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Physicians Look Toward Profitable Medicare Services; Former Virginia Official Tapped For A Position At CMS

A study finds physicians veer toward more profitable services amid lower Medicare fees. Meanwhile, Humana tests a patient-centered medical home program in Florida and a former Virginia official is chosen to take on a top position at the Centers for Medicaid and Medicare Services…

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Health Spending Consumes More Of U.S. Economy, Will Tip Toward Government

A new report by federal actuaries shows government programs will pay for more than half of all U.S. health care spending by 2012, and that total spending on health grew as a share of the economy by 1.1 percent last year to 17.3 percent, the largest leap ever, the Los Angeles Times reports. “The almost $2…

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Toward A Less Expensive Version Of The Anti-flu Drug Tamiflu

Scientists have developed an alternative method for producing the active ingredient in Tamiflu?, the mainstay for fighting H1N1 and other forms of influenza. The new process could expand availability of the drug by reducing its cost, which now retails for as about $8 per dose. Their study is in ACS’ Organic Letters, a bi-weekly journal…

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A survey of attitudes toward clinical research among physicians at Kyoto University Hospital

Background:In Japan, only clinical research related to investigational new drug trials must be notified to regulatory bodies, and this lack of a uniform standard for clinical research has caused a number of difficulties. The objective of this study was to assess the willingness of physicians to participate in clinical research and to identify effective methods to promote and enhance clinical research.Methods:We conducted a cross-sectional survey by administrating questionnaires to physicians in 31 departments in Kyoto University Hospital from October through November 2007.Results:A total of 51.5% (310 of 602) of physicians completed the questionnaire. More than two-thirds of them reported currently participating in clinical research, and nearly all believed that clinical research is necessary for physicians. Less than 20% of respondents had specific training regarding clinical research, and most reported a need to acquire concepts and skills regarding clinical research, especially those related to statistics. “Paperwork was complicated and onerous” was the most frequently cited obstacle in conducting clinical research, followed by “few eligible patients” and “lack of time”. Previous participation in and prospective participation in clinical research, previous writing a research protocol were positively associated with current participation in clinical research.Conclusions:Physicians in university hospitals need more training regarding clinical research, particularly in biostatistics. They also require administrative assistance. Our findings indicate that the quality of clinical research could be improved if training in clinical research methodology and biostatistics were provided, and if greater assistance in the preparation of study documents requested by the institutional Independent Ethics Committee were available.

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Locust Study Points Toward New Treatment For Stroke And Migraine

A similarity in brain disturbance between insects and people suffering from migraines, stroke and epilepsy points the way toward new drug therapies to address these conditions. Queen’s University biologists studying the locust have found that these human disorders are linked by a brain disturbance during which nerve cells shut down. This also occurs in locusts when they go into a coma after exposure to extreme conditions such as high temperatures or lack of oxygen.

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HHS Takes Additional Steps Toward Development Of Vaccine For The Novel Influenza A (H1N1)

HHS Secretary Kathleen Sebelius announced today that the department will take important steps necessary to prepare for potential commercial-scale production of a candidate vaccine for the novel Influenza A ( H1N1). The Secretary is directing approximately $1 billion in existing funds that will be used for clinical studies that will take place over the summer and for commercial-scale production of two potential vaccine ingredients for the pre-pandemic influenza stockpile.

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Pediatric resident and faculty attitudes toward self-assessment and self-directed learning: a cross-sectional study

Background:The development of self-assessment and self-directed learning skills is essential to lifelong learning and becoming an effective physician. Pediatric residents in the United States are now required to use Individualized Learning Plans (ILPs) to document self-assessment and self-directed learning. A better understanding of resident and faculty attitudes and skills about self-assessment and self-directed learning will allow more successful integration of lifelong learning into residency education. The objective of this study was to compare faculty and resident attitudes, knowledge and skills about self-assessment, self-directed learning and ILPs. Methods:Survey of pediatric residents and faculty at a single institution. Respondents rated their attitudes, knowledge, and self-perceived skills surrounding self-assessment, self-directed learning and ILPs.Results:Overall survey response rate was 81% (79/97); 100% (36/36) residents and 70% (43/61) faculty. Residents and faculty agreed that lifelong learning is a necessary part of being a physician. Both groups were comfortable with assessing their own strengths and weaknesses and developing specific goals to improve their own performance. However, residents were less likely than faculty to continuously assess their own performance (44% vs. 81%; p<0.001) or continuously direct their own learning (53% vs. 86%; p<0.001). Residents were more likely than faculty to believe that residents should be primarily responsible for directing their own learning (64% vs. 19%; p<0.0001), but at the same time, more residents believed that assigned clinical (31% vs. 0%; p<0.0001) or curricular (31% vs. 0%; p<0.0001) experiences were sufficient to make them competent physicians. Interns were less likely than senior residents to have a good understanding of how to assess their own skills (8% vs. 58%; p=0.004) or what it means to be a self-directed learner (50% vs. 83%; p=0.04).Qualitative comments indicated that while ILPs have the potential to help learners develop individualized, goal-directed learning plans based on strengths and weaknesses, successful implementation will require dedicated time and resident and faculty development.Conclusions:These findings suggest that training and experience are necessary for physicians to understand the role of self-directed learning in education. Deliberate practice, for example by requiring residents to use ILPs, may facilitate self-directed, lifelong learning.

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NVIC Says BMJ Review Demonstrates Medical Journal Bias Toward Pharma-Sponsored Influenza Vaccine Studies

In a review of influenza vaccine studies published in the British Medical Journal Tom Jefferson, M.D., Ph.D. (Cochrane Field, Rome, Italy) and colleagues found that published influenza vaccine studies sponsored by industry are treated more favorably by medical journals even when the studies are of poor quality.

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Obama Signs SCHIP Legislation, Says Bill Is ‘First Step’ Toward Universal Health Coverage

President Obama on Wednesday signed into law a bill (HR 2) that will reauthorize and expand SCHIP to an additional four million children, the AP/San Francisco Chronicle reports. Obama said that expanding the program is “the first step” to achieving universal health coverage in the U.S.

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House Will Take ‘Major Step’ Toward Comprehensive Health Care Reform In 2009, Speaker Pelosi Spokesperson Says

House Democrats will “take a major step” toward comprehensive health care reform in 2009, and lawmakers already have taken “incremental steps” to expand coverage, a spokesperson for House Speaker Nancy Pelosi (D-Calif.) wrote in an e-mail on Monday, The Hill reports.

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