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Search results for: rural

Prospects for Treating Patients with Arthritis in African Countries with Few Rheumatologists

Elizabeth Hofheinz, MPH, MEd  |  June 14, 2017

At present, the U.S. has approximately 5,000 full-time adult rheumatologists. By the year 2025, that number will decline to roughly 3,600.1 Sounds dire, right? Hold that thought. Question: What country has 99 million people and no adult rheumatologists? Answer: Ethiopia.2 The Nigerian Story And then there is Africa’s most populous country, Nigeria, with roughly 170…

Filed under:ConditionsEducation & TrainingPractice SupportWorkforce Tagged with:ArthritisEthiopiaNigeriapatient careRheumatic DiseaserheumatologistshortageTreatment

ACR Leaders & Volunteers Take the Issues to the Decision Makers

From the College  |  May 19, 2017

On May 11, ACR leaders representing the Board of Directors, Affiliate Society Council, Government Affairs Committee (GAC), Committee on Rheumatologic Care, RheumPAC Committee and Insurance Subcommittee went to Capitol Hill to advocate on behalf of the ACR/ARHP membership and our patients. The group, which represents 27 states and the District of Columbia, conducted meetings in…

Filed under:From the CollegeLegislation & AdvocacyProfessional Topics Tagged with:Capitol HillHill meetings

Fellows’ Forum: Why Rheumatology Fellows Should Get Involved with Advocacy

Alexandra Perel-Winkler, MD, & Christopher A. Mecoli, MD  |  May 16, 2017

Introduction Interest in rheumatology continues to grow, with more than 240 new adult and pediatric fellows to begin their training in the coming academic year. Given the broad and diverse career opportunities, it is an ACR goal to help guide trainees in their career decisions and professional development. Rheumatology fellowship often marks the transition from…

Filed under:Legislation & Advocacy Tagged with:AC&RAdvocacyAmerican College of Rheumatology (ACR)Capitol HillCongressEducationFellowsFellows ForumFundingLegislationpolicyrheumatologistRheumPAC

How MACRA Has Affected Physician Compliance

From the College  |  May 16, 2017

In recent years, providers and practice groups have been worrying about Meaningful Use (MU) and gaining knowledge on using certified electronic health record (EHR) technology to avoid payment penalties, earn incentives and increase practice efficiency. Now, with the release of the final rule for MACRA payment reform, physicians will have two options for payment paths:…

Filed under:From the CollegePractice Support Tagged with:alternative payment models (APMs)ComplianceLegislationMACRAMedicaidMedicareMerit-based incentive payment systemphysicianPhysician Quality Reporting Systempublic policyReimbursementrheumatologistrheumatology

Speaking Out for IPAB Repeal

Carina Stanton  |  May 4, 2017

On May 11, ACR President Sharad Lakhanpal, MBBS, MD, and other College members will be in Washington, D.C., to speak in support of proposed legislation or a joint resolution that would repeal the Independent Payment Advisory Board (IPAB). IPAB Defined In an attempt to control future Medicare expenditures, one element of the Patient Protection and…

Filed under:Legislation & Advocacy Tagged with:Independent Payment Advisory Board (IPAB)repeal

A Moving Target: Cardiovascular Risk & Rheumatic Disease

Richard Quinn  |  April 21, 2017

For patients with rheumatic disease, general treatment guidelines for managing cardiovascular risk are suboptimal, says Katherine Liao, MD. A patient’s level of disease activity and inflammation affect their risk…

Filed under:ConditionsVasculitis Tagged with:cardiovascularheartRheumatic Diseaserheumatologists

ACR Leaders to Talk Policy with Congressional Leaders in D.C.

From the College  |  April 19, 2017

On May 11, ACR leaders will fly to Capitol Hill to meet with Congressional leaders on behalf of ACR and ARHP members. With so many pressing policy issues facing the medical community this year, we hope that you, too, will let your members of Congress know where you stand on the following issues: Support Medical…

Filed under:From the CollegeLegislation & AdvocacyProfessional Topics Tagged with:Capitol HillCDC Arthritis ProgramDepartment of Defense (DoD)FY2018 Defense Appropriations BillFY2018 Labor-HHA Appropriations BillIndependent Payment Advisory Board (IPAB)National Institutes of Health (NIH)policy issues

The reasons rheumatologists choose hospital or academic employment vary. It comes down to what they value.

Rheumatologists Weigh Pros, Cons of Working in Academia

Karen Appold  |  April 19, 2017

Some rheumatologists find that an option other than working in a private practice makes the most sense for them. The reasons rheumatologists choose hospital or academic employment vary. Individual Choice When Lisa Criscione-Schreiber, MD, MEd, associate professor of medicine and rheumatology training program director, Duke University, Durham, N.C., was finishing her fellowship in 2003, she…

Filed under:Career DevelopmentEducation & Training Tagged with:AcademiabenefitsCareerhospitalphysicianPrivate practicerheumatologistrheumatology

Oksana Kuzmina/shutterstock.comx

Environmental Factors in Pediatric Systemic Autoimmune Diseases

Lisa G. Rider, MD, & Frederick W. Miller, MD, PhD  |  March 20, 2017

Systemic autoimmune diseases are thought to result from immune dysregulation in genetically susceptible individuals who were exposed to environmental risk factors. Many studies have identified genetic risk factors for these diseases, but concordance rates among monozygotic twins are 25–40%, suggesting that nonheritable environmental factors play a more prominent role.1,2 Through carefully conducted epidemiologic and other…

Filed under:Conditions Tagged with:air pollutionAutoimmune diseaseenvironmental factorgeneticInfectionJuvenile idiopathic arthritisKawasaki diseasepatient carePediatricsRheumatic DiseaserheumatologistriskSmoking

On the Road in Rajasthan: Vehicular-Caused Bone, Joint Damage in India

David S. Pisetsky, MD, PhD  |  March 20, 2017

In the good old days, physicians routinely made house calls. The decision to visit the literal bedside of a patient was practical: hospital services were primitive and often offered too little benefit to justify an emergency journey by the patient. These physicians carried leather bags, sometimes called Gladstones, that were filled with instruments for eventualities…

Filed under:From the College Tagged with:bonedamageimpoverishedIndiainjuryjointPainRajasthanrheumatologytrauma

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