Bangladesh Medicine News 18 January 2014 Bangla TV News Live
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By Erinn Hutkin, Special to U-T San Diego 6 a.m.Jan. 21, 2014
Dr. Gary Levinson has practiced internal and sleep medicine in the San Diego area for years, but he practices in an unusual way.
Some of his patients have his cellphone number and the number for a separate phone line into the office. They are also promised same or next-day appointments. And in the office, hes able to spend more time with them, build relationships and get to know patients and their health issues.
Hes able to do all of that under the concierge or boutique medicine model.
Its a model thats emerged in recent years in which some doctors offer patients the option of paying an annual fee or a retainer, which varies from physician to physician, in exchange for more access and time with their doctors.
Patients typically keep their private insurance, which pays for office visits and services, but the annual fee gives them perks such as being able to reach their doctor after-hours via email or phone, securing appointments within 24 hours and more one-on-one time with their doctor.
In turn, the fee allows doctors to lighten their patient roster, see fewer people each day and spend more time with patients in the office.
Some doctors have switched to the model full time, while physicians such as Levinson offer concierge service to 5 percent of his patients now with the hope of eventually offering the model to 10 to 15 percent.
Its not only advantageous to his patients, its often advantageous to him.
Its unrushed, said Levinson. Patients get what they want and we get more satisfaction without feeling like a cog in the health care wheel.
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It was Monday morning and like most Monday's I'm rushing out my front door, slamming my green tea down and hoping into my car. To start the week of right I needed some morning Monday medicine. There is one band that does just that for me, you know the kind of music you play so loud that your speakers sound like they might crack. You roll up your windows as you drive to work as not to allow any precious sound to escape, and as you listen and sing along with the lyrics goosebumps creep over your forearms and then your eyes get all watery and a smile grows huge over your face. This is Nahko and Medicine for the People metaphorically and physically.
A band that's lyrics remind us how precious life is, how it is time to come out of our caves, that we are the ones we've been waiting for and our oh so painful, oh so thankful lives are for a greater purpose.
Let us be the light, to light the world in our own special humble way.
REAL TALK MUSIC
Grounded with Hawaiian roots they now spread their love across nations, you can find them in Ciudad Corts, Costa Rica by February.
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Newswise The American Board of Addiction Medicine (ABAM) and The ABAM Foundation today announced their newly elected Directors and Officers for 2014. All are distinguished physicians from a range of medical specialties. These volunteer Directors lead ABAM in the formal certification of physicians as experts in addiction medicine, establish and accredit physician post-graduate addiction medicine training programs, and advance the quality of medical care for substance use disorders related to alcohol, tobacco and other addicting drugs, including some prescription medications.
Patrick G. OConnor, M.D., M.P.H., FACP, who serves as Professor of Medicine and Chief of the Section of Internal Medicine, Yale University School of Medicine, was named ABAM/ABAM Foundation President. Other Officers for 2014 include: Robert J. Sokol, M.D., FACOG, President-Elect; Jeffrey H. Samet, M.D., M.A., M.P.H., Immediate Past President; Gail DOnofrio, M.D., M.S., Secretary; and Lon R. Hays, M.D., M.A., DFAPA, Treasurer. (See below for affiliations and complete list of Directors.)
ABAM is an independent medical specialty board established in 2007 to certify addiction medicine physicians from several specialties, including emergency medicine, family medicine, internal medicine, obstetrics and gynecology, pediatrics, preventive medicine, psychiatry and other specialties.
ABAM has come a long way since its founding, with thousands of certified physicians, active certification and Maintenance of Certification programs, and training programs at leading medical schools across North America, said Dr. OConnor. I look forward to working with my colleagues on the board in this new capacity to further advance our critical mission of advancing the field of addiction medicine and providing much-needed expertise and care to millions of individuals suffering from addiction.
The ABAM Foundation has accredited 19 fellowship programs to train physicians in addiction medicine, and plans to establish additional fellowship programs. More than 3,000 physicians have been certified in addiction medicine by ABAM.
Trained addiction medicine physicians have joined other addiction professionals in the interdisciplinary care of patients with addictive disorders. Physician specialists in addiction medicine bring unique skills and competencies to the treatment team, contributing to the care of individuals and families with a multitude of needs, using all appropriate treatment modalities.
We want addiction prevention, screening, intervention and treatment to become routine aspects of medical care wherever health care is provided and to be available for all who need it, said Dr. OConnor.
Currently, relatively few physicians screen, intervene or refer, because they have not been sufficiently educated about addiction medicine in medical school, nor trained in residencies. Until the establishment of ABAM, one barrier to this training was the lack of an addiction medicine subspecialty for primary care physicians. A subspecialty of addiction psychiatry exists within the field of psychiatry, however, this does not provide the opportunity for addiction certification for primary care physicians and those in other specialties. While there are excellent addiction psychiatry fellowships, there are no addiction medicine residencies for physicians pursuing primary care specialties among the 9,262 Accreditation Council for Graduate Medical Education (ACGME) accredited U.S. programs that are training 119,588 residents.
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American Board of Addiction Medicine Announces 2014 Officers and Directors
A flow restrictor on liquid medicine bottles could prevent accidental ingestions, but drugmakers have yet to promise or deliver such protection on many pediatric medicines
Flow Restrictors: Using a syringe, Daniel Budnitz measures out a dose of medicine from a bottle fitted with a flow restrictor. Image: Bryan Metz/ProPublica
Starting in 2007, Dr. Daniel Budnitz, a scientist at the Centers for Disease Control and Preventions Medication Safety Program, began tracking an obscure but unsettling statistic about childrens health.
Each year, more and more kids were being rushed to emergency rooms after swallowing potentially toxic doses of medication. By 2011, federal estimates put the figure at about 74,000, eclipsing the number of kids under 6 sent to ERs from car crashes.
In most cases, children experienced no lasting harm from accidentally ingesting pills or liquids from the family medicine cabinet, but about 1 in 5 had to be hospitalized for further evaluation. About 20 children died each year from such accidents, CDC data showed.
As an epidemiologist and the father of two kids, including one who had a penchant for putting things in his mouth, Budnitz became fixated on reducing drug overdoses.
In particular, he saw an easy solution for the roughly 10,000 emergency room visits a year involving liquids, such as over-the-counter pain relievers and prescription cough syrups.
It was a type of safety valve called a flow restrictor. The small plastic device fits into the neck of a medicine bottle and slows the release of fluid, providing a backup if caregivers leave child-resistant caps unfastened or kids pry them off.
In 2008, Budnitz persuaded drug makers, federal regulators and poison experts to come together on an initiative to add flow restrictors, which cost pennies apiece, to medicine bottles.
Today, however, that promise to make medicine safer for kids remains largely unfulfilled, hindered by industry cost concerns and inaction by federal regulators, an examination by ProPublica found.
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Why a Safety Device That Can Stop Overdoses by Kids Isn't Widely Used
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by JIM BERGAMO / KVUE News, photojournalist DENNIS THOMAS and KVUE.com
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Posted on January 21, 2014 at 10:45 AM
Updated yesterday at 6:40 PM
AUSTIN-- The new Dell Medical School at the University of Texas has announced who will be its inaugural dean.
The school said Tuesday that Dr. S. Claiborne "Clay" Johnston has earned the position. He will be in charge of developing new teaching approaches, research and patient care for the medical school.
Johnston, 49, is currently the associate vice chancellor of research at the University of California-SanFrancisco.
"This is just a tremendous opportunity, to know that you're creating a world class medical school from the bottom up,"Johnston said.
The new dean went to Amherst College and got his medical degree at Harvard. He earned his Ph.D. at the University of California-Berkeley.
There is no greater opportunity for improving health care than by building a medical school from the ground up at a top institution like UT and in an entrepreneurial city like Austin. With a deeply committed community, its remarkable Austin hasn't had a medical school until now. The opening of Dell Medical School gives the city the chance to approach medical education differently and more effectively than ever before, Johnston said.
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BOISE Idaho ranks 49th in the nation for its number of doctors per capita, and many of the states current doctors are expected to retire in the next fewyears.
Whats more, the state, which has no medical school, is lagging on training newones.
Knowing that it can take up to 11 years after high school to produce a physician, Idaho really has some challenges ahead as these physicians start retiring, Dr. Mary Barinaga warned state lawmakers on Tuesday. That includes four years of college, four years of medical school and three to seven years of residency
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BOISE Idaho ranks 49th in the nation for its number of doctors per capita, and many of the states current doctors are expected to retire in the next fewyears.
Whats more, the state, which has no medical school, is lagging on training newones.
Knowing that it can take up to 11 years after high school to produce a physician, Idaho really has some challenges ahead as these physicians start retiring, Dr. Mary Barinaga warned state lawmakers on Tuesday. That includes four years of college, four years of medical school and three to seven years of residency andfellowship.
A new family medical residency training program in Coeur dAlene is one step to try to help, joining other residency programs around the state. It would train six students nextyear.
Lawmakers also are debating adding more medical school seats through a cooperative program that sends Idaho medical students to the University of Washingtons medical school, though Gov. Butch Otters proposed budget for next year doesnt fund moreseats.
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Updated: Tuesday, January 21 2014, 06:29 PM CST
University Medical Center Brackenridge is a giant step closer to have a medical school to go with it. Today the school -- the Dell Medical School at the University of Texas--announced its first dean.
A lot of people worked behind the scenes to bring neurologist Dr. Clay Johnston from San Francisco to be the first dean of UT's new medical school. But Dr. Johnston knows he wouldn't be here without the blessing of local voters.
He says, "To imagine that in the middle of a recession that the citizens of a city would agree to increase their property tax. I can tell you it wouldn't happen in San Francisco."
In 2012, Travis County voters approved hiking the tax rate for Central Health-- the county hospital district-- in order to commit $35 million a year to support the medical school.
The school and its teaching hospital are all part of a grander plan to convert health care delivery in Austin to a team effort to address new economic realities including the Affordable Care Act.
Clarke Heidrick, a board member for Central Health says, "The way medicine is going to be played in the 21st century: nurses, pharmacists, social workers, the whole team that's going to have to take care of the population, certainly the population that Central Health serves."
And with all these changes also come opportunities. UT nursing students see jobs in their future. Olivia Tristan says, "I think we're going to be graduating right when it's opening. So hopefully we can slide in there and have a life-long career there, too."
The next milestone for the new medical school will be the groundbreaking ceremony for its new facilities. That's expected to come sometime in March.
By Fred Cantu
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Published on January 21, 2014 at 1:11 am Last update on January 21, 2014 at 1:11 pm
After a nine-month search by a committee including educators, health professionals and students, the University introduced Clay Johnston as the inaugural dean of the Dell Medical School on Tuesday morning.
Johnston, who studied at Amherst University, Harvard University and the University of CaliforniaBerkeley, is currently the associate vice chancellor of research and director of the Clinical and Translational Science Institute at the University of CaliforniaSan Francisco School of Medicine. He will begin serving as dean March 1.
The Dell Medical School, which went into planning in 2012 and was named last year, is in the final states of design and is expected to receive its first class of students in 2016. President William Powers, Jr. said Johnston was selected in part because of his forward-thinking vision for the school.
We had a dozen fantastic people from around the country, Powers said. This really garnered a great deal of interest from some very high level people. [Johnston] is innovative and open and wants to help design a medical school in a new way. He is very interested in new forms of health care delivery, and he has worked and proven himself in the institute that he heads up in his ability to work with many stakeholders in a complex situation.
Johnston said he will try to use his role as dean to advance the way medical schools approach health care, which he believes should be more patient-centric.
I think medical health care is really at an important juncture right now, Johnston said. My vision is to create a medical school that really represents where health care should be going, not where its been. Thats the beauty of starting from the ground up and then being able to take a look at how health care is working, how medical centers are working and design them for the next century.
Unlike the six existing medical institutions within the UT System, which each have their own president, Powers said Dell Medical School will be a unit of the University.
Johnston, who plans to continue treating patients as dean, said all individuals involved in the Dell Medical School project have different expectations for his performance. He said he will be expected to deliver excellent care to patients, create multidisciplinary programs intended to advocate research and turn the school and research hospital into modes for economic development in the community. Johnston said one of the first challenges he faces will be prioritizing these objectives.
The school is going to do all of those things, but when? Johnston said. You cant do all of those things from day one or year one or even year five. So the biggest challenge is prioritizing amongst these critical goals and making excellent progress in all of these areas but managing the expectations so that people understand that it is impossible to grow this thing, even in five years, to the vision that all of us have for it.
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University appoints Clay Johnston as inaugural dean of Dell Medical School
BOISE - Not only does Idaho rank 49th in the nation for its number of doctors per capita, many of the states current doctors are expected to retire in the next few years, and the state, which has no medical school, is lagging on training new ones. Knowing that it can take up to 11 years after high school to produce a physician, Idaho really has some challenges ahead as these physicians start retiring, Dr. Mary Barinaga warned state lawmakers on Tuesday. That includes four years of college, four years of medical school, and three to seven years of residency
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State of Idaho photo
DanSchmidt (Full-size photo)
BOISE - Not only does Idaho rank 49th in the nation for its number of doctors per capita, many of the states current doctors are expected to retire in the next few years, and the state, which has no medical school, is lagging on training new ones.
Knowing that it can take up to 11 years after high school to produce a physician, Idaho really has some challenges ahead as these physicians start retiring, Dr. Mary Barinaga warned state lawmakers on Tuesday. That includes four years of college, four years of medical school, and three to seven years of residency and fellowship.
A new family medical residency training program in Coeur dAlene is one step to try to help, joining other residency programs around the state; it would train six students next year. Lawmakers also are debating adding more medical school seats through a cooperative program that sends Idaho med students to the University of Washington, though Gov. Butch Otters proposed budget for next year doesnt fund more seats.
Dr. Dick McLandress, program director for the new Kootenai Family Medicine Residency in Coeur dAlene, said the need is particularly acute for primary-care doctors, with 50 percent expected to retire within the next five to seven years. In North Idaho, definitely were in the 50 percent zone, he said. That really matters to all of our communities.
Sen. Dan Schmidt, D-Moscow, a family physician himself, agreed. I know a lot of em, and theyre my age and older, said Schmidt, 59.
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Idaho's doctor shortage threatens to worsen - Tue, 21 Jan 2014 PST
Gigi Bowman: The Liberty Inspiration Awards
Gigi Bowman presents the Liberty Inspiration Awards at the Save Long Island Forum 1-18-2014 http://gigibowman.com/
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