by Anna Peck
SDN Staff Writer

It’s a given that there are healthcare professionals out there with substance abuse problems. But, as we prepare to enter practice, many of us find it difficult to imagine that we’ll be working with affected individuals, or that we could become affected ourselves. Few professional programs ask students to consider what they would do if they suspected or knew that someone in their workplace was impaired. And, still fewer programs formally acquaint students with recovery resources.

Read the full story

by Tim Shea, M.S.
SDN Staff Writer

When working with a depressed patient the risk of suicide is a very real and present concern. Health care professionals need to be prepared to respond swiftly and effectively. The literature suggests a multi-faceted approach to assess and address the self-harm risk, with one element being the implementation of a “no-harm contract”. The document in its simplest form is a written agreement between the patient and the health care professional that states the patient’s willingness and commitment to notifying a relative or healthcare professional of their intent to harm themselves, instead of engaging in harmful behavior. Read the full story

by Diana Aziz
SDN Staff Writer

For most people, going to the dentist is a nightmare. Whether it is the sound of the drill, the fear of the needle, or just the anxiety of being in the office, they walk in scared and very apprehensive. Most people do not realize that the entire time they are worried about the shriek of the drill or prick of the needle, the dentist carries that same fear but in a different way. Each dentist can only hope that the patients he encounters have been truthful about their entire medical history.

Read the full story

by Emily Forest
SDN Staff Writer

Seroquel, with its connotations of well-being and peace, sounds like the name of a bird or a midlevel car. It doesn’t sound like something that causes weight gain or blurred vision while treating psychosis, nor does it sound like something associated with financial strife. The pills, tiny, white and innocuous, don’t LOOK expensive. But at nearly $600 for a month’s supply, the cost easily exceeds rent for many people.

When I started the drug, I dutifully paid the $30 co-pay and let my insurance company handle the bulk of the cost. What I didn’t realize was that each month, behind this co-pay, the insurance company received a bill for $595.00, whittled down to a “negotiated rate” of $498. While I took for granted that my insurance company shouldered the burden of my monthly costs, both for Seroquel and several other psychotropic drugs, I didn’t realize that the benefit had an annual cap of $2,500. Read the full story

Reprinted with Permission

Dr. Robert M. Wachter, a professor of medicine, chief of the medical service and chair of the patient safety committee at UCSF Medical Center, has been a central figure in educating the medical community and general public about pressing safety issues in healthcare institutions. Dr. Wachter has written prolifically on this topic, including the bestseller Internal Bleeding: The Truth Behind America’s Terrifying Epidemic of Medical Mistakes. He has discussed patient safety on CNN, NPR, and ABC’s Good Morning America, and been quoted in the New York Times, the Wall Street Journal, and Time, to name only a few. His new textbook, Understanding Patient Safety, will be published by McGraw-Hill in October 2007. Here, Dr. Wachter discusses the world of patient safety and healthcare. Read the full story

International Federation of Medical Students’ Associations
Reprinted with Permission

Almost 1,000 medical students from over 90 different countries gathered in Canterbury this August to tackle inequities in health care across the globe. The 56th August Meeting of the International Federation of Medical Students Associations returned to the UK with the theme, “Access to Essential Medicines.” It proved to be a fascinating, tumultuous, and at times controversial week.

The IFMSA is the largest student body in the world, founded in 1952 to provide a cohesive voice for medical students across the globe. Its biannual general assemblies aim to educate and inspire its members to take action on international health issues, each centered around a chosen theme. The decision by the UK to focus on “Access to Essential Medicines” (AEM) was taken in light of its key relevance to both the developed and developing worlds. More than 10 million deaths each year can be attributed to lack of access to life-giving medications, in direct contravention of the Universal Declaration of Human Rights, entitling every citizen the right to “health and well-being of himself and his family, including … medical care and necessary social services”.   Read the full story

Pharmacists’ refusal to fill legally written prescriptions has recently become a topic of debate among healthcare providers, employers, lawmakers, and the general public.

The issue is often framed as a question of patient rights vs. pharmacist rights, due to the public controversy over the emergency contraceptive “Plan B” which has unfolded over the past decade. However, the issue carries broader implications, extending to drugs intended for abortion or immediate post-abortion care, lethal injection for use in the potentially abused medications such as narcotics.

The stakes are so high for interested parties that states across the country have been pressured to take a position for or against pharmacists’ refusal to fill through legislation and policy changes. As of November 2006, five states (AR, CA, GA, MS, SD) have chosen to codify the right of a pharmacist to refuse to fill a prescription on moral grounds, while four (IL, MA, NC, PA) have passed legislation requiring pharmacists to fill or transfer certain prescriptions.¹ Read the full story

The longstanding joke is that doctors have horrible handwriting. But it’s no laughing matter.

While handwriting doesn’t play a major role in most peoples’ careers, in the medical field, it can mean the difference between life and death. Whether it’s a mix-up between Lamisil and Lamictal, Cerebyx and Celebrex, Zyrtec and Zantac, or Sarafem and Serophene, confusion over drugs with similar spellings and similar sounds accounted for 15 percent of all errors reported to the United States Pharmacopeia Medication Errors Reporting Program from 1996 to 2001. In fact, it’s such a problem that the Food and Drug Administration even appointed a panel of experts to review proprietary drug names—just to try to alleviate such confusion in the future.

But beyond drug name mix-ups, poor penmanship also accounts for many other errors. Read the full story

We present this article to highlight the debate currently in progress over use of animal labs in student education. SDN has no formal or informal position on animal labs. Our volunteer members have a diverse view on this topic and have worked together in an attempt to cover this topic fairly and evenly.

Jeff Tomasini likes dogs. That was one of the reasons that prompted the first-year student at the Medical College of Wisconsin (MCW) to opt out of a course he considers barbaric and unnecessary. During the three-day class that took place last month, Jeff’s classmates anesthetized 60 dogs obtained from the local pounds, opened up their chest cavities, examined their hearts, and then euthanized the animals.

“Killing an innocent animal is unethical,” Jeff says. “The top medical schools produce some of the country’s best physicians without ever harming an animal.”

And he is not the only one to protest the course that is fueling heated debates among students, physicians, and medical school educators across the country: do live animal labs have educational merit for medical students, or are they relics of the past? Read the full story