UW study recommends doubling of medical school students, argues against second institution – Sat, 01 Nov 2014 PST

The battle over medical education in Spokane took an expected twistFriday.

A new study commissioned by the University of Washington concludes that doubling the size of its physician training program in Spokane represents the most efficient option for boosting the number of doctors and warns that Eastern Washingtons health care system would be unable to support two medicalschools.

This study supports our expansion plans and validates the success of what we have been doing in Spokane since we began medical instruction in the city in 2008, said UW President Michael K. Young. We are offering the most

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The battle over medical education in Spokane took an expected twistFriday.

A new study commissioned by the University of Washington concludes that doubling the size of its physician training program in Spokane represents the most efficient option for boosting the number of doctors and warns that Eastern Washingtons health care system would be unable to support two medicalschools.

This study supports our expansion plans and validates the success of what we have been doing in Spokane since we began medical instruction in the city in 2008, said UW President Michael K. Young. We are offering the most cost-effective, most feasible, and most immediate answer to the challenge of producing more physicians for the underserved areas of ourstate.

The new study, conducted by research firm Tripp Umbach, contradicts a study done for Washington State University in September that found a new community-based medical school envisioned by WSU would be the least costly way to combat physician shortages, particularly in ruralcommunities.

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UW study recommends doubling of medical school students, argues against second institution - Sat, 01 Nov 2014 PST

UW study fuels debate on who should train doctors in Spokane

Originally published October 31, 2014 at 11:35 AM | Page modified October 31, 2014 at 8:03 PM

The cheapest, fastest way to increase the number of doctors in the eastern part of the state is to allow the University of Washingtons medical-school program to expand in Spokane, a study commissioned by the UW says.

The study is the latest salvo between the states two research universities, UW and Washington State University, which are both vying for money from the state Legislature to create new medical-school slots in Spokane.

Underscoring the UWs interest in Eastern Washington, UW President Michael Young and UW Regent Orin Smith both flew to Spokane Thursday to have dinner with some community leaders and breakfast with other leaders on Friday before announcing the results of the study at a morning news conference.

WSU wants to build a new medical school from scratch in that city, the same place that the UW wants to expand an existing satellite program. Although both universities say their relationship has not become acrimonious, the two schools dissolved a medical-school partnership last month and announced they would pursue separate paths to address the physician shortage.

Theres little debate about the need.

Only about 120 Washington residents are accepted each year into the UW School of Medicine, the states only public medical-school program although six times that many apply. Both universities, and many medical professionals, agree that Washington should be sending more of its students to medical school as part of a strategy to increase the number of primary-care doctors in rural and underserved areas of the state.

The UW report, written by research firm Tripp Umbach, says that the UWs plan to double the size of its Spokane program would be the most cost-effective option, and could be done rapidly.

I think theres been an avalanche of misinformation and misunderstanding this (study) addressed a lot of that, Young said in an interview later Friday.

He said some leaders dont realize that the UW is already doing medical-school training in Spokane for 40 students, and is on a clear pathway to add 40 more. Under the current program, students can spend all four years of their medical-school education in Spokane no training needs to be done in Seattle.

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UW study fuels debate on who should train doctors in Spokane

UW touts med school expansion in Spokane

By NICHOLAS K. GERANIOS - Associated Press - Friday, October 31, 2014

SPOKANE, Wash. (AP) - The University of Washingtons plan to double the size of its medical school program in Spokane is the most cost-effective way to meet the states need for more doctors, according to a new study released Friday.

Its the latest skirmish in a battle between UW and Washington State University to increase medical education in the states second-largest city.

The new study, commissioned by UW, found that Eastern Washington does not have enough residency programs to support a separate medical school.

The study also said the average cost of medical education per student at UW is about $70,000 a year. Thats lower than the estimated $98,000 per student cost at a stand-alone WSU medical school, the study said.

This study supports our expansion plans and validates the success of what we have been doing in Spokane since we began medical instruction in the city in 2008, said UW President Michael K. Young.

We are offering the most cost-effective, most feasible, and most immediate answer to the challenge of producing more physicians for the underserved areas of our state, Young said. Our commitment to our students in Spokane and to the community is deep, and we intend to continue to serve the region and expand the UW School of Medicine in Spokane.

Washington State University President Elson Floyd said WSU remains committed to creating a medical school in Spokane.

For too long Washington state has produced too few physicians to meet the needs of our state, Floyd said. While we welcome the University of Washingtons announcement today about their intention to address part of this shortfall, it is simply not enough.

Floyd said WSU supports the expansion plans of the University of Washington in Spokane, but we believe we must also pursue a new medical school.

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UW touts med school expansion in Spokane

New study fuels debate on who should train doctors in Spokane

Originally published October 31, 2014 at 11:35 AM | Page modified October 31, 2014 at 12:26 PM

The cheapest, fastest way to increase the number of Washington students studying to become doctors in the eastern part of the state is to allow the University of Washingtons medical school program to expand in Spokane, a study commissioned by the UW has found.

The study is the latest salvo between the states two research universities, which are both vying for money from the state Legislature in the upcoming session to create new medical-school slots in Spokane.

Underscoring the UWs interest in Eastern Washington, UW President Michael K. Young and UW Regent Orin Smith both flew to Spokane to announce the results of the study at a morning news conference Friday.

WSU wants to build a new medical school from scratch in that city, and the UW wants to expand an existing program. Although both universities say their relationship has not become acrimonious, the two schools dissolved a medical school partnership earlier this month and announced they would pursue separate paths to address the physician shortage.

Theres little debate about the need.

Only about 120 Washington residents are accepted each year into the UW School of Medicine, the states only public medical school program although six times that many apply. Both universities, and many medical professionals, agree that Washington should be sending more of its students to medical school as part of a strategy to increase the number of doctors practicing primary medicine in rural and underserved areas of the state.

The UW report, written by research firm Tripp Umbach, says that the UWs plan to double the size of its medical school program would be the most cost-effective option, and could be expanded rapidly.

The report says the average cost of medical education per student in the UW program is $70,000 per year. Thats lower than WSUs estimated cost of $98,000 per year if it were to build its own medical school.

Tripp Umbach also found that Eastern Washington cannot support two medical schools because theres a limit on the number of clinical training and residency training sites available suggesting that the Legislature must pick one option or the other, but cannot support both.

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New study fuels debate on who should train doctors in Spokane

Dal Medical School using transparent zebrafish to study cancer

Dalhousie University Medical School has opened a new research lab to study treatments used to fight diseases like cancer and the star attraction is a fixture in many home aquariums.

Thousands of zebrafish will be used as models for the study. The fish share many genes with humans and reproduce in large numbers so they provide efficient and cost effective research subjects.

Dr. Jason Berman says the bigger lab holds 75,000 fish and he hopes it will shorten the time to test treatments for childhood cancers.

The research involves injecting donated human cells into fish embryos. Scientists can watch what happens inside the fish's systems using a transparent variety of zebrafish called Caspar.

Laboratory manager Chansey Veinotte says the small, simple structure of the fish actually make them ideal for study.

That simplicity is at our advantage when were doing cancer research or any other disease research, he said. We can look at a lot of things in one view. We can put cancer cells into the fish or we can give different fish different diseases and we can watch them progress. Thats something we dont get to see in humans.

Berman says researchers can see what is happening inside.

Dr. Jason Berman says the bigger lab holds 75,000 fish. (CBC)

The fish, when their embryos are transparent,allows us to visualize things very easily in terms of what is happening inside the fish, hesaid.

So many of the studies we do, we put human cancer cells into the fish and treat them with drugs by just exposing the fish to the drug and the water and we can see the responses.

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Dal Medical School using transparent zebrafish to study cancer

USF trustee committee endorses downtown Tampa medical school

TAMPA A group of University of South Florida trustees on Thursday endorsed building a new medical school in downtown Tampa, a key recommendation that could quickly move the proposed project forward.

"I believe this location will really transform both USF and the city of Tampa in profound ways," said Dr. Charles Lockwood, senior vice president for USF Health and dean of the Morsani College of Medicine.

The five trustees who oversee USF Health's medical and educational programs voted to build the new Morsani College of Medicine on an acre of land in downtown that Tampa Bay Lightning owner Jeff Vinik has offered to donate for the project.

"This is bigger than baseball," Mayor Bob Buckhorn told the trustees.

Then he added: "Please do it. I don't want to have to turn off the water at the university."

Vinik is on the verge of remaking the southern end of downtown Tampa, and a new medical school fits the kind of high-end development he wants to build around the home of his hockey team, the Amalie Arena.

The projected cost of the new, 12-story medical school is between $150 million to $163 million. USF has assembled around $130 million in funding and would need to find other sources to complete the project. The new medical school office tower could have 287,824 square feet of usable space.

Lockwood presented a plan for building not just a new medical school, but also a medical office building next door and an 1,800-car parking garage that would serve both.

The next step would be for the full board of trustees to vote on the health committee's recommendation at its next meeting, Dec. 4. The full board generally gives great weight to the committee's recommendation.

USF has just a few months to make a decision. The university needs to decide where to put the new medical school so it can ask the Board of Governors for tens of millions in state funding. That board meets Jan. 21-22 at the University of North Florida in Jacksonville.

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USF trustee committee endorses downtown Tampa medical school

Four years in, payment model lowers medical spending, improves care

PUBLIC RELEASE DATE:

29-Oct-2014

Contact: David Cameron david_cameron@hms.harvard.edu 617-432-0441 Harvard Medical School @HarvardHealth

A new study suggests that a plan that uses global budgets for health care, an alternative to the traditional fee-for-service model of reimbursement, has improved the quality of patient care and lowered costs during the four years since it was first implemented.

Researchers from Harvard Medical School'sDepartment of Health Care Policy have analyzed claims data from the first four years of Blue Cross Blue Shield of Massachusetts' Alternative Quality Contract (AQC), a global budget program in which health care provider organizations were given a budget to care for patients insured under the health care plan. Such a model contrasts with widely used fee-for-service systems, where providers are reimbursed for each medical service they deliver.

"These results are encouraging, because, throughout our health care system, spending is growing at an unsustainable rate and our quality of health care is not as high as it should be," said study author Zirui Song, HMS clinical fellow in medicine and resident at Massachusetts General Hospital. "Global budgets and other payment reform initiatives provide incentives for physicians and hospitals to think collectively about population health and to focus on coordination of care."

The study compares Blue Cross members who have a primary care physician (PCP) as part of an AQC contract to a control group of commercially insured individuals across eight northeastern states (Connecticut, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont) who also have designated PCPs in their health plans.

Comparing the financial and quality results of the AQC with this control group was important, the researchers said, because it accounts for more general trends locally and nationallyshowing that the AQC achieved savings over and above what was happening in similar health care environments.

Though trends were similar prior to the AQC, from 2009-2012 Massachusetts AQC enrollees had smaller increases in medical spending over the first four years of the contract than similar individuals in other states, researchers said. Patients who received care under the AQC also experienced larger improvements in measures of quality of care such as the percentage of diabetes patients who received eye exams or blood sugar monitoring, or measures of how well patients controlled their blood pressure or cholesterol, the researchers said.

"The health care system is transforming as we move to new payment models," said Michael Chernew, Leonard D. Schaeffer Professor of Health Care Policy at HMS. "While there's certainly more to learn, preliminary results suggest that this transformationmay improve quality and at least in some settings reduce spending."

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Four years in, payment model lowers medical spending, improves care

FMU moves forward with new medical school

FLORENCE, SC (WMBF) - With $15 million secured, models are being made and Florence is forging ahead with plans to build a new medical facility.

The Francis Marion University Health and Sciences Complex will be a 52,000 square-foot building "that will accommodate state of the art nursing medical training - that's just extraordinary, said Dr. Fred Carter, President of FMU. It will be built at the intersection of Irby and West Evans Street.

On Monday, the university unveiled preliminary renderings of what that three-story, L-shaped building will look like.

The front of the building will sit along West Evans, complete with a large outside area for student studies and outdoor activities.

And when the medical school is complete in the fall of 2016 it will complement surrounding buildings in downtown Florence.

The building will celebrate the architecture downtown, and with the old post office across the street, we certainly didn't want a duplication but we were hoping that would play off of that and capture some elements of the old Trust building, and I think we have done a wonderful job, said Ray Reich, Downtown Florence Development Manager.

It's in this new building that students from both Francis Marion University and the University of South Carolina will learn.

University leaders said the health and science complex will help FMU meet the need ofexpanding medical programs.

We have added on to our bachelor of science and nursing program. We have added on master's degree in nurse practice and nurse education. This next year we will add a master's degree in physician's assistance, Carter said.

All of these added degrees and the new health sciences complex started with a need found here in the state of South Carolina.

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FMU moves forward with new medical school

Medical examiner identifies two in Marysville school shooting

The Snohomish County Medical Examiners Office has formally identified the first victim killed by a classmate in the cafeteria of Marysville-Pilchuck High School on Friday morning as Zoe Galasso.

In a news release issued Monday morning, the medical examiners office said that Galasso, 14, died ofa handgun wound of the head. Her slaying has been classified as a homicide.

Medical examiners staff also identified the gunman, JaylenFryberg. Fryberg, 15, also died of a handgun wound to the head, the medical examiners office said. His death has been classified as a suicide.

On Sunday night, a second victim died from her injuries. GiaSoriano, 14, died at Providence Regional Medical Center in Everett, a hospital official said at a news conference. She had been hospitalized in critical condition since the shooting.

Three other teens wounded in the shooting remain hospitalized. Two are in critical condition, but one appears to be recovering.

ShayleeChuckulnaskit, 14, was in critical condition at Providence Regional Medical Center. Hospital officials said Sunday she was receiving ongoing, continual monitoring and care.

Andrew Fryberg, 15, was in critical condition in the intensive-care unit at Seattles Harborview Medical Center, hospital spokeswoman Susan Gregg wrote in a news release.

The third injured teen, Nate Hatch, 14, was also in Harborviews intensive-care unit, but his condition has improved to satisfactory, according to Gregg. Hatch is awake and breathing on his own, Gregg said.

Dr. Joanne Roberts, chief medical officer for Providence Everett, read a short statement written by Sorianos family on Sunday night:

We are devastated by this senseless tragedy. Gia is our beautiful daughter and words cannot express how much we will miss her. Weve made the decision to donate Gias organs so that others may benefit. Our daughter was loving, kind and this gift honors her life.

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Medical examiner identifies two in Marysville school shooting

Stanley G. Schultz, Whose Rehydration Research Helped Save Millions, Has Died

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Newswise Stanley G. Schultz, M.D., a world-renowned investigator, educator and administrator at The University of Texas Health Science Center at Houston (UTHealth) Medical School, died Thursday, Oct. 23. He was 82 years old.

Schultz was a key contributor to the discovery, introduction and widespread use of oral rehydration therapy. This treatment for severe fluid loss caused by diarrheal diseases is estimated to have saved more than 40 million lives in the past 35 years.

Beloved as a teacher, mentor and a friend, he was also internationally known as a brilliant scientist whose work saved many lives, said Giuseppe Colasurdo, M.D., president of UTHealth. He was the heart of the UTHealth Medical School while he was here and long after he had ceased to have an active role. He will be deeply missed.

A native of New York City, Schultz graduated from Stuyvesant High School in 1949, received his baccalaureate, summa cum laude, from Columbia University in 1952 and received his medical degree from New York University College of Medicine. He did postgraduate training at NYU-Bellevue Hospital and Harvard Medical School.

While at Harvard Medical School, Schultz took a two-year leave of absence for military service. In 1962, he was inducted into the U.S. Air Force as a captain in the medical corps and was stationed at the U.S. Air Force Aerospace School of Medicine at Brooks Air Force Base in San Antonio. Schultz taught radiation biology, monitored research contracts and conducted research on the biological effects of radiation. This sparked his lifelong interest in intestinal absorption.

Schultz returned to Harvard Medical School in 1964. Three years later, he joined the Department of Physiology at the University of Pittsburgh School of Medicine as an associate professor and was promoted to the rank of professor in 1970. After developing a highly productive research program at Pittsburgh, which included a sabbatical at the University of Cambridge in England, he joined the UTHealth Medical School as professor and chairman of the Department of Physiology in 1979.

John H. Jack Byrne, Ph.D., chairman of the Department of Neurobiology and Anatomy at the UTHealth Medical School, first met Schultz in the early 1970s when they worked at the University of Pittsburgh School of Medicine. Schultz later recruited Byrne to join him at UTHealth.

Dr. Schultz was an outstanding scientist who made fundamental discoveries about the ways in which molecules cross membranes, said Byrne, noting that this information furthered the understanding of conditions such as cystic fibrosis.

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Stanley G. Schultz, Whose Rehydration Research Helped Save Millions, Has Died

Rutgers and RWJ to Host Event for Women Impacted by Pelvic Floor Disorders

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Newswise NEW BRUNSWICK, N.J. Its a subject that many women may find embarrassing and avoid discussingeven with their doctors. Maybe theyll start crossing their legs when they feel a cough or sneeze coming on, to try to prevent an accident. Or perhaps theyre experiencing some unexplained pain or discomfort in the pelvic area. And just what are Kegels anyway?

Rutgers Robert Wood Johnson Medical School and Robert Wood Johnson University Hospital will host an educational event Nov. 13 as part of a public awareness campaign to help women impacted by pelvic floor disorders (PFDs). Ranging from the mild to the more severe, pelvic floor disorders comprise a variety of gynecologic and bladder conditions that include incontinence, a continuous urge to urinate (interstitial cystitis), painful bladder conditions and pelvic organ prolapse.

Take the Floor Tonight: Break Free from Pelvic Floor Disorders will be held from 5:30 p.m. to 6:45 p.m. Nov. 13 in the Arline and Henry Schwartzman Courtyard at Robert Wood Johnson University Hospital (RWJUH), One Robert Wood Johnson Place, New Brunswick. Topics will include expert advice about signs, symptoms and treatment options for these distressing conditions; demonstrations of quick and easy exercises and tips to strengthen the pelvic floor; and anecdotes from women who have overcome a pelvic floor disorder and regained their quality of life.

Topics like urinary incontinence often dont get discussed, but the problem is much more common than people realize, says urogynecologist Dr. Saya Segal, assistant professor of urology and obstetrics, gynecology and reproductive sciences at Rutgers Robert Wood Johnson Medical School. In fact, pelvic floor disorders affect about one in three women at some point in their lives. And while many women may view these problems as a part of the normal aging process that simply cant be cured, that fortunately isnt the case. With this event, were hoping to get people talking, and let women know what they can do to improve their quality of life.

Because of embarrassment or unawareness of treatment options, many women with pelvic floor disorders may suffer in silence. Our goal is to minimize any discomfort around having conversations about and seeking treatment for these conditions that negatively affect quality of life, adds Dr. Juana Hutchinson-Colas, chief of the division of female pelvic medicine and reconstructive surgery at the medical school. Dr. Hutchinson-Colas, who also is the RWJUH chief of gynecology, with Dr. Segal and urologist Dr. Hari Tunuguntla, associate professor of urology, will present an expert panel at the event, which is co-sponsored by the medical schools Department of Obstetrics, Gynecology and Reproductive Sciences, and Division of Urology.

Obstetrician/gynecologists and urologists from the medical school also will be on hand throughout the evening to answer any questions about pelvic floor problems or other related services. In addition to the opportunity for discussion, refreshments will be served.

This event is part of a campaign launched this fall by the PFD Alliance, which issued new research showing nine out of 10 Americans underestimate or are unsure about the prevalence of these conditions. The Break Free from PFDs campaign aims to help women understand the facts about pelvic floor disorders and empower them with information on how to pursue individualized solutions for improved quality of life.

Online registration for Take the Floor Tonight is available at http://www.breakfreefrompfds.org/events. For more information, contact Nithalina Duncan at 732-235-7755.

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Rutgers and RWJ to Host Event for Women Impacted by Pelvic Floor Disorders