Kinder, Gentler Med School: Students Less Depressed, Learn More

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Newswise ST. LOUIS -- Removing pressure from medical school while teaching students skills to manage stress and bounce back from adversity improves their mental health and boosts their academic achievement, Saint Louis University research finds.

Stuart Slavin, M.D., M.Ed., associate dean for curriculum at SLU School of Medicine, is the lead author of the paper, which is published the April edition of Academic Medicine.

The problem of depression among medical school students is significant, Slavin said, affecting between 20 and 30 percent of medical students in the U.S., and potentially compromising their mental health for years to come.

The study looks at the well-being of first and second year students before and after changes to Saint Louis Universitys medical school curriculum that are designed to prevent depression, stress and anxiety. It compared the performance of five classes of 175 to 178 students two before the changes and three after measured at medical school orientation, the end of year one and the end of year two.

Weve seen dramatic improvement in the mental health of our students. Depression rates in first year medical students went from 27 percent to 11 percent and anxiety dropped from 55 percent to 31 percent. At the same time, our Step 1 board scores went up, meaning student performance improved, Slavin said. Our students know more, and will be in a better situation, emotionally, to care for our patients.

The first of many licensing exams, the Step 1 boards are given to medical school students at the end of their second year to assess whether students can apply basic science concepts to medical questions. Scores help determine admission to residency programs.

For about 60 years, administrators have recognized the number of students who feel depressed or anxious increases during their time in medical school, Slavin said.

For many years, nobody did anything about it, he said. Then, the first approach to addressing the problem was to get students better access to psychiatric and mental health services. That was followed by schools adding activities that encourage wellness and teamwork, such as Olympics-style athletic competitions and optional wellness seminars. While those things are great, theyre not enough.

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Kinder, Gentler Med School: Students Less Depressed, Learn More

Commentary: The real Dr. Vivek Murthy

My first day of medical school nearly 16 years ago was a warm day in New Haven, Conn. I quickly put on a T-shirt and my cut-off jean shorts the ones I had worn dozens of times as an undergraduate at the University of Florida and hurried off to class where I immediately felt like the fish out of water I was. Not only could I barely understand the cell biology lecture being delivered by the heavily accented and more heavily published professor, but I was easily the most inappropriately dressed student in the class some having even donned suits for their first day as a doctor-in-training at the Yale Medical School.

That day, meeting many of my classmates for the first time, a skinny, smiling, Indian guy strode up to me and instantly put me at ease. I quickly learned that he was from Miami, too. He had gone to Harvard with the valedictorian of my high school class and remarked, Wow, hes a smart guy, intuitively making me feel on equal footing. At that moment, I had no idea how smart Vivek Murthy was he kept such things under a cover of humility as long as he could. I had even less of an idea that so many years later, that skinny Indian kid would be nominated for U.S. Surgeon General.

At the age of 21, while the rest of us talked about saving the world, Vivek started to do it founding an HIV/AIDS outreach organization that spanned an ocean. He was tireless and uncomplaining as a medical student and sincerely wanted to learn as much as possible about all the various cultures represented in our diverse class at Yale. He even accompanied me and a few other Jewish students to the traditional Sabbath meal on several occasions, asking questions and intently listening to how another group of people saw the world.

Were members of the National Rifle Association to sit down with Murthy, they would discover a great listener and someone who is sympathetic to the way others think and feel. I imagine many of them would become his supporters instead of trying to derail his nomination. But there is not likely to be such a meeting. Instead, people who have never met him will continue to take a few mainstream statements he has made about gun control to create a caricature of a person who doesnt actually exist. The real Murthy answered in his Senate hearing when asked that he had no intention of using the position of surgeon general as a bully pulpit for gun control. And when he says something, he means it.

While medical school and residency changes many, Murthy stayed true to his vision of saving the world. He went on to get an MBA at Yale and then joined me at the Brigham and Womens Hospital in Boston for his internal medicine residency. Since he had taken a year off to learn more about the business world, he was now a year behind me and I was his supervising resident. Again, his optimism and dedication to patients was unwavering not an easy task when putting in 30-plus hour shifts every third or fourth day on top of what most consider a regular work week.

Shortly after completing training, Murthy founded what is now Doctors for America in order help the millions of Americans who couldnt access health care or did finally access it far too late. He became a crusader for the Affordable Care Act, going to the While House on several occasions. For this, he has been accused of being handed the surgeon general nomination as some form of political patronage. I doubt this is true. More likely, President Barack Obama or his advisers had the good fortune of sitting down with this visionary, caring physician and came to the obvious conclusion that he would make an outstanding surgeon general.

Think that scenario is naive? Well, after the tragedy at Sandy Hook slightly more than a year ago, Murthy was already involved in Washington, and if he were more politically minded, he probably never would have written anything that could have been misconstrued by the NRA or further antagonized Republicans. But throughout the years, Murthy has steadfastly repeated the mantra, patients over politics, and he has lived it. He is the kind of doctor who will fight for his patients no matter the toll it takes on himself. And thats the type of person we should all want as surgeon general.

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Commentary: The real Dr. Vivek Murthy

Amaechi pledges medical school for state varsity

Rivers State Governor and Chairman of Nigeria Governors Forum, Mr. Rotimi Amaechi, has pledged his administrations readiness to establish a medical school for the State University of Science and Technology.

Amaechi, who made this pledge on Saturday at the universitys 26th convocation in Port Harcourt, urged the university authority to apply for a medical school in the institution.

The governor commended the Vice Chancellor of the university, Professor Barineme Fakae, for his (Fakae) achievements, adding that the performance of the vice chancellor propelled his administration to reappoint him.

He said, Let me announce that few hours ago, I did request that you put up an application for a medical school at the Rivers State University of Science and Technology.

Government is satisfied with the performance of the vice chancellor that was the reason for which he was appointed and the reason for which the government insisted on his reappointment.

Amaechi also promised to provide more funding for the state-owned university, adding that the construction of the permanent site will commence within the next two weeks.

The governor added that the construction of the universitys permanent site would take 18 months.

He congratulated the graduating students for distinguishing themselves and completing their programmes and wished them well.

Earlier, the Vice Chancellor of the university commended the state governor for his support to the university and for encouraging them towards moving the institution to a greater height.

Fakae equally described the convocation ceremony as celebration of excellence and congratulated the graduands.

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Amaechi pledges medical school for state varsity

Orange Confidential: 100 students signed up for med school

Published: 2:00 AM - 03/30/14

Construction is all done at the soon-to-be medical school in the former Horton Hospital building in Middletown.

They have also accepted 100 of the 135 students who will make up the first year's class, said Jerry Cammarata, dean of student affairs and chief operating officer for Touro College of Osteopathic Medicine's Middletown campus.

Classes will start at the end of July, and the school is planning a grand opening ceremony over Labor Day weekend.

The medical school will only take up about a quarter of the old hospital. Developer Tony Danza is looking to rent out the rest of the space, with an eye toward medically related uses.

The college has been in the works for several years, since it was announced that Horton would consolidate with Goshen's Arden Hill Hospital at Orange Regional Medical Center in the Town of Wallkill.

Touro is headquartered in New York City and has a number of campuses in the U.S. and abroad.

Nathan Brown

The Town of Wallkill is looking for 8 to 10 residents to serve on a committee to help decide how to spend the $3 million in federal storm mitigation money the town is getting.

Town Supervisor Dan Depew said they are looking for people who aren't elected officials, who live in the town and were affected by storms Irene, Lee or Sandy. It will entail eight to 10 meetings over the next six or seven months; committee members will need to review studies the town has already done and give input on what the town should do now.

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Orange Confidential: 100 students signed up for med school

Lowering Your Cholesterol May Improve Your Sex Life

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Newswise New Brunswick, N.J. -- A new study is giving hope to older men who are concerned about the effects of cholesterol-lowering medications on their sexual health. The study by researchers at Rutgers Robert Wood Johnson Medical School indicates that statin medication prescribed to lower cholesterol and decrease the chance of having a heart attack and stroke, also improves a mans erectile function. The investigators presented their findings today at the American College of Cardiologys Annual Scientific Session and simultaneously released the study in The Journal of Sexual Medicine.

Older men who have poor cardiovascular health, diabetes or metabolic syndrome often experience erectile dysfunction and the prevalence of these diseases is expected to increase, said John B. Kostis, MD, professor of medicine, director of the Cardiovascular Institute at Robert Wood Johnson Medical School and the studys principal investigator. Our research indicates that statins not only improve cardiovascular health and reduce the risk of stroke and heart attack, but also improve erectile function in the men included in our analysis.

Dr. Kostis suggested that ED may serve as a warning sign of cardiovascular disease. Similar to a canary in a coal mine, he said.

In such patients, prescribing statins following the detection of cardiovascular disease could offer early benefits in addition to improved sexual function. He cautioned, however, that until further study is conducted, statins should not be prescribed for erectile dysfunction alone or when it may be caused by psychosocial factors. Kostis added that further study is needed to determine the link between statin therapy and the improvement of erectile function.

Ultimately, a healthy lifestyle is the best method to prevent disease, including erectile dysfunction, said Kostis. But statin therapy has been proven to provide long-term benefits in reducing cardiovascular disease and the detrimental consequences associated with it. Offering statin therapy to improve erectile function may extend these benefits further.

Kostis added that he hopes this added benefit of statins on better erectile performance will encourage men to adhere to taking the medication as prescribed by their physician.

The study is a meta-analysis of 11 randomized controlled research studies on erectile dysfunction and statins that all used the International Inventory of Erectile Function a self-reporting evaluation of male sexual function that is considered the standard of measurement in clinical trials of ED. There was no relationship of the average age of trial participants and the degree of LDL cholesterol lowering of statin with the outcome of the analysis.

About Rutgers Robert Wood Johnson Medical School As one of the nation's leading comprehensive medical schools, Robert Wood Johnson Medical School, part of Rutgers, The State University of New Jersey, is dedicated to the pursuit of excellence in education, research, health care delivery, and the promotion of community health. In cooperation with Robert Wood Johnson University Hospital, the medical school's principal affiliate, they comprise New Jersey's premier academic medical center. In addition, Robert Wood Johnson Medical School has 34 other hospital affiliates and ambulatory care sites throughout the region.

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Lowering Your Cholesterol May Improve Your Sex Life

Beth Israel Deaconess Medical Center's Harold F. Dvorak, M.D., wins Gairdner Award

PUBLIC RELEASE DATE:

28-Mar-2014

Contact: Bonnie Prescott bprescot@bidmc.harvard.edu 617-667-7306 Beth Israel Deaconess Medical Center

BOSTON Harold F. Dvorak, MD, senior investigator in the Center for Vascular Biology Research at Beth Israel Deaconess Medical Center (BIDMC) and former chairman of BIDMC's Department of Pathology, is one of eight scientists to win the 2014 Canada Gairdner Awards, which recognize some of the most significant medical discoveries from around the world. Awarded by the Gairdner Foundation, based in Canada, the awards are considered among the most prestigious international awards in medical research.

Dvorak, the Mallinckrodt Distinguished Professor of Pathology at Harvard Medical School, has been recognized for his landmark discovery of vascular endothelial growth factor (VEGF) and the development of effective anti-VEGF therapy for cancer and wet macular degeneration. VEGF is a key molecular mediator of new blood vessel formation.

The Gairdner Awards recognize and reward the achievements of medical researchers whose work contributes significantly to improving the quality of human life. This year's winners showcase a broad range of new medical discoveries related to cancer, cardiovascular disease, immunotherapy and human parasitic diseases.

"Hal Dvorak's groundbreaking discovery of the VEGF signaling protein helped form the basis for the field of angiogenesis, and led to an entirely new means of treating cancer and other diseases by starving blood supply to tumors," says BIDMC Chief Academic Officer Vikas P. Sukhatme, MD, PhD. "Hal is truly a pioneer among cancer researchers and this honor reflects a tremendous body of work that he and his colleagues have conducted over the years. The idea that cancer is a wound that does not heal, as suggested by Hal years ago, has had profound therapeutic implications that are only now starting to be truly recognized."

Dvorak's initial characterization of VEGF as a permeability enhancing factor further suggested that antibodies to it may be effective in treating states of vascular leak, including macular degeneration, which has proven to be the case. "Hal's studies also formed the framework for understanding the cause of preeclampsia, the dangerous complication of pregnancy," adds Sukhatme. "This discovery was made here at BIDMC by Ananth Karumanchi, a colleague in the Center for Vascular Biology Research for whom Hal has been an important mentor, as he has to so many young scientists. On a personal note, Hal is one of the most gracious and collaborative scientists that I have had the pleasure of meeting."

In 1983, Dvorak reported a tumor-derived protein that caused the cells lining tumor blood vessels to become hyperpermeable or "leaky" to circulating molecules. He called the protein vascular permeability factor (VPF), and subsequently demonstrated that VPF was also secreted by many normal cells and plays a key role in wound healing and chronic inflammatory diseases. As the Gairdner Foundation notes, "Dr. Dvorak's research demonstrated that most malignant tumors make VEGF, which assists the tumors to grow beyond minimal size by forming new blood vessels and connective tissue support as in wound healing."

"Dr. Dvorak's work enabled major advances in our understanding of several key physiological processes," adds BIDMC Chairman of Pathology Jeffrey Saffitz, MD, PhD. "I speak on behalf of our entire department in expressing our extreme pride in this award and in Dr. Dvorak's ongoing work in the field of angiogenesis."

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Beth Israel Deaconess Medical Center's Harold F. Dvorak, M.D., wins Gairdner Award

School board weighs $800K payout in student death

TAMPA The Hillsborough County School Board on Tuesday is poised to approve an $800,000 settlement with the parents of a student with a neuromuscular disorder who died after a medical emergency on a school bus.

Isabella Herrera, a second-grader who attended Sessums Elementary, died in January 2012, a day after a bus ride home during which she experienced medical problems. Neither the driver nor an aide called 911 as Herrera turned blue and stopped breathing in her wheelchair. Instead, Isabellas mother was called twice.

The Herreras attorneys alleged in a federal lawsuit later dismissed by a judge that Isabellas treatment by school officials was an act of discrimination.

Once it gets school board approval, the settlement will need to get the green light from the Hillsborough County Probate Court. A hearing is scheduled for Wednesday morning.

The agreement calls for any claims by the Herreras and their attorneys against the school board to be resolved. Dan Cotter, one of the Herreras attorneys, said Isabellas mother, Lisa Herrera, will attend Tuesdays meeting to address the board.

The board meets at 3 p.m. Tuesday at 901 E. Kennedy Blvd.

Her death was one of two that rocked the school districts exceptional education department in 2012.

Jenny Caballero, an 11-year-old girl with Down syndrome, walked away from gym class in October 2012 and drowned in a pond at Rodgers Middle School.

The school board reached a settlement in December with the family that amounts to $500,000.

ekourkounis@tampatrib.com

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School board weighs $800K payout in student death