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Skills For Catheter Insertion Improved By Simulation Training
New technology allows student doctors to practice operations and other procedures on simulators before trying them out on real patients, just as pilots practice for emergencies on aircraft simulators. Medical educators feel that this will increase patient safety, by avoiding first-time mistakes being made on live patients. But does education by simulation actually work? Can doctors learn new skills on simulators instead of on humans?
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Cambodia Health Officials Expand HIV/AIDS Prevention Education To Primary Schools
The Cambodian Ministry of Health has begun training primary education teachers in 12 provinces on HIV/AIDS prevention education, the Phnom Penh Post reports. Health officials said that although children in primary school are not seen as a high-risk population, they need to be educated on the disease. Mean Chhi Vun -- director of the National Center for HIV/AIDS, Dermatology and STDs -- said the students "are a group of people we have to pay attention to because they ... will be the backbone of the nation." Secondary-school aged students currently are receiving HIV/AIDS education, and the programs are being used as a model for the new primary school initiative, according to Pen Saroeun, director of the Ministry of Education"s School Health Department. Some health officials have said that young people are becoming increasingly at risk for HIV, and most outreach efforts target commercial sex workers and their clients and not young people, the Post reports. Saroeun noted that the HIV/AIDS prevention education program has been successful in secondary schools and is the reason the ministry decided to launch the program in primary schools, adding that many students drop out before reaching secondary school. He said, "We will teach them basic knowledge about HIV/AIDS and life skills, such as negotiation skills, how to say "no," goal setting, and how to provide care and support to people living with HIV/AIDS." The ministry plans to double the $100,000 it allocated to HIV/AIDS education spending last year with additional funding from the United Nations Population Fund, according to Saroeun. He added, "If we are successful in those 12 provinces, then we will do it in the other provinces" (Kunthear, Phnom Penh Post, 5/19).
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British Public Putting Their Eyesight At Risk
NEARLY two thirds of the British public are neglecting their eyesight, according to the results of a shock survey released today.
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MDVIP Launches Preventive Medicine Pilot Program For Uninsured In Northern Virginia

On the heels of a successful partnership between MDVIP and Project Access in Palm Beach County, Florida, MDVIP will now roll out their second initiative to support the uninsured community in Northern Virginia. In collaboration with The INOVA Health Systems and Project Access of Northern Virginia (PANV), four of the local MDVIP-affiliated physicians will participate in a pilot program to provide services to uninsured patients who have diabetes, cardiovascular disease or may be considered a high-risk patient for either chronic condition. Without comprehensive primary care, these patients would be treated episodically either at a county clinic or an ER for services considered under the umbrella of primary care management. Project Access is a program designed to provide medical care for uninsured people in Northern Virginia and reduce emergency care requirements. "We wondered what happened to uninsured patients once they were treated and stabilized after emergency episodes, and we discovered that many are virtually discharged with no follow-up care. Typically, patients in the Project Access of Northern Virginia program require a good deal of follow-up, and without ongoing medical treatment, many emergency treatments will become chronic events," says Dr. Edward Goldman, co-founder of the MDVIP nationwide network of doctors specializing in preventive medicine. "Since the program was launched in Florida eighteen months ago, our participants have dramatically reduced ER visits. We"re excited to duplicate these results in Northern Virginia." The goals of the program are to: - Best manage the chronic disease of these patients - Offer early detection and wellness to the at-risk patient - Prevent or slow the progression of the disease over the long-term offering the best level of health to these patients - Free up the res for true medical emergencies at the INOVA Health Systems While most primary care doctors have 2,000-3,000 patients, MDVIP-affiliated physicians limit their practices to about 600 patients in order to offer more personalized and preventive healthcare. MDVIP patients pay a membership fee of typically $1,500 annually for MDVIP"s personalized healthcare, including a comprehensive annual evaluation which includes the identification of risk factors that predict the diseases a person are most likely to develop, based upon personal and family history, genetics, lifestyle, habits and occupation. It includes laboratory testing, an EKG and screenings related to mental status, exercise, nutrition and sleep; vision, hearing and pulmonary function testing; and a review of all medication, with a subsequent coordinated wellness plan. The participants in the MDVIP Project Access pilot group will receive these services at no charge. "Project Access of Northern Virginia is very excited about our partnership with MDVIP, as it will provide additional primary care access points for the most vulnerable in our community," said Claudia Tellez, Director, Project Access of Northern Virginia. The preventive medicine pilot program will initially serve about 50 Northern Virginia low-income, uninsured patients in Alexandria and Fairfax Counties. Additionally, MDVIP plans to develop essential data that shows how this model can reduce costs to the system and improve healthcare for the uninsured, as it has in MDVIP-affiliated practices nationally. Project Access of Northern Virginia


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