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Monthly Archive for February, 2010

Judge podium

Law & Politics

You Have a Right to Choose if we Agree

February 19, 2010 | By Ronald Clary, JD | 3 Comments

My first encounter with informed medical consent came as a young law student. I was assigned to assist a lawyer in the defense of an older man who had refused treatment for leukemia. His daughter objected, and asked the court to appoint her to be his conservator so she could compel him to undergo treatment.When the father spoke to my supervisor, his position became clear. His atypical choice was informed by his cultural background and personal character. An immigrant from Eastern Europe, he was adamantly against yielding control of his life to his daughter. He had tried the medicines, and found they sapped his strength and made him weak. He would rather go on strong for as long as possible and remain his own master.

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Hospital Hallway

Health & Healthcare

Measuring Quality in Primary Care

February 17, 2010 | By Jennifer Gibson, PharmD | 3 Comments

Increasing attention is focused on the quality of healthcare provided in the United States, as well as options for controlling costs. Quality and cost measurements are important in assessing access to and satisfaction with healthcare services and managing cost and payment practices; a sufficient sample size of patients is necessary to reliably interpret the results and statistics. Making matters difficult is the fact that most physicians in this country do not see enough patients to detect meaningful differences in cost or quality performance, according to a recent report in the Journal of the American Medical Association (JAMA).

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Matchmaker

Health & Healthcare

Matchmaker, Matchmaker Make Me A Match – The NRMP Main Residency Match

February 15, 2010 | By T. A. McNamee, MD | No Comments

Each spring, thousands of medical students across the United States render their fate into one of the most bewildering processes of higher education: the National Resident Matching Program (NRMP). The program was developed in 1952 as a means to “relieve the pressure and inequity of free market recruitment, and to establish a uniform playing field with educational boundaries” with regards to residency training programs. Prior to this, the process of achieving a desirable residency spot was fraught with chaos, with multiple different application forms and processes, not to mention false promises and false information.

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Kids Rain

Psychology & Psychiatry

Psychotropics and Youth, Part 1 – The Five Myths

February 13, 2010 | By Courtney Sherman, BA | 23 Comments

“The dramatic rise in prescriptions [of psychotropics for children and young adults] has alarmed several commentators,” according to Lakhan and Hagger-Johnson. In their article, they trace this problem to five erroneous myths that influence prescribing:1) Children are little adults. During adolescence, the brain changes rapidly. As a result, therapeutic benefits, potential adverse occurrences, and drug interactions can vary with age. Adolescents, in particular, have unique characteristics meaning inconsistent results and effects. For example, SSRIs are being prescribed less for adolescents because studies have identified increased suicide risk among adolescents taking them.

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