NY Times: Study finds many unpaid tasks in a primary-care doctor’s workday

According to an article in today’s New York Times, reporting on an article in the New England Journal of Medicine:

In addition to seeing patients, a primary-care physician each day must address more than three dozen urgent but uncompensated tasks, according to a study that provides a rare, quantitative look into the mechanics of office practice.

Answering telephone calls and e-mail messages, refilling prescriptions, reviewing lab test results and consulting with other doctors consume large amounts of time each day, even though none of it is paid for, according to the study.

Primary care is a centerpiece of the recently enacted health-care law, which provides incentives for doctors, nurses and physician assistants to enter the field. Many experts — and President Obama — have said that the 32 million additional people expected to get health insurance over the next decade will need primary-care providers if the law is going to both improve the quality of medical care and contain spending, its two goals beyond expanding coverage.

Primary care, however, is an increasingly unpopular field, and the new study sheds light on possible reasons.

The study by Richard J. Baron, MD, “What’s Keeping Us So Busy in Primary Care? A Snapshot from One Practice,” is available on the NEJM Web site. As the number of advanced practice nurses providing primary care increases, their fair remuneration takes on greater importance. Time for some case studies of those practices.

CFS: Migration & Mental Health (Advances in Mental Health)

Migration & Mental Health: A special issue of Advances in Mental Health , volume 9, number 3, December 2010

Edited by: Nicholas Procter (Professor and Chair: Mental Health Nursing, University of South Australia), Monica McEvoy (Nurse Practitioner Candidate Multicultural Mental Health, Child Adolescent Mental Health Services, South Australia), Irena Papadopoulos (Professor and Head, Research Centre for Transcultural Studies in Health, Middlesex University, UK)

Advances in Mental Health has a conceptual frame encompassing mental health promotion, prevention and early intervention, explorations of wellness, best practice interventions toward recovery, seamless provision of support from inpatient to community care, and holistic support approaches for human beings who seek meaningful solutions. Papers are invited for this special issue dedicated to the discussion and analysis of new initiatives in the field of migration and mental health. Papers are welcome from a wide range of disciplines, including nursing, medicine, psychiatry, law, social work, sociology, occupational therapy, religious studies, anthropology, cultural studies, and from health and human services workers, mental health professionals, mental health policy administrators, educators and academic researchers. They may address:

  • Culture and mental health
  • Child and adolescent mental health
  • Risk and protective factors linked to migration and mental health
  • Aetiology and ethnicity in mental health
  • Therapeutic engagement with individuals, families and communities
  • Explanatory models in mental health
  • Cultural competency, migration and mental health
  • Cultural perspectives on mental health and mental illness
  • Cultural perspectives on mental health promotion and suicide prevention
  • Policy initiatives and reforms
  • Refugee and diaspora populations
  • Migration, mental health and the older adult
  • International perspectives on migration and mental health

Submissions: Manuscript submissions are invited by the submission deadline, observing the Author Guidelines: http://amh.e-contentmanagement.com/ 

All papers will undergo a double peer review process. The special issue will include 8-10 articles of approximately 4,000-6,000 words each, and be published in Advances in Mental Health volume 9/3 (December 2010).

Manuscript submission deadline: 15 August 2010

CFS: Mother Issue (J of Family Issues)

Call For Papers- The Mother Issue, Journal of Family Issues Deadline: 2010-06-19

In the past century, there has been a significant body of scholarship committed to defining, exploring, and analyzing the lived and imagined lives of mother(s), as well as, the practices and politics of mothering, and motherhood. The purpose of this special issue of the Journal of Family Issues is to further the discussion dedicated to mother/ing/hood through a critical, interdisciplinary, social science lens. The editors invite submissions which interrogate our societal notions of, policies towards,implications, as well as, performances of mother, mothering, and motherhood from a variety of perspectives which include a range of theoretical and empirically-oriented papers. Critical interrogations which examine the topics mentioned below through the prism of mother/ing/hood conflated with the intersections of race, class, and sexuality are encouraged. Topics may include but are not limited to:

  • Birth
  • Adoption (Birth and/or Adoptive Mother/ing/hood)
  • Breastfeeding
  • Technologically Assisted Motherhood
  • Surrogacy
  • Work and Mother(hood)
  • Depictions of Mother(hood) in the Media
  • Incarcerated Mothers
  • Mothers with HIV/AIDS
  • Mother(hood) and Substance Abuse
  • Mother(hood) and Sex Work
  • Motherhood and the Law
  • Lesbian Mothers
  • Military Mothers
  • Teen Mothers
  • Feminism and Mother(hood)
  • Disability and Mother(hood)
  • Immigration and Mother/hood/ing
  • Mothers and Vaccination
  • Mothers and Self Help Literature
  • The Social Construction of Motherhood
  • Maternal Depression
  • Mothering Support Networks

Please submit a 250 word abstract by June 19, 2010 to nicban@ufl.edu . Upon acceptance of your abstract, final articles are due no later than Dec. 5, 2010. Final papers should not exceed 22 pages and must conform to APA format. Direct all questions to either Nicole Banton, nicban@ufl.edu  or Karen Craddock, kcrad@brandeis.edu .

Co-Editors- Nicole Banton, PhD nicban@ufl.edu  and Karen Craddock, PhD kcrad@brandeis.edu

CFS: Pedagogical Responses to Sexuality

Pedagogical Responses to Sexuality – Teaching Sex Call for Papers Deadline: June 15th, 2010

The editors of Transformations seek articles that explore sexuality from pedagogical contexts such as colleges and universities; prisons; HIV risk reduction interventions; K-12; law schools; medical/nursing schools; museums, libraries and archives; global justice movements; virtual public spheres; and community outreach. We welcome essays from all disciplinary and interdisciplinary perspectives. Transformations publishes only essays that focus on pedagogical praxis and/or pedagogical theory.

Transformations: The Journal of Inclusive Scholarship and Pedagogy is a peer-reviewed interdisciplinary forum for pedagogical scholarship exploring intersections of identities, power, and social justice.

Transformations accepts essays (5,000-10,000 words), media essays (overviews on books, film, video, performance, art, music, websites, etc. 3,000 to 5,000 words) and items for an occasional feature, “The Material Culture of Teaching,” which offer historical perspectives on pedagogy or examine material practices/artifacts of pedagogy.

Please send submissions in MLA format (6th ed.) via email to transformations@njcu.edu . For submission guidelines go to: www.njcu.edu/assoc/transformations .

Jacqueline Ellis and Ellen Gruber Garvey, Editors, Transformations, New Jersey City University Hepburn Hall Room 309, 2039 Kennedy Boulevard, Jersey City, NJ 07305 Email: transformations@njcu.edu Visit the website at http://www.njcu.edu/assoc/transformations

CFS: Costs and End-of-Life Medical Treatment (J of Law, Med & Ethics)

Call for Papers on Costs and End-of-Life Medical Treatment

The Journal of Law, Medicine & Ethics will host a thematic issue on costs and end-of-life medical treatment in 2011. Robert Arnold, Amber Barnato, and Thaddeus Pope have been asked to serve as Guest Editors. The Journal of Law, Medicine & Ethics is the peer-reviewed journal of the American Society of Law, Medicine & Ethics.

Articles may be submitted for any topic relating to on costs and end-of-life medical treatment. The editors are primarily interested in shorter papers (10 – 30 double spaced pages; 3000 – 9000 words, exclusive of endnotes), although longer papers will receive careful consideration. The JLME style sheet is found on the ASLME website: http://www.aslme.org/pub/submissions.php .

Please submit an abstract by June 15, 2010. Papers are due by November 1, 2010 so that we can complete the editorial and review process in a timely manner. Early submissions are appreciated. All correspondence should be directed to Thaddeus Pope at tmpope@widener.edu . Thaddeus Mason Pope, J.D., Ph.D., Widener University School of Law, 4601 Concord Pike, Room 325, Wilmington, Delaware 19803, T: 302-477-2230 F: 901-202-7549 E: tmpope@widener.edu  W: www.thaddeuspope.com

Pennsylvania Medical Humanities Symposium

Pennsylvania Medical Humanities Symposium: Through the Lens of Time: Perspectives on Medicine and Health Care

May 19 (Evening) and May 20 (8AM – 5PM)

The Eighth Annual Pennsylvania Medical Humanities Consortium meeting will be held at The College of Physicians of Philadelphia on Wednesday evening, May 19 through Thursday afternoon, May 20, 2010. This year’s theme, Through the Lens of Time: Perspectives on Medicine and Health Care, will present papers, panels, workshops, readings or performances that examine a topic relevant to medicine and health care from a historical perspective. All presentations will represent the orientation of at least one of the medical humanities, including history, literature and the arts, bioethics, philosophy, religious studies, and social sciences.

For further information contact Rhonda L. Soricelli, MD, Chair, Planning Committee, at RLSoricelli@comcast.net .

To download the registration form for this event click here.

CFS: Sociology of Diagnosis: Negotiation, Mediation and Contingency

Call for Papers, Social Science & Medicine, Special Issue: Sociology of Diagnosis: Negotiation, mediation and contingency

Guest Editors: Annemarie Jutel and Sarah Nettleton

Social Science and Medicine is calling for papers for a special issue on the sociology of diagnosis to be guest edited by Annemarie Jutel and Sarah Nettleton. Papers may focus on diagnosis as classification or as process; on professional or lay-diagnosis; on the micro and macro levels of diagnosis; or on any other aspect of the social framing or consequences of diagnosis.

This special issue will provide the opportunity to crystallise discussions and forge an innovative strand of work within the sociology of health and illness, and engage pertinent sociological questions such as:

  • What constitutes a diagnosis?
  • How is diagnosis negotiated within the clinic?
  • How do structural variables such as gender, ‘race,’ age, and class permeate the diagnostic process?
  • What are the social and experiential consequences of ‘expert’ and ‘lay’ diagnoses?
  • How do lay people identify and communicate diagnoses?
  • How, and/or to what extent, do market forces contribute to the fabrication and dissemination of a diagnostic category?
  • To what extent are diagnoses contested, challenged and or politicised?
  • What are the drivers and the consequences of innovations in diagnostic and predictive technologies?
  • Will diagnosis have a different place within the surveillance medicine of an increasingly risk-based social context?

The deadline for submission is 30th June 2010 and papers should be submitted here http://ees.elsevier.com/ssm/ . When asked to choose an Article Type, authors should stipulate “Special Issue Article”, and in the ‘Enter Comments’ box the title of the Special Issue should be inserted, plus any further acknowledgements. All submissions must meet the Social Science & Medicine guide for authors which can be found on the above website.

If you have any questions, please contact either Annemarie Jutel on ajutel@vodafone.co.nz  or Sarah Nettleton on sjn2@york.ac.uk .

CFP: Making Sense Of: Dying and Death: Care, Dying and the End of Life

7th Global Conference, Making Sense Of: Dying and Death: Care, Dying and the End of Life, Monday 8th November – Wednesday 10th November 2010, Prague, Czech Republic

This inter- and multi-disciplinary conference explores connections between health care systems, caregivers, and matters of public policy that serve those at the end-of-life. As the primary cause of death increasingly becomes slow progressive illnesses, many people are now living longer. As a result, end-of-life care has been pushed from the context of the home to the context of the hospital so that the dying can be close to important life-extending technologies. In turn, this means care giving at the end-of-life is often assigned to medical professionals rather than friends and family. The impact of this migration has caused many to have an increasingly passive role in caring for the dying. A challenge has arisen surrounding how to explore questions of meaning, questions of value, and questions of relationship with the dying when the context of care they receive is almost purely geared towards the biological dimension of their personhood. Furthermore, our increasingly passive role in providing care to the dying leaves, for many, few opportunities to reflect on and consider carefully one’s own mortality. A common perception is emerging that portrays death as a “medical failure,” and not as a natural process.

As clinical competencies surrounding pain management and symptom control evolve, the formation of interdisciplinary teams designed to treat the whole person has become increasingly necessary. Advance planning is a vital way to assist efforts to insure the dying receive the kind(s) of care they desire. However, discontinuity of care across treatment settings can undermine even the clearest planning documents.

Ethical ideals, patient goals, and regulatory requirements of a given institution all shape the dying trajectory. This conference specifically aims to assess how heath care systems, patients, and staff intersect during end-of-life care, and explores how important the caregiver-patient relationship continues to be amidst end-of-life issues and decisions.

Papers, reports, presentations, workshops and pre-formed panels are invited on issues on or broadly related to any of the following themes:

1: Health Care Systems: Patients, Staff, and Institutions

  • * Modern Health Care Delivery Systems and Care for the Dying
  • * Palliative Care
  • * Hospice
  • * Elder Care/Ageing in Place Models
  • * Trauma and Emergency Care
  • * Nursing Homes/Skilled Facilities/Residential Care Facilities for the Elderly (RCFEs)/Assisted Living
  • * Clinical Competencies in Pain Management and Symptom Control
  • * Measurements, Incentives, Regulatory Statutes, and Recommendations
  • * Continuity of Care Across Treatment Settings
  • * Interdisciplinary Care

2: The Caregiver-Patient Relationship

  • * Caregiver’s (Physician’s?) Obligations and Virtues
  • * Medical Paternalism and Respect for the Patient, Autonomy
  • * Truth-Telling
  • * Informed Consent
  • * Medicine in the West for a Multicultural Society
  • * Contested Therapies Within the Physician-Patient Relationship
  • * Conflicts of Interest; Problems of Conscience
  • * Caregiver Stress/Caregiver Burnout/Compassion Fatigue
  • * Being With Someone Who Is Dying
  • * Assessment Challenges/Barriers

3: Death Systems: Matters of Public Policy

  • * Defining Death
  • * Organ Transplantation and Organ Donation
  • * Death Certification
  • * The Coroner and the Medical Examiner
  • * Autopsies
  • * The Impact of the Death System

4: End-of-Life Issues and Decisions

  • * The Interplay of Ethical Meta-Principles at the End of Life
  • * Nonmaleficence
  • * Beneficence
  • * Autonomy
  • * Justice
  • * Fidelity
  • * Death Anxiety
  • * Choosing Death
  • * Advance Directives/Advance Planning/Physician Order for Life-Sustaining Treatments (POLST)/Do Not Resuscitate
  • * Wills and Inheritance
  • * Probate
  • * Insurance and Death Benefits
  • * Considering End-of-Life Issues and Decisions and Legislation

Papers will be considered on any related theme. 300 word abstracts should be submitted by Friday 28th May 2010. If an abstract is accepted for the conference, a full draft paper should be submitted by Friday 24th September 2010. 300 word abstracts should be submitted to the Organising Chairs; abstracts may be in Word, WordPerfect, or RTF formats, following this order: a) author(s), b) affiliation, c) email address, d) title of abstract, e) body of abstract. E-mails should be entitled: Care, Dying and the End of Life Abstract Submission. Please use plain text (Times Roman 12) and abstain from using any special formatting, characters or emphasis (such as bold, italics or underline). We acknowledge receipt and answer to all paper proposals submitted. If you do not receive a reply from us in a week you should assume we did not receive your proposal; it might be lost in cyberspace! We suggest, then, to look for an alternative electronic route or resend.

Organising Chairs:

Nate Hinerman, Nursing/Theology and Religious Studies, University of San Francisco, San Francisco, USA, E-mail: nphinerman@usfca.edu and Rob Fisher, Network Leader, Inter-Disciplinary.Net, Freeland, Oxfordshire, United Kingdom, E-Mail: dd7@inter-disciplinary.net

The conference is part of the Making Sense Of: series of research projects, which in turn belong to the Probing the Boundaries programmes of Inter-Disciplinary.Net. It aims to bring together people from different areas and interests to share ideas and explore discussions which are innovative and challenging. All papers accepted for and presented at this conference are eligible for publication in an ISBN eBook. Selected papers may be invited to go forward for development into a themed ISBN hard copy volume.

Please note: Inter-Disciplinary.Net is a not-for-profit network and we are not in a position to be able to assist with conference travel or subsistence.

For further details about the project please visit: http://www.inter-disciplinary.net/probing-the-boundaries/making-sense-of/dying-and-death/

For further details about the conference please visit: http://www.inter-disciplinary.net/probing-the-boundaries/making-sense-of/dying-and-death/call-for-papers/

CFS: Poems (J of Medical Humanities)

Call for Poems for publication in the Journal of Medical Humanities

Poets are invited to submit up to three poems on the theme of birth/beginning/rebirth. Interpretation of the theme (physical, emotional, etc…) remains with the poet and may be addressed directly or indirectly. Poems must be unpublished. Prompt notification is requested if accepted for publication elsewhere. Poems should not exceed seventy lines (12 point font, one inch margins), but may be of any form.

Submit via email to sarahcross@alum.swarthmore.edu  with the poem(s) all attached in one single Word document. Make sure that the document itself includes your name, email address and mailing address. Include a brief bio in the body of the email. Deadline is June 15th.

Selected poets will be notified and asked to write a brief commentary on their poem. Poems will appear with commentaries and an introduction by the editor in the Journal of Medical Humanities. Non-selected poems may not be acknowledged.

Questions may be directed to Sarah Cross at sarahcross@alum.swarthmore.edu .

CFP: History of Hospitals (Conference)

International Network for the History of Hospitals Sixth Conference–Daily Life in the Hospital: Theory and Practice, School of Public Health Lisbon and University of Evora 8-10 April 2011

The INHH will be holding in 2011 its sixth international conference in Lisbon and Evora, Portugal, on the theme of Daily Life in the Hospital: Theory and Practice. It will follow the success of the previous INHH international conferences, the last of which took place in Barcelona in 2009. It is intended, as on previous occasions, to include as wide a chronological and geographical remit as possible, embracing the history of hospitals from the Ancient world to the present century across the globe. One of the aims of the Network is to encourage scholars new to the subject (though, of course, not precluding established scholars) and to cultivate an interdisciplinary approach. It is hoped that, as previously, papers will be published in a peer-reviewed volume based upon the conference proceedings.

Potential speakers are invited to submit proposals for papers of up to thirty minutes’ duration, suitable for inclusion in one of following sessions:

  • • Making and breaking the rules: statutes, regulations and abuses
  • • Doing the rounds: physicians, surgeons, nurses, pharmacists and their roles
  • • Religious ritual
  • • The routine of medicalisation: drugs, medicines, therapeutics and laboratories
  • • Day to day administration: bureaucrats, accountants, auditors and managers
  • • Organising the patient and patient organisations: the daily life of the young, old, pregnant, dying and insane

Please send a summary of your proposed paper in English (no more than the equivalent of a single side of A4), together with a brief curriculum vitae, as an e-mail attachment to Dr Christopher Bonfield at c.bonfield@uea.ac.uk  by 15th May 2010 at the latest. A current e-mail address, full postal address and details of institutional affiliation should also be supplied.

The local organisers have generously agreed to provide all speakers with accommodation and meals gratis and to waive the customary conference fee. However, it is expected that speakers will fund their own travel costs, other than for transport between Lisbon and Evora, for which no charge will be made.


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