News & Information
For 21st Century Med Schools Moving Training Away From the Flexner Model.
Written by Editor   
Friday, May 01, 2015 12:00 AM

Medicine has changed a lot in the past 100 years. But medical training has not.

Until now. Spurred on by the need to train a different type of doctor, medical schools around the country are tearing up the textbooks and starting from scratch.

Most medical schools still operate under a model pioneered in the early 1900s by an educator named Abraham Flexner.  "Flexner did a lot of great things," said Raj Mangrulkar, associate dean for medical student education at the University of Michigan Medical School. "But we've learned a lot and now we're absolutely ready for a new model."

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Texas Medical Board Adopts Tougher Stance on Telemedicine
Written by Editor   
Friday, May 01, 2015 12:00 AM

In a closely watched decision, the Texas Medical Board (TMB) on April 10 voted to accept proposed rule changes that would prohibit physicians licensed in Texas from prescribing medications over the telephone to a patient they had never met before. The new policy, which does not apply to mental health services, will go into effect June 3.

The ruling will affect telehealth companies that enable patients to consult telephonically with hired physicians and get prescriptions from them for a fee. One of those services, Teladoc, sued the TMB after the board sent the firm a letter that claimed that its physicians were violating the TMB's existing policy.

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Tips to Find the Healthiest Breakfast Cereals
Written by Editor   
Friday, May 01, 2015 12:00 AM
Colorful packaging and marketing promises make it hard to know which breakfast cereals are best for health. But all it really takes is reading the ingredient label and knowing what to look for.  “Go cereal shopping with a plan,” says Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women’s Hospital. Look for a cereal that hits all the markers of good nutrition.
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EHR and the NFL
Written by Editor   
Friday, May 01, 2015 12:00 AM

A new electronic health record (EHR) system and its complementary digital technologies are helping the National Football League assess and care for injured players more quickly.  "Physicans are not the most rapid group to respond to technological innovations," the immediate past president of the National Football League (NFL) Physicians Society and head team physician for the St. Louis Rams football team, said. 

On game day, The team doctor's job is to first evaluate all players with respect to their readiness to play -- either when they're recovering from an injury or to prevent an injury from occurring.  During the game itself, the job of the team doctor and the team of assistant surgeons, orthopedic specialists, primary care physicians, and athletic trainers is to "assess each player's injury, triage the injury, and diagnose the problem in a rapid and accurate fashion and then render a treatment plan." There are about 27 medical professionals working at every NFL game, which equates to about one medical professional for every player.

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TMA's Testimony on Concussion Oversight and School Bus Physicals
Written by Chris Dalrymple, DC   
Thursday, April 30, 2015 11:23 AM

On Tuesday, April 28, 2015, Testimony was received on HB 1231 relating to  Concussion Oversight Teams and the consideration of adding D.C.s to the list of approved professions that may serve on concussion oversight teams.  Testimony was also heard on HB 1174 relating to the types of medical professionals that may conduct examinations on school bus drivers.  The TMA had an opinion on each of these bills and made their opinion known.  

To summarize the TMA's position regarding these two bills they are:

Regarding HB 1231:
  • The list of providers in the current Natasha's law have specific training in concussion in the context of a medical home.
  • The law stipulates that a member of the concussion oversight team must have specific training in concussion, but there is nothing that stipulates who could not participate in a concussion oversight team.
  • TMAs point is NOT to say that chiropractors should NOT be members of the concussion oversight team, but that that decision should be left to the discretion of the school district and TMA does not desire to include chiropractic on the list of named providers.
  • Rather, TMA would desire that chiropractic advocates overcome an additional obstruction to participation, being required to raise their voice in their community, speak to their school district, in order to be allowed to be put on the concussion oversight team at the discretion of the district.

Regarding HB 1174:

  • The TMA is aware that chiropractors can already perform physicals for truck drivers under rules of the Department of Transportation in the State of Texas.
  • TMA knows that the federal government approves this and Texas does this for 18-wheelers and just because we do it for these circumstances doesn’t automatically mean that it’s the right thing to do in the evaluation of school bus drivers.  But just because the federal government does this doesn’t mean that Texas should do this as well.
  • The TMA believes, that chiropractors have neither the breadth of education nor the training necessary to make these critical evaluations.
  • If the law allows doctors of chiropractic to perform these exams for 18-wheeler drivers, they ought to be able to do it for a school bus driver.  The TMA's testimony was “What I’m telling you today is that I don’t feel like they should be able to do it for a school bus.”  

The TMA testimony is shared below, emphasis is added to call attention to particularly important statements.

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