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  • VA Chief Wants to Get Rid of Healthcare Deadwood

    ‘Accountability’ comes up repeatedly at hospital association meeting

  • by Joyce Frieden
    News Editor, MedPage Today

WASHINGTON — Getting rid of under-performing employees and hiring more healthcare professionals are just a few of the ways that Secretary of Veterans Affairs David Shulkin, MD, wants to improve the healthcare provided by his agency.

“Part of what we have had to do is to say that not everybody has the right or privilege to work at the VA,” said Shulkin at the American Hospital Association annual meeting on Monday. “When people lose their values, or deviate from our purpose or what our mission is, they lose that right.”

Trump extends private-sector health care program for vets


WASHINGTON (AP) — President Donald Trump signed a bill Wednesday to temporarily extend a program that lets some veterans seek medical care in the private sector, part of an effort by the president to deliver on a campaign promise.

click link to read full article

http://hosted.ap.org/dynamic/stories/U/US_TRUMP_VETERANS_AFFAIRS?SITE=AP&SECTION=HOME&TEMPLATE=DEFAULT&CTIME=2017-04-19-15-16-28

  • HG Stevenson Award for outstanding support and dedicated service to the SGSU and urology residency programs. Presented to: George Kaplan, MD
  • Honorary Lifetime Membership Award for lifetime dedication and service to the SGSU.
    Presented to: Mitchell Edson, MD
  • Prince Beach Award for best paper (#65) presented by a society member staff physician as judged by chief residents. Presented to: LCDR Eric T. Grossgold, MC, USN
  • Clare Scanlon Award for outstanding administrative work on the organization of the Mock Oral Boards for many years. Presented to: Joseph R. Sterbis, MD.
  • Clinical Research Award Winners:
    • 1st Place: #26 – CPT Jonathan Wingate, MC, USA
    • 2nd Place:#16 – LCDR Michael T. Marshall, MC, USN
    • 3rd Place: #28 – CPT Katherine A. Carlisle, MC, USA
  • Basic Science Award Winners:
    • 1st Place: #11 – CPT Tara K. Ortiz, MC, USA
    • 2nd Place:#12 – CPT Richard S. Otto, MC, USA
    • 3rd Place:#13 – CPT Stephanie Sexton, MC, USA
  • Poster Session Winners
    • 1st Place: #63 – Amanda Reed-Maldonado, MD
    • 2nd Place: #62 – CPT Karmon Janssen, MC, USA
    • 3rd Place: #52 – CPT Kevan Iffrig, MC, USA

Dr. Tim Brand Take Home Points

  • Enzalutamide is easy to prescribe but causes fatigue. – Ray Lance, MD
  • Corynebacteria are bad for prosthetics.  -Jesse N. Mills, MD
  • Primary care should refer everyone with psa >1.5 ng/dl to urology for risk assessment (using sophisticated biomarkers) for clinically significant prostate cancer.  -E. David Crawford, MD
  • “If you are not trying to get ahead, then you’ve already decided that you’re going to fall behind.” – LTC Alex Ernest, MC, USA
  • Survivorship care plans are useful and can improve focus on patient quality of life after oncologic treatments. -Ryan P. Terlecki, MD
  • John Barry, MD has not only mastered renal transplantation, but quite possibly, every aspect of life. – Audience, after viewing the “Tips and Tricks” talk
  • Transgender management is complex and can affect soldier readiness. – LCDR Eric T. Grossgold, MC, USN
  • Docetaxel should be used sooner rather than later in advanced prostate cancer. – Evan Y. Yu, MD
  • Surgical Volunteerism is hard work but very rewarding. – Kurt McCammon, MD, FACS

Dr. Thomas Hatch Take Home Points

  • There is not a statistically significant increase in tumor progression or recurrence in those patients who experienced a delay in the initiation of BCG. – Andrew Franklin, Columbia, MO.
  • Extracorporeal Shock Wave Therapy can be used to improve male fertility. – Amanda Reed-Maldonado, San Francisco, CA
  • Your success as a leader can be measured by the success of those who work with you. – Lt. Gen. Bernie Mittemeyer.

Dr. John Barry’s Top Five BEST of Kimbrough 2017

  1. GU Bowl Official Tailgate Party
  2. “Lt. Gen. Mittemeyer… The REAL Bernie” – BGEN James (Tom) Turlington
  3. Men’s Health Panel discussions –  COL. Robert C. Dean
  4. “Implementing and Managing a Multidisciplinary Prostate Cancer Clinic” – LTC Timothy C. Brand
  5. “Biomarkers and Risk Stratification in Prostate Cancer” – E. David Crawford.

Trump Names VA Secretary, Declares War on High Drug Prices

Outlines repeal-and-replace plan for Affordable Care Act

David Shulkin, MD, currently Under Secretary for Health at the Department of Veterans Affairs (VA), is president-elect Donald Trump’s pick for the department’s top job, Trump announced at a news conference in New York City on Tuesday.

“One of the commitments I made is that we’re going to straighten out the whole situation for our veterans,” Trump said. “Our veterans have been treated horribly. They are waiting in line 15, 16, 17 days [for healthcare]; there are cases where they go in and have a minor, early-stage form of cancer, and by the time they get to the doctor, they’re terminal. That’s not going to happen. David is going to do a fantastic job.”

click link to read full article

http://www.medpagetoday.com/washington-watch/reform/62470

SOCIETY OF GOVERNMENT SERVICE UROLOGISTS (SGSU) AND UROLOGICAL SOCIETY FOR AMERICAN VETERANS (USAV) FORMALLY AGREE TO JOIN TOGETHER

At its Annual Business Meeting in San Diego on January 14, 2017, the SGSU membership voted to approve an affiliation arrangement with the newly established USAV – which represents VA urologists nationwide.

SGSU President, Dr.  Hal Frazier stated that the SGSU has recognized for many years that VA urologists are not being well integrated into the SGSU.  He stated that it makes a lot of sense to join together and that both organizations can benefit. USAV President, Dr. Jeffrey Jones, said that this would be a great opportunity for both organizations and the relationship could bring new members, programs and synergies to both organizations. The USAV- organizational affiliation with SGSU was also approved to allow the USAV to fall under 501c6 status and be in compliance with AUA organizational standards for an independent organization.

The USAV web page is:  http://govurology.org/usav/

 

PoliticalNews.me – Dec 18,2016 – VA Applies Bipartisan Provision To Enhance Va Medical Care

New policy will improve staffing at Veterans Administration health clinics

WASHINGTON – U.S. Senators Dick Durbin (D-IL) and Jeff Merkley (D-OR) and Congressman Peter DeFazio (D-OR) welcomed the news that the Department of Veterans Affairs (VA) will implement one of the key proposals from the bipartisan Veterans Health Care Staffing Improvement Act, helping to ensure veterans can get the care they need from Advance Practice Registered Nurses.

click link below for full article

http://politicalnews.me/?id=42177&keys=VETERANS-HEALTHCARE-PRACTICAL-NURSES

 

Departing DoD Official Reflects on Military Health System Improvements

By Amaani Lyle DoD News, Defense Media Activity

WASHINGTON, Dec. 22, 2016 — As she prepares to step down Jan. 20, the Defense Department’s top medical official reflected on her five-and-a-half year tenure at the Pentagon, notably a comprehensive review of the Military Health System.

Dr. Karen S. Guice, principal deputy assistant secretary of defense for health affairs, performing the duties of the assistant secretary for health affairs, focused the MHS review on the safety and quality of health care in military treatment facilities, which provides health care for more than 9.6 million beneficiaries.

“That’s something that we can look back on as collaborative, good work that really has set a trajectory of improvement for the military health system,” Guice said in a DoD News interview.

Click here for full article:

https://www.defense.gov/News/Article/Article/1037169/departing-dod-official-reflects-on-military-health-system-improvements

 

Study: Prostate Cancer-Vasectomy Link Weakens

Mortality, incidence, grade all unrelated to procedure

Action Points

  • One of the largest studies to date showed no association between vasectomy and fatal prostate cancer.
  • Note that the study extended the lack of association to prostate cancer mortality and the risk of developing high-grade disease after vasectomy.

One of the largest studies to date showed no association between vasectomy and fatal prostate cancer.

An analysis involving 363,726 men showed no increased rate of vasectomy among 7,451 men who died of prostate cancer. A separate analysis of 9,133 men with newly diagnosed prostate cancer also showed no association with vasectomy, compared with 57,000 men who did not develop prostate cancer. Additionally, no vasectomy association emerged from an analysis limited to men who developed high-grade prostate cancer, as reported online in the Journal of Clinical Oncology.

Click link below to read full article.

http://www.medpagetoday.com/Urology/Urology/60328

By Sig Christenson | San Antonio Express-News | Published: September 25, 2016

SAN ANTONIO (Tribune News Service) — At the controls of a T-38 training jet high over Hondo, 1st Lt. Alex Lauer dueled at up to 485 mph against Capt. Christopher “Fiat” Umphres, who has 450 combat hours in Afghanistan.

Lauer was “shot down” just once in the mock dogfight, demonstrating his growing skills.

Lauer, 24, is near the end of an innovative 12-week course at Joint Base San Antonio-Randolph that has increased graduation rates in the Air Force, which is struggling to fill a huge fighter pilot shortage as aviators burned out by deployments, budget cuts and extraneous duties flee for jobs elsewhere.

click here for full article

ACP’s View on Newest Doctor-Nurse Battle

VA proposal pits nurses against physicians; does it have to be this way

by Bob Doherty, American College of Physicians

The Department of Veterans’ Affairs proposal to allow Advanced Practice Registered Nurses (APRNs) to have full and independent practice authority, preempting state laws that hold them back, has triggered another ugly fight between the medical and nursing professions. The American Nurses Association supports it, the AMA opposes it.

The fight over the VA’s proposal continues a long-standing battle that plays out regularly in state legislatures, as nurses have sought to expand their “scope of practice” and eliminate existing “physician supervision” requirements, while state medical societies have battled back.

Click http://www.medpagetoday.com/Blogs/CareerConsult/59416 for the full story