The patient-centered medical home’s star appears to be rising. Thirty-eight states are testing this model of care in some way, according to the National Academy for State Health Policy. The federal health system reform law, passed this spring, includes several provisions encouraging the concept.
Lingering Issues: Challenges remain in repairing CSF leaks
Once the province of neurosurgeons, cerebrospinal fluid (CSF) leak repair is now handled mostly by otolaryngologists. This change has occurred over the past couple of decades, during which time the evolution of endoscopic tools and techniques has made possible extracranial rather than intracranial repair. The success rate for repairing these leaks from below has reached about 90 percent, particularly for small leaks.
Headlight vs. Head Mirror
September’s Poll Results
Response from the editor
Dr. Sims has eloquently identified the value of diversity not only in otolaryngology, but also its contribution to the strength of the U.S. as a nation. Drs. Kuppersmith and Thomas have responded to his editorial indicating steps that the AAO-HNS has taken and is currently taking to increase diversity.
Response from Dr. Sims
My Viewpoint was intended to call attention to a problem and inspire us to act with more alacrity.
Change Is Already Here
We read with great interest Dr. Steven Sim’s recent op-ed, “More of the Same: Why isn’t otolaryngology becoming more diverse?” in ENT Today (Viewpoint, Sept. 2010).
Compliance Made Easy: High-tech systems remind patients to take their meds
Neil Chheda, MD, assistant professor of otolaryngology at the University of Florida in Gainesville, realized a few years ago that nearly half of his patients on proton pump inhibitors were taking them incorrectly.
Resident Restructure: Attendings adjust to new work-hour rules
The new duty hour regulation from the Accreditation Council for Graduate Medical Education (ACGME) that limits first-year residents to 16-hour shifts has drawn a conflicted chorus of reactions from attendings, who have only seven months before the stipulation goes into effect.
Old Problem, New Focus: Otolaryngologists tailor allergy treatments to geriatric patients
Allergic rhinitis among the elderly poses a particularly difficult diagnostic challenge for the otolaryngologist. As people age, they undergo immunosenescence. The thymus, which produces T cells against new invaders, atrophies markedly after adolescence, and this decline results in a less robust immune response to bacteria, viruses and presumably allergens (J Pathol. 2007;211(2):144-156). Consequently, physicians have assumed that allergies should decline as people age.
ENT Today Welcomes New Committee
One of the features weíve added to ENT Today since our new publishing partnership with Wiley-Blackwell has been concise, to-the-point reviews of some of the most important articles in the literature. Our editorial board members have been responsible for the most recent reviews in our ìLiterature Reviewî department, but the Triological Society has established a new committee of outstanding individuals who will scan the literature and write the summaries you read in ENT Today.
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