Taking a nap, we've seen time and again, is like rebooting your brain. But napping may be as much of an art as it is a science. The Wall Street Journal offers recommendations for planning your perfect nap, including how long to nap and when.
I made a discovery this week about the novel anticoagulant medications,dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis) and edoxaban(Lixiana). I was looking into the often-asked question of how these new drugs compare to the old standard, warfarin.
The discovery felt like a Eureka moment. I ran it by my stats guy–my son–and a couple of colleagues, and they confirmed, that my discovery was truth. I’m working on a post now that discusses the details of how the medical world has been misled about these drugs. Stay tuned.
For now, though, this revelation got me thinking about medical education. How does it happen that doctors (and patients) can be misled?
Many smart people think medical misinformation occurs in large part because industry pervades medical education. Examples abound, but look no further than the dronedarone (Multaq) blemish. The short story is that dronedarone was touted as a new wonder drug for AF. The marketing held it up as a metabolite of amiodarone that had the mother drug’s efficacy but none of its toxicity–an amiodarone light. This was hogwash. The drug was evaluated in studies designed to obfuscate. It was hyped by thought leaders with deep financial ties to the drug maker. And then, even when trial data and real-world experience demonstrated inefficacy, the hype persisted. Thought leaders continued to make dinner rounds in cities throughout Europe and the US. Not until the PALLAS trial showed that dronedarone increased mortality in patients with permanent AF, did the noise die down. The excessive hype was an embarrassment for the cardiology community.
This brings me back to continuing medical education or CME. Currently, most CME is offered to doctors free of charge. But, of course, everyone knows about free lunches. The way doctors get free (or discounted) CME is through industry funding. For-profit medical companies happily provide dollars and expertise for medical education. They hire thought leaders, often guideline writers, to do lectures and webinars. They fund medical societies who then curate the content of the education. Industry entwines itself in medical education.
Medical education, however, is not supposed to be like an advertisement. Ads are declared as ads. The lines blur when industry sponsors CME.
A skeptic might posit that a thought leader can easily tout a dubious drug during a CME activity. Mind you, not in a criminal ProVasic kind of way. Rather, the nimble-of-mind academic can hide behind relative risk ratios and dodgy study designs. The skeptic might say this is worse than an evening news ad or glossy spread in a print journal. I wonder: is it worse because it’s tricky? Or worse because it’s effective? Or both?
The same idea holds true for medical journal editors. They suspect a study is dubious but let it pass because they are conflicted by the need to sell journals and advertising space. A possible scenario: Let’s say a pacemaker company supports a journal with big advertising dollars. Then let’s say that pacemaker company suffers a ghastly lead recall. How easy will it be for editors to publish negative editorials or studies on that lead? I’m just asking. These are humans playing the game after all.
This stuff is important. I often find myself shaking my head at conferences. I think to myself: Are doctors really this gullible? They can’t see the manipulation?
Such examples lead some skeptics to say that medical education should be funded by only one source–the person consuming the education. Namely the doctors. This makes a lot of sense on paper. The problem comes in deciding how much CME should cost? How much will the teachers make? Who will do the teaching? Who will certify the teachers and the information?
Consider that I give CME lectures at my hospital. Lots of regular doctors do. We do it for nearly nothing. We do it as an avocation, not a vocation. But lectures at the home hospital are just a drop in the bucket of CME need. And who is to say that an unpaid Mandrola lecture is worthy? I gave lectures before I read Ben Goldacre. Maybe I misled the herd?
Social media — a potential solution?
Perhaps social media can outsource/crowdsource medical education? Social media and the Internet is changing the landscape of learning. Look at theFOAM experience, and PLOS, for instance. In education, look at what Sal Kahnhas done.
Medical education is a tough problem. The practice of Medicine depends on the availability of effective medicines and devices. We need industry to educate us about their products. I can’t easily ablate AF without eye-popping technology from Johnson & Johnson.
The line separating skepticism from paranoia and nihilism is also blurry. One has to believe that humans, for the most part, are good. Medical thought leaders are no less human than any of us. We are all just ambling along trying to better ourselves first and humanity second. Right?
Call me naive, but I believe it’s possible that doctors and patients could be (partially) inoculated against industry manipulation. We can teach ourselves to look at absolute risks, NNT and study design. We can learn from the work of Drs. Harlan Krumholz, Sanjay Kaul, Eric Topol, Ben Goldacre, and many other voices of reason. We can learn to discern quality journalism from hype. Go read my colleagues at heartwire. I challenge you to find industry hype in their reporting.
And yes, doctors might even be able to learn from each other, on platforms like this.
Healthcare is a breeding ground for disruption. Countless processes from patient relations to management of health records can be augmented. Surgeons wearing Google Glass, patients with NFC embedded identification bands, and nurses equipped with iPads are already a reality.
Yet one area of innovation may stem from an unlikely source. Social media for healthcare can contribute to increased communication, provider efficiency, treatment efficacy and organizational transparency.
¿Cómo se debe plantear la reputación, la imagen de marca y la identidad en la web? En primer lugar, entendiendo que toda la web, absolutamente toda, funciona con un criterio social. Y que como en todo entorno social, existen dos piezas fundamentales para poder moverse en él de manera razonable: los oídos y la boca.
El periodismo cumple una labor divulgativa necesaria a la hora de informar sobre temas relativos a la salud. Sin embargo, aún existen asignaturas pendientes como asegurar la especialización del informador, evitar el sensacionalismo en los mensajes o adaptar el lenguaje, haciéndolo comprensible y sencillo. Sobre algunas de estas cuestiones, responde la profesora y periodista Elena Blanco Castilla, artífice del primer Master en ”Periodismo, salud y calidad de vida” de la Universidad de Málaga y responsable de diversos cursos y publicaciones sobre periodismo especializado en este campo.
El plazo para la presentación de los trabajos es el 3 de diciembre· Los premios consisten en cursos de formación audiovisual en escuelas de alto nivel y premios en metálico
· BiomediCine es uno de los proyectos ganadores de la Convocatoria de Ayudas 2012 de la FECYT para el Programa de Cultura Científica y de la Innovación
Biopol’H, la Universidad de Barcelona y el Hospital Universitario de Bellvitge organizan el Primer Concurso de Video Biomédico, el BiomediCine 2012. El concurso pretende impulsar la producción de cine y video para la investigación, la enseñanza y la divulgación de las ciencias de la salud, así como contribuir a mejorar la calidad de las producciones y de fomentar la cooperación institucional.
Disponer de un plan de crisis, que los profesionales de la salud participen en la Red y contar con argumentos científicos sólidos para defenderse son la mejor estrategia para contrarrestar los rumores de salud en Internet, según diversos expertos consultados por COM Salud.
We've seen many cases of nurses falling out of grace because of social media mistakes, however social media isn't just about the bad and the ugly. It can also empower all nurses! In fact, many health care professionals would agree that Twitter, YouTube, LinkedIn and many other digital platforms did a great deal in helping them grow professionally. Social media has changed the health care landscape for all of us.
So why exactly do nurses need social media?
It strengthens nurse-patient relationship.
Communication between patient and health care team has evolved for the better, thanks to social media sites. In sites such as PatientsLikeMe.com, patients are able to share their medical condition to other patients and health professionals around the world, thus allowing them to compare treatment procedures, discuss test results, and learn from each other. Instead of reading medical articles and reference blogs, patients can directly ask their nurses and get answers to their queries real-time. This procedure keeps medical information transparent, true and fast. It shares industry breakthroughs.
Nowadays, nurses no longer rely solely on nursing magazines and journals for learning. Instead, they turn to social media sites to gain insight on their industry’s new and upcoming trends. Following professional sites such as Centers for Disease Control tells nurses what’s new in the medical sector and offers them reliable information. Following their favorite nurse writers on sites such as NurseTogether.com can also give them an insight on what’s happening in the profession. It spreads awareness about public health issues.
Social media becomes an important tool especially during emergencies such as the Sandy hurricane. By re-tweeting posts on Twitter or posting links on Facebook, nurses are able to inform and promote the safety and well-being of individuals in the community. All nurses can raise awareness for a certain cause through tweets, blogs and posts. It makes communication easier, especially for travel nurses.
Before social media, travel nurses would have to send out or receive tons of letters for their assignments. Some instructions could not reach them while they were on the road. Now with social media, travel nurses only need to follow a Twitter feed, read a blog post, or check Flickr photos for instructions. Moreover, communicating to friends and family back home has become easier, thanks to social networking sites. Photo and video sharing to loved ones is also possible through Facebook and Flickr. It shares knowledge, expertise, and support towards fellow health care professionals.
NurseTogether.com and other social media sites are meant to empower nurses; they are avenues for nurses to share knowledge and expertise with other nurses. All one needs to do is to register an account and he/she is free to participate in forums and discussion boards, ask and answer questions, read nursing-related articles, and even review job opportunities. It helps nurses de-stress.
YouTube, Metacafe, and other video sites can relieve nursing stress. Numerous videos are light and funny - the perfect medicine after a tiring 12-hour shift. Social networking sites can also serve as the temporary escape from the daily grind.
Daniel Ghinn continues his series on the use of social media in the pharmaceutical industry by reviewing social media use in 2013 by pharma and sharing a list of his top-ten favourite pharma social media 'firsts' this year.
La Residencia Interdisciplinaria de Educación para la Salud (RIEpS), del Ministerio de Salud del Gobierno de la Ciudad de Buenos Aires, ha desarrollado la 'Guía de dispositivos de intervención en Educación para la Salud', actualizando el trabajo...
"La investigación clínica, y dentro de ella la basada en ensayos clínicos con medicamentos, genera un volumen ingente de documentación escrita que es preciso traducir del inglés al español. El presente glosario está pensado como ayuda práctica al traductor especializado que se enfrenta a esta compleja tarea. Se han seleccionado cerca de 1400 conceptos básicos del ámbito de los ensayos clínicos y otras disciplinas afines y se han organizado buscando la máxima claridad expositiva. Para cada entrada principal se ofrecen uno o más equivalentes en español, seleccionados según criterios que tienen en cuenta tanto la frecuencia de uso real como la corrección lingüística y conceptual. El glosario se enriquece con unas 1500 remisiones internas a voces equivalentes o a entradas relacionadas. Por último, muchos artículos aportan información complementaria de interés para el traductor
Clinical research, including the investigation based on pharmacological clinical trials, produces an enormous amount of written documentation that has to be translated from English into Spanish. This glossary is intended as a practical guide for the specialized translator who faces this complex task. About 1,400 basic concepts in the clinical trial environment and other related disciplines have been selected and organized with the purpose of achieving an optimal content clarity. Each main entry contains one or more equivalent in Spanish, chosen on the basis of actual frequency of usage, as well as linguistic and conceptual accuracy. The inclusion of approximately 1,500 internal references to equivalent terms or related entries increases even more the value of this glossary. Finally, there are plenty of articles, which provide additional information of interest for the ..."
"Are you seeing pink? October is Breast Cancer Awareness Month which means pink ribbons and pink everything are showing up everywhere - NFL players sport pink accessories, there are pink cereal boxes on store shelves and pink newspapers in the mailbox. But is that pink can of soup really making a difference to eliminate breast cancer? Critics call it "pinkwashing" and say it's time to move past the superficial awareness campaigns for what is a complicated and devastating disease. They say that visibility and fundraising alone isn't the answer to ending breast cancer and that this sort of marketing oversimplifies the disease with detrimental effects. We'll explore the nexus of disease, marketing, awareness and research in what some call our "feel good war on breast cancer" and learn about some of the politics and controversies over prevention and treatments."
The use of social media has increased dramatically over the last decade. Sites such as Facebook, Twitter, and LinkedIn have allowed the rapid communication of ideas and news around the world at fast speeds. Recent estimates suggest that over 90% of young adults have some type of online presence, weather it is in the form of a Facebook page, and/or Twitter or LinkedIn account. Moreover, it is estimated that over 80% of 25-34 year olds browse the World Wide Web regularly, with 50% of these accessing the Web from a mobile device. This presents a great opportunity for educators, especially in the Public Health arena, to interact and engage students in a field that is rapidly changing and depends on timely information to make decisions, which may have a potential effect in the population as a whole.
Hoy ha comenzado el séptimo congreso sobre comunicación y salud en la facultad de ciencias de la información, contando con profesionales de excelente currículum y la presencia de nuevas tecnologías (emisión en streaming del congreso ...
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