Patients worse off with more-experienced docs?

From a 15 July 2011 Reuters health article

NEW YORK (Reuters Health) – In a study that flies in the face of common sense, sicker patients turned out to fare worse under the care of seasoned doctors than when newcomers to medicine looked after them.

According to findings in the American Journal of Medicine, patients whose doctors had practiced for at least 20 years stayed longer in the hospital and were more likely to die compared to those whose doctors got their medical license in the past five years.

The results highlight “issues that we have as a medical profession in keeping up to date” with the latest medical knowledge, said Dr. Niteesh Choudhry of Harvard Medical School, who was not involved in the new study. It is “a quality of care problem that has been recognized for five to 10 years,” he told Reuters Health….

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National Environmental Public Health Tracking Network (with online CE)

National Environmental Public Health Tracking Network

The National Environmental Public Health Tracking Network integrates and presents health exposure and data information data from a variety of national, state, and city sources. It is part of the Environmental Public Health Tracking Program, a US Centers for Disease Control and Prevention Agency (CDC) which tracks and studies many of the exposures and health effects that may be related to environmental hazards.

On the Tracking Network, you can view maps, tables, and charts with data about:

• chemicals and other substances found in the environment,  through Web pages as Tracking air quality and Tracking Housing Conditions
• some chronic diseases and conditions through the Health Effects page
• the area where you live through Info by Location

The Resources links at the home page (right column) include

• Communications features as podcasts, inks to social media (Facebook, Twitter), and data sources
• Quick reports which summarize key information

Online Continuing Education (CE) credits are available  through NEHA e-learning.  All CE classes may be viewed for free.  Most CE credits are fee based, however some are free through the CDC and EPA.  ( Tracking 101 online training link at About Tracking Program)

 

 

 

Online Continuing Medical Education (CMEList.com) for Physicians

Are you a physician looking for listings of reviewed CMEs?
A great first place to look is CMEList.com, by Bernard Skalr, MD.
The home page has listings by specialty, cross-specialty, and comprehensive board review.

From the CME list about page

It is the intent of CMEList.com to describe every web site that offers AMA-approved CME online. At this time, we have over 300 sites listed. These sites offer over 16,000 separate activities and over 22,000 hours of credit. If you find errors in the descriptions please let me know. If you know of CME web sites that I have missed, please tell me about them.

Some general statements and explanations about how the sites are chosen and described:

• I have included every American online CME site I could find that offers CME accredited under the supervision of  the Accreditation Council for Continuing Medical Education (ACCME). The only sites deliberately excluded are those where I was unable to view any instruction (or a demo) without advance payment and those sites which require an offline subscription of a journal and offer only the quiz online.
• In most cases, the entire process (viewing the CME, taking the tests, submitting payment when required and receiving an electronic certificate of CME credit) can be done online. Where forms must be mailed or faxed or payment submitted by mail, I have so indicated.
• Passwords and registration: this is required at just about every site; I do not describe the registration process unless it is especially onerous or confusing. The site managers want to know who is visiting, and your registration is how they find out. Usually you can register without making any financial commitment.
• I include courses only when CME credit is still available.
• Fees: In general, you can view instruction without cost; the cost figures I give are how much it costs to have your credits certified. Where you need to pay for viewing, I have stated that.
• The “” icon means that I had not seen the site before now, or that there have been major changes or reorganization since my last visit to the site.
• Occasionally the same instruction may be found at several different sites. I have tried to show it only once, at the creator’s site. When this is not possible, I have indicated that the same instruction is found at different sites.
• Online CME sites change often; new sites appear; existing sites disappear. Please email me with comments or suggestions. If you know of any online CME site which is not included, please let me know. And please let me know about any broken links.
• Be sure to add this site to your bookmarks or favorites folder.
• To view the most up-to-date version, refresh (reload) this page in your browser.