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New data on financial ties in medicine

The industry spent nearly $3.5 billion on such payments in the five-month period from August through December 2013, according to the Centers for Medicare and Medicaid Services, which released data on 4.4 million payments.

The massive trove of information named companies and many of the recipients. Also listed were types of payments, with details down to travel destinations. About 546,000 clinicians and 1,360 teaching hospitals received payments. Some doctors had ownership stakes in companies.

The release is part of a new initiative called Open Payments, mandated by the Affordable Care Act. It was intended to allow patients to look up their own doctors online, but that isn't fully ready yet. In future years, the information will cover a full 12 months and will be easier to search, officials said.

Susan Phillips, a senior vice president for Penn Medicine, the university's health system, said the school did not have access to the data until Tuesday afternoon and could not immediately provide details.

The data indicate that the bulk of the Lilly money consisted of royalties for Amyvid, the company's radioactive tracing agent used to scan for signs of Alzheimer's disease. It was developed at Penn.

The Novartis payment was listed as "compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program."

Consumer groups called the data release a much-needed step toward transparency about relationships that can influence patients' care. But doctors and industry said the government rushed to release the data, and raised questions about accuracy and lack of context.

The administration said it was not pointing a finger at the medical profession or the pharmaceutical industry.

"Open Payments does not identify which financial relationships . . . could cause conflicts of interest," said Shantanu Agrawal, the agency official overseeing the project. "It simply makes the data available to the public." Under Obama, government policy has shifted toward opening the books of the medical profession.

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New data on financial ties in medicine

UI College of Medicine Proposes New Intercampus Ties to Strengthen Bioengineering

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Newswise The University of Illinois College of Medicine has presented to the universitys Board of Trustees a white paper with a series of recommendations that would integrate engineering and technology into medical training programs, develop a new bioengineering institute, and build upon research that would attract more federal dollars to the four regional College of Medicine campuses at Chicago, Peoria, Rockford and Urbana-Champaign.

The initiative would draw upon the strengths in engineering and medicine that exist across all campuses of the University of Illinois. The UI College of Medicine, based at the Chicago campus, is the largest in the nation -- and the most diverse -- and is part of a comprehensive health sciences center. The Urbana-Champaign campus, in turn, has one of the top-ranked colleges of engineering in the country, as well as renowned strengths in supercomputing, basic and applied sciences, and humanities.

The University of Illinois is well-positioned to leverage and integrate existing engineering and medical expertise to provide our students new opportunities for learning and research in bioengineering and biotechnology, said Dr. Dimitri Azar, dean of the College of Medicine. A unified College of Medicine, together with UICs six other health science colleges, have the potential to promote university-wide collaborations that take advantage of our existing strengths.

The key, Azar said, is to couple the College of Medicines access to clinical learning opportunities with the Urbana-Champaign campuss College of Engineering, which is engaged in advanced bioengineering research and device development.

We must reorganize and recruit additional faculty to support new programs that integrate engineering and medical education, Azar said.

Short-term recommendations include expanding opportunities for students at all campuses by incorporating engineering into medical training; developing a new medical engineering training track; expanding an engineering-based M.D./Ph.D. program and residency programs; and formalizing partnerships with regional health systems to expand clinical training opportunities at College of Medicine sites in Peoria and Urbana-Champaign.

All of these initiatives could be achieved relatively quickly and at modest cost, Azar said.

The proposal to establish a multi-campus Illinois Translational BioEngineering Institute within the College of Medicine -- to aid in the recruitment of additional faculty in engineering and medicine and attract more federal funding for bioengineering research -- would require additional resources, Azar said, and could be done as a final step. The recommendations are designed to be accomplished within the current unified College of Medicine structure in a step-wise fashion, leading up to the development of the institute, Azar said.

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UW medical school to allow nonlegal residents

Before this year, the University of Washington threw away the applications from medical-school hopefuls who came into the United States illegally, even if theyd lived here most of their lives.

Now, after a lobbying effort by its own students, the UW School of Medicine has joined a few dozen others across the nation that have quietly started to allow such students to apply to medical school. The change opens up the last part of the university that barred them.

Its the right thing to do, said Benji Perin, a third-year UW medical student who led the effort to change the school policy.

A year ago, only one U.S. medical school accepted undocumented students. Now, at least 35 of the nations other medical schools will accept students who are enrolled in the federal Deferred Action for Childhood Arrivals (DACA) program, which gives them a temporary, quasi-legal status.

Undocumented students have long been welcome as undergraduates and graduates at schools across the nation, even before DACA was created two years ago. In 2003, a Washington state law also granted in-state tuition to undocumented students who grew up in this state.

We felt we were really catching up to the rest of the UW, said Carol Teitz, associate dean for admissions at the medical school. In addition to being enrolled in DACA, medical-school applicants must also meet certain residency requirements for their state.

Still, Teitz does not think the university will receive many DACA student applicants, and noted that competition for Washingtons 120 medical-school seats is fierce, with 6.8 applicants for every spot.

Supporters acknowledged that admitting DACA students may not sit well with those who already think DACA undermines U.S. immigration law by temporarily giving legal status to people who entered the country without legal permission. And it comes at a time when state policymakers say there are too few medical-school seats available.

But students say expanding the pool of students who can become doctors will only improve medical care.

There was a time when people were anxious about the increased competition from women coming to medical school, Perin said.

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UW medical school to allow nonlegal residents

Rutgers opens new medical institute at Newark campus

September 30, 2014, 7:37 PM Last updated: Tuesday, September 30, 2014, 7:37 PM

Officials heralded on Tuesday the opening of an Institute for Infectious and Inflammatory Diseases at Rutgers New Jersey Medical School in Newark, saying it could provide a springboard for important medical breakthroughs.

Governor Christie, who attended the event, said the institute was an example of the greatness fostered by the states medical school merger last year. I want to continue to remind people of the great things that can happen as a result of this collaboration, the governor said.

Rutgers integrated most of the former University of Medicine and Dentistry of New Jersey last year, in what was thought to be one of the largest academic mergers ever. The governor overcame legislative and institutional opposition to spearhead the merger, which had failed under previous administrations.

The merger gave Rutgers coveted medical and dental schools and brought stability and prestige to the former medical university, which had been plagued by scandal and public relations problems. It also catapulted Rutgers into the top 30 universities nationwide in research funding.

Dr. William Gause, senior associate dean for research, said recruiting new scientists became easier after the affiliation with Rutgers.

The institute will boost research done at the newly merged institutions and bring together nearly 2,000 scientists and staff from throughout the far-flung university.

Even though federal financing for research is constricting, officials said they believed the institute had a good shot at getting more money from the National Institutes of Health for research dealing with such diseases as tuberculosis, AIDS, asthma, diabetes, and obesity.

In April, Rutgers researchers got a $26 million federal grant for work in developing new antibiotics. Christie touted the new institute and construction of a new chemistry building on the Rutgers campus in New Brunswick as examples of a new era in biomedical research at Rutgers.

Email: alex@northjersey.com

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Rutgers opens new medical institute at Newark campus