|ACPM Headlines 10/24/14|
In this Issue
Policy and Practice
Research and Reports
1. AJPM SUPPLEMENT
FOCUSES ON PUBLIC HEALTH WORKFORCE
The supplement includes: a summary of public health workforce development challenges and strategies; an updated enumeration of governmental public health workers; a taxonomy for defining and characterizing the public health workforce; an assessment of employee turnover in local health departments; Public Health Accreditation Board workforce standards and measures; and more.
ACPM in conjunction with the American College of Lifestyle Medicine (ACLM) hosted the final pilot of the Lifestyle Medicine curriculum at the ACLM annual conference on Sunday, October 19th, in San Diego, CA. The session, which drew 45 participants, piloted the basic curriculum, which is built around 15 lifestyle medicine physician competencies that were identified by a blue ribbon panel of representatives from major physician and health professional organizations. You can read more about the competencies in the 2010 JAMA article.
The sections covered in the pilot session represented a subset of a comprehensive 30-hour course aimed at covering a range of topics central to lifestyle medicine, including nutrition, physical activity, sleep, coaching behavior change, alcohol use, tobacco cessation, emotional wellness, and mindfulness-based stress reduction.
This pilot presentation was the last in the pilot series that began in July of this year and included four webinars covering nutrition, weight management, physical activity, mindfulness, sleep, and the importance and role of lifestyle medicine in clinical care.You can view archived webinars at the ACPM website.
ACPM and the Partnership for Prevention, in conjunction with the Council on Aspirin for Health and Prevention, are co-hosting an evidence-based webinar for health care professionals thatwill review current and future indications for appropriate use of aspirin as a preventive measure for cardiovascular disease, stroke and certain cancers.
The aspirin webinar, "Aspirin and Disease Prevention: A Clinical Perspective,” will occur on Wednesday, December 3 at 7pm Eastern /4pm Pacific. CME and MOC credit are available. For more information about the Aspirin Project and to register for the webinar, visit http://bit.ly/AspirinWebinar.
4. YOUR GIFT MATTERS: HELP ACPM ACHIEVE ITS GOAL!
The Your Gift Matters campaign is winding down, so don’t miss your chance to make a fully tax-deductible gift to support your College. Your generous gift helps ACPM advocate for policies that promote preventive medicine on Capitol Hill, deliver world-class education, develop innovative practice resources, and build a strong future for the specialty and the organization.
Make your gift today at www.acpm/donations. Prevention Matters. ACPM Matters. Your Gift Matters…now more than ever!
A new version of the AJPM app is now available — now for both iPad and iPhone. The upgraded functionality and new features are designed to enhance your reading and browsing experience.
With thenew version,you can:
A few things to keep in mind when you upgrade: You will keep all the content you have previously downloaded, but the new features will only apply to newly downloaded content. So, to view older (previously downloaded) articles in the new format, you’ll have to delete them and then re-download. Also, all your notes and bookmarks will be retained, but will be viewable in the older format.
Click here to download the free AJPM app from the iTunes store. Log in to read full-text articles.
6. IMPriME GRANTEE MEHARRY MEDICAL COLLEGE CO-AUTHORS PAPER ON CAM MODALITIES
Meharry Medical College’s Family and Community Medicine Integrative Medicine Program grantees Drs. Sangita Chakrabarty, MD, MSPH, FACOEM, Heather O’Hara, MD, MSPH, and Courtney Kihlberg, MD, MSPH, FACPM have co-authored an article with Baylor College of Medicine’s Dr. Roger Zoorob, MD, MPH, FAAFP, entitled "Which CAM modalities are worth considering?” The review, published in the October issue of The Journal of Family Practice, includes a handy at-a-glance guide and examines eight CAM modalities, the level of evidence behind them, and their adverse effects.
Cummins Inc., one of ACPM’s newest Corporate Roundtable members, is building a wellness center that will focus on employees’ total lifestyle care. The Cummins LiveWell Center will be a 30,000-square-foot facility, with construction on the new center expected to be complete by the end of 2015 and opening in early 2016. The site is just north of Cummins’ global headquarters in Columbus, IN. Cummins has offices and manufacturing operations in Columbus, Seymour and Indianapolis.
ACPM Member Dr. Dexter Shurney, Cummins’ chief medical officer, said the company’s vision for the LiveWell Center "is to make health and well-being a part of everything we do.” Cummins’ investment is "to help employees live healthier and fuller lives at home, work and in their communities,” he added. That means offering support to their physical, emotional and financial health, including Employee Assistance Program services. The center will be available to all 8,500 of the company’s Indiana employees plus their spouses and children over age 2.
"While employees and their families will not be required to utilize the services at this time, we are designing a center that we believe employees will want to come to improve their health and well-being,” Shurney said. Shurney said the company wants to make employees aware of the cost and quality of their health care, but cost savings is not what’s driving the project. If the center works well here, more could be opened in other cities where Cummins has operations, Shurney said.
8. CDC RELEASES NEW EBOLA GUIDANCE FOR HEALTH CARE WORKERS
The Centers for Disease Control and Prevention (CDC) has released updated Ebola guidance for U.S. healthcare workers on use of personal protective equipment (PPE), along with a new report on the Ebola virus epidemic in West Africa.
The expanded and strengthened guidance focuses on specific PPE recommended for use and detailed instructions for how to put the equipment on and take it off safely. Recent experience from treating patients with Ebola at Emory University Hospital, Nebraska Medical Center and National Institutes of Health Clinical Center are reflected in the guidance, which is centered on three principles:
For additional information on CDC’s work on Ebola, please visit www.cdc.gov/vhf/ebola/index.html.Other useful resources include the American Medical Association’s new Ebola reference center offering up-to-date physician resources developed by Ebola experts and assembled by the AMA, and the American Hospital Association’s Ebola Education Web Page.
The National Safety Council, a non-profit organization that partners with stakeholders to impact preventable injuries, has released a free employer toolkit to help manage prescription opioid use and misuse in the workplace. "The Proactive Role Employers Can Take: Opioids in the Workplace,” includes executive action and educational materials that informs organizations about the issue, provides realistic steps to update drug-free workplace programs, and provides options for re-structuring employee benefits programs to address opioid misuse.
The Commonwealth Fund has created a new interactive tool that allows users to see what would happen if the U.S. were to raise its health system performance to the levels achieved elsewhere in the world. Users can select from 11 health systems compared in Commonwealth’s report Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally, and click through a range of performance measures to see the potential for U.S. improvement.
11. STUDY FINDS HEALTHY LIFESTYLE MAY CUT GESTATIONAL DIABETES IN HALF
Healthy lifestyle habits—maintaining a normal weight, not smoking, and staying physically active—may help prevent about half of all diabetes cases that develop in pregnant women, according to a new study from researchers at the Harvard School of Public Health.
Using data from more than 14,000 American women, the researchers found that the strongest risk factor for gestational diabetes was being overweight or obese during pregnancy. These women had four times greater risk than women with normal pre-pregnancy weights, according to the study published September 30 inBritish Medical Journal. Women who had all of the healthy lifestyle behaviors—a normal weight, healthy eating, exercise, and no smoking—were 83 percent less likely to develop gestational diabetes than those with none of those habits.
The Centers for Disease Control and Prevention (CDC) and the Institute of Medicine (IOM) have each published separate reports addressing antimicrobial resistance.
CDC published a new study in the Journal of the American Medical Association (JAMA) focused on antimicrobial use in hospitals. The study found that "further work is needed to understand the settings and indications for which reducing antimicrobial use can be most effectively and safely accomplished."
The Institute of Medicine (IOM) report, "Antimicrobial Resistance: A Problem Without Borders,” includes discussions from experts highlighting the importance of the problem and need for an interdisciplinary approach from medical, public health, agriculture, and other fields to address this issue.
13. JAMA ARTICLES POINT TO DIVISION OVER LUNG CANCER CT SCREENING
Despite a U.S. Preventive Services Task Force statement in 2013 recommending computed tomographic (CT) lung cancer screening for high risk adults ("B” grade), researchers from Virginia Commonwealth University (VCU) have published an article in JAMA Internal Medicine arguing that there is not yet enough evidence to recommend the screening, adding to the debate about its potential benefits.
The VCU researchers note that the evidence on which the USPSTF recommendation is based—finding that low-dose CT screening significantly reduces lung cancer in high-risk adults—comes primarily from a single 2011 study, the National Lung Screening Trial, which focused on subjects who were below Medicare age.
While the VCU research team questioned the benefits of screening Medicare populations and coverage thereof, a JAMA editorial by Douglas Wood of the University of Washington points out that it does not make sense to cover screening in younger people (as most plans do), but then have the coverage cease when people turn 65, their risk increases, and the benefit of screening is highest. Wood writes that potential harms can be mitigated by creating clear criteria for screening, and notes that several medical societies have published guidance.
14. MEMBERS IN THE NEWS: INGRID KOHLSTADT
Congratulations to ACPM Fellow Ingrid Kohlstadt, MD, MPH, whose work was recently profiled in the October 12, 2014 Baltimore Sun. The articled focuses on participants in BeeQuest, a key element of a youth-focused nutrition study called NutriBee, created by Dr. Kohlstadt.
BeeQuest asks high school kids to create online lessons for slightly younger peers for use in NutriBee’s 20-hour nutrition curriculum, which is used in a variety of settings such as after-school clubs and camps.
The University of Texas MD Anderson Cancer Center is seeking a highly qualified individual to serve in a newly created role, Executive Director, Cancer Control Platform. The mission of the cancer prevention and control platform is to develop and implement community-based efforts in cancer prevention, screening, early detection, and survivorship to achieve a measurable reduction in the cancer burden, particularly among the poor and underserved. The Executive Director will be responsible for engaging community and business partners to develop and implement programs through policy interventions and community clinical services. Qualifications include MD/MPH or PhD in a discipline related to public health and/or cancer prevention and 10 years of public health leadership experience.