Transforming health care through leadership education
Vol. I, Issue 22
News
Training Doctors Who Mirror the New AmericaAn essay in the May 21 issue of the St. Louis Post Dispatch titled, “Training Doctors Who Mirror the New America,” states, "Contributing to the shortage of physicians is the low number of minorities who enter medicine as a career. Minorities continue to fight an uphill battle for a career in medicine and science. They are hampered by historically understaffed, underfunded and ill-supplied schools; a lack of career mentorship as well as institutional and historical racism and inadequate financial resources. Despite these obstacles, there are effective ways to reverse the inequities of minorities in medicine." These include fostering an interest in science and medical careers among minority school-age children through outreach, mentoring, tutoring and enrichment programs.
Study Examines Cost of Reducing Resident Duty HoursA study published in the May 21, 2009, issue of the New England Journal of Medicine examines the cost of implementing the Institute of Medicine's (IOM) report on resident duty hours at an estimated annual cost of $1.6 billion (in 2006 U.S. dollars) across all ACGME-accredited programs. From a 10% decrease to a 10% increase in preventable adverse events, net costs per admission ranged from $99 to $183 for major teaching hospitals and from $17 to $266 for society. With 2.5% to 11.3% decreases in preventable adverse events, costs to society per averted death ranged from $3.4 million to $0." The study concludes that implementing the four IOM recommendations would be costly, with unknown effectiveness.
Read the article.
Read a Health Leaders Media review.
Cost vs. Care: Preparing Our StudentsIn this week’s New Yorker magazine, author and surgeon Atul Gawande MD (from Athens Ohio!) writes about the dilemma of practice variation and quality. The article, titled “The Cost Conundrum: What a Texas Town Can Teach Us about Health Care,” suggests that a key issue confronting medical educators will be the challenge of preparing graduates to practice evidence-based care and to be effective stewards of limited resources. The U.S. currently spends the most per capita on health care, yet has quality of care metrics that rank us 30th among developed countries. Work done by the Dartmouth Atlas Project consistently shows an inverse correlation between outcomes and expenditures for Medicare patients.
Read this article to get a good synopsis of the problems we have in preparing our students to work on health care quality and disparities.
Resources
CGEA Research Resources Now Posted on Web
CGEA recently polled members about their research interests in an effort to encourage collaborative research and bring investigators together with similar interests. The results will be posted in a dynamic web page that will be updated semi-annually. Individuals wishing to be included may complete the CGEA Research Interest Directory located on the CGEA Web Site. To access the database showing research interest by category, go to http://cgea.net.
Educational Leadership Positions
Howard A. Werman, MD, Medical Director of OSUMC Med Flight and Associate Professor of Clinical Emergency Medicine, has been appointed Chair of the Admissions Committee. In his new position, he will oversee all activities of the Committee, including candidate review, assessment and selection. Dr. Weman is a 2007 recipient of the
Douglas A. Rund Distinguished Faculty Award.
Education Journal Club
Simone, Joseph V. “Understanding Academic Medical Centers: Simone's Maxims,” Clinical Cancer Research, 1999, 5: 2281-2285
Are there some consistencies that broadly apply to help negotiate the increasingly stormy seas of academic medical centers? The author of this article developed maxims to guide his judgment. The maxims are contained in five categories: institutions, leadership, recruiting, job changes, and success. "The maxims have grown and evolved over time, and they are likely to continue to do so; these are no tablets from Moses, to be sure.” This article is available through the E-Journals on the Prior Health Sciences Web Site. (Use this link if you are off campus.)
Upcoming Seminars
Wednesday, June 17, 2009 “Giving Feedback”, Sorabh Khandelwal MD
12:00 pm, 400 A&B Prior Health Sciences Library
Contact:
Megan L. RockWednesday, July 15, 2009“Technology and Teaching,” Speakers: Doug Danforth, MD; Larry Hurtubise, MA
12:00 pm, 400 Prior Health Sciences Library
Contact:
Megan L. Rock
Request for Input
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