Health Care

UPDATE:The first lecture in this series has been rescheduled for Thursday, Nov. 1 at 5 pm.

The Rhode Island Medical Society is marking its 200th anniversary with a series of neuroscience-related lectures, all free and open to the public. The lectures are co-sponsored by Brown’s Institute for Brain Science and the Norman Prince Neurosciences Institute.

For Rhode Islanders who are still a bit fuzzy on that or undecided about how to cast their vote, here are a couple of great resources.

Another top medical school is redesigning its curriculum right now. You can practically watch Dartmouth's progress in real time via the lively discussions in town halls. Here's a recent one, framed by the need for change because of the explosion of medical knowledge since the last time the curriculum was updated.

Prime Healthcare Services, the latest suitor to try to buy Woonsocket’s struggling Landmark Medical Center, is “on a buying spree,” says Modern Healthcare magazine. Prime has closed deals on six financially troubled hospitals and announced its intent to buy Landmark in the past year. The story mention’s Prime’s public relations problems, including a tussle with the Service Employees International Union and an investigation over its billing practices in California, where the firm is based.

Medical school isn’t what it used to be. Budding doctors have to learn more and study harder than they ever have. And changes in the health care system are prompting even more dramatic changes inside medical schools. Next in our series Future Docs, learn how Brown University has adapted, from the man who helped redesign the curriculum.

Listen to the next in our Future Docs series, “Rethinking medical school” here.

For more from the Associate Dean of Brown’s Alpert Medical School, here are the full interviews in two parts.

Part One: How medical school has changed, and what’s prompted reform.

News from the RI Dept. of Health from spokeswoman Dara Chadwick about medical marijuana. They’re close to finalizing the regulations for compassion centers. She writes that “…one more review meeting will be held to finalize. After that, the regulations will be filed with the Secretary of State’s office.”

The three approved applicants must then submit their “Registration to Operate a Medical Marijuana Compassion Center.”

Meanwhile, a lawsuit has just been filed accusing the Dept. of reversing course, without warning, on who can prescribe medical marijuana.

Sometimes it’s a new way of thinking, a new model, an idea out of left field, or, as I like to think of it, using the map of one universe to navigate another – that helps solve some of our most intractable problems. I like to highlight that kind of new thinking from time to time, so here’s a recent example.

Science Friday is airing right now (the 2 o’clock hour on Friday) on Rhode Island Public Radio. (Listen now.) The topic is the medical value of marijuana; a federal appeals court is set to hear arguments about its value next week. Host Ira Flatow is talking to an oncologist and a microbiologist about it. Fascinating.

The Association of American Medical Colleges has launched a new ad campaign, running in newspapers near the sites of upcoming presidential debates, calling for an increase in funding for graduate medical education. The group is trying to draw attention to what it sees as a crisis in the making: the current limit on the number of federally funded residency programs could, it says, lead to doctor shortages. It's just the latest in a series of movements on the GME front.

A new poll from Gallup Healthways came out today showing physicians are generally healthier, or at least engage in healthier behaviors, than nurses and other health care workers. To wit: 15% of nurses smoke, whereas only 4% of physicians do. (The Rhode Island College of Nursing has just banned smoking on campus AND by any of its students in uniform, while “representing” the school, the dean told me the other day. It’s a good start.)

One of the facilities in Rhode Island that received shipments of steroids used in spinal injections happens to be a pain management clinic. The other is an anesthesiology clinic. There were no hospitals or other regulated facilities on the list of places in RI to have dispensed the contaminated steroid. (And if you were one of those patients, the clinic has already notified you or is still trying to, according to the RI Dept. of Health.)

The University of Rhode Island’s nursing school announced today that it has won $3.8M in federal grants – a huge number for a small school, and for nursing, at that. You can read more about those grants in our news coverage here and see URI’s press release here.

UPDATE: As of today, October 5, 2012, the Rhode Island Department of Health has issued a ruling that it will mandate flu vaccines for all health care workers and volunteers. You can get a medical exemption with a note from your doctor, or fill out a form saying you refuse to get the shot but understand you’ll have to wear a surgical mask when interacting with patients during flu season. Link to the state regulation (it’s a .pdf).