Depression Linked to Frequent Emergency Department Use in Large 10-year Retrospective Analysis of an Integrated Health Care System

From BioRxIV:

We evaluated general patient features related to depression and frequency of Emergency Department (ED) use in a large integrated health care system. Electronic Health Records of 287,281 adults from a general patient population were studied retrospectively over a 10-year period. Patients with a history of depression were more likely to be seen in the ED and at higher frequency than those without. Frequent ED users were more likely to have a history of depression or psychiatric medication orders than infrequent users. ED visits by depression patients and frequent users have highly correlated complaints and discharge diagnoses with other ED users, often related to pain. Poorly managed depression may be playing a role in frequent ED utilization which may be addressed by universal screening for depression, evaluation of barriers to treatment, and other novel interventions to improve care coordination.

First year resident physicians to work longer hours under new guidelines

From Reuters:

Days may get a lot longer for some doctors in training after the group that oversees medical education in the United States rolled back controversial rules limiting the number of hours first-year residents may work.

Beginning July 1, doctors in their first year of training after medical school may once again care for patients for up to 24 hours at a time and work a total of 80 hours per week, the Accreditation Council for Graduate Medical Education (ACGME) announced on Friday.

In 2011, the group restricted these first-year residents to 16 hours at a stretch over concerns that patient care could suffer if trainees were overly tired.

Opponents at the time argued the restrictions did not protect patients and limited educational opportunities for trainees. Their concerns were largely confirmed by a flurry of new research.

See also (Becker’s): First-year physicians can work 24-hour shifts starting in July: 5 things to know

Foreign doctors provide lifeline to physician shortage

From the Times:

The same can be said of the percentage of active physicians who are international medical graduates, practicing in Iowa. As of 2014, their numbers increased from 17 percent to 18.6 percent, making foreign doctors second only to Iowa-educated doctors in the recruitment pool.

From 2006-14, foreign doctors accounted for almost one-third of physician growth in Iowa, according to data from AAMC. In fact, foreign graduates have become such a mainstay in American medical care, they now account for about 1 in 4 physicians.

“Foreign graduates are very hard workers, so they really don’t mind going to any place,” Ratnakar said.

Iowa’s community hospitals contribute to the economy

From KCHA:

Iowa’s community hospitals generate more than 127,000 jobs that add nearly 6.8 billion dollars to the state’s economy, according to the most recent Iowa Hospital Association’s economic impact report.

Floyd County Medical Center in Charles City currently employs 198 people  that over $14,500,000 to the economy in Floyd County.

In addition, Floyd County Medical Center employees spend over 2,700,000 on retail sales and contribute over $163,000 in state sales tax revenue.

CFO Bill Faust of Floyd County Medical Center talked about the importance of having a local hospital in a small community.