April 7, 2008

IN THIS ISSUE

Editor's Column: The Genome Revolution
Match Day Predicts Future For WSU Students
Acting WCMSSM President Receives MSMS Award
Children's Hospital Launches National Collaborative
AMA Pushes Congress To Restrict Tobacco Use
Health Futures Conference May 1


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Editor's Column: The Genome Revolution

By JOSEPH WEISS, MD
We are on the edge of revolution in the practice of medicine. You can compare this change to the effect of the discovery that microbes caused infectious disease.

The revolution is genomics – the application of genetic information into clinical practice. The change is closer than we might imagine. The March 19 issue of the Journal of the American Medical Association (JAMA) demonstrates how near medical technology is to practical application. Likely, in the working lifetime of many of the DMN readers, obtaining a patient’s genetic profile will be as much a part of the initial evaluation as is a CBC today.

We can expect that the patient’s genetic profile will allow:

  • Drugs prescribed because they fit both the patient’s ability to respond and to escape unwanted side effects.
  • Recommendations to patients on ways to manage their lives based on conditions and cancers that individuals are at risk to develop.
  • Preventive measures to stop the onset of diabetes, obesity, and heart disease in patients whose genetic profiles reveal a propensity for these conditions.

Genomics will begin the era of true preventive medicine. The profession will have the means to minimize harm to individuals with flawed mutations.

Obstacles to the introduction of genomics include: the high price of a genomic profile, the problem of quality in the results, identifying false positive and false negatives and organizing disease management based on genomic findings. In time, these problems will resolve, particularly as the cost of a genomic profile decreases.

The bigger problem is finding answers to where genomics will fit into American society. The potential disruption of our relationship with others and conflict with our sense of privacy is profound. The medical community will need guidance if physicians are to understand what genetic information the profession can share with patient, family, fiancé, employer, insurance company and government. Until the medical community develops such direction, we cannot become part of the genomics revolution.

What we need now is not more sophisticated processing of strands of DNA. The time is apt for cooperation between government, the medical profession, the health care industry and medical ethicists. The medical profession needs them to work out the social and philosophical problems that are as much a part of genomics as the genes themselves.

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Match Day Predicts Future For WSU Students

The tension was palpable as 300 fourth-year School of Medicine students crowded the Scott Hall cafeteria on Match Day 2008.

The students, along with family and friends, waited anxiously as the clock ticked toward noon, when they could open the letters that would tell them where they will practice medicine in the coming years.

This year’s match saw the continued success of the School of Medicine’s graduating classes. Ninety-two percent of the students secured one of their top three residency choices. More than two-thirds of School of Medicine graduates will begin practicing their specialties in the state, further cementing the fact that WSU trains a substantial number of the physicians serving Michigan residents.

Graduating medical students throughout the United States participate in this annual ritual, according to the National Resident Matching Program. On Match Day, fourth-year medical students at American medical schools across the nation learn simultaneously where they will begin residency training.

Fourth-year student Nicholas Trakul will begin his residency at the University of Hawaii. “This whole match day process can certainly add a little stress,” he said.

Trakul, the recipient of the Gordon B. Meyers Memorial Award in Internal Medicine, will complete a preliminary year in internal medicine at the University of Hawaii before beginning his residency in radiation oncology at Stanford University. “I look forward to finally doing what I want to do,” he said.

The envelope-opening ceremony followed the presentation of department awards for the Class of 2008. In addition, the students selected Academic Counselor Kathleen Connors as Class of 2008 marshal. She will lead the class procession at commencement, an honor reserved for a faculty member whom the students believe contributed greatly to their education.

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Acting WCMSSM President Receives MSMS Award

E. Chris Bush, MD, a Wayne County family physician, received an MSMS Community Service Award for his leadership in the establishment of the Wyandotte Clinic for the Working Uninsured, launched in September 2005. Located at the Center for Health Services in Brownstown, the clinic serves working adults who don’t have health insurance, with an emphasis on prevention and treatment of diabetes, high blood pressure, asthma, and obesity. In its first three years, the clinic has seen more than 2,500 patients.

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Children's Hospital Launches National Collaborative

Patient and family-centered care models are fast gaining recognition for their role in improving patient safety and quality of care. While most children’s hospitals make efforts toward patient and family-centered care, practices widely vary. DMC Children’s Hospital of Michigan is leading a national effort to advance the implementation of evidence-based patient and family centered care in pediatric hospitals. Nationally-recognized researchers, patient and family advocates, educators and health care administrators will gather for a National Summit at Children’s Hospital on April 14 and 15 to launch the collaborative.

“Patient and family centered care is at the core of how we care for our patients, interact with their families and make decisions about hospital protocols,” said Herman Gray, MD, president, Children’s Hospital of Michigan. “This summit is the beginning of a coordinated, interdisciplinary national effort to ensure that all patients and families are partners in health care decisions and delivery, consistently at children’s hospitals throughout the country.”

According to the Institute for Family-Centered Care, patient and family centered care (PFCC) is defined as an innovative approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health care patients, families, and providers. PFCC applies to patients of all ages, and it may be practiced in any health care setting.

At the Summit, national experts will hear keynote addresses from Tawara Goode, director of the National Center for Cultural Competence and associate director of the University Center for Excellence in Developmental Disabilities at Georgetown University and Juliette Schlucter a senior consultant for family centered care at Children’s Hospital of Philadelphia. Participants will share ideas, practices and priorities with other leaders in PFCC, evidence-based practices, health care disparities and cultural competence to develop a national action plan.

Under the leadership of Summit co-chairs, Herman Gray, MD, Linda Lewandowski, PhD, RN, professor of nursing and assistant dean, family, community and mental health at Wayne State University College of Nursing, and Beverly Crider, director, Patient and Family Centered Care at Children’s Hospital, the group will spend the next year executing the action plan. This will result in national research focused on PFCC with attention to disparities, at least one evidence-based clinical and administrative practice guideline for implementation, and core content to integrate in medical, nursing, and social work training programs. The National workgroup will then convene in 2009 to share research findings and further expand the dialogue with more organizations.

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AMA Pushes Congress To Restrict Tobacco Use

Upon the passage of anti-tobacco legislation from a congressional committee, AMA President and WCMSSM member Ronald Davis, MD, lauded the panel for its actions.

“The American Medical Association applauds the U.S. House Energy and Commerce Committee for passing the “Family Smoking Prevention and Tobacco Control Act.” The AMA urges the full House to take a critical step to combat smoking-related diseases by passing the bill this year, giving the FDA needed regulatory authority over tobacco products.

“Given what we know about the dangers of smoking, it is astonishing that tobacco products are one of the least regulated products in our society. The time is now for Congress to pass legislation to regulate the tobacco industry and protect the health of Americans, particularly our nation’s youth. The bill will stop illegal sales of tobacco products to children, further restrict marketing, especially to kids, and require more informative package health warnings.

“The FDA currently serves a vital role in protecting the health of Americans through the regulation of food and drugs. This bill ensures that the FDA will have the resources necessary to regulate the tobacco industry in addition to its current responsibilities.”

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Health Futures Conference May 1

2008 GDAHC Health Futures Conference

Thursday, May 1, 2008

7:30 a.m. — 2:30 p.m.

Hyatt Regency Dearborn

600 Town Center Drive

Dearborn, MI 48126

“Looking for a Medical Home?

Primary Care Quality Improvement, Is it the Next Step in

Improving Health Care Quality and Cost?”

The conference will explore issues related to: chronic care management and how it helps to improve quality and save dollars, electronic medical records, e-prescribing networks and other health information technology tools, the patient-centered medical home, organized systems of care, and the doctor-patient relationship in quality improvement.

SPONSORSHIP AND EXHIBIT OPPORTUNITIES ARE AVAILABLE.

Contact Bridget G. Hurd for additional information — 313-965-4123 or bhurd@gdahc.org.

FEATURED SPEAKERS

Dr. Arnold Milstein, Medical Director, Pacific Business Group on Health, and Chief

Physician, Mercer Health and Benefits

David Morin, President and CEO, CieloMedSolutions

Joe Fortuna, MD, Co-Chair, Health Focus Group, Automotive Industry Action Group

and Former Medical Director, Delphi

Steven Grant, MD – President and CEO, United Physicians

Jack Billi, MD, Associate Vice President, Medical Affairs, University of Michigan

John Coumbe-Lilley, PhD, Principal, Practice Transformation Institute

Herbert Smitherman, MD, President and CEO, Health Centers Detroit Medical Group

Ewa Matuszewski, CEO, Medical Network One

 

Conference Fee:

GDAHC Members

$150.00

Non-Members

$175.00

To register, go to

www.gdahc.org.

Group rates are also available.

Call 313-596-0812 for more

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