===ªMC STAT====5-7-01

From: Dean Huffman (jth@springnet1.com)
Sun May 13 22:54:47 2001


====ªMC STAT===== Short, Topical, and Timely News from the Association of American Medical Colleges

May 7, 2001

== AAMC announces new Caring for Community awardees == AAMC authors publish Graduation Questionnaire data in JAMA == HCFA publishes Medicare fiscal year 2002 inpatient PPS proposed rule == Stanford University Medical Center to end capitated HMO agreements == Presidential commission issues recommendations for clinical trials in developing countries == Medical residents, students, and others petition OSHA to limit resident work hours == West Virginia University increases enrollment of nursing and pharmacy students == Hot headlines == On the move

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AAMC announces new Caring for Community awardees

In the third award cycle of "Caring for Community," a program launched in March 2000, the AAMC, in collaboration with Pfizer Inc. and the Pfizer Medical Humanities Initiative, has announced six new awardees. The award recipients will receive a total of $51,700 in funding for community-oriented service projects developed and operated by medical students. The Caring for Community program has awarded more than $155,000 since its inception.

The projects chosen for funding this cycle include "Check Your Skin," a program run by medical students at Virginia Commonwealth University School of Medicine, in which they will teach the public in the greater Richmond area how to reduce the risk of melanoma. At the "NYU Free Clinic," New York University School of Medicine students will offer free physical exams, medical screenings, and other health care services for uninsured and marginalized communities in Manhattan's Lower East Side. Students at SUNY at Buffalo School of Medicine and Biomedical Sciences will hold a "Women's Health Education Forum and Health Fair," designed to help Asian refugees and immigrants in the Buffalo area learn how to access the health care delivery system.

The "Student Outreach Clinic" at the University of Nevada School of Medicine provides a structured learning environment for medical students as they deliver basic health services and education to the medically underserved in the Reno area. The "Reach Out and Read" project at the East Carolina University School of Medicine uses pediatric health supervision and the patient-provider relationship to support the development of literacy skills in young children. Finally, students at the University of Nebraska Medical Center will continue to operate their "Sharing Clinic" for the testing and treatment of sexually transmitted diseases and HIV/AIDS in the medically underserved community of south Omaha.

Information: Bob Beran, AAMC Division of Student Affairs and Education Services, 202.828.0250, rberan@aamc.org.

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AAMC authors publish Graduation Questionnaire data in JAMA

In the May 2 issue of the Journal of the American Medical Association, AAMC authors George V. Richard, Ph.D., Deanne M. Nakamoto, and John Lockwood, Ph.D., discuss in their article "Medical Career Choices: Traditional and New Possibilities" trends in graduating medical student career preferences that have been tracked by the AAMC's annual Medical School Graduation Questionnaire. Comparing data collected in 1990, 1995, and 2000, their findings indicate, among other things, that more than half of graduating medical students in 2000 intend to pursue full-time nonacademic clinical practice, 31 percent plan to become full-time university faculty, and 8.4 percent are intending other career options.

Information: George V. Richard, AAMC Division of Student Affairs and Education Services, 202.862.6223, grichard@aamc.org.

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HCFA publishes Medicare fiscal year 2002 inpatient PPS proposed rule

On May 4 the Health Care Financing Administration (HCFA) published in the Federal Register its annual proposed rule for changes to the Medicare inpatient prospective payment system (PPS). The changes would be applicable to payments for Medicare discharges occurring on or after October 1, 2001. Comments on the proposal are due July 3.

In addition to other changes, the proposed rule will implement a number of provisions mandated by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA). These include increasing the standardized payment amounts by 2.55 percent, maintaining the IME level at its fiscal year 2001 level of 6.5 percent, and implementing the increase to the direct GME per resident amount floor to 85 percent. The May 4 notice proposes a temporary upward adjustment to resident limits for hospitals that assume the training of additional residents in the event of a residency program closure by another hospital. The proposed rule also implements the BIPA requirement to develop a methodology for paying for new medical services and technologies.

Information: Karen Fisher, AAMC Division of Health Care Affairs, 202.862.6140, kfisher@aamc.org; the proposed rule is available at http://www.access.gpo.gov/su_docs/fedreg/a010504c.html.

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Stanford University Medical Center to end capitated HMO agreements

According to the Stanford Report, a university publication, Stanford University Medical Center has notified six health insurance plans that Stanford Hospitals and Clinics will end their HMO agreements that reimburse hospitals and doctors on a capitated basis. Stanford estimates that 50,000 people presently have access to Stanford Hospitals and Clinics and doctors under HMO capitated plans offered by HealthNet, Blue Cross, Blue Shield, Aetna, Cigna, and PacifiCare. For most of the plans, no changes will take effect before January 2002.

Information: Go to http://www.stanford.edu/dept/news/report/news/may9/insurance-59.html.

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Presidential commission issues recommendations for clinical trials in developing countries

The National Bioethics Advisory Commission (NBAC), seeking to improve the ethical conduct of those conducting international clinical trials, has recommended a series of steps aimed at reducing the risk of exploiting research participants in developing countries. NBAC's report, "Ethical and Policy Issues in International Research: Clinical Trials in Developing Countries," seeks to ensure that clinical trials operated by U.S. companies are responsive to the health needs of the country in which they are conducted and that post-trial access to successful research products is improved.

Information: Eric Meslin, Ph.D., NBAC, 301.402.4242. A copy of the report is available at http://www.bioethics.gov.

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Medical residents, students, and others petition OSHA to limit resident work hours

The American Medical Student Association was joined by the Committee of Interns and Residents, a housestaff union; Public Citizen, the consumer and health advocacy group; and others in filing a petition with the Occupational Safety and Health Administration (OSHA) seeking federal limits on resident work hours. The petition asks OSHA, among other things, to limit work weeks to 80 hours; limit shifts to a maximum of 24 consecutive hours; limit on-call shifts to every third night; require a minimum of 10 hours off between shifts; and require at least one 24-hour off-duty period per week.

Information: The text of the petition is available at http://www.citizen.org/hrg/PUBLICATIONS/1570.htm.

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West Virginia University increases enrollment of nursing and pharmacy students

In response to a dwindling pool of pharmacists and nurses throughout the country and in its state, West Virginia University (WVU) has announced that it will begin accepting more qualified applicants in its pharmacy and nursing programs. The goal for WVU School of Nursing is to accept 90 new students this fall, an increase of 38 percent from previous years. The School of Pharmacy will accept 74 students in their fall class, up 15 percent from previous years. Administrators say that while the past few years have seen a decline in the number of students applying to their nursing and pharmacy programs, applications are now up again.

Information: Shelly Stump, WVU Communications, 304.293.0676.

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Hot headlines

America's ERs: In Critical Condition http://www.washingtonpost.com/wp-dyn/articles/A22883-2001Apr30.html, Washington Post, 5/1/01

8 Americans in Havana Are Med Students With a Mission http://www.latimes.com/news/nation/20010501/t000036690.html, Los Angeles Times, 5/1/01

Bone Marrow Cells a Study in Versatility http://inq.philly.com/content/inquirer/2001/05/04/national/STEM04.htm, Associated Press, 5/4/01

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On the move

S. Edwards Dismuke, M.D., M.S.P.H., has been appointed dean of the University of Kansas School of Medicine-Wichita, effective July 1. Dr. Dismuke currently serves as chair of the Department of Preventative Medicine on both the Wichita and Kansas City campuses of the University of Kansas.

Donna J. Dean, Ph.D., has been appointed acting director of the newly established National Institute of Biomedical Imaging and Bioengineering (NIBIB) by Ruth L. Kirschstein, M.D., acting director of the NIH. Dr. Dean has served in the Office of the Director at the NIH as senior advisor for the past three years.

David H. Austin, Ph.D., has resigned his position as president of Case Western Reserve University. Provost and University Vice President James W. Wagner, Ph.D., will act in Dr. Austin's absence until a replacement can be found.

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