Free Emergency Care

Emergency Room entrance sign 1950c

 

Hospital costs and financing are popular topics these days. There is strong worry about
reduced reimbursements from the government.  Economy is the word of the day and wringing every ounce of revenue out of services is essential.  This makes the decision by The Mount Sinai Hospital Board of Trustees in 1924 to not charge for emergency care all the more astonishing to modern ears.  This quote from the Board minutes from March 2, 1924 lays out the Trustees' thinking:

After due consideration, it was found not feasible to charge for the general run of accident cases.  The matter of charges could not be left to the discretion of a constantly shifting body of nurses, pupil nurses, orderlies and junior interns, who are attendants of the accident wards.  If we want to charge, we will have to have at least two clerks and we do not believe the money received would pay for their salaries.  Besides that, a great many of the cases that are treated are not in a position to pay, a large number being children who hurt themselves while playing and come in unaccompanied.  While a few of the hospitals do make charges, as far as we can learn, the majority do not, and we think the free treatment of accident cases tends to build up a good will towards the hospital, whereas; if we charged a small amount it would not help us much financially and it would be difficult, and in many cases impossible to collect.  We charge for all accidents that are covered by Workmen's Compensation Insurance. 

A New Look for a Great Database

Have you Pqlogo used our ProQuest databases recently?  ProQuest is now live on a new platform.  This means a cleaner look, a better search interface, and more functionality exporting and managing citations. 

ProQuest is perhaps best known on campus for its unique content.  ProQuest has the complete New York Times newspaper, going all the way back to 1851, as well as other great historical newspapers like the Boston Globe and the New York Tribune.  ProQuest also has a database of full-text theses and dissertations from Mount Sinai and NYU as well as many other universities around the country.

ProQuest has an exceptional Nursing and Allied Health collection, as well as journals on Biology, Environmental Science, Psychology, Social Work and Business.  Check out ProQuest by going to the library databases page and searching for ProQuest.

Extended Academic Hours Resume Sunday, January 29

Stay up late studying at the Library! Starting this Sunday, Levy Library will resume extended academic hours. Extended academic hours continue through Thursday, June 28th.

Monday Thursday
 7:30 A.M. — 1:50 A.M.
Friday
 7:30 A.M. — 7:50 P.M.
Saturday
 9:00 A.M. — 7:50 P.M.
Sunday
 10:00 AM — 1:50 A.M.

Download Ebrary E-books to Multiple Devices

Adobe_digital_editionsEbrary, one of the Levy Library's largest ebook platforms, now allows you to download e-books from its site to your computer and many other devices. Ebrary contains over 70,000 e-books from many publishers and covers many disciplines including medicine, life sciences, social science, psychology, education, computers/IT and more. 

Mount Sinai ebrary users have two downloading options: create an image PDF of a chapter or page range; OR download an entire e-book using Adobe Digital Editions (Free online, although it does require registration). Adobe Digital Editions is available for most devices, but not the Kindle. Full e-book downloading is permitted by most of the publishers participating with ebrary, but there are a few exceptions.

To read more about ebrary's downloading options, including step-by-step instructions, visit ebrary's downloading guide.

 

 

Everything Old is New Again

On January 12, 2012 the Association of American Medical Colleges (AAMC) issued a report called "Behavioral and Social Science Foundation for Future Physicians."  This states that: "Understanding how lifestyle, behavior, and economic status affect health, and applying this knowledge to medical practice is vital for future physicians."  As always, good ideas are not always new ideas. 

In 1965, Hans Popper, MD, Ph.D. (below) published a paper called "A New Curriculum."1  This outlined the early plans for the nascent Mount Sinai School of Medicine, set to open in 1968.  Hans Popper was the Dean for Academic Affairs, Chairman of the Pathology Department, and one of the faculty most involved in the School's founding.  In this article Popper Hans 1967he described – very accurately – the directions in which he felt medicine was moving and some goals that a new medical curriculum must pursue.  He noted a "tremendous explosion of information" and that the advance of science was blurring the lines between the basic sciences.  He discussed the rise of "quantitative biology in medicine" and how technology had come to predominate diagnosis and therapy.  He also saw the changing role of the hospital and how medical students needed to be trained in out-patient settings.  Popper also pointed out the importance of community medicine, "which deals not only with continuous or comprehensive family care, but also with the establishment of patterns of medical care by physicians and nonphysican health workers with various levels of training."

Finally, Popper also stated that: "Human studies including social sciences and humanities should broaden the outlook of the specialist who, with the threatened vanishing of the family physician, must be better attuned to the mental and psychological needs of the patient and his family and to the problems of a changing society.  Neither modern technological methods nor multiplication of specialists will replace the continued need of the patient for the consideration of his personal and his family problems."1  Popper thought the best way to achieve this was to create a small Graduate School for Human Studies that would have departments of sociology, anthropology, economics and psychology.  There might also be small groups in law, art, history, or communications as well.2

Hans Popper's plans were never fully realized but there have been efforts over the years. The School did create a Department of Community Medicine under Kurt Deuschle, the first such department in an urban setting and today's Department of Preventive Medicine.  One of the original divisions of this department was Behavioral Sciences, led by Samuel Bloom, Ph.D., a pioneer medical sociologist.  A separate Human Studies graduate school was never created, but electives in many of these areas have been taught at various times.  Twenty-five years ago, Mount Sinai created the Humanities in Medicine admissions program that recognized the value of students who had been trained in the humanities. 

Perhaps the new AAMC report will induce another look at the value of the humanities in medical education, and the future as envisioned by Hans Popper almost 50 years ago.

 

1Hans Popper. A New Curriculum. Annals of the NY Acad of Sci, Sept. 27, 1965: v.128, art. 2, p. 552-560. (This is available online to Mount Sinai faculty and staff.)

2Hans Popper. The Mount Sinai Concept.  Clinical Research, 1965: v. 13, p. 500-504.

New Medical Technology X Prize in Town!

Maybe you’re not ready to tackle that winter writing project. Well how about a new technology development project instead? A new $10 million  Qualcomm Tricorder X Prize was recently announced.

What Exactly Will This Device Do?

This competition will open the doors for health and wireless technology integration, to drive amazing advances in daily healthcare. The winning device will contain a unique set of integrated tools.

As envisioned for this competition, the device will be a tool capable of capturing key health metrics and diagnosing a set of 15 diseases. Metrics for health could include such elements as blood pressure, respiratory rate, and temperature. Ultimately, this tool will collect large volumes of data from ongoing measurement of health states through a combination of wireless sensors, imaging technologies, and portable, non-invasive laboratory replacements.

We’re looking forward to seeing Mount Sinai contributions to this competition.

Mount Sinai Archives joins the NLM Finding Aid Consortium

Nlm-logo
This past fall the Mount Sinai Archives became a participant in the National Library of Medicine’s Finding Aids Consortium. This resource provides a centralized search portal to the archival collections of major hospitals and medical schools throughout North America. Participants include Harvard, Yale and the University of Pennsylvania as well as Mount Sinai’s New York City peers such as Columbia University and the New York Presbyterian-Weill Cornell Medical Center.

The accessibility of these resources via a single website means that scholars can now search across multiple institutional collections, enabling the simple and efficient discovery of relevant research material. A researcher studying the career of Dr. Abraham Jacobi, for example, would previously have had to search the archives of each institution individually to determine the location of relevant holdings. Now a single search on the Consortium page for “Jacobi” will uncover a wide range of material, including not only the collection of Jacobi’s papers held at the National Library of Medicine but also the many items of correspondence held in collections at other institutions.

Our participation in this consortium will enable scholars throughout the world to more easily discover the valuable historical resources preserved in the Mount Sinai Archives. We expect our participation to attract new patrons to the Archives and enhance our mission of making Mount Sinai’s rich history accessible to scholars and the public.