Archive for category Health Students

Fix the July Effect for incoming interns and residents

KevinMD, By a medical intern, 26 August 2010

“According to an article published in the Journal of General Internal Medicine, counties with teaching medical hospitals experienced a 10% increase in fatal medication errors as compared to counties without teaching medical hospitals.”

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Patient charters all buzz and no bite, advocates say

CMAJ, early release online, 23 August 2010, DOI:10.1503/cmaj.109-3340
Author: Lauren Vogel
“Patient groups are skeptical that a national charter of patient rights would reap real-world changes in Canada’s health care system. The Canadian Medical Association’s recent proposal that a national patient charter be established in Canada follows on the heels of two decades of efforts to legislate patient rights at the provincial level, a hit-and-miss experience that’s left patient groups questioning the necessity of such a document.”
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International patient charters are often nonbinding or feature fuzzy metrics

CMAJ, early release online, 23 August 2010, DOI:10.1503/cmaj.109-3342
Author: Lauren Vogel
“International experience with patient charters indicates that nonbinding rights have limited utility, while efforts to quantify the efficacy of such charters have often been hampered by the fact that accountability metrics are often embryonic, if not nonexistent. The Canadian Medical Association is advocating that Canada adopt such a patient charter as part of its blueprint for transformation of the Canadian health care system…But if international patient charters are an indicator, the value of such a creature will depend on its nature and the extent to which it includes accountability mechanisms.”
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NURSES AND MIDWIVES ARE GETTING OLD, WAITING FOR CHANGE

 College of Nursing, 20 August 2010

“Royal College of Nursing, Australia and The College of Nursing call for immediate action to ensure sustainable nursing and midwifery workforces into the future. When will all the major political parties announce sufficient resources to solve one of the biggest challenges facing the nursing and midwifery workforces, both organisations asked today? RCNA CEO Debra Cerasa said that the Australian Institute of Health and Welfare (AIHW) had reported state-wide skills shortages of registered nurses and midwives in all jurisdictions, and shortages of enrolled nurses in NSW, QLD, WA and ACT. “Our nursing and midwifery .”

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Rules tightened for overseas-trained doctors

NZ Herald, By Martin Johnston, 18 August 2010

“Health authorities have tightened rules around the monitoring of overseas-trained doctors, following concerns being expressed for several years over supervision. The Medical Council and the 20 district health boards said today they had signed a memorandum of understanding that covers the employment of doctors.”

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Stop calling doctors fleas and teaching professionalism

KevinMD.com- 13 August, 2010

Author: Vineet Arora

“At the recent AAMC meeting on how to integrate quality into teaching hospitals, the question that kept popping up from speaker after speaker was how to address the fact that doctors in teaching hospitals don’t get along. Unfortunately, all the specialty bashing that takes place prevents the adoption of a team based culture necessary to advance quality and safety.”

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Roles of CIA Physicians in Enhanced Interrogation and Torture of Detainees

JAMA. 2010;304(5):569-570. doi:10.1001/jama.2010.1057
Authors: Leonard S. Rubenstein, Stephen N. Xenakis
“Secrecy has restricted scrutiny of the role of physicians and other medical personnel in the Central Intelligence Agency’s (CIA’s) “enhanced” interrogation program, begun in 2002. The program, also labeled “physical and psychological pressure,” was designed to “psychologically ‘dislocate’ the detainee, maximize his feelings of vulnerability and helplessness, and reduce or eliminate his will to resist” efforts to obtain intelligence. In 2009, the Obama Administration released guidelines on enhanced interrogation written in 2003 and 2004 by the CIA Office of Medical Services (OMS). The OMS guidelines, even in redacted form, and opinions from the US Department of Justice’s (DOJ’s) Office of Legal Counsel show that CIA physicians, psychologists, and other health care personnel had important roles in enhanced interrogation.”
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Botched tonsil surgery sees woman cough up gauze

3 News NZ, By Emma Brannman, 22 July 2010

“What she coughed up wasn’t a pleasant sight – three bits of bloody gauze. She showed the evidence to her family doctor, who was horrified. “He asked me who did it and I said the surgeon at hospital and he said, ‘are you sure, it looks like a student, it looks like a hack job; it hasn’t been done properly’,” she says.”

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UK: Mandatory graduate entry to nursing

BMJ 2010;341:c3591

Authors: Pippa Gough, Abigail Masterson

“Earlier this year the report from the Commission on the Future of Nursing and Midwifery in England made the controversial recommendation that nurses should have a degree to enter the profession…”

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GMC clears doctors of failing to protect trainees and patients from sexually inappropriate behaviour

BMJ 2010;341:c3571

Author: Clare Dyer

“Two senior doctors in charge of postgraduate medical training have been cleared of failing to take adequate measures to protect female trainees and patients from alleged sexually inappropriate behaviour by a consultant psychiatrist.”

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