#Affordable_Care?: It Costs What! Why so much?

Event:  SMBS Intersession 2014 (#UBSMBS2015, #Affordable Care?)

 

Date:  January 8^th or 9th, 2013 (1/2 #UBSMBS2015 class each day)

 

Time:  11 AM to 12 noon

 

Location:  Farber 144

 

Title: #Affordable_Care?:  It Costs What! Why so much? How this will Effect You, Your Training (#ACGME,  #GME), Your Career (#CiM) & Your Patients (#HCR)

 

Instructor:      Philip L. Glick, MD, MBA, FACS, FAAP, FRCS (Eng)

Vice Chairman, Department of Surgery
Professor of Surgery, Pediatrics, OB/GYN, and Management,
            SUNY @ Buffalo

E-mail:glicklab@buffalo.edu

Twitter: @glicklab    

Blog: http://glicklab.blogspot.com/

www:  http://www.buffalo.edu/~glicklab

 

Introductory Paragraph: #Affordable_Care?:  It Costs What! Why so much? How this will Effect You, Your Training (#ACGME,  #GME), Your Career (#CiM) & Your Patients (#HCR).  Using recent publications, real time resources, and social networking, we will discuss how healthcare’s costs will affect the students’ professional lives (training experience, career choices, personal finance, access to patients, etc.) and your patients’ lives in the next 3 to 5 years.  This will be a full participatory educational experience.  Students (#UBSMBS2015) will be expected to familiarize themselves with the reading materials in advance;  sorry for the short notice, but this will give you something to do during the snow!  Tweets (@glicklab) will be used prior to, during and after the intersession class to help the attendees inform themselves, their peers and their followers to better understand the effects of the on various aspects of their professional lives.  Attendee diversity, i.e., cognitives à proceduralists, primary care advocates à specialty care advocates,  federalists à libertarians, liberal à conservatives,  Twitter savvy à Twitter novice,  academic career bound à hospitalists à private practice bound, NYS residents à non-residents, etc., is encouraged and will make the educational experience richer. All opinions will be valued, and professionalism and ethics will be emphasized.  Your IQ will be helpful, but your EQ will serve you better.  If you want to reinforce your adult learning skills and have some fun doing it, this intersession course is highly recommended.

 

 

Learning Objectives:

 

At the end of this session, you should:

 

• Understand the cost structure of healthcare and how the Affordable Care Act (#ACA) may or may not improve this.  Additionally,  how #Affordable_Care?  will affect your training, your career choices, your practice environment, your personal finances and your patients.
• Have better insight into your professional metamorphosis from a student-doctor to a physician-healer, from trainee to practicing doctor, from healthcare user to healthcare provider and from citizen to tax payer.
• Understand the basic information for the  meaningful use of  Social Media (Twitter, FaceBook, & YouTube) for their personal and profession needs and the risks, benefits, and alternatives of  this state of the art technology (#HCSM, #SoMe, #SoMed).

 

Required Reading:

 

Affordable_Care?:

 

- Brill S  Bitter Pill: Why Medical Bills Are Killing Us. Time Magazine 2013

http://healthland.time.com/2013/02/20/bitter-pill-why-medical-bills-are-killing-us/print/[2/26/2013 7:31:26 AM]

 

Lazarus S.  How a cat bite cost one man $55,000 LATimes 2013

http://www.marketplace.org/topics/economy/health-care/how-cat-bite-cost-one-man-55000

 

Cox R, Healthcare $avy.  Out of Network care

Out-of-network Medical Costs Affect Everyone | Healthcare Savvy

 

Rosenthal E.  Health care’s road to ruin, NY Times 12/22/13

http://www.nytimes.com/2013/12/22/sunday-review/health-cares-road-to-ruin.html

 

Rosenthal E. American Way of Birth, Costliest in the World .  NY Times 6/30/13

http://www.nytimes.com/2013/07/01/health/american-way-of-birth-costliest-in-the-world.html?pagewanted=all

 

Rosenthal E.  The $2.7T Medical Bill NY Times 6/1/13

http://www.nytimes.com/2013/06/02/health/colonoscopies-explain-why-us-leads-the-world-in-health-expenditures.html

 

Rosenthal E.  “Affordable care” or a rip-off? NY Times 9/28/13

http://www.nytimes.com/2013/09/29/sunday-review/affordable-care-or-a-rip-off.html?_r=0

 

Affordable Care Act:

 

Blendon, R. J., Benson, J. M., & Brulé, A. (2012). Implications of the 2012 Election for Health Care - The Voters' Perspective. The New England Journal of Medicine. doi:10.1056/NEJMsr1213905

 

Rosenbaum, S. (2012) Threading the needle -  Medicaid and the 113th Congress, The New England Journal of Medicine, December 5, 2012 DOI: 10.1056/NEJMp1213901

Threading the Needle — Medicaid and the 113th Congress — NEJM

Oberlander, J The future of ObamaCare, The New England Journal of Medicine, December 6, 2012DOI: 10.1056/NEJMp1213674

The Future of ObamaCare — NEJM

 

Professionalism:

 

Rohrhoff, N. J. (2012). Becoming a physician. What life is like. The New England Journal of Medicine, 366(8), 683–685. doi:10.1056/NEJMp1112089

What Life Is Like — NEJM

 

Social Media in Medicine:

 

Yamout, S. Z., Glick, P. L., Glick, Z., Lind, S., & Monson, R. A. Z. (2011). Using social media to enhance surgeon and patient education and communication. Bulletin of the American College of Surgeons, 96(7), 7–15

 

McGowan, B. S. (2012). Understanding the Factors That Influence the Adoption and Meaningful Use of Social Media by Physicians to Share Medical Information. J Med Internet Res, 1–11. doi:10.2196/jmir.2138

 

 

App | 140 Characters (available via iTunes or Amazon, optional)

 

Recommended Apps (Not Required for this course): (I’m an Apple junkie (Mac Book, iPhone, iPad), so my App recommendations are Apple-centric)

 

Hootsuite  http://signup.hootsuite.com/proent/?gclid=CK6CiPzA6rsCFWQOOgodg1MAVQ

 

TwitterFall   TwitterFall

 

Dropbox  Dropbox - Teams - Dropbox for Teams

 

LastPass  LastPass - Password Manager, Form Filler, Password Management

 

Papers2  Papers : mekentosj.com : Software for Research

 

Bit.ly  bitly | ? your bitmarks

 

PubMed  Home - PubMed - NCBI

 

NEJM  NEJM iPad Edition

 

HUBNET HUBNET (web-based)

 

University of Buffalo Libraries E-Journals - Find Library Materials - University at Buffalo Libraries  (web-based)

 

People you might want to Follow:

 

@glicklab

@drMLB

@susannahfox

@atul_Gawande

@briansmcgowan

@CDCgov

@hhsgov

@@hjluks

@TedMed

@NEJM

@WSJHealth

 

Hashonomy you might want to use:

 

#UBSMBS2015 (this will be primary Hashtag for all tweets related to this class)

            #Affordable_Care?

#ObamaCare

#ACA

#ACGME

#GME

#CiM

#HCR

#HCSM

#SoMe

#SoMed

#advocacy

#UBSMBS

 

 

Technology Suggested: To optimize your educational experience, it is suggested that each attendee to the intersession class have real-time access (laptop or mobile device) to the internet and a twitter account (username).  Prior to the course, the students will begin a twitter thread following the Twitter handle @glicklab that will determine the content of the Grand Round discussion.  In addition, we will be using a real-time twitter feed for class participants to comment and ask questions.

 

Volunteer(s) Needed:  #UBSMBS2015 students (2 to 3 max) can volunteer to be the live Twitter Ombudsperson(s).   They will work with @glicklab prior to the Grand Rounds to prepare for live Twitter feed (“The Back Channel”) for discussion and Q and A sessions.  Please See below.

 

Guidelines for a Live Twitter Comments and Q and A (The Back Channel):

 

• Our live Twitter audience ombudsperson is @TBD
• Please be courteous to our front channel speakers, they can’t see the Twitter  feeds
• Real-time comments are encouraged
• Multitasking obviously is encouraged
• The ombudsperson may interrupt the speaker for timely comments or questions or save them for the Q &A
• The back channel activity should be constructive, synergistic, & value added!
• Any comments or questions we can’t get to during the presentation will be responded to shortly after the session
• Classmates or others not able to attend this Grand Rounds are encourage to comment or ask questions using hashtag #Affordable_Care or #ubsmbs2015
• If you have a different interest or agenda than #Affordable_Care share it somewhere else

 

Contact information: 

 

Philip L. Glick, MD, MBA, FACS, FAAP, FRCS (Eng)
Voice:    716 859-3371   
Fax:       716 859-1354 (confidential fax line)  
E-mail:   glicklab@buffalo.edu  

Website:  buffalo.edu/~glicklab
http://deptdirectory.med.buffalo.edu/profile/facultyprofile.asp?ht=dd&fid=0F70L4CJZ
Twitter: http://twitter.com/glicklab (@glicklab)

Blog:  http://glicklab.blogspot.com/
LinkedIn: http://www.linkedin.com/in/philiplglickmdmba