Home About us Contact
|
Home About us Contact | ||
|
|
||
New Department (new + department)
Selected AbstractsCapturing the power of academic medicine to enhance health and health care of the elderly in the USAGERIATRICS & GERONTOLOGY INTERNATIONAL, Issue 1 2004William R Hazzard As in Japan, the US population is aging progressively, a trend that will challenge the health-care system to provide for the chronic, multiple and complex needs of its elderly citizens. and as in Japan, the US academic health enterprise has only belatedly mounted a response to that challenge. Herein is reviewed a quarter of a century of the author's personal experience in developing new programs in gerontology and geriatric medicine from a base in the Department of Internal Medicine at three US academic health centers (AHC): The University of Washington (as Division Head), Johns Hopkins University (as Vice-Chair), and Wake Forest University (as Chair). Rather than to build a program from a new department of geriatrics, this strategy was chosen to capture the power and resources of the department of internal medicine, the largest university department, to ,gerontologize' the institution, beginning with general internal medicine and all of the medical subspecialties (the approach also chosen to date at all but a handful of US AHC). The keystone of success at each institution has been careful faculty development through fellowship training in clinical geriatrics, education and research. Over the same interval major national progress has occurred, including expanded research and training at the National Institute on Aging and the Department of Veterans Affairs, and accreditation of more than 100 fellowship programs for training and certification of geriatricians. However, less than 1% of US medical graduates elect to pursue such training. Hence such geriatricians will remain concentrated at AHC, and most future geriatric care in the USA will be provided by a broad array of specialists, who will be educated and trained in geriatrics by these academic geriatricians. [source] A new department, a new minister , and a new select committeeASTRONOMY & GEOPHYSICS, Issue 4 2009Article first published online: 20 JUL 200 Science and technology is now part of the newly created government Department of Business, Innovation and Skills, with Lord Mandelson in overall charge. What will this mean for UK science? [source] Occupational therapy intervention, involving preventive health promotion, maintained an improvement in well being in older independent-living adults 6 months following completion of interventionAUSTRALIAN OCCUPATIONAL THERAPY JOURNAL, Issue 2 2003Margaret Wallen Introducing a new department in the Australian Occupational Therapy Journal: Critically Appraised Papers or CAPs. This department arose from a demand for critical appraisal of relevant research literature to keep occupational therapists up-to-date with advances related to practice. The broad aim is to publish two CAPs on a theme; one an RCT or systematic review, the other qualitative research. Each CAP will consist of a structured abstract of the content of the research and a commentary completed by an expert in the field. The commentary will critically appraise the research, place it in context with existing research and discuss practice implications. [source] A ,Catch Up' Plan for radiotherapy in New South Wales to 2012JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 4 2009Graeme Morgan Summary In New South Wales (NSW) from 1996 to 2006, only 34,37% of newly diagnosed cancer patients were treated with radiotherapy instead of the 50% proposed by NSW Health in Radiotherapy Plans released in 1991, 1995 and 2003. As a consequence, over 50 000 cancer patients were not treated and has resulted in the estimated premature death of over 8000 patients and over 40 000 years of life lost. In 2008, there were 42 linear accelerators in NSW rather than the 62 recommended. Based on cancer incidence projections, NSW will require 69 linear accelerators in 2012 , a shortfall of 27 linear accelerators. Already 15 linear accelerators have been approved. NSW Health has funding for seven extra linear accelerators, and eight extra linear accelerators are to be funded by the private sector. To make up the shortfall, a ,Catch Up' Plan is proposed for an additional 12 linear accelerators by the end of fiscal year 2012. This is estimated to cost $200 million over 4 years for one-off establishment costs for buildings and equipment plus $50 million per year for recurrent operating costs such as staff salaries. The ,Catch Up' Plan will create five new departments of radiation oncology in country hospitals and three new departments in metropolitan hospitals. These will be in addition to those already approved by NSW Health and will markedly improve access for treatment and result in an improvement in cancer survival. This significant increase in departments and equipment can only be achieved by the creation of an NSW Radiotherapy Taskforce similar to that proposed in the Baume report of 2002, ,A vision for radiotherapy'. Even if the ,Catch Up' Plan bridges the gap in service provision, forward planning beyond 2012 should commence immediately as 76 linear accelerators will be required for NSW in 2015 and 81 linear accelerators in 2017. [source] | ||||||||||