Tag Archives: american medical association

Mayo Medical Schools Expands to Arizona

UA College of Medicine Accredited Through 2022

The medical education program at the University of Arizona College of Medicine – Tucson, designed to train the next generation of highly skilled physicians dedicated to improving patient care and advancing the state of medical knowledge, has earned accreditation through 2022, a full eight-year term.

The Liaison Committee on Medical Education (LCME), the accreditation authority for MD programs in the United States and Canada, announced the decision and identified a number of institutional strengths within the college that are distinctive and worthy of emulation. The LCME is jointly sponsored by the Association of American Medical Colleges (AAMC) and the Council on Medical Education of the American Medical Association (AMA).

The UA College of Medicine – Tucson graduates 115 medical doctors each year and is led by Interim Dean Joe G.N. “Skip” Garcia, MD, who also serves as UA senior vice president for health sciences. The college’s medical education program is led by Kevin Moynahan, MD, deputy dean of education.

In January, more than 100 faculty, students, administrators and staff from the UA College of Medicine – Tucson (UA COM – Tucson) met with the LCME survey team during its site visit to determine accreditation eligibility.

“This achievement would not have been possible were it not for the tremendous leadership, teamwork and effort put forth by all. We are grateful to our UA COM – Tucson LCME project leadership team, to those students, faculty and staff who participated in the survey visit, as well as to the numerous students, faculty and staff who participated in the COM self-study process,” said Dr. Moynahan.

In addition to awarding the college accreditation for a full cycle, the 19 LCME members, who are medical educators and administrators, practicing physicians, public members and medical students appointed by the AAMC and AMA, determined that the college has a number of institutional strengths:

· The LCME found that the student-developed and student-administered Commitment to Underserved People (CUP) program, implemented by the UA College of Medicine in 1979, provides an exceptional number and variety of community service and service-learning opportunities for medical students. The CUP program provides UA medical students the opportunity to gain clinical experience by working with medically underserved populations. CUP was described by numerous medical students as a major influence in their decision to attend the college.

· The LCME also noted the development and implementation of an effective system of confidential and easily accessible personal counseling for its students, assisting them in adjusting to the ongoing emotional demands of a medical education. The UA COM – Tucson counseling program received high praise from students in the 2013 AAMC Graduation Questionnaire, in the independent student analysis and in conversations with students during the survey visit.

· In addition, the UA COM – Tucson Societies Program provides a strong longitudinal experience with a trained faculty mentor. Mentors are chosen from among the college’s most distinguished clinician-educators who teach students interviewing, physical examination and patient care skills at the patient bedside, helping students to develop clinical thinking, documentation and presentations and professionalism skills.

The LCME defines areas of strengths as those that reflect an aspect of the medical education program that has been shown to be critical for the successful achievement of one or more of the program’s missions or goals or a truly distinctive activity or characteristic that would be worthy of emulation.

The UA College of Medicine – Tucson provides state-of-the-art programs of medical education, groundbreaking research opportunities and leading-edge patient care. Together with the UA College of Medicine – Phoenix, the two colleges are Arizona’s only MD degree-granting institutions serving as a health care resource for the state and its people.

Founded on the campus of the University of Arizona in 1967, with an initial class of just 32 students, the UA College of Medicine – Tucson today has graduated more than 3,900 physicians. College of Medicine students, faculty, staff and alumni continue more than 45 years of service in advancing medical care and knowledge in Arizona—and around the world.

big belly of a fat man and measuring tape isolated on white

Paradise Valley Hospital to Treat Obesity

Obesity is one of the greatest public health challenges we face today.  According to the National Center for Chronic Disease Prevention and Health, more than 64 percent of adults in Arizona are overweight, with 24 percent suffering from obesity.  In Maricopa County alone, about 200,000 individuals suffer from Severe Obesity.

Last month, the American Medical Association (AMA) announced its decision to formally recognize obesity as a medical disease. In doing so, the AMA joins numerous other medical organizations and government agencies which have either officially recognized obesity as a disease or asserted such through their leadership representatives.

In mid-August, Abrazo Health will open its comprehensive bariatric surgery center at Paradise Valley Hospital in collaboration with Dr. Kurt W. Sprunger of the Phoenix Bariatric Center.  Dr. Sprunger and his team are dedicated to the proper treatment of those suffering with obesity who have for too long endured criticism and discrimination and felt frustration and shame after the failure of inappropriate and ineffective treatments.

Dr. Sprunger sees the decision by the AMA as a significant milestone in helping to remove societal misconceptions about obesity and improve access to proper medical care for the millions of Americans struggling with this disease, including the 24 million Americans suffering from Severe Obesity and its serious related conditions, for whom bariatric surgery has proved to be the most effective and lasting treatment.

The services offered by Paradise Valley Hospital and Phoenix Bariatric Center will help Arizonans suffering from obesity to reverse the effects of diabetes, high blood pressure, high cholesterol, sleep apnea, infertility and a host of other medical conditions associated with obesity and reduce their risk of certain cancers and heart disease.

Clinics help workers stay on the job

Convenience Care Clinics Help Workers Get Back On The Job Faster

While we all expect quality health care to be available when it’s needed, our future could be flat lining. According to the Association of American Medical Colleges, meager graduation and physician training rates in our country could cause a shortage of up to 150,000 doctors within the next 15 years.  As many of us are aware, Arizona already is battling an on-going primary care physician shortage, which will cause wait times and delays in care to grow in the coming years.  Because of this, no-appointment convenience care clinics have become an important and growing part of our healthcare landscape.

The Rand Corp. recently performed a survey which showed that convenience care clinics staffed by nurse practitioners or physicians assistants can treat acute, everyday illnesses in a way that is quick, convenient and significantly more affordable for the patient, without sacrificing quality. Convenience care clinics have shorter wait times than emergency rooms, help people avoid lengthy physician appointment scheduling delays, and in some cases, require a payment that is less than an office visit co-pay or co-insurance.  In short, convenience care clinics help people with minor illnesses return to good health and get back to their daily routine, and are efficient in doing so.

There are now 1,200 quick-care clinics operating in 32 states, according to the Convenient Care Association. In Arizona, Cigna Medical Group has opened nine CMG CareToday clinics since 2007, with at least two more planned this year and a newly opened facility off of the Metro Light Rail in down town Phoenix. Other health care organizations – including some Arizona hospitals – are recognizing that this facility model can help direct people to the right health resource based on the severity or simplicity of their symptoms.

According to the National Center for Health Statistics, seven of the 10 most common reasons people go to the doctor are for minor needs that can be successfully treated by a physician’s assistant or nurse practitioner. Yet to function optimally, the providers in convenience care clinics should be integrated into a large medical group or health system in two ways.  First, they should be programmatically linked with supporting primary care physicians in order to make the treatment of patients more effective.  Secondly, they should share electronic health records with these same primary care physicians to have direct access to the detailed patient records prior to providing the acute care and to communicate back to the physician who is providing ongoing care.  If a system like this were in place at more neighborhood walk-in clinics, it would become easier for patients to go to a convenience care clinic for quick treatment, and still be sure that their primary care physician will be updated about any important changes in their health.

Not only is this critical in our personal lives, but access to healthcare (or delays to it) also has deep implications in the workplace. During this time where businesses are facing a great deal of economic stress, many offices are operating as leanly as possible and the absence of just one sick co-worker disturbs an entire department.  Because of this fact, employees are trying to be fully productive.

According to a 2008 survey conducted by Yankelovich for CIGNA, about 61 percent of U.S. workers said they reported for duty while they were sick or coping with family and personal matters.  On average, they did this more than twice as often as they missed work.  Employees who are ill at work are not fully “at work.” Their productivity, morale and concentration drops. Employees realize that presenteeism affects the workplace. In the same survey, 62 percent said they were less productive on those days they came to work too distracted to perform at their fullest potential. Yet, convenience care clinics – especially when located near dense, urban employment hubs – make it possible for employees to receive medical care near the office and return to work that same hour, or return home with medicine in hand to assist a speedy recovery.

This convenience care clinic model is proving to be effective and under demand in Arizona because more than ever before, greater health care access is crucial. Arizona continues to experience a shortage of primary care doctors, with a physician-to-population ratio that is below the national average, according to the American Medical Association.

It is our hope that more healthcare organizations, employers and individuals will help advance a new, stratified level of service: convenience care clinics for minor ailments, physician offices for more complex or specialty needs, urgent care centers for serious wounds or injuries, and quality emergency rooms for life-threatening needs.

A cooperative effort toward better public education and understanding as to which type of facility to seek for the appropriate  level of care would be a valuable step towards preventing over-crowding at emergency rooms and physician offices. Such an effort would assure that each type of facility provides the right care at the right time when patients come through the door. This adaptability, along with innovation, can give the customer quality care every time.

restrainedeaters

Warnings For ‘Restrained’ Eaters

One-third of U.S. adults are obese, and another third are overweight, according to data recently published in the Journal of the American Medical Association. Marketing scholars Naomi Mandel, Andrea Morales and Steve Nowlis have been investigating what influences our decisions about diet. Knowledge@W. P. Carey spoke with Professor Morales recently about two of her studies. One investigated those tempting 100-calorie snack packs, and the other looked at whether your dining companions have any effect on your food selections. The results may surprise you. (13:25)