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Thu, September 10, 2015

Beth Tarini, associate professor of pediatrics and communicable diseases, is launching a study to see whether the martial art of tae kwon do could be an effective therapy - or even an alternative to prescription medication - for kids with attention deficit/hyperactivity disorder. Dr. Tarini is working with Master Dan Vigil on the “Martials Arts as ADD/ADHD Treatment Trial (aka the MAAT Trial)”

She is using the online crowdfunding site Crowdrise to raise money  for the research.
 

Research Topics: 

Bioethics Grand Rounds

Wed, June 22, 2016, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

Timothy Johnson, MD

"Ethical global health engagement: the Michigan Women's Health Model"

Millennial learners are experiencing and want to engage in global issues.  As institutions develop opportunities for their students, ethical issues need to be considered.  Transnational, transcultural, and translational issues as well as issues of equity, bilateral gain, economic transparency, academic values and sustainability must be factored into academic institutional partnerships between Western and low income countries.  The Ghana experience will be used to develop the concept of a “Michigan Model”.

Bioethics Grand Rounds

Wed, July 27, 2016, 12:00pm
Location: 
UH Ford Amphitheater & Lobby

Kunal Bailoor, MD Candidate Class of 2018, Ethics Path of Excellence

"Advance Care Planning: Beyond Durable Power of Attorney (DPOA)"

Abstract: Advance care planning is a crucial part of end of life medical care. It can take many forms, including designation of a surrogate decision maker via a DPOA document. However it can also involve living wills, physicians orders for life sustaining treatment (POLSTs), or even simply clinician patient conversation. The newly revised hospital policy on advance directives reflects this broader approach. The talk will include a brief review of the philosophical and ethical basis of advance care planning before diving into a discussion of the new hospital policy and it's impact on practice.

 

Wed, May 18, 2016

Reshma Jagsi’s survey of high-achieving physician-scientists published in JAMA, found that nearly a third of women reported experiencing sexual harassment. As women now make up about half of medical school students, the researchers emphasize the importance of recognizing unconscious bias as well as overtly inappropriate behaviors.

1. Reshma Jagsi, Kent A. Griffith, Rochelle Jones, Chithra R. Perumalswami, Peter Ubel, Abigail Stewart. Sexual Harassment and Discrimination Experiences of Academic Medical Faculty. JAMA, 2016; 315 (19): 2120 DOI: 10.1001/jama.2016.2188

Research Topics: 
Fri, December 09, 2016

Kenneth Langa's national study, published in JAMA Internal Medicine, was cited in a New York Times article discussing US dementia trends. Despite concern that dementia rates were increasing, Langa found that it is actually decreasing. He found that population brain health seemed to improve between 2000 and 2012 and that increasing educational attainment and better control of cardiovascular risk factors may have contributed to the improvement. However, the full set of social, behavioral, and medical factors contributing to the improvement is still uncertain.

Research Topics: 

Brian Zikmund-Fisher, Sarah Hawley, Reshma Jagsi and others were recently published in a JAMA Oncology research letter on breast cancer patient risk communication. They found that medical oncologists were found to be far more likely than surgeons to quantify risk estimates for patients and that patients who do not see a medical oncologist may make treatment decisions, including surgery, without all relevant risk information.

For the full article: http://oncology.jamanetwork.com/article.aspx?articleid=2491464

 

Mon, October 19, 2015

Beth Tarini is lead author on study published in the Journal of Pediatrics that found that few primary care physicians say they would order genetic testing or refer a child to a genetics specialist as a first step when they see children with two or more developmental delays, despite the higher risk of genetic disorders in these children.

Brian Zikmund-Fisher and Wendy Uhlmann are also co-authors.

Citation:

Tarini, Beth A., Brian J. Zikmund-Fisher, Howard M. Saal, Laurie Edmondson, and Wendy R. Uhlmann. "Primary Care Providers' Initial Evaluation of Children with Global Developmental Delay: A Clinical Vignette Study." The Journal of Pediatrics.

Research Topics: 

Raymond De Vries is involved in a new research study led by Akbar Waljee, MD, MSc, which will develop a risk-based strategy to help providers tailor timing of treatments among CHC Veterans to ensure that those who most need urgent therapy get it as quickly as possible.

Using democratic deliberation, Dr. De Vries will engage Veterans to learn their thoughts and preferences about such a strategy, which will help with its implementation in a clinical setting.

Click here for more details.

Fri, September 15, 2017

A study on surgeon influence on double mastectomy co-authored by Sarah Hawley and Reshma Jagsi was recently highlighted in Time Health.  This study found that attending surgeons exerted a substantial amount of influence on the likelihood of receipt of contralateral prophylactic mastectomy after a breast cancer diagnosis. Steven Katz was first author of this study.

Fri, July 26, 2013

Susan Goold is the senior author in a newly published study in JAMA, in which 2,500 U. S. physicians were asked about their views on 17 specific strategies to reduce health care spending, including proposed policies in the Patient Protection and Affordable Care Act. They were also surveyed on their perceived roles and responsibilities in addressing health care costs as care providers.

The vast majority of U.S. physicians (85 percent) agreed that trying to contain costs was a responsibility of every physician but most respondents prioritized patients’ best interests over cost concerns. Most surveyed physicians supported cost-containment initiatives aimed at improving the quality and efficiency of care, such as promoting chronic disease care coordination and limiting corporate influence on physician behavior. Substantial financing reforms, however, were much less popular among physicians. Examples include bundled payments, penalties for readmissions, eliminating fee-for-service reimbursement and other Medicare pay cuts. Physicians also believed that patients, pharmaceutical companies, and malpractice lawyers shared as much or more of the responsibility for containing escalating healthcare costs.

Jon C. Tilburt, M.D., M.P.H., of the Mayo Clinic, Rochester, Minn., was lead author of the study.

Tilburt JC, Wynia MK, Sheeler RD, Thorsteinsdottir B, James KM, Egginton JS, Liebow M, Hurst S, Danis M, Goold S (2013). Views of US Physicians About Controlling Health Care Costs. JAMA 310 (4): 380-388.

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