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Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>","avatar":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twitter":"laliferis","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"futureofyou","roles":["subscriber"]},{"site":"stateofhealth","roles":["subscriber"]},{"site":"science","roles":["subscriber"]},{"site":"food","roles":["contributor"]}],"headData":{"title":"Lisa Aliferis | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/86c339d5cdcb0dcd2b6cf5d7c3f5886b?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/lisaaliferis"},"rachael-myrow":{"type":"authors","id":"251","meta":{"index":"authors_1591205172","id":"251","found":true},"name":"Rachael Myrow","firstName":"Rachael","lastName":"Myrow","slug":"rachael-myrow","email":"rmyrow@kqed.org","display_author_email":false,"staff_mastheads":["news"],"title":"Senior Editor of KQED's Silicon Valley News Desk","bio":"Rachael Myrow is Senior Editor of KQED's Silicon Valley News Desk. You can hear her work on \u003ca href=\"https://www.npr.org/search?query=Rachael%20Myrow&page=1\">NPR\u003c/a>, \u003ca href=\"https://theworld.org/people/rachael-myrow\">The World\u003c/a>, WBUR's \u003ca href=\"https://www.wbur.org/search?q=Rachael%20Myrow\">\u003ci>Here & Now\u003c/i>\u003c/a> and the BBC. \u003c/i>She also guest hosts for KQED's \u003ci>\u003ca href=\"https://www.kqed.org/forum/tag/rachael-myrow\">Forum\u003c/a>\u003c/i>. Over the years, she's talked with Kamau Bell, David Byrne, Kamala Harris, Tony Kushner, Armistead Maupin, Van Dyke Parks, Arnold Schwarzenegger and Tommie Smith, among others.\r\n\r\nBefore all this, she hosted \u003cem>The California Report\u003c/em> for 7+ years, reporting on topics like \u003ca href=\"https://soundcloud.com/rmyrow/on-a-mission-to-reform-assisted-living\">assisted living facilities\u003c/a>, the \u003ca href=\"https://www.npr.org/sections/alltechconsidered/2014/12/01/367703789/amazon-unleashes-robot-army-to-send-your-holiday-packages-faster\">robot takeover\u003c/a> of Amazon, and \u003ca href=\"https://www.kqed.org/bayareabites/50822/in-search-of-the-chocolate-persimmon\" rel=\"noopener noreferrer\">chocolate persimmons\u003c/a>.\r\n\r\nAwards? Sure: Peabody, Edward R. Murrow, Regional Edward R. Murrow, RTNDA, Northern California RTNDA, SPJ Northern California Chapter, LA Press Club, Golden Mic. Prior to joining KQED, Rachael worked in Los Angeles at KPCC and Marketplace. She holds degrees in English and journalism from UC Berkeley (where she got her start in public radio on KALX-FM).\r\n\r\nOutside of the studio, you'll find Rachael hiking Bay Area trails and whipping up Instagram-ready meals in her kitchen.","avatar":"https://secure.gravatar.com/avatar/87bf8cb5874e045cdff430523a6d48b1?s=600&d=blank&r=g","twitter":"rachaelmyrow","facebook":null,"instagram":null,"linkedin":"https://www.linkedin.com/in/rachaelmyrow/","sites":[{"site":"arts","roles":["administrator"]},{"site":"news","roles":["edit_others_posts","editor"]},{"site":"futureofyou","roles":["editor"]},{"site":"bayareabites","roles":["editor"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"food","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"Rachael Myrow | KQED","description":"Senior Editor of KQED's Silicon Valley News Desk","ogImgSrc":"https://secure.gravatar.com/avatar/87bf8cb5874e045cdff430523a6d48b1?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/87bf8cb5874e045cdff430523a6d48b1?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/rachael-myrow"},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of 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FM","link":"/"}},"stateofhealth_143193":{"type":"posts","id":"stateofhealth_143193","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"143193","score":null,"sort":[1453932083000]},"guestAuthors":[],"slug":"small-number-of-doctors-responsible-for-many-malpractice-claims-stanford-study-shows","title":"Small Number of Doctors Responsible for Many Malpractice Claims, Stanford Study Shows","publishDate":1453932083,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Just 1 percent of doctors are linked to nearly one-third of all paid malpractice claims, an analysis by researchers at Stanford finds, and those physicians have a set of distinctive characteristics.\u003c/p>\n\u003cp>\"This problem of physicians who accumulate multiple claims and continue to practice ... is a significant policy problem,\" said lead author David Studdert, a professor of medicine and law at Stanford, \"and one that we need to address.\"\u003c/p>\n\u003cp>In the study, published in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1506137\" target=\"_blank\">New England Journal of Medicine\u003c/a>, researchers looked at more than 66,000 malpractice claims paid against 54,000 physicians nationwide between 2005 and 2014.\u003c/p>\n\u003cp>Researchers focused on paid, rather than unpaid, claims, because that is a marker for substandard care. About one in three malpractice claims is ultimately paid. In the claims the researchers reviewed, one-third resulted in patient death and another 54 percent in serious injury.\u003c/p>\n\u003cp>The study noted that only 6 percent of doctors had any paid claims over the 10-year period studied.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The researchers said that the \"claim-prone\" physicians were disproportionately male (82 percent) and were older, rather than younger. More than half the claims were by doctors in one of four areas: internal medicine, obstetrics and gynecology, general surgery and general practice or family medicine.\u003c/p>\n\u003cp>But the biggest predictor of all in the claim-prone doctors was whether they'd had a prior claim.\u003c/p>\n\u003cp>\"Compared to physicians with only one previous claim,\" Studdert said, \"a physician who has had three previous claims is three times as likely to have another one. A physician who has had four is four times more likely and so on.\"\u003c/p>\n\u003cp>In the study the researchers are clear that they have identified risk factors but that it is up to health care systems, hospital and malpractice insurers to identify and work with these doctors. But they noted that few of these organizations do.\u003c/p>\n\u003cp>\"With notable exception,\" the researchers write, \"fewer still systematically identify and intervene with practitioners who are at high risk for future claims.\" They call for further investigation into predicting which doctors are at risk and then implementing interventions such as training and supervision to improve their quality of care.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.breeze.ca.gov/datamart/loginCADCA.do;jsessionid=B624544A8FEC9896B9DD303B85994EC2.vo1\" target=\"_blank\">patients can look up their doctor \u003c/a>on the state's medical board website. Depending on the type of malpractice settlement, it will be part of the public record if the doctor has had either three or four settlements within a five-year period. \u003ca href=\"http://www.mbc.ca.gov/Consumers/public_disclosure.pdf\" target=\"_blank\">Other information is also available\u003c/a>, including whether your doctor has had a felony conviction or is on probation. Patients can use the website simply to determine that a doctor's license is valid.\u003c/p>\n\u003cp>But advocates like Lisa McGiffert, with Consumers Union's Safe Patient Project, say that's not enough and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">have been pushing\u003c/a> the Medical Board of California to require that doctors placed on probation notify their patients. The board has resisted taking this step.\u003c/p>\n\u003cp>While probation and multiple malpractice claims are not necessarily linked, McGiffert says she hopes doctors will pay attention to this study. \"Because I have this sense that doctors as a group protect other doctors who are on probation or get in trouble because they think it might happen to them,\" she said, but since this study demonstrates that a small percentage of doctors are responsible for a disproportionate number of claims, it should be reassuring to physicians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This study is one more piece of information that regulators can use in determining their strategy in addressing the small percentage of doctors who have problems in their treatment of patients,\" she said.\u003c/p>\n\n","blocks":[],"excerpt":"National analysis finds that 1 percent of doctors are responsible for 32 percent of all paid malpractice cases. ","status":"publish","parent":0,"modified":1453943038,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":592},"headData":{"title":"Small Number of Doctors Responsible for Many Malpractice Claims, Stanford Study Shows | KQED","description":"National analysis finds that 1 percent of doctors are responsible for 32 percent of all paid malpractice cases. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Small Number of Doctors Responsible for Many Malpractice Claims, Stanford Study Shows","datePublished":"2016-01-27T22:01:23.000Z","dateModified":"2016-01-28T01:03:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"143193 http://ww2.kqed.org/stateofhealth/?p=143193","disqusUrl":"https://ww2.kqed.org/stateofhealth/2016/01/27/small-number-of-doctors-responsible-for-many-malpractice-claims-stanford-study-shows/","disqusTitle":"Small Number of Doctors Responsible for Many Malpractice Claims, Stanford Study Shows","path":"/stateofhealth/143193/small-number-of-doctors-responsible-for-many-malpractice-claims-stanford-study-shows","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Just 1 percent of doctors are linked to nearly one-third of all paid malpractice claims, an analysis by researchers at Stanford finds, and those physicians have a set of distinctive characteristics.\u003c/p>\n\u003cp>\"This problem of physicians who accumulate multiple claims and continue to practice ... is a significant policy problem,\" said lead author David Studdert, a professor of medicine and law at Stanford, \"and one that we need to address.\"\u003c/p>\n\u003cp>In the study, published in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMsa1506137\" target=\"_blank\">New England Journal of Medicine\u003c/a>, researchers looked at more than 66,000 malpractice claims paid against 54,000 physicians nationwide between 2005 and 2014.\u003c/p>\n\u003cp>Researchers focused on paid, rather than unpaid, claims, because that is a marker for substandard care. About one in three malpractice claims is ultimately paid. In the claims the researchers reviewed, one-third resulted in patient death and another 54 percent in serious injury.\u003c/p>\n\u003cp>The study noted that only 6 percent of doctors had any paid claims over the 10-year period studied.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The researchers said that the \"claim-prone\" physicians were disproportionately male (82 percent) and were older, rather than younger. More than half the claims were by doctors in one of four areas: internal medicine, obstetrics and gynecology, general surgery and general practice or family medicine.\u003c/p>\n\u003cp>But the biggest predictor of all in the claim-prone doctors was whether they'd had a prior claim.\u003c/p>\n\u003cp>\"Compared to physicians with only one previous claim,\" Studdert said, \"a physician who has had three previous claims is three times as likely to have another one. A physician who has had four is four times more likely and so on.\"\u003c/p>\n\u003cp>In the study the researchers are clear that they have identified risk factors but that it is up to health care systems, hospital and malpractice insurers to identify and work with these doctors. But they noted that few of these organizations do.\u003c/p>\n\u003cp>\"With notable exception,\" the researchers write, \"fewer still systematically identify and intervene with practitioners who are at high risk for future claims.\" They call for further investigation into predicting which doctors are at risk and then implementing interventions such as training and supervision to improve their quality of care.\u003c/p>\n\u003cp>In California, \u003ca href=\"https://www.breeze.ca.gov/datamart/loginCADCA.do;jsessionid=B624544A8FEC9896B9DD303B85994EC2.vo1\" target=\"_blank\">patients can look up their doctor \u003c/a>on the state's medical board website. Depending on the type of malpractice settlement, it will be part of the public record if the doctor has had either three or four settlements within a five-year period. \u003ca href=\"http://www.mbc.ca.gov/Consumers/public_disclosure.pdf\" target=\"_blank\">Other information is also available\u003c/a>, including whether your doctor has had a felony conviction or is on probation. Patients can use the website simply to determine that a doctor's license is valid.\u003c/p>\n\u003cp>But advocates like Lisa McGiffert, with Consumers Union's Safe Patient Project, say that's not enough and \u003ca href=\"http://ww2.kqed.org/stateofhealth/2015/10/29/in-california-doctors-on-probation-not-required-to-tell-you-should-they/\" target=\"_blank\">have been pushing\u003c/a> the Medical Board of California to require that doctors placed on probation notify their patients. The board has resisted taking this step.\u003c/p>\n\u003cp>While probation and multiple malpractice claims are not necessarily linked, McGiffert says she hopes doctors will pay attention to this study. \"Because I have this sense that doctors as a group protect other doctors who are on probation or get in trouble because they think it might happen to them,\" she said, but since this study demonstrates that a small percentage of doctors are responsible for a disproportionate number of claims, it should be reassuring to physicians.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This study is one more piece of information that regulators can use in determining their strategy in addressing the small percentage of doctors who have problems in their treatment of patients,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/143193/small-number-of-doctors-responsible-for-many-malpractice-claims-stanford-study-shows","authors":["240"],"categories":["stateofhealth_14"],"tags":["stateofhealth_2519","stateofhealth_791"],"featImg":"stateofhealth_143217","label":"stateofhealth"},"stateofhealth_37385":{"type":"posts","id":"stateofhealth_37385","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"37385","score":null,"sort":[1434643718000]},"guestAuthors":[],"slug":"medical-school-hopefuls-grapple-with-overhauled-entrance-exam-mcat","title":"Medical School Hopefuls Grapple with Overhauled Entrance Exam","publishDate":1434643718,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>It’s T-minus four days until exam day, and Travis Driscoll is practically living at his desk.\u003c/p>\n\u003cp>\"Each day, I’m easily here for five hours,\" he says. \"I haven’t done much of anything else but studying for the last two months.\"\u003c/p>\n\u003cp>Driscoll is one of 13,000 medical school applicants across the U.S. taking the new MCAT this spring. He's got stacks of science books on his desk to help him prepare, and a rainbow of biochemistry charts pasted to the walls: glycolysis, citric acid cycle, electron transport chain; mitosis, meiosis; DNA replication.\u003c/p>\n\u003cp>He also has a thick prep book on psychology and sociology -– a complete novelty for this year’s MCAT takers.\u003c/p>\n\u003cp>The Medical College Admission Test has been thoroughly revamped and is now three hours longer -- it takes 7.5 hours to complete, including breaks -- and covers four new subjects, including a combined section on psychology and sociology that accounts for a quarter of the overall score.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Test takers will now have to define terms like \"\u003ca href=\"https://en.wikipedia.org/wiki/Institutional_racism\" target=\"_blank\">institutional racism\u003c/a>\" and \"\u003ca href=\"https://www.youtube.com/watch?v=gVCkJ7jLnz0\" target=\"_blank\">social constructionism\u003c/a>,\" and answer applied questions about how race and class affect health.\u003c/p>\n\u003cp>Driscoll focused on biomedical engineering in college. So for him, the new psychology/sociology section is the one he’s most nervous about.\u003c/p>\n\u003cp>“It’s at the end of the test, which makes it more difficult because you’re pretty tired by then,” he says. “And it’s the thing I had the least experience with.”\u003c/p>\n\u003cp>[soundcloud url=\"https://api.soundcloud.com/tracks/210755062\" params=\"color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" iframe=\"true\" /]\u003c/p>\n\u003cp>\u003cstrong>Bringing Test Up to Date\u003c/strong>\u003c/p>\n\u003cp>The Association of American Medical Colleges, which administers the MCAT, wants to make sure the doctors of tomorrow are better prepared to care for an increasingly diverse patient population in a rapidly changing health care system. Administrators say the exam changes are necessary to bring it up to date with how medicine is practiced, and with all the scientific discoveries that have been made since the test was last revised, more than 20 years ago.\u003c/p>\n\u003cp>Research on genetics, and the \"social determinants of health,\" in particular, have advanced significantly.\u003c/p>\n\u003cp>“Whether or not someone becomes ill has a lot to do with the society in which they live,” says Catherine Lucey, vice dean of education at UC San Francisco School of Medicine and a member of the committee that will assess the new MCAT.\u003c/p>\n\u003cp>For example, she says, we now know a lot more about what happens to children who are exposed to violence before they turn five.\u003c/p>\n\u003cp>“If they live in a violent neighborhood, if they hear gunshots all the time, if they themselves are the victims of interpersonal violence or child abuse,\" Lucey says, \"they are much more likely to develop diabetes, high blood pressure, obesity, and many other chronic conditions, because of their social environment.\"\u003c/p>\n\u003cp>How those conditions are treated has also evolved. Doctors know how to treat acute infection now. But managing chronic disease has become a much bigger part of medical care, and doctors need to develop different skills and a different kind of relationship with the patient. Doctors need to build trust, Lucey says, to understand how patients think and make decisions, in order to convince them to exercise more and change their diet.\u003c/p>\n\u003cp>“My ability as a physician to affect that patient’s health is not only dependent on medical knowledge, in terms of what drug should I give this individual, but on my ability to support this patient in the decisions they’re making on a daily basis,” she says.\u003c/p>\n\u003cp>\u003cstrong>Attracting New Type of Student\u003c/strong>\u003c/p>\n\u003cp>While the test prep industry adapted quickly to the new MCAT, actual enrollment in prep courses at the Princeton Review and Kaplan is only starting to pick up.\u003c/p>\n\u003cp>The real rush was last fall, when students flocked to take the old test, says Krissi Taylor Leslie, tutoring director at the Princeton Review in Northern California.\u003c/p>\n\u003cp>There was a recognition among students “that was my chance at the ‘easier’ test and now I’m up against this beast,” Leslie says.\u003c/p>\n\u003cp>She says the new social sciences section is already attracting a different kind of student to consider med school.\u003c/p>\n\u003cp>“It entices certain students to come in and consider this test when they might not have otherwise,” she says. “For instance, an increase in the number of English majors, of psychology majors.”\u003c/p>\n\u003cp>And philosophy majors, like Ari Fischer. He started thinking about a career in medicine the summer after his junior year, when his grandfather was diagnosed with cancer.\u003c/p>\n\u003cp>“And that’s when I was first shown, hands on, what physicians do every day,” he says.\u003c/p>\n\u003cp>He started taking medical ethics classes -– one was called “Life and Death” -– where he read works about immortality, the meaning of death, and the meaning of life in the face of death.\u003c/p>\n\u003cp>Fischer says he can imagine drawing on this knowledge one day if he has a patient facing tough end-of-life decisions.\u003c/p>\n\u003cp>“There’s always a scientific view, then there’s the theological views, or philosophical views. Knowing what other disciplines believe is going on at the same time, I think that could really help me in a daily practice of medicine,” Fischer says. “What a cool way to take my degree in philosophy and turn it into a helpful, practical skill.”\u003c/p>\n\u003cp>Fischer took the MCAT on the first testing date for the new exam in April, and just got his full score back on Tuesday. He did best on the social sciences section and the verbal, analytic reasoning -– and landed in the 87th percentile overall.\u003c/p>\n\u003cp>“Perhaps Harvard will think I’m lacking in my MCAT score,” he says. \"For myself, I did well enough.\"\u003c/p>\n\u003cp>Altogether, he’s applying to 38 schools. He says he's willing to go anywhere that will take a humanities major like him.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“All I’ve ever wanted out of the MCAT really is a score that’s good enough to not get me kicked out of the pile when it comes to admissions decisions,” he says. “Any school that that gives me a shot, I’m going to be thrilled.”\u003c/p>\n\n","blocks":[],"excerpt":"The new test is longer and includes an emphasis on social sciences --- psychology and sociology.","status":"publish","parent":0,"modified":1434657261,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":34,"wordCount":1105},"headData":{"title":"Medical School Hopefuls Grapple with Overhauled Entrance Exam | KQED","description":"The new test is longer and includes an emphasis on social sciences --- psychology and sociology.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Medical School Hopefuls Grapple with Overhauled Entrance Exam","datePublished":"2015-06-18T16:08:38.000Z","dateModified":"2015-06-18T19:54:21.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"37385 http://ww2.kqed.org/stateofhealth/?p=37385","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/06/18/medical-school-hopefuls-grapple-with-overhauled-entrance-exam-mcat/","disqusTitle":"Medical School Hopefuls Grapple with Overhauled Entrance Exam","path":"/stateofhealth/37385/medical-school-hopefuls-grapple-with-overhauled-entrance-exam-mcat","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It’s T-minus four days until exam day, and Travis Driscoll is practically living at his desk.\u003c/p>\n\u003cp>\"Each day, I’m easily here for five hours,\" he says. \"I haven’t done much of anything else but studying for the last two months.\"\u003c/p>\n\u003cp>Driscoll is one of 13,000 medical school applicants across the U.S. taking the new MCAT this spring. He's got stacks of science books on his desk to help him prepare, and a rainbow of biochemistry charts pasted to the walls: glycolysis, citric acid cycle, electron transport chain; mitosis, meiosis; DNA replication.\u003c/p>\n\u003cp>He also has a thick prep book on psychology and sociology -– a complete novelty for this year’s MCAT takers.\u003c/p>\n\u003cp>The Medical College Admission Test has been thoroughly revamped and is now three hours longer -- it takes 7.5 hours to complete, including breaks -- and covers four new subjects, including a combined section on psychology and sociology that accounts for a quarter of the overall score.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Test takers will now have to define terms like \"\u003ca href=\"https://en.wikipedia.org/wiki/Institutional_racism\" target=\"_blank\">institutional racism\u003c/a>\" and \"\u003ca href=\"https://www.youtube.com/watch?v=gVCkJ7jLnz0\" target=\"_blank\">social constructionism\u003c/a>,\" and answer applied questions about how race and class affect health.\u003c/p>\n\u003cp>Driscoll focused on biomedical engineering in college. So for him, the new psychology/sociology section is the one he’s most nervous about.\u003c/p>\n\u003cp>“It’s at the end of the test, which makes it more difficult because you’re pretty tired by then,” he says. “And it’s the thing I had the least experience with.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cdiv class='utils-parseShortcode-shortcodes-__shortcodes__shortcodeWrapper'>\n \u003ciframe width='100%' height='166'\n scrolling='no' frameborder='no'\n src='https://w.soundcloud.com/player/?url=https://api.soundcloud.com/tracks/210755062&visual=true&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false'\n title='https://api.soundcloud.com/tracks/210755062'>\n \u003c/iframe>\n \u003c/div>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Bringing Test Up to Date\u003c/strong>\u003c/p>\n\u003cp>The Association of American Medical Colleges, which administers the MCAT, wants to make sure the doctors of tomorrow are better prepared to care for an increasingly diverse patient population in a rapidly changing health care system. Administrators say the exam changes are necessary to bring it up to date with how medicine is practiced, and with all the scientific discoveries that have been made since the test was last revised, more than 20 years ago.\u003c/p>\n\u003cp>Research on genetics, and the \"social determinants of health,\" in particular, have advanced significantly.\u003c/p>\n\u003cp>“Whether or not someone becomes ill has a lot to do with the society in which they live,” says Catherine Lucey, vice dean of education at UC San Francisco School of Medicine and a member of the committee that will assess the new MCAT.\u003c/p>\n\u003cp>For example, she says, we now know a lot more about what happens to children who are exposed to violence before they turn five.\u003c/p>\n\u003cp>“If they live in a violent neighborhood, if they hear gunshots all the time, if they themselves are the victims of interpersonal violence or child abuse,\" Lucey says, \"they are much more likely to develop diabetes, high blood pressure, obesity, and many other chronic conditions, because of their social environment.\"\u003c/p>\n\u003cp>How those conditions are treated has also evolved. Doctors know how to treat acute infection now. But managing chronic disease has become a much bigger part of medical care, and doctors need to develop different skills and a different kind of relationship with the patient. Doctors need to build trust, Lucey says, to understand how patients think and make decisions, in order to convince them to exercise more and change their diet.\u003c/p>\n\u003cp>“My ability as a physician to affect that patient’s health is not only dependent on medical knowledge, in terms of what drug should I give this individual, but on my ability to support this patient in the decisions they’re making on a daily basis,” she says.\u003c/p>\n\u003cp>\u003cstrong>Attracting New Type of Student\u003c/strong>\u003c/p>\n\u003cp>While the test prep industry adapted quickly to the new MCAT, actual enrollment in prep courses at the Princeton Review and Kaplan is only starting to pick up.\u003c/p>\n\u003cp>The real rush was last fall, when students flocked to take the old test, says Krissi Taylor Leslie, tutoring director at the Princeton Review in Northern California.\u003c/p>\n\u003cp>There was a recognition among students “that was my chance at the ‘easier’ test and now I’m up against this beast,” Leslie says.\u003c/p>\n\u003cp>She says the new social sciences section is already attracting a different kind of student to consider med school.\u003c/p>\n\u003cp>“It entices certain students to come in and consider this test when they might not have otherwise,” she says. “For instance, an increase in the number of English majors, of psychology majors.”\u003c/p>\n\u003cp>And philosophy majors, like Ari Fischer. He started thinking about a career in medicine the summer after his junior year, when his grandfather was diagnosed with cancer.\u003c/p>\n\u003cp>“And that’s when I was first shown, hands on, what physicians do every day,” he says.\u003c/p>\n\u003cp>He started taking medical ethics classes -– one was called “Life and Death” -– where he read works about immortality, the meaning of death, and the meaning of life in the face of death.\u003c/p>\n\u003cp>Fischer says he can imagine drawing on this knowledge one day if he has a patient facing tough end-of-life decisions.\u003c/p>\n\u003cp>“There’s always a scientific view, then there’s the theological views, or philosophical views. Knowing what other disciplines believe is going on at the same time, I think that could really help me in a daily practice of medicine,” Fischer says. “What a cool way to take my degree in philosophy and turn it into a helpful, practical skill.”\u003c/p>\n\u003cp>Fischer took the MCAT on the first testing date for the new exam in April, and just got his full score back on Tuesday. He did best on the social sciences section and the verbal, analytic reasoning -– and landed in the 87th percentile overall.\u003c/p>\n\u003cp>“Perhaps Harvard will think I’m lacking in my MCAT score,” he says. \"For myself, I did well enough.\"\u003c/p>\n\u003cp>Altogether, he’s applying to 38 schools. He says he's willing to go anywhere that will take a humanities major like him.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“All I’ve ever wanted out of the MCAT really is a score that’s good enough to not get me kicked out of the pile when it comes to admissions decisions,” he says. “Any school that that gives me a shot, I’m going to be thrilled.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/37385/medical-school-hopefuls-grapple-with-overhauled-entrance-exam-mcat","authors":["3205"],"categories":["stateofhealth_14"],"tags":["stateofhealth_791"],"featImg":"stateofhealth_37386","label":"stateofhealth"},"stateofhealth_24651":{"type":"posts","id":"stateofhealth_24651","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"24651","score":null,"sort":[1426871900000]},"guestAuthors":[],"slug":"california-needs-more-primary-care-docs-but-residency-slots-threatened","title":"California Needs More Primary Care Docs, But Residency Slots Threatened","publishDate":1426871900,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_10770\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg\">\u003cimg class=\"wp-image-10770 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg\" alt=\"Dr. Peter Broderick of Doctors Medical Center in Modesto examines a patient's x-ray while family practice medical residents look on. (Rebecca Plevin/KVPR)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Peter Broderick of Doctors Medical Center in Modesto examines a patient's x-ray while family practice medical residents look on. (Rebecca Plevin/KVPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2015/3/residency-training-slots-may-evaporate\" href=\"http://www.californiahealthline.org/capitol-desk/2015/3/residency-training-slots-may-evaporate\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>Today is a huge day for graduating medical students. It's Match Day -- the day they find out where they're going for residency programs -- the training years between medical school and practice.\u003c/p>\n\u003cp>In California, there are 140 residency slots every year in the family practice specialty. That number may diminish, given the pending loss of four funding sources designed to encourage California medical students to join family-practice residencies, particularly in underserved areas of the state.\u003c/p>\n\u003cp>According to Del Morris, president of the California Academy of Family Physicians, California faces a loss of $50 million from the end of these four programs:\u003c!--more-->\u003c/p>\n\u003cul>\n\u003cli>The federal government's \u003ca title=\"http://bhpr.hrsa.gov/grants/teachinghealthcenters/\" href=\"http://bhpr.hrsa.gov/grants/teachinghealthcenters/\" target=\"_blank\">Teaching Health Center Graduate Medical Education\u003c/a> grant program is set to expire this year\u003c/li>\n\u003cli>Another federal program -- the \u003ca title=\"http://bhpr.hrsa.gov/grants/medicine/pcre.html\" href=\"http://bhpr.hrsa.gov/grants/medicine/pcre.html\" target=\"_blank\">Primary Care Residency Expansion\u003c/a> is also ending. It awarded about $18 million in grants in California last year to create new resident positions in primary care residency programs\u003c/li>\n\u003cli>A \u003ca title=\"http://tcenews.calendow.org/releases/the-california-endowment-commits-78-2-million-in-grants-to-increase-california-s-health-care-workforce\" href=\"http://tcenews.calendow.org/releases/the-california-endowment-commits-78-2-million-in-grants-to-increase-california-s-health-care-workforce\" target=\"_blank\">California Endowment grant\u003c/a> supporting the California workforce training program known as \u003ca title=\"http://www.ccahn.org/post/song-brown-residency-program\" href=\"http://www.ccahn.org/post/song-brown-residency-program\" target=\"_blank\">Song-Brown\u003c/a> -- providing $21 million over the past three years -- ends in 2016\u003c/li>\n\u003cli>$4 million appropriated last year by the Legislature to add into the Song-Brown fund was a one-time infusion of funds.\u003c/li>\n\u003c/ul>\n\u003cp>Those programs helped fund residency slots and encouraged California medical school graduates to remain in the state for residency. Many people set up practices near their residency program, Morris said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>No one knows how many residency slots in California might be lost because of dried-up funding, but the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/02/25/new-approach-to-medical-residency-may-ease-doctor-shortage-in-central-valley/\" href=\"http://ww2.kqed.org/stateofhealth/2013/02/25/new-approach-to-medical-residency-may-ease-doctor-shortage-in-central-valley/\" target=\"_blank\">Sierra Vista Family Medicine Residency Program\u003c/a> in Fresno won't be enrolling a class of residents this year because they can't afford it, given that federal funding is expected to end.\u003c/p>\n\u003cp>According to Norma Forbes, executive director of Fresno Healthy Communities Access Partners, \"it is estimated 66 percent (of California's Teaching Health Center programs) are unlikely to be able to support current residency positions in the future without continued federal funding.\" That statistic came from a survey of 60 THC residency programs.\u003c/p>\n\u003cp>Even the status quo of 140 residency slots won't nearly approach the need for primary care physicians in California, Morris said, especially in rural and urban underserved areas.\u003c/p>\n\u003cp>\"That's just not enough,\" Morris said. \"One-third of physicians in the state will retire by 2030, our population is growing and millions more Californians have gained coverage under health care reform.\"\u003c/p>\n\u003cp>California can't afford to lose more medical students to other states, he said.\u003c/p>\n\u003cp>On the state level, Morris said his association is working with the Legislature on budget language that could appropriate an additional $8 million to put into the Song-Brown Fund.\u003c/p>\n\u003cp>On the national front, California Rep. Doug LaMalfa (R-Redding) is leading a bipartisan effort to fund the Teaching Health Center program.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Californians' health depends in part on a sufficient number of primary care physicians to treat them,\" Morris said. \"Our state must increase its family medicine training capacity.\"\u003c/p>\n\n","blocks":[],"excerpt":"Even the status quo of 140 residency slots won't fill the need for primary care doctors in California.","status":"publish","parent":0,"modified":1427305294,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":15,"wordCount":524},"headData":{"title":"California Needs More Primary Care Docs, But Residency Slots Threatened | KQED","description":"Even the status quo of 140 residency slots won't fill the need for primary care doctors in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"California Needs More Primary Care Docs, But Residency Slots Threatened","datePublished":"2015-03-20T17:18:20.000Z","dateModified":"2015-03-25T17:41:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"24651 http://blogs.kqed.org/stateofhealth/?p=24651","disqusUrl":"https://ww2.kqed.org/stateofhealth/2015/03/20/california-needs-more-primary-care-docs-but-residency-slots-threatened/","disqusTitle":"California Needs More Primary Care Docs, But Residency Slots Threatened","path":"/stateofhealth/24651/california-needs-more-primary-care-docs-but-residency-slots-threatened","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_10770\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg\">\u003cimg class=\"wp-image-10770 size-full\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg\" alt=\"Dr. Peter Broderick of Doctors Medical Center in Modesto examines a patient's x-ray while family practice medical residents look on. (Rebecca Plevin/KVPR)\" width=\"640\" height=\"480\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106-400x300.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/02/PlevinPhoto-e1426871743106-320x240.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Peter Broderick of Doctors Medical Center in Modesto examines a patient's x-ray while family practice medical residents look on. (Rebecca Plevin/KVPR)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By David Gorn,\u003c/strong> \u003ca title=\"http://www.californiahealthline.org/capitol-desk/2015/3/residency-training-slots-may-evaporate\" href=\"http://www.californiahealthline.org/capitol-desk/2015/3/residency-training-slots-may-evaporate\" target=\"_blank\">California Healthline\u003c/a>\u003c/p>\n\u003cp>Today is a huge day for graduating medical students. It's Match Day -- the day they find out where they're going for residency programs -- the training years between medical school and practice.\u003c/p>\n\u003cp>In California, there are 140 residency slots every year in the family practice specialty. That number may diminish, given the pending loss of four funding sources designed to encourage California medical students to join family-practice residencies, particularly in underserved areas of the state.\u003c/p>\n\u003cp>According to Del Morris, president of the California Academy of Family Physicians, California faces a loss of $50 million from the end of these four programs:\u003c!--more-->\u003c/p>\n\u003cul>\n\u003cli>The federal government's \u003ca title=\"http://bhpr.hrsa.gov/grants/teachinghealthcenters/\" href=\"http://bhpr.hrsa.gov/grants/teachinghealthcenters/\" target=\"_blank\">Teaching Health Center Graduate Medical Education\u003c/a> grant program is set to expire this year\u003c/li>\n\u003cli>Another federal program -- the \u003ca title=\"http://bhpr.hrsa.gov/grants/medicine/pcre.html\" href=\"http://bhpr.hrsa.gov/grants/medicine/pcre.html\" target=\"_blank\">Primary Care Residency Expansion\u003c/a> is also ending. It awarded about $18 million in grants in California last year to create new resident positions in primary care residency programs\u003c/li>\n\u003cli>A \u003ca title=\"http://tcenews.calendow.org/releases/the-california-endowment-commits-78-2-million-in-grants-to-increase-california-s-health-care-workforce\" href=\"http://tcenews.calendow.org/releases/the-california-endowment-commits-78-2-million-in-grants-to-increase-california-s-health-care-workforce\" target=\"_blank\">California Endowment grant\u003c/a> supporting the California workforce training program known as \u003ca title=\"http://www.ccahn.org/post/song-brown-residency-program\" href=\"http://www.ccahn.org/post/song-brown-residency-program\" target=\"_blank\">Song-Brown\u003c/a> -- providing $21 million over the past three years -- ends in 2016\u003c/li>\n\u003cli>$4 million appropriated last year by the Legislature to add into the Song-Brown fund was a one-time infusion of funds.\u003c/li>\n\u003c/ul>\n\u003cp>Those programs helped fund residency slots and encouraged California medical school graduates to remain in the state for residency. Many people set up practices near their residency program, Morris said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>No one knows how many residency slots in California might be lost because of dried-up funding, but the \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/02/25/new-approach-to-medical-residency-may-ease-doctor-shortage-in-central-valley/\" href=\"http://ww2.kqed.org/stateofhealth/2013/02/25/new-approach-to-medical-residency-may-ease-doctor-shortage-in-central-valley/\" target=\"_blank\">Sierra Vista Family Medicine Residency Program\u003c/a> in Fresno won't be enrolling a class of residents this year because they can't afford it, given that federal funding is expected to end.\u003c/p>\n\u003cp>According to Norma Forbes, executive director of Fresno Healthy Communities Access Partners, \"it is estimated 66 percent (of California's Teaching Health Center programs) are unlikely to be able to support current residency positions in the future without continued federal funding.\" That statistic came from a survey of 60 THC residency programs.\u003c/p>\n\u003cp>Even the status quo of 140 residency slots won't nearly approach the need for primary care physicians in California, Morris said, especially in rural and urban underserved areas.\u003c/p>\n\u003cp>\"That's just not enough,\" Morris said. \"One-third of physicians in the state will retire by 2030, our population is growing and millions more Californians have gained coverage under health care reform.\"\u003c/p>\n\u003cp>California can't afford to lose more medical students to other states, he said.\u003c/p>\n\u003cp>On the state level, Morris said his association is working with the Legislature on budget language that could appropriate an additional $8 million to put into the Song-Brown Fund.\u003c/p>\n\u003cp>On the national front, California Rep. Doug LaMalfa (R-Redding) is leading a bipartisan effort to fund the Teaching Health Center program.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Californians' health depends in part on a sufficient number of primary care physicians to treat them,\" Morris said. \"Our state must increase its family medicine training capacity.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/24651/california-needs-more-primary-care-docs-but-residency-slots-threatened","authors":["8344"],"categories":["stateofhealth_14"],"tags":["stateofhealth_791","stateofhealth_37"],"featImg":"stateofhealth_24477","label":"stateofhealth"},"stateofhealth_21311":{"type":"posts","id":"stateofhealth_21311","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"21311","score":null,"sort":[1410212617000]},"guestAuthors":[],"slug":"ucsfs-first-undocumented-medical-student-begins-training","title":"UCSF's First Undocumented Medical Student Begins Training","publishDate":1410212617,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_21328\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/Jirayut_New_Latthivongskorn--e1410207297503.jpg\">\u003cimg class=\"wp-image-21328 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/Jirayut_New_Latthivongskorn--640x711.jpg\" alt='Jirayut \"New\" Latthivongskorn, a newly-minted medical student at UCSF. ' width=\"640\" height=\"711\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jirayut \"New\" Latthivongskorn, a newly minted medical student at UCSF. (Courtesy: Jirayut Latthivongskorn)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cp>I first met Jirayut “New” Latthivongskorn a little over two years ago. He was completing his undergraduate degree at UC Berkeley and had dreams of going to medical school.\u003c/p>\n\u003cp>But he had no idea if he’d ever get there. Latthivongskorn is an undocumented immigrant.\u003c/p>\n\u003cp>His parents brought him to the U.S. from Thailand on a tourist visa when he was 9 years old, and the family never left.\u003c!--more-->\u003c/p>\n\u003cp>Latthivongskorn had good reason to be worried about going to medical school in the U.S. He had already had his admission to a \u003ca title=\"Travelers Summer Research Fellowship Program\" href=\"http://weill.cornell.edu/education/programs/tra_sum_res.html\" target=\"_blank\">research fellowship program\u003c/a> at Weill Cornell Medical College rescinded -- after the school learned of his immigration status.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Although Cornell later readmitted him to the program, Latthivongskorn worried that medical schools would not want to admit a student who was living in the country illegally. He feared that schools might balk at a student who would have no guarantee of being able to practice medicine in the future.\u003c/p>\n\u003cp>Speed forward two years to last Friday. UCSF formally admitted its new medical school class, and one of the 149 students is Latthivongskorn. UCSF says he is its first undocumented immigrant student. Along with the other students, he was ceremoniously awarded a physician's white coat.\u003c/p>\n\u003cp>The ceremony marks the official start of a student's medical training. I talked to New about his achievement and the obstacles that lie ahead.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/166437404&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>(Below are excerpts from our conversation; questions and comments edited for clarity.)\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Mina Kim: What does it mean to you to reach this milestone?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>New Latthivongskorn:\u003c/strong> Definitely surreal, thinking about how much work it took to get here and how many people and family friends and community really supported me.\u003c/p>\n\u003cp>\u003cstrong>MK: Are you guaranteed to do your residency, at which point you’ll need to be employed by a hospital?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL:\u003c/strong> With Deferred Action for Childhood Arrivals, DACA, I have a work permit so I would be able to. However, there is always uncertainty with immigration and policy, and what would happen to [DACA] two years, five years down the road.\u003c/p>\n\u003cp>\u003cstrong>MK: How are you financing medical school when you're not eligible for federal loans?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>I am very fortunate that the university is able to provide some form of grant funding, private funding that the university has, donations from alumni or various funding sources that the university has. And that’s only possible because of the California DREAM Act, which is a state law that provides for private funding to be accessible by a person like myself.\u003c/p>\n\u003cp>That helps with a chunk of my tuition. (But) housing and other fees, I essentially have to come up with on my own. I’ve been looking into private loans. I am applying vigorously for private scholarships.\u003c/p>\n\u003cp>\u003cstrong>MK: How do you respond to the issue of fairness? Is it fair to give a spot at a top medical school to an undocumented student, the child of a family that broke the law?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>Now, DACA means students are able to get a work permit, they're able to get residency, they're able to get licensed, so what are the real practical concerns of admitting an undocumented immigrant. Financial aid is a big issue.\u003c/p>\n\u003cp>The real purpose is being able to train someone who will be able to effect change and improve health for the communities around us. Myself and other folks who are undocumented understand these communities. We have grown up here, we have experienced being at the edge of no access to health care. I think that we bring a really important perspective that can be seen as a positive and as an added perspective, instead of immigration status being seen as a minus.\u003c/p>\n\u003cp>\u003cstrong>MK: Two years ago, after you were re-accepted as the first undocumented student to a Cornell internship, \u003ca title=\"Undocumented Grad Chases Medical Dreams\" href=\"http://www.kqed.org/news/story/2012/06/06/96569/undocumented_grad_chases_medical_dreams?category=education\" target=\"_blank\">you told me\u003c/a>:\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>\"It's not just about myself anymore; it's bigger than myself. If I go and I do well and they really see this is what is possible from an undocumented student, it could potentially open up a lot more doors for a lot of other students who right now are in the same boat as me.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>MK: Is that a pressure you continue to feel, and has it intensified by being the first undocumented medical student at UCSF?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>It definitely is still very much present, and in many ways the stakes have gone up now that I am in medical school. I’ll try to not only do well in school, but I’m always conscious of how it will be for the next undocumented student coming through the door.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jirayut Latthivongskorn helped\u003ca title=\"Pre-Health Dreamers\" href=\"http://www.phdreamers.org\" target=\"_blank\"> create a website that's a resource\u003c/a> for other undocumented immigrants who want to pursue health careers.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"Jirayut Latthivongskorn's parents brought him to the U.S, from Thailand on a tourist visa when he was 9.","status":"publish","parent":0,"modified":1410298965,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":819},"headData":{"title":"UCSF's First Undocumented Medical Student Begins Training | KQED","description":"Jirayut Latthivongskorn's parents brought him to the U.S, from Thailand on a tourist visa when he was 9.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"UCSF's First Undocumented Medical Student Begins Training","datePublished":"2014-09-08T21:43:37.000Z","dateModified":"2014-09-09T21:42:45.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"21311 http://blogs.kqed.org/stateofhealth/?p=21311","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/09/08/ucsfs-first-undocumented-medical-student-begins-training/","disqusTitle":"UCSF's First Undocumented Medical Student Begins Training","path":"/stateofhealth/21311/ucsfs-first-undocumented-medical-student-begins-training","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_21328\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/Jirayut_New_Latthivongskorn--e1410207297503.jpg\">\u003cimg class=\"wp-image-21328 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/09/Jirayut_New_Latthivongskorn--640x711.jpg\" alt='Jirayut \"New\" Latthivongskorn, a newly-minted medical student at UCSF. ' width=\"640\" height=\"711\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jirayut \"New\" Latthivongskorn, a newly minted medical student at UCSF. (Courtesy: Jirayut Latthivongskorn)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Mina Kim\u003c/strong>\u003c/p>\n\u003cp>I first met Jirayut “New” Latthivongskorn a little over two years ago. He was completing his undergraduate degree at UC Berkeley and had dreams of going to medical school.\u003c/p>\n\u003cp>But he had no idea if he’d ever get there. Latthivongskorn is an undocumented immigrant.\u003c/p>\n\u003cp>His parents brought him to the U.S. from Thailand on a tourist visa when he was 9 years old, and the family never left.\u003c!--more-->\u003c/p>\n\u003cp>Latthivongskorn had good reason to be worried about going to medical school in the U.S. He had already had his admission to a \u003ca title=\"Travelers Summer Research Fellowship Program\" href=\"http://weill.cornell.edu/education/programs/tra_sum_res.html\" target=\"_blank\">research fellowship program\u003c/a> at Weill Cornell Medical College rescinded -- after the school learned of his immigration status.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Although Cornell later readmitted him to the program, Latthivongskorn worried that medical schools would not want to admit a student who was living in the country illegally. He feared that schools might balk at a student who would have no guarantee of being able to practice medicine in the future.\u003c/p>\n\u003cp>Speed forward two years to last Friday. UCSF formally admitted its new medical school class, and one of the 149 students is Latthivongskorn. UCSF says he is its first undocumented immigrant student. Along with the other students, he was ceremoniously awarded a physician's white coat.\u003c/p>\n\u003cp>The ceremony marks the official start of a student's medical training. I talked to New about his achievement and the obstacles that lie ahead.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/166437404&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cem>(Below are excerpts from our conversation; questions and comments edited for clarity.)\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Mina Kim: What does it mean to you to reach this milestone?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>New Latthivongskorn:\u003c/strong> Definitely surreal, thinking about how much work it took to get here and how many people and family friends and community really supported me.\u003c/p>\n\u003cp>\u003cstrong>MK: Are you guaranteed to do your residency, at which point you’ll need to be employed by a hospital?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL:\u003c/strong> With Deferred Action for Childhood Arrivals, DACA, I have a work permit so I would be able to. However, there is always uncertainty with immigration and policy, and what would happen to [DACA] two years, five years down the road.\u003c/p>\n\u003cp>\u003cstrong>MK: How are you financing medical school when you're not eligible for federal loans?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>I am very fortunate that the university is able to provide some form of grant funding, private funding that the university has, donations from alumni or various funding sources that the university has. And that’s only possible because of the California DREAM Act, which is a state law that provides for private funding to be accessible by a person like myself.\u003c/p>\n\u003cp>That helps with a chunk of my tuition. (But) housing and other fees, I essentially have to come up with on my own. I’ve been looking into private loans. I am applying vigorously for private scholarships.\u003c/p>\n\u003cp>\u003cstrong>MK: How do you respond to the issue of fairness? Is it fair to give a spot at a top medical school to an undocumented student, the child of a family that broke the law?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>Now, DACA means students are able to get a work permit, they're able to get residency, they're able to get licensed, so what are the real practical concerns of admitting an undocumented immigrant. Financial aid is a big issue.\u003c/p>\n\u003cp>The real purpose is being able to train someone who will be able to effect change and improve health for the communities around us. Myself and other folks who are undocumented understand these communities. We have grown up here, we have experienced being at the edge of no access to health care. I think that we bring a really important perspective that can be seen as a positive and as an added perspective, instead of immigration status being seen as a minus.\u003c/p>\n\u003cp>\u003cstrong>MK: Two years ago, after you were re-accepted as the first undocumented student to a Cornell internship, \u003ca title=\"Undocumented Grad Chases Medical Dreams\" href=\"http://www.kqed.org/news/story/2012/06/06/96569/undocumented_grad_chases_medical_dreams?category=education\" target=\"_blank\">you told me\u003c/a>:\u003c/strong>\u003c/p>\n\u003cblockquote>\u003cp>\"It's not just about myself anymore; it's bigger than myself. If I go and I do well and they really see this is what is possible from an undocumented student, it could potentially open up a lot more doors for a lot of other students who right now are in the same boat as me.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cstrong>MK: Is that a pressure you continue to feel, and has it intensified by being the first undocumented medical student at UCSF?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>NL: \u003c/strong>It definitely is still very much present, and in many ways the stakes have gone up now that I am in medical school. I’ll try to not only do well in school, but I’m always conscious of how it will be for the next undocumented student coming through the door.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Jirayut Latthivongskorn helped\u003ca title=\"Pre-Health Dreamers\" href=\"http://www.phdreamers.org\" target=\"_blank\"> create a website that's a resource\u003c/a> for other undocumented immigrants who want to pursue health careers.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/21311/ucsfs-first-undocumented-medical-student-begins-training","authors":["8344"],"categories":["stateofhealth_11"],"tags":["stateofhealth_791","stateofhealth_461","stateofhealth_489"],"featImg":"stateofhealth_21328","label":"stateofhealth"},"stateofhealth_20001":{"type":"posts","id":"stateofhealth_20001","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20001","score":null,"sort":[1404405907000]},"guestAuthors":[],"slug":"code-black-young-doctors-still-in-love-with-medicine","title":"Code Black: Young Doctors Still in Love with Medicine","publishDate":1404405907,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20002\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4-Jamie-Eng-M.D.-with-patient-in-CODE-BLACK-a-Long-Shot-release-2014.jpg\">\u003cimg class=\"size-large wp-image-20002\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4-Jamie-Eng-M.D.-with-patient-in-CODE-BLACK-a-Long-Shot-release-2014-640x360.jpg\" alt='Dr. Jamie Eng with patient in the documentary \"Code Black.\"' width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Jamie Eng with patient in the documentary \"Code Black.\"\u003c/figcaption>\u003c/figure>\n\u003cp>Don't eat a sandwich before you sit down to watch the documentary \"\u003ca href=\"http://codeblackmovie.com\" target=\"_blank\">Code Black\u003c/a>.\" In one of the first scenes, we watch a team of doctors and nurses cut into a patient. It's a bloody business, and the camera doesn't turn away. That's because this film is about the brilliant chaos of emergency care, and the people drawn to this work.\u003c/p>\n\u003cp>For all the debate over health care in America, it's relatively rare to hear from doctors on the front lines, and even more rare to hear from young doctors about a field they've recently chosen to devote their lives to. “Code Black,” a documentary by a doctor when he was a resident at LA County's USC Medical Center, delivers that perspective with punch and passion. It promises a look into \"America's busiest ER.\"\u003c!--more-->\u003c/p>\n\u003cp>Ryan McGarry is now an assistant professor and physician at The Weill Medical College of Cornell University. Possibly, his penchant for storytelling has something to do with his bachelor's degree in English at Pennsylvania State University. His decision to become a doctor was inspired in part by his experience as a Stage IV cancer patient while an undergraduate. Even though he switched gears professionally, he finds poetry in his new field.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157165060&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>His training ground for emergency medicine is “C-Booth”, a now-closed but legendary trauma bay, where “more people have died and more people have been saved than in any other square footage in the United States,” McGarry tells us in his voice over.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The film is a first-person reflection of McGarry's personal choices: of his respect for the students and teachers around him, of how jazzed he is to be doing emergency medicine, of how anxious he is about the primacy of money and politics over human values in medicine today.\u003c/p>\n\u003cp>We also hear from McGarry's fellow interns, like Jamie Eng, speaking with an almost dreamy calm about what motivates her to charge into a scene that would send most people running. \"When I rotated here as a medical student, I saw how the seniors just commanded the place. And I thought, 'I want to be that person. I want to be that calm. That cool. That collected. That knowledgeable. That confident.'”\u003c/p>\n\u003cfigure id=\"attachment_20004\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/3-Danny-Cheng-M.D.-Dave-Pomeranz-M.D.-Ryan-McGarry-M.D.-Billy-Mallon-M.D.-at-bedside-in-CODE-BLACK-a-Long-Shot-Factory-release-2014.jpg\">\u003cimg class=\"size-medium wp-image-20004\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/3-Danny-Cheng-M.D.-Dave-Pomeranz-M.D.-Ryan-McGarry-M.D.-Billy-Mallon-M.D.-at-bedside-in-CODE-BLACK-a-Long-Shot-Factory-release-2014-300x169.jpg\" alt='From L to R: Danny Cheng, M.D., Dave Pomeranz, M.D., Ryan McGarry, M.D., Billy Mallon, M.D. at bedside in C-Booth in the documentary \"Code Black.\"' width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From L to R: Danny Cheng, M.D., Dave Pomeranz, M.D., Ryan McGarry, M.D., Billy Mallon, M.D. at bedside in C-Booth in the documentary \"Code Black.\"\u003c/figcaption>\u003c/figure>\n\u003cp>That's everything you want to believe about doctors: that smart, soulful, driven people will be doing their darndest to keep you or your loved one alive in that critical moment of need. Whether you can pay or not.\u003c/p>\n\u003cp>LA County/USC is a public hospital, and it's cheering to see how much the interns care for their patients, no matter how poor. But time marches on. A new hospital was built. It’s clean. It’s quiet. It meets modern codes for earthquake safety. Still, whatever rules the old hospital could be exempted from because it was so old and so small, the doctors have to follow modern rules in the new hospital. Perhaps predictably, they hate them, particularly the bureaucratic documentation required for every last, little thing that happens in the ER.\u003c/p>\n\u003cp>Eng laments, \"I just had a patient with the simplest of complaints. It took me about two minutes to see her. I saw her standing right here in the hallway. I don’t even need a room for her. Basically, it took me four times as long to document as it took me to talk to her and do the exam at the same time.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I've worked on both coasts now,\" McGarry says, \"and whether it be a primary care office or a busy emergency department, the thing that physicians and other providers are talking the most right now is the disconnection from us and patients.\" How did it come to be, he wonders, \"that insurance companies and administrators and everybody else who isn't as invested, arguably, is sort of running that experience?\"\u003c/p>\n\n","blocks":[],"excerpt":"Documentary by a doctor when he was a resident at LA's USC Medical Center offers rare look from the front lines.","status":"publish","parent":0,"modified":1404783269,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":13,"wordCount":702},"headData":{"title":"Code Black: Young Doctors Still in Love with Medicine | KQED","description":"Documentary by a doctor when he was a resident at LA's USC Medical Center offers rare look from the front lines.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Code Black: Young Doctors Still in Love with Medicine","datePublished":"2014-07-03T16:45:07.000Z","dateModified":"2014-07-08T01:34:29.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20001 http://blogs.kqed.org/stateofhealth/?p=20001","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/03/code-black-young-doctors-still-in-love-with-medicine/","disqusTitle":"Code Black: Young Doctors Still in Love with Medicine","path":"/stateofhealth/20001/code-black-young-doctors-still-in-love-with-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20002\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4-Jamie-Eng-M.D.-with-patient-in-CODE-BLACK-a-Long-Shot-release-2014.jpg\">\u003cimg class=\"size-large wp-image-20002\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4-Jamie-Eng-M.D.-with-patient-in-CODE-BLACK-a-Long-Shot-release-2014-640x360.jpg\" alt='Dr. Jamie Eng with patient in the documentary \"Code Black.\"' width=\"640\" height=\"360\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Dr. Jamie Eng with patient in the documentary \"Code Black.\"\u003c/figcaption>\u003c/figure>\n\u003cp>Don't eat a sandwich before you sit down to watch the documentary \"\u003ca href=\"http://codeblackmovie.com\" target=\"_blank\">Code Black\u003c/a>.\" In one of the first scenes, we watch a team of doctors and nurses cut into a patient. It's a bloody business, and the camera doesn't turn away. That's because this film is about the brilliant chaos of emergency care, and the people drawn to this work.\u003c/p>\n\u003cp>For all the debate over health care in America, it's relatively rare to hear from doctors on the front lines, and even more rare to hear from young doctors about a field they've recently chosen to devote their lives to. “Code Black,” a documentary by a doctor when he was a resident at LA County's USC Medical Center, delivers that perspective with punch and passion. It promises a look into \"America's busiest ER.\"\u003c!--more-->\u003c/p>\n\u003cp>Ryan McGarry is now an assistant professor and physician at The Weill Medical College of Cornell University. Possibly, his penchant for storytelling has something to do with his bachelor's degree in English at Pennsylvania State University. His decision to become a doctor was inspired in part by his experience as a Stage IV cancer patient while an undergraduate. Even though he switched gears professionally, he finds poetry in his new field.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/157165060&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>His training ground for emergency medicine is “C-Booth”, a now-closed but legendary trauma bay, where “more people have died and more people have been saved than in any other square footage in the United States,” McGarry tells us in his voice over.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The film is a first-person reflection of McGarry's personal choices: of his respect for the students and teachers around him, of how jazzed he is to be doing emergency medicine, of how anxious he is about the primacy of money and politics over human values in medicine today.\u003c/p>\n\u003cp>We also hear from McGarry's fellow interns, like Jamie Eng, speaking with an almost dreamy calm about what motivates her to charge into a scene that would send most people running. \"When I rotated here as a medical student, I saw how the seniors just commanded the place. And I thought, 'I want to be that person. I want to be that calm. That cool. That collected. That knowledgeable. That confident.'”\u003c/p>\n\u003cfigure id=\"attachment_20004\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/3-Danny-Cheng-M.D.-Dave-Pomeranz-M.D.-Ryan-McGarry-M.D.-Billy-Mallon-M.D.-at-bedside-in-CODE-BLACK-a-Long-Shot-Factory-release-2014.jpg\">\u003cimg class=\"size-medium wp-image-20004\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/3-Danny-Cheng-M.D.-Dave-Pomeranz-M.D.-Ryan-McGarry-M.D.-Billy-Mallon-M.D.-at-bedside-in-CODE-BLACK-a-Long-Shot-Factory-release-2014-300x169.jpg\" alt='From L to R: Danny Cheng, M.D., Dave Pomeranz, M.D., Ryan McGarry, M.D., Billy Mallon, M.D. at bedside in C-Booth in the documentary \"Code Black.\"' width=\"300\" height=\"169\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">From L to R: Danny Cheng, M.D., Dave Pomeranz, M.D., Ryan McGarry, M.D., Billy Mallon, M.D. at bedside in C-Booth in the documentary \"Code Black.\"\u003c/figcaption>\u003c/figure>\n\u003cp>That's everything you want to believe about doctors: that smart, soulful, driven people will be doing their darndest to keep you or your loved one alive in that critical moment of need. Whether you can pay or not.\u003c/p>\n\u003cp>LA County/USC is a public hospital, and it's cheering to see how much the interns care for their patients, no matter how poor. But time marches on. A new hospital was built. It’s clean. It’s quiet. It meets modern codes for earthquake safety. Still, whatever rules the old hospital could be exempted from because it was so old and so small, the doctors have to follow modern rules in the new hospital. Perhaps predictably, they hate them, particularly the bureaucratic documentation required for every last, little thing that happens in the ER.\u003c/p>\n\u003cp>Eng laments, \"I just had a patient with the simplest of complaints. It took me about two minutes to see her. I saw her standing right here in the hallway. I don’t even need a room for her. Basically, it took me four times as long to document as it took me to talk to her and do the exam at the same time.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"I've worked on both coasts now,\" McGarry says, \"and whether it be a primary care office or a busy emergency department, the thing that physicians and other providers are talking the most right now is the disconnection from us and patients.\" How did it come to be, he wonders, \"that insurance companies and administrators and everybody else who isn't as invested, arguably, is sort of running that experience?\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20001/code-black-young-doctors-still-in-love-with-medicine","authors":["251"],"categories":["stateofhealth_11","stateofhealth_14"],"tags":["stateofhealth_791","stateofhealth_335"],"featImg":"stateofhealth_20002","label":"stateofhealth"},"stateofhealth_19459":{"type":"posts","id":"stateofhealth_19459","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19459","score":null,"sort":[1402384418000]},"guestAuthors":[],"slug":"resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","title":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate","publishDate":1402384418,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19461\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\">\u003cimg class=\"size-full wp-image-19461\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\" alt=\"Medical workers stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical residents stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Resident physicians at UCSF Benioff Children’s Hospital Oakland say their salaries aren’t keeping up with the cost of living in the Bay Area. Theirs is one of the latest health care union battles to heat up in California between workers and hospital administration, and is drawing a new generation of members to union organizing.\u003c/p>\n\u003cp>“A lot of people think being a doctor is super glamorous and you make tons of money and everyone loves you,” said Alana Arnold, a second-year resident. “But in fact, residency is difficult. We’re here to learn and train. And we have to protect ourselves just like any other workforce.”\u003c/p>\n\u003cp>She and other pediatric medicine residents in Oakland have joined with SEIU’s Committee of Interns and Residents to fight for higher compensation, and a special fund for patients to cover bus tokens and other costs to help them get to appointments and maintain care. \u003c!--more-->\u003c/p>\n\u003cp>Residents are paid $52,000 a year and work up to 80 hours a week. The residents say they want a small $2,000 bonus over their three-year residency to help offset housing costs. But after more than a year of negotiating, there is no resolution. The latest talks with a federal mediator broke down.\u003c/p>\n\u003cp>“This contract bargaining has now become an issue of respect,” Arnold said at a demonstration outside the hospital last Friday. “The hospital administrators must see us as equal contributors and as professionals who provide critical medical services to patients of Children’s Hospital.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The hospital says it values the residents, but it also faces high costs of doing business in the Bay Area. Spokesperson Melinda Krigel says the hospital has to balance the residency program with a lot of competing needs, including patient care, research and community benefits.\u003c/p>\n\u003cp>“We have to look at all our costs and programs and decide where we have to put the money to sustain our mission,” Krigel said.\u003c/p>\n\u003cp>She said the residents’ demands come at the same time that federal grants for graduate medical training have been slashed 30 percent. The hospital plans to accept 28 residents in the next incoming class, compared to 30 in each of the last few years.\u003c/p>\n\u003cp>“Without that federal funding, our hands are tied,” Ms. Krigel said, adding that the residents do get various financial perks — including a stipend for books, and free food.\u003c/p>\n\u003cp>The residents say the hospital should tap into the $50 million philanthropic gift it recently received from Marc and Lynne Benioff, following the Oakland hospital’s affiliation with the UCSF Benioff Children’s Hospital earlier this year. The hospital says it hasn’t yet decided how it will spend the money.\u003c/p>\n\u003cp>The residents were joined by at least one member of another union at their march on Friday. Susan Segal is a nurse in the intensive care nursery at Children’s Hospital Oakland and a member of the California Nurses Association, a union that has often been at odds with SEIU, the union backing the residents.\u003c/p>\n\u003cp>“There are huge divides. And there have been historically huge feuds and coming together of SEIU and CNA,” Segal said. “But when it comes to this hospital, we stand together. Personally as a nurse and union member I’m committed to supporting every other union and their fights.”\u003c/p>\n\u003cp>Arnold says it’s important for people at all levels of the health care field, and of all ages, to get involved with their union.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being a doctor is a privilege and an honor,” Arnold said. “But it is something that should not be abused by your employer. And that’s what’s going on with the hospital administration. So it’s just out of necessity that we need to organize and make sure that our working conditions are appropriate and necessary to carry out our duty, which is to provide the best care possible.”\u003c/p>\n\n","blocks":[],"excerpt":"Residents at Children's Hospital Oakland work 80 hours a week and are paid $52,000 a year. ","status":"publish","parent":0,"modified":1402441018,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":16,"wordCount":701},"headData":{"title":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate | KQED","description":"Residents at Children's Hospital Oakland work 80 hours a week and are paid $52,000 a year. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate","datePublished":"2014-06-10T07:13:38.000Z","dateModified":"2014-06-10T22:56:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19459 http://blogs.kqed.org/stateofhealth/?p=19459","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/10/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate/","disqusTitle":"Resident Physicians at Children's Oakland Rally Over Contract Stalemate","path":"/stateofhealth/19459/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19461\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\">\u003cimg class=\"size-full wp-image-19461\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg\" alt=\"Medical workers stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10682_IMG_6674-hpf-320x214.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Medical residents stage a protest in front of UCSF Benioff Children's Hospital Oakland. (Mark Andrew Boyer/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>Resident physicians at UCSF Benioff Children’s Hospital Oakland say their salaries aren’t keeping up with the cost of living in the Bay Area. Theirs is one of the latest health care union battles to heat up in California between workers and hospital administration, and is drawing a new generation of members to union organizing.\u003c/p>\n\u003cp>“A lot of people think being a doctor is super glamorous and you make tons of money and everyone loves you,” said Alana Arnold, a second-year resident. “But in fact, residency is difficult. We’re here to learn and train. And we have to protect ourselves just like any other workforce.”\u003c/p>\n\u003cp>She and other pediatric medicine residents in Oakland have joined with SEIU’s Committee of Interns and Residents to fight for higher compensation, and a special fund for patients to cover bus tokens and other costs to help them get to appointments and maintain care. \u003c!--more-->\u003c/p>\n\u003cp>Residents are paid $52,000 a year and work up to 80 hours a week. The residents say they want a small $2,000 bonus over their three-year residency to help offset housing costs. But after more than a year of negotiating, there is no resolution. The latest talks with a federal mediator broke down.\u003c/p>\n\u003cp>“This contract bargaining has now become an issue of respect,” Arnold said at a demonstration outside the hospital last Friday. “The hospital administrators must see us as equal contributors and as professionals who provide critical medical services to patients of Children’s Hospital.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The hospital says it values the residents, but it also faces high costs of doing business in the Bay Area. Spokesperson Melinda Krigel says the hospital has to balance the residency program with a lot of competing needs, including patient care, research and community benefits.\u003c/p>\n\u003cp>“We have to look at all our costs and programs and decide where we have to put the money to sustain our mission,” Krigel said.\u003c/p>\n\u003cp>She said the residents’ demands come at the same time that federal grants for graduate medical training have been slashed 30 percent. The hospital plans to accept 28 residents in the next incoming class, compared to 30 in each of the last few years.\u003c/p>\n\u003cp>“Without that federal funding, our hands are tied,” Ms. Krigel said, adding that the residents do get various financial perks — including a stipend for books, and free food.\u003c/p>\n\u003cp>The residents say the hospital should tap into the $50 million philanthropic gift it recently received from Marc and Lynne Benioff, following the Oakland hospital’s affiliation with the UCSF Benioff Children’s Hospital earlier this year. The hospital says it hasn’t yet decided how it will spend the money.\u003c/p>\n\u003cp>The residents were joined by at least one member of another union at their march on Friday. Susan Segal is a nurse in the intensive care nursery at Children’s Hospital Oakland and a member of the California Nurses Association, a union that has often been at odds with SEIU, the union backing the residents.\u003c/p>\n\u003cp>“There are huge divides. And there have been historically huge feuds and coming together of SEIU and CNA,” Segal said. “But when it comes to this hospital, we stand together. Personally as a nurse and union member I’m committed to supporting every other union and their fights.”\u003c/p>\n\u003cp>Arnold says it’s important for people at all levels of the health care field, and of all ages, to get involved with their union.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“Being a doctor is a privilege and an honor,” Arnold said. “But it is something that should not be abused by your employer. And that’s what’s going on with the hospital administration. So it’s just out of necessity that we need to organize and make sure that our working conditions are appropriate and necessary to carry out our duty, which is to provide the best care possible.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19459/resident-physicians-at-childrens-oakland-rally-over-contract-stalemate","authors":["3205"],"categories":["stateofhealth_14"],"tags":["stateofhealth_278","stateofhealth_791"],"featImg":"stateofhealth_19461","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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