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Renowned Surgeon Examines Our Most Significant Contributions To Surgery - From Crude Procedures To Precision Operations
As a result of the scientific advances and medical innovations made in the twentieth century, the United States today occupies an established and unchallenged leading role in the field of surgery. Renowned surgeon Seymour I. Schwartz, MD, gives a sweeping history of American surgical practice in "Gifted Hands: America"s Most Significant Contributions To Surgery" (Prometheus Books). He describes how surgery in the United States has advanced from the comparatively crude practices of pioneering physicians in the pre-Columbian and colonial eras to its current level of preeminence in scientific surgery today.
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Few Retail Health Clinics Located In Low-Income Areas, Study Finds
Most retail health clinics are located in more affluent areas of the U.S., rather than in low-income, medically underserved neighborhoods, according to a study published on Monday in the Archives of Internal Medicine, the AP/Washington Times reports. For the study, researchers mapped 930 retail clinics operating in 2008 and used U.S. census data to evaluate the overall income and racial characteristics of the neighborhoods where clinics were located. In counties with at least one retail health clinic, researchers compared census areas with and without retail clinics. According to the study, 123 clinics were in communities classified by the federal government as medically underserved. Communities with clinics had lower percentages of black and Hispanic residents, lower poverty rates, higher homeownership rates and higher median incomes, according to the study.Ateev Mehrotra of the University of Pittsburgh said, "Many people have promoted retail clinics as a cure for access to care for the underserved," adding, "These findings show that"s unlikely to happen." Lead study author Craig Pollack of the University of Pennsylvania said the study"s results suggest financial incentives might be needed to bring clinics to low-income communities (Johnson, AP/Washington Times, 5/26).
News of the day
Health Insurance Exchanges Gain Attention
Kaiser Health News reports on health insurance exchanges, a concept now being considered in the context of Congress"s health overhaul proposals. "The seemingly simple idea behind exchanges - one-stop shopping for insurance - masks the cornerstone role they may play in a national overhaul of the health system. President Obama supports the idea, and exchanges are included in most of the health care proposals now before Congress. Done right, proponents say, exchanges could transform how insurance is sold, giving individuals and small businesses improved purchasing power, increasing price competition among insurers and creating standardized benefits. Done poorly, analysts and critics say, exchanges could drive up insurance costs and encourage employers to drop coverage, unraveling the system that insures most working Americans. While it"s still unclear what Congress will do, Senate Democrats have looked closely at Massachusetts. Here"s how it works there: The state established its exchange, called the Health Connector, mainly for the benefit of individuals who aren"t insured by employers. They include the self-employed and the unemployed, two categories of people who traditionally have the most difficulty obtaining policies. Although not required to buy through the exchange, doing so gives them group-purchasing power. Lower-income people are eligible for state subsidies."
Public Health

The Royal College Of Anaesthetists Launches E-Learning Initiative

The Royal College of Anaesthetists, the professional body representing anaesthesia in the UK, is introducing an interactive e-Learning re to support training and professional development in anaesthesia. The programme will be launched by the President of the College, Dr Judith Hulf, at its annual College Tutors conference on 11 June, 2009. e-Learning Anaesthesia (e-LA) is a joint initiative between the Royal College of Anaesthetists and e-Learning for Healthcare (e-LfH), a Department of Health (England) programme. It is an interactive web-based educational re that encourages self-directed learning and is available free to all anaesthetists practising in the NHS. Authored, edited and peer-reviewed by anaesthetists experienced in both teaching and examining, e-LA provides the following elements: e-Sessions - knowledge or scenario based e-learning tutorials covering the postgraduate training curriculum in anaesthesia e-Library - direct access to thousands of journal articles cross-referenced to sessions in the anaesthetic curriculum e-Assessment - self assessment sessions with feedback for examination practice and to support continuing professional development amongst specialists. Judith Hulf, President of The Royal College of Anaesthetists, says: "Technology is set to transform the way doctors access high quality training materials both in and out of the workplace. e-LA is at the forefront of this change and will provide a national e-learning programme to ensure that all anaesthetists continue to be trained to a consistent and high standard and are supported to maintain that standard with continuous learning throughout their professional lives." Julia Moore, National Director for e-Learning for Healthcare, says: "As a mode of delivery for educational material, e-learning harnesses the latest technology to support flexible and self-directed learning for today and tomorrow"s medical workforce." The Royal College of Anaesthetists is proud to be part of the e-LfH programme, which has already won several industry awards and has been credited by Sir Liam Donaldson as "one of the most positive developments in medical education in 20 years." The e-LA launch takes place at the Emirates Stadium, London, at 4.30pm on Thursday 11 June, 2009. For programme details, including speakers at the event, and press attendance, please contact Deborah Rowlanes at drowlanes@rcoa.ac.uk. Further information on e-Learning Anaesthesia can be found at http://www.e-LA.org.uk. Images and logos are available on request. The Royal College of Anaesthetists is the professional body, founded in 1992, responsible for the specialty of anaesthesia throughout the United Kingdom. Its principal responsibility is to ensure the quality of patient care through the maintenance of standards in anaesthesia, pain management and intensive care. The college has approximately 14,000 fellows, members and trainees. e-Learning for Healthcare (e-LfH) is a Department of Health programme in partnership with the NHS and professional bodies, providing high quality e-learning content for the training of the healthcare workforce across the UK. For more information, please visit http://www.e-lfh.org.uk An online press office featuring backgrounders and/or print-quality images for publication is at http://www.pressdispensary.co.uk/office/q99371.php Royal College of Anaesthetists


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