Filtered By:
Education: Academia

This page shows you your search results in order of date. This is page number 16.

Order by Relevance | Date

Total 283 results found since Jan 2013.

You Say You Want Some Revolutions? - Famed Academic Physician Dr Milton Packer's Endless Alternating Turns as Drug Company Spokesperson and FDA Advisor
Last week, we noted  we again discussed the web of conflicts of interest that is draped over medicine and health care, and seems responsible for much of our current health care dysfunction.  We have discussed examples of conflicts of interest affecting clinical research, clinical teaching, clinical care, and health care policy.  Each time I think we must have cataloged all the useful examples, a striking new one appears.Only a few days later, yet another new variant has in fact appeared. A New Kind of Revolving Door A new version of the "revolving door" apparently was first noted by Public Citizen, and then ...
Source: Health Care Renewal - September 16, 2014 Category: Health Management Tags: Avandia Bristol-Myers-Squibb conflicts of interest FDA GlaxoSmithKline Milton Packer Novartis Pfizer revolving doors sacubitril Source Type: blogs

Drug Innovation and Government-Operated Health Systems
<p style="line-height: 19.0400009155273px;"><span style="line-height: 19.0400009155273px;">On August 30, 2014, cardiovascular drug researchers managing the PARADIGM-HF Study and its Committees announced that they were terminating their Phase III trial of LCZ696 because of observed “<a href="http://www.dailymail.co.uk/health/article-2738993/Remarkable-new-heart-drug-cut-deaths-fifth-available-early-year.html">overwhelming benefit</a>.” As reported in The Daily Mail: “Thousands of lives could be saved by a new drug for heart failure that researchers claim outperfo...
Source: blog.bioethics.net - September 9, 2014 Category: Medical Ethics Authors: Hayley Dittus-Doria Tags: Health Care Pharmaceuticals Distributive Justice drug safety syndicated Source Type: blogs

Physician Payments Sunshine Act: Organizations Respond to CMS
  September 2nd marked the last day for comments on CMS’ proposed rule to eliminate the accredited continuing medical education (CME) exemption from Sunshine Act reporting.  In an overwhelming display of support for the exemption, over 800 comments were submitted encouraging the agency to either maintain or expand the current exclusion. -Total comments supporting maintenance or expansion of the CME exemption:  820 -Total comments supporting elimination of the CME exemption:  approximately 20 -Percentage of comments supporting the CME exemption: 98% We have followed this issue closely, and recentl...
Source: Policy and Medicine - September 8, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs

The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented.  (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs

Collaboration, Consistency, and Community Spirit: How Durham Advances Health
TweetEditor’s note: This post is part of an ongoing series written for Health Affairs Blog by local leaders from communities honored with the annual Robert Wood Johnson Foundation Culture of Health Prize. In 2014, six winning communities were selected by RWJF from more than 250 applicants and celebrated for placing a priority on health and creating powerful partnerships to drive change. Interested communities are encouraged to apply for the 2015 RWJF Culture of Health Prize. Applications are due September 17, 2014. Durham, North Carolina is so richly endowed with health care resources that it is known as “the City of M...
Source: Health Affairs Blog - August 28, 2014 Category: Health Management Authors: Erika Samoff Tags: All Categories Nonmedical Determinants Public Health States Source Type: blogs

Desperate, Vulnerable Research Subjects, Cost-Cutting Contract Research Organizations and Threats to the Integrity of Clinical Research
Introduction - Clinical Research Done by Contract Research Organizations Dr Carl Elliott seems to be one of the few people willing to investigate how modern medical research may threaten vulnerable research subjects.  His book, White Coat, Black Hat, opened with a chapter on vulnerable "guinea pigs," people willing to be clinical research subjects for money.  Such people may be desperate for money, and further may be homeless, and have psychiatric problems, including psychosis or drug or alcohol problems.  Dr Elliott just wrote another important article on the plight of vulnerable research subjects. As Dr El...
Source: Health Care Renewal - August 13, 2014 Category: Health Management Tags: clinical research integrity clinical trials contract research organizations deception You heard it here first Source Type: blogs

The LITFL Review 141
The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. Welcome to the 141st edition, brought to you by: Kane Guthrie [KG] from LITFL Tessa Davis [TRD] from LITFL and Don’t Forget The Bubbles Brent Thoma [BT] from BoringEM, and ALiEM Chris Ni...
Source: Life in the Fast Lane - June 23, 2014 Category: Emergency Medicine Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs

Should we measure LV EF in the early hours of STEMI ?
LV ejection fraction (EF) is the most commonly used  LV systolic functional index.Since , it is an  easily acquired parameter,  it’s popularity has zoomed among both learned and novice cardiology professionals .(Not withstanding the serious shortcomings!) In one of the evening rounds  in my CCU , a young cardiology fellow told me about a  patient  with acute  anterior MI with ST elevation V1 to V5. The patient  was lying supine with trunk up . HR was 110 . BP was  100 /70 There were few basal crackles .The patient was undergoing  lysis with streptokinase. It was  suggested  to me by the  fellow  that  ...
Source: Dr.S.Venkatesan MD - April 8, 2014 Category: Cardiology Authors: dr s venkatesan Tags: Cardiology -unresolved questions Echocardiography - LV dysfunction Echocardiography-Limitations of LV EF % Infrequently asked questions in cardiology (iFAQs) asessing LV function following stemi echocardiography in stemi LV ejection fraction Source Type: blogs

Does Academic Year Timing Impact PCI Outcomes at Training Institutions?
This post was authored by Patrick T. O’Gara, MD, FACC, incoming president of the ACC. The academic year begins July 1, a time when medical trainees begin their careers as physicians and enter fields with skills that are not yet … Continue reading →The post Does Academic Year Timing Impact PCI Outcomes at Training Institutions? appeared first on ACC in Touch Blog.
Source: ACC in Touch Blog - March 25, 2014 Category: Cardiology Authors: Admin Tags: Clinical Topics Special Topics guest post invasive/interventional cardiology NCDR Source Type: blogs

How successful is AF ablation?
Let’s talk about success. At first glance, knowing whether a medical or surgical intervention achieves success seems quite simple. An antibiotic clears an infection–or it does not. A surgery removes a tumor with clean margins–or it does not. An angioplasty and stent open an artery during a heart attack–or it does not. In the case of treating atrial fibrillation, however, it’s not like that. And this is especially true when one considers the use of catheter ablation–the biggest hammer in the toolbox of an electrophysiologist. The doubters ask: why can’t it be simple? They say ablati...
Source: Dr John M - March 24, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

The Plot of the CareFusion/ Dr Denham/ NQF/ ABIM/ Dr Cassel Case Thickens Even More - Current NQF and Previous ABIM CEO Found to be Long-Term Premier Inc Board Member, Resigns from that Board
The plot of the CareFusion/ Dr Denham/ NQF/ Leapfrog Group case (as we previously entitled it)  just will not stop thickening.Background To summarize the events up to our last post on the subject:   -  The case became public with an apparently routine legal settlement between CareFusion and the US Department of Justice -  The CareFusion settlement for $40.1 million was made in response to allegations that kickbacks were made to promote ChloraPrep, a solution meant for preoperative and other health care skin cleaning-  The Department of Justice news release also alleged that payments were ...
Source: Health Care Renewal - March 3, 2014 Category: Health Medicine and Bioethics Commentators Tags: ABIM conflicts of interest Dr Christine Cassel group purchasing organizations National Quality Forum Premier Inc Source Type: blogs

Open Payments: A Matter Of Maintaining Trust
For decades, it’s been no secret that some physicians have financial relationships with health care manufacturing companies. For example, a pharmaceutical firm might fund a cardiologist at an academic medical center to research an experimental medication for lowering cholesterol. Or, an orthopedic surgeon might receive a consulting fee from a medical device manufacturer for counsel about an artificial hip. These widespread collaborations can involve gifts, meals, speaking fees, travel support, or payment for research activities. The good news is that these joint efforts have led to the discovery, design, and developmen...
Source: Health Affairs Blog - February 27, 2014 Category: Health Medicine and Bioethics Commentators Authors: Anita Griner Tags: All Categories Business of Health Care Health Law Health Reform Medicaid Medicare Physicians Policy Public Opinion Source Type: blogs

The CareFusion/ Dr Denham/ NQF /Leapfrog Goup Case that Would Not Go Away - NQF CEO Outed as Member of Premier Inc Board
The story of the CareFusion/ Dr Denham/ NQF/ Leapfrog Group case refuses to go away, even if it still has not created any echoes in the mainstream media or the medical and health care literature.  Now it appears that the NQF has an even bigger conflict of interest problem than previously reported.  BackgroundAs of our last post on 5 February, 2014, the background was--  The case became public with an apparently routine legal settlement between CareFusion and the US Department of Justice -  The CareFusion settlement for $40.1 million was made in response to allegations that kickbacks were made to pr...
Source: Health Care Renewal - February 21, 2014 Category: Health Medicine and Bioethics Commentators Tags: boards of directors conflicts of interest group purchasing organizations National Quality Forum Source Type: blogs

The problem with testing students and doctors is what gets truncated
For me, maybe you too, the best part about science is how it disrupts the status quo. A belief, a way of doing something, a paradigm if you will, becomes entrenched. Humans love patterns. We get attached. I call this the way-it’s-always-been-done philosophy. It’s endemic in medicine, and, from what I can see, in education as well. Take the notion that SAT and ACT scores are all that. Maybe they are…and maybe they are not. Surely the 2 billion dollar testing industry says their tests are important. Testers even say their tests open doors for the under-privileged. The idea appeals to our intuition. The meri...
Source: Dr John M - February 20, 2014 Category: Cardiology Authors: Dr John Source Type: blogs

Physician whose mother had heart surgery reflects on sane EHR use
The following from a physician I know, an ED physician, on the care their mother received at a major academic medical center's teaching hospital using EHR.Emphases mine:Mom just had aortic valve at hospital [name redacted] associated with [redacted] Medical School.  EHR used was [major EHR vendor name redacted] but it clearly had been pushed into the background......1) Every ICU patient also had a printed chart in a notebook (paper) medical record book kept at the nursing station.  Just like the old days. It was the most commonly used source of info to the residents and staff.2) Not once did I see an EHR physical...
Source: Health Care Renewal - January 24, 2014 Category: Health Medicine and Bioethics Commentators Tags: EHR-associated clerical work healthcare IT risks Source Type: blogs