In Uk Survey, Doctors Support Denying Treatment To Smokers, The Obese

Although the survey by the networking website was a self-selecting poll, the site’s chief executive called the response “a tectonic shift” for the profession. The results feed into a British debate about “lifestyle rationing” by the National Health Service, the Observer reported. The survey by, which claims nearly 192,000 members, found that 593, or 54 percent, of the 1,096 doctors who participated answered yes to this question: “Should the NHS be allowed to refuse non-emergency treatments to patients unless they lose weight or stop smoking?” Doctors who approved gave a few examples, The Observer said: Denying in-vitro fertilization to childless women who smoke was justified because the procedure was only half as successful for them as for non-smokers. Obese or alcoholic patients should be expected to change their behaviors before undergoing liver transplant surgery. Doctors and patients who oppose lifestyle rationing call the approach blackmail that denies the sick their human rights, The Observer said. Dr. Tim Ringrose,’s chief executive, told The Observer the findings represent a significant change in doctors’ attitudes, considering that the health service must save 20 billion pounds ($32.5 billion) by 2015. “This might appear to be only a slim majority of doctors in favor of limiting treatment to some patients who fail to look after themselves, but it represents a tectonic shift for a profession that has always sought to provide free healthcare from the cradle to the grave,” Ringrose said. Dr. Clare Gerada, chair of the Royal College of General Practitioners, told The Observer the NHS should deliver care according to need. Clearly, giving up smoking is a good thing, Gerada told The Observer. But blackmailing people by telling them that they have to give up isn’t what doctors should be doing.” Clinical advice about lifestyle changes are another matter, other doctors said. “Lifestyles contribute to risk and sometimes they may make treatments too risky to undertake, John Saunders, chair of the Royal College of Physicians ethics committees, told The Observer. But that’s quite different to saying, ‘I’m not going to give you surgery because you smoke or are overweight.'” Some UK private care trusts already ban in-vitro fertilization, breast reconstructions and hip and knee replacements for smokers and the obese, The Observer said. Dr. Michael Ingram,chair of Red House Clinical Commissioning Group in Hertfordshire, last month wrote inthe doctors’ website Pulse that “Rationing is dressed up as science.” “Where does this go next?

visit here


Doctors Strike Over ‘dangerous’ Hours

Public hospitals are offering the level of service usually provided on a Sunday but 12,000 out-patient appointments have had to be rescheduled and 3,000 surgical procedures postponed to a later date. Dr John Donnellan, chairman of the IMO’s non-consultant hospital doctors committee, said: “Members are worried for the risks they pose to their patients and to themselves by current working conditions.” In a recent survey of work patterns, 85% of junior doctors (NCHDs) said they routinely work shifts of more than 24 hours. The IMO wants an immediate end to shifts of that length and clarity on how the Health and Safety Executive will meet its commitment to ensure no doctor works longer than 48 hours a week by the end of next year. The Irish Patients Association voiced support for the doctors cause but not for the “means to that end” and called for patients affected by the strike to be made a priority. Chief Executive Stephen McMahon said: “We dont want the patients affected today to become emergencies.” He welcomed the news that appointments and surgeries in private hospitals would go ahead as planned. The Irish Nurses and Midwives Organisation also expressed support for the junior doctors although its members have been advised not to undertake the duties of those taking part in industrial action. The IMO said proposals published by the Health Service Executive lacked credibility. Talks between them at the Labour Relations Commission have broken down, with the IMO refusing an invitation to go back. With talk of the strike escalating to 48 hours next week, one cardiologist branded the action “morally reprehensible” and urged the junior doctors to find other ways to protest. Professor Eoin OBrien said no one could estimate how many of the patients affected will suffer what may be a fatal outcome as a result of their treatment being delayed.

her response

Study identifies poorly performing doctors

It aimed to describe how often doctors are referred because of performance-related concerns, and to see if there were common features of the doctors referred. This sort of study is good for describing the trends and differences between subgroups within the data. It is not intended to explain why these differences might be occurring. What did the research involve? Doctors: fit for practice or fit for purpose NCAS is separate to the professional regulator, the General Medical Council (GMC) . The GMC determines whether a doctor is fit to practice at all; NCAS seeks to establish whether they are “fit for purpose”. The researchers examined data collected by NCAS on the referral of 6,179 doctors between April 2001 and March 2012. NCAS is a national body that assesses doctors’ clinical performance. It was created initially as the National Clinical Assessment Authority following recommendations made in two reports by the chief medical officer for England. Doctors who feel they are in difficulty can self-refer, or referrals can be made from any healthcare organisation in the NHS. NCAS gives advice on how to handle the initial situation, such as a patient complaint. If serious enough, NCAS then carries out a full assessment of the doctor to identify options for resolution of the problems encountered. The service began to operate in England in 2001, in Wales in 2003, in Northern Ireland in 2005, and in Scotland in 2008. What were the basic results? The researchers found that: five doctors per 1,000 were referred per year doctors who gained their first medical qualification outside the UK were more than twice as likely to be referred compared with UK-qualified doctors male doctors were more than twice as likely to be referred compared with female doctors doctors in the late stages of their career (aged 55 years or older) were almost six times as likely to be referred compared with doctors early in their career (under 35 years old) the highest rates of concern were seen in doctors working in psychiatry and obstetrics and gynaecology How did the researchers interpret the results?

take a look at the site here

Study: Gastroenterologists Are Soon To Be In Short Supply

Stay up to speed on: Healthcare Providers Medicare/Medicaid/CMS Policies & Regulations Healthcare Reform Healthcare Finance Click here to see a sample. We never sell or give away your contact information. Our readers’ trust comes first. But here’s one you might not have expected: We’re likely to also see a shortage of gastroenterologists. Why? Primarily because primary care physicians don’t provide colonoscopies. And colonoscopies are increasingly needed to catch cancer early, or even identify precancerous disease. Unless the number of gastroenterologists increases, even the current rate of screening won’t be able to be sustained. The Lewin Group found that current rates will require an additional 1,050 gastroenterologists by 2020 (on top of the current 10,390 practicing gastroenterologists in the United States). If the rates go up by 10 percent, the nation would need as many as 1,550 additional gastroenterologists by that time. To learn more about the study: – read this piece from The New York Times Related Articles:

this content

Rheumatologists and Gastroenterologists are Reluctant to Prescribe Biosimilars for Indications in Which They Have Not Been Clinically Tested

According to Biosimilars Advisory Service: Physician Perspectives on Biologics in Immunology & Infectious Disease, a similar proportion of surveyed rheumatologists and gastroenterologists, 49 percent and 47 percent, respectively, say that indication extrapolation should be performed carefully because some patients might be more sensitive to minute differences between the brand and the biosimilar. Survey findings suggest that in order for gastroenterologists and rheumatologists to feel comfortable prescribing a biosimilar, a randomized, Phase III trial comparing the biosimilar to its reference brand would be required in all indications. This differs from regulatory guidance in the United States, Europe and Japan which states that indication extrapolation is permitted, as long as it is scientifically justified by the applicant. Surveyed gastroenterologists and rheumatologists are hesitant to adopt biosimilars unless these agents demonstrate robust clinical data, so incentives, like cost reduction, will be important to facilitate uptake, said Biosimilars Advisory Service Director, Andrew Merron, Ph.D. Despite the moderate uptake of biosimilars that we expect from these specialists, the sheer size of this market means that biosimilars for immune diseases will be the most lucrative class of biosimilars by 2021. The Physician Perspectives on Biologics in Immunology & Infectious Disease module of the Biosimilars Advisory Service offers extensive primary research with US, French and German gastroenterologists and rheumatologists to highlight the key expectations that will drive or constrain biosimilar adoption. Insights from surveyed gastroenterologists and rheumatologists provide a sound basis for annualized, brand-specific biosimilar sales forecasts for the TNF-alpha inhibitors, other major biologics used in immune diseases and pegylated interferon alpha products, which are all included in the module. Sales forecasts are provided through 2021 across the seven major pharmaceutical markets (United States, France, Germany, Italy, Spain, the United Kingdom and Japan). About BioTrends Research Group BioTrends Research Group provides syndicated and custom primary market research to pharmaceutical manufacturers competing in clinically evolving, specialty pharmaceutical markets. For information on BioTrends publications and research capabilities, please contact us at (610) 321-9400 or . BioTrends is a Decision Resources Group company. About Decision Resources Group Decision Resources Group is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources Group at .

click this link now

Locum Consultant Gastroenterologist, N.ireland

Mauna Kea Technologies Announces Strong Presence at Asia-Pacific Digestive Week / World Congress of Gastroenterology 2013

Locum Consultant Gastroenterologist We are looking for GMC registered consultant doctor to cover a locum assignment within Gastroenterologist with our client in based in Northern Ireland. This locum position will require a locum consultant doctor to work within a busy department (NHS) in Northern Ireland. Vacancy dates from 15 July 2013 for 4 wks initially: Job Plan * Monday to Friday – 9 to 5 pm (various sites) * Possibly oncall on a 1:10 basis (rate to be agreed. Applicants must have GMC registration and at least 6 months UK experience to be considered for this position. Please send ref SZD080702 with cv to What you can expect from Mediplacements: – A dedicated one to one service – Fast track registration process – Assistance with travel and accommodation – Excellent rates of pay – Weekly pay – on time, every time – Access to exclusive NHS and Private sector jobs – 24 hour service from our friendly consultants Additional benefits include: – Our loyalty scheme; TPG incentives – thousands of online and in store discounts – No Registration Fee! Why choose us? Prior to applying for this job please note that all applicants must be able to provide proof of the following criteria: Your right to work within the UK (e.g. copy of your UK or EU passport or relevant work permit or visa). If applicable, registration with the relevant UK governing body (e.g. the Health and Care Professions Council, General Pharmaceutical Council, General Medical Council etc). Relevant experience of the role you are applying for. You will also be required to complete the following prior to any offer of work: A Disclosure and Barring Service (DBS) check (formerly CRB check), Mediplacements can assist you with this process (please note this is not applicable for Medical Lab Staff). Full occupational health clearance regarding immunisations etc. in the form of a valid ‘fitness to practice certificate’ as per current Government Procurement Service (GPS) standards (e.g. an occupational health report stating dates of your last TB, Hep B immunisations etc.). Please enter your full name: Please enter your email address: Please enter your phone number: Please attach your CV: Genuine specialist suppliers with a proven track record We only recruit for the medical sector and during our 18 years trading history we have established long term relationships with most Hospital trusts and healthcare organisations.

web link

There is a fast-growing interest in Optical Biopsy applications in Gastroenterology in China, said Pr. Yan-Qing Li, Chief of Gastroenterology at Shandong University, Qilu Hospital. Were very excited to see the broad interest generated by this key technology in our country. Several hundreds of our patients have already benefited from Optical Biopsies. The scientific exposure this year at APDW is already very significant, reflecting the high-quality clinical work performed around the world with probe-based Confocal Laser Endomicroscopy. Cellvizio and its miniprobes will be on display at booth #E01, together with Fujifilm China, its exclusive distributor in China. In China, like in the rest of world, gastroenterologists are now given the possibility to improve some of the most important procedures for their patients, thanks to Optical Biopsy. There is also clear evidence that only a short learning curve is required to interpret Optical Biopsy images and use it in routine, said Dr. Marc Giovannini, Chief of Endoscopy at Institut Paoli-Calmettes in Marseilles, France. Dr. Giovannini will be conducting a live procedure with Cellvizio at Changhai Hospital, The Second Military Medical University, Shanghai, in a session organized by Pr. Zhao-Shen Li, Chief of Gastroenterology at Changhai Hospital. Pr. Li is also President of the Chinese Society of Digestive Endoscopy (CSDE) and Vice President of Shanghai Chinese Society of Gastroenterology (CSGE).


Einstein Medical Center Expands Pain Management Services With Bucks County Orthopedic Specialists

A board certified pain medicine and physical medicine/rehabilitation specialist, Sthalekar embraces the latest advances in technology to increase the safety, efficacy and accuracy of the interventional procedures he performs. With all of the advances in our field, we can often help patients quickly regain their mobility and enjoy life again, notes Dr. Butler. The goal for these types of treatments is to minimize your pain and maximize your return to a life where function is not limited by spinal problems. Both Dr. Sthalekar and Dr. Butler are fellowship-trained specialists in their field. They routinely perform epidural steroid injections, facet joint injections, peripheral nerve blocks, spinal cord stimulator trials and all peripheral joint injections to bring rapid relief to patients suffering from a variety of acute neck and back pain. Beyond offering the latest therapy options, we really focus on offering personalized and responsive care, Dr. Sthalekar states. Many of us from BCOS are local to the area and we are honored to be caring for the community in which we grew up. About Bucks County Orthopedic Specialists: Bucks County Orthopedic Specialists (BCOS) is a comprehensive, multi-specialty orthopedic practice serving the greater Bucks and Montgomery County region for more than 30 years. With fellowship-trained physicians from leading university hospitals, BCOS achieves exceptional results for their patients using state-of-the-art, minimally invasive treatments coupled with the commitment of their total team to provide seamless, personalized care from start to finish. BCOS surgeons perform thousands of surgeries each year at Doylestown Hospital in addition to seeing patients in their Doylestown and Warrington offices. BCOS most recently expanded with an interventional spine and pain management office at Einstein Medical Center Montgomery. To learn more, visit or call (215) 348-7000 Contact: Chart Your most recently viewed tickers will automatically show up here if you type a ticker in the “Enter symbol/company” at the bottom of this module.

full article

New Birth Injury Specialists at

New Birth Injury Specialists at has appointed a number of birth injury solicitors to its growing network of clinical negligence experts. The move is motivated by the network’s mission to becoming the leading source of legal advice and information for those who have been affected by hospital negligence. Nearly every medical negligence claim firm in the UK will have at least one solicitor with experience of birth injury cases explained’s spokesperson. however, relatively few are equipped to deal with the more complex conditions arising from negligence such as Cerebral Palsy and brain injury. These cases can be long and drawn out, and require the expertise of a solicitor who can not only fight on the claimants behalf for injury compensation, but compensation that will ultimately enable the client to undergo future medical procedures/ treatment without the worry of spiralling medical costs. With relatively few studies conducted into the causal link between the types of negligence at birth and Cerebral Palsy, there are relatively few statistics to demonstrate that this alone is a primary cause for the condition in infants. According to the NHSLA, as many as ten per cent of all Cerebral Palsy cases could be attributable to errors and inaction at birth, however, this figure may be somewhat inaccurate given that the condition may be pre-existant and has simply gone undiagnosed. Even the most experienced medical negligence solicitor may have difficulty in proving the causal link between negligence at birth and the patient’s condition, which is why have chosen to expand their pool of birth injury specialists to include Cerebral Palsy and birth brain injury experts. The appointment of additional birth injury claims solicitors is part of a long-term strategy confirmed the network’s spokesperson. We’ve seen an unprecedented increase in the number of claims made for birth and maternal injury in 2012, to the point we believe that an expanded network of specialists will enable us to better serve those with particularly difficult cases. Revered for their efforts in improving access to legal advice for hard working people across the UK, aims to be a leading resource for those uncertain about taking legal action against medical professionals. The visionaries behind the site believe that too many people have to suffer the hard sell from claims companies when looking for straightforward legal advice, which can often put them off taking further action in the long-run. Many people who approach us aren’t necessarily sure whether they want to take action so soon after a harrowing ordeal explained the site’s representative. We have to respect the fact that for many people, understanding their options is far more important in these early stages, and that’s what we aim to do. This approach is further exemplified by the free advice line set up for potential claimants who can call for confidential advice without feeling obligated to take up the company’s services. Medico-legalnews:14 May 2013 Related news headlines

helpful hints

Your Career As A Medical Coding Specialist

Medical Coding

In hospitals, they may work day, evening, or night shifts if the billing department operates 24 hours per day. There is little to no contact with patients. Salary and Job Outlook The salary range for a medical coder ranges from a high of $58,488 to a low of $33,777 with $43,995 being the average. The job outlook is expected to be better than average through 2016 with faster than average growth at a projected increase of 18 percent. Government regulations regarding health information and billing will ensure that there are plenty of job opportunities available. There will also be the need to replace workers leaving the work force due to retirement. Medical Coding Programs and Colleges Certified medical coders are trained in anatomy, physiology, and medical terminology. They must understand the etiology, pathology, signs, symptoms, and disease processes. Coders may receive an associates or bachelors degree at one of over 200 colleges and universities across the country. Many more institutions offer a coding certificate program. There are also many online medical coding classes and colleges to choose from. Some medical coding specialists may choose to become certified in their field. There are several types of certifications from which to choose depending upon your areas of experience. All that is required to be eligible to take the certification exam is a high school diploma or equivalent.

discover this