MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'academic medicine'. Sat, 03 Sep 2011 02:29:25 +0100 http://www.medworm.com/index.php?rid=4723806&cid=t_115340_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fonline-health-information-can-be-more-trustworthy-than-printed-texts%2F2011.04.17 Recently Ed Silverman of Pharmalot considers the case of a ghost-written medical text’s mysterious disappearance. The 1999 book, “Recognition and Treatment of Psychiatric Disorders: A Psychopharmacology Handbook for Primary Care,” (reviewed in a psychiatry journal here) came under scrutiny last fall when it became evident that the physician “authors” didn’t just receive money from a relevant drug maker, SmithKline Beecham; they received an outline and text for the book from pharmaceutical company-hired writers. poster for the X-Files Now the book’s listing is gone from the website of STI (Scientific Therapeutic Information), the company that provided the authorship “help.” I tried to get a copy of the handbook on Amazon.com, where it’s currently out-of-stock. The book ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4723806 Sun, 17 Apr 2011 16:00:58 +0100 4723806 http://www.medworm.com/index.php?rid=4636659&cid=t_115340_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F5PvEgH1s4QA%2F The pharmaceutical industry has traditionally established ties to doctors during their formative years in residency programs, but more recently, drugmakers have been shunned by several high-profile academic medical centers over concerns of undue influence on medical practice. Now, a new study in Academic Medicine finds that a wide array of family medicine residencies are taking similar steps. The researchers conducted a nationwide survey of family medicine residencies to determine the extent and type of industry interactions with trainees and to identify so-called pharma-free residencies that avoided iindustry influence. And so they e-mailed four questions to residency directors or coordinators at all 460 accredited US family med residencies. In all, 286 replied. The findings: 75 residenc... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4636659 Fri, 25 Mar 2011 14:11:57 +0100 4636659 http://www.medworm.com/index.php?rid=4600535&cid=t_115340_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fenough-about-physician-empathy%2F2011.03.16 Is anyone else tired of hearing about how important empathy is in the doctor-patient relationship? Every other day it seems a new study is talking about the therapeutic value of empathy. Enough already! It’s not that I don’t believe that empathy is important — I do. I also believe the data that links physician empathy with improved patient outcomes, increased satisfaction, and better patient experiences. A recent study released in Academic Medicine reported that “patients of physicians with high empathy scores were significantly more likely to have good control over their blood sugar as well as cholesterol, while the inverse was true for patients of physicians with low scores.” Findings from this study by Hojat, et al. are consistent with a 2009 study by Rakel, et al. which f... Better Health blogs http://www.medworm.com/rss/comments.php?id=4600535 Wed, 16 Mar 2011 19:00:36 +0100 4600535 http://www.medworm.com/index.php?rid=3993828&cid=t_115340_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F09%2F-petitioners-ask-osha-to-regulate-resident-physician-work-hours.html By KATHERINE MATOS On September 2, Assistant Secretary David Michaels for Occupational Safety and Health received a petition requesting that OSHA regulate resident physician and subspecialty resident physicians. “Depending on the type of residency, physicians-in-training can work anywhere from 60... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3993828 Mon, 20 Sep 2010 23:00:00 +0100 3993828 http://www.medworm.com/index.php?rid=3942744&cid=t_115340_87_f&fid=34470&url=http%3A%2F%2Fwww.thehealthcareblog.com%2Fthe_health_care_blog%2F2010%2F09%2F-and-the-best-job-in-academic-medicine-goes-to-.html By BOB WACHTER, MD With all due respect to the Pentagon, humankind has not invented a more complex organization than the modern academic medical center. The combination of high tech and high touch, the Byzantine regulations, the toxic medico-legal environment,... (Source: The Health Care Blog) The Health Care Blog blogs http://www.medworm.com/rss/comments.php?id=3942744 Mon, 06 Sep 2010 23:00:00 +0100 3942744 http://www.medworm.com/index.php?rid=3805818&cid=t_115340_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpre-med-vs-liberal-arts-dont-know-much-biology%2F2010.07.30 Study painting, drama or the “soft” social sciences and you’ll probably be a pretty good doctor anyway. Mt. Sinai School of Medicine has been doing it for years and compared students in a special liberal arts admissions program to its traditional pre-med students. For years, Mt. Sinai has admitted students from Amherst, Brandeis, Princeton, Wesleyan, and Williams colleges based on a written application with personal essays, verbal and math SAT scores, high school and college transcripts, letters of recommendation, and personal interviews. No MCAT is required. Students need to take one year of biology and one year of chemistry and maintain (swallow hard) a “B” average. They later get an abbreviated course in organic chemistry and medical physics. (more…) ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3805818 Sat, 31 Jul 2010 00:17:36 +0100 3805818 http://www.medworm.com/index.php?rid=3023129&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FHemodynamics%2F%7E3%2FM43zdnFtUHI%2Fmonkeys-in-cage.html Watching a patient in an altered mental state sit in a bed, I realized that if my patient were a monkey, and my relationship with my patient were governed by a laboratory's animal care and use committee, I would be cited or censured for not providing enough activities for my lab monkey. But there is no one to cite me. So my patient sits in a room, isolated, a TV on in the corner, a sad lonely primate. (Source: hemodynamics) hemodynamics blogs http://www.medworm.com/rss/comments.php?id=3023129 Tue, 24 Nov 2009 05:16:00 +0100 3023129 http://www.medworm.com/index.php?rid=2660739&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FHemodynamics%2F%7E3%2FJVPf4jBdRds%2Fnight-float.html Our department chair decided at some point that the people on night float shifts--interns who cover the medicine patients overnight, and residents who admit new patients coming in after the regular teams have stopped admitting--should have a teaching session. And so we met this morning, all the night float residents and interns. I've been doing a pinch hitter sort of job, in which I do overnight medicine consults and also support the night float interns; next week I'll be doing admissions. The relationship among all of these people is an odd one. Except for me (because I spend a reasonable amount of time checking in with my early-in-the-year interns and backing them up in various medical crises), we are mostly working alone. But we see each other through the night, crossing paths in the ha... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=2660739 Sat, 01 Aug 2009 06:35:00 +0100 2660739 http://www.medworm.com/index.php?rid=2313505&cid=t_115340_109_f&fid=34800&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2FICfVruU2OjU%2Fleading-psychiatrist-slammed-in-leading.html In the latest American Journal of Psychiatry appears a review of Allison Bass's book Side Effects. As many of my readers undoubtedly recall, the book details the saga of the antidepressant drug paroxetine (Paxil) and the troubled line of "research" used to support its use in children (among other points). The reviewer clearly liked the book, which is not necessarily newsworthy. What is notable is that a book review appearing in perhaps the world's leading psychiatry journal slams a leading member of the psychiatry profession. The reviewer, Dr. Spencer Eth, writes the following:More recently, psychiatrists have been greeted in the morning with front-page newspaper exposés of huge sums being directed by these same drug companies to the physician leaders of our field. In Side Effects: A Pros... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=2313505 Fri, 03 Apr 2009 15:29:00 +0100 2313505 http://www.medworm.com/index.php?rid=2232609&cid=t_115340_109_f&fid=34800&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2FVqphVycauxw%2Finternal-documents-suggest-that.html Conclusions," the document states, in part:In terms of generating positive claims for Seroquel, these analyses seem somewhat disappointing. Although some trends in favour of Seroquel were observed in the Factor I and Mood cluster items, there was no evidence in these analyses of a significant benefit for using Seroquel over any of the active agents assessed."The internal analysis clearly indicates that, based on several clinical trials, Seroquel offered no benefits over the competition in terms of reducing schizophrenia symptoms. Indeed, other drugs tended to outperform Seroquel.How Can These Data be Managed? Shortly after the internal meta-analysis was completed, AstraZeneca employees discussed how to handle the negative results. An AstraZeneca publications manager, John Tumas, wrote in a... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=2232609 Mon, 02 Mar 2009 16:23:00 +0100 2232609 http://www.medworm.com/index.php?rid=2097892&cid=t_115340_109_f&fid=34800&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2F509839435%2Fbudget-crisis-universities-and-key.html Everyone knows that state budgets across the United States are in a crunch. All state-supported universities are looking for sources of income outside of taxpayer funds. As state legislatures look to cut money, many state universities are in for a big budget hit. So if the state is going to pony up less money, how can a university survive...?Perhaps by seeking to entice industry funding. Set up a few clinical trials and see what happens. There is nothing inherently wrong about university faculty working on industry-sponsored research. In an ideal world, all goes according to plan and all benefit from such collaboration. Universities love industry collaboration because it brings in good money. Researchers like to collaborate with industry for some altruistic motives, such as receiving fundi... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=2097892 Mon, 12 Jan 2009 13:47:00 +0100 2097892 http://www.medworm.com/index.php?rid=2522972&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fhemodynamics%2F%7E3%2FYVqerY3o_Ak%2Fvariation-on-theme-romance-of-long.html written post-call after a long ICU shift, which after I wrote it I realize is a reworking of some things I've written beforeI used to work at a public health job, working for the city, with good benefits, and time to go to the gym before going home to make myself dinner. When I started talking about becoming a doctor, a lot of people said that was nuts, most of all some doctors who looked back on their experience bitterly. Others were more encouraging, and I chose medicine. I have no idea what my life would have been like if I hadn't chosen medicine; but what I usually tell people is that although I've sometimes been exhausted or miserable or depressed or discouraged, I've almost never been bored. I hated being bored at work. Now I'm not bored. But aside from medical training being totally... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=2522972 Fri, 12 Dec 2008 02:18:00 +0100 2522972 http://www.medworm.com/index.php?rid=2522980&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fhemodynamics%2F%7E3%2F4Pmt7xYZDGU%2Ftransparency-of-data.html What's the difference between national polls and scientific data?As this article at Pollster.com points out, the difference is transparency. The article takes the example of climate change modeling as one instance where a set of people with a big heap of quantitative data and statistical models share the data and the models' assumptions.Interestingly, it's only since one month ago that clinical trials were required by the FDA to make some basic data accessible--September 27 of this year. But actually, it seems like this does not give the opportunity to re-examine the raw data--only a kind of summary of demographics and outcomes. The intent is to stop people from concealing negative trials.But, to take the pollster.com point in another direction, shouldn't drug trials be more transparent th... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=2522980 Sun, 26 Oct 2008 22:46:00 +0100 2522980 http://www.medworm.com/index.php?rid=2522981&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fhemodynamics%2F%7E3%2FcvdKSNtqEq0%2Ffish-for-sex.html This journal abstract caught my eye while searching for something else having to do with economics and HIV risk:Women and Fish-for-Sex: Transactional Sex, HIV/AIDS and Gender in African FisheriesChristophe Bénéa and Sonja MertenbWorldFish Center, Africa Regional Office, Cairo, Egypt; University of Basel, Switzerland Accepted 22 May 2007. Available online 10 March 2008. SummaryThis paper analyzes the phenomenon of fish-for-sex in small-scale fisheries and discusses its apparent links to HIV/AIDS and transactional sex practices. The research reveals that fish-for-sex is not an anecdotal phenomenon but a practice increasingly reported in many different developing countries, with the largest number of cases observed in Sub-Saharan African inland fisheries. An overview of the main narratives ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=2522981 Fri, 24 Oct 2008 00:00:00 +0100 2522981 http://www.medworm.com/index.php?rid=1373448&cid=t_115340_109_f&fid=34800&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2F270730415%2Facademics-atypicals-and-marketing.html Ahhhh, there is nothing like the sweet smell of investigative journalism in the morning. Robert Farley published a whale of an excellent piece on how atypical antispychotics were marketed in the St. Petersburg Times on Saturday. I will discuss some of the tasty tidbits from the article, but you'd be a fool to not read the entire article yourself.Farley notes that the manufacturers of atypical antipsychotics needed to spread the word that their drugs worked better than older antipsychotics. The one slight problem was that there was not any solid evidence (except when looking at biased studies) showing that the new drugs were superior. So if the companies could not advertise this point directly, they needed to enlist third parties to say it for them. In other words, it was time for some info... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=1373448 Tue, 15 Apr 2008 13:57:00 +0100 1373448 http://www.medworm.com/index.php?rid=1338041&cid=t_115340_87_f&fid=35052&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FWomensBioethicsBlog%2F%7E5%2F261085727%2Fviewcontent.cgi My adopted home town of Lubbock, Texas was in the news this week—no we haven’t arrested the Chippendale Dancers again... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1338041 Mon, 31 Mar 2008 15:14:15 +0100 1338041 http://www.medworm.com/index.php?rid=1074948&cid=t_115340_109_f&fid=34800&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FClinicalPsychologyAndPsychiatryACloserLook%2F%7E3%2F196112173%2Fseroquel-for-everything-and-academic.html Part 1. Seroquel for Depression and Anxiety. AstraZeneca is slowly rolling out the PR for Seroquel as a treatment for depression and generalized anxiety disorder. At something called the 7th International Forum on Mood and Anxiety Disorders, AstraZeneca (via academic frontman Stuart Montgomery) has trotted out data from their latest clinical trials which purportedly show that Seroquel beat placebo for depression and GAD. Here's a quote from the detached, independent, non-conflicted academic author, Stuart Montgomery...Dr. Stuart Montgomery, Imperial College School of Medicine, University of London and author of the [depression] monotherapy study, said: These study results are remarkable -- all of the doses of SEROQUEL XR examined provided improvements in MDD and GAD symptoms. Results from ... Clinical Psychology and Psychiatry: A Closer Look blogs http://www.medworm.com/rss/comments.php?id=1074948 Thu, 06 Dec 2007 14:25:00 +0100 1074948 http://www.medworm.com/index.php?rid=677385&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F06%2Ffound-down-hmshsdm-commencement-speech.html "Each of these stories become more subtle and often more difficult versions of the same question: when we see suffering, do we look away, or go towards it?" Photo: rescue staging area after Hurricane Katrina. ...More to write about graduation soon (it was yesterday, June 7). First, here's the speech I gave at the commencement ceremony of the Harvard Medical School and Harvard School of Dental Medicine.I’m going to start with a story. It starts when a man falls down on the sidewalk. He might be drunk, or he might not. He might be unconscious because he fell, or he might have fallen because he became unconscious. Hopefully sooner than later, someone realizes that he has fallen down. The call to 911 comes from the first person to realize this and to care. Next comes the ambulance crew, and ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=677385 Fri, 08 Jun 2007 13:29:00 +0100 677385 http://www.medworm.com/index.php?rid=651743&cid=t_115340_93_f&fid=35707&url=http%3A%2F%2Fhemodynamics.blogspot.com%2F2007%2F05%2Fglass-ceiling-in-academic-medicine.html Rosie the Riveters of academic medicine: the first women admitted to Harvard Medical School, in 1944. Women limited to 5-10% of the class for decades thereafter. From the Countway Library, HMS.Medical academic extraordinaire Orah Platt putting a white coat on med student Tara Benjamin in 2001. Women are becoming a majority of entering medical students, but it's not yet clear how quickly the highest ranks of academic medicine will catch up with the lowest. From HMS's Focus newsletter.Boston.com's "White Coat Notes" has a brief article about recent adding-up-the-basic-numbers findings, showing a lack of women in leadership positions in medical schools in Boston. A man who has been one of those looking into the problem says, "People might reflexively think that it's discrimination or a glass ... hemodynamics blogs http://www.medworm.com/rss/comments.php?id=651743 Thu, 10 May 2007 20:26:00 +0100 651743