CBUlogo1Mpp

http://www.cbu.edu/

Caduceus Newsletter:  Summer 2009.02 – July, 2009 

Dr. Stan Eisen, Director
Preprofessional Health Programs
Christian Brothers University

650 East Parkway South
Memphis, TN  38104

Home page:
http://www.cbu.edu/~seisen/

Caduceus Newsletter Archives:
http://www.cbu.edu/~seisen/Caduceus.html

CaduceusDNAHelixLarger

 

Table of Contents:   

1. 'Competencies,' Not Courses, Should Be Focus of Medical-School Curricula, Report Says.  
2.  The Virginia Tech Carilion School of Medicine (VTCSOM) has received preliminary accreditation from the LCME Board.   
3.  The University of Tennessee Health Science Center (Memphis) offers a 1-year Masters in Pharmacology.      

4.  AAMC STAT, News from the Association of American Medical Colleges:  June 15, 2009 edition.    
5.  Nova Southeastern University (Fort Lauderdale, FL) offers a dual DMD/DO (Doctor of Dental Medicine/Doctor of Osteopathic Medicine) degree.     
6.  Revision to the Score Scale for the Optometry Admission Test (OAT), Effective May 1, 2009.      
7.  PharmCAS is now OPEN for Fall 2010 Matriculation!   
8.  VMCAS Web Application for 2010 Matriculation is Now Available!    
9.  The 2010 American Dental Education Association (ADEA) application service (AADSAS) has been launched.       
10.  Received this week. 
11.  The University of Pennsylvania’s School of Veterinary Medicine offers a VMD/PhD Program for future veterinarian-scientists.    
12.  AAMC STAT, News from the Association of American Medical Colleges:  June 29, 2009 edition.   

13.  Marginalia:  The article mentions “Don't swim when you have diarrhea” as the FIRST rule of Pool Etiquette.       
    


 

1. 'Competencies,' Not Courses, Should Be Focus of Medical-School Curricula, Report Says.   

June 4, 2009

http://aamc.org/newsroom/pressrel/2009/090604.htm

Future physicians should be given a clear set of “competencies” to master, rather than a rigid set of courses to take, according to a report released today by the Association of American Medical Colleges and the Howard Hughes Medical Institute.

The report, “Scientific Foundations for Future Physicians,” is based on recommendations from a 22-member committee of researchers, physicians, and science educators.

The committee members hope that by focusing on a dynamic set of competencies, rather than specific courses, they will open the door to more innovation in both premedical and medical curricula, and make it easier for premeds to take a variety of nonscience, liberal-arts courses.

The report also recommends that the competencies be periodically reviewed and updated. Medical educators have worried for years that their curricula have not kept up with rapid changes in scientific knowledge.

“Future doctors must be equipped to provide the best and most scientifically sound care for their patients,” said Carol Aschenbrener, executive vice president of the medical-colleges association. “The AAMC hopes this report will be the beginning of a broad dialogue within the undergraduate and medical-education communities to reinvigorate the scientific preparation of physicians.”

The report says that its findings are “based on the premise that the undergraduate years are not and should not be aimed only at students preparing for professional school. Instead, the undergraduate years should be devoted to creative engagement in the elements of a broad, intellectually expansive liberal-arts education.”

The report suggests eight broad scientific competencies that undergraduate premedical students should master before starting medical school, as well as eight competencies relating to the natural sciences that medical students should demonstrate before receiving their medical degrees. The medical-colleges association will consider the report as part of its review of the Medical College Admission Test, which it administers. —Katherine Mangan  Chronicle of Higher Ed

Here’s the editorial from the June 7, 2009 issue of Science:

 ScienceForFuturePhysicians.jpg

 

 

2.  The Virginia Tech Carilion School of Medicine (VTCSOM) has received preliminary accreditation from the LCME Board.  

June 3, 2009 - The Virginia Tech Carilion School of Medicine (VTCSOM) received word today that we have been granted preliminary accreditation from the LCME Board. VTCSOM is a private medical school formed through a public-private partnership between Virginia Tech and Carilion Clinic, a major health care provider in southwestern Virginia. Our new medical school and research institute campus is being built adjacent to the new Carilion Clinic near downtown Roanoke, Virginia. Our class size will be 42 students per year. Our charter class will begin in August 2010.

- VTCSOM offers a four-year M.D. degree.

- VTCSOM will be admitting both Virginia state residents and out-of-state residents as students to our medical school. However, only U.S. Citizens, Canadian Citizens, and Permanent Residents will be considered. 

The following information summarizes the application process at VTCSOM.

- AMCAS Online Application (VTCSOM is listed in Tab 7 under Virginia schools in AMCAS - AMCAS application due date is 1 December)

- Secondary Online Application (by Invitation)

- Personal References - VTCSOM uses the Personal Potential Index (PPI) evaluation process developed by Educational Testing Service (ETS) for personal recommendations, rather than traditional letters of recommendation.

- Interview Invitation - Interviews will take place on the VTCSOM campus, in Roanoke, Virginia, on several weekends throughout the fall and winter months. VTCSOM utilizes a Multiple-Mini Interview (MMI) process using predetermined scenarios. The MMI interview technique was developed and implemented by McMaster University in Ontario for their M.D. program.

- Rolling Admissions Process - VTCSOM will use a rolling admission process and expects to send out its first group of acceptances approximately a month after its first interview weekend. Additional acceptances will be sent out approximately a month after each interview weekend.

Interested advisors and applicants can find out more information about the school, curriculum, and admissions process at Virginia Tech Carilion School of Medicine on our website at: http://www.vtc.vt.edu

 

We invite inquiries from pre-health advisors. We're looking forward to working with the members of NAAHP!

 

Steve

 

Stephen Workman, Ph.D.

Director of Admissions

Virginia Tech Carilion School of Medicine

1 Riverside Circle, Suite 102

Roanoke, VA 24016

Office (540) 581-0133

Cell (540) 520-1059

smworkman@carilion.com

http://www.vtc.vt.edu/

 

 

3.  The University of Tennessee Health Science Center (Memphis) offers a 1-year Masters in Pharmacology.     

Students who have been unsuccessful in their quest for entry into medical school this year need a “plan B”, something that will bolster their credentials and improve their chances of future success. For mid-south students (and others!) who currently find themselves in such a situation, the Department of Pharmacology at University of Tennessee Health Science Center now offers an intensive 1-year program leading to a Masters in Pharmacology.

During their time in Memphis, this small class (<20) will work very closely with our 16 full-time departmental faculty. These individuals have both extensive research experience and success; the department has over $6 million dollars in annual extramural funding, as well as significant educational experience and responsibility. It provides pharmacology education in the Colleges of Medicine, Pharmacy, Dentistry, and Graduate Health Sciences at UTHSC.

The accelerated lecture and tutorial program is designed to provide the student with a comprehensive background in medical pharmacology, taken with our second-year medical class, basic biochemistry and the physiologic and pathophysiologic basis for drug therapy. Successful completion of this program will fully prepare a candidate for additional medical or basic research training. Full details can be found at our website: http://www.utmem.edu/grad/Programs/index.php?page=PharmacologyMS or, if you would prefer, the co-director of the program, Dr. Edwards Park, can be reached at (901) 448-4779 or by email at epark@utmem.edu.

Trevor W. Sweatman, Director of the Medical Pharmacology Program
University of Tennessee Health Science Center
Memphis, TN 38163
(901) 448-4591
tsweatma@utmem.edu

 

4.  AAMC STAT, News from the Association of American Medical Colleges:  June 15, 2009 edition.    

AAMC STAT

News from the Association of American Medical Colleges

June 15, 2009

  • Health care reform takes shape in Congress
  • AAMC comments on NIH conflict of interest proposals
  • Joint Commission seeks input on cultural competence requirements
  • AAMC, FASEB recommend ways to strengthen security of select agents
  • Science and education community oppose visa delays
  • On the move

Health care reform takes shape in Congress

Democrats on the Senate Health, Education, Labor and Pensions Committee (HELP) released last week a draft of a sweeping health care reform bill. Spearheaded by Sen. Edward M. Kennedy (D-Mass.), the “Affordable Health Choices Act” proposes, among other things, a public insurance option, expanded Medicaid eligibility, improvements in primary care and preventive services, and various cost-savings measures, including reducing hospital readmissions. The bill includes several provisions to address shortages of physicians and other health professionals by creating a new workforce commission appointed by the Government Accountability Office, authorizing the National Health Service Corps at higher funding levels, and reauthorizing the Title VII health professions and Title VIII nursing education programs. The bill also targets private insurers with provisions to eliminate denial of coverage based on pre-existing conditions . The bill is scheduled to be released by the committee on June 16.  Meanwhile, House Democrats on the Ways and Means, Energy and Commerce, and Education and Labor committees released an outline of their bill that reportedly will offer a state-based insurance “exchange” program in lieu of the public option. The House effort also proposes workforce investments that expand the National Health Service Corps, increase primary care training, and support workforce diversity.

Information:  Go to http://help.senate.gov/Maj_press/2009_06_09.pdf and http://waysandmeans.house.gov/media/pdf/111/tri.pdf

AAMC comments on NIH conflict of interest proposals

In a letter sent June 10, the AAMC, along with the Association of American Universities (AAU), responded to a recent Advanced Notice of Proposed Rulemaking from the National Institutes of Health (NIH) that would strengthen the existing framework for identifying, disclosing, and managing potential conflicts of interest between biomedical researchers and industry.  The letter expresses support for, among other things, requiring investigators to report all external financial interests  related to their research responsibilities (regardless of the amount) to their institution, and lowering the NIH threshold to $5,000 for disclosing to grant-making agencies any related external financial interests.  The NIH proposals closely follow the recommendations of a 2008 AAMC-AAU report on conflicts of interest.   In a recent public statement, Sen. Charles E. Grassley (R-Iowa), said the NIH “ought to consider everything the Associatio n of American Universities and the Association of American Medical Colleges have to say in this comment letter.  The research community could have avoided a lot of the problems we see today with great discrepancies and disregard for policies, if it had listened to the AAU and the AAMC in 2001, when they made recommendations along the same lines.”

The deadline for comments on the NIH notice is July 7. 

Information:  Go to http://edocket.access.gpo.gov/2009/pdf/E9-10666.pdf or http://www.aamc.org/advocacy/library/research/corres/2009/061009.pdf


Joint Commission seeks input on cultural competence requirements

The Joint Commission is seeking feedback on a set of proposed accreditation requirements designed to help hospitals improve patient safety and quality of care.  The proposals target effective communication, cultural competence, and patient-centered care, acknowledging that poor communication due to language or cultural barriers leads to “poorer health outcomes.”  The proposed requirements are expected to be implemented by January 2011.

Information: Go to http://www.jointcommission.org/Standards/FieldReviews/field_ecccpc.htm

AAMC, FASEB recommend ways to strengthen security of select agents

The AAMC and Federation of American Societies for Experimental Biology (FASEB) May 29 jointly made recommendations on ways to strengthen the security of research with select agents.  In a letter to the Working Group on Strengthening the Biosecurity of the United States, AAMC and FASEB endorsed the preliminary assessment of a separate federal body (the National Science Advisory Board on Biosecurity) that current federal select agent provisions are sufficiently strict.  The organizations also noted that no incident of theft or attempted theft of a select agent from an academic facility has been reported.  The interagency working group was established by the Bush administration in the wake of allegations connecting a federal scientist with the 2001 anthrax attacks.  A central question for the working group is how best to ensure that personnel working with select agents will not endanger others, as well as protecting their own s afety.  The group’s report is expected this summer.

Information: Go to http://www.aamc.org/advocacy/library/research/corres/2009/052909.pdf

Science and education community opposes visa delays

The AAMC joined 29 higher education and scientific associations on a June 10 statement asking federal agencies to clear delays that impede travel by foreign scientists and scholars to the United States.  The statement, sent to the Departments of State and Homeland Security and to the White House Office of Science and Technology Policy, includes recommendations for addressing increasing delays in the current visa system. The statement does not cite the number or extent of problems in the visa backlog for visiting scientists, and acknowledges that federal agencies recently have made commitments to solving problems of delay.  Among the associations’ recommendations is to clear the current applications backlog expeditiously, to streamline the requirements for visa applications and approval, to make processes for visa applicants more consistent and transparent, and specifically to convene a “high level interagency panel” to review the poli cies and procedures put into place after Sept. 11, 2001, with attention to the rules’ costs and effectiveness. 

 Information: Go to http://www.aamc.org/advocacy/library/research/corres/2009/061009visa.pdf

On the move

Linda Robertson, vice president of government, community and public affairs for The Johns Hopkins University and vice president for government affairs and community relations for Johns Hopkins Medicine, will become assistant to the Board of Governors of the Federal Reserve System on July 18.

Robert M. Mentzer, Jr., M.D., will resign as dean of Wayne State University School of Medicine, effective July 31.  Valerie Parisi, M.D., M.P.H., M.B.A., will serve as interim dean.

Colleen Scanlon, R.N., J.D., has been named chairperson of the Catholic Health Association Board of Trustees.

Academic Medicine Online

Since the founding of osteopathy, osteopathic (D.O.) and allopathic (M.D.) medical education have remained distinct from each other. However, it is important for the D.O. and M.D. communities to understand and learn from one another. The June issue of Academic Medicine features a collection of articles, related point-counterpoint commentaries, and an AM Last Page feature about the present and future of osteopathy and osteopathic medical education.
www.academicmedicine.org

http://lists.aamc.org/db/17739/21455/1.gif

 

 

 

5.  Nova Southeastern University (Fort Lauderdale, FL) offers a dual DMD/DO (Doctor of Dental Medicine/Doctor of Osteopathic Medicine) degree.  

Nova Southeastern University has a dual DMD/DO program.  It is a six year program and applicants apply either through DO or DMD portals.  They need to indicate their interest in the dual degree when they complete their secondary application.  If they meet the requirements, they will sit through an interview with both schools but since there are 240 spots in the DO program and 100 in the DMD program, it makes more sense to apply to DO.
Information is available on web at:   http://medicine.nova.edu/dodmd/index.html
 
Below is the copy from our website about the program:
 
In order to address the access to care issue and meet the needs of underserved populations, Nova Southeastern University's (NSU) College of Dental Medicine and College of Osteopathic Medicine have structured a curriculum that provides students with an opportunity to receive a D.M.D. (Doctor of Dental Medicine) and D.O. (Doctor of Osteopathic Medicine) degree. 
 
This D.O./D.M.D. Dual Degree Program is symbiotic with the missions of both schools. Graduates of this dual program will prepare health care practitioners to utilize a totally holistic approach to health care that will address preventive medicine and general dentistry, as well as access to care issues, and meet the needs of the rural and underserved populations.  Once students complete this six-year program, they will be qualified for licensure in dentistry and for postgraduate one-year residencies that are required prior to medical licensure.
 
Sandra Pierce, COM Recruiter
Nova Southeastern University
College
of Osteopathic Medicine
Office of the Dean
3200 S. University Drive
Fort Lauderdale, FL 33328
(954) 262-1760  office
(954) 262-2250  fax
email: sandpier@nova.edu
www.nova.edu

 

6.  Revision to the Score Scale for the Optometry Admission Test (OAT), Effective May 1, 2009.      

Revision to the Score Scale for the Optometry Admission Test (OAT)

Effective May 1, 2009

When an examinee takes the OAT, a raw score is produced for each area of the test that equals the number of correct answers.  This raw score is converted to a standard score so that examinees’ performance on the test can be compared to other examinees’ performance.  In the OAT, the mean is assigned a standard score of 300. The range of scores for the OAT is 200 to 400.

Recently, the mean may has exceeded 300 in all sections, and has exceeded 330 in certain instances.  As part of the ongoing validation process for the OAT, a request was made by ASCO to recalibrate the score scale so that the score scale mean is again close to 300 and the standard deviation is 40.  The data for this rescaling study were responses from 2,520 examinees taking the OAT for the first time in 2008.  The rescaling for each of the OAT sub-tests was accomplished through the use of logits from the Rasch model, which takes both examinee’s ability and item difficulty into account.  As a result, the average mean of each of the OAT sub-test is as close as possible to a mean of 300 and standard deviation of 40.

Interpretation of the New Score Scale

This new score scale will take effect May 1, 2009 and has several major implications for anyone involved in interpreting OAT scores.   Please pay particular attention to the bulleted items:

 

·         The new score scale and the old score scale are not comparable.  Scores from the new scale cannot be compared to the old scale. 

o        A 300 on the old scale is not the same as a 300 on the new scale.

o       If an examinee tested in January 2009 and then retested in July 2009, the two sets of scores cannot be compared to each other. 

·         The OAT is not a harder or more difficult test but overall the scores will appear to be lower than they have been in recent years because the mean has been set back as close as possible to 300.

·        Going forward scores will be able to be compared as they have been in the past.  For example, an examinee that tests in May 2009 and December 2009 will be scored on the same score scale and those sets of scores can be compared to each other.

o        When reviewing an examinee’s score, it will be important to note the date the test was taken to compare the scores to the correct scale.

Paige Pence, Director, Student and Professional Affairs 
Association of Schools & Colleges of Optometry
6110 Executive Boulevard, Suite 420
Rockville, MD  20852
(301) 231-5944, x3019
(301) 770-1828 Fax
http://www.opted.org

 

7.  PharmCAS is now OPEN for Fall 2010 Matriculation!   

image001677

 

PharmCAS is now OPEN for Fall 2010 Matriculation!

Students interested in pharmacy can now begin their application at www.pharmcas.org.

Advisors are welcome to create a PharmCAS application to see how applicants apply. Please use the word “test” as part of your username so we can identify your application and please DO NOT submit your application.

A few things of note for the 2009-2010 admissions cycle:

·        PharmCAS will begin collecting data about race/ethnicity using a new two-part question in compliance with U.S. Department of Education standards. 

·         PharmCAS now allows students to identify any publications that they may have authored.

·         Students taking the PCAT must enter their PCAT CID in the PharmCAS application for their scores to be reported to the pharmacy schools.  This number appears on the PCAT registration confirmation, admission ticket, and personal score report.

·         PharmCAS is implementing a centralized Criminal Background Check Pilot Program.  AACP has initiated a PharmCAS-facilitated national background check service, through which Certiphi Screening, Inc. (a Vertical Screen® Company) will procure a national background report on applicants at the point of acceptance. AACP has initiated this new service in order to recognize the desire of pharmacy schools to procure appropriate national criminal history reports, and to prevent applicants from paying additional fees at each pharmacy school to which they are accepted. 12 pharmacy schools will be participating during the pilot year.  For more information visit CBC FAQs.

We look forward to working with you for the 2009-2010 PharmCAS application cycle.

If you have any questions, please don’t hesitate to contact me,

Jennifer Athay, PharmD, Director of Student Affairs
American Association of Colleges of Pharmacy
1727 King Street 
Alexandria, VA 22314

Phone: (703) 739-2330 x 1024
Fax: (703) 836-8982 
JAthay@aacp.org

 

 

 

8.  VMCAS Web Application for 2010 Matriculation is Now Available!    

GREETINGS FROM VMCAS!

The VMCAS Web Application for 2010 Matriculation Is Now Available!

The VMCAS Web Application for 2010 matriculation is now available at www.aavmc.org (click on “applying to Veterinary School”) to access the application. Your veterinary applicants can now create an account to begin the application process. After creating an account, students can register their evaluators for the online evaluation process. Once an evaluator is registered, the evaluator will automatically receive an email with details on how to access the secure Electronic Letter of Recommendation (eLOR) system.


The VMCAS website contains complete details about the application process to colleges of veterinary medicine:

·         Application Tips

·         Details on each member college

·         College Prerequisite Comparison Chart prerequisites

·         College General Information Chart

·         Instructions for the easy-to-use online letters of evaluation system (e-LOR)

The application deadline this year is Friday, October 2nd, 2009 at 12:00 noon Eastern Daylight Time. 

If you or your advisees have any questions throughout the process, then feel free to contact the VMCAS toll-free Student and Advisor Hotline at 1 877-862-2740 or email: vmcas@aavmc.org.

2) VMSAR 2009/2010
The 2009/2010 edition of the Veterinary Medical School Admission Requirements (VMSAR) is now available. This publication provides admissions information for all schools of veterinary medicine in the United States, and AVMA-accredited international schools.

Additionally, in this year’s edition, we have included important information regarding accreditation and licensure.

For more information and purchasing instructions on the VMSAR please visit: http://www.aavmc.org/vmcas/VMSAR_publications.htm.  

 

9.  The 2010 American Dental Education Association (ADEA) application service (AADSAS) has been launched.       

We are pleased to announce that the 2010 ADEA AADSAS application has been launched!  Applicants can begin completing their applications.  The URL link to access the application is https://portal.aadsasweb.org or from ADEA homepage www.adea.org

Here are the changes/updates in the 2010 ADEA AADSAS application:

 

h  ADEA AADSAS will begin collecting data about race/ethnicity using a new two-part question in compliance with U.S. Department of Education standards. 

 h  ADEA AADSAS will collect voluntary data from applicants about their ethnicity and will provide this to the schools in a special report. 

 h  ADEA AADSAS is adding a voluntary section where applicants can supply information that helps schools better determine if they are from disadvantaged backgrounds.

 h  ADEA AADSAS added an item asking applicants to indicate languages other than English in which they are conversant. 

h  ADEA AADSAS added a more directed question about participation in academic enrichment programs (as opposed to commercially available DAT preparation courses). 

We look forward to working with you for the 2010 ADEA AADSAS application cycle. If you have any questions, please feel free to contact me.

Chonte James, Director of Predoctoral Application Service
American Dental Education Association
The Voice of Dental Education
1400 K Street NW, Suite 1100
Washington, DC  20005
Voice: (202) 289-7201
Fax: (202) 289-7204
jamesc@adea.org
www.adea.org

 

 

10.  Received this week. 

American University of the Caribbean School of Medicine (Cupecoy, St. Maarten, Netherlands Antilles)

·        Viewbook. 

 

11.  The University of Pennsylvania’s School of Veterinary Medicine offers a VMD/PhD Program for future veterinarian-scientists.  

SARS - AIDS - Ebola - Avian Influenza –“ Anthrax - Botulism -Â Plague - West Nile Virus –Mad Cow Disease - Smallpox


Over 60% of all infectious diseases of animals can also affect humans, and incidences of new, emerging zoonotic infectious diseases are on the rise. Veterinarian-scientists, by virtue of their broad experience in multiple species and extensive training in both molecular and whole animal contexts, are uniquely qualified to address the complex problems presented in modern biomedical research.Â

For over 40 years, the University of Pennsylvania’s School of Veterinary Medicine has provided an outstanding environment for the training of future veterinarian-scientists through its VMD/PhD Program. Find out more about how you can impact tomorrow’s medicine for all species at www.PennVetPhD.org

To opt out of this email notification please send a return email and insert the text "Remove" .

VMD-PhD Program at Penn
School of Veterinary Medicine
University of Pennsylvania
3800 Spruce Street
Philadelphia, PA 19104

vmstp@vet.upenn.edu

 

12.  AAMC STAT, News from the Association of American Medical Colleges:  June 29, 2009 edition.   

Congress deliberates on reform proposals
AAMC comments on proposed definition of “meaningful use” of health IT
AAMC joins other groups objecting to proposed increase of SBIR set-aside
OMB issues Recovery Act implementation guide
Senate leader asks medical schools for COI policies
HHS secretary’s report examines system’s “hidden costs”
On the move

Congress deliberates on reform proposals

On June 19 the House issued an initial “discussion draft” of its health care reform legislation. The document is a joint product of three House committees: Ways and Means, Energy and Commerce, and Education and Labor. The committees tentatively plan to mark up the bill shortly after the July 4 recess. The health reform package includes various proposals on graduate medical education, Medicare physician payment reform, and an initiative to reduce “potentially preventable” hospital readmissions, among other measures.  In the Senate, the Health, Education, Labor, and Pensions (HELP) Committee continued marking up its draft health care reform legislation before adjourning June 25 for the week-long Independence Day recess. In its daily meetings since June 17, the committee has adopted more than 250 amendments to the bill, including reinstating the “20/220 pathway” of the Economic Hardship Deferment, requesting that the Institute of Medicine make recommenda tions on reducing unnecessary hospital readmissions; and addressing legal and regulatory barriers that prevent hospitals and other entities from providing technology support to other providers in the community.

Information:  Go to www.aamc.org/advocacy/library/washhigh/2009/062609/start.htm#1 or www.aamc.org/advocacy/library/washhigh/2009/062609/start.htm#3

AAMC comments on proposed definition of “meaningful use” of health IT

On June 25 the AAMC submitted a comment letter to the federal Office of the National Coordinator for Health Information Technology’s Health Information Technology Policy Committee urging the committee to refine its proposed definition of “meaningful use” of health IT.  The AAMC expressed concern about many ambiguities in the proposed definition, including questions over applicability and the ability of hospitals and eligible professionals to collect and report required data. The AAMC also emphasized that the requirements for being a “meaningful user” of electronic health records must not create impediments to comparative effectiveness and other research.
 
Information: Go to  www.aamc.org/advocacy/library/teachhosp/corres/2009/062509.pdf

AAMC joins other groups objecting to proposed increase of SBIR set-aside

On June 23 the AAMC joined nearly 100 organizations in sending a letter to Congress opposing a provision to increase the Small Business Innovation Research (SBIR) set-aside for federal research agencies. The letter, coordinated by the Federation of American Societies for Experimental Biology (FASEB), objects to a provision in the SBIR/STTR Reauthorization Act of 2009 that would increase the allocation for the SBIR program from 2.5 percent to 3.5 percent of any federal agency budget that provides more than $100 million for research. The letter states that the “mandatory increase in the SBIR allocation across agencies will necessarily result in funding cuts for the peer-reviewed research conducted by other organizations.”

Information:  Dave Moore, senior director, AAMC Government Relations, 202-828-0525, dbmoore@aamc.org

OMB issues Recovery Act implementation guide

The federal Office of Management and Budget (OMB) has released a memorandum outlining the reporting requirements for those receiving grants under the American Recovery and Reinvestment Act (ARRA).  Designed to increase transparency and accountability over where and how the ARRA funds are used, the guidelines require grantees to report the amount of funds received, the completion status of funded projects, estimates on the number of jobs created by the projects, among other factors.  OMB also clarified that the first reports are due Oct. 10, not in July as previous announced.  In addition to the main guidance document, OMB has also issued two supplementary documents and a program which includes a reporting template.

Information:  Go to www.recovery.gov/?q=node/579

Senate leader asks medical schools for COI policies

Sen. Charles Grassley (R-Iowa) recently sent a letter to 23 medical schools requesting information about their conflict-of-interest policies. Grassley, who is the ranking member of the Senate Finance Committee, sent the letter to the medical schools that did not participate in a recent American Medical Student Association survey on such policies. The AAMC has encouraged all of its members to develop and implement strong and effective COI policies that address relationships with industry.  Shortly, the AAMC intends to assess the progress its member institutions have recently made in achieving this goal.

Information:  Go to http://grassley.senate.gov/news/Article.cfm?customel_dataPageID_1502=21465

HHS secretary’s report examines system’s “hidden costs”

A new report from U.S. Department of Health and Human Services Secretary Kathleen Sebelius points to rising insurance deductibles, higher copayments, and rising out-of-pocket costs as key causes behind rising health care costs.  The report, titled “Hidden Costs of Health Care:  Why Americans Are Paying More But Getting Less,” comes amid continued debate in Washington over health coverage.

Information:  Go to www.healthreform.gov/reports/hiddencosts/index.html

On the move

The National Quality Forum has named Laura Miller as senior vice president and chief operating officer. Miller was previously deputy undersecretary for health operations and management at the U.S. Department of Veterans Affairs.

 

 

13.  Marginalia:  The article mentionsDon't swim when you have diarrhea” as the FIRST rule of Pool Etiquette.      

Tinkling in the pool causes disgust and discomfort

  • Story Highlights
  • Recent survey showed 1 in 5 adults admitted urinating in public pools
  • Sweat and urine in pool water combine with chlorine to irritate eyes and respiration
  • Recreational water illnesses can lead to hospitalization

updated 9:11 a.m. EDT, Fri May 22, 2009

 

By Madison Park
CNN

 (CNN) -- As the summer swim season started Memorial Day weekend, water quality and health experts issued a message for swimmers: Please don't pee in the pool.

About one in five adults in a survey reported urinating in community pools.

About one in five adults in a survey reported urinating in community pools.

Although urine in the water probably will not cause swimmers to go to the emergency room, it causes "more of a respiratory, ocular irritation: the red puffy eyes or a cough, an itchy throat," said Michele Hlavsa, an epidemiologist in the division of parasitic diseases at the Centers for Disease Control and Prevention."A big health message is not to urinate or pee in the water."

And it happens far more frequently than water-lovers would like to think.

In a survey of 1,000 U.S. adults conducted in April and May, 17 percent admitted relieving themselves in a swimming pool. Even the Olympics' most decorated swimmer, Michael Phelps, confessed to urinating in the water to TV host Jimmy Kimmel. In a 2008 interview, Kimmel asked the 14-gold medal winner, "You pee in the pool, true?"

"Yeah," Phelps replied.

"Which nationality pees in the pool the most?" Kimmel asked.

"Probably Americans," Phelps said.

"Oh, so we're number one in that too," Kimmel quipped.

Pool Etiquette

  • Don't swim when you have diarrhea
  • Avoid swallowing pool water
  • Shower before swimming
  • Wash your hands after using toilet or changing diapers
  • Take children on bathroom breaks or check diapers often
  • Change diapers in bathroom and not at poolside

Source: CDC

Sometimes, an indoor swimming pool will emit a strong chemical smell. The swimmers have coughs or red, stinging eyes after emerging from the pool. Usually those symptoms get dismissed as the effects of chlorine, but their causes are something more organic.

When swimmers sweat or urinate in the pool water, the bodily fluids combine with the chlorine. It creates chloramines, which causes the strange odor and the eye and respiratory irritations for swimmers, according to the CDC.

No matter how discreet the act may be, "you're contaminating the pool. Let's face it," said Linda Golodner, the vice chairwoman of the Water Quality and Health Council.

The survey released by Golodner's group, which advises the American Chemistry Council, found that 11 percent of the surveyed adults said they have swum with a runny nose, 7 percent with an exposed rash or cut and 1 percent when ill with diarrhea. The margin of error was plus or minus 3.1 percentage points.

The most common recreational water illness is spread through diarrhea. One of the most persistent problems is Cryptosporidium, a parasite that causes diarrhea and can be found in infected stools.

"With Crypto, if you have diarrhea, it's very watery," Hlavsa said. "It's not a formed stool sitting in the pool or floating on top. It could be very watery, and no one [in a pool] would know."

During the past two decades, Crypto has become one of the most common causes of waterborne illness.

Unlike E. coli and salmonella, Crypto can resist chlorine. In 2007, the parasite sickened more than 1,200 people who had visited recreational water facilities in Utah.

According to the CDC, if someone swallows water that has been contaminated with feces, he or she may become sick even if very little water is consumed.

The agency also recommends that people shower before a swim, because most people have traces of feces on their bottoms, which can contaminate recreational water. In the Water Quality survey, 35 percent reported skipping a shower before swimming.

Health Library

Recreational water illnesses have been on the rise for the past two decades, according to the CDC. From 2005 to 2006, the agency reported 78 outbreaks of recreational water illnesses associated with swimming pools, water parks, hot tubs, lakes, rivers and oceans that affected 4,412 people and resulted in 116 hospitalizations and five deaths.

Melanie Arthur, a mother of two in The Woodlands, Texas, maintains a swimming pool where her children play.

"We are going to great lengths to train our 3-year-old to not go potty in the pool but to get out and go inside the house," Arthur said. "After maintaining our own pool, I hesitate to go to public pools. I am certain that they are not nearly as clean as my own."

Just practice good hygiene when going for a swim, Hlavsa advised.

"It's all about balancing risks," she said. "We think swimming is a great way to be physically active with family and friends." Check the CDC Web site for more on healthy swimming

And remember, if you pee in the pool, you have to swim in it, too.

Here are tips to make sure the pool is clean:

• Look at the pool to see whether it's clean and clear, and the drain is visible.

• Listen for pool equipment, because the pool pumps and filters should make noise.

• Feel the tiles and pool sides. They should not be sticky or slippery.

• Beware of a strong chemical odor. A well-chlorinated pool has little odor.         

 (Ed. Note:  I wish, I really wish I hadn’t come across this article, but since I did and I can’t delete it from MY memory, the next best thing is to share it with YOU.  J )

PeeingInPool.jpg

 

In case you were wondering what Cryptosporidium looks like:

CryptosporidiumParvum.jpg

Cryptosporidium_LifeCycle.gif

Dr. Stan Eisen, Director
Preprofessional Health Programs
Biology Department
Christian Brothers University

650 East Parkway South
Memphis, TN 38104

E-mail: seisen@cbu.edu
http://www.cbu.edu/~seisen/
Caduceus Newsletter Archives: http://www.cbu.edu/~seisen/Caduceus.html