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A manifesto for nephrologists
Much has been made about the steady decrease in the number of U.S. medical school graduates choosing to pursue nephrology as a career. Even among nephrologists, both those in private practice as well as academia, there has been substantial hand-wringing on this issue.
My more pessimistic colleagues see a subspecialty in decline, which they attribute to a myriad of factors. These include the encroachment on our “turf” by other sub-specialists (intensivists performing continuous renal replacement therapy, cardiologists performing ultrafiltration, rheumatologists managing lupus nephritis, and transplant surgeons manag...
Source: Kevin, M.D. - Medical Weblog - December 22, 2013 Category: Family Physicians Tags: Physician Nephrology Source Type: blogs
Are doctors being duped through medical education? Could social media help?
I made a discovery this week about the novel anticoagulant medications, dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban (Lixiana). I was looking into the often-asked question of how these new drugs compare to the old standard, warfarin.
The discovery felt like a Eureka moment. I ran it by my stats guy–my son–and a couple of colleagues, and they confirmed, that my discovery was truth. I’m working on a post now that discusses the details of how the medical world has been misled about these drugs. Stay tuned.
Medical Education:
For now, though, this revelation got me thinking abo...
Source: Dr John M - December 14, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
Sickness in the Information Technology Sector: Technical problems, discord plagued Maryland health care site
Eye-opening, ground-level, no-holds-barred accounts of IT mismanagement and mayhem are too rare, considering the stakes in 2013. The behind-the-scenes crap that goes on needs a great deal of sunlight. Below is such an account of great merit, in the Baltimore Sun.First, I note physicians and nurses are generally able to collaborate to take care of sick patients. They are natural "team players"; taking care of patients is their professional calling. I did it all the time in my patient care years, especially in critical care settings, where lack of collaboration with colleagues could lead to dead patients.IT...
Source: Health Care Renewal - December 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: EngagePoint Inc. healthcare IT difficulties Mismanagement Noridian Healthcare Solutions Obamacare Obamacare Exchange Websites Rebecca Pearce Source Type: blogs
Global Database on CME Meetings and Providers
MedMeme LLC, a global leader in providing comprehensive integrated medical and scientific information database platforms to the top pharmaceutical and biotechnology companies recently launched its new MEPmemeTM (MEP) database that offers the latest information on medical education providers, according to a press release from the company.
"This robust product will help pharmaceutical and healthcare professionals such as medical affairs, personnel managers, researchers and pharmaceutical executives to easily filter through the massive amount of data on medical education providers and make the best possible decision on thei...
Source: Policy and Medicine - November 27, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
Confused Thinking about New Cholesterol Guidelines - Were Conflicts of Interest to Blame?
For years, clinical practice guidelines promulgated by prominent health care organizations have been hailed with accolades as received wisdom. However, there is increasing reason to be skeptical of such guidelines. Many guidelines are not based on rigorous application of the principles of evidence-based medicine, and often seem to arise from the personal opinions of their authors. This is particularly troublesome when those authors have conflicts of interest, and when the organizations that sponsor guideline development have institutional conflicts of interest. Back in 2011, an Institute of Me...
Source: Health Care Renewal - November 22, 2013 Category: Health Medicine and Bioethics Commentators Tags: American College of Cardiology American Heart Association conflicts of interest evidence-based medicine guidelines logical fallacies Source Type: blogs
The LITFL Review 116
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 116th 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
Chris Nickson [C...
Source: Life in the Fast Lane - November 20, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health Intensive Care LITFL review LITFL R/V Source Type: blogs
Doctors Say Heart Drug Raised Risk of an Attack
Cardiologists have accused a small drug company of withholding data from a clinical trial showing that the company’s drug, meant to reduce the risk of heart attacks, increased the risk instead.The cardiologists said that the company, Anthera Pharmaceuticals, did not turn over data to academic investigators, as it was required to do, for more than a year.“Despite a contract that required transfer to the academic authors, the company stonewalled every attempt to acquire the data,” Dr. Steven Nissen, a cardiologist at the Cleveland Clinic, said in an email on Tuesday.Dr. Nissen was the senior author of a report on the d...
Source: PharmaGossip - November 20, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
Film recommendation — Amour teaches important lessons about humanity
It goes without saying that having an appreciation for humanity is critical for doctoring.
One of the areas of medicine that is most tragic is how we treat the elderly. If I could change one thing about medical care, I would make the care of the elderly more gentle. Dr Dan Matlock (@Dan_Matlock) is a friend and academic physician interested in improving decision quality. He wrote this in a comment on my recent Medscape/Cardiology post.
Somewhere in the last 100 years, we have replaced humanity with technology. I actually think we have huge gains to make in bringing the humanity back to medicine. A field of medicine wit...
Source: Dr John M - November 3, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
How brilliant is Brilinta?
AstraZeneca US drug trial queriedAstraZeneca's chief executive Pascal Soriot says he is very confident in the findings of the clinical trial of heart drug Brilinta. Photograph: Lynne Cameron/PAAstraZeneca is being investigated by US authorities over a clinical trial that was used to win marketing approval for its heart drug Brilinta, casting fresh doubts over the medicine.Brilinta sales have been a disappointment since its launch two years ago, although AstraZeneca has recently stepped up marketing efforts and hopes that further clinical tests will underscore its value in preventing heart attacks.The British drug...
Source: PharmaGossip - October 31, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
An Idiot’s approach to evidence based cardiology !
The current fad called EBM has lots of lacunae. Though evidence based approach is considered the ultimate journey towards truth ,lot of non academic factors contaminate it .In it’s current form , it is difficult to comprehend it.
This is an attempt to decode the mystery of EBM expressed in a simplified lay person’s term .They are the ones from whom we learn medicine. They are our teachers in the true sense.
By the way ,it is also my approach to EBM .Sorry , if this post sounds arrogant ! It is not the intention .Truths often times appear brutal .
And . . . the Genius...
Source: Dr.S.Venkatesan MD - October 20, 2013 Category: Cardiology Authors: dr s venkatesan Tags: bio ethics cardiology journal club Cardiology quotes ethics in cardiology ethics in medicine evidence based cardiology guidelines in cardiology guidelines in medicine principles of medicine Source Type: blogs
Nearly Half of US Physicians Restrict Access by Manufacturer Sales Reps – New Strategies to Reach Physicians
With the Physician Payment Sunshine Act in full effect, the challenges that pharmaceutical sales representatives will face accessing physicians and other prescribers will only continue to grow as many practices, institutions and hospitals begin to update and change their policies in light of the increased transparency.
Consequently, a number of recent articles have highlighted the challenges sales reps are facing and some of the solutions and options companies have created to address these roadblocks.
For example, a new study from CMI/Compas found that half of physicians restrict visits from reps in one way or anot...
Source: Policy and Medicine - October 17, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
Social Media as an agent for change in healthcare information
I am going up to Indianapolis this Saturday to talk with a group of medical student leaders. I was asked to present on the role of social media.
Along these lines, I have to show you something that I found this morning. I was studying the FDA review panel’s evaluation of the Block-HF trial, when I came across these pictures. (Block-HF is a pacing trial that evaluates an expanded role of biV pacing. For the purposes of this post, the subject of the science is not important; it could be any sort of scientific inquiry.)
Upon Googling the worlds “block hf nejm,’ look what pops up.
Check out the second entry....
Source: Dr John M - October 15, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
Health lessons from Reverend Al Sharpton…
However you see the Reverend Al Sharpton, one thing is certain: you see less of him now. His Twitter pic tells you he is proud of his 167-pound weight loss. Good for him, he should be.
If you care about health, the disappearance of the Sharpton-of-old is worth mention. His story teaches us a lot, and, if one dares to look a little deeper, bigger lessons bulge out. Surely this is more than just a weight loss story.
The obvious question: How did he lose the weight?
Yes, of course, we all want to know about the process of shedding 160+ pounds. But I ask you to call time-out and first look carefully at the pronoun in the six-w...
Source: Dr John M - October 11, 2013 Category: Cardiology Authors: Dr John Source Type: blogs
The Biggest Challenges Facing Medical Meetings 2013
The Professional Convention Management Association (PCMA) recently posted a story in Convene, which discussed "The Biggest Challenges Medical Meeting Planners Face Today." This topic is of particular interest given all of the new obligations that medical meeting planners must abide by to ensure compliance with the Sunshine Act, now that reporting has officially begun.
The article was adapted from an exclusive roundtable of senior-level medical meeting planners, which included:
Felix Niespodziewanski, Director of Convention and Meetings, American College of Surgeons (ACS)
Barbara Smith, CAE, Executive D...
Source: Policy and Medicine - August 22, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
