Policy Things I Think Are Interesting, Part II

1. Recently, I was talking to a fellow student about the new MSSNY policy to remove the exemption for off-shore students to get NYC clerkships. At one point, she said, That's all well and good, but what can MSSNY actually do about it? As I've mentioned before, AMA and MSSNY are advocacy groups that represent physicians' and medical students' interests. They have political action committees -- AMPAC and MSSNYPAC, respectively -- and those PACs have lobbyists to voice our concerns to state and federal government officials. The groups care about expanding health coverage for the uninsured, reforming medical liability, and graduate medical education. Is there something you care about? Join the Physicians Grassroots Network! As a member of "the leading voice for America's physicians in Washington DC," you have a hand in shaping the nation's health and health policy for the better. Get involved today!

2. Public Smoking Ban May Be Nationwide by 2020: It's a misleading title, actually. The CDC collected data on the trend of banning public smoking (in bars, restaurants, etc.) over 25 states in the last 10 years and extrapolated it -- if the trend continues, "the entire nation could have similar bans by 2020." This would be a great advancement, since second-hand smoking has dire health consequences, causing about 46,000 heart disease deaths and 3,400 lung cancer deaths in non-smokers each year. An issue, though, is southern states, of which none have public smoking bans in 2011. However, hope lies in the fact that individual communities have bans, and their sentiments might spread state-wide. There is especially an onus on state legislators in this region -- another reason to get involved with the AMA!

3. Telehealth Rated Top Medical Innovation: A survey of over 100 health sector leaders from around the world found that "technologies that combine data exchange with people-to-people interactions help enable easy, efficient, professional practices." This means electronic medical records and similar technology. The main benefits of telehealth, the study showed, was from increasing efficiency of the healthcare workforce and improving equitable access to care.

4. A New MCAT in 2015?: The AAMC has recommended a series of updates to the trauma-inducing MCAT that would be enacted in 2015 (if all the recommendations are adopted). The new and questionably improved test would have a stronger focus on cell/molecular biology, biochemistry, and social/behavioral sciences. The changes reflect the boon of research in the former fields since the MCAT was last completely revamped (ca. 1990) as well as the importance of ethics and cultural competency in medicine. The updates would also extend the test by another 90 minutes - yikes. Additionally, this would indirectly change pre-med requirements and force students to front-load more upper-level science classes into their college education.

What Happens When We're in Class All Day

Lauren Gluck here, your friendly neighborhood VP of Policy & Legislation. It can be hard to stay updated on all the goings-on of health news and policy, so I'm going to try to bring it to you. I'll take five of the most relevant and interesting stories/articles/websites and break them down into need-to-know information. As always, if you have any questions or comments, e-mail me at lgluck01@gmail.com.

1. HealthCareandYou.org: The brainchild of the ACP, AMA, AAFP, AAP, and many others, this website is a fairly user-friendly guide to decoding what the Affordable Care Act means to you, broken down by state, age group, etc. Take a look at the "timeline" header for a year-to-year evaluation of how ACA will affect >65, <65, physicians, and small business owners.

2. AMA promotes Graduate Medical Education funding: Remember how the MSSNY-MSS called for advocacy to increase residency/GME spots and funding? The AMA is doing just that! This article says, "To ensure an adequate physician workforce and better access to care, proper GME funding is a must." Some of AMA's solutions include: expand GME programs geographically to areas in need; extend GME to include non-hospital training sites, like outpatient settings, nursing homes, and community health centers; and create an all-payer GME system that includes federal and/or state mandates.

3. New ACGME resident duty hour standards: As of July 1 2011, the Accreditation Council for Graduate Medical Education will enact new rules for how long residents can work. Some of the updates include: 16-hr (PGY1) and 24-hr (PGY2+) max within 80-hr workweek, one-day-off-in-seven standard, direct supervision for interns (they'll never be the only doctor on their service), and maximum 6 consecutive nights of night float. (Here's a link to all the rules, plus specific rules by specialty program.) How do you feel about this? Take a quick survey from the Eastern Virginia Medical School Dept. of Surgery to voice your opinion as a medical student!

4. How Can I Help Patients Change Unhealthy Behaviors?: Here's an issue I've encountered a lot in preceptor, and I'm sure I'm not alone. This article focuses on Collaboration, Autonomy, and Education to help patients adopt healthier habits. The author tells us to: 1) Resist the "righting reflex" -- you know, when you think explaining the medicine behind, say, smoking, will magically help your patient quit, but often makes the patient resist the change; 2) Understand the patient's motivations; 3) Listen to the patient; and 4) Empower the patient. Easy enough, right? Well… We'll get there.

5. The AMA-MSS Annual Meeting is coming up from June 15-18 in Chicago. It's a great opportunity to meet medical students from all over the country and to learn about issues important to us as medical students and future physicians. Scheduled events include: 3 days of educational programs on a wide range of topics; policy-making sessions; a medical specialty showcase; leadership elections; and an AMA National Service Project event. Interested in attending? Register (free!) here. A few of us from the UB AMA-MSS Executive Board will be going, so you won't be alone!

AMA's 5K Fun Run

To further promote healthy living, the UB AMA hosted a 5K Fun Run yesterday afternoon, April 14th. There were about 15 students who participated. Water and healthy snacks were provided to the participants.


To view their course taken click on this link: MAP
To view more pics CLICK HERE

Kicking off April as our National Public Health Month

The AMA sponsored two events last week to help promote April as the nationally observed Health Month.

On Tuesday April 5th, Mr. Jim Bowman gave a stimulating lunch lecture on LBGTQ (Lesbian, Bisexual, Gay, Transgender, Questioning) Health. Wegman's subs were provided as a healthy lunch choice for those who attended. Thanks to the AMA VP's of Community Service, Lisa Linde and Julie Garchow, for organizing the event!


On Thursday April 7th, the AMA e-board gave out healthy pre-exam snacks to the UB First Year Medical Student Class, who were preparing for their renal histology exam last Friday. Before exams is a common time when many students will scramble for easier and faster food options, which is often poor choices such as calorie-rich fast food, chips, candy, etc. To help promote healthy snacking choices before exams, the care-packages consisted of granola bars, apples, string cheese, water, and a promotional ad for the AMA Event on April 30th - Miles for Healthier Lifestyle.

News from MSSNY House of Delegates

This past weekend was the annual MSSNY House of Delegates (HOD) meeting, at which physicians from all over the state get together to decide MSSNY policy. While the AMA-MSSNY chapter here at Buffalo focuses heavily on community service to promote health and physician awareness, these groups are at their hearts advocacy organizations. So it came as no surprise that proposals were raised on issues ranging from restricting children/adolescents from commercial tanning to how to apportion revenue raised by the society to repealing the Patient Protection and Affordable Care Act (PPACA).

Much of the political focus centered on the NYS budget that did not include medical malpractice reform. MSSNY had made a statement that it would not support the budget without these stipulations (caps on pain and suffering litigation, a lower-than-expected fund for infants born with neurological problems, etc.). The HOD was a reminder to all physicians (and future physicians) to play an active role in government by calling up and e-mailing our legislators -- just because we aren't politicians doesn't mean these issues don't affect us!

As far as new policy in the HOD went, the Medical Student Section particularly came out on top. We sponsored four resolutions, all of which were passed by the voting body of MSSNY, the House of Delegates. The proposals were:

1) Promoting financial aid opportunities for NYS medical students. (The importance of this one is fairly obvious.)

2) Expanding graduate medical education (GME) funding for residency spots. The problem is that medical schools keep increasing class sizes and new medical schools are opening, but there are no new residency spots! There is currently a cap on GME funding/new residency spots, and now MSSNY has committed itself to advocate for making sure all of these new doctors will have the appropriate training upon graduation.

3) Expanding MSSNY’s physician database to include an opt-in mentorship program based on race/ethnicity, LGBT status, etc. Based on 2008 data, only 10% of NYS physicians identify as underrepresented minorities, and only about 20% of US medical students do the same.

4) Giving preference to US medical students over offshore students in nearby clerkship sites. This is a big problem in NYC, where many local students are excluded from NYC clerkship rotations due to Caribbean medical schools effectively buying out the clerkship positions.

Additionally, the HOD spent quite a while battling out its position on PPACA. A compromise was reached, and MSSNY’s position is now that it has a specific set of grievances against the bill and supports new legislation to improve any shortcomings, but MSSNY is not 100% against this health care reform.

Overall, it was a very exciting weekend. If anyone is interested in getting involved in the more political side of AMA-MSSNY, contact our VP of Policy/Legislation, Lauren Gluck at lgluck01@gmail.com.

Congratulations to the UB AMA-MSS Chapter!

We are proud to announce that on March 12th, the Medical Society of the State of New York (MSSNY) awarded the UB American Medical Association Medical Student Section (AMA-MSS) two honorable awards: Chapter of the Year and the Recruitment Award for NY State!

It is officially the tenth consecutive year for our chapter to receive the Recruitment Award! On average we recruit over 75% of the incoming first year medical class to join the AMA - a number that is significantly higher than other NY medical schools. The Chapter of the Year award was a great achievement. The past e-board, led by co-presidents Joanna Lim and Gaurav Rao, successfully held a full year of events. Some of the most notable accomplishments include a Halloween for Children with Diabetes Party, Miles for a Healthier Life Style, and passing a student-written resolution to decrease the price disparity between healthy and unhealthy foods (which is currently being lobbied for in Washington, D.C.).

A new e-board was recently elected and has taken off with a promising start. For example, Linda Wong is leading a Worldscopes Project, CJ Cancino was recently elected to state recruitment chair, and Lauren Gluck is serving as an Alternate Delegate on the state level. We have many new goals set. We plan to focus more on state policy, keeping an updated website, addressing minority issues (such as human trafficking), and simply filling the big shoes left by our predecessors. Several new e-board positions were created to help our more widespread goals for the next year, including Minority Issues Community Liaison, Worldscopes Project Leader, and AMA Student Advisor. There are several upcoming events planned in April so check the website frequently to keep yourself updated!

Please read the recent article about our UB AMA-MSS chapter on the SMBS website: http://medicine.buffalo.edu/news_and_events.host.html/content/shared/smbs/news/2011/03/ama-mss-awards.detail.html

Website Updates!

Checkout the new tab above titled "Upcoming Events." The website will be updated frequently to keep you up-to-date with all UB AMA Events! There is also a link to the SUNY at Buffalo Event Calendar on the UB Polity Website in the Margin to the right.

NY to Fix Medicaid?

Monday night kicked off MSSNY's annual Lobby Day, an opportunity for doctors and medical students to meet with their lawmakers and discuss issues important to them. Important to us. At the ever exotic Hampton Inn in Albany, Monday night's event featured a Q&A with Dept. of Health Commissioner Dr. Nirav Shah and with a panel of state senators and assemblymen.

The two hours of discussion focused on Gov. Cuomo's Medicaid Redesign (MDR) plan, a multi-hit effort to reform managed care and medical liability in order to cut costs and improve patient care. If passed, the reforms would reach the NYS Medicaid population of about 5 million, which includes half of all children in NY and about a quarter of the adults. (In the words of Dr. Ettinger, WOW!)

Tort reform -- the whole liability issue -- was the lynch pin of the evening. Not a bad move, since NY has the highest medical malpractice insurance rates in the country. All the panelists seemed to favor the MDR reforms, at least theoretically, although not all believed the proposals would pass through the state legislature. Say they do pass: We'll get caps on moneys awarded in lawsuits and a stricter scope of what is considered malpractice -- "so physicians can practice without the fear of litigation."

The evening's moderator, MSSNY Speaker of the House Dr. Jerome Cohen, gave the organization's bottom line: MSSNY will support MDR only if liability reform proposals remain intact. He stressed that "liability reform equals Medicaid reform." Doctors can't improve quality of and access to care if they keep practicing such defensive medicine -- while worrying if they'll even get reimbursed for their efforts.

So, check out the Medicaid Redesign proposals here. What do you think?

MSSNY Webcast Open Forum

This coming Monday, March 7, from 5:30 to 7:30 pm, MSSNY is webcasting its Open Forum.

This will be a great opportunity to watch a Q&A focused on issues that we care about as medical students and future physicians: Managed care, medical liability, public health, and so much more. Invited speakers include Gov. Andrew Cuomo as well as key leaders from the state Assembly and Senate.

All AMA members are welcome and encouraged to attend. The AMA has organized a broadcast location at the Erie County Medical Society at 1317 Harlem Rd, Buffalo.
OR tune in on your home computer here: http://www.nystv.com/mssny/index.cfm (make sure to have Flash installed).
Note: To watch at home, you might have to click on the link a bit in advance, MSSNY will send you a direct link after you "log in."

However you choose to participate, it should be a good discussion about a lot of important topics!

Doctors Back to School Program

This past Saturday, the student AMA and SNMA chapters of SUNY Buffalo hosted its first Doctors Back to School Program (DBTS), which is an AMA initiative targeted to help increase the number of minority physicians in the US. As many of you know, African Americans, Hispanic Americans, and Native Americans comprise nearly 1/4 of the U.S. population. In 30 years, these groups are expected to make up 1/3 of the U.S. population. Surprisingly, only 7% of physicians and 6% of medical school faculty come from these groups. The goal of the DBTS is to help address this issue and encourage young minority students to pursue a career in medicine and make them realize that this is a profession that is attainable with much dedication, hard work and mentorship.

The event took place on a Saturday morning at UB's South Campus. 5 physicians consisting of a cardiologist, internist, family physician, pediatrician and obstetrician/gynecologist participated in the program's panel discussion. Of the 5 physicians, Dr. Kenneth Gayles was one of the first African American students to be accepted at SUNY Buffalo School of Medicine in the late 1960s. About 20 college students attended, and 5 medical students volunteered to assist in the event.

Overall, both the physicians and students enjoyed the event. The students thought that the program was helpful in meeting other physicians and medical students who have the same background as them. They also thought that the discussions and past experiences of the doctors and medical students helped encourage them to pursue their dream of becoming a physician.

Both the student AMA and SNMA chapters hope to host another similar event at the end of the spring semester next year targeted to minority high school students. If you are interested in helping out next semester, you can contact Vanessa Sarfoh, MS2 who is part of the AMA's Minority Issues Committee and also the lead organizer of the event, or Joanna Lim, MS2 one of the Co-Presidents of the AMA SUNY Buffalo Chapter.

For more photos from the event, please click HERE