Medical Students Dared to Enter the Tank

Mount Sinai School of Medicine Photo by Robert Caplin

Joseph Mari, Susan Lerner, MD,; and Marc Napp, MD grill the medical students after hearing their patient safety and quality care improvement proposals.

InFocus 7 at the Icahn School of Medicine at Mount Sinai culminated with third-year medical students participating in the School’s first Med Ed Tank—a series of student pitches modeled after the popular ABC television series “Shark Tank.” InFocus weeks are part of the School’s new MD Program curriculum, where students are immersed in innovative courses outside of the classroom to focus their training on research methods, global health, service learning, leadership, scientific innovation, and patient safety and quality care—the latter being the focus for InFocus 7. Read more

25 Years and Counting

Nada Gligorov, PhD of the Bioethics Program at ISMMS responds to a research presentation.

Nada Gligorov, PhD of the Bioethics Program at ISMMS responds to a research presentation.

The Oxford-Mount Sinai Consortium on Bioethics convened April 11–13, 2016 at the Icahn School of Medicine at Mount Sinai (ISMMS) for an exchange of research  on ethical issues in medicine and biomedical science. Celebrating its 25th anniversary, the Consortium—co-founded by Rosamond Rhodes, PhD; Stefan Baumrin, PhD, JD; and Daniel Moros, MD—is an interdisciplinary collaboration which focuses on faculty development. The annual meeting encourages its members to devote a portion of their research to bioethical topics and share their findings. Read more

Exposing Young Minds to Science and Medicine

Dennis S. Charney, MD It was a special summer of learning for the 120 area high school and college students who participated in Mount Sinai’s Center for Excellence in Youth Education’s (CEYE) research courses, clinical internships, and career preparatory programs. Established in 1975, CEYE aims to increase the presence of historically underrepresented groups in science and medicine by providing students with a wide variety of opportunities for career exploration. CEYE is housed in the Center for Multicultural and Community Affairs in the Icahn School of Medicine at Mount Sinai. Read more

Clashing Visions on Medical Care Practice Prove to Be Hurdle

A Modern Healthcare article noted: “Clashing visions of how physicians should practice medicine in the 21st century bubble beneath the surface of nearly every controversial issue in delivery system reform. On the one side is ….a ‘last-century perspective. It reflects a time when patient outcomes were considered unmeasurable and when the idea of team care meant everyone following the orders of whichever physician was in charge.'”

“This approach put heroic practitioners at the center of the diagnosis, treatment and healing process. It posited that the best therapy for any patient should be discerned and delivered by someone with years of training and experience and, hopefully, a personal relationship with the individual in need of care.” Read more

"Recommending That Doctors Weigh the Costs, Not Just the Effectiveness of Treatments."

Have you ever discussed the cost of treatment options with your doctor? Probably not!

The New York Times article noted “The shift, little noticed outside the medical establishment but already controversial inside it, suggests that doctors are starting to redefine their roles, from being concerned exclusively about individual patients to exerting influence on how health care dollars are spent.”

“In practical terms, new guidelines being developed by the medical groups could result in doctors choosing one drug over another for cost reasons or even deciding that a particular treatment — at the end of life, for example — is too expensive. In the extreme, some critics have said that making treatment decisions based on cost is a form of rationing.”

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"Since Most Headaches Are Benign, Guidelines Recommend Against Routine MRIs Or CT Scans. Yet Doctors Frequently Order These Expensive Scans Anyway…”

Are physicians practicing defensive medicine or are we demanding unnecessary test?

The CBS News report noted “Among the reasons these tests are not recommended is that they can often find some abnormality, which although benign, could lead to further unnecessary tests and treatment…” “In 1 to 3 percent of people you will find something on the MRI, whether it be a tumor or blood vessel malformation. You don’t want to find something you weren’t looking for. It can be anxiety provoking…”

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“The Experience Showed Me U.S. Medicine At Its Capable, Caring Best…”

The New York Daily News article was a first person story of experience with the health care system.

“My plunge into the world of ambulances, emergency rooms and minor surgery came without warning, like a trapdoor opening beneath my feet. One second, I was skiing along happily in upstate New York’s Adirondack Mountains with my son and a group of friends. The next, I was writhing on the slope in pain — having wrenched my right leg in an awkward, slow-speed fall. In the blink of an eye, I went from a healthy and independent 52-year-old to a trauma victim in need of a lot of expert help from a lot of people.”

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“Would You Rather Your Doctor Won The 'quality' Contest By Doing Good List Management … Or Spent That Time Listening To You?”

An article in the Wall Street Journal noted “Quality” has been the buzzword in health care for a decade, but the worthy goal is driving health-care providers to distraction. All stakeholders—insurers, patients, hospital administrators and government watchdogs—are demanding metrics to ensure that money is spent wisely.

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