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State Medicaid Coverage, Costs Grow In Maryland, Mississippi
"A year into a new effort to expand health coverage, recession-weary Marylanders are flocking to the state"s Medicaid program in numbers far greater than expected, costing the state $50 million more in the process," The Baltimore Sun reports. "As of this week, 44,255 additional state residents had enrolled in Maryland"s Medicaid system after income limits were significantly relaxed, outpacing projections that enrollment would increase by 26,605." Health advocates say "the state is doing the right thing by expanding publicly funded health care to adults who have children," but "increased enrollment has also enlarged the price tag." And "while the federal government picks up half the cost, the higher expenses come as Maryland is battling severe budget shortfalls. State health spending has been propped up this year by a major influx of stimulus dollars. Proponents had hoped to extend the public plan to adults without children this year, but the initiative was a victim of state budget constraints" (Fisher, 7/2).
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Bioniche Phase III Clinical Trial With Urocidin(TM) Progressing Well
Bioniche Life Sciences Inc. ("Bioniche"; TSX: BNC), a research-based, technology-driven Canadian biopharmaceutical company, today provided an update on its Phase III clinical program evaluating Urocidin(TM) in the treatment of bladder cancer. On March 31st, the Company announced that recruitment had been completed in its initial Phase III registration trial evaluating Urocidin in the treatment of non-muscle-invasive bladder cancer that is refractory (unresponsive) to the current standard immunotherapy - Bacillus Calmette-Guerin (BCG).
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MDA Re-Elects Three Researchers To National Leadership Roles
Three prominent figures in the field of neuromuscular disease research have been re-elected to national leadership positions with the Muscular Dystrophy Association (MDA).
Endocrinology

Do Electronic Health Records Help Or Hinder Medical Education?

Many countries worldwide are digitizing patients" medical records. In the US, for example, the recent economic stimulus package signed into law by President Obama includes $US17 billion in incentives for health providers to switch to electronic health records (EHRs) and $US2 billion for the development of EHR standards and best-practice guidelines. What impact will the rise of EHRs have upon medical education? A debate in this week"s PLoS Medicine examines both the threats and opportunities. Discussing the threats, Jonathan U. Peled (a medical student at the Albert Einstein College of Medicine, Bronx, New York, USA) and Oren Sagher (Associate Professor and Residency Program Director at the Department of Neurosurgery, University of Michigan Health System, Ann Arbor, Michigan, USA) argue that the EHR could have a harmful impact upon medical education. The effects of implementing EHRs on patient care have not been uniformly positive, say Peled and Sagher, and a number of reports of risk have already been published. "Our experiences have led us to believe that the potential risk of EHRs to medical teaching may be just as significant and, if not addressed, could erode the education of an entire generation of physicians." Laying out the opportunities, Jay Morrow and Alison E. Dobbie (Faculty Assistant and Professor at the Department of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, USA), argue that the EHR can enhance medical education in three ways. First, they say, "use of an EHR can enhance history taking and physical exam skills." Second, they believe that the EHR can enhance physician-patient communication if it is incorporated into the doctor-patient encounter. Finally, Morrow and Dobbie have found that the EHR "can be an impressive clinical teaching tool." Funding: No funding was received for this work. Link to related paper PLoS Medicine


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