Updated on Jun 30, 2022 | Research, School, Uncategorized
Pre-med education is fundamentally flawed. This is something that the Medical Education community has known and written about for decades but has never acted upon. There are three critical problems:
- Pre-med science requirements were established almost 100 years ago and have not changed since then despite extraordinary advances in clinical medicine and biomedical science.
- These requirements consume an enormous amount of time and energy, detracting severely from what should be an enriching, stimulating college education.
- The Medical College Admissions Test (MCAT) is an expensive (between the tests fees and pre courses), time-consuming hurdle that perpetuates the need to focus on memorization of facts and competition for grades.
More than 100 years ago, Abraham Flexner reformed medical education throughout the nation. He was considered visionary and is responsible for establishing what we currently consider to be the gold standard for how medicine is taught, both in medical school and in preparing for medical school. Since then, medicine and science have changed more rapidly than any other field, with the possible exception of information technology. Yet educators at both the college and medical school levels have failed to refresh his vision and align the physician training with society’s needs. We’ve also perpetuated the notion that everyone has to be taught the same requirements in lockstep, with little room for flexible, individualized, and self-directed learning.
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Updated on Jun 30, 2022 | Research, School
As a first-year neurosurgery resident at Mount Sinai, I am continuously reminded of the seamless integration of innovative surgical technology and its ability to positively affect the outcomes of our patients. In fact, when I was a medical student at the Albert Einstein College of Medicine, I remember being fascinated by the “high-tech” feel of a neurosurgical operating room. Everything, from the microscope, to the cranial and spinal navigation systems seemed like something straight out of a science fiction movie. I realized that neurosurgery was a rapidly evolving field that was fueled by cutting-edge technology. It is one the reasons why I ultimately decided to join the ranks of the neurosurgeons I always idealized as a medical student. With this in mind, I am excited for the opportunity to describe my experiences with the launch our neurosurgery department’s NeuroTouch Simulation Project.
To provide a bit of background, in 2009, the National Research Council of Canada introduced the NeuroTouch, a one-of-a-kind physics-based virtual simulator for cranial micro-neurosurgery training. The development of similar virtual reality simulation devices within the past decade has enabled residents to practice basic surgical procedures in a risk-free environment. These devices have progressively increased in sophistication, playing an increasingly important role in the education and training of new surgeons. In September 2012, The Department of Neurosurgery at Mount Sinai Medical Center became the first in the United States to purchase the NeuroTouch Simulator.
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Updated on Jun 30, 2022 | Cardiology, Inside, Research
Valentin Fuster, MD, PhD, Director of Mount Sinai Heart, presented landmark research on diabetes and heart disease at the American Heart Association (AHA) Scientific Sessions 2012. During the conference, the AHA also honored Dr. Fuster with its 2012 Research Achievement Award for his many significant contributions to cardiovascular medicine.
“With a laser-like focus on translational research, Dr. Fuster has added greatly to our understanding of the pathogenesis of coronary artery disease and thrombosis,” says AHA President Donna Arnett, PhD, MSPH. “Among his laboratory’s provocative advancements in medical science are numerous ‘firsts,’ including the original understanding of the role of platelets in heart disease and the revelation that plaque composition plays a crucial role in propensity for a heart lesion to rupture.”
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Updated on Jun 30, 2022 | Inside, Research
Children with food allergies are frequently bullied by classmates but experience less psychological distress when their parents are aware of it, according to researchers at The Mount Sinai Medical Center, who surveyed 251 families during their visits to Mount Sinai’s Jaffe Food Allergy Institute in 2011.
The study—published online in the December 24, 2012, issue of Pediatrics—found that as many as 45.4 percent of the children, ages 8-17, reported being bullied, and 31.5 percent reported that food allergy was the reason.
“Parents and clinicians need to ask children with food allergies if they have been bullied,” says the study’s lead author Eyal Shemesh, MD, Chief of the Division of Behavioral and Developmental Health in the Department of Pediatrics at The Mount Sinai Medical Center. “Bullying is prevalent. Kids often don’t tell their parents, and it is important to know this is an issue.”
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Updated on Jun 30, 2022 | Research, School
Ultraportable Ultrasound Device made available to Icahn School of Medicine students and trainees
This article was written by Alexa Mieses, a first-year medical student, and first published in The Rossi: Medical Student Quarterly Report.
Icahn School of Medicine at Mount Sinai is known for innovation within the realms of patient care, research, and medical education. Training future physicians requires a commitment to progress, and the newest addition to the medical school’s curriculum is no exception: In the spring of 2013, handheld ultrasound will be introduced to enhance students’ and trainees’ clinical skills and generation of a differential diagnosis by reinforcing anatomic and physiologic principles.
Unlike traditional ultrasound, bedside ultrasound is performed at the point of care, not in an imaging suite. Handheld ultrasound – an even more recent technology – is small enough to fit in the palm of a hand, with a screen roughly the size of a smart phone. Compared to traditional ultrasound, these devices are more portable and less expensive, although the quality of image may be compromised.
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Updated on Jun 30, 2022 | Inside, Research
A team of researchers at The Mount Sinai Medical Center and elsewhere recently discovered a causative gene for primary torsion dystonia (PTD), which sheds light on the genetic underpinnings of this debilitating movement disorder that affects an estimated 500,000 adults and children in North America. PTD is characterized by repetitive twisting muscle contractions throughout the body.
Drs. Laurie Ozelius and Tania Fuchs
The findings—which appear in the December 9, 2012, issue of Nature Genetics—identified the gene GNAL after exome sequencing was performed on two families with PTD. Further investigation into GNAL revealed six additional mutations of the gene. Exome sequencing is an effective, less expensive alternative to whole genome sequencing.
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