House okays for-profit medical school

PROVIDENCE, R.I. -- The House voted 65 to 6 Tuesday to permit a for-profit osteopathic medical school to open in Rhode Island, provided it meets applicable academic standards.

State Rep. Joseph M. McNamara, D-Warwick, presented the proposal as a boost to economic development that will create 300 jobs and bring construction of a 250,000-square-foot facility.

He also said the new Rhode Island School of Osteopathic Medicine would help address a projected shortage of primary care physicians in the next decade.

But State Rep. Edith H. Ajello, D-Providence, said the shortage of doctors stems from low reimbursement rates. She raised concerns that the school might not require students to have bachelors degrees and that it would strain available clinical placements for upper-level medical students.

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Medical Students Should Study Patients' Cultural Diversity

As the United States grows more culturally diverse and we hear more languages spoken around us, clinical medical education has had to evolve as well. And with national population growth, particularly in big cities like New York and Los Angeles, which are popular with medical students, those students must not only know their jobs, but also need to know their hospitals.

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Seventy Medical Students Take a Year-Long Plunge into Lab Work

Medical school can be a grueling four-year journey consisting of never-ending memorization, clinical rotations and sleepless nights. So why do some students extend their medical school status by plunging into a research lab for an extra year of studies?

Its all about the why, explains Dylan Wolman, a medical student at Tufts University School of Medicine. A year of research provides an avenue to practice what should be an essential skill in any scientific field: questioning 'why. It is a thought exercise that will serve you there by teaching you to question why an unexplained symptom in a particular disease constellation occurs, and perhaps even help you develop the spark necessary to pursue that question to its answer, Wolman says.

Wolman and another medical student awardee will immerse themselves in a year of intense lab research at the Howard Hughes Medical Institutes Janelia Farm Research Campus as part of the HHMI Medical Research Fellows Program, a $2.5 million annual initiative to increase the training of future physician-scientists. In all, 70 students from 27 medical schools across the country will participate in the year-long Medical Research Fellows Program. More than 1,400 students have participated in the Medical Research Fellows program since its inception in 1989.

A year spent focused on research has been transformative for many fellows, and shaped their interest and determination to become physician-scientists. Sean B. Carroll

Wolman, who is halfway through his medical studies at Tufts, is taking a year off from medical school to conduct cutting-edge research on brain wiring at Janelia Farm in Ashburn, Virginia. At Janelia Farm, Wolman will use light and electron microscopy techniques to study the neural connectivity between the mouse motor and barrel cortex. He will work under the mentorship of Janelia Farm fellow Davi Bock and group leader Karel Svoboda.

A year spent focused on research has been transformative for many fellows, and shaped their interest and determination to become physician-scientists, says Sean B. Carroll, HHMIs vice president for science education.

One of the medical research fellows will spend a part of his year researching tuberculosis in South Africa. Eric Kalivoda, a student from the University of Vermont College of Medicine, will work at the KwaZulu-Natal Research Institute for Tuberculosis and HIV (K-RITH), in Durban, South Africa, for several months under the mentorship of HHMI investigator William Jacobs. This is the first time that one of the medical fellows will be spending a portion of the fellowship year at K-RITH.

K-RITH is a groundbreaking collaboration between HHMI and the University of KwaZulu-Natal in South Africa. K-RITHs mission is to conduct outstanding basic science research on tuberculosis (TB) and HIV, translate the scientific findings into new tools to control TB and HIV, and expand the educational opportunities in the region. Kalivoda will travel to Durban mid-way through his fellowship, and then return to the United States to spend the rest of the year in Jacobs lab at the Albert Einstein College of Medicine in New York.

K-RITH offers the unique perspective to study and address HIV/XDR-TB at its epicenter, and I look forward to working with my mentor and the K-RITH team of scientists to develop improved diagnostics for rapid TB drug-susceptibility testing, said Kalivoda.

David McMullen, a fellow from the Robert Wood Johnson Medical School in New Jersey, will spend the year doing research on brain-computer interfaces in a non-HHMI lab at Johns Hopkins University. McMullen will work with Hopkins scientists who are developing brain-computer interface technology as a potential treatment that would help patients with neuromuscular damage regain motor function.

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Seventy Medical Students Take a Year-Long Plunge into Lab Work

UND medical school holding spring commencement

GRAND FORKS, N.D. (AP) The University of North Dakota medical school is holding its spring commencement ceremony.

The school says doctor of medicine degrees will be conferred on 61 people during the Sunday afternoon ceremony at the Chester Fritz Auditorium on the Grand Forks campus.

A ceremony for the school's physician assistant class was being held Saturday. Fifty-five people were eligible to receive that degree.

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UND medical school holding spring commencement

Call for medical school split review

12 May 2012 Last updated at 06:38 ET

Ministers are to be asked by Plymouth City Council to review a decision to divide a medical school.

Plymouth and Exeter universities announced in January that they wanted to separate the Peninsula College of Medicine and Dentistry.

Councillors are concerned about the potential impact of the de-merger on the economy and healthcare provision.

The universities said separate schools in each city would result in places for more students.

The college currently has places for 200 medical and 64 dentistry students.

The de-merger would see a medical and dentistry school in Plymouth and a medical school in Exeter.

The council decision to write to ministers comes after Plymouth University announced its leadership team for the city's new school, due to open in 2013, earlier this month.

The city council had requested a 12-week consultation into the de-merger proposals.

A Conservative councillor and former member of the now Labour council's health scrutiny panel, Dr David Salter, said: "We do not want these universities to pull apart without us being sure on behalf of our citizens that healthcare will continue to be good in our area."

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UM's Medical School Laying Off 800 Workers

UM Doctors Use Telemedicine to Continue Care In Iraq

For the past 10 years Jackson Memorial Hospital's Ryder Trauma Center has been the medical training site for the US Army _ training that was put to use in Iraq.

UM Gets Technology for New Heart Valves

The Zeego is one of the new cutting edge tools at the UM Hospitals new $2.5 million Hybrid Cath Lab.

The University of Miami's medical school on Tuesday started laying off up to 800 workers, NBC 6 learned.

The layoffs at the Leonard M. Miller School of Medicine will be completed by May 31, the end of UM's fiscal year. A Worker Adjustment and Retraining Notification was posted to floridajobs.org.

A UM spokeswoman told NBC 6 that no clinical staff workers who directly deal with patients are affected and that some workers will be rehired in restructured positions.

In a letter sent to employees April 24, Miller's Dean Dr. Pascal Goldschmidt announced the reductions, calling them "painful but essential."

"There are no easy choices due to decreases in government funding, health insurance changes, and the financial struggles of our valued partners at Jackson Memorial Hospital, and it is clear that part of our strengthening must involve rightsizing our organization and reducing our workforce," Goldschmidt said. "To remain focused on providing better care to our community, we are reducing administrative duplication and unfunded research so we may deploy more resources to our clinical operations."

Goldschmidt told NBC 6 that "patient care is entirely untouched."

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A third monkey death reported at Harvard’s New England Primate Research Center

By Carolyn Y. Johnson, Globe Staff

A dehydrated squirrel monkey died at a Harvard Medical School research facility in December -- the third monkey to die at the New England Primate Research Center in 19 months -- and animals there also suffered a fracture and other injuries over the past three months, according to a federal inspection report released today.

The US Department of Agriculture cited Harvard for three serious incidents, which occurred after the medical school had responded to a series of other problems by replacing the centers leadership. Harvard could face fines or receive a warning because of the failures to comply with federal animal welfare regulations.

Harvard officials and the Agriculture Department report, posted on the agencys website, attributed the December 27 death and the non-fatal dehydration of a second monkey to employees failure to check a water dispensing system that had malfunctioned sometime after both monkeys arrived at the center Dec. 7.

Another squirrel monkeys leg was fractured in January, when it was caught under a door. And a group of rhesus macaques escaped from their pen in December, resulting in an injury to one monkeys foot.

The Agriculture Department considers all three incidents direct noncompliance issues, meaning there is a direct, adverse impact on the welfare of animals, or the high potential of such an effect. In fiscal year 2011, there were 25 direct noncompliance issues at research facilities nationwide.

Theyve had a tough stretch, and its certainly something thats gotten our attention and we look forward to them correcting the situation, said David Sacks, a USDA spokesman.

William W. Chin, executive dean for research at Harvard Medical School, acknowledged in an interview that there have been deficiencies in what weve been doing, leading to a number of incidents. These are regrettable. ... I would say theyre frankly unacceptable.

Chin discussed the new issues and broader problems at the primate center during a 45-minute interview earlier this month, on the condition that the Globe would not report his comments until the Agriculture Department posted the latest findings. It was the first time a medical school official had agreed to discuss the situation at the Southborough research center in depth.

He said problems with management systems and the implementation of basic procedures were discovered through a review launched in the summer of 2010, after the first monkey died. Those issues are being addressed, Chin said, through the change in the leadership team last September, disciplinary actions, new policies and procedures, and the formation of a six-member team that will perform continual reviews, training, and testing of staff, and conduct random audits.

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A third monkey death reported at Harvard’s New England Primate Research Center

10 Most Expensive Public Medical Schools for In-State Students

The U.S. News Short List, separate from our overall rankings, is a regular series that magnifies individual data points in hopes of providing students and parents a way to find which undergraduate or graduate programs excel or have room to grow in specific areas. Be sure to explore The Short List: College and The Short List: Grad School to find data that matters to you in your college or grad school search.

For students interested in a medical school education, the investment of time and money may be steep. Students who attend some of the highest ranked--and often most expensive--programs may face costs of more than $50,000 annually.

Across the country, private medical programs may stretch a student's budget more than public school options. Among the 49 private medical schools that submitted tuition and required fees data to U.S. News for the 2011-2012 school year, the average annual cost was $45,870.

[Get advice on how to effectively pay for medical school.]

Students may find better deals on medical programs at public schools--and even more cost-friendly deals in their state of residence. Of the 64 public schools that submitted in-state tuition and fees data to U.S. News, the average annual cost was $28,812--compared to $50,556 a year for out-of-state students.

While tuition and fees in your state of residence may be more budget-friendly, some programs charge their in-state residents nearly as much as out-of-state students. Among the 10 most expensive public medical schools for in-state students, the average cost for the 2011-2012 school year was $38,745.

[Explore the 10 least expensive public medical schools for in-state residents.]

The University of Pittsburgh tops the list of most expensive public medical schools for in-state residents, with an average annual tuition and fees package of $44,207--about $15,000 more than the national average. Among the list of 10 most expensive public medical programs for in-state students, Pittsburgh is the highest-ranked institution for research (it ranked 15th overall in that category). Oregon Health and Science University, which costs in-state students $37,282 in tuition and fees, is the highest-ranked school on this list for primary care (it ranked third in the nation).

The F. Edward Hebert School of Medicine at the Uniformed Services University of the Health Sciences, a federal service postgraduate academy that charges $0 in tuition and fees in return for military service, was excluded from this list. Schools that were designated by U.S. News as Unranked also weren't considered for this report. U.S. News did not calculate a numerical ranking for Unranked programs because the program did not meet certain criteria that U.S. News requires to be numerically ranked.

[Discover which public medical programs award the most financial aid.]

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10 Most Expensive Public Medical Schools for In-State Students

UM Medical School Plans to Lay Off 800 People

MIAMI -- University of Miami officials say the medical school is planning to lay off as many as 800 people. UM President Donna Shalala told The Miami Herald Tuesday that the move will better prepare the school for the future. Shalala says state budget cuts, reduced funds for research, cuts in compensation from insurers and cutbacks in payments by Jackson Health System have made the changes necessary. She says said some medical school employees will be let go, but may be rehired after restructuring of departments. Some will retire and others will accept severance packages. Shalala says no doctors or nurses who provide clinical care would be affected. Those laid off will be notified this month. The reduction amounts to 8 percent of the medical center's 10,000-person workforce.

Associated Press

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UM Medical School Plans to Lay Off 800 People

Dartmouth Medical School named for Dr. Seuss and wife

By Chelsea Conaboy, Globe Staff

Dartmouth College announced this morning that its medical school will be renamed the Geisel School of Medicine at Dartmouth in honor of the beloved illustrator and author Theodor Geisel, better known as Dr. Seuss, and his wife, Audrey.

Ted Geisel was a graduate of the class of 1925, and the family has given more money to the college during Geisels lifetime and since his death in 1991 than any other philanthropist, according to a Dartmouth press release.

Naming our school of medicine in honor of Audrey and Ted Geisel is a tribute to two individuals whose work continues to change the world for the better, Dartmouth President Jim Yong Kim said in the release. Ted Geisel lived out the Dartmouth ethos of thinking differently and creatively to illuminate the worlds challenges and the opportunities for understanding and surmounting them. . . Audrey and Ted Geisel have cared deeply for this institution, and we are enormously proud to announce this lasting partnership.

Geisel created such classic books as Green Eggs and Ham and The Cat in the Hat. The release includes this story about the beginnings of the Seuss legacy:

It was at Dartmouth that Ted Geisel discovered the excitement of marrying words to pictures, he said in a 1975 interview with the Dartmouth Alumni Magazine. I began to get it through my skull that words and pictures were Yin and Yang. I began thinking that words and pictures, married, might possibly produce a progeny more interesting than either parent.

As a student, he wrote for and eventually became the editor-in-chief of Dartmouths humor magazine, The Jack-O-Lantern. On April 11 of his senior year, Geisel organized a party for the The Jack-O-Lantern staff to celebrate the spectacular success that the humor magazine enjoyed during his tenure as editor. Geisel and companys revelry was not well received by the dean, and Geisel was told to resign from all extracurricular activities at Dartmouth, including the college humor magazine.

In order to continue work on The Jack-O-Lantern without the administrations knowledge, Geisel began signing his work for the first time with the pen name Seuss.

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Harvard Medical School opens center for primary care, appoints director

By Liz Kowalczyk, Globe Staff

Using a $30 million anonymous gift, Harvard Medical School has opened a center to redesign primary care and make the field more attractive to new doctors. As one of its first projects, the center is creating a new training program for residents.

The medical school said Wednesday that it has hired Dr. Russell S. Phillips, a physician at Beth Israel Deaconess Medical Center, as director of the Harvard Medical School Center for Primary Care. Dr. Andrew L. Ellner was hired as co-director.

Phillips, 59, is a professor of medicine at Harvard Medical School and chief of the Division of General Medicine and Primary Care at Beth Israel Deaconess Medical Center, where he co-leads a task force to improve transitions in care and reduce readmissions. He is a graduate of the Massachusetts Institute of Technology and Stanford University School of Medicine.

Ellner, a graduate of Harvard College and Harvard Medical School, is an associate physician in the Division of Global Health Equity at Brigham and Womens Hospital and the assistant medical director of the Phyllis Jen Center for Primary Care.

Phillips said in an interview last week that the center has started an Academic Innovations Collaborative that will provide more than $10 million in funding over two years to nine primary care teaching practices at six Harvard teaching hospitals, and to eight affiliated community health centers.

The money will help the hospitals redesign their curriculum so that residents train as part of small primary care teams, rather than see patients in a clinic one afternoon a week, largely on their own. This change is part of the strategy to make the fields of internal medicine, family practice, and pediatrics more attractive to new doctors.

Residents dont want to do primary care because its so solitary, Phillips said.

He said that most practices also plan to hire nurse care managers to help residents coordinate care for the most complex patients. Caring for these patients by themselves often feels overwhelming, and getting help from experienced nurses will make caring for these patients more manageable for residents, and also result in better outcomes for our patients, Phillips said.

The new training program will go into effect at the start of the 2013-2014 academic year.

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Harvard Medical School opens center for primary care, appoints director

UM medical school to lay off up to 800

University of Miami Health System layoffs

University of Miami President Donna E. Shalala talks about layoffs at the University of Miami Health System, including the medical school. Shalala spoke to the Miami Herald Tuesday, May 8, 2012.

Chuck Fadely / Miami Herald Staff

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Up to 800 people will lose their jobs under a major restructuring at the University of Miami medical school, President Donna Shalala said Tuesday.

State budget cuts, less research money, lower compensation from insurers and cutbacks in payments by Jackson Health System made the changes necessary, Shalala said during a meeting at the Miami Herald.

Its not a great situation, Shalala said, but at the end of the day, well be a much stronger healthcare system of a much higher quality because we will be able to reinvest in healthcare delivery. ... Weve moved this institution to new heights. The world is changing beneath our feet.

Laid-off workers are being notified this month, Shalala said. A notice UM filed with the state Tuesday announced the university would cut 800 jobs by July 31, but Shalala said the final number is likely to be lower. The cutback is the largest by any employer in the state since the medical schools campus neighbor, Jackson, announced 920 layoffs in February.

The UM reduction amounts to 8 percent of the medical centers 10,000-person workforce. Shalala said no doctors or nurses who provide clinical care would be affected. The cuts announced Tuesday come after 182 temporary workers were laid off in late March.

Most of the UM layoffs are concentrated in research and administration as the university centralizes services to serve the entire enterprise. About 150 people who schedule appointments will lose their jobs in various departments as that service is centralized. About 150 in research administration and 110 researchers will also be let go, according to the letter UM filed with the state.

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Harvard Medical School Adviser: Fainting could signal larger medical issue

QUESTION: Last week I was running errands when I suddenly broke out in a sweat. Before I knew it, I had fainted. This has never happened to me before. What made me faint? Could something serious be wrong? And how can I prevent this from happening again?

ANSWER: Few things are more alarming than a sudden and complete loss of consciousness and control. Often, you start out feeling a little nauseated and the room grows dim. You may feel clammy and sweaty. Then you wake up -- on the floor. It's all over in a minute or two, and you quickly get back to normal. But it's been a frightening and embarrassing experience.

Most people would call it fainting, blacking out or passing out. But doctors call it "syncope"(SIN-co-pee). By definition, it's a brief loss of consciousness that resolves without medical treatment within minutes.

In many cases, syncope is a harmless event. But in some people it can be a red flag. Even if healthy functions return quickly and spontaneously, a fainting spell should not be ignored. Anyone who faints should notify a doctor. And if you have previously diagnosed heart disease, you should get prompt medical attention.

People pass out when the brain doesn't get enough blood and becomes deprived of fuel and oxygen. This is usually caused by a sudden drop in blood pressure. The question is what caused your blood pressure to drop suddenly?

You can help your doctor figure out what caused you to faint by providing a full account of the events that occurred before and after you fainted. A witness may be able to fill in the details.

Your doctor will review your medical history and list of current medications. He or she will perform a physical exam, including measuring your blood pressure both lying down and standing, and an electrocardiogram (EKG). If there are any suggestions of heart disease, neurological abnormalities or other serious problems, you'll need other tests.

Your doctor will try to confirm or rule out a few major causes for your fainting.

The first is a temporary malfunction of the nerves and arteries that doctors call neurovascular syncope. You'll know it as a garden-variety fainting spell.

Neurovascular syncope is by far the most common type of fainting. It occurs when the heart slows down instead of speeding up and the blood vessels widen instead of narrowing.

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Harvard Medical School Adviser: Fainting could signal larger medical issue