Cure For Ibd Disease Closer: Gastroenterologist

Until that day comes, we have an obligation to improve quality of life by reducing the impact of living with IBD. Glasgow talked about some of the challenges that a person suffering from IBD faces, including general lack of awareness of the disease, late diagnoses, poor access to IBD specialists and clinics, and lack of insurance coverage for expensive yet critical medications. Employment issues are very common, with 21,000 people with IBD unable to work every year, and over 40 per cent of people taking short-term leaves, he said. Even those in remission suffer from fear and anxiety in anticipation of a future relapse. Panellist Ruth Scully, a volunteer with CCFC, has two children with IBD. As a mother, it is so difficult to watch my kids in pain. I wish I could take it all away from them, she said. Her son requires more than $40,000 worth of medications per year to manage his disease. She worries that soon he will not be covered by the family insurance policy and that paying for the drugs will be a burden for him for the rest of his life. My strategy to cope with the IBD in my family is to do anything I can to help. I volunteer, raise money and speak to other parents whose children have been diagnosed, she said. Its a common disease, but people arent talking about it. Each year, the Scully family participates in the CCFCs Gutsy Walk, to raise money for IBD research. Her children have raised more than $100,000 in pledges since they began participating. I am more committed than ever to improving my childrens future, Scully said. We need to find a cure for IBD, but in the meantime we need to help people live with it. Dr. Hillary Steinhart, the head of the division of gastroenterology at Mount Sinai, spoke about what its like as a physician to see the impact of IBD.

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Wait Times for Patients Who Need Gastroenterology Care Are Getting Longer

SAGE surveys were also conducted in 2005 and 2008 . Over a seven-year period, the trend in longer wait times is evident according to soon to be published 2012 SAGE data. “Our analysis shows that patient wait times are now 30 days longer than they were in 2005,” says CAG Dr. Desmond Leddin, Lead on the CAG SAGE program. “This is a disturbing trend, and one which indicates a need to pursue strategies to ensure patients receive the digestive care they need in a more timely manner.” As an example, the recent SAGE data shows that a patient with a high likelihood of severe Inflammatory Bowel Disease (IBD) can expect a total wait time of 126 days. Of these 126 days, patients wait on average 72 days for a consultation and 44 days for a diagnostic endoscopy. Given the target total wait time of 14 days for this disease category, these patients are waiting 16 weeks longer than the recommended wait time target. (See fact sheet ) “The gap between current wait times and the desired target is too wide and wait times are getting longer,” says Dr. Dan Sadowski, President of the CAG. “In human terms, what this means is that many patients live with pain and some are unable to work or attend school and can only do so with difficulty while waiting for consultation and treatment.” This year, the WTA report is shedding more light on the total wait time(i) Canadians can experience in receiving necessary medical care. Thanks to the total wait times data collected and provided by CAG, the WTA report is now more comprehensive than ever. “The CAG has been a source of robust information for our expanded focus on wait times”, says Dr. Chris Simpson, Chair, Wait Time Alliance. “Their data on total wait times for access to care, not just a portion of it, is extremely valuable to the WTA. It not only validates that total wait times are increasing, it contributes significant insight into the patient perspective on health care in Canada and reinforces the need for greater investments in timely access to care.” “With results over the last three surveys, we can plot trends in access to digestive care over a seven-year period,” says Dr. Sadowski.

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Conflicts of Interest Ethics: Silencing Expertise in the Development of International Clinical Practice Guidelines

Critical revision of the article for important intellectual content: D.J. Jones, A.N. Barkun, Y. Lu, R. Enns, P. Sinclair, I. Gralnek, M. Bardou, E.J. Kuipers. Final approval of the article: D.J. Jones, A.N. Barkun, Y.

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Gastroenterology Research Uncovers New Route For The Development Of Anti-diarrhoeal Drugs

The new route directly targets cells and molecular processes that control water movement into the intestine and may help with the development of a new class of anti-diarrhoeal medication. The research found that drugs which act on a protein called Farnesoid X Receptor (FXR) in the tissue of the intestine can stop water moving in to the gut. By switching off the water movement in to the gut, this can prevent diarrhoea occurring. Dr Stephen Keely, Associate Director of Molecular Medicine, RCSI and lead researcher, said ‘Diarrhoeal diseases are common and debilitating but safe and effective drugs for their treatment are still lacking. Our research has found that FXR is an important regulator of intestinal function and has excellent potential for the development of a new class of anti-diarrhoeal drugs.” In Ireland, diarrhoea is the main reason for approximately 40,000 visits to gastroenterology clinics annually. Epidemics of acute infectious diarrhoea are common, and many illnesses such as inflammatory bowel disease , digestive disorders and irritable bowel syndrome cause disruptions to the normal functioning of the intestine and lead to diarrhoea. These conditions have a large financial burden to society both in terms of healthcare and lost hours of work. The research found that drugs which target the FXR protein, target the cells lining the intestine, and because of this they may have broader efficacy and fewer side effects than many anti-diarrhoeals currently available on the market. The research was published in Gut, a leading international journal in gastroenterology. These findings support an RCSI patent for treating diarrhoeal diseases recently granted by the European Patent Office. The research was a collaborative research project between the Department of Molecular Medicine, RCSI; the Division of Gastroenterology, Department of Medicine, Johns Hopkins University School of Medicine in Baltimore, Maryland, USA and the Trinity Biomedical Sciences Institute. Provided by Royal College of Surgeons in Ireland (RCSI)

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Glaxosmithkline Drug Marketing Change Resonates With Doctors

Canadian doctors barred from performing ‘virginity tests’

The CMA is not a regulatory body that role is up to provincial colleges of physicians and surgeons. And a complaint has to be lodged with the college before it islikely to reprimand an individual doctor. Francescutti said the pharmaceutical industry is skilled at building relationships with doctors and recruiting them for drug trials and seminars that introduce other doctors to new products. Their profit motive is going to be driven by research that tells them how to change physicians’ prescribing habits and they do it very well, they know how to do it. We in the profession have to understand that we have to always be acting in the best interests of our patients, he said. Among the perks doctors may receive from drugs companies: Vacations in the Caribbean. Free lunches for their entire clinic. Expensive gifts. Opportunities to publish research paid for by the pharmaceutical industry. One Toronto physician, Dr. Nav Persaud, believes the kinds of changes made by GlaxoSmithKline are a good first step. Why hasn’t medical industry moved? I also think that doctors never should have been paid by drug companies to promote medications. I believe doctors should be focused on care for patients, and you cant focus on being paid by drug companies and care for patients at the same time, he said. He is keen for the medical profession to take a more active role in exploring its ties to the pharmaceuticalindustry.

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Canadian doctors say fee cuts, pay inequalities will spur exodus


The Montreal Gazette reports the Quebec College of Physicians issued the decree after two University of Montreal ethics specialists were alerted by school staff to separate incidents involving the matter. Imagine a doctor who does a gynecological examination with the sole purpose of … it goes beyond the imagination. And its degrading to women, Charles Bernard, president of the College des medecins, told The Gazette. The Quebec College of Physicians is, among other things, responsible for dispensing ethical guidance on medical issues for its many member physicians. The Gazette writes University of Montreal ethicists were contacted by a clinic nurse after a young woman asked the health professional during a routine medical exam whether, she was still marriageable. But by then, it seems the ethicists were already grappling with the issue. Two weeks prior, the same researchers reportedly fielded a call concerning an adolescent whose family had forced her to undergo a chastity test at a local clinic. The girl subsequently told her school nurse, who then contacted the university. We got the impression that the physician was pressured by the family in the emergency room. The father was very insistent about having the certificate, and to get rid of the problem, the doctor did it, University of Montreal researcher Marie-Eve Bouthillier reportedly said. The Gazette writes Canadian officials have focused on the issue of late, or since the bodies of four women of Afghan descent were discovered in Ontario in 2009. They were reportedly murdered by relatives in so-called honor killings.


British-based GlaxoSmithKline announced earlier this week that it would stop paying doctors to promote its drugs.

Certainly, we make a handsome salary, theres no denying that, said Dr. Sherif El-Defrawy, 52, incoming chair of the University of Toronto ophthalmology department. He said his salary of about $400,000 is similar to what a typical, fee-for-service eye specialist would take home after expenses. But I wasnt working when I was 24, so theres a lot of potential loss there (And) you really do spend a lot of evenings, a lot of weekends involved in the work It takes a certain immersion in this profession, which is really your life. Some doctor fee cuts announced this week by Ontario: Electrocardiogram: Fee reduced by half because of technological changes, saving $21-million. Diagnostic radiology: Fee for interpreting results cut 5%, for $30-million saving. Cataract surgery: Fee cut by 10% because of time saving in new technology, saving $6.4-million. CT, MRI scans for chronic low-back pain: Service removed, except where province says medically justified, cutting $10-million. OCT test for eye disease: Fee cut from $63 to $25; service limited to four times a year from six, saving $18-million. Echocardiograms: Heart scans before non-cardiac surgery cut, saving $20-million. Self-referring diagnostic service: Fees for diagnostic tests where doctor both orders service and provides it cut by half, saving $44-million. After-hours surgery: Premium for operations done between 5 p.m.

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1 In 6 New Medical Specialists Say They Can’t Find Work

Medical specialists have trouble finding work

For Thursday’s report from the Royal College of Physicians and Surgeons of Canada, titledToo Many, Too Few Doctors? Whats Really Behind Canadas Unemployed Specialists?researchers interviewed more than 40 people with in-depth knowledge, such as deans of medical schools and hospital CEOs, and conducted an online survey of 4,000 newly graduated doctors. Among respondents, 208 or 16 per cent reported being unable to secure employment, compared with 7.1 per cent of all Canadians as of August. Urologists, critical care specialists, gastroenterologists, ophthalmologists, orthopedic surgeons and general surgeons, and doctors from other sub-specialties were among those who said they were unemployed. The report’s authors said there were three main drivers: More physicians competing for fewer resources such as operating rooms and hospital beds at the same time that relatively weak stock market performance meant many specialists were delaying their retirement. Slower job growth for specialists as the health-care system in some cases substitutes other health professionals such as nurse practitioners and physician assistants for physicians. Established specialists may also be reluctant to share resources such as operating room time. Lack of adequate career counselling and personal choices about type and location of practice when new graduates have family responsibilities (spousal employment, caring for children or elderly parents) that make it harder to move to job opportunities. Half of respondents in 2012 said they hadn’t received any careercounselling. Dr. Christine Herman is a recently trained cardiac surgeon. She is like about 31 per cent of new specialists who said they chose not to enter the job market but instead pursued more training, which they hoped would make them more employable. Herman said medical schools and the provinces and territories need to do a better job of workforce planning. “I think that the training programs aren’t in sync with the needs that are out there,” Herman said.

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Surgical team in operating room

Medical procedures also have a specified set of numerical designations that describe the exact procedure performed. Medical coders usually work in hospitals or doctors offices; however, some may have their own business. They work in clean, well-lighted surroundings. Usually they work 40-hour weeks but some overtime may be required. 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.

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Your Career as a Medical Coding Specialist

Lots of specialists need essential medical resources to practice and these are very sensitive to the state of the economy, says Danielle Frechette. Photograph by: Dario Ayala , The Gazette MONTREAL – An alarming proportion of new medical specialists who have had a decade of training canat find a job in their profession in Canada. And this despite patients enduring weeks and months of delays to see specialists in many disciplines. Is there a surplus of physicians?, asks a new report by the Royal College of Physicians and Surgeons of Canada made public Thursday. The report revealed that 16 per cent of medical specialists were unemployed in 2011 and 2012, compared to 7.1 per cent of all Canadians. aI wouldnat say thereas a surplus of physicians. That is the simple conclusion that unfortunately can be drawn by an observation that doctors canat always find work,a said Danielle FrAchette of the Royal College, an Ottawa-based organization that sets Canadaas standards for postgraduate medical education. The report presents a national overview from two years of data from 2011 to 2012 on the scope of medical unemployment among specialists and the reasons behind it, which are largely economic. aActually, early finding from 2013 data shows itas continuing,a FrAchette said in an interview. aThis is particularly troubling. These individuals have spent years training, but Canadians continue to wait for timely care.a The report warned of a potential abrain draina a doctors leaving Canada to find jobs a and a abrain wastea in underemployed surgeons going to office practice, for example. aThe research reveals one big piece that weave been missing all along,a FrAchette said: Lots of specialists need essential medical resources to practice a hospital beds, operating rooms, operating room nurses, support staff in intensive care units a and these aare very sensitive to the state of the economy.a Frozen health budgets affect hospital operating budgets, which, in turn, affect specialty medicine.

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Canadian Institute Of Hair And Scalp Specialists Offers Discount On Hair Transplants In Toronto

B.C. medical specialists struggle to find work

After 27 years in business the Canadian Institute of Hair and Scalp Specialists understand how hair loss affects so many aspects of life. They have seen the devastating effects female hair loss and male pattern baldness can have on self-confidence. As they state on their website, The Canadian Hair Research Foundation (CHRF) released a study revealing 81percent of men believe that physical appearance can influence career advancements and 1 in 4 Canadians believe hair loss is an obstacle to having a romantic relationship. With hair loss affecting every aspect of your life and your self-confidence, its important to understand what causes it and what can be done. Located in the heart of Mississauga, the Greater Toronto Area hair clinic has an experienced hair transplant surgical team with 20 yearsofexperience in hair transplants, hair replacements and hair loss treatment procedures. The institute focuses on helping young men and women regain their confidence and taking control of their lives, while promising complete privacy and professionalism throughout every stage. In honor of their hair treatment Toronto patients, Canadian Institute of Hair and Scalp Specialists current 1000 dollar off discounthighlights their surgical procedures. A surgical procedure start at $2,000 and up and involve innovations forfollicular, micro, and mini grafts, as well as their own latest technology called frontal hairline technique. In addition, to their expert surgical procedures the Canadian Institute of Hair and Scalp Specialists offers non-surgical clinical options such as the effective treatments developed by their licensed chemist under medical supervision which are all natural and have no side effects. Patients in the Mississauga area can also find hair loss care products at their location in downtown Mississauga, Ontario. About Canadian Institute of Hair and Scalp Specialists Canadian Institute of Hair and Scalp Specialists has over 27 years in the business. From dry scalp conditions to male and female pattern hair loss, the natural scalp treatment or surgical treatments have successfully restored confidence and hair growth in men and women across the GTA, Hamilton, Burlington, Buffalo, New York, Detroit and othersurrounding areas.


William Cunningham, president of the B.C. Medical Association. Cunningham has been practising medicine since 1986 and works in a hospital emergency department on Vancouver Island. The report doesnat address the issue of whether there are too many specialists for the Canadian health care system, in which operating room time and budgets are fixed. But it makes it clear that doctors are competing for resources, including operating rooms, hospital beds and money to pay their fees. The report also pinpoints reasons why newly certified specialists are having trouble finding work: older doctors are delaying retirement; established surgeons are protecting their precious (often only one day a week) operating room time so young doctors arenat getting the hospital/surgical positions they covet; and a lack of cohesion in medical resource planning and coordination between medical schools, governments and hospital or health care authorities. As well, there are relatively new categories of health professionals encroaching on doctorsa territory, such as advanced practice nurses, nurse practitioners and physician assistants. Respondents to the survey were graduates of Canadaas 17 medical schools and/or Canadian residency training programs in fields such as cardiac surgery, neurosurgery, nuclear medicine, ophthalmology, radiation oncology, urology, critical care, gastroenterology, general surgery, hematology and medical microbiology. The report does not include data on family doctors. While about one in five specialists or subspecialists said they are having challenges finding jobs, another 22 per cent of newly certified specialists said they are taking locum positions or other various part-time positions. Locums assume another doctoras duties during holidays or extended absences. In the survey, 40 per cent said they werenat happy they had to do that. The report draws attention to the fact that more than half of the respondents said they hadnat received any career counselling about the most promising job prospects while doing their training. They also complained that there are inadequate avenues for finding out where the jobs might be. Cunningham said since taxpayers are largely sponsoring medical education, there should be a fix to the problem through better planning of medical human resource needs.

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Down Under Doctor Who: Show’s Australian Connections Go Back 50 Years

Doctor Who fans in parliament: National MP George Christensen, Labor MPs Andrew Leigh and Graham Perrett and Liberal MP Alex Haw

DOCTOR Who may seem as British as the Royal Family or a month of rain, but it hasn’t always been that way. The program was conceived and developed by a Canadian, Sydney Newman, and the first story serial was written by an Australian, Anthony (Tony) Coburn. Coburn moved to the UK in 1950 and was responsible for penning the show’s debut An Uneartlhly Child and three subsequent episodes, which depicted the Doctor and his companions’ encounters with a primitive tribe. Coburn’s name has been in the news recently, thanks to his son Stef’s threats to sue the BBC over breach of copyright. Stef Coburn claimed that it was his father who came up with the idea that the Doctor’s TARDIS should be disguised as a police box – at the time a common sight throughout the UK. Stef Coburn has claimed the BBC has been in breach of copyright on this since Tony Coburn’s death in 1977. Tegan Jovanka (Janet Fielding) with the fifth Doctor (Peter Davison). Picture: BBC Source: Supplied David Tennant and Kylie Minogue in Voyage Of The Damned. Picture: BBC Source: News Corp Australia 2. SOME OF THE DOCTOR’S BEST COMPANIONS HAVE BEEN AUSSIES! THE Doctor has had dozens of companions over the years, the vast majority of whom have been young British women – with just a few aliens or foreigners thrown into the mix.

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Global Regulatory Affairs Specialist Elc Group Appoints Former Mhra Expert Medical Assessor

John Warren is a world renowned clinical scientist holding triple specialist accreditation in the UK in General Medicine, Clinical Pharmacology and Cardiology. He is the author of over 100 publications in international journals on the physiology and pharmacology of the autonomic system and a book on the Endothelium. John was a member of the European Scientific Advice Working Party from 2003 to 2010 and the European Pharmacokinetic Subgroup of the Efficacy Working Party from 2007 to 2008. He contributed to the EU Notes for Guidance on Asthma, COPD, ARDS and Bioequivalence. Previously he was a Senior Lecturer and Honorary Consultant at the National Heart & Lung Institute, London. He was also a Member of the Editorial Board of Clinical Pharmacology & Therapeutics and Microvascular Research and is currently Executive Editor for the British Journal of Clinical Pharmacology and member of the Joint Speciality Committee for Clinical Pharmacology of the Royal College of Physicians of London. Speaking about the appointment, ELC GROUP CEO Marco Rubinstein said: We are honoured to have an expert of Johns calibre join our advisory board and bring his exceptional knowledge and experience to ELC GROUP. ELC Groups Business Development Manager Akhil Jain added: “We are very pleased to welcome John to ELC GROUP’s already exceptional Advisory Board. His academic contributions and vast experience in Regulatory Affairs make him a valuable new addition to our team. Commenting on his appointment, John Warren said: ELC GROUP is a rapidly growing leading industry expert in global regulatory affairs consulting. I look forward to contributing to the continued strategic success of the company and bringing my experience of Regulatory Affairs to the work of the Advisory Board. — ends — About ELC Group: ELC GROUP is a full-service global provider of regulatory affairs consultancy. ELC GROUP delivers a complete service solution covering all aspects of Regulatory Affairs for medicinal products, medical devices, cosmetics, food supplements and foods for special medicinal purposes. ELC GROUP also provides specialist REACH regulatory services to the Chemical industry and Corporate Language solutions for Automotive, Chemical and Defense industries. ELC GROUPs worldwide network of professionals spans all major Regulatory Affairs services across the key healthcare vertical markets of Pharmaceuticals, Biotech, Clinical, Consumer Healthcare, Medical Devices, Nutraceuticals and Veterinary. The team ranges from former FDA investigators to individuals with over 30 years of industry experience and broad capabilities, including in the areas of integrated advanced technologies, Regulatory Affairs consulting and commercialisation services.

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BW Medical Accountants grow Newcastle team

Rachel Ormston

As a medical services accountant at BW Medical Accountants, Ann is responsible for managing the clients financial accounts as well as providing strategic advice. Ann started her career managing the finances for her husbands retail chemist business. After roles at accountancy practices John Bell & Co, Robson Laidler and RMT, where she gained experience and developed her expertise in the industry, Ann joined BW Medical Accountants, the Norths first and only niche practice that solely focuses on the healthcare sector. Ann said: It is a pleasure to be part of an excellent team of people at BW Medical Accountants, who work well together and have extensive knowledge and experience in medical finance. Healthcare is a very diverse area and GPs and dentists are unique in the sense that they are responsible for managing a business as well as the health of their patients, and to balance the two is a continually changing, challenging environment. BW Medical Accountants brings together specialist experienced staff in order to provide high quality accountancy and tax services alongside sound financial management advice to enable our healthcare clients to run efficient, effective businesses. New to the team is Tina Milligan from Whitley Bay, a highly experienced accountant and qualified maths teacher with a proven track record in the preparation of accounts for medical professionals. Her new role as medical services accountant will see her manage the preparation of medical accounts for clients and NHS pension forecasting as well as advising and supporting clients on all aspects of their accounting systems. After working as an accounts assistant at South Birmingham Health Authority and management accountant at Newcastle United Football Club, Tina moved to RMT as a medical accountant, where she was responsible for the preparation of partnership accounts for GP surgeries and the production of final accounts including personal expenses, private income and pension forecasts. Tina said: Working in the accountancy profession allows me to indulge my passion for problem solving. I enjoy working with healthcare professionals as I feel that I am caring for the carers and by working with like-minded colleagues in an open environment where ideas can be shared, I believe we have something truly unique to offer our clients. Rachel Ormston has also joined the team as a medical services accountant. Rachel, from Walbottle in Newcastle, has worked in the accountancy sector for five years, gaining experience in medical accounts for GPs and the dental industry. Following a role as an accounts trainee at Robson Laidler in Newcastle, Rachel took up a post as a medical accountant at RMT, where she further developed her knowledge of financial accounting systems for medical practices, including partnerships and individuals. Her new role takes in the full preparation of financial accounts for both medical professionals and GP practices and she is passionate about her work and the industry. BW Medical Accountants is a unique accountancy practice offering specialist knowledge in all areas of medical finance, whether you are a dental associate, hospital consultant or a GP practice. By helping to provide an outstanding service to clients and assisting them with any queries they may have, we can provide a service that no one else can offer. I enjoy working within the healthcare sector, as it is a unique field to work in. “I like to be there not only to prepare the accounts but also help or advise clients in any way I can and use my skills to provide a level of service that professionals in the healthcare profession truly understand and value.” Keith Taylor, Head of Medical Services, BW Medical Accountants, said: We are delighted to welcome Ann, Tina and Rachel to the team. Their financial and management experiences in the medical sector will add to the considerable expertise already on offer to the medical professions. We estimate that less than 50 per cent of GP practices are currently supported by specialist medical accountants, so its our aim to help as many medical professionals as possible manage their finances and navigate the challenges facing the sector.