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EFPC Philadelphia

EFPC Philadelphia. Be early! Without good MCAT & GPA admissions may not look at the rest of the application Personal Statement Start strong Theme Brainstorm, Plan, Write kaptest.com/ ThePulse. Med . School Application. http://www.mcat2015.com/what-do-i-need-to-know.

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EFPC Philadelphia

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  1. EFPC Philadelphia

  2. Be early! • Without good MCAT & GPA admissions may not look at the rest of the application • Personal Statement Start strong Theme Brainstorm, Plan, Write • kaptest.com/ThePulse Med. School Application http://www.mcat2015.com/what-do-i-need-to-know

  3. Problems: -Weakens patient-physician relationship, which hurts trust in decision making -Alienates patients, who are already feeling alienated We don’t know if recovery will happen, so we treat aggressively. Which is very expensive Health Acute episodes Time “Perils of being an I-patient” “80% of healthcare dollars are spent on 20% of the patients, who have chronic illness or are receiving end-of-life care” Speaker: Niel Rosen

  4. How do drug companies influence? 1. Speak through others -Communicate to clinicians through Key Opinion Leaders -Make connections with medical societies 2. Use ambiguous or meaningless phrases and “weasel words” 3. Loudest voice in the room 4. Control the information -Many employees of drug companies are editors of journals and/or creators of internet “information” sites -Ghost write (put name of a doctor on a paper written by someone else) in medical journals and at speaker’s bureaus -Get on boards that decide treatment guidelines -Sponsor clinical trials Facts: -Only New Zealand and the US are allowed to market pharmaceutical drugs -Only 11% of Americans trust what drug companies say -70% of clinical trials are sponsored by pharmaceutical companies. Frequently there is a lack of full publication or full data is not available (if the data is bad, don’t show it) Examining Evidence Speaker: John H. Powers

  5. How do drug companies influence? (Continued) 5. Never let a good crisis pass -”create” diseases so people think they need drugs - Fear monger and use anecdotal (rare) evidence - Propose solutions that don’t solve the problem at hand 6. Eliminate the opposition - Attack those who disagree either verbally, publicly, or by ruining their reputation and isolating them 7. Have the best government money can buy -Lobby -Try to decrease regulation What can you do about it? Examine the evidence! See where information comes from and who sponsored it. Want to know more ways you can help reduce the influence of pharmaceutical companies? Ask Josh Bush (bush0330@umn.edu) to get a copy of the AMSA PharmFree handout Examining Evidence Speaker: John H. Powers

  6. Epiphany Health • NOT insurance • A way for patients to pay doctors directly • A new way of providing primary care • Member Benefits • Low monthly fee • Almost all services provided • Most medications offered • Cons • Does not cover emergency visits • Medicare patients not eligible • More info? • http://epiphanyhealth.net/ Epiphany Health Speaker: Dr. Lee Gross

  7. “Good Patients” “Bad Patients” The E-patient Speaker: Barbara Kornblau

  8. Very important how a physician composes themselves. Body language speaks volumes • Start in neutral position • Move closer/farther based on patient’s body language and information being shared Can “touch” a patient in other ways: • Listening • Calling with results promptly • Listening What to look for in an H&P: CLODIERS • Character • Location • Onset • Duration • Intensity • Exacerbation • Remission • Radiation • Setting • Social effects of symptoms • Symptoms associated with chief complaint History and Physical

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