Family Medicine

Monroe physicians collaborate with Reach Out and Read – AOL

ProMedica Physicians Monroe Pediatrics and ProMedica Monroe Family Medicine Residency Center are incorporating books into pediatric care and encouraging families to read aloud together.

MONROE ProMedica Physicians Monroe Pediatrics recently held an open house to share information about their collaboration with Reach Out and Read Michigan and the Monroe County Intermediate School Districts (ISD) Great Start Collaborative.

The partnership has provided high-quality program support, educational literacy materials and 3,200 developmentally appropriate and diverse books to ProMedica Physicians Monroe Pediatrics and ProMedica Monroe Family Medicine Residency Center.

More than 1,600 children and their families benefit from the collaboration.

Reach Out and Read is the only national pediatric reading model endorsed by the American Academy of Pediatrics, is evidence-based and has been effective in promoting parental involvement and healthy development, increasing reading at home and improving childrens language scores.

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I have noticed that the children really gravitate towards the books and the parents are excited to receive them. Several families have already started reading the books in the room and loved the informational flyers and posters, Dr. Nivhan Arumugasamy of ProMedica Physicians Monroe Pediatrics said. The families are very receptive to the discussion of how impactful reading can be for language and other developmental skills, from newborns to teenagers. It even helps foster bonding between children and their families and we've seen it. ProMedica partnering with Reach Out and Read and the Monroe County ISD is having a positive impact on our young families and the community.

Reach Out and Read, 501(c)(3) nonprofit organization, gives young children a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together. The program recommends parents and guardians read daily with their children to promote healthy brain and language development as well as quality time as a family.

This article originally appeared on The Monroe News: Monroe physicians collaborate with Reach Out and Read

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Monroe physicians collaborate with Reach Out and Read - AOL

Family Medicine

Medical residents are increasingly avoiding states with abortion restrictions – News-Medical.Net

Isabella Rosario Blum was wrapping up medical school and considering residency programs to become a family practice physician when she got some frank advice: If she wanted to be trained to provide abortions, she shouldn't stay in Arizona.

Blum turned to programs mostly in states where abortion access and, by extension, abortion training is likely to remain protected, like California, Colorado, and New Mexico. Arizona has enacted a law banning most abortions after 15 weeks.

"I would really like to have all the training possible, she said, so of course that would have still been a limitation."

In June, she will start her residency at Swedish Cherry Hill hospital in Seattle.

According to new statistics from the Association of American Medical Colleges, for the second year in a row, students graduating from U.S. medical schools were less likely to apply this year for residency positions in states with abortion bans and other significant abortion restrictions.

Since the Supreme Court in 2022 overturned the constitutional right to an abortion, state fights over abortion access have created plenty of uncertainty for pregnant patients and their doctors. But that uncertainty has also bled into the world of medical education, forcing some new doctors to factor state abortion laws into their decisions about where to begin their careers.

Fourteen states, primarily in the Midwest and South, have banned nearly all abortions. The new analysis by the AAMC a preliminary copy of which was exclusively reviewed by KFF Health News before its public release found that the number of applicants to residency programs in states with near-total abortion bans declined by 4.2%, compared with a 0.6% drop in states where abortion remains legal.

Notably, the AAMC's findings illuminate the broader problems abortion bans can create for a state's medical community, particularly in an era of provider shortages: The organization tracked a larger decrease in interest in residencies in states with abortion restrictions not only among those in specialties most likely to treat pregnant patients, like OB-GYNs and emergency room doctors, but also among aspiring doctors in other specialties.

"It should be concerning for states with severe restrictions on reproductive rights that so many new physicians across specialties are choosing to apply to other states for training instead," wrote Atul Grover, executive director of the AAMC's Research and Action Institute.

The AAMC analysis found the number of applicants to OB-GYN residency programs in abortion ban states dropped by 6.7%, compared with a 0.4% increase in states where abortion remains legal. For internal medicine, the drop observed in abortion ban states was over five times as much as in states where abortion is legal.

In its analysis, the AAMC said an ongoing decline in interest in ban states among new doctors ultimately "may negatively affect access to care in those states."

Jack Resneck Jr., immediate past president of the American Medical Association, said the data demonstrates yet another consequence of the post-Roe v. Wade era.

The AAMC analysis notes that even in states with abortion bans, residency programs are filling their positions mostly because there are more graduating medical students in the U.S. and abroad than there are residency slots.

Still, Resneck said, "we're extraordinarily worried." For example, physicians without adequate abortion training may not be able to manage miscarriages, ectopic pregnancies, or potential complications such as infection or hemorrhaging that could stem from pregnancy loss.

Those who work with students and residents say their observations support the AAMC's findings. "People don't want to go to a place where evidence-based practice and human rights in general are curtailed," said Beverly Gray, an associate professor of obstetrics and gynecology at Duke University School of Medicine.

Abortion in North Carolina is banned in nearly all cases after 12 weeks. Women who experience unexpected complications or discover their baby has potentially fatal birth defects later in pregnancy may not be able to receive care there.

Gray said she worries that even though Duke is a highly sought training destination for medical residents, the abortion ban "impacts whether we have the best and brightest coming to North Carolina."

Rohini Kousalya Siva will start her obstetrics and gynecology residency at MedStar Washington Hospital Center in Washington, D.C., this year. She said she did not consider programs in states that have banned or severely restricted abortion, applying instead to programs in Maryland, New Hampshire, New York, and Washington, D.C.

"We're physicians," said Kousalya Siva, who attended medical school in Virginia and was previously president of the American Medical Student Association. "We're supposed to be giving the best evidence-based care to our patients, and we can't do that if we haven't been given abortion training."

Another consideration: Most graduating medical students are in their 20s, "the age when people are starting to think about putting down roots and starting families," said Gray, who added that she is noticing many more students ask about politics during their residency interviews.

And because most young doctors make their careers in the state where they do their residencies, "people don't feel safe potentially having their own pregnancies living in those states" with severe restrictions, said Debra Stulberg, chair of the Department of Family Medicine at the University of Chicago.

Stulberg and others worry that this self-selection away from states with abortion restrictions will exacerbate the shortages of physicians in rural and underserved areas.

"The geographic misalignment between where the needs are and where people are choosing to go is really problematic," she said. "We don't need people further concentrating in urban areas where there's already good access."

After attending medical school in Tennessee, which has adopted one of the most sweeping abortion bans in the nation, Hannah Light-Olson will start her OB-GYN residency at the University of California-San Francisco this summer.

It was not an easy decision, she said. "I feel some guilt and sadness leaving a situation where I feel like I could be of some help," she said. "I feel deeply indebted to the program that trained me, and to the patients of Tennessee."

Light-Olson said some of her fellow students applied to programs in abortion ban states "because they think we need pro-choice providers in restrictive states now more than ever." In fact, she said, she also applied to programs in ban states when she was confident the program had a way to provide abortion training.

"I felt like there was no perfect, 100% guarantee; we've seen how fast things can change," she said. "I don't feel particularly confident that California and New York aren't going to be under threat, too."

As a condition of a scholarship she received for medical school, Blum said, she will have to return to Arizona to practice, and it is unclear what abortion access will look like then. But she is worried about long-term impacts.

"Residents, if they can't get the training in the state, then they're probably less likely to settle down and work in the state as well," she said.

This article was reprinted from khn.org, a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF - the independent source for health policy research, polling, and journalism.

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Anesthesiology

Anesthesiology house officers present research at GME Symposium – University of Nebraska Medical Center

Anesthesiology residents and fellows presented their research including both poster and oral formats at the sixth annual Graduate Medical Education Research Symposium on Monday, April 22.

The symposium provides the opportunity for house officers to present their research in all areas, including clinical outcomes, basic science, education, business, health policy and humanities.

Peter Ricci Pellegrino, MD, PhD, received an award for his oral presentation on Sympathetic Vasomotion Correlates With the Magnitude of Hemorrhage in Conscious Rabbits.

Chandra Are, MBBS, the UNMC College of Medicines associate dean of Graduate Medical Education, said close to 120 research abstracts were presented at the event, nearly 50 more than when the symposium first premiered in 2018.

UNMC Department of Anesthesiology presenters at the event included:

Patrick Barone, MD, pediatric anesthesiology fellow Incompatible Batteries With Potential Hazard in MRI Environment

Mark Cheney, MD, critical care anesthesiology fellow Mind the Gap! Unexpected Euglycemic Ketoacidosis in a Case of Apparent Volume Overload

Nate Goergen, MD, PhD, resident NextSTAT: A Low-Cost Lot Based Paging Solution to Request Urgent Help in the or Using Amazon AWS Cloud A Novel, In-House, Rapid Response Solution to a Critical Supply Crisis Affecting Hyperbaric Oxygen Therapy Centers Nationwide Jenkins: An Anesthesia Intra-Op Voice Assistant to Improve Patient Outcomes and Situational Awareness in the OR

Peter Ricci Pellegrino, MD, PhD, pain medicine fellow Sympathetic Vasomotion Correlates With the Magnitude of Hemorrhage in Conscious Rabbits

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Anesthesiology house officers present research at GME Symposium - University of Nebraska Medical Center

Anesthesiology

Anesthesiology resident inducted into the Alpha Omega Alpha Medical Honor Society – University of Nebraska Medical Center

Theodore (Teddy) Black, MD, a UNMC Department of Anesthesiology resident, was inducted into the Alpha Omega Alpha Medical Honor Society in April.

Founded in 1902,Alpha Omega Alpha is dedicated to the belief that in the profession of medicine, we will improve care for all by:

Members may be elected throughout their career and epitomize professionalism, leadership, academic and clinical excellence, research, community service and being worthy to serve the suffering.

Incoming resident Mariah Tessin, MD, also received an award for her senior honors thesis titled, The Role of RASP Inhibitors in Preventing MAA-Modified Proteins from Initiating Pro-inflammatory Cytokines in Macrophages.

I am incredibly grateful to have found a research environment that provides me with the opportunity to navigate the entire research process from start to finish, Dr. Tessin said. It is an honor to have my thesis recognized by AOA.

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Anesthesiology resident inducted into the Alpha Omega Alpha Medical Honor Society - University of Nebraska Medical Center

Anesthesiology

Robert Stephens MD Spotlights Anesthesiologists’ Role in Patient-Centered Care – openPR

In an extensive feature published by the San Francisco Post Dr. Robert Stephens, MD, discusses the vital role of anesthesiologists in enhancing patient-centered care within the healthcare system In an extensive feature published by the San Francisco Post Dr. Robert Stephens, MD, discusses the vital role of anesthesiologists in enhancing patient-centered care within the healthcare system. The article titled "Robert Stephens MD Spotlights Anesthesiologists' Role in Patient-Centered Care" explores the comprehensive involvement of anesthesiologists in patient care, from preoperative assessment to postoperative recovery.

Dr. Stephens, a dedicated Anesthesiologist based in Southern California, emphasizes the significant yet often overlooked contributions anesthesiologists make beyond the operating room. "Our job starts long before and goes far beyond the OR," Dr. Stephens explains. "We play a crucial role in patient assessments, where we develop individualized care plans, and continue our care through vigilant intraoperative management and postoperative recovery strategies."

The feature details how anesthesiologists like Dr. Stephens prioritize effective communication with patients to demystify surgical procedures, alleviate anxiety, and enhance patient autonomy in decision-making processes. This approach not only fosters trust but also improves overall patient outcomes.

Further highlighting the multi-faceted role of anesthesiologists, the article discusses their advocacy for patient safety and involvement in implementing best practices across healthcare settings. Dr. Stephens shares insights into the evolution of anesthesiology with innovations such as non-opioid anesthetics and precision medicine, underscoring anesthesiology's pivotal role in the future of patient-centered care.

Dr. Stephens' dedication to the field and his patients is evident as he continues to push for advancements in anesthesiology to better serve patient needs and enhance the quality of care provided. His work and commitment exemplify the critical impact anesthesiologists have on the healthcare system, ensuring that patient well-being remains at the core of medical practice.

The full article can be accessed on the *San Francisco Post* website and is an essential read for healthcare professionals and anyone interested in understanding the integral role of anesthesiology in patient-centered care.

To read the full Article, click here [https://sanfranciscopost.com/robert-stephens-md-spotlights-anesthesiologists-role/].

About Dr. Robert Stephens, MD

Dr. Robert Stephens, MD, is a distinguished Anesthesiologist with over a decade of experience in the field. His dedication to patient care, continuous learning, and contribution to the evolving field of anesthesiology mark him as a leading figure in his profession. Media Contact Company Name: Robert Stephens MD Email: Send Email [http://www.universalpressrelease.com/?pr=robert-stephens-md-spotlights-anesthesiologists-role-in-patientcentered-care] City: San Diego State: California Country: United States Website: https://www.robertstephens.net/

This release was published on openPR.

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Robert Stephens MD Spotlights Anesthesiologists' Role in Patient-Centered Care - openPR

Human Behavior

30000 years of history reveals that hard times boost human societies’ resilience – Livescience.com

The old saying may be true: What doesn't kill you makes you stronger. At least that's the case for human civilizations across 30,000 years of history, according to a new analysis published May 1 in the journal Nature. The study found that, across the globe, ancient human societies that experienced more setbacks were also quicker to bounce back from future downturns.

"The more often a population experiences disturbances or downturns, the more likely it is to be able to recover faster the next time around," study leader Philip Riris, an archaeologist at Bournemouth University in the U.K., told Live Science.

This seesaw between vulnerability and resilience was particularly strong among early farmers and herders, Riris and his colleagues found. Agricultural communities throughout history experienced more downturns overall than other societies, such as hunter-gatherer groups, but they also recovered from these downturns more quickly than other groups.

"It's an important paper," said Dagomar Degroot, an associate professor at Georgetown University who studies how climate change influenced human history and who was not involved in the research. "There is a lot of really influential work on the collapse of societies faced with climate change," Degroot told Live Science, "but a focus on resilience and only resilience is significantly rarer."

Historians and archaeologists have published many case studies on individual societal crises, Riris agreed. But it's hard to compare these experiences across space and time. He and his team pulled together data from 16 separate archaeological sites around the globe, spanning from South Africa to Canada, with data stretching back as far as 30,000 years ago.

Related: What's the deadliest month of the year?

To determine downturns and recoveries, the researchers used a method called "dates as data." Each site had records of radiocarbon dating, which gives an age for organic materials based on the decay of carbon-14, a radioactive form of carbon. Previous studies have established that the number of carbon-14 dates available for a certain time and place is correlated with population. When there are more people, it means more activity, buildings, trash heaps and firepits to excavate and date.

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Most of the downturns in the study took place on decades-plus timescales and had a variety of causes, ranging from environmental change to societal upheaval. In some cases, the researchers had specific historical or climatological information about what those crises were, such as a cold snap in Norway that led to crop loss. Farmers and herders may be inherently more vulnerable to disaster, Riris said, since one bad growing season or a drought can mean immediate famine. But agricultural and herding societies also may be well positioned to recover from disaster.

"The winners [after a disturbance], either they're just lucky or they have some sort of technology or practice or behavior or social institution that means that they did better during the crisis," Riris said. "As a result, they're more likely to pass down that learning, that aspect of culture that will enable their descendants to do better down the line."

The archaeological findings mesh well with historical case studies, said Degroot, who has researched resilience in the Dutch Republic in the face of the Little Ice Age in the 17th century. "I had found those things for a very narrow case study," he said, "and here the authors find them for a much broader set of case studies."

Whether modern humans can pull directly from these lessons is less certain, Degroot said. All of the societies in the study were preindustrial and might have little in common with today's global order. However, Riris said, the ability to compare societies and look for patterns is important.

"It provides that overarching framework that will allow resilience to be tackled systematically," he said.

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30000 years of history reveals that hard times boost human societies' resilience - Livescience.com

Human Behavior

Kingdom of the Planet of the Apes Actors Had Trouble Reverting Back to Human – CBR

The graduates of "Ape School" went through a transformation to teach themselves how to best portray primates in the new movie Kingdom of the Planet of the Apes. While switching into character was unique for the actors, it was actually reverting back to human behavior that felt more strange.

In a new interview with CBR's Kevin Polowy, actors Kevin Durand and Peter Macon addressed their roles in Kingdom of the Planet of the Apes. Durand plays the villain, the bonobo Proximus Caesar, while Macon plays Raka, a wise orangutan who serves as an ally to Owen Teague's Noa. When asked about the weirdest part of going through Ape School to transition into character, Macon explained how it was more difficult to go back to human behavior at the end of the day.

"I think the weirdest thing was to come back to being a human," as Macon said. "You know, you spend your day... we'd be in there six, seven hours, and just living in this [other mindset]. [...] Sometimes longer! Because Alain Gauthier, our movement coach, would [teach us] it's part of the process too to go back to being a human, so that you can sort of feel the difference in your body, and then go back to being an ape, and go back to being a human. So, transitioning back to being a human at the end of the day, and walking up the stairs, it just didn't feel right."

"So, transitioning back to being a human at the end of the day, and walking up the stairs, it just didn't feel right."

Meanwhile, Durand frequently broke out into character throughout the entire interview with Polowy. The actor joked that he's "still in it" when talking about the "Ape School" training that was done for the primate actors. Durand also shared how he has taken his ape persona home as well, much to the enjoyment of his youngest child.

"My wife begs me to stop," Durand said. "My children, at first, my eldest was like, 'No.' But, my little one was kind of scared, and fascinated."

Demonstrating how he'd spoken to her with his Proximus Caesar voice, Durand added, "Within ten minutes, we're ape-ing around. We would play together, and it was so much fun. She would talk to me like I was Proximus."

The official synopsis for the movie reads, "Director Wes Ball breathes new life into the global, epic franchise set several generations in the future following Caesars reign, in which apes are the dominant species living harmoniously and humans have been reduced to living in the shadows. As a new tyrannical ape leader builds his empire, one young ape undertakes a harrowing journey that will cause him to question all that he has known about the past and to make choices that will define a future for apes and humans alike."

Kingdom of the Planet of the Apes is now playing in movie theaters.

Source: CBR

Many years after the reign of Caesar, a young ape goes on a journey that will lead him to question everything he's been taught about the past and make choices that will define a future for apes and humans alike.

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Internal Medicine

David Jerome Becker Obituary – – Hartford Courant

David Jerome Becker died peacefully on May 1st at VNA Hospice House in Vero Beach, surrounded by his loving family.

Born August 17th 1929 to Mildred Fischer and Harry L. Becker in Hartford Connecticut, David had a secure childhood, focused on education, hard work, Yankees ballgames, and Jewish family traditions. His scholarship was recognized early, first at Weaver High School graduation in 1947 and then at Cornell University with the highest oratory honor for his speech titled Discrimination Against the Negro and Our World Position Today.

In 1955, while at Harvard Medical School, David met and married nursing student, Jane Codington and they began their adventurous life heading to Duke University for Davids residency in internal medicine, and for further training in internal medicine and cardiology at the University of Miami.

David was a veteran, having served in the Air Force in Irumagawa Honshu, Japan -6022nd US Air Force Hospital Johnson Air Base, David and Jane had four children while he practiced medicine in Coral Gables, Florida. He later practiced medicine at the Cooper Clinic in Dallas, Texas and at the Mass General Hospital in Boston MA, raising his family in Weston, MA.

Divorced, David moved to Vero Beach in 1978. Vero Beach provided

a perfect climate, a perfect community, and a perfect companion in Marylou Ashcroft with whom he spent the rest of his life, marrying in 1999.

In Vero Beach, he practiced medicine, sharing a medical office with Gary Kantzler, MD, and began to contribute to the community he came to love for his remaining years. He served on many hospital committees, on the hospital district board, as President of the United Way of Indian River County, the board of the VNA, Bermuda Bay Board and was elected to the Indian River Town Council. Giving back to his community was as important to him as having compassion and understanding for his patients and coworkers.

Walking through the hospital, David stopped to talk to everyone asking about their childrens education or recent sporting event or their parents health. He knew every staff member by name and was interested in the details of their lives. His bedside manner included careful listening and humor and time to explain medical diagnoses in plain language. Long before visit summaries were in vogue, David dictated a letter to each patient following every visit explaining his findings, plan and instructions. He partnered with his patients and cared deeply about their values and life experience.

Introduced to running as a sport in the 1960s, David ran daily, was an early marathoner and a founding member of the Vero Beach SunRunners. Running and his running community were integral to his well-being.

David was a colorful character and a very social being. He nurtured and was buoyed by his friendships. He valued his long phone calls with his nephew, John Kupper and cousin, Alan Fischer. He loved his weekly sharing with his Lefties group of revered buddies. He liked to share a good story or joke and had intense pride in all of his children and grandchildren.

We all remember David as the great interviewer, the stranger you sat next to on a plane to whom you shared the whys of your life, the guy you met on the beach who remembered treating your father in the hospital, and the person at the party who worked the room. He leaves us checking any pretense and materialism at the door and settling into an armchair of curiosity and genuine interest and compassion for others.

David was predeceased by his parents, Mildred and Harry Becker, his sister Enid Kupper, and his first wife Jane. David will be missed by his wife, Marylou Becker and his children Marcie Becker, (Brattleboro VT,) Jan Becker, (Santa Fe, NM,) Meredith and Peter Moses (Cha rlotte, VT,) and Steven and Carrie Becker (Dallas, TX.) By his grandchildren John and wife Alison Moses (New York) Ivy, Roome, and Gwendolyn Becker of Dallas as well as by his extended family and many, many friends.

In lieu of flowers, kindly contribute to the VNA Hospice Foundation, 920 37th Place, Suite, 101, Vero Beach, FL 32960.

Arrangements by Strunk Funeral Homes & Crematory, Vero Beach, FL. A guestbook is available at http://www.strunkfuneralhome.com

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David Jerome Becker Obituary - - Hartford Courant

Internal Medicine

Interdisciplinary Curriculum Boosts Women’s Health and Gender-Affirming Care in Internal Medicine Residency – Yale School of Medicine

A novel interdisciplinary curriculum has been successfully implemented in Internal Medicine residency programs to enhance education in women's health, gender-affirming care, and health disparities. Led by Janet Henrich, MD, and created by a collaborative team of faculty from various disciplines, including Internal Medicine; Obstetrics, Gynecology & Reproductive Sciences; Surgery; and community experts, this curriculum comprises half-day modules on interrelated topics, emphasizing health equity and interactive learning.

Implemented since 2015 for about 175 residents annually, the curriculum's impact was evaluated through anonymous surveys. The 2022-2023 data showed that 90% of the 131 resident respondents felt adequately prepared to apply the skills learned. A consistent trend of increased comfort with the material was observed across previous years. The curriculum was particularly commended for its interactive teaching methods and direct learning experiences from community members and peers.

This innovative educational approach has proven effective in increasing resident learning and readiness. The team hopes this success can be replicated for other medical training programs, addressing vital issues in women's and gender-affirming care education, and fostering an equitable healthcare environment.

To learn more, read It Takes a Village: An Interdisciplinary Approach to Preparing Internal Medicine Residents to Care for Patients at the Intersection of Women's Health, Gender-Affirming Care, and Health Disparities in the Journal of Womens Health.

Henrich JB, Richman I, Rabin TL, Gielissen KA, Dhond M, Canarie JX, Hirschman AF, Windham MR, Maya S, McNamara C, Pathy S, Bernstein P, Smith R, Vasquez L. It Takes a Village: An Interdisciplinary Approach to Preparing Internal Medicine Residents to Care for Patients at the Intersection of Women's Health, Gender-Affirming Care, and Health Disparities. J Womens Health (Larchmt). 2024 Feb;33(2):152-162. doi: 10.1089/jwh.2023.0217. Epub 2024 Jan 8. PMID: 38190490.

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Interdisciplinary Curriculum Boosts Women's Health and Gender-Affirming Care in Internal Medicine Residency - Yale School of Medicine