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 'institute of medicine'. Sat, 03 Sep 2011 02:00:51 +0100 http://www.medworm.com/index.php?rid=5181789&cid=t_105698_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FmU1-nyCeM44%2F By Rozalynn Goodwin. Everyone seems to be quoting and tweeting the tender line of Miss Aibileen in “The Help”, “You is kiiiind. You is smaaaart. You is important.” But there was another line in the blockbuster movie that moved me even more. I heard it and the heavens seemed to open. The light bulb came on. Hilly Holbrook’s new maid is $75 short on one of the college tuitions for her twin sons and asks Hilly and her husband for a loan so she doesn’t have to choose which son should go to college. Doing the ‘Christian thing,’ Hilly refuses, “God does not give charity to those who are well and able.” Twelve simple words from a fictional 1960’s character summed up our nation’s current political will regarding the poor. And allow me to condense this into just one ... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=5181789 Tue, 30 Aug 2011 19:43:53 +0100 5181789 http://www.medworm.com/index.php?rid=5069477&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Finstitute-of-medicine-suggests-8-new-preventive-services-to-improve-womens-health%2F2011.07.26 Eight preventive health services for women should be added to the services that health plans will cover at no cost to patients under the Patient Protection and Affordable Care Act of 2010, according to a report by the Institute of Medicine. The recommendations encompass diseases and conditions that are more common or more serious in women than in men. They are based on existing guidelines and an assessment of the evidence on the effectiveness of different preventive services. They include: 1) screening for gestational diabetes in pregnant women between 24 and 28 weeks and at the first prenatal visit for women at high risk for diabetes, 2) adding high-risk human papillomavirus DNA testing in addition to conventional cytology testing in women with normal cytology results starting at age 30, ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5069477 Tue, 26 Jul 2011 18:00:00 +0100 5069477 http://www.medworm.com/index.php?rid=5050452&cid=t_105698_86_f&fid=34445&url=http%3A%2F%2Fwomenshealthnews.wordpress.com%2F2011%2F07%2F21%2Finstitute-of-medicine-recommendations-released-birth-control-could-become-a-copay-free-preventive-service%2F The Institute of Medicine released its recommendations of which women’s health services should join the list of copay-free preventive services under the Affordable Care Act health care reform legislation. Birth control was included, along with services related to STIs, breastfeeding, and domestic violence. Over at OBOS, I have more information and links to some good commentaries and coverage of the news. Filed under: Abuse, Rape, & Safety, Access, Rights, & Choice, Breastfeeding, Contraception, Government, HIV/AIDS, HPV (Source: Women's Health News) Women's Health News blogs http://www.medworm.com/rss/comments.php?id=5050452 Thu, 21 Jul 2011 12:39:41 +0100 5050452 http://www.medworm.com/index.php?rid=4934163&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fthe-right-to-bear-salt-is-sodium-restriction-warranted-for-the-general-population%2F2011.06.15 Q. What is the difference between a public health expert and Il Duce? A. Mussolini was not nearly as arrogant as a public health expert. In prior posts, DrRich related how two major publc health efforts over the past few decades – the effort to put all of us on low-fat diets, and the effort to reduce everyone’s cholesterol levels – have amounted to massive experiments, based upon insufficiently-tested assumptions and surmises and hypotheses which the experts arrogantly (and incorrectly) determined to be fact, and which were conducted upon the entire American population without its knowledge or consent. These public health experiments cost billions of dollars, needlessly transformed large swatches of American industry, and (at least in the case of low-fat diets) likely produced signif... Better Health blogs http://www.medworm.com/rss/comments.php?id=4934163 Wed, 15 Jun 2011 19:00:25 +0100 4934163 http://www.medworm.com/index.php?rid=4911474&cid=t_105698_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2FvTd5C6HI4mk%2F The following is a post by Dr. Jessie Gruman from the Center for Advancing Health. This blog post was originally published at Prepared Patient Forum: What It Takes Blog. It was also posted on Better Health. By Jessie Gruman.“The most important thing I learned was that different doctors know different things: I need to ask my internist different questions than I do my oncologist.” This was not some sweet ingénue recounting the early lessons she learned from a recent encounter with health care.  Nope.  It was a 62-year-old woman whose husband has been struggling with multiple myeloma for the last eight years and who herself has chronic back pain, high blood pressure and high cholesterol and was at the time well into treatment for breast cancer. Part of me says “Ahem.  Have you bee... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=4911474 Wed, 08 Jun 2011 13:07:06 +0100 4911474 http://www.medworm.com/index.php?rid=4847957&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhy-racial-disparities-are-alive-and-well-in-healthcare%2F2011.05.20 It was 1999 when the Federal government first acknowledged our nation had a problem with race and health care. That year, Congress tasked the Institute of Medicine to study the matter, and the resulting report was not good. Minorities were in poor health and receiving inferior care, the report said. They were less likely to receive bypass surgery, kidney transplants and dialysis. If they had diabetes, they were more likely to undergo amputations, meaning their disease had been poorly controlled. And there was a lot more where that came from. The IOM report was a call to action. In subsequent years, lawmakers crafted policies and established goals for improvement. Federal and state governments and numerous foundations set aside billions to fund projects. Health services researchers expanded... Better Health blogs http://www.medworm.com/rss/comments.php?id=4847957 Fri, 20 May 2011 16:00:50 +0100 4847957 http://www.medworm.com/index.php?rid=4848026&cid=t_105698_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2F_97v-o6BSOE%2F Sometimes it’s better to be lucky than good. Last month, in my very first post for EMR and HIPAA, I mentioned Dr. Larry Weed in my commentary about the general public’s perception of clinical decision support. I referred to a 2007 study in the journal Medical Decision Making, which said, “Patients may surmise that a physician who uses a [decision support system] is not as capable as a physician who makes the diagnosis with no assistance from a DSS.” I then noted that Weed has been saying for more than 50 years that physicians shouldn’t have to rely on their memory to make clinical decisions when computers can help them process an increasingly voluminous knowledge base. As it turns out, Weed read my commentary. (I’m guessing that a computer, i.e., Google Aler... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4848026 Thu, 19 May 2011 21:24:27 +0100 4848026 http://www.medworm.com/index.php?rid=4841479&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fmost-americans-dont-know-what-healthy-eating-means%2F2011.05.19 Only one in 10 respondents to a national survey could estimate how many calories they should consume in a day. Seventy-nine percent make few or no attempts to pay attention to the balance between the calories they consume and expend in a day. These and other piquant findings from the online 2011 Food and Health Survey fielded by the International Food Information Council Foundation (IFIC) struck home last week as I smacked up against my own ignorance about a healthy diet and the difficulty of changing lifelong eating habits. The confluence of my failure to gain weight after cancer treatment and a blood test suggesting pre-diabetes meant that as of last Tuesday, I have been on an eat-specific-types-of-food-every-hour-and-write-it-down regimen.  And despite a lifetime of recommending that p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4841479 Thu, 19 May 2011 12:00:13 +0100 4841479 http://www.medworm.com/index.php?rid=4753786&cid=t_105698_112_f&fid=34971&url=http%3A%2F%2Fblog.drmalpani.com%2F2011%2F04%2Fhow-to-prescribe-information-therapy-to.html View more presentations from Aniruddha Malpani. (Source: The Patient's Doctor) The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=4753786 Tue, 26 Apr 2011 03:14:00 +0100 4753786 http://www.medworm.com/index.php?rid=4734248&cid=t_105698_112_f&fid=34971&url=http%3A%2F%2Fblog.drmalpani.com%2F2011%2F04%2Fconference-on-preventing-medical-errors.html Medical errors are a leading cause of preventable deaths. When a patient dies because of perceived medical negligence, hospitals get burnt down and doctors get beaten up. However, not all deaths are because of negligence - and not all errors can be prevented. In order to learn about what we can do to make sure that medical errors are minimised , India's first Patient Safety Workshop is being organised in Mumbai. This is the first conference in India which focuses on this key issue, which is usually misunderstood; and often ignored.I am especially excited about the fact that this workshop will be involving patients as well, as I deeply believe that well-informed patients can play a very important role in preventing medical errors !We've got some great speakers - please do come and join us !... The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=4734248 Sun, 17 Apr 2011 08:55:00 +0100 4734248 http://www.medworm.com/index.php?rid=4723981&cid=t_105698_112_f&fid=34971&url=http%3A%2F%2Fblog.drmalpani.com%2F2011%2F04%2Fconference-on-preventing-medical-errors.html Medical errors are a leading cause of preventable deaths. When a patient dies because of perceived medical negligence, hospitals get burnt down and doctors get beaten up. However, not all deaths are because of negligence - and not all errors can be prevented. In order to learn about what we can do to make sure that medical errors are minimised , India's first Patient Safety Workshop is being organised in Mumbai. This is the first conference in India which focuses on this key issue, which is usually misunderstood; and often ignored.I am especially excited about the fact that this workshop will be involving patients as well, as I deeply believe that well-informed patients can play a very important role in preventing medical errors !We've got some great speakers - please do come and join us !... The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=4723981 Sun, 17 Apr 2011 08:55:00 +0100 4723981 http://www.medworm.com/index.php?rid=4696712&cid=t_105698_113_f&fid=34625&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FNeilVerselsHealthcareItBlog%2F%7E3%2FnZFN64nSeww%2F It’s been a full decade since the Institute of Medicine published the second volume in its landmark series on patient safety and quality of care, Crossing the Quality Chasm. We appear to be not much closer to achieving a high-quality health system as we were 10 years ago. Last week, as you may have already heard, a paper in Health Affairs from researchers at the University of Utah concluded that adverse events may be 10 times more prevalent than previously believed and that errors may occur in an astounding one-third of all hospital admissions. The research team, which included such luminaries as Dr. David Classen, Dr. Brent James and the Institute for Healthcare Improvement‘s Frank Federico, also said that there estimates probably were on the conservative side. Patient-safety ... Neil Versel's Healthcare IT Blog blogs http://www.medworm.com/rss/comments.php?id=4696712 Sun, 10 Apr 2011 21:07:53 +0100 4696712 http://www.medworm.com/index.php?rid=4693286&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftreatments-for-kids-with-autism-and-cerebral-palsy-on-insurance-chopping-block%2F2011.04.08 One of the great challenges facing the folks who have been tasked to implement the Big O’s health care law is defining “essential benefits,” the core medical services that insurers must cover. Despite its voluminous nature, the law is remarkably vague in this regard. It does identify 10 care categories that health plans must provide to consumers who use federally-funded health insurance exchanges to select a plan, but the categories and associated lists aren’t comprehensive or specific (the categories appear at the end of this post). The Institute of Medicine has been tasked to flesh out the lists of required services. It has begun work amid a frenzy of lobbying by private insurers and consumer groups. Habilitative services are one contentious area, and they illustrate the challe... Better Health blogs http://www.medworm.com/rss/comments.php?id=4693286 Fri, 08 Apr 2011 20:00:28 +0100 4693286 http://www.medworm.com/index.php?rid=4684325&cid=t_105698_87_f&fid=39261&url=http%3A%2F%2Fvactruth.com%2F2011%2F04%2F07%2Fthimerosal-from-the-1930s-to-2011%2F Thimersol DOES have neurotoxic effects on infants and toddlers! That’s a scientifically derived conclusion that’s been viciously kept from health consumers probably due to not wanting to have to scrape egg off the universal face of Big Pharma vaccine manufacturers, the medical professions, and government health agencies. Or, is there a more sinister reason? You be the judge after considering Dr. F. Edward Yazbak’s exceptional review of the literature regarding Thimerosal and vaccines at (http://www.vaccinationnews.com/20110405Thimerosal…) There are three parts to this incomparable report regarding Thimerosal that every healthcare professional, federal, state, and local health agencies personnel should read to get the down and dirty facts about what’s been going on under their... vactruth.com blogs http://www.medworm.com/rss/comments.php?id=4684325 Thu, 07 Apr 2011 06:01:07 +0100 4684325 http://www.medworm.com/index.php?rid=4636396&cid=t_105698_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F03%2Finstitute-of-medicines-release-reports.html Two days ago, the prestigious US Institute of Medicine released two reports on important health care issues, clinical practice guidelines and systematic reviews.  Systematic reviews of the relevant clinical research have been advocated by evidence-based medicine proponents as the appropriate basis for clinical and policy decisions.  Clinical practice guidelines have been advocated by many health researchers, policy makers, and clinicians as the best way to encapsulate the evidence to inform clinical and policy decision making.  Both reports suggested series of standards for how systematic reviews and clinical practice guidelines should be developed.  These topics are of general importance to clinicians, health services researchers, and health policy makers.  T... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4636396 Fri, 25 Mar 2011 16:05:00 +0100 4636396 http://www.medworm.com/index.php?rid=4565904&cid=t_105698_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fpreventing-hospital-acquired-infections-patients-must-be-safety-partners%2F2011.03.09 This is a guest post by Dr. Julia Hallisy. Serious infections are becoming more prevalent and more virulent both in our hospitals and in our communities. The numbers are staggering: 1.7 million people will suffer from a hospital-acquired infections each year and almost 100,000 will die as a result. When our late daughter, Kate, was diagnosed with an aggressive eye cancer in 1989 at five months of age, our life became consumed by doctor visits, MRI scans, radiation treatments, chemotherapy — and fear. My husband and I assumed that our fight was against the ravages of cancer, but almost eight years later we faced another life-threatening challenge we never counted on — a hospital-acquired infection. In 1997, Kate was infected with methicillin-resistant staphylococcus aureus (MRS... Better Health blogs http://www.medworm.com/rss/comments.php?id=4565904 Wed, 09 Mar 2011 18:00:43 +0100 4565904 http://www.medworm.com/index.php?rid=4313969&cid=t_105698_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F01%2Finstitute-of-medicine-committee-on.html The U.S. National Research Council of the National Academy of Sciences issued a report in early 2009 on the state of health IT.That study's report, led in part by pioneers in Medical Informatics G. Octo Barnett and William Stead, was entitled "Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions" (pre-publication PDF available free at this link). The report was announced under the following header:CURRENT APPROACHES TO U.S. HEALTH CARE INFORMATION TECHNOLOGY ARE INSUFFICIENT The insufficiencies were largely in the areas of difficulties with data sharing and integration, deployment of new IT capabilities, large-scale data management, and lack of cognitive support by health IT for busy clinicians.One might reasonably conclude such deficits could affect... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=4313969 Wed, 05 Jan 2011 15:25:00 +0100 4313969 http://www.medworm.com/index.php?rid=4082176&cid=t_105698_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fiom-blog Two landmark reports by the Institute of Medicine (IOM) changed Americans’ perception of their health care system and launched today’s drive to improve the quality and safety of medical care in America. The reports were To Err Is Human, published in 1999, and Crossing the Quality Chasm, released in 2001.  (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=4082176 Tue, 12 Oct 2010 13:15:35 +0100 4082176 http://www.medworm.com/index.php?rid=4045040&cid=t_105698_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F10%2Finstitute-medicine-report-recommends-nurses-assume-physician-role%2F A report released yesterday by the Institute of Medicine is recommending that nurses take the leadership in redesigning the healthcare system in the United States and that they assume a practice role identical to physicians, including without supervision prescribing medications, admitting patients to the hospital, assessing patient conditions, ordering and evaluating tests, and doing invasive procedures. Not surprisingly, the American Medical Association disagrees. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4045040 Fri, 08 Oct 2010 01:50:35 +0100 4045040 http://www.medworm.com/index.php?rid=3753770&cid=t_105698_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F07%2Fnew-cms-chief-donald-berwick-trojan.html On July 7, President Obama appointed Dr. Donald Berwick as Administrator of the Centers for Medicare and Medicaid Services (CMS). Dr. Berwick, a pediatrician, is well known as the CEO of the non-profit Institute for Healthcare Improvement (IHI), which "exists to close the enormous gap between the health care we have and the health care we should have — a gap so large in the US that the Institute of Medicine (IOM) in 2001 called it a 'quality chasm'.” Dr. Berwick was one of the authors of that IOM report. His IHI has been a major player in the patient safety movement, most notably with its "100,000 Lives Campaign" and, more recently, its "5 Million Lives Campaign."Berwick's CMS gig is a "recess appointment": it was made during the Senate's July 4th recess period, without a formal confir... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3753770 Tue, 13 Jul 2010 23:33:00 +0100 3753770 http://www.medworm.com/index.php?rid=3746990&cid=t_105698_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FLa0s0ITMqyY%2F What are the ethical issues the FDA faces when requiring a drugmaker to run a randomized clinical trial for an approved drug when a safety issue exists? The agency is confronting this dilemma as it evaluates the Avandia diabetes pill, which was linked to heart attacks and strokes in two large observational studies (see here and here) and will be the subject of a contentious FDA advisory committee meeting next week. To gain some guidance and political cover, FDA commish Margaret Hamburg recently asked an Institute of Medicine committee to explore this question - and four others concerning ethical and scientific issues in studying approved drugs, which will be answered in a more detailed analysis next spring. Given the Avandia debate, Glaxo is having trouble recruiting patients (see this). S... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3746990 Fri, 09 Jul 2010 13:55:06 +0100 3746990 http://www.medworm.com/index.php?rid=3740823&cid=t_105698_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FLa0s0ITMqyY%2F What are the ethical issues the FDA faces when requiring a drugmaker to run a randomized clinical trial for an approved drug when a safety issue exists? The agency is confronting this dilemma as it evaluates the Avandia diabetes pill, which was linked to heart attacks and strokes in two large observational studies (see here and here) and will be the subject of a contentious FDA advisory committee meeting next week. To gain some guidance and political cover, FDA commish Margaret Hamburg recently asked an Institute of Medicine committee to explore this question - and four others concerning ethical and scientific issues in studying approved drugs, which will be answered in a more detailed analysis next spring. Given the Avandia debate, Glaxo is having trouble recruiting patients (see this). S... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3740823 Fri, 09 Jul 2010 13:55:06 +0100 3740823 http://www.medworm.com/index.php?rid=3695516&cid=t_105698_86_f&fid=34445&url=http%3A%2F%2Fwomenshealthnews.wordpress.com%2F2010%2F06%2F24%2Flots-of-iom-presentations-on-the-oil-spill-and-human-health-now-available%2F Normally this is the kind of thing I’d just share over Twitter, but it was all failwhale when I tried. The Institute of Medicine just wrapped up a meeting, Assessing the Human Health Effects of the Gulf of Mexico Oil Spill: An Institute of Medicine Workshop. If you go to the meeting page and look to your right, where it says “Other Meeting Resources,” there is a Presentations section. There are a whole bunch of presentations freely available there, on topics including human health effects generally, pregnancy, mental health, child health, occupational hazards for cleanup workers and volunteers, monitoring for effects and public health surveillance, and other concerns. Filed under: Health, Miscellaneous (Source: Women's Health News) Women's Health News blogs http://www.medworm.com/rss/comments.php?id=3695516 Thu, 24 Jun 2010 14:27:57 +0100 3695516 http://www.medworm.com/index.php?rid=3665900&cid=t_105698_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F06%2Fbp-oil-spill-health-risks-focus-institute-medicine-forum-june-2223%2F The Institute of Medicine will hold a pubic forum on the possible emerging health risks of the Gulf oil spill on June 22-23 in New Orleans. The meeting will be held starting at 8:30 CDT in the Queen Anne Ballroom of the Hotel Monteleone. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3665900 Tue, 15 Jun 2010 23:33:15 +0100 3665900 http://www.medworm.com/index.php?rid=3490720&cid=t_105698_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Ftechnology-should-help-nurses-be-more-efficient The Institute of Medicine (IOM) released a summary report of the public forum on the Initiative on the Future of Nursing, which was held in October 2009. IOM and the Robert Wood Johnson Foundation are collaborating on the three public forums regarding this initiative. There were a number of takeaways. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3490720 Wed, 21 Apr 2010 13:14:41 +0100 3490720 http://www.medworm.com/index.php?rid=3476077&cid=t_105698_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FUDXQ4ABHb28%2F Not good news. And improved treatments will be delayed and patient lives will be lost unless the efficiency and effectiveness of the clinical trials system improves, according to a new report from the Institute of Medicine, which was commission by the National Cancer Institute to review its Clinical Trials Cooperative Group. At issue are concerns the CTCG program can’t conduct timely, large-scale, innovative trials needed to improve patient care. The average time required to design, approve and activate a trial is two years, and only about half of all trials undertaken are completed. Meanwhile, funding since 2002 had dropped 20 percent, while knowledge about predictive biomarkers and molecular changes has grown. To remedy the problem, the IOM says the CTCG needs to better respond to ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3476077 Fri, 16 Apr 2010 14:24:03 +0100 3476077 http://www.medworm.com/index.php?rid=3254668&cid=t_105698_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2010%2F02%2F08%2Fidentifying-overcoming-taxane-drug-resistance%2F Proteomics study reveals a protein that, when suppressed, makes cancers more susceptible to chemotherapy involving taxane drugs. Taxanes, a group of cancer drugs that includes paclitaxel (Taxol®) and docetaxel (Taxotere®), have become front-line therapy for a variety of metastatic cancers. But as with many chemotherapy agents, resistance can develop, a frequent problem in breast, ovarian, prostate [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=3254668 Mon, 08 Feb 2010 19:18:24 +0100 3254668 http://www.medworm.com/index.php?rid=2908567&cid=t_105698_87_f&fid=36438&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FCato-at-liberty%2F%7E3%2FfVCEsgVLU1U%2F The Institute of Medicine issued a report today calling on whole scale changes to the National School Lunch and National School Breakfast programs (although nowhere does it question why we even have national nutrition programs, which surely properly belong to the states and/or school districts. But I digress). The changes all sound sensible enough: setting calorie limits for meals, increasing the amount of whole grains, fruit and vegetables in school meals, and reducing fat and sodium. But here’s the clincher: the recommendations would cost money! The panel acknowledged that its recommendations would increase costs and called for a higher federal reimbursement to school districts, capital investments and money to train cafeteria workers to make the changes. Food costs for breakfast... Cato-at-liberty blogs http://www.medworm.com/rss/comments.php?id=2908567 Tue, 20 Oct 2009 15:27:47 +0100 2908567 http://www.medworm.com/index.php?rid=2901613&cid=t_105698_87_f&fid=35052&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2FX2bnsHPmDkw%2Fkudos-to-susan-m-wolf-for-her-election.html You may have noticed that we have been on hiatus, while we revamp and reorganize our blog, but I wanted to take this opportunity to give credit where credit is due: One of my heroes, Susan M. Wolf, has been elected to the prestigious Institute of Medicine. She is the McKnight Presidential Professor of Law, Medicine & Public Policy and the Faegre & Benson Professor of Law at U of MN, the founding Director of the Joint Degree Program in Law, Health & the Life Sciences and the founding Chair of the Consortium on Law and Values in Health, Environment & the Life Sciences. She is also a professor of medicine in the University's Medical School and a faculty member in the University's Center for Bioethics. She is also the author of Feminism and Bioethics: Beyond Reproduction, which... Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=2901613 Fri, 16 Oct 2009 17:56:08 +0100 2901613 http://www.medworm.com/index.php?rid=2382250&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F05%2Fiom-report-on-conflict-of-interest-coalition-for-healthcare-communication-responds.html The recent Institute of Medicine: Conflict of Interest in Medical, Research, Education and Practice report has brought about swirls of discussions. The report is basically a 350 pages exhaustive review article on the virtues of eliminating all potential for commercial bias.  A few examples include eliminating: ·         Non-Accredited talks by physicians ·         Gifts of any kind ·         Visits by Drug Reps to Physicians Offices ·         Drug Samples Adding: ·         Nationalized disclosure of all payments to all healthcare providers ·... Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2382250 Fri, 01 May 2009 21:22:55 +0100 2382250 http://www.medworm.com/index.php?rid=2380715&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F04%2Fiom-conflict-of-interest-the-buzz-around-town.html This week there have articles, commentaries and statements flying around due to the release of the Institute of Medicine Report on Conflict of Interest, in Medical Research, Education and Practice. Some of the Key quotations include: PhRMA:  Statement on Institute of Medicine Report Throughout the report the IOM writers elude to a misnomer that the major expense at pharmaceutical companies are devoted to marketing than research, as a basis for their recommendations.   This statement may be true of the IT industry but nor reflective of pharmaceutical companies. PhRMA’s statement clarifies that “America’s pharmaceutical research companies spend far more on research and development (R&D) than on marketing. In 2007, pharmaceutical companies invested $63.2 billion on... Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2380715 Thu, 30 Apr 2009 22:41:11 +0100 2380715 http://www.medworm.com/index.php?rid=2375821&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F04%2Fiom-conflict-of-interest-medical-societies-respond-to-report.html The American College of Cardiology, American College of Emergency Physicians, American College of Radiology, American College of Rheumatology, American Gastroenterological Association, and American Society of Plastic Surgeons Issued a joint statement at the IOM press briefing on Conflict of Interest in Washington DC. The statement calls for increased public support and shows the value of collaboration with industry to provide educational programs for their members.  They also recognize that philanthropic and government support is limited.  Recently there have been a number of proposals to dramatically reduce or eliminate industry support for the activities of medical professional societies. In April, an article published in the Journal of the American Medical Association cal... Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2375821 Wed, 29 Apr 2009 18:03:00 +0100 2375821 http://www.medworm.com/index.php?rid=2375958&cid=t_105698_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F04%2Finstitute-of-medicine-report-on.html Today we saw a new marker laid down in the arena called Conflict of Interest (COI). The Institute of Medicine of the National Academy of Sciences issued a report of its Committee on Conflict of Interest in Medical Research, Education and Practice. The report is comprehensive, even exhaustive, running to 353 pages. Gardner Harris in the New York Times today calls it “scolding,” “stinging,” and “damning.” The recommendations go well beyond any proposed in the recent past by medical schools or by other professional organizations. The NYT quoted David Rothman, president of the Institute on Medicine as a Profession at Columbia University: “With the I.O.M.’s endorsement, issues that were once controversial now are indisputable. Conflicts of interest in medicine are no longer acce... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2375958 Wed, 29 Apr 2009 00:40:00 +0100 2375958 http://www.medworm.com/index.php?rid=2375822&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F04%2Finstitute-of-medicine-conflict-of-interest-in-medical-research-education-and-practice.html This report also could be tilted the economic stimulus package for conflict of interest experts, and the creation of conflict of intererst jobs thoughout the medical community. The report also basically re-enforces the changes that PhRMA and AdvaMED have made with their codes of conduct, and the AAMC report on conflict of interest in medical education. We will have a lot more to say once we work our way through the entire report…. The Institute of Medicine: Conflict of Interest In Medical Research, Education and Practice Full Report   Press Release   Recommendations Report Brief (Source: Policy and Medicine) Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2375822 Mon, 27 Apr 2009 19:15:11 +0100 2375822 http://www.medworm.com/index.php?rid=2347738&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F04%2Fiom-conflict-of-interest-in-medical-research-education-and-practice-released-april-28-2009.html This report is partially funded by the Josiah Macy Foundation (470,000) and stacked with of opponents to industry, sources close to the report state that it will be very restrictive towards all associations with industry.    IOM Report: Workings of the Chrystal Ball Institute of Medicine: CE Report for Sale IOM Committee on COI: Make up of Members    (Source: Policy and Medicine) Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2347738 Mon, 20 Apr 2009 17:35:38 +0100 2347738 http://www.medworm.com/index.php?rid=2260664&cid=t_105698_140_f&fid=35457&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fbattlingforhealthcom%2F%7E3%2Fpb-I6Y42vQE%2F The state of the health care system of the US has always been a subject of great controversy. The recent approval of the Children´s Health Insurance Bill by President Obama which gives health care access to all American children as well as children of legal immigrants was met with mixed reactions. Its proponents were pleased and hope that this is the first step in their goal of having health coverage for everyone. Those against the bill, on the other hand, the bill too closely resembles “socialized medicine” or “government-run health care for every one” that can easily be abused and can cost taxpayers a lot of money. A recent report by the Institute of Medicine (IOM) states that “having health insurance is essential for people’s health and well-being&#8... Battling-Schizophrenia blogs http://www.medworm.com/rss/comments.php?id=2260664 Tue, 10 Mar 2009 10:31:27 +0100 2260664 http://www.medworm.com/index.php?rid=2218539&cid=t_105698_136_f&fid=37846&url=http%3A%2F%2Fhealthinfoispower.wordpress.com%2F2009%2F02%2F25%2Fhealth-insurance-essential-for-health-and-well-being-report-says-action-urgently-needed-from-president-obama-and-congress%2F “The evidence shows more clearly than ever that having health insurance is essential for people’s health and well-being, and safety-net services are not enough to prevent avoidable illness, worse health outcomes, and premature death, says a new report from the Institute of Medicine [IOM]. Moreover, new research suggests that when local rates of uninsurance are [...] (Source: Libby's H*O*P*E*) Libby's H*O*P*E* blogs http://www.medworm.com/rss/comments.php?id=2218539 Wed, 25 Feb 2009 22:42:50 +0100 2218539 http://www.medworm.com/index.php?rid=2108067&cid=t_105698_87_f&fid=37069&url=http%3A%2F%2Fpolicymed.com%2F2009%2F01%2Fiom-accme-testimony-iom-try-again.html   The ACCME does believe that an enhanced research enterprise can help ACCME meet its mission – but we are not sure that any of us know if the tactical choice of an independent institute is the correct choice.    This was the sentiment of the statement shared by Murray Kopelow, MD Executive Director of the ACCME with the Institute of Medicine Committee on Planning a Continuing Health Care Professional Education Institute.   Other Key Points of the ACCME Statement are:   Ways CE can be strengthened to support professionals performance:   Through the construct of ACCME CME/CPD in the United States – which is based on a published model (Regnier, K, et al 2005) that places continuing education in support of the continuing professional development o... Policy and Medicine blogs http://www.medworm.com/rss/comments.php?id=2108067 Thu, 15 Jan 2009 17:13:07 +0100 2108067 http://www.medworm.com/index.php?rid=1876771&cid=t_105698_122_f&fid=36582&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSharpBrains%2F%7E3%2F420157653%2F Two quick notes: - Encephalon #56 edition: the latest edition of this neuroscience and psychology blog carnival is ready for your reading pleasure. - Michael Merzenich Elected to Institute of Medicine: Congratulations! "The Institute of Medicine’s total active membership is now 1,576 and the number of foreign associates is 89. With another 71 members holding emeritus status, IOM's total membership is now 1,736. Established in 1970 by the National Academy of Sciences, the Institute of Medicine is a national resource for independent, scientifically informed analysis and recommendations on issues related to human health. With their election, members make a commitment to devote a significant amount of volunteer time as members of IOM study committees." You may have seen him talking... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=1876771 Tue, 14 Oct 2008 04:05:50 +0100 1876771 http://www.medworm.com/index.php?rid=1358580&cid=t_105698_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F266802435%2F The medical professional in general and pediatricians in particular have sustained a certain amount of criticism in discussions about autism, and about the hypothetical vaccine-autism link in particular. Back in January, the American Academy of Pediatrics (AAP) sent a letter to the producers of the ABC legal drama, Eli Stone; the AAP was justifiably concerned about the TV show’s presentation of the issue of vaccines and autism. Proponents of the theory that vaccines or something in vaccines causes autism issued some harsh criticism of the AAP (described by Respectful Insolence). More recently, the AAP seems to be entering a stage of what might be détente with the proponents of a vaccine-autism link. It was recently reported that the AAP had met with some “representatives&#8221... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=1358580 Wed, 09 Apr 2008 05:18:52 +0100 1358580 http://www.medworm.com/index.php?rid=1124278&cid=t_105698_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F209474550%2F What better way to start the new year than making your voice heard to the National Institute of Mental Health (NIMH) about research priorities for the Interagency Autism Coordinating Committee Strategic Plan for Autism Spectrum Disorders (ASD)? You can contact the NIMH with your suggestions in response to a Request for Information (RFI): Research Priorities for the Interagency Autism Coordinating Committee Strategic Plan for Autism Spectrum Disorders (ASD). Please send responses to iacc@mail.nih.gov no later than January 4, 2008. Keep in mind that research does not only refer to scientific studies on genetics, the environment, neuroscience, and the like: Research also refers to research about the delivery of services and treatments. Some commenters have pointed out, for instance, tha... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=1124278 Tue, 01 Jan 2008 17:00:45 +0100 1124278 http://www.medworm.com/index.php?rid=983935&cid=t_105698_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F175883570%2F The Institute of Medicine held a Workshop on Environment on April 18th. You can pre-order the proceedings as a book or (as I did) download them as a PDF file (over 300 pages in uncorrected page proofs). From the introduction: Read this free online The goal of the workshop was to provide a venue to bring together scientists, members of the autism community, and the major sponsors of autism-related research to discuss the most promising scientific opportunities….The focus was on improving the understanding of the ways in which environmental factors such as chemicals, infectious agents, or physiological or psychological stress can affect the development of the brain. In addition, discussions addressed the infrastructure needs for pursuing the identified research opportuniti... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=983935 Sat, 27 Oct 2007 16:48:13 +0100 983935 http://www.medworm.com/index.php?rid=928089&cid=t_105698_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F165403493%2F Yes, indeed. The agency everyone loves to lambast is going for an organizational makeover. FDA commish Andy von Eschenbach has okayed a two-year deal for a consulting firm to assist with a cultural change at the Center for Drug Evaluation and Research. The focus - improving workplace leadership, empowering staff and establishing more effective business practices. All this for only $1.5 million. Clearly, these are lofty goals for a bureaucracy that only last year threatened to lasso whistleblowers, something which Andy subsequently attempted to disavow despite accurate media reports. Just the same, all 2,300 CDER employees will be included what FDA officials call a “workplace transformation effort.” The deal with the Center for Professional Development is in response to a bliste... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=928089 Thu, 04 Oct 2007 21:36:38 +0100 928089 http://www.medworm.com/index.php?rid=830157&cid=t_105698_131_f&fid=35743&url=http%3A%2F%2Fthegenesherpa.blogspot.com%2F2007%2F08%2Fsherpa-silenced.html I know that it has been a long time since my last post. During this time I have been interviewing geneticists, networking with some major league all stars in the fields of nutrigenomics, personalized medicine and pharmacogenomics. So I ask for all of your forgiveness.First let me state that it has been a great little breather that has got me re-invigorated to keep up the work of a Gene Sherpa.Second, let me tell you how great it is to live in an age where the work which giants in the fields of medicine and genetics can now be applied broadly to medicine. But, with that benefit comes the danger of charlatans and hucksters.This is why we need more Gene Sherpas. I am now putting out a plea to all of those who wish to harness genetics for health and longevity, those who wish to have science be... Gene Sherpas: Personalized Medicine and You blogs http://www.medworm.com/rss/comments.php?id=830157 Wed, 29 Aug 2007 14:31:00 +0100 830157 http://www.medworm.com/index.php?rid=708702&cid=t_105698_86_f&fid=34466&url=http%3A%2F%2Fclinicalevidence.blogspot.com%2F2007%2F07%2Fiom-committee-hipaa-privacy-rules.html A new Institute of Medicine committee has been formed to assess the impact of the HIPAA Privacy Rule -- the committee's charge is titled "Health Research and the Privacy of Health Information - The HIPAA Privacy Rule." It began June 1, 2007, first formal meeting in mid-June, and is expected to run for 16 months.From the project description:"An IOM committee will investigate the effects on health research of the Privacy Rule regulations implementing the Health Insurance Portability and Accountability Act of 1996 (HIPAA) section on Administrative Simplification and prepare a report. In conducting the study, the committee will:consider the range of study types, such as clinical trials, epidemiologic designs, research using tissue repositories and databases, public health research, and health ... Clinical Evidence, Searching Tidbits, and Other Minutiae blogs http://www.medworm.com/rss/comments.php?id=708702 Mon, 02 Jul 2007 15:44:00 +0100 708702