Treating children with rheumatologic diseases takes a unique approach. “You shouldn’t treat them as little adults,” says Gay Kuchta, OT, who works in pediatrics at the Mary Pack Arthritis Program at Vancouver Hospital in British Columbia. “They take special consideration.”
The Rheumatologist: February 2007
Recommended reading from A&R and AC&R
Handpicked Reviews of Contemporary Literature
In today’s unpredictable healthcare environment, mentoring new healthcare professionals is more important than ever. Most of us have benefited from mentors: Individuals who provided us with the guidance, encouragement, and challenges to help us grow personally and professionally.
In June, the ARHP Nominations Committee will develop a slate of officers and identify volunteers to serve on committees and taskforces for the 2007-2008 leadership year. Volunteering is rewarding, offers a great education, and is an opportunity to meet colleagues across disciplines and geographical regions.
According to the 2003 U.S. Census, 29 million people in the United States make less than 200% of the federal poverty level and have no health insurance. Many persons have difficulty affording prescribed medications. In addition to Medicare Part D, there are more than 350 public and private patient assistance programs, including programs by pharmaceutical companies, that help patients pay for prescriptions.
The world in which we currently practice is not the same one we knew five to 10 years ago. Insurers second-guess our decisions and create numerous hurdles for us to overcome before our patients can be treated. Government agencies are seeking ways to reduce healthcare expenditures and improve what they perceive as a lack of quality and consistency in healthcare delivery. These groups, as well as Congress and employers (who purchase benefits for their employees), have begun a concerted effort to grade rheumatologists on the basis of what they perceive to be quality and efficiency and then pay us according to those criteria.
This month we focus on neck pain, a common ailment that affects 10% of the population each year. In some cases the ailment is due to systemic illnesses such as polymyalgia rheumatica or osteoarthritis, but the majority of cases are caused by mechanical disorders such as overuse of the neck or arms.
The ACR/ARHP NP and PA Post Graduate Rheumatology Training Program is well on its way to meeting its target for launching in fall 2007. This program grew out of needs expressed by members of ACR and ARHP as well as workforce changes.
Tremendous progress is being made in the area of fibromyalgia,” says Dan Clauw, MD, professor of medicine in the division of rheumatology at the University of Michigan in Ann Arbor and moderator of the March 14 audioconference on the current management of fibromyalgia. “However,” he continues, “as in many fields of medicine, those who are not directly involved in fibromyalgia research and treatment are not aware of the progress that has been made.”
In 2007, the ACR Government Affairs Committee will focus on correcting the Medicare reimbursement formula, countering increased cuts to diagnostic imaging, and the enactment of the Arthritis Prevention, Control, and Cure Act. Increasing advocacy among ACR members will also be a top priority.
February Coding Scenario
What disease scores can teach you about rheumatology
We’ve has come a long way, but 2007 holds more growth
Arthritis Foundation supports studies and the researchers behind them
CMS reduces reimbursement for DXA and vertebral fracture assessment
Michrochimerism research offers insights into several autoimmune conditions