Public Health News Roundup: October 11
Study: Majority of U.S. Medical Schools Still Lack Proper Clinical Conflict of Interest Policies
Despite recent efforts to improve policies, most U.S. medical schools still do not meet national standards regarding clinical conflicts of interest (CCOI), according to a new study from the Institute on Medicine as a Profession (IMAP). The study looked at changes in a dozen areas from 2008 to 2011, finding that by 2011 about two-thirds of the schools did not have policies to limit industry ties in at least one of the areas, such as drug samples, travel payments and speaking. No school was perfect across the board. "There has been a broad and rapid transformation in how academic medicine manages industry relationships since we looked at this in 2008, but much room for improvement remains," says co-author David Rothman, PhD, president of IMAP. To facilitate continued improvements, IMAP last launched a Conflict of Interest Policy Database that enables anyone to search a school's CCOI policies and compare them to other schools. "Our hope is that the database will encourage deans, compliance officers, faculty and students to compare their school with others and take steps to meet national recommendations," said IMAP investigator Susan Chimonas, PhD. Read more on education.
Online Tools Can Help Diagnose Mental Health Disorders
While it can’t replace in-person observations, an online diagnostic tool has proven to be effective at screening adults for mental health disorders and giving preliminary diagnoses, according to a new study in the journal Family Practice. The TelePsy eDiagnostics system is used in primary care practices in The Netherlands. Patients completed a questionnaire, which was then analyzed by a psychologist who would perform a phone consultation with the patient. The result would be a report submitted to a primary care provider, which would include a preliminary diagnosis and recommendations on whether the patient should be referred to mental health care, as well as the extent of the care. "The great advantage of an electronic system is that patients can complete diagnostic tests at home,” said lead author Ies Dijksman, according to Reuters. “This could lead to a more accurate information collection process compared to conventional clinical interviews.” However, experts were careful to note that in-person diagnostics meant physicians could also account for things such as visual cues, which could help improve diagnoses. Read more on mental health.
Study: No Reason for Healthy Adults to Take Vitamin D Supplements to Prevent Osteoporosis
Regular vitamin D supplements do not prevent osteoporosis in healthy adults who do not already suffer from a vitamin D deficiency, according to a new review publish in The Lancet. Researchers reviewed data from 23 studies covering more than 4,000 healthy adults with an average age of 59, finding no evidence that two years of supplements had an effect on bone mineral density at the hip, spine, forearm or the body as a whole. "The review supports previous studies that found that vitamin D alone is not preventative in healthy adults," said Victoria Richards, an assistant professor of medical sciences at the Netter School of Medicine at Quinnipiac University in Hamden, Conn. "From this study, consumers may no longer feel the need to continue purchasing vitamin D supplements for the prevention of osteoporosis.” Read more on aging.