protein-making factories. But even with the help of bacteria or other cells, the process of producing proteins for medical or commercial applications is laborious and costly.

Now, researchers at Washington University School of Medicine in St. Louis have discovered a way to supercharge protein production up to a thousandfold. The findings, published Dec. 18 in Nature Communications, could help increase production and drive down costs of making certain protein-based drugs, vaccines and diagnostics, as well as proteins used in the food, agriculture, biomaterials, bioenergy and chemical industries.

The process of producing proteins for medical or commercial applications can be complex, expensive and time-consuming, said Sergej Djuranovic, PhD, an associate professor of cell biology and physiology and the studys senior author. If you can make each bacterium produce 10 times as much protein, you only need one-tenth the volume of bacteria to get the job done, which would cut costs tremendously. This technique works with all kinds of proteins because its a basic feature of the universal protein-synthesizing machinery.

Proteins are built from chains of amino acids hundreds of links long. Djuranovic and first author Manasvi Verma, an undergraduate researcher in Djuranovics lab, stumbled on the importance of the first few amino acids when an experiment for a different study failed to work as expected. The researchers were looking for ways to control the amount of protein produced from a specific gene.

We changed the sequence of the first few amino acids, and we thought it would have no effect on protein expression, but instead, it increased protein expression by 300%, Djuranovic said. So then we started digging in to why that happened.

The researchers turned to green fluorescent protein, a tool used in biomedical research to estimate the amount of protein in a sample by measuring the amount of fluorescent light produced. Djuranovic and colleagues randomly changed the sequence of the first few amino acids in green fluorescent protein, generating 9,261 distinct versions, identical except for the very beginning.

The brilliance of the different versions of green fluorescent protein varied a thousandfold from the dimmest to the brightest, the researchers found, indicating a thousandfold difference in the amount of protein produced. With careful analysis and further experiments, Djuranovic, Verma and their collaborators from Washington University and Stanford University identified certain combinations of amino acids at the third, fourth and fifth positions in the protein chain that gave rise to sky-high amounts of protein.

Moreover, the same amino-acid triplets not only ramped up production of green fluorescent protein, which originally comes from jellyfish, but also production of proteins from distantly related species like coral and humans.

The findings could help increase production of proteins not only for medical applications, but in food, agriculture, chemical and other industries.

There are so many ways we could benefit from ramping up protein production, Djuranovic said. In the biomedical space, there are many proteins used in drugs, vaccines, diagnostics and biomaterials for medical devices that might become less expensive if we could improve production. And thats not to mention proteins produced for use in the food industry theres one called chymosin that is very important in cheese-making, for example the chemical industry, bioenergy, scientific research and others. Optimizing protein production could have a broad range of commercial benefits.

Verma M, Choi J, Cottrell KA, Lavagnino Z, Thomas EN, Pavlovic-Djuranovic S, Szczesny P, Piston DW, Zaher HS, Puglisi JD, Djuranovic S. A short translational ramp determines the efficiency of protein synthesis. Nature Communications. Dec. 18, 2019. DOI: 10.1038/s41467-019-13810-1

This work is supported by the National Institutes of Health (NIH), grant numbers R01 R01GM112824, R01GM51266, R01GM113078, R01DK115972 and T32GM007067; the Skandalaris Center LEAP Award; JDRF, award number 3-APF-2018-573-A-N; and Stanford University Bio-X Fellowship.

SD holds US Provisional Patent #62/540,897 Methods to modulate protein translation efficiency. This patent is owned by Washington University and managed by the Washington University Office of Technology Management (reference numberT061889)

Washington University School of Medicines 1,500 faculty physicians also are the medical staff of Barnes-Jewish and St. Louis Childrens hospitals. The School of Medicine is a leader in medical research, teaching and patient care, ranking among the top 10 medical schools in the nation by U.S. News & World Report. Through its affiliations with Barnes-Jewish and St. Louis Childrens hospitals, the School of Medicine is linked to BJC HealthCare.

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Scientists find way to supercharge protein production - Washington University School of Medicine in St. Louis

A group of black medical students posed at a plantation to show how the past inspired their future – WDSU New Orleans

A picture is worth a thousand words and a group of black medical students at Tulane University are hoping their pictures speak volumes about how far they've come.Russell Ledet, a medical student at Tulane University, tells CNN he got the idea after a conversation with his 8-year-old daughter about a trip they took to Whitney Plantation in Edgard, Louisiana."Her insight was, "This is not fair. This is not supposed to happen,"' Ledet said. "So I had this idea that we need to get the black medical students at Tulane and we need to come here. We need to do this for ourselves."He decided to pitch the idea of taking a group tour of the plantation to his classmates, along with taking pictures in their white coats, and it turned out better than imagined.The idea takes offLedet said his peers had "no hesitation," and they knew it could have an impact. Fifteen of the 65 black medical school students showed up, and he said the most amazing thing was that all of them had a different takeaway.Ledet's classmate Sydney Labat shared the photos on Instagram with the caption:"As physicians in training, we stood on the steps of what was once slave quarters for our ancestors. This was such a powerful experience, and it honestly brought me to tears.For black people pursing a career in medicine, keep going. For our entire community, keep striving. Resilience is in our DNA."The photo started making the rounds and quickly grabbed the internet's attention."You just get a feeling, and you think this is going to be impactful and this is going to mean something," Labat told CNN. "It's not about going viral or the attention ... it's about being inspirational."Labat said that if she would have seen these photos as a child it would have motivated her further as she dreamed of becoming a doctor."To see people that look like me on this photo would have been so substantial for me as a younger student, and that is the whole purpose."They hope the photo will inspire generationsThe students hope the photo will make a difference for all black students. The plan is to put them in 100,000 schools across the country so that future students can be inspired.They also hope it shows older generations in their field that the hardship was all worth it."We hope that we will make a lifelong impact ... and let know: Yes, you can be smart. Yes, you can be successful ... and you can also do that while being unapologetically black and proud of where you come from and proud of where you are going," Labat said.

A picture is worth a thousand words and a group of black medical students at Tulane University are hoping their pictures speak volumes about how far they've come.

Russell Ledet, a medical student at Tulane University, tells CNN he got the idea after a conversation with his 8-year-old daughter about a trip they took to Whitney Plantation in Edgard, Louisiana.

"Her insight [to the visit] was, "This is not fair. This is not supposed to happen,"' Ledet said. "So I had this idea that we need to get the black medical students at Tulane and we need to come here. We need to do this for ourselves."

He decided to pitch the idea of taking a group tour of the plantation to his classmates, along with taking pictures in their white coats, and it turned out better than imagined.

Ledet said his peers had "no hesitation," and they knew it could have an impact. Fifteen of the 65 black medical school students showed up, and he said the most amazing thing was that all of them had a different takeaway.

Ledet's classmate Sydney Labat shared the photos on Instagram with the caption:

"As physicians in training, we stood on the steps of what was once slave quarters for our ancestors. This was such a powerful experience, and it honestly brought me to tears.

For black people pursing a career in medicine, keep going. For our entire community, keep striving. Resilience is in our DNA."

The photo started making the rounds and quickly grabbed the internet's attention.

"You just get a feeling, and you think this is going to be impactful and this is going to mean something," Labat told CNN. "It's not about going viral or the attention ... it's about being inspirational."

Labat said that if she would have seen these photos as a child it would have motivated her further as she dreamed of becoming a doctor.

"To see people that look like me on this photo would have been so substantial for me as a younger student, and that is the whole purpose."

The students hope the photo will make a difference for all black students. The plan is to put them in 100,000 schools across the country so that future students can be inspired.

They also hope it shows older generations in their field that the hardship was all worth it.

"We hope that we will make a lifelong impact ... and let [students] know: Yes, you can be smart. Yes, you can be successful ... and you can also do that while being unapologetically black and proud of where you come from and proud of where you are going," Labat said.

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A group of black medical students posed at a plantation to show how the past inspired their future - WDSU New Orleans

More women in med school; still get paid less than men – KELOLAND.com

SIOUX FALLS, S.D. (KELO) The number of women enrolled at the University of South Dakota Sanford School of Medicine is increasing.

A 2019 study by the Association of American Medical Colleges said for the first time ever there are more women then men in medical school. The national average for females in medical school is 50.5%

The study said 45.7% of USD students for the 2019-2020 school year are women.

The national average is 50.5%. Thats an increase of 49.5% from 2018. The average was 46.9% in 2015.

While the percentage of women enrolled in medical school increased in the U.S., fewer women than men are applied to USD for the 2019-2020 school year.

USD had 836 applicants for the 2019-2020 school year. Of the applicants, 47.6% were female and 52.4% were male.

The number of female versus male applicants is similar at some neighboring medical schools.

The University of Iowa had 3,879 applicants. Of those applicants, 44.7% were female. The university has a 50-50 split between female and male students for the school year.

The University of North Dakota medical school had 1,718 applicants. Of those, 47.2% were women. Women made up 41.6% of the enrolled students.

Creighton University in Omaha, Nebraska, had 6,375 applicants and 45.3% of those were women. Of its enrolled students, 50.6% are women.

The University of Nebraska in Lincoln had 1,590 applicants and 45.7% were women. Of its enrolled students, 49.2% are women.

The University of Minnesota Mayo Medical School in Rochester had 7,265 applicants and 46.2% were women. The universitys enrollment is 51% female.

The University of Minnesotas overall medical school program other than Mayo had 5,561 applicants and 49.6% of those were female. Women made up 54.2% of the enrollment.

The overall makeup of the 142 residents at USD Sanford is 72 female students and 70 male students.

Although there are more women in medical school, chances are when they graduate they will earn less than men.

Studies show that in most categories of medical practice, if not all, women make less than men.

In many cases of research, its the doctors themselves reporting the pay to reveal the inequities.

A 2019 study by Doximity, an online network of medical professionals, said that on average male doctors earn $1.25 for every $1 earned by women.

USD said that of its female residents, 16 chose family medicine or psychiatry while 13 chose internal medicine or pediatrics. The rest chose specialties of pathology, cardiovascular, general surgery, geriatrics, transitional year or family medicine.

South Dakota had 2,121 active doctors, including 674 female doctors, in 2018, the 2019 State Physician Workforce Data Report said. The most were in family medicine/general practice at 188. Eighty-one were in internal medicine, 62 in obstetrics and gynecology, and 58 in pediatrics. The remainder were in other practices, except none were practicing in cardiovascular care or orthopedics.

A 2019 Medscape study showed the male primary care physicians earn 25% more than females. The income was $258,000 compared to $207,000 for women.

The gap did decrease in specialty pay from 36% in 2018 to a 33% difference between men and women. Men were paid $372,000 in specialty practice compared to $280,000 for women.

Specialty practices were identified as plastic surgery, orthopedics, internal medicine and similar. Medscape said while women tended to choose lower paying specialties than higher paying ones such as plastic surgery, orthopedics, cardiology and urology, that doesnt explain the overall disparity in specialty pay.

Additional research by Dr. Malgorzata Skaznik-Wikiel, assistant professor of obstetrics and gynecology at the University of Colorado School of Medicine, and others show similar pay gaps between female and male doctors.

Several studies prompted the Association of Women Surgeons to release a formal statement on the gender pay equity gap. Women in academic medicine make 90 cents for every dollar earned by their male counterparts. Although this salary gender gap is not as large as the 82 cents per dollar noted in the overall US Economy 21 it reflects inequities in compensation, and must be addressed. If change continues at the current slow rate, women will not reach pay equity with men until 2152, the statement said.

But there are some indications that doctors who practice in rural areas, including South Dakota and in neighboring states, may be getting paid more than those who practice in some urban areas.

Research called Income and Age Profiles of Urban and Rural Physicians in the United States conducted through the University of Chicago shows that rural physicians have higher incomes, lower housing costs, and shorter commutes than urban physicians.

A 2018 study by Merritt Hawkins on healthcare recruitment said the Midwest and Great Plains ranked high when it came to pay for psychiatry, family practice, radiology and internal medicine, which were listed as top areas of recruitment. The salary list did not breakdown male versus female pay. Merritt Hawkins is a physician recruiting and consulting firm.

Despite higher pay, rural areas have about a third fewer physicians per capita than the nation as a whole, the University of Chicago study said. And most rural doctors are men.

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More women in med school; still get paid less than men - KELOLAND.com

Michigan Medicine kicks off celebration of 150th anniversary – University of Michigan Health System News

One hundred and fifty years ago this month, something extraordinary happened at the University of Michigan. Its effects have reverberated down through history not only on the campus, but across the state and nation.

In December 1869, the first patients checked in to the universitys first hospital.

It wasnt a fancy facility just 20 beds in a converted former professors house on North University Avenue, where the Chemistry Building now stands.

Its patients had to travel across the Diag, to the Medical School building built 20 years before, to have an operation or examination by a professor with hundreds of medical students looking on.

The professor's house that was converted to become the first U-M hospital.

But its opening marked the first time an American university had run a hospital, adding patient care to its missions of medical education and research. The birth of the academic medical center now known as Michigan Medicine began a movement that spread to universities across the country, and accelerated medical innovation.

A celebration of that 150th birthday begins today, and will continue through most of 2020, marking many of the medical and life sciences milestones and achievements that have happened at U-M and helped transform care everywhere.

A new timeline of historical events has just launched on the Michigan Medicine website, along with links to resources to explore U-Ms medical history further and a new overview video.

Theres also a video of a recent lecture by Joel Howell, M.D., Ph.D., co-author of the 2017 book Medicine at Michigan: A History of the University of Michigan Medical School at the Bicentennial and the Elizabeth Farrand Collegiate Professor in Medical History, as well as a professor of internal medicine, history, and health management and policy.

Throughout the coming months, new stories and social media posts will bring Michigan Medicines history to life, linked by the hashtag #michmed150 on Twitter, Facebook, LinkedIn and Instagram. Anyone at the university interested in receiving updates when new stories or updates are available may join an email list.

Michigan Medicine faculty, staff, retirees, alumni and patients will be invited to share their memories, and interact with historical content, too. Units within Michigan Medicine can tap into the celebration by noting events in their own past all have firsts or major national contributions of their own.

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Michigan Medicine kicks off celebration of 150th anniversary - University of Michigan Health System News

Dell Med team working to improve community health in Mexico and Texas – KXAN.com

AUSTIN (Nexstar) A team of health scholars from The University of Texas at Austin and institutions in Mexico are working to improve health on both sides of the U.S.-Mexico border.

Researchers participated in a summit recently to continue discussions over various projects aimed at this goal.

What we wanted to do was create an environment, a space that would be able to creatively engage these problems and to use the skills, the talent and the expertise of people from all over campus, said Ricardo Ainslie, Ph.D., director of the LLILAS Mexico Center at UT Austin and an affiliate faculty member at Dell Medical Schools Department of Population Health.

One of the projects focuses on providing expectant dads with more information about pregnancy and life after their baby is born.

The Fathers Playbook app, available both on the iPhone and the Android, was developed by the team led by Michael Mackert, Ph.D. Mackert is the director of the Center for Health Communication, a joint center between Dell Med and UT Austins Moody College of Communication. The Texas Safe Babies team also includes The University of Texas Health Science Center at Tyler and the SAGA Lab at UT Austin.

The free app is bilingual in English and Spanish and provides information about financial planning, ways pregnancy can affect men, staying healthy and preparing for the babys arrival.

Dads are everywhere, Ainslie said.

Dr. Jonathan Lugo, an obstetrician and gynecologist at Tey Womens Health Center, says it could benefit soon-to-be fathers.

What we do see is a lot of fathers not being as engaged or involved, he said.

Mackert said the inspiration for creating the app came from personal experience. When his wife was first pregnant, he saw that most of the conversations around prenatal care were centered around the mother. Ainslie says back then, he also felt that he didnt quite have all the information needed when he was preparing for his children.

As a father myself I have four children I know that it can be a little scary, it can be a little daunting to have a very young child, especially when you dont know exactly how to optimally engage, Ainslie said.

Experts hope having this app and bringing more fathers on board about their role in pregnancy can help improve family engagement, since dynamics are changing both in Texas and in Mexico.

We are a long way from that era of the nuclear family where dad goes to work and mom stays home and raises children, Ainslie said. We live in a society and this is increasingly true in Mexico as well, where most families have both parents working.

Studying community trauma

Carmen Valdez, Ph.D., who is an associate professor at Dell Meds Department of Population Health and at the Steve Hicks School of Social Work, is leading a team studying community trauma after natural disasters like hurricanes and earthquakes. Theyre also looking at human-made events like mass shootings.

Researchers are continuing to travel between Texas and Mexico and will be conducting studies. Previously, a team joined Ainslie in visiting the areas impacted by the 2017 Puebla earthquake in Mexico.

Valdezs background is in psychology.

As a psychologist, I was trained to think about trauma as an individual experience, someone who is exposed to or who has directly experienced a disturbing event, she said. And although there is indeed a psychological consequence to experiencing trauma, what we are seeing entire communities that are migrating or are being displaced because of large societal events. What were hoping to do in this project is to collaborate with others who have different areas of expertise architecture, engineering nursing, health, mental health, education, sociology, to better understand how entire communities are affected by natural disasters, especially when communities are disadvantaged to begin with.

She says its important to not only provide immediate help but to also find concrete, long-term solutions in these cases.

What is the social impact? Valdez said. What is the economic impact and what is the impact on the environment in the place we live, where we go to church, where we work, where we play and what are initiatives that we can do as a community to improve the resources that are available?

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Dell Med team working to improve community health in Mexico and Texas - KXAN.com

Invisible Ink Could Reveal whether Kids Have Been Vaccinated – Scientific American

Keeping track of vaccinations remains a major challenge in the developing world, and even in many developed countries, paperwork gets lost, and parents forget whether their child is up to date. Now a group of Massachusetts Institute of Technology researchers has developed a novel way to address this problem: embedding the record directly into the skin.

Along with the vaccine, a child would be injected with a bit of dye that is invisible to the naked eye but easily seen with a special cell-phone filter, combined with an app that shines near-infrared light onto the skin. The dye would be expected to last up to five years, according to tests on pig and rat skin and human skin in a dish.

The systemwhich has not yet been tested in childrenwould provide quick and easy access to vaccination history, avoid the risk of clerical errors, and add little to the cost or risk of the procedure, according to the study, published Wednesday in Science Translational Medicine.

Especially in developing countries where medical records may not be as complete or as accessible, there can be value in having medical information directly associated with a person, says Mark Prausnitz, a bioengineering professor at the Georgia Institute of Technology, who was not involved in the new study. Such a system of recording medical information must be extremely discreet and acceptable to the person whose health information is being recorded and his or her family, he says. This, I think, is a pretty interesting way to accomplish those goals.

The research, conducted by M.I.T. bioengineers Robert Langer and Ana Jaklenec and their colleagues, uses a patch of tiny needles called microneedles to provide an effective vaccination without a teeth-clenching jab. Microneedles are embedded in a Band-Aid-like device that is placed on the skin; a skilled nurse or technician is not required. Vaccines delivered with microneedles also may not need to be refrigerated, reducing both the cost and difficulty of delivery, Langer and Jaklenec say.

Delivering the dye required the researchers to find something that was safe and would last long enough to be useful. Thats really the biggest challenge that we overcame in the project, Jaklenec says, adding that the team tested a number of off-the-shelf dyes that could be used in the body but could not find any that endured when exposed to sunlight. The team ended up using a technology called quantum dots, tiny semiconducting crystals that reflect light and were originally developed to label cells during research. The dye has been shown to be safe in humans.

The approach raises some privacy concerns, says Prausnitz, who helped invent microneedle technology and directs Georgia Techs Center for Drug Design, Development and Delivery. There may be other concerns that patients have about being tattooed, carrying around personal medical information on their bodies or other aspects of this unfamiliar approach to storing medical records, he says. Different people and different cultures will probably feel differently about having an invisible medical tattoo.

When people were still getting vaccinated for smallpox, which has since been eradicated worldwide, they got a visible scar on their arm from the shot that made it easy to identify who had been vaccinated and who had not, Jaklenec says. But obviously, we didnt want to give people a scar, she says, noting that her team was looking for an identifier that would be invisible to the naked eye. The researchers also wanted to avoid technologies that would raise even more privacy concerns, such as iris scans and databases with names and identifiable data, she says.

The work was funded by the Bill & Melinda Gates Foundation and came about because of a direct request from Microsoft founder and philanthropist Bill Gates himself, who has been supporting efforts to wipe out diseases such as polio and measles across the world, Jaklenec says. If we dont have good data, its really difficult to eradicate disease, she says.

The researchers hope to add more detailed information to the dots, such as the date of vaccination. Along with them, the team eventually wants to inject sensors that could also potentially be used to track aspects of health such as insulin levels in diabetics, Jaklenec says.

This approach is likely to be one of many trying to solve the problem of storing individuals medical information, says Ruchit Nagar, a fourth-year student at Harvard Medical School, who also was not involved in the new study. He runs a company, called Khushi Baby, that is also trying to create a system for tracking such information, including vaccination history, in the developing world.

Working in the northern Indian state of Rajasthan, Nagar and his team have devised a necklace, resembling one worn locally, which compresses, encrypts and password protects medical information. The necklace uses the same technology as radio-frequency identification (RFID) chipssuch as those employed in retail clothing or athletes race bibsand provides health care workers access to a mothers pregnancy history, her childs growth chart and vaccination history, and suggestions on what vaccinations and other treatments may be needed, he says. But Nagar acknowledges the possible concerns all such technology poses. Messaging and cultural appropriateness need to be considered, he says.

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Invisible Ink Could Reveal whether Kids Have Been Vaccinated - Scientific American

Austin Blockchain Collective and Dell Medical School to Host Blockchain and Digital Transformation in Health 2020 Symposium – PR Web

Blockchain and Digital Transformation in Health 2020 Symposium

AUSTIN, Texas (PRWEB) December 12, 2019

In a unique collaboration between industry and academia, the Austin Blockchain Collective is working with Dell Medical School at the University of Texas to host the Blockchain and Digital Transformation in Health 2020 Symposium on February 26, 2020. The educational event follows the formation earlier this year of the collectives Healthcare Working Group, which comprises local healthcare-oriented blockchain technology innovators and Dell Med.

The Austin Blockchain Collective has a mission to promote the City of Austin's credentials as a recognized global center of business, innovation and thought leadership in the blockchain technology space, notes Pete Harris, Executive Director of the Austin Blockchain Collective. Hosting this educational day with Dell Med is an example of that leadership in action addressing issues that are critical to the health and wellness of patients and the broader population.

The faculty for the symposiums educational program is currently being assembled. Academic presentations from UTs Dell Medical School, McCombs School of Business and its Department of Electrical and Computer Engineering have already been accepted and a call for further abstracts from academia is currently open.

Industry thought leaders representing Amchart, Bloqcube, City of Austin, ConsenSys Health, Encrypgen, HASA and Rymedi are also confirmed for the program. Further faculty members from academia and industry, including keynotes, will be announced in January 2020.

A number of application and technology topics will be covered during the day, which will comprise keynote presentations and plenary panels, as well as specialist breakout sessions. Topics likely to be covered include:

More than 150 healthcare industry and technology professionals are expected to attend. The symposium is especially targeted at those working in the following roles:

The venue for the Blockchain and Digital Transformation in Health 2020 Symposium is M2M Element, a recently opened medical and life sciences innovation center.

About the Austin Blockchain Collective

The Austin Blockchain Collective has a mission to establish Austin, TX as a recognized global center of business, innovation and thought leadership in the blockchain technology space. The Collective provides education, advice and guidance on blockchain and crypto technologies, and advocates for, showcases and nurtures local blockchain and crypto vendors and users. It connects and promotes these ecosystem participants and encourages accelerated adoption of these transformative technologies. Visit http://www.austinblockchaincollective.com to learn more.

About Dell Medical School

Dell Medical School is rethinking the role of academic medicine in improving health with a unique focus on community. More information is available at https://dellmed.utexas.edu.

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Austin Blockchain Collective and Dell Medical School to Host Blockchain and Digital Transformation in Health 2020 Symposium - PR Web

NRMP Releases Results of the Pediatric Specialties Match for Appointment Year 2020 – PRNewswire

WASHINGTON, Dec. 18, 2019 /PRNewswire/ -- The National Resident Matching Program (NRMP) has released the results of the 2019 Pediatric Specialties Match (PSM) for appointment year 2020. The 2019 PSM surpassed the 2018 PSM with 1,522 applicants submitting program choices (a 3.1% increase) and 803 participating programs (a 3.3% increase) offering 1,628 positions (a 2.8% increase). Of the positions offered, 1,361 filled (a 4.9% increase).

Initially, NRMP sponsored two Pediatric subspecialty Matches. The Pediatric Specialties Fall Match launched in 2009 when existing subspecialty Matches in Pediatric Cardiology and Pediatric Gastroenterology joined with new-to-the-Match subspecialties Pediatric Nephrology and Pediatric Pulmonology to create a combined Match. The Pediatric Specialties Spring Match was created at the same time with Pediatric Critical Care Medicine, Pediatric Emergency Medicine, and Pediatric Rheumatology. Last year, the two Matches merged to become the PSM and included the seven subspecialties listed above along with Academic General Pediatrics, Child Abuse, Developmental-Behavioral Pediatrics, Neonatal-Perinatal Medicine, Pediatric Endocrinology, Pediatric Hematology/Oncology, Pediatric Hospital Medicine, and Pediatric Infectious Diseases. Pediatric Transplant Hepatology is new to this year's PSM for July 2020 appointments.

Growth in PSM has been significant. Since the 2016 appointment year, the number of participating programs has increased by 63.5 percent, the number of applicants submitting program choices by 75.1 percent, the number of certified positions by 69.4 percent, and the number of positions filled by 73.8 percent.

"I am delighted to see another consecutive year of growth for our Pediatric Specialties Match," said NRMP President and CEO Dr. Donna L. Lamb. "A strong workforce of young physicians choosing fellowship training in Pediatrics is essential to delivering the promise of medicine to infants, children, and adolescents, as well as their caring family members."

Program Highlights

Applicant Highlights

Read the 2019 PSM Match Results Statistics Reportfor more data on Pediatric fellowship appointments that begin in July 2020.

The NRMP MatchThe Match uses a computerized mathematical algorithm to align the preferences of applicants with the preferences of program directors in order to fill training positions available at U.S. teaching hospitals. Research on the NRMP algorithm was a basis for awarding The Sveriges Riksbank Prize in Economic Sciences in Memory of Alfred Nobel in 2012.

About NRMPThe National Resident Matching Program (NRMP), or The Match, is a private, non-profit organization established in 1952 at the request of medical students to provide an orderly and fair mechanism for matching the preferences of applicants for U.S. residency positions with the preferences of residency program directors. In addition to the annual Main Residency Match for more than 44,000 registrants, the NRMP conducts Fellowship Matches for more than 60 subspecialties through its Specialties Matching Service (SMS).

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NRMP Releases Results of the Pediatric Specialties Match for Appointment Year 2020 - PRNewswire

What’s the difference between MD and a DO? – Marquette Mining Journal

Kathryn Lerche Do gives a presentation about the difference between an MD and a DO at the Peter White Public Library on Weds. Dr. Lerche is a primary care physician at UPHS - Marquette Family Medicine. (Journal photo by Amy Grigas)

Journal Staff Writer

MARQUETTE Which primary care physician is the correct match for me? That is a question that weighs down on a lot of people. Trying to pick a primary care provider isnt always an easy task and can be stressful. When looking for a provider you will see MD or DO listed at the end of their name. A question that often comes up is what is the difference between an MD and a DO?

MD stands for Doctor of Medicine while DO stands for Doctor of Osteopathic Medicine. MDs and DOs are both licensed physicians who attend medical school with a scientific foundation. The difference is MD is Allopathic and DO is Osteopathic.

As an osteopathic physician, I believe in treating the whole patientnot just the symptoms This includes a strong provider-patient relationship in order to make a decision together about treatments and testing, said Kathryn Lerche, DO at UPHS Marquette Family Medicine.

During this months Meet the Physician session held at the Peter White Public Library Dr. Lerche explained the question that many people have: What is the difference between and MD and a DO?

In order to become an MD or a DO there are basic steps one must take.

All medical schools require a bachelors degree or at least four years of prerequisite work thats going to be pretty much identical between an MD and a DO. A lot of basic sciences, chemistry, etc. Medical school entrance exams which are identical between the two schools, according to Dr. Lerche.

She earned her Bachelor of Science at Michigan Tech before completing medical school at Michigan States College of Osteopathic Medicine. She completed her residency with the UPHS-Marquette Family Residency Program and is now a full time DO at UPHS Marquette Family Medicine.

Some medical schools specialize in one or the other, either the College of Osteopathic Medicine or The College of Human Medicine. Michigan State is a college that actually offers both medical schools for prospective students to choose from.

To kind of confuse the picture even more recently in the last 5-10 years theres been a good merging of the training. So actually at MSU we took the same classes for those two years of medical school as the MD students because basic science is basic science no matter how you want to practice, said Dr. Lerche.

She explained that there used to be more DO residency programs and MD residency programs. Programs have started to change and merge together over the years so nowadays you can find an MD resident shadowing a DO.

MDs during their residency in Marquette can shadow a DO and see the other side and what a DO does compared to the traditional way MDs practice, said Dr. Lerche.

This brings us back to the question of what is the difference. DOs have about 1000 additional hours of training in the medical system. They start from the very beginning learning the different muscles and practice on each other where they are located. According to Dr. Lerche the body does have the ability to self regulate and to heal so anytime DOs make a medical decision they do keep that in mind.

Honestly today there is not a ton of differences. As I mentioned we have very similar training and we take the same classes. They require the same exams and regulatory body. But the big thing that kind of sets us apart is right from the beginning of medical school they teach osteopathic positions that treat the whole person, treat the whole body, the body is connected as one human that functions together, we focus a lot on structure, said Dr. Lerche.

Amy Grigas can be reached at 906-228-2500, ext. 243. Her email address is agrigas@miningjournal.net.

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What's the difference between MD and a DO? - Marquette Mining Journal

Indiana University School of Medicine researchers use cutting-edge technology to predict which triple negative breast cancer patients may avoid…

IU School of Medicine 12/13/19

SAN ANTONIOIndiana University School of Medicine researchers have discovered how to predict whether triple negative breast cancer will recur,and whichwomenare likely toremain disease-free. They will present their findingson December 13, 2019,at the San Antonio Breast Cancer Symposium, the most influential gathering of breast cancer researchers and physicians in the world.

Milan Radovich, PhD, andBryan Schneider, MD,discovered that women whose plasmacontained genetic material from a tumor referred to as circulating tumor DNA had only a 56 percent chance of being cancer-free two years following chemotherapy and surgery. Patients who did not have circulating tumor DNA, or ctDNA,in their plasma had an 81 percent chance that the cancer would not return after the same amount of time.

Triple negative breast cancer is one of the most aggressive and deadliest types of breast cancer because it lacks common traits used to diagnose and treat most other breast cancers. Developing cures for the disease is a priority of theIU Precision Health Initiative Grand Challenge.

The study also examined the impact of circulating tumor cells,or CTCs,which arelive tumor cells that are released from tumors somewhere in the body and float in the blood.

What we found is that if patientswerenegative for bothctDNA and CTC, 90 percent of the women with triple negative breast cancer remained cancer-free after two years, said Radovich, who is lead author of this study and associate professor of surgery and medicalandmolecular genetics at IU School of Medicine.

Advocates for breast cancer researchsaythey are excited to hear about these results.

The implications of this discovery will change the lives of thousands of breast cancer patients, saidNadia E.Miller,who is a breast cancer survivor andpresident of Pink-4-Ever, which is a breast cancer advocacy group in Indianapolis. This is a huge leap toward more favorable outcomes and interventions for triple negative breast cancer patients. To provide physicians with more information to improve the lives of somany is encouraging!

Radovich and Schneider are researchers in theIndiana University Melvin and Bren Simon Cancer Centerand theVera Bradley Foundation Center for Breast Cancer Research. They lead the Precision Health Initiatives triple negative breast cancer team.

The researchers, along with colleagues from theHoosier Cancer Research Network, analyzed plasma samples taken from the blood of 142 women with triple negative breast cancer who had undergone chemotherapy prior to surgery. Utilizing theFoundationOne Liquid Test, circulating tumor DNA was identified in 90 of the women;52 were negative.

The women were participants inBRE12-158,a clinical study that testedgenomically directed therapyversus treatment of the physicians choicein patients withstageI,II or IIItriple negative breast cancer.

Detection of circulatingtumorDNA was also associated with poor overall survival. Specifically, the study showed that patients withcirculatingtumorDNA were four times more likely to die from the disease when compared to those who tested negative for it.

The authors say the next step is a new clinical study expected to begin in early 2020, which utilizes this discovery to enroll patients who are at high risk for recurrence and evaluates new treatment options for them.

Just telling a patient they are at high risk for reoccurrence isnt overly helpful unless you can act on it, said Schneider, who is senior author of this study and Vera Bradley Professor of Oncologyat IU School of Medicine. Whats more important is the ability to act on that in a way to improve outcomes.

Organizers of theSan Antonio Breast Cancer Symposiumselected the researchto highlight frommore than2,000 scientific submissions.

This study was funded by the Vera Bradley Foundation for Breast Cancerand the Walther Cancer Foundation.It is part of theIndiana University Precision Health InitiativeGrand Challenge.The study was managed by the Hoosier Cancer Research Network and enrolled at 22clinical sites across theUnited States.

To interviewMilan Radovich or Bryan P. Schneideron Friday, Dec. 13,contactChristine Drury at 317-385-9227 (cell)on-site in San Antonio.

Local mediacancontact Anna Carrera in Indianapolisat 614-570-6503 (cell).

For the full media kit, click here.

# # #

What theyre saying:

IU School of Medicine DeanJayL.Hess, MD, PhD, MHSA:While we have made extraordinary progress in treating many types of breast cancer, triple negative disease remains a formidable challenge. We are dedicating substantial expertise and resources to this disease, and this discovery is an important step forward. We will continue to press ahead until we have new therapies to offer women with this most aggressive form of breast cancer.

IU School of Medicine Executive Associate Dean for ResearchAnanthaShekhar, MD, PhD:I could not be more proud of our research team here at IU School of Medicine and the IU Precision Health InitiativeGrand Challenge. A few years ago, I gave the teams the challenge to come up with targeted treatments, cures and preventions for triple negative breast cancer, where there had been none. The findings, announced today, show we are well on our way to achieving these bold goals.

Indiana University Melvin and Bren Simon Cancer Center DirectorPatrick J. Loehrer, MD:Addressing an issue of importance in Indiana and globally, our IU cancer researchers are making novel discoveries that have the real potential to impact women with triple negative breast cancer. This work does not happen in a vacuum, but is a product of team science, which characterizes the fabric of our National Cancer Institute-designated Comprehensive Cancer Center.

###

IU School of Medicine is the largest medical school in the U.S. and is annually ranked among the top medical schools in the nation by U.S. News & World Report. The school offers high-quality medical education, access to leading medical research and rich campus life in nine Indiana cities, including rural and urban locations consistently recognized for livability.

The Precision Health Initiative is IUs big health care solution. Led by the IU School of Medicine, the Precision Health Initiative team is working to prevent and cure diseases through a more precise understanding of the genetic, behavioral, and environmental factors that influence a persons health, with bold goals to cure one cancer and one childhood disease and to prevent one chronic illness and one neurodegenerative disease.

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Indiana University School of Medicine researchers use cutting-edge technology to predict which triple negative breast cancer patients may avoid...

What is a radiologist? Everything you need to know – Medical News Today

A radiologist is a type of doctor who uses medical imaging to support the diagnosis and treatment of various conditions and injuries.

In this article, we discuss what a radiologist does, their training, and the different types of radiology.

A radiologist is a type of doctor who specializes in medical imaging. Radiologists analyze images, such as X-rays, to help diagnose, monitor, and treat various conditions or injuries.

Radiologists are different than radiographers. Although both of these professionals work with medical imaging, radiographers are the people who operate the machinery.

There are different types of radiologists, including diagnostic radiologists and medical physicists.

There are several different specialties of radiology, including:

Diagnostic radiologists use medical imaging to diagnose and treat diseases. They can use a variety of different imaging methods, such as:

Interventional radiologists use medical imaging to provide therapy to people with noncancerous conditions.

For example, an interventional radiologist might use medical imaging to support a surgical procedure.

This imaging can make surgical procedures safer and lead to faster recovery times. Interventional radiologists typically work on keyhole surgery.

Keyhole surgery involves making small cuts instead of larger ones and using tiny cameras to see inside the body.

A radiation oncologist uses radiation-based therapy to treat cancer. This therapy involves the use of high energy radiation to damage cancer cells, which stops them from spreading further.

It can help reduce symptoms or, in some cases, cure the condition entirely.

Medical physicists use their understanding of physics to support the practice of medicine in different ways.

For example, they can advise on and deliver the technical aspects of medical imaging to ensure the safety of patients and the effectiveness of the results.

Some medical physicists are also researchers and play a role in developing new medical technology. Medical physicists have developed many devices that doctors commonly use today, such as magnetic resonance imaging (MRI).

Radiologists can work in clinical practices, hospitals, or universities. The job of radiologists varies depending on their specialty.

All radiologists work with medical imaging methods, which include:

Most of these techniques involve the use of radiation. Radiologists are highly trained in keeping people safe from the harmful effects of radiation.

These professionals can help other doctors decide on the right imaging method to use and understand what the results mean for treatment. They can also help interpret different images and other test results to make a diagnosis or monitor whether current treatments are working.

Certain types of radiologists, including interventional radiologists, are more actively involved in the treatment process. Others, such as diagnostic radiologists, might provide support to other healthcare professionals.

Some radiologists rarely work with patients and instead work in labs doing research. For example, some clinical studies might include a radiologist to help with the analysis of medical images.

Radiologists are medical doctors, so they follow a similar path to those working in other specialties.

All radiologists need a medical degree, which involves 4 years of training and education from a medical school.

Most medical schools require students to have an undergraduate degree and pass a Medical College Admission Test before entering.

After finishing medical school, radiologists do a year of clinical training. They may spend a preliminary year focusing on one area of medicine, such as internal medicine, or it may be a transitional year that involves several rotations through different specialties.

Following the clinical year, radiologists usually complete 4 years of paid residency. Residency is a combination of further medical education and on-the-job training in different areas of radiology.

After a residency, most radiologists do a fellowship. A fellowship is an additional 1 or 2 years of training in a specialized area of radiology, such as nuclear radiology. Interventional radiologists must undertake a 2 year fellowship.

Radiologists are medical doctors. They share some of the same duties as a family doctor, such as performing diagnoses or monitoring treatment, but most radiologists do not work directly with patients.

Radiologists are different than radiographers. Radiographers operate medical imaging equipment, but they do not interpret the results.

Radiologists are medical doctors who work with medical imaging techniques, such as MRIs or X-rays.

There are several different specialties of radiology, each of which plays a different role in medicine.

For example, a diagnostic radiologist helps support diagnosis and treatment, while an interventional radiologist uses imaging to guide surgical procedures.

Most radiologists work with other doctors to diagnose and treat a wide range of conditions and injuries. They receive an education similar to that of other medical doctors, which takes about 8 to 10 years.

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What is a radiologist? Everything you need to know - Medical News Today

Meet the Playwright Debuting 2 Plays in 1 Seasonand Going to Med School at the Same Time – Playbill.com

If you werent a playwright, what would you be?

Sylvia Khoury doesnt have to answer that question.

Because Khoury is a fourth-year medical student and a produced playwright making her New York stage debut with her play Power Strip at Lincoln Center Theaters LCT3. Yet, this demanding double life was never the master plan.

As a kid, Khoury actively felt like she wanted to be a doctor when she grew up. The arts werent a focus during her young life. Theatre was not formative for me, Khoury acknowledges, but reading was. I would take out 10 books from the library and then read them eachone chapter from this book, one chapter from this book, to try to make a bigger story.

And yet, when it was time for medical school, Khoury felt something gnawing at her. So she asked to defer med school for three yearsand they said yes. She used those three years to earn a Masters in playwriting from The New School. When she graduated, she could have chosen to leave writing behind and pursue her M.D.; she could have chosen not to go to med school and pursue theatre. Khoury chose not to choose.

It felt a little crazy to do [both], she admits, but then I was like, 'Its my life and I have one of them, so I might as well see what happens.'

Whats happened is shes become a member of the 20182019 Rita Goldberg Playwrights Workshop at The Lark; shes a member of Ensemble Studio Theatres Youngblood group; she is a former member of the Womens Project Lab and the Dramatists Guild Fellowship. Her play Selling Kabul premiered this past summer at the prestigious Williamstown Theatre Festival and will bow Off-Broadway in 2020. But before that, another play marks her New York stage debut: LCT3 puts on her Power Strip, currently running at the Claire Tow Theatre with an official opening October 21 directed by Tyne Rafaeli. And, of course, shes in her fourth year at Mount Sinai Medical School.

RewindIn hindsight, Khoury had always been living parallel lives. As a kid, she made movies with her friends using the camcorder her parents gave her in the sixth grade and geeked out on science and the human body. In high school she was captain of the math team and editor of the literary magazine.

If Im totally honest, the idea that the arts were a career choice was not a reality, says Khoury. I have a very early memory of my father asking me in the car driving back from school one day, What was your favorite class? I was in kindergarten. And I was like, I like drama. And he went, Well, I like to sing. She adds, It was actually very moving.

Born and raised in Westchester to a Lebanese father who emigrated to Paris and Parisian-born North African mother, Khoury felt an unspoken expectation of getting a secure job, something serious. I think a lot of that comes from the immigrant experience, she says. And yet, her path to become a doctor was never about pressure.

My fathers a radiologist, so at home he would have X-rays up. My mothers an oncologist and she would talk about what she was seeing at work, Khoury explains. When thats the language of your family, you internalize it. It was the fabric of our lives. It still is.

But a playwriting class she took in her senior year at Columbia ignited something in Khoury she hadnt known was theresomething she felt compelled to explore. I just really wanted to know if the part of myself that wanted to tell stories and connect to people was the part of myself that I could actually engage with the world in, she says. She knew ignoring the gut feeling would lead to regret.

During her first two years at Mount Sinaimainly classes and examsher studies dominated. (Though, to be fair, she wrote Selling Kabul when she should have been prepping for her physiology exam.) She took a year off after her second-year boards and mounted her first production. Then Khoury went back to med school for her third year of clinical rotations, which just finished earlier this summer, in time for Williamstown. (Khoury actually showed up for Day One of rehearsals, jetted back down to New York for her final week of Year Three, and went back to Massachusetts for the production.) Its been a carefully calibrated give-and-take, alternately prioritizing medicine and her art.

The thing that I want to emphasize is that I am by no means Superwoman, says Khoury. Memorizing all of these things for medical school is not immediate for me. Writing a play is hard. All of it takes time.

Self-examinationWhat Khoury found at The New School wasnt necessarily an answer to her introspective questions, but it was a starting point in discovering the building blocks of her voice. The pursuit of that voice, in part, drives her to write the plays she does.

She invests deeply in characters, while prioritizing a global perspective. Astutely aware of the concentration of decision-makers in New York, Khoury feels a responsibility to tell stories about places outside of the U.S., but affected by the U.S.

Power Strip, in particular, centers on Syrian refugee Yasmin and earns its name from the electric lifeline to which she tethers herself in her Greek refugee camp. Though she was a middle class student in her city, the civil war has rendered her a woman of survival. An intimate play of four characters, Yasmin and the three men circling her, it was very important to me to draw very nuanced portraits of these people because Im not interested in saying that men are evil and women are good, says Khoury. Its really an exploration of power dynamics at work in our everyday lives.

The examination of America through international eyes is a common thread through Khourys work, as is what it means to be a woman in mans world. Central to a lot of my work is the idea that women at the end of the day are really keeping society together, she says. Its very important to examine: What are we asking women to carry and how have we internalized that ourselves?

Perhaps what stirs Khoury most is probing for answersdiagnostic and existential.[Theatre]s the place society comes to examine itself, right? she says. Religion used to have that function and continues to have that function for some people, but, in my life, the place to really examine what it means to be a human and what our world is and what it could be, thats all in theatre.

For a kid who grew up reading and making movies, Khoury feels a deep allegiance to theatre. Its such a different experience to be sitting alongside your peers and all examining the same things in yourself silently, side by side.

With ReverenceThrough three years of medical school shes carried that awe with her. It fuels her desire not just to learn about medicine, but to practice it as a physician. Its a privilege to enter a room with someone and have them tell you everything about their life with trust and completely open-hearted, she says.

The rigor of medicine cultivates discipline in her writing. Theres the illusion with theatre that things just happen. [But] its as serious as studying for an exam. Its harder, actually, because youre trying to find the stuff that makes us human.

I also think that medicine, you really meet people in very vulnerable moments of their lives. And youre kind of confronted with humanity on a daily basis, she continues. Theres something about thatdefinitely not consciouslythat seeps into what I write.

Its hard not to feel like the two feed each other, she says.

Her PrognosisGoing into her fourth year of medical studywhich she will spread over the next two calendar yearsshe will complete a psychiatry rotation, a radiology rotation, an emergency medicine rotation and her intro to internship. She hasnt committed to a specialty, but today, psychiatry calls to her.

With psychiatry, its like the micro work that theatre is doing the macro work of, right? she posits. Its one person and examining how they operate and how they move through the world whereas theatre is more on a societal level.

Whether a patient in her exam room or a viewer at her play, we are all in great hands.

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Meet the Playwright Debuting 2 Plays in 1 Seasonand Going to Med School at the Same Time - Playbill.com

If food is medicine, why isnt it taught at medical schools? – The New Food Economy

Students in medical schools across the country spend less than 1 percent of lecture time learning about diet.

Earlier this year, Mount Sinai, the biggest hospital network in New York City, invested in a meal delivery service. Though it seemed like an unusual move at the time, the networks decision makes sense if you consider the intrinsic relationship between food and healtha connection underscored by countless other recent examples of healthcare initiatives that harness diet as a tool to improve well-being.

At a California rehabilitation facility, for instance, doctors use the rituals of eating to help people recover from trauma. And over the past decade, cities across the country have launched food prescription programs that incentivize participants in the Supplemental Nutrition Assistance Program (SNAP) to buy fresh fruits and vegetables at farmers markets. A number of nonprofit organizations have launched medically-tailored meal services for people suffering from diet-related diseases.

Culturally and politically, were increasingly acknowledging that what we eat plays a major role in our health. Which is why its especially strange that healthcare providers know so little about it.

Medical curriculums have been developed historically, foregrounding disciplines like biology, behavior, and disease to the detriment of food and nutrition.

In a new report published by the Harvard Food Law and Policy Clinic, researchers write that, on average, students in medical schools across the country spend less than 1 percent of lecture time learning about diet, falling short of the National Research Councils recommendation for baseline nutrition curriculum. Neither the federal government, which provides a significant chunk of funding to medical schools, nor accreditation groupswhich validate themenforce any minimum level of diet instruction.

And it shows: While you and I might show up for our annual physicals expecting feedback on our what and how much we should be eating, just 14 percent of doctors feel qualified to offer that nutrition advice.

How did the gap get this wide? Much of it can be explained by the way medical curriculums have been developed historically, foregrounding disciplines like biology, behavior, and disease to the detriment of food and nutrition. Today, the legacy of this framework makes it hard for medical schools to retroactively integrate nutrition into their curriculums.

Because [nutrition] wasnt prioritized for so long, there arent a lot of faculty and medical schools that have any knowledge about nutrition and diet, says Emily Broad Leib, the reports lead author. To build it into schools now requires real investment in hiring and training.

People believe that nutrition is easy, when in reality, nutrition is most of medicineand then a lot more.

The report recommends a wide range of policy changes that could function as carrots and sticks in getting nutrition onto course outlines. They range from making federal funding contingent on nutrition training to performance-based incentives that encourage schools to include diet-related subjects in curriculums.

Why are we spending so much government money to educate physicians and residents, and yet were not getting any impact in terms of these this large set of [diet-related] diseases? Broad Leib asks.

The recommendations also implicate other players in the world of medicine, like accreditation organizations and licensing boards, for not requiring a baseline level of dietary expertise from schools and doctors, respectively. Part of the reason that may be is the prevailing attitude society has toward food as a soft science.

People believe that nutrition is easy, when in reality, nutrition is most of medicineand then a lot more, says Martin Kohlmeier, a professor of nutrition at the University of North Carolina-Chapel Hill. You have cultural, food production, and food safety issues. It is a challenge for physicians to learn enough.

Doctors with expertise in nutrition are more likely to spot diet-related issues earlier in a patients prognosis.

Kohlmeier leads the Nutrition in Medicine Project, a free, online nutrition curriculum tailored to medical students and doctors. Kohlmeier estimates that 150,000 students have participated in some aspect of the program since its launch in 1995. Nevertheless, he stresses, voluntary education is only a temporary fix for a systemic problem.

A lot of institutions have electives, all kinds of nice things that maybe 1 to 5 percent of their students use. And Im always saying: You are going to be treated by the physician who skipped those classes.

But why teach doctors nutrition and diet when there already exists a specialty in those fields? Nutritionists and dieticians are experts in the way our individual biologies are affected by what we eat. What role will they play if our general practitioners develop that same expertise?

Shoring up what doctors know about food wont render nutritionists moot, says Carol DeNysschen, a registered dietician and chair of the health, nutrition, and dietetics program at the State University of New York-Buffalo.

The more that [doctors] know, the more they realize what they dont know, and the more they realize how complicated it can be to develop an individualized nutrition plan for people and to get them the support they need to monitor or manage [issues like] their weight, their diabetes, DeNysschen says.

DeNysschen characterizes the relationship between doctors and nutritionists as a symbiotic one. Doctors with expertise in nutrition are more likely to spot diet-related issues earlier in a patients prognosis, and that could mean more referrals to diet experts. The more nutrition knowledge they have, the more theyre aware of looking for those areas where a nutritionist or dietitian could interject, she says.

Beyond the healthcare implications, the Harvard report also makes an economic case for teaching doctors about food. Taxpayer dollars fund most physician residencies in the United States through Medicare. (Medical school graduates train to become doctors via residency in a hospital.) Simultaneously, Medicare serves as the national insurance program for aging Americans, and thus, incurs the costs of diet-related diseases during that stage of our lives. Therefore, the report argues, requiring nutrition education in medical residencies is another way for Congress to trim its own bills.

Thats one element of the case that Broad Leib will likely make next week at a Congressional hearing. Though the report largely focuses on federal policy changes, some local lawmakers are introducing legislation that would require nutrition education among doctors within their jurisdictions. In New York, for example, state legislators recently proposed a bill that would require practicing physicians to receive six hours of nutrition coursework or training every two years. In Washington, D.C., municipal lawmakers introduced a bill that would require continuing education for doctors to be expanded to include nutrition coursework.

Poor diet continues to be one of the biggest contributors to chronic disease and mortality in the U.S., killing one in five Americans every year. Thats a higher rate than three other risk factorspollution, lack of exercise, alcohol and drug usecombined. As the tide continues to rise in favor of ideas and policies that combine food and healthcare, medical schools may be next to center nutrition in their work. Someones just got to prescribe it.

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If food is medicine, why isnt it taught at medical schools? - The New Food Economy

Forget Free Tuition, Application Costs Are First Barrier – Medscape

Numerous medical schools have made news in recent years by offering free tuition, but that might not be enough to bolster diversity in medicine. It is also necessary to reduce the costs of applying to medical school, say authors of a perspective published online today in the New England Journal of Medicine.

Application fees; interview costs including clothing, transportation and lodging; test fees; and test preparation fees may keep qualified students from taking the first step, write Lorena Millo, BS, with the Margolis Center for Health Policy at Duke University in Durham, North Carolina, and colleagues.

"High application costs send a message that medical education isn't designed to be obtainable for low-income people, which could potentially deter some people from applying at all," they write.

While some schools are expanding scholarship programs and even waiving tuition costs altogether, Millo and colleagues note that similar improvements have not come to the application process.

And whereas medical school costs come with the high odds of making enough money as physicians to repay the debt, the application process requires a much bigger gamble.

Just taking the Medical College Admission Test (MCAT) costs $315 and 62.7% of students taking it buy practice exams that cost between $2000 and $10,000, the authors write.

In addition, most schools require a primary application using the American Medical College Application Service system, which costs $170 for the first school and $40 for each additional school. Secondary application fees can be as high as $200, the authors explain, noting that in 2018 applicants submitted a median of 15 secondary applications.

Millo and coauthors argue the application costs may help explain low numbers of underserved populations among the 2018 applicants.

"In 2018, only 9% of applicants identified as black or African American, 10% as Hispanic, and less than 1% as American Indian or Alaska Native," the authors write. "Nearly a quarter of first-year medical students come from families earning $250,000 or more per year, whereas only 5% come from families in the lowest household-income quintile (with incomes of about $24,000 per year or less)."

Increasing costs for applying come as average medical student debt rose to $200,000 last year, the authors note, a 4% increase over the previous year.

The authors point to two sources that help with application costs: hosting programs in which current medical students host applicants so they don't have to pay for a hotel, andthe Fee Assistance Program (FAP) run by the Association of American Medical Colleges (AAMC). That program reduces the MCAT cost, waives primary-application fees for up to 20 schools, and supplies free MCAT-prep materials. Additionally, most schools also waive secondary fees for those who qualify.

But the help does not go far enough, the authors write. It doesn't extend to interview costs, for one thing, and it doesn't help people who may not qualify by income but still can't afford the costs.

The costs can be a barrier, agreed Valerie Parkas, MD, senior associate dean of admissions at Icahn School of Medicine at Mount Sinai in New York City. In addition to the expenses listed in the article, she adds that doing the research, clinical work, and volunteer work to develop an application that's competitive can also be a barrier for those with fewer resources.

"I think for economically and educationally disadvantaged students, the whole process is more challenging," she told Medscape Medical News. That said, individual schools and the AAMC are actively working to achieve more equity in applications.

At Mount Sinai, for example, medical students host medical school applicants and alumni host applicants for residencies. The school also waives secondary fee applications and tries to accommodate those who want to interview on a day they are already interviewing in the area so as to avoid additional flights to the same region.

The school also has an early-assurance program called FlexMed, which allows 40 to 50 sophomores to know they are accepted so they don't have to go through the usual application process or take the MCAT.

"We also have an early assurance for our residency program for our students who know what field they want to get into," Parkas said. "They don't have to apply broadly for residency, again taking away all the travel and application fees."

Millo and coauthors offer three ideas for change. One is limiting the number of schools to which applicants could apply to level the field for those of different incomes.

The second is asking medical schools to screen applicants more thoroughly before inviting students to submit secondary applications. Currently, students are spending money to send secondary applications without knowing that the schools consider them serious candidates.

A third option is for schools to conduct virtual interviews, they write.

Each of these options has pros, Parkas says, but also cons.

Limiting the number of schools for applicants may disadvantage those who have not had as much access to advisers and mentors who could help them skillfully narrow their school choices, she said.

"I think that's worrisome," Parkas cautioned.

Virtual interviews are worth thinking about but they have a downside, she said. "You want students to see the school, get a sense of the learning climate, the culture of the school, talk to students, visit the city, and know if it feels like a 'good fit.'"

As to schools being more selective about secondary application invitations, Parkas said that recommendation probably makes the most sense.

However, she said, there are schools with so many applications they may turn to metrics as a way to be more selective in a short period of time and that may have the opposite effect of what the authors are promoting.

"Students who might have real adversity and reasons for academic challenges might not get a full holistic review," she said. "That may disadvantage the disadvantaged."

The authors and Parkas have disclosed no relevant financial relationships.

NEJM. Published online October 16, 2019. Perspective

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Forget Free Tuition, Application Costs Are First Barrier - Medscape

Vaping: Natick and UMass Medical School join forces to tackle addiction – Wicked Local Franklin

Natick is a test case for a program to help students suffering with nicotine addiction from vaping.

NATICK A new program designed to help students quit vaping is planned for Natick schools, and could eventually be expanded to all school districts in the state.

The program goes online in Natick shortly after Dec. 2, when middle and high school nurses are trained, according to Katie Sugarman, prevention and outreach program manager for the town.

Based on results this academic year in Natick, the program could be adopted by every school district in the state, said Caroline Cranos, training program director at UMass Medical Schools Center for Tobacco Treatment Research & Training, where the program was developed.

The town's students will have access to four visits with a school nurse, plus learn behavioral strategies to beat their nicotine addiction from vaping.

Calling it Quits: Vaping," is an offshoot of the UMass Medical School center's program developed in 2007 to help adolescents conquer their nicotine addiction from cigarettes.

Treatment, not prevention, is the Natick programs emphasis, according to Cranos.

Natick contacted the center last year, after officials witnessed some students struggling with vaping.

Thirty-six percent of Natick High School students report vaping in their lifetime, and 24% in the past 30 days, according to the 2018 MetroWest Adolescent Health Survey. In grades 7 and 8, the numbers are 8% and 4%, respectively. The School Committee is expected to hear those numbers at an open meeting next month, according to Superintendent of Schools Anna Nolin.

Twenty of the 29 cases of vaping-related lung illnesses in Massachusetts reported to the Centers for Disease Control and Prevention are connected to THC, the chemical in marijuana that gives users the feeling of being high.

The Natick program is not designed to treat THC addiction from vaping, Cranos said.

We train people to treat nicotine dependence, Cranos said. However, behavioral strategies in the program could help students suffering with THC addiction, according to Cranos. They include helping a student understand why he/she wants to quit, tips to deal with withdrawal, and suggestions for activities to get one's mind off vaping.

Last month, Gov. Charlie Baker announced a four-month ban on all vape products to give public health officials time to determine a possible cause of the lung illnesses in Massachusetts.

Massachusetts has reported one vaping-related death, a Hampshire County woman in her 60s. Nationwide, 26 deaths and roughly 1,300 cases of lung injury were reported to the CDC as of Oct. 8.

No definitive cause of the illnesses has been determined, according to the CDC.

Henry Schwan is the health reporter for the MetroWest Daily News. Follow Henry on Twitter @henrymetrowest. He can be reached at hschwan@wickedlocal.com or 508-626-3964.

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Vaping: Natick and UMass Medical School join forces to tackle addiction - Wicked Local Franklin

California is pushing back school start times. The move could sweep the nation or backfire. – NBCNews.com

After gaining speed slowly over the last two decades, a movement to start the school day later for middle and high school students just got a massive boost from California.

When Gov. Gavin Newsom last week signed the nations first state law mandating later school start times, which have been associated with a slew of health benefits for teens, he turned what has long been a local issue into one that could soon be hotly debated in statehouses across the nation.

"This is huge," said Judith Owens, a neurology professor at Harvard Medical School and the lead author of a 2014 policy statement from the American Academy of Pediatrics that called for schools to let students get more rest by better aligning school start times with teens biological sleep rhythms. Right now all of these school districts are debating this within their own communities and its a very painful process, but if we can get this done on a statewide level, then a lot of the objections go away.

Advocates hope that Californias new law, which over the next three years will bar most high schools from starting classes before 8:30 a.m., and most middle schools from starting before 8 a.m, will supercharge a public health campaign that has until now reached schools on a piecemeal basis, one district at a time.

But even as the new law has the potential to trigger sweeping policy changes across the country, it could also have the opposite effect. If too many California districts struggle with the logistical ramifications of the mandated change, it might spur a backlash that could imperil the effort.

Everyone is going to be watching to see what the results are going to be, said Deborah Temkin, senior director of the education program at Child Trends, a Washington-based research organization. California, as one of the largest states in the country, can really define policy movements across the country. If this turns out to be successful, with relatively few consequences, then I think its something that other states will likely consider.

But, Temkin warned, if this is implemented where its sort of just sprung on a community without taking the time to build in the necessary child care support and thinking through transportation issues, then I think we are much more likely to see negative consequences.

Research shows that later school start times can increase the duration and quality of adolescent sleep, which has been linked to health benefits such as lower rates of depression and a reduced chance a teen will be involved in a car crash. But the debate over school start times asks districts to balance those benefits against economic and social consequences for parents, students and teachers whose lives may be disrupted by changes to their schedules.

A later start to class can force parents to scramble for early morning child care before starting long commutes. In some districts that have moved start times, teens have struggled to find after-school jobs and were no longer available after school to watch younger siblings. Other communities grappled with scheduling sports practices, especially in the early darkness of winter, and districts have had to come up with extra funds to adjust bus routes or provide child care.

Thats why Californias major education groups, including those representing teachers and school administrators, opposed the new law.

We dont oppose later school start times, said Troy Flint, a spokesman for the California School Boards Association, which represents most of the states more than 900 school districts. We actually encourage districts to examine school start times to see if later times make sense for them. But what we object to is a one-size-fits-all unfunded mandate that discourages parental choice and doesn't take into account the diverse needs of various communities across the state.

Researchers started documenting the benefits of later school start times in the mid-1990s when a small, affluent district in Edina, Minnesota, was among the first to experiment with shifting the start of the school day, moving the high schools morning bell from 7:20 a.m. to 8:30 a.m.

Kyla Wahlstrom, a senior research fellow at the University of Minnesotas College of Education, said she was skeptical when the Edina superintendent first reached out her in 1996 to ask if shed study the effect of the new schedule.

She was familiar with what was then new research showing that adolescent sleep patterns were different from those of adults or younger children, with teens more likely to go to bed later at night and to get their most high-quality REM sleep later in the morning. Teens do not wake up and function until 8 in the morning, she said.

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But she doubted that a 50-minute change to a school's bell schedule would have much of an impact.

Then she started gathering research. Parents reported that their children were easier to live with and teachers found more assignments were coming in on time and that their students were more alert in class. The principal reported fewer disruptions in hallways and in the lunchroom.

I was dumbfounded, Wahlstrom said. Id walk into the school and the nurse would say: Are you the one doing the research? Ive gotta tell you, I have fewer kids coming into the nurses office.

And the counselor said she had fewer kids coming in with mental health issues, Wahlstrom said.

Those promising results led one of the states largest school districts, the Minneapolis Public Schools, to make similar changes. That enabled Wahlstrom to compare data from before and after a time change. In 2002, she published the first study in a major education journal that documented the connection between later school start times and improvements such as higher attendance rates, less sleeping in class and less depression.

It really started to show that this was a public health policy as much as an academic policy, she said. When I did the first study in 1996, the district was looking for it to improve academics, but while we found improvements in kids completing homework, more importantly, we were seeing incredibly important improvements in the physical and mental health of kids.

Since then, hundreds of school districts have pushed back their start times, including major cities like Seattle and large suburban districts like the Fairfax County schools in Virginia. As ongoing research has continued to document the benefits, many of the nations leading health organizations have endorsed the idea. In addition to the pediatricians group, the American Medical Association, the American Psychological Association and the Centers for Disease Control and Prevention have all issued statements calling on schools to push back start times.

But so far, all of the districts that have adopted these policies have done so voluntarily. Experts say the ones that have been most successful are those that have held extensive conversations with parents and teachers to work through logistics before making a change.

Temkin, from Child Trends, was among the researchers who documented the impact of the switch in Fairfax County. She said most of the concerns about transportation or child care were addressed with the community before changes were made. Schools then worked to respond to unanticipated issues such as students being dropped off at school before the doors had opened.

Other districts have had to come up with less-than-optimal solutions to new schedules, such as moving sports practices to before school, which defeats the purpose for students who participate in sports, or putting young children on the same buses with older kids.

Temkin worries that Californias decision to mandate school start times could create issues for communities that arent fully on board.

Its going to be interesting to observe how school communities react when they havent gone through a buy-in process and have been forced to do this through the legislation, Temkin said.

Such concerns are why mandatory school start time legislation hasnt yet caught on in other states.

Bills that would have required later school start times have failed in Minnesota, Maine and Rhode Island, said Sarah Pompelia, a policy researcher with the Education Commission of the States, a nonpartisan organization that tracks state education policy legislation. Other states, including Indiana and New Jersey, have passed laws calling for further study of the issue, while Maryland passed a law creating a program that recognizes schools with an orange ribbon for healthy school hours if they start elementary school after 8 a.m. or middle or high school after 8:30 a.m.

Now that California has become the first state to mandate these changes, Flint, from the California school board association, said his organization plans to provide resources to districts to help them adapt, but he worries that some communities will struggle. (The law provides an exemption for rural communities but doesnt define rural, so its not clear how many districts must comply.)

He notes that several California districts have experimented with a later school day only to return to their earlier schedules.

That also happened in Youngstown, Ohio, where the districts state-appointed CEO pushed high school start times to 9:15 a.m. two years ago in hopes of seeing academic and health benefits for students. But the later start time wasnt popular and the district dropped it this year. Now, school starts at 7:30 a.m and gets out at 2:32 p.m.

I definitely understand the research about the health benefits of a later start time, said Jeremy Batchelor, principal of Youngstowns East High School. But what we saw was almost an opposite effect here in Youngstown, for whatever reason.

The school saw absences and tardies climb rather than decline as they have elsewhere, he said, and students struggled to find after-school jobs since classes didn't end until 4:24 p.m. and many students had to wait for city buses to reach their jobs. The school wasnt able to implement the after-school tutoring program it thought students needed.

Batchelor said his students seemed to want to get to school early.

I think the early time is motivating for them, he said. They can come get done what needs to be done and can get out, can get jobs.

As the new California law is implemented over the next three years, opponents may try to highlight districts like these, but advocates say some of the challenges will be addressed through statewide implementation. A school district that is the only one in its area to change its schedule might put athletes in the position of missing class to attend games that are earlier in the day, and might put students looking for jobs at a disadvantage compared to students who could come to work earlier. But those problems go away if the whole state adopts a later schedule.

Advocates say theyre hopeful that the benefits will outweigh the negatives.

A bad implementation of something good does not negate the good and does not negate the truth of the matter, which is that this is a public health issue, said Maribel Ibrahim, operations director and co-founder of the Start School Later organization, which has lobbied districts and legislatures to back these changes.

The biggest obstacle to this change has always been fear of change.

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California is pushing back school start times. The move could sweep the nation or backfire. - NBCNews.com

Our diets are killing us and doctors aren’t trained to help | TheHill – The Hill

What if your doctor failed to talk to you about the most important threat to your health? Wouldnt you worry about the quality of your health care? Poor quality diet is a leading cause of death in the United States, but it is unlikely that your doctor has the knowledge to even begin a meaningful conversation about your nutrition or to make an appropriate dietary referral.

Most doctors lack the knowledge necessary to offer nutrition advice to patients; indeed, fewer than 14 percent of physicians report feeling equipped to advise on diet or the connection between food and health. This is unsurprising given that, for example, 90 percent of cardiologists in a recent survey reported receiving minimal or no instruction on nutrition during medical training.

Yet it is also concerning. Obesity, type-2 diabetes, heart disease, cancer, and stroke, which are leading causes of death in the United States, all are closely linked to diet and nutrition.

Nearly 40 percent of adults and 18 percent of children are obese, and these numbers are increasing; almost 10 percent of Americans suffer from diabetes, compared with less than 1 percent just 50 years ago. Even more concerning, more than one-third of Americans have pre-diabetes.

A focus on treatment rather than prevention has led to medical education that ignores the central role that food plays in health. The average U.S. medical school devotes less than 1 percent of total lecture hours to nutrition. Accreditation requirements for medical residencies and fellowships do not include nutrition.

The standardized exams that medical students must pass to become board certified lack questions that test the ability to advise patients on diet. And to date, no state requires continuing medical education in nutrition or diet-related disease as part of the ongoing education for physicians to maintain licensure.

This dangerous gap in their education means that doctors do not learn the basic guidance in the U.S. Dietary Guidelines for Americans, or stay apprised of the latest nutrition science. Accordingly, they fail to recognize, and are unable to convey to patients, the importance of diet to health. This means fewer referrals to nutritionists, even when diet plays a vital role in their patients health.

The lack of nutrition education during medical training is also a costly mistake. Health-care spending has skyrocketed Medicare benefit payments exceeded $730 billion in 2018 and account for nearly 15 percent of all federal spending.

At its current rate, Medicare spending will exceed $1 trillion in the next 10 years. Diet-related diseases account for 5 of the 8 most common conditions among Medicare beneficiaries, so its clear that as the prevalence of diet-related diseases increase, health-care spending increases.

Fortunately, we can change this troubling status quo. Opportunities exist for policymakers at the state and federal level, as well as the bodies responsible for testing and accreditation, to make systemic changes to medical training.

For example, state legislatures and Congress can offer grants to medical schools to develop curricular content; the American Council of Graduate Medical Education can amend residency requirements to require competency in diet and nutrition; and testing organizations like the National Board of Medical Examiners and the American Board of Medical Specialties can incorporate nutrition-focused content on step and board examinations, respectively.

Perhaps the most logical and effective solution is to ask Congress to spend our health-care dollars more wisely. Medicare is the single largest source of federal funding for graduate medical education, providing more than $10 billion to eligible programs in fiscal year 2015.

This funding comes with no strings attached, i.e. no curricular requirements or performance benchmarks, and certainly no expectation that residents or fellows receive education in nutrition.

Rather than spend a whole lot more on Medicare to treat diet-related diseases down the road, Congress should leverage this funding to require nutrition education for residents and fellows. These policies and others are explored in a recent report from the Harvard Law School Food Law and Policy Clinic.

The education of doctors is a critical issue with universal implications for our national health. When it comes to the care we receive at each doctors visit, we reap what we sow. By not insisting that physicians receive at least foundational education in nutrition, we produce a medical system that is focused almost exclusively on drugs and devices, and in which the most costly diseases continue to grow.

Alternatively, by helping physicians understand the connection between food and health, we can produce better individual patient outcomes, improve population health, and change our nations health-care landscape for the better.

Emily M. Broad Leib, J.D., is an assistant clinical professor of law at Harvard Law School and the director of the Harvard Law School Food Law and Policy Clinic. Stephen Devries, M.D., is a preventive cardiologist and executive director of the nonprofit Gaples Institute for Integrative Cardiology. Walter Willet, M.D., Ph.D., is a professor of epidemiology and nutrition at Harvard T.H. Chan School of Public Health and a professor of medicine at Harvard Medical School.

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Our diets are killing us and doctors aren't trained to help | TheHill - The Hill

Student volunteer for Griffith Family Foundation nominated to attend Congress of Future Medical Leaders in Boston | News, Sports, Jobs – Altoona…

Courtesy photoSierra Lombardi, president of Sideline Cancer at Hollidaysburg Area HighSchool, presented Sideline Cancer NYC T-shirts to Jack Andraka, Griffith Family Foundation Side-line Cancer ambassador.

HOLLIDAYSBURG Sierra Lombardi, a student volunteer for the Griffith Family Foundation and a senior at Hollidaysburg Senior High School, was attended as a delegate to the Congress of Future Medical Leaders in Lowell, Mass., June 23 to 25.

The Congress is an honors-only program for high school students who want to become physicians or go into medical research fields.

The purpose of this event is to honor, inspire, motivate and direct the top students in the country who aspire to be physicians or medical scientists, to stay true to their dream and after the event, to provide a path, plan and resources to help them reach their goal.

Sierras nomination letter was signed by Dr. Mario Capecchi, winner of the Nobel Prize in Medicine and the science director of the National Academy of Future Physicians and Medical Scientists to represent Hollidaysburg, based on her academic achievement, leadership potential and determination to serve humanity in the field of medicine.

During the three-day Congress. Sierra joined students from across the country to hear Nobel Laureates and National Medal of Science winners talk about leading medical research. She also was given advice from Jack Andraka, Ivy League and top medical school deans on what to expect in medical school: witnessed stories told by patients who arc living medical miracles; was inspired by fellow teen medical science prodigies; and learned about cutting-edge advances and the future in medicine and medical technology.

Sierra will attend the Digestive Disease National Coalition in Washington, D.C., March 7-8. She will sit on the DDNC Executive Board meetings representing the Griffith Family Foundation.

Sierra has attended the DDNC for the past three years with hopes to inspire other youth colleagues.

The 2012 Intel Science and Engineer Fair Winner Jack Andraka is a senior at Stanford University and is the Griffith Family Foundation Sideline Cancer ambassador.

Andraka was recently named National Geograph-ic Emerging Explorer and is helping detect cancer, fighting water pollution, identifying neglected tropical disease and redefining global health approaches.

Andraka is an inspiration to all students that attend this Medical Conference that allows medical leaders, scientists and professors to collaborate with the youth of today. He speaks every year at this youth event.

The National Academy of Future Physicians and Medical Scientists was founded on the belief that we must identify prospective medical talent at the earliest possible age and help these students acquire the necessary experience and skills to their ultimate goals.

State center retirees to meet Oct. 31The Pennsylvania State Retirees who worked at the Cresson, Altoona and ...

The Fall Scalefest Toy Train Show is scheduled for 9 a.m. to 2 p.m. Nov. 3 at the Blair County Convention Center, ...

The Altoona Duplicate Bridge Club has announced the names of the winners of its recent games.Oct. 9 Ed ...

EBENSBURG The Bishop Carroll Catholic High School Math Department will sponsor a bridal resale event from 11 ...

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Student volunteer for Griffith Family Foundation nominated to attend Congress of Future Medical Leaders in Boston | News, Sports, Jobs - Altoona...

Motherhood and medicine should mix. So why is it such a struggle? – STAT

Women who become doctors must often choose between motherhood and medicine. Im a mother and a surgeon. I never thought of choosing between the two, even though my employers often asked me to.

Today I work as a trauma surgeon in a busy practice. Its been a long journey since the day five years ago when I sat outside the office of the chairman of surgery at a prestigious hospital to interview for my first job.

As my husband and I dressed our children for day care that morning, I felt proud to show them that their mom could follow her dreams. After six years of grueling training, I was finally going to be a trauma surgeon.

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Wearing a long black skirt and matching hijab, I felt confident going into the interview. There was a shortage of trauma surgeons, and I had excelled in my training. My patients did well, my outcomes were good, my evaluations were outstanding. I had aced test after test.

Pregnant with my sixth child, I went to the interview knowing I could do the job, that I had survived all the times supervisors told me to quit because I couldnt be a mother and a surgeon.

The chairman of the department who conducted the interview didnt see things the same way I did.

Youve accomplished nothing over the past six years, he said, tossing my curriculum vitae across the long mahogany table. In spite of my recommendations, my publications, and my training, once I mentioned my children he felt that I didnt have the right focus to practice in an academic setting.

Ive learned to deal with the overt discrimination that comes with being a visual minority in medicine. When I was denied access to the operating room as a third-year medical student because of my hijab, I knew it was up to me to open the door. I learned to maneuver through the system until my presence became routine.

Resistance against motherhood, on the other hand, seemed to be a tornado that only gained strength with time. When I was a newlywed surgery intern, a senior female resident told me that anyone who chooses to get pregnant in a surgery residency is selfish. When I became pregnant with my first child a month later, there were no well wishes and I was told I should quit.

Its never been done, and itll never be done, a faculty member said. The last pregnant resident in the program was a third-year resident, and she still hasnt come back from maternity leave six years later.

When I asked about the maternity leave policy, I was told there was none. And when I asked why there wasnt a policy, especially with a previously pregnant resident in the program, I was answered with an embarrassed silence.

The opposition to my pregnancy made me anxious. I found it hard to sleep at night. I cried in moments of solitude. I wanted to share my fears about losing my residency position, but I didnt want to show weakness. Obsessively reading surgery textbooks late at night was the only thing that calmed my nerves.

When I returned from maternity leave, I was eager to improve, to show I was serious about my career. I asked the attending surgeons questions at every opportunity. They remained skeptical.

In response to one of my questions, a supervising surgeon responded, I dont know why youre going through the trouble. Youll never finish this training, and even if you do you wont be productive.

After I told my colleagues about my second pregnancy, another supervisor complained to one of my male resident colleagues, These damn girls! All they do is f things up by coming here and getting pregnant.

No matter how well I performed as a surgeon, my choice of motherhood was seen as a shortcoming. With each pregnancy, I was advised to pursue more family-friendly fields since my priorities had changed. But surgery remained my dream.

Although women have comprised more than 50% of medical students since 2017, motherhood continues to be a problem because the hospitals and clinics where we work havent changed to accommodate us. The decision to have a family is complicated by the fact that there is no standard approach to how the medical field deals with pregnancy, whether thats in medical school, residency, fellowship, or professional practice. Hospitals are chronically understaffed in residency training, and maternity leave is seen as an undue burden on residents colleagues. By the time most women finish residency, they may have only a few years left to get pregnant, and hundreds of thousands of dollars of debt to consider.

Even among women who dont plan to have children, the possibility they might have children can be used against them when being considered for a position. A mentee of mine was recently asked in a fellowship interview if she planned to start a family. Although such a question is illegal, there was no way for her to answer, or even report the question, without jeopardizing her career.

A recent JAMA article showed that young women physicians cut back their work hours at substantially higher rates than men in an effort to reduce work-family conflicts, especially if they have children. Fatherhood, on the other hand, is not an obstacle. My male colleagues were celebrated when they became dads, which I appreciated but found infuriating.

A New York Times article recently described medicine as a stealth family-friendly profession that offers flexibility and part-time work. Family-friendly is not the medicine I know. As a surgeon in training and a mother, I constantly had to push back against the suggestion that as a mother I could never be interested in a demanding field or work full time.

The Times article glorified the fact that hospitals and clinics allow women to work part-time, letting us care for our families and continue to work. It minimized the fact that we are paid thousands less for the same work as men (about $41,000 less a year in surgery). It also did not mention that part-time in medicine can easily mean 40 to 50 hours a week of work, much of it unpaid.

The article also missed the reality that while some women choose the part-time path, others must go that route because medicine continues to be an inflexible field. It forces some women to abandon their true passions and settle for scraps: lower pay, fewer opportunities, and less career advancement. Its no surprise that top leadership positions in medicine are still dominated by men.

The onus to fix these issues should not be on those who are affected by it. But unless women and their allies demand and drive the necessary changes, they will never happen.

The solutions start with acknowledging this discrimination and having honest conversations about how to do better, not by glorifying the status quo.

Qaali Hussein, M.D., is a board-certified trauma and acute care surgeon practicing in Florida and mother of six.

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Motherhood and medicine should mix. So why is it such a struggle? - STAT