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New AAMC Board of Directors; Hospitals Required to Publish Negotiated Rates; Leadership Changes at Yale, University System of Maryland; and Other Items of Interest

The AAMC just concluded its signature national event, Learn Serve Lead 2019: The AAMC Annual Meeting, in Phoenix. The conference began Thursday, Nov. 7, and ended Tuesday, Nov. 12, and attracted approximately 4,850 attendees — a new record. The annual meeting featured plenary sessions by Bryan Stevenson, founder of the Equal Justice Initiative, who spoke about the need to change the narrative around race in America by getting proximate to the suffering and disadvantaged, and presidential historian Jon Meacham, who recounted similar times of upheaval and discord in American history and called on the audience to practice curiosity, humility, and empathy rather than reflexively follow leaders who cast anyone who holds different views as enemies. AAMC President and CEO David J. Skorton, MD, and AAMC Board of Directors Chair Lilly Marks urged academic medicine to engage in fundamental changes to escape the “unacceptable status quo,” and Harvard Business School professor Amy Edmondson discussed how to create psychological safety and foster excellence in health care workplaces.
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At the 2019 annual meeting, the AAMC announced its new Board of Directors. Joseph E. Kerschner, MD, dean of the Medical College of Wisconsin School of Medicine and executive vice president and provost of the Medical College of Wisconsin, is the new chair; J. Larry Jameson, MD, PhD, executive vice president of the University of Pennsylvania for the Health System and dean of the Raymond and Ruth Perelman School of Medicine, is chair-elect; and Lilly Marks, vice president for health affairs for the University of Colorado Anschutz Medical Campus, is immediate past chair. At the CFAS Business Meeting, Scott Gitlin, MD, assistant dean for graduate medical education and professor of internal medicine at the University of Michigan Medical School, transitioned from CFAS chair to immediate past chair and rotated off the AAMC Board of Directors. The new CFAS chair, Gabriela Popescu, PhD, professor of biochemistry in the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, will represent CFAS on the AAMC Board along with Aviad “Adi” Haramati, PhD, a professor of integrative physiology in the departments of biochemistry, molecular and cellular biology and medicine at Georgetown University Medical Center, who is the new CFAS chair-elect.
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The AAMC also announced the winners of the 2019 AAMC Awards at the annual meeting: Joseph C. Kolars, MD, received the Abraham Flexner Award for Distinguished Service to Medical Education; Rafi Ahmed, PhD, received the Award for Distinguished Research in the Biomedical Sciences; Kenneth W. Kizer, MD, MPH, received the Robert Wood Johnson Foundation David E. Rogers Award; Maria L. Soto-Greene, MD, received the Herbert W. Nickens Award; Hoover Adger Jr., MD, MPH, MBA, received the Arnold P. Gold Foundation Humanism in Medicine Award; N. Kevin Krane, MD, received the Alpha Omega Alpha Robert J. Glaser Distinguished Teacher Award; received the Susan M. Cox, MD, Alpha Omega Alpha Robert J. Glaser Distinguished Teacher Award; received the Cathleen C. Pettepher, PhD, Alpha Omega Alpha Robert J. Glaser Distinguished Teacher Award; Mohammed K. Khalil, DVM, PhD, MSEd, received the Alpha Omega Alpha Robert J. Glaser Distinguished Teacher Award; and Cooper Medical School of Rowan University received the Spencer Foreman Award for Outstanding Community Engagement.
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Also at the AAMC annual meeting, CFAS held its fifth Twitter chat in a joint discussion with the Medical Humanities Chat on how medical humanities can enhance medical education. The second half of the tweet chat was moderated by Lisa Howley, the AAMC senior director of strategic initiatives and partnerships in medical education, and Arthur Derse, MD, JD, the Julia and David Uihlein Chair in Medical Humanities, professor of bioethics and emergency medicine, and director of the Center for Bioethics and Medical Humanities at the Medical College of Wisconsin and a CFAS Administrative Board Member and chair of the CFAS Advocacy Committee. The tweet chat garnered 439 tweets and more than 1 million impressions on Twitter.
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The Trump administration issued a final rule that will mandate in 2021 that hospitals publicize their negotiated rates with individual insurers for all services, reported the Wall Street Journal.
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The AAMC issued a joint statement with the American Hospital Association, Children’s Hospital Association, and the Federation of American Hospitals following the administration’s release of the final rule. “Today’s rule mandating the public disclosure of privately negotiated rates between commercial health insurance companies and hospitals is a setback in efforts to provide patients with the most relevant information they need to make informed decisions about their care. Instead of helping patients know their out-of-pocket costs, this rule will introduce widespread confusion, accelerate anticompetitive behavior among health insurers, and stymie innovations in value-based care delivery. ... Because the final rule does not achieve the goal of providing patients with out-of-pocket cost information, and instead threatens to confuse patients, our four organizations will soon join with member hospitals to file a legal challenge to the rule on grounds including that it exceeds the Administration’s authority,” the associations wrote.
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Jay A. Perman, MD, the president of the University of Maryland, Baltimore, has been appointed the fifth chancellor of the University System of Maryland. Dr. Perman is a former chair of the Department of Pediatrics at the University of Maryland School of Medicine and served as dean at the University of Kentucky College of Medicine.
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Scott Strobel, PhD, has been named provost of Yale University, effective Jan. 1. Dr. Strobel is the Henry Ford II Professor of Molecular Biophysics and Biochemistry at Yale and a professor at the Howard Hughes Medical Institute.
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The Supreme Court may side with the Trump administration on shutting down DACA, allowing for the potential deportation of roughly 700,000 “DREAMers,” who were illegally brought to the United States as children, reported NPR. 
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AAMC President and CEO David J. Skorton, MD, was interviewed by MSNBC and discussed how rescinding DACA would affect the quality of America’s health care.
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Bloomberg Law discussed the NIH’s draft data sharing policy, which requires all researchers “to develop a plan for managing and sharing research data as a condition of receiving a piece of the agency’s $32 billion in grant funding.” While the proposal received a generally positive reception from the research community, there remains a question of whether the NIH’s 27 institutes and centers will mandate their own data sharing requirements. “The draft policy refrains from being overly prescriptive, which is good for an agencywide policy. But I think we need more about precisely what’s going to be left to the [institutes, centers, and offices],” said Heather Pierce, JD, senior director of science policy and regulatory counsel at the AAMC.
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Science also covered the NIH’s data sharing draft proposal and provided background on the policy.
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Drug-resistant bacteria and fungi sicken approximately 3 million people each year in the United States, and kill about 35,000, according to a CDC report covered by the Washington Post. The Post noted that the statistics illustrate the threat is much more profound than previously understood.
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The EPA released a new draft of its proposal titled, Strengthening Transparency in Regulatory Science, which “would require that scientists disclose all of their raw data, including confidential medical records, before the agency could consider an academic study’s conclusions,” reported the New York Times. The article added that this iteration of the rule could apply retroactively to public health regulations already in place.
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The New York Times described how major hospitals across the country are still filing “hundreds or even thousands of lawsuits annually,” due to rising deductibles and patient medical debt. A nonprofit children’s hospital in Milwaukee, for example, has sued more than 1,000 patients since the beginning of 2018.
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HHS urged the U.S. Court of Appeals for the District of Columbia Circuit to uphold its cuts to the 340B drug discount program, arguing Congress gave the agency the authority to make the cuts, reported Modern Healthcare.
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Hospitals are calling on U.S. District Judge Rosemary Collyer to enforce her ruling against CMS’ site-neutral payment policy, but CMS is countering that the decision can’t apply to the 2020 rule and the court won’t have jurisdiction over the new rule until next year, said Modern Healthcare.
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According to a study published in JAMA Internal Medicine and covered by Fierce Healthcare, hospitals from 2012 to 2016 increasingly marked up prices for emergency medicine and anesthesiology services (the two most common sources of surprise medical bills) greater than Medicare reimbursements across more than 2,000 hospitals.
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Sanford Health and UnityPoint Health, two major Midwestern hospital systems, called off merger talks, said the Wall Street Journal.
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Duke University, MIT, the University of Southern California, and Cleveland Clinic will split a $1 billion gift from Lord Corp., a manufacturing company in North Carolina, reported the Wall Street Journal. The four institutions will each get $261 million.
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A medical team at Detroit’s Henry Ford Hospital performed what they believe is the first double lung transplant on a 17-year-old male who suffered complete lung failure from vaping and spent a month on a life-support machine before the operation, reported the Washington Post.
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The body of research proving systemic gender inequalities in medicine and elsewhere needs to be broadly disseminated for progress to be made on realizing gender equity, said Julie Silver, MD, associate professor and associate chair in the Department of Physical Medicine and Rehabilitation at Harvard Medical School, in an opinion piece for STAT.
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Health Leaders covered a report commissioned by Texas Medical Center Health Policy Institute, which disagreed with the AAMC’s physician shortage projections and said that, out of 2,000 patients, only 19% struggled to have a new visit with a generalist and only 15% struggled to set a new visit with a specialist.
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The median number of active physicians per 100,000 population increased to 263 physicians in 2018 from 239 in 2008, reported Rev Cycle Intelligence in coverage of the AAMC’s 2019 State Physician Workforce Data Report.
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Aaron Kesselheim, MD, JD, MPH, a professor of medicine at Harvard Medical School, co-wrote a perspective in the New England Journal of Medicine on the history and rising costs of insulin in the United States.
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Children growing up in a warming climate will have to contend with “increasing diarrhea diseases, more dangerous heat waves, air pollution and increases in mosquito-borne diseases such as dengue fever and malaria,” said the Associated Press in coverage of the annual climate change and health report from The Lancet.
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Apple is developing tools and apps that will encourage potentially thousands of its customers to enroll in clinical trials, said an article in the New York Times that explored how the tech giant is increasingly shaping medical research.
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Jennifer Doudna, PhD, one of the pioneers of CRISPR-Cas9 and the Li Ka Shing Chancellor’s Chair in Biomedical and Health Sciences at the University of California, Berkeley, wrote an editorial in Science on the one-year anniversary of Chinese scientist He Jiankui’s “risky and medically unnecessary work” using CRISPR-Cas9 to edit the genomes of two human embryos in the hopes of preventing future HIV infection. “Once the details of He's work were revealed, it became clear that although human embryo editing is relatively easy to achieve, it is difficult to do well and with responsibility for lifelong health outcomes,” Dr. Doudna wrote.
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Eight infants at the Geisinger Medical Center in Danville, Pennsylvania, became sick and three have died after contracting bacterial infections originating from equipment used in measuring donor breast milk, reported the New York Times.
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Despite their benefit to medical education, fewer autopsies are being performed in the United States due to attempts to reduce health care costs, concerns about litigation if errors are uncovered, greater cultural aversion to interfering with cadavers, and “medical overconfidence because of increased diagnostic and therapeutic capacities,” said a perspective in the New England Journal of Medicine that was covered by MedPage Today.
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Javaid Perwaiz, MD, a doctor based in Virginia has been arrested after being accused of performing hysterectomies and other unnecessary procedures on patients without their consent, reported CNN.
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Machine learning can do much of what doctors do, big data and brilliant data scientists are always a recipe for success, and successful algorithms will be adopted and utilized — these are three big myths about machine learning in health care, said Harvard Business Review.
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The Wall Street Journal profiled the brave souls who volunteer to get infected with the flu, then quarantined and tracked by researchers attempting to improve the flu vaccine.
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Punishment-based training has negative consequences for dogs and could make them more “pessimistic” than dogs that receive reward-based training, said Science.
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The ACGME removed credentials from the Detroit Medical Center’s neurosurgery training program after a September site visit, reported the Associated Press.
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The NIH awarded five intramural scientists as Lasker Clinical Research Scholars: Sean Agbor-Enoh, MD, PhD, from the National Heart, Lung and Blood Institute; Joanna Klubo-Gwiezdzinska, MD, PhD, from the National Institute of Diabetes and Digestive and Kidney Diseases; Paule Joseph, PhD, RN, from the National Institute of Nursing Research and National Institute on Alcohol Abuse and Alcoholism; Nirali Shah, MD, from the National Cancer Institute; and David Takeda, MD, PhD, from the National Cancer Institute. The Lasker Clinical Research Scholars award is part of a joint initiative with the Albert and Mary Lasker Foundation.
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The National Academies of Sciences, Engineering, and Medicine will host A Population Health Perspective on Middle School Success: Activities, Programs, and Policies: A Workshop, on Thursday, Dec. 5, at 11:30 a.m. ET.
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The American Public Health Association announced the recipients of its 2019 national awards, which recognize innovation and excellence in the field.
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Bernard Tyson, MBA, the CEO of Kaiser Permanente since 2013, died on Sunday. He was 60 years old and still serving as chief executive of Kaiser.
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Robert Nobles, PhD, has been appointed vice president for research administration at Emory University, effective Dec. 1. Dr. Nobles previously served as interim vice chancellor for research and engagement and associate vice chancellor for research at the University of Tennessee.
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Hannah Hazard-Jenkins, MD, has been named interim director of the West Virginia University Cancer Institute, effective in Jan. Dr. Hazard-Jenkins is associate chair for cancer services at the West Virginia University School of Medicine.
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Douglas Grider, MD, has been named vice chair of the Department of Basic Science Education at the Virginia Tech Carilion School of Medicine. Dr. Grider is an associate professor in the department.
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Anna Penn, MD, PhD, has been named chief of the Division of Neonatology in the Department of Pediatrics and associate professor of pediatrics at Columbia University Vagelos College of Physicians and Surgeons and chief of neonatology at NewYork-Presbyterian Morgan Stanley Children’s Hospital, effective Jan. 1. Dr. Penn is currently an associate professor of pediatrics at George Washington University School of Medicine and an attending neonatologist at Children’s National Hospital.
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Nancy Bjorklund, EdD, has been appointed director of the Office of Continuing Education at the Western Michigan University Homer Stryker M.D. School of Medicine. Dr. Bjorklund serves as an instructor in the Global and International Studies Program at Western Michigan University.
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And finally, a lot of creative ideas get floated around on Twitter these days, and not just during CFAS Twitter chats. For example, one idea to supplement traditional earthquake early warning systems comes from a tweet thread from Celeste Labedz, a geophysics PhD student at the California Institute of Technology, who proposes we strap Fitbits onto cats, and when an earthquake starts, the resulting data generated from “cats going bananas” would be streamed to a central system that could pinpoint the epicenter of an earthquake. And in case you were wondering, the technical term for this novel approach appears to be “meowdsourced” data. Happy Friday!
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Find more news items on AAMC's Research Clips page, and visit the CFAS Resources page for an archive of the previous four editions of CFAS News as well as our People of Academic Medicine page, which features a list of academic promotions, appointments, and departures.

Your comments and news tips are always welcome. Please email them to Eric Weissman at eweissman@aamc.org.

Read the previous edition of CFAS News.

Eric Weissman
Senior Director, Faculty and Academic Society Engagement
AAMC
eweissman@aamc.org
www.aamc.org/members/cfas

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