Thursday, December 17, 2009
Steering Committee Demo
Wednesday, December 16, 2009
American Federation for Aging Research
The MSTAR Program provides medical students, early in their training, with an enriching experience in aging-related research and geriatrics, under the mentorship of top experts in the field. Students participate in an eight- to twelve-week structured research, clinical, and didactic program in geriatrics, appropriate to their level of training and interests. Students may train at a National Training Center supported by the National Institute on Aging or, for a limited number of medical schools, at their own institution.
The deadline for application is February 5, 2010. For more information and to view the application, please visit the AFAR website at www.afar.org/medstu.html.
American Federation for Aging Research (AFAR)
55 West 39th Street, 16th Floor
New York, NY 10018
tel: (212) 703-9977
fax: (212) 997-0330
e-mail: grants@afar.org
www.afar.org
www.infoaging.org
Medical Student Senior Elective in HIV Psychiatry
year minority medical students to participate in a one-month clinical or research elective in HIV psychiatry.
With improvements in HIV drug therapy, there is a burgeoning demand to treat the mental health needs of those living longer with the disease. People with HIV have a higher incidence of mental health problems than the general population and, conversely, people with serious mental illness are more at risk for contracting HIV. HIV attacks the brain, causing inflammation and tissue deterioration. Infection of the brain also can lead to clinical depression, mild or moderate thinking problems, and trouble with memory and focus. Unfortunately, the mental health needs of people living with HIV/AIDS are too often overlooked.
Undoubtedly, future physicians need to develop a working knowledge of HIV-related psychiatric and neuropsychiatric issues. The purpose of the Medical Student Elective in HIV Psychiatry is to foster the participation of medical students (particularly from racial and ethnic minorities) in HIV-related care and research and provide them with a means of obtaining essential HIV-related mental health training through an integrated approach to patient care.
Description of the Project
The Senior Elective in HIV Psychiatry begins with an intensive two-day training in Washington, DC. Topics range from neuropsychiatric complications of HIV, somatic complaints, and mood disorders to special patient populations including people with substance use disorders and/or those suffering from severe mental illnesses. Training modalities include a combination of lectures, role playing, case vignettes, and first-person accounts through interviews with HIV positive people. Students then travel to training sites for their clinical or research experience for the month of September.
To date, forty-five students have completed the full month-long elective. Sites have included: Cambridge Health Alliance/Zinberg Clinic; The New York Presbyterian Hospital at Columbia University; The New York-Presbyterian Hospital Cornell University Center for Special Studies (CSS); Emory University/Grady Infectious Disease Program; Howard University; University of Pittsburgh Medical Center; University of Cincinnati; University of Miami and the University of South Florida (for a research elective in HIV Neuroimmunology in Psychiatry.)
The application deadline is March 31, 2010 with selections to be announced in late April.
Applications are posted online at: http://psych.org/Resources/
Additional information can be obtained from Diane Pennessi by phone at (703) 907-8668 or e-mail to dpennessi@psych.org. ▪
Tuesday, December 15, 2009
Call for more residency slots!
I need your IMMEDIATE help TODAY in contacting your U.S. Senators to let them know you support the addition of new Medicare supported residency (GME) positions as part of health care reform to ensure that we have enough physicians and that medical students continue to have adequate residency opportunities.
Specifically, Senate amendment SA 2909 would add up to 15,000 new training slots. It is sponsored by a group of Democratic Senators including the Majority Leader Harry Reid (D-NV), Assistant Majority Leader Dick Durbin (D-IL), and Vice Chair of the Democratic Caucus Chuck Schumer (D-NY).
Since 1997, when Congress froze (“capped”) Medicare’s support for GME training, the nation’s medical schools and teaching hospitals have worked hard to ease those restrictions. This is the closest we have been in a dozen years to actually doing so.
We have been informed that the Senate intends to include some GME cap relief in their health care reform package. This effort is strongly supported by the American College of Physicians, the American College of Surgeons, the AMA, AOA, and several other national physician groups (see attached letter).
However, we are extremely concerned that the amendment is strongly opposed by the American Academy of Family Physicians (AAFP) and the Council of Academic Family Medicine (CAFM). While the Senate amendment does establish explicitly preferences for primary care and general surgery training programs (see summary below), the family medicine groups strongly oppose SA 2909 because it does not restrict residency support to primary care and it does not penalize institutions or physicians for subspecialization.
The AAMC has great respect for the key role played by each and every specialty, including family medicine, and our President, Dr. Darrell Kirch, has repeatedly highlighted the need to devote greater energy to all the dimensions of the primary care crisis. That being said, our community can ill afford having a single specialty view itself as exercising a veto card.
This fragmentation of physician voices has been a problem throughout the health care debate, and now appears to threaten something we need desperately to avert looming physician access problems.
We believe that the AAMC-supported GME language is a critical step toward increasing training positions as medical school enrollment grows and the nation faces a physician shortage. This is an historic opportunity—we are unlikely to see such strong Congressional support for expanding GME support in the future.
Please call your U.S. Senators IMMEDIATELY by contacting the Capitol Hill Switchboard at (202) 224-3121; they will forward you to the appropriate Senate offices. You will also find contact information on the Senate.Gov website at: http://www.senate.gov/general/
Please tell your Senators that "I am a medical student from (Your State) and I strongly support the inclusion of SA 2909 in health care reform legislation--without it, we will face greater physician shortages than already expected."
Thanks for your urgent attention to this matter and feel free to contact me or any of my colleagues with questions. I hope that you will urge other medical students and colleagues to act as well.
Health Policy Update
I. Senate Defeats Antiabortion Amendment
II. Health Care Reform looking to alter Public Option and expand Medicare
III. House approves Appropriations Package, including Global Health Programs and Food Security
IV. Senators at Odds over Drug Importation Amendment
V. Nearly $600 million being directed to community health centers and medical record conversion
VI. Recommended Reading
I. Senate Defeats Antiabortion Amendment
H.R 3962 The Senate voted 54-45 to repeal an amendment that was intended to strengthen restrictions for federal funding of abortion. Under the current bill, an insurer is not allowed to use any federal money to pay for an abortion. However, subscribers to insurance plans may themselves purchase additional coverage for the procedure or pay for the procedure out of pocket. The amendment proposed by Senators Ben Nelson (D-NE) and Orrin Hatch (R-UT) stated that no federal money could be "used to pay for any abortion or to cover any part of the costs of any health plan that includes coverage of abortion," except in cases of rape, incest or to save the life of the woman.
Senate majority leader and driving force behind government based health care reform, Senator Harry Reid (D-NV), himself pro-life, commented that this bill is not intended to resolve the abortion debate, but "If we still truly value life in America — and I believe we do — if we still truly value the life of every American, we cannot turn our backs on the 14,000 of us who lose health coverage every single day of every single week of every month of every year in this country."
http://www.medicalnewstoday.com/articles/173543.php
http://www.nytimes.com/2009/12/09/us/09health.html?_r=1&hp=&adxnnl=1&adxnnlx=1260367207-Znb+jFilGZhHYKrHxcuK9Q
http://www.npr.org/templates/story/story.php?storyId=121229936
II. Health Care Reform looking to alter Public Option and expand Medicare
In an effort to gain more ubiquitous support, Senate Democrats are pushing proposals that would alter the public option plan by creating several national insurance policies administered by private companies but negotiated by the Office of Personnel Management, which oversees health policies for federal workers. If private firms were unable to deliver acceptable national policies, a government plan would be created. Within the Democratic party, there has been active debate as to whether a bill with a public option 'trigger' rather than a definitive government run plan represents sufficient reform.
Additionally, part of the above proposal would allow persons aged 55-64 to buy into Medicare. The buy in would have higher premiums than that for persons aged 65 and above. Proponents believe that lowering the age of Medicare is justified and could help defray some of the costs with healthier, younger persons buying into the government plan. Opponents believe the Medicare system is broken and payment is so minimal that lowering the Medicare age would hurt hospitals, doctors, and the health economy as a whole. It has also been pointed out that persons that buy into the Medicare system will likely be heavy users leading to increase cost.
http://www.washingtonpost.com/wp-dyn/content/article/2009/12/08/AR2009120804388_2.html?sid=ST2009120900068
http://www.kaiserhealthnews.org/Stories/2009/December/09/medicare-expansion-public-option-health-bill.aspx
http://www.nytimes.com/2009/12/12/health/policy/12health.html?ref=politics
http://www.nytimes.com/2009/12/11/health/policy/11insure.html
Upon mailing of this legislative update, it appears that the above sections of health care reform are quickly shifting with Senate Democrats looking to scrap the reduction in Medicare age and coming to another impasse at the public option. Additionally, the debate over how abortion will be handled in a national health care plan will continue to influence voting both from both sides of the aisle.
http://www.cnn.com/2009/POLITICS/12/14/health.care/index.html
III. House approves Appropriations Package, including Global Health Programs and Food Security
The House approved, 221-202, a nearly $450 billion spending package including six of the seven annual appropriations bills Congress has yet to enact. The $48.7 billion State and Foreign Operations bill was included in this package. This bill provides nearly $5.7 billion for international HIV/AIDS programs, $2.4 billion towards "USAID Global Health and Child Survival Programs," $315 million to improve access to safe drinking water, and a variety of other humanitarian endeavors.
The appropriations package was opposed by all Republicans and 28 Democrats chiefly because the bill would increase foreign aid and funding for the State Department by approximately 33 percent. The bill will next move to the Senate for approval.
http://globalhealth.kff.org/Daily-Reports/2009/December/11/GH-121109-Foreign-Ops.aspx
http://globalhealth.kff.org/Daily-Reports/2009/December/10/GH-121009-Foreign-Ops.aspx
IV. Senators at Odds over Drug Importation Amendment
Voting on an amendment that would allow Americans to buy cheaper drugs from Canada and certain other countries has been delayed by a variety of Democrat and Republican leaders. The Congressional Budget Office estimated the bill could save the federal government $19.4 billion over the next decade by allowing the purchase of cheaper medications.
Some parties have stated concern that the amendment is not being voted on because it threatens to break an $80 billion deal between the White House and the pharmaceutical industry that was crafted in an effort to involve all groups in health care reform. However, opposition contends that drugs imported will be unsafe and not meet standards set by the FDA. Senator Dorgan (D-ND), who proposed the amendment, has stated that the "amendment includes strong safeguards to prohibit drug counterfeiting and other practices that would put the consumer at risk. It applies only to F.D.A.-approved prescription drugs produced in F.D.A.-approved plants from countries with comparable safety standards.”
http://www.nytimes.com/2009/12/11/health/policy/11health.html?_r=1&ref=politics
http://www.politico.com/news/stories/1209/30505.html
V. Nearly $600 million being directed to community health centers and medical record conversion
President Barack Obama pledged $509 million to repair, rebuild, and update community health centers nationwide and $88 million to health care facilities to "transfer old paper files to electronic medical records" and to upgrade technologies. The funding for these projects will come from the $787 billion stimulus package that was approved earlier in the year. Many of the details are still being hammered-out.
http://www.washingtonpost.com/wp-dyn/content/article/2009/12/09/AR2009120900774.html
VI. Recommended Reading
Can't get enough legislative affairs? Try these recommended articles covering health care reform and what it means to our medical profession and health care system:
Atul Gawande elegantly discusses how governmental involvement in the health care system can potentially curtail cost and increase efficiency
Jonathan Gruber attempts to set the record straight on health care reform
Health care lessons from Europe and the pitfalls to which America must take caution
Opinion piece on health care reform and illegal immigrants
As always, if you have any questions about these or any other legislative issues please contact your regional Legislative Affairs Representative. We are happy to hear from you!
Nathan Copeland, Southern Region
nathan.copeland@gmail.com
Amanda Mure, Central Region
amanda.mure@utoledo.edu
Ryan Padrez, Western Region
ryan.padrez@ucsf.edu
Matt Reilley, Northeast Region
reimat@gmail.com
Thure Caire, National Delegate
mcaire@health.usf.edu
Friday, December 11, 2009
Summer in Guatemala and Reproductive Health
There are opportunities to be involved over the coming summer. The internship is unpaid, but previous students have been able to live quite cheaply, either paying room and board to a host family or renting a room. The price of roundtrip airfare to Guatemala City depends upon how far ahead of time the tickets are purchased. Local travel is inexpensive.
There may be medical students from here and from the University of Colorado participating.
The ability to speak and understand Spanish fairly well is a requirement. A student should be self-directed and mature
An informational meeting will take place this coming week:
MONDAY, DECEMBER 14 at 12:00 PM
in CARREL G on the 6th Floor of the HSEB.
If you are unable to attend, you may want to contact the organizer, Lauren Pomerantz, through the Downstate email system.
I've worked in this area before and know Lauren well.
For the right person, this opportunity could be a terrific experience.
NIH funded Diabetes Research Center
Research Program in Diabetes for the summer of 2010. This program is sponsored by the
National Institutes of Health through the NIDDK and allows medical students to conduct
research under the direction of an established scientist in the areas of diabetes, hormone
action, physiology, islet cell biology, clinical investigation or obesity at an institution with one of
16 NIDDK-funded Diabetes and Endocrinology Research Centers (DERC) or Diabetes
Research and Training Centers (DRTC) during the summer between the first and second year
or second and third year of medical school. Prior research experience is not required. The
program provides a stipend.
We ask that you distribute this information to your first-year and second-year medical students.
Please also include the enclosed program announcement in your school's file or notebook of
summer opportunities. This program announcement is suitable for reproduction and/or posting.
The application deadline is January 25, 2010.
Please see our website for more information about the program and for an application.
http://
Thursday, December 3, 2009
Senate Bill
Senate Opens Debate on Health Care Bill
Last week, the Senate voted by a narrow margin 60-39 to open debate on the health care bill introduced by Senate Major Leader Senator Reid [D-NV]. The voting was generally along party lines, with all Republican Senators voting against opening debate on the bill. Senate Democrats have stated that they are willing and expect for the bill to change before it is brought to vote. Indeed, some moderate and conservative Democrats have stated that they will not vote for the bill in its current form - in particular because of the inclusion of a public option. On Monday, discussion began on the bill, which Reid hopes will be finished by Christmas. Senate Democrats have expressed concerns that with such a narrow margin of support for opening debate on the health care bill, it will be very challenging to pass the bill prior to the Christmas holiday.
There are numerous resources available to help elucidate the details and differences between the Senate and House bills. Here are a few good ones to help you get up to speed on HSR:
- http://www.nytimes.com/interac
tive/2009/11/19/us/ politics/1119-plan-comparison. html?ref=politics (NYTimes plan comparison) - http://www.kff.org/healthrefor
m/sidebyside.cfm (Kaiser Family Foundation comparison of all the plans on the table) - http://news.yahoo.com/s/ap/
20091130/ap_on_bi_ge/us_ (AP/Yahoo news on Senate HSR debate)health_care_overhaul
House Passes Sustainable Growth Rate Formula Repeal
On November 19th, the House passed HB 3961, which repeals the current Medicare sustainable growth rate (SGR) formula and replaces it with a Medicare economic index (MEI) update annually. The CBO estimates that H.B. 3961 would increase federal spending on a net basis by $210 billion and therefore it is widely criticized by fiscal conservatives. The bill now heads to the Senate for debate and amendment. If the SGR is not repealed or at least deferred (as it has been in prior years) before the end of the year, medicare physician payments will receive a 21.2% cut on January 1st, 2010.
As always, if you have any questions about these or any other legislative issues please contact your regional Legislative Affairs Representative. We are happy to hear from you!
Nathan Copeland, Southern Region
Amanda Mure, Central Region
amanda.mure@utoledo.edu
Ryan Padrez, Western Region
ryan.padrez@ucsf.edu
Matt Reilley, Northeast Region
reimat@gmail.com
Thure Caire, National Delegate
mcaire@health.usf.edu
Tuesday, December 1, 2009
Doctors for America
- "a grassroots group that works to convey the ideas and experiences of physicians and medical students to achieve healthcare reform. Doctors for America supports reform that will make coverage more affordable, expand access to care, increase quality of care, and support practice environments that allow physicians to focus on patient care."
- Browse the website for good synopses & videos about various aspects of health reform. For instance, here's a very readable description of all the "issues and solutions in health reform so that you can be an informed advocate for the reform that you and your patients need." http://www.drsforamerica.org/
learnmore.php