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Survey Finds Surgical Residents View Duty Hour Regulations As A Hindrance To Training
Results of a survey published in the July issue of the Journal of the American College of Surgeons show that a large subset of surgical residents consider duty hour regulations (DHR) a significant barrier to their surgical education and express a desire for flexibility to work longer hours than current restrictions allow.
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Calif. Budget Cuts Threaten Prenatal Health Program For Women, Teens
County public health officials in California say proposed budget cuts could hurt or end the state"s Maternal, Child and Adolescent Health Program, which provides care for high-risk women and teenagers during pregnancy and up to one year after giving birth, the Riverside Press-Enterprise reports. County health departments operate the program with oversight from the state Department of Public Health. Sarah Mack, a spokesperson for the Riverside County Department of Public Health, said the program provides a safety net for women who are uncertain about how to obtain prenatal care. The program"s nurses and social workers work to identify vulnerable groups with the goal of initiating care within the first trimester of pregnancy. The program aims to reduce incidences of low birthweight, premature delivery, maternal and infant mortality, preventable childhood diseases and disabling conditions.Gov. Arnold Schwarzenegger (R) has proposed eliminating more than $20 million in funding from the program to help reduce California"s estimated $24 billion budget deficit. Last week, the state Legislature"s joint budget conference introduced a counterproposal that would lower cuts to the program to $8 million.The most recent statistics from the state public health department show that nearly 16,000 California women who gave birth in 2006 had late or no prenatal care. More than 38,500 low-birthweight infants were born that year. Jim Lindley, director of the San Bernardino County Department of Public Health, said that Schwarzenegger"s proposal would amount to the elimination of "the bulk of funding" for the program. Mack said that Riverside County officials have identified scenarios to continue providing services if the state funding is eliminated. However, without the funding, "[m]ore people could fall through the safety net," Mack said, adding, "Those who need the program the most would be the most likely to fall through."Schwarzenegger spokesperson Lisa Page has said that the governor believes the state"s budget situation leaves him with little choice about making cuts (Hines, Riverside Press-Enterprise, 6/22).
News of the day
Abortion Providers Concerned About Access To Services In Wake Of Tiller Death
Abortion providers are expressing concern about future violence and access to abortion services later in pregnancy after the shooting death on Sunday of Kansas abortion provider George Tiller, the AP/San Diego Union-Tribune reports. Tiller was one of a handful of abortion providers in the U.S. who performed abortions in the third trimester of pregnancy. Tiller"s family members said they are unsure if they will reopen the clinic, which was closed after the murder (AP/San Diego Union-Tribune, 6/3). Dan Monnat, the attorney representing Tiller"s family, said that the family"s "hope is that the valuable work of Dr. Tiller will be able to continue," and that their "focus ... is to determine what is in the best interests of the employees and the patients" (Riccardi, Chicago Tribune, 6/3).Physician LeRoy Carhart said that he would like to continue to provide women with third-trimester abortion services at Tiller"s clinic, where he regularly traveled for a few days every three weeks to see patients. Carhart said that Tiller"s clinic was the only location where he performed abortions in the third trimester, and it is unclear whether he will be able to continue to offer the procedure because of the clinic"s closing. Carhart added that the continued availability of third-trimester abortion is uncertain, as many physicians in the younger generation of abortion providers are hesitant to take up the cause. Few schools and universities offer programs to train physicians to perform the procedure, and those who might be interested are concerned about violence, Carhart said (AP/San Diego Union-Tribune, 6/3). According to NPR"s "All Things Considered," U.S. marshals have been sent to protect abortion clinics and providers throughout the country in the wake of Tiller"s murder.Some abortion-rights supporters called on officials to do more to draw attention to the effects of violence on access to abortion services. Abortion provider Warren Hern, a friend of Tiller"s who also performs the procedure during the third trimester, said that President Obama needs to do more than condemn Tiller"s murder and violence against abortion providers. He said that Obama "needs to go on a national television broadcast and say to the American public, "Safe abortion is a fundamental component of women"s health care. Antiabortion terrorism and violence will not be tolerated. We will stop you."" Nancy Northup, president of the Center for Reproductive Rights, said, "We need to hear from our officeholders, from doctors, from religious leaders, from the community." She added, "(W)e can"t stop the voices of those who will continue to vilify and demonize, but what we can do is we need to have more voices standing up for these doctors" (Lohr, "All Things Considered," NPR, 6/2).Suspect Charged Kansas prosecutors on Tuesday formally charged Scott Roeder with murder for allegedly killing Tiller, the Chicago Tribune reports. The charge carries a maximum sentence of life in prison because the crime does not fit the state"s legal requirements for the death penalty, Sedgwick County District Attorney Nola Foulston said. The charges against Roeder also include two counts of aggravated assault for wielding his firearm at two individuals who tried to stop him (Chicago Tribune, 6/3).
Diagnostics

Hospital To Promote Job Opportunities At Royal Bath And West Show

Visitors at next week"s Royal Bath and West Show will have the opportunity to find out what jobs and training schemes are on offer at Yeovil District Hospital. Earlier this year the NHS Foundation Trust was rated as the best general hospital to work for in the UK in the Healthcare 100 survey which was run by the Health Service Journal, Nursing Times and NHS Employers. As well as promoting job opportunities hospital staff will be on hand to hear patient feedback on the services the Trust provides and to recruit new members who can have a say in present and future services and who are invited to attend presentations from consultants and clinicians. The Trust"s Kingston Wing will also be represented - profits from the private patients" unit (which provides opportunities for NHS patients to pay for the en-suite accommodation and facilities) are ploughed back into improving NHS services in the hospital. Jobs on offer at the Show include administration and secretarial roles; a chef; a rehabilitation assistant; nurses; scrub theatre practitioners; senior house officers and specialist registrars. More details can be found in the Yeovil District Hospital pages of www.jobs.nhs.uk. HR staff will join nurses on the stand to discuss these jobs as well as employment and training schemes it participates in which include Gateway to Leadership which provides opportunities for senior private sector managers to join the NHS; the Graduate Management Trainee Scheme; graduate internships; modern apprenticeships and work experience. Yeovil District Hospital can be found on stand 486 on Fourth Avenue near to the Fairground on the Village Green. The Show runs from 27 to 30 May. Yeovil District Hospital


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