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Oncologists Continue To Shun Sales Reps More Than Other Docs
For the second consecutive year, oncologists posed the biggest obstacle to sales reps - 65 percent of oncologists placed moderate-to-severe restrictions on visits from reps, compared with 58 percent of cardiologists and 47 percent of primary care physicians. Yet only 17 percent of oncologists were hard to reach back in 2008, according to ZS Associates, a market research firm that crunched sales call reports.
Why are oncologists more restrictive? Most likely, the barriers reflect a rising number of oncology reps as more drugmakers focus on developing cancer therapies and more doctors join institutions with restrictive polic...
Source: Pharmalot - August 12, 2013 Category: Pharma Commentators Authors: esilverman Source Type: blogs
Georgia Regents Health System Signs Deal with Royal Philips
Royal Philips has signed a $300 million, 15-year alliance with Georgia Regents Medical Center in Augusta to study ways to deliver more cost efficient healthcare (see: Georgia system, Philips sign $300M deal; Venture aims to design new model for healthcare delivery). Six years ago I blogged about Philips expanding its presence in the consumer health product and services area (see: Philips' Healthcare Expansion Strategy Revealed). Below is an excerpt from the current article:
Through the agreement, the largest of its kind for Philips, the company will provide GRMC with a broad range of consulting services, advanced...
Source: Lab Soft News - July 17, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Electronic Medical Record Healthcare Business Healthcare Delivery Healthcare Information Technology Hospitals and Healthcare Delivery Imaging Other Than Pathology Laboratory Industry Trends Source Type: blogs
Are We Legislating A Primary Care Crisis?
It was the same years ago in residency. There was both a categorical and primary care residency track. Each had their own distinctive curriculum and rotation schedule. The outpatient track did more time in the clinic, the categorical more on the hospital wards. We trained side by side. We attended many of the same lectures. And our fellowship choices matched identically. In fact, most of my colleagues from the primary care group are now cardiologists, gastroenterologists, and pulmonologists. Even then, those in training changed their opinion midstream when they realized what their professional lives would entail.
It has ...
Source: In My Humble Opinion - July 8, 2013 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs
Top six reasons why FFR should be renamed as “Futile flow” reserve ?
The concept of FFR is based on pressure gradient alone.In any hydraulic model (Both biological and non biological systems ) pressure difference is the least important parameter that determines flow.
FFR is unphysiological as hyperemia is artificially induced one .(Adenosine is not the only parameter that determines it !)
Serial obstructions and branch point hemodynamics are conveniently ignored.
Reproducibility remains a big question mark .
On safety issues FFR is a suspect.( Often times , it requires expertise comparable to that of a complex PCI !) .Beware , the FFR unit has stiff c...
Source: Dr.S.Venkatesan MD - June 20, 2013 Category: Cardiology Authors: dr s venkatesan Tags: cardiac physiology Cardiology -Interventional -PCI Cardiology -unresolved questions excercise stress test .EST Hardware techniques tips Infrequently asked questions in cardiology (iFAQs) PCI PTCA Hardware fame 1 fame 2 study ffr vs oct vs Source Type: blogs
Transcatheter Valve Therapeutics 2013 Meeting Kicks Off
This post was authored by Xiushui (Mike) Ren, MD, affiliate member of the ACC..
The Transcatheter Valve Therapeutics (TVT) 2013 conference kicked-off yesterday with “The Annual Mad Dash” presentation by Martin Leon, MD, FACC, who summarized the past year of transcatheter aortic valve replacement (TAVR) research in an impressive 20 minutes. According to Leon, there were a total of 835 TAVR manuscripts published in 2012 and 2013. Highlights included:
A study by Dr. Vergnat, et al., using 3-D transesophageal echocardiography showing that TAVR resulted in better preserved mitral annular geometry as compared to...
Source: ACC in Touch Blog - June 13, 2013 Category: Cardiology Authors: Administrator Tags: Clinical Topics CV Meetings Special Topics Source Type: blogs
Diovan trials may have been run by Novartis staff
Several post-marketing clinical trials of the blockbuster blood pressure drug Diovan may have been run by employees of the drug’s manufacturer Novartis.
While the firm is not naming the employees or the trials by name, one is believed to relate to the cardiologist Hiroaki Matsubara, a former Kyoto Prefectural University researcher, who has had a number of his Diovan studies retracted in Japan, the US and Europe.
Another large trial, the Jikei Heart Trial, also came under scrutiny when it was revealed that a Novartis employee, Nobuo Shirahashi, was involved with both studies, but his only listed affiliation was Osaka Ci...
Source: PharmaGossip - May 29, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs
An unusual cardiac arrhythmia : This ectopic beat * arises right from sinus node itself !
This is an ECG which I reported yesterday in my clinic . I thought it was a near perfect example for sinus node premature beat .
(Of course I need to explain why the P morphology slightly differs )
A sudden unexpected QRS complex is often called as ectopic beat . If it occurs prematurely (ie earlier than anticipated ) it is called as premature beat. If it occurs late it is refereed to as escape beat .Please note the difference is not absolute .
Sinus node is a dramatic bundle of energy with divine powers that drives rhythm of life !
The pacemaker cells are arranged in a compact fashion wit...
Source: Dr.S.Venkatesan MD - May 24, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology - Electrophysiology -Pacemaker cardiology -ECG Cardiology -unresolved questions Cardiology-Arrhythmias SA node sinus node anatomy sinus premature systole Source Type: blogs
Where Are the Women in Cardiology?
This post was authored by Payal Kohli, MD, fellow-in-training at the University of California San Francisco.
Despite a growth in female physicians, there are as few female cardiologists as ever. Statistics from ACC membership as well as nationwide censuses has shown that the percentage of women in cardiology has unchangingly remained within the 10-15 percent range over the last several years, dashing our hopes that this number may be slowly creeping upwards.
So what seems to be the problem? Why are women continuing to go into fields like pediatrics and dermatology, while turning their backs on exciting fields like card...
Source: ACC in Touch Blog - May 20, 2013 Category: Cardiology Authors: Administrator Tags: Membership Special Topics Source Type: blogs
Women in Cardiology
This post was authored by Payal Kohli, MD, fellow-in-training at the University of California San Francisco.
Despite a growth in female physicians, there are as few female cardiologists as ever. Statistics from ACC membership as well as nationwide censuses has shown that the percentage of women in cardiology has unchangingly remained within the 10-15 percent range over the last several years, dashing our hopes that this number may be slowly creeping upwards.
So what seems to be the problem? Why are women continuing to go into fields like pediatrics and dermatology, while turning their backs on exciting fields like card...
Source: ACC in Touch Blog - May 20, 2013 Category: Cardiology Authors: Administrator Tags: Membership Special Topics Source Type: blogs
Now is the Time for a Focus on Quality and Safety During Cardiovascular Fellowships
This post was authored by Chittur A. Sivaram, MD, FACC, chair of the ACC Fellowship Training and Workforce Committee, and chair of the ABIM Competency-Based Pilot in Cardiology-Internal Medicine.
Many new hot button issues concerning the delivery of cardiovascular care are slowly finding their way into the curriculum for future cardiovascular professionals. This is inevitable since academic programs and their curriculum need to adapt to the changing health care needs and priorities of the populations they serve. One such emerging area of emphasis in graduate medical education is training in areas of quality, safety...
Source: ACC in Touch Blog - May 14, 2013 Category: Cardiology Authors: Administrator Tags: Membership Special Topics Source Type: blogs
NEJM Article: Massachusetts Payment to Physicians Sites Old Statistics to Support Anti Industry Bias
Over the last several years, we have covered the Massachusetts Pharmaceutical and Medical Device Manufacturer Code of Conduct (PCOC), enacted in 2009. Subsequently, the Massachusetts legislature rolled back some of the reporting requirements last fall. And we recently noted that Massachusetts saw a 3% drop in payments to physicians in 2011.
Consequently, several researchers—led by Aaron S. Kesselheim, M.D., J.D., M.P.H.—recently published a viewpoints article in the New England Journal of Medicine (NEJM) analyzing the distribution of industry payments to Massachusetts physicians. The authors maintain that ...
Source: Policy and Medicine - May 14, 2013 Category: Health Medicine and Bioethics Commentators Authors: Thomas Sullivan Source Type: blogs
Guest Post: A Physician Rebels Against Micromanagement by "'Leadership-Trained' Management Extenders"
Health Care Renewal presents a guest post by Dr Howard Brody, John P McGovern Centennial Chair of Family Medicine, Director of the Institute for Medical Humanities at University of Texas - Medical Branch at Galveston, and blogger at Hooked: Ethics, Medicine and Pharma. I recently heard from a physician whom I knew well in an earlier stage of her training—I’ll call her Pauline. She completed her training at one of the top children’s hospitals in the US, and served in several capacities in academic medical centers before her most recent job with a physician-owned for-profit practice. She called me to express her frustr...
Source: Health Care Renewal - May 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: generic managers corporate physician mission-hostile management financialization Source Type: blogs
The Power Of The Pen?
I almost fell off my chair. It was bad enough that he showed up to the ER. But what happened next really blew my mind. He fell and bruised a rib. The pain in his left chest had obvious enough origins. But triage had put in for an electrocardiogram and the interpretation apparently scared the resident. The attending took a look, and shook his head.
Left bundle branch block. Better call the Mecca.
A few minutes later a cardiologist and nurse manager were videoconferencing in and interviewing the patient. Next came an order for thrombolytics and transfer to the big medica...
Source: In My Humble Opinion - May 4, 2013 Category: Family Physicians Authors: Jordan Grumet Source Type: blogs
