I’ve been writing about the attempts of proponents of various pseudoscience, quackery, and faith-based religious “healing” modalities to slip provisions friendly to their interests into the health care reform bill that will be debated in the Senate beginning today. If you want to know what’s at stake, check out the first press release of a newly formed institute designed to promote science-based medicine in academia and public policy, the Institute for Science in Medicine.
It’s an embryonic institute, only recently formed by 42 physicians and scientists, several of whose names will be quite familiar to regular readers of SBM, but it’s jumping right into the fray. This is what the ISM is:
The ISM is a non-profit educational organization dedicated to promoting high standards of science in all areas of medicine and public health. We are a watchdog group of medical professionals who believe the best science available should be used to determine health policy and establish a standard of care that protects and promotes the public health. We oppose legislation that seeks to erode the science-based standard of care and expose the public to potentially fraudulent, worthless, or harmful medical practices or products.
Given how when faced with science going against them purveyors of unscientific medicine and medical beliefs try to win in politics where they can’t win in science (as my earlier post today describes for naturopaths in Ontario and the anti-vaccine movement in Oregon), just as we do on SBM, those of us who have helped to form the ISM have our work cut out for us.
Steve Novella has more.
In a special episode of the Skeptics’ Guide to the Universe podcast, I host a discussion with David Gorski, Mark Crislip, and Joe Albietz about the flu, the H1N1 “swine” flu pandemic, and the controversies surrounding the flu vaccine.
You can download or stream the episode here. You can also subscribe to the podcast via iTunes or other popular aggregators.
The following is an announcement from my friends at Medgadget.com:
Next Monday, the Nobel Foundation will announce the winner(s) of this year’s Nobel Prize in Physiology or Medicine. In the following two days, two more Nobels will be revealed: in Physics and in Chemistry. Because of the success of last year’s inaugural Guess-A-Nobel Contest, we decided we’ll repeat this event annually until there is no more science worthy of the prize. This year we’re giving out three 8GB Apple iPod Touch devices to those who correctly guess in each of the three science categories. Because we profile a good deal of apps for the iPhone/Touch platform, we thought this might be a useful tool beside all the fun it can provide on the off time. Furthermore, if someone does manage to guess all three correctly, he or she will be getting the souped-up 64 GB version of the iPod device with all the trimmings.
Here are the rules of the game: (more…)
We frequently receive requests from readers, our colleagues in medicine or fellow science bloggers for the best reference site that has all the information they need on a specific topic. There are many excellent resources on the net, but nothing I know of that quite puts it all together in that way – one-stop shopping for up-to-date information on the topics we are most concerned with.
So we decided to create just such a resource.
You will now see at the top of this page a new link for SBM Topic-Based Reference which leads to our new section by that name. There you will see the list of topics we are currently working on, and once they are complete more will be added. As of today only one topic is reasonably complete, Vaccines and Autism.
The format (which is subject to change as we build and use the resource) is as follows: We start with a brief topic overview. This is not meant to be a thorough discussion of the topic, but a quick summary to get people started. This is followed by an index of all SBM posts on that topic and then links to outside resources that we recommend.
One month ago, I was honored to take part not just in the Science-Based Medicine Conference at TAM 7 in Las Vegas but to be a part of the Anti-Anti-Vax Panel. I was even more honored to be on the same panel as Dr. Joe Albietz, a pediatric intensivist from the University of Colorado who organized a fund-raising drive to benefit the Southern Nevada Health District and contribute to the vaccination of children in a region where the vaccination rate is, unfortunately, low. I’m even more pleased that Dr. Albietz has agreed to join SBM as a regular blogger. Here’s a little bit about Joe:
Joseph Albietz, M.D. is an Assistant Professor of Pediatrics at the University of Colorado, Denver, and The Children’s Hospital. In addition to his service in the Pediatric Intensive Care Unit, his time is divided between translational research in the field of pediatric pulmonary hypertension and medical education where he acts as the pediatric intensive care associate fellowship director. Dr. Albietz graduated from the University of Missouri at Kansas City and completed his residency training in pediatrics and a fellowship in pediatric critical care at the University of Colorado, Denver. He is board certified in Pediatrics and Pediatric Critical Care.
In addition to writing for Science Based Medicine Dr. Albietz also periodically contributes to the James Randi Educational Foundation’s (JREF) Swift Blog and coordinated JREF’s vaccine drive to benefit the Southern Nevada Health District.
Dr. Albietz’s first blog post is scheduled for Friday, August 21. In the meantime, please welcome him to the fold. He’s a great addition to our crew of bloggers.
The Science-Based Medicine Conference has begun! Val is Twittering it at:
Check it out at the tags #TAM7 and #SBM.
I’d like to take this opportunity to announce the arrival of another new blogger for SBM. Please wecome Dr. John Snyder.
John Snyder, M.D., is Chief of the Section of General Pediatrics and Medical Director of Pediatric Ambulatory Care at Saint Vincent’s Hospital in New York City. He is also Assistant Professor of Pediatrics at New York Medical College. Since 1994 Dr. Snyder has been active in pediatric resident and medical student education with a particular interest in evidence based pediatrics. His main area of interest is medical myth and the ways in which parents utilize information in making medical decisions for their children. One area of focus has been vaccine myth, and he lectures frequently on this subject in both academic and community settings. Dr. Snyder graduated form Mount Sinai School of Medicine and completed his residency training in pediatrics at The Mount Sinai Hospital in New York City. He is board certified in Pediatrics, and is a Fellow of The American Academy of Pediatrics. He is the founding partner of Pediatric Associates of Saint Vincents, a mutli-specialty pediatric faculty practice in New York City.
I first encountered Dr. Snyder on the HealthFraud mailing list, where, along with our very own Harriet Hall, he’s done yeoman’s work in the discussions there. Given how much the antivaccine movement has figured into the topics discussed here, I’ve also been looking for a skeptical pediatrician for quite a while now, which is why I’m very glad we’ve landed Dr. Snyder, who will be posting approximately once or twice a month. His first contribution to SBM will be posted later this week.
Please welcome him and be sure to comment on his first post, which will likely appear by Wednesday afternoon.
I’m pleased to announce that I’ve found another blogger for SBM, someone who will represent a viewpoint that I think is very important: That of the physician-in-training. So please welcome Tim Kreider to the stable. Tim is an MD/PhD student at a public university in the northeast US. He never paid much mind to pseudoscience until discovering The Skeptics’ Guide to the Universe and other podcasts that now keep him company during long nights in lab. He practices his skeptical analysis on extracurricular lectures organized by a student interest group for integrative medicine on campus.
As a graduate student, Tim is investigating immune mechanisms in a mouse model of gastrointestinal helminth infection. As a medical student, he has no idea what specialty to pursue and would love advice. He loves to teach math and science and hopes to pursue a career in medical academia.
We’re very happy to have Tim on board. Given that one of my concerns is the infiltration of pseudoscience into the medical school curriculum, I consider it essential to have a medical student on board to give that perspective. Because of his academic load, Tim will be blogging only once a month, although I do hope to tease a little more out of him, as long as it doesn’t jeopardize his education.
…I’m actually on Facebook. So are Val Jones , David Kroll, Peter Lipson, and Steve Novella.
In any case, feel free to check it out and, if you’re interested, leave a note on my wall, that of my co-bloggers, or send us a friend request. Being somewhat new at this whole Facebook thing, I note with some amusement that, in a moment when I was in an unusually perverse mood, I sent Dr. Jay Gordon a friend request, and he actually confirmed it.
On January 31, 2009 The Medscape Journal will be discontinued.* One can only assume that the journal’s parent company, WebMD, could no longer justify the cost associated with a free, open-access, peer-reviewed medical journal that receives no income from advertisers or sponsors. The Medscape Journal’s budget has been supported by revenue generated from Medscape (the website), and their robust Continuing Medical Education (CME) business.
In these challenging economic times, American companies are taking a cold, hard look at their P and L spreadsheets and nixing the least profitable parts of their businesses. The inevitable “non-profit” casualties present an ethical dilemma. What will become of the noble pursuits that are based upon “doing the right thing” rather than making a profit?
There is no such thing as completely unbiased publishing (humans all have personal agendas – whether conscious or unconscious), though The Medscape Journal came about as close to it as any medical journal ever has. The journal is free to authors and readers, and provides 24-hour online access to both professional and lay viewers from around the globe. There are no advertisements or outside sponsors, peer reviewers work without compensation or specific recognition, and editors are paid a minimal salary (full disclosure: I know this because I was an editor for The Medscape Journal several years ago). CME credit is offered for articles determined to be of special relevance, but no articles are commissioned specifically for the purpose of CME.
The Medscape Journal is a wonderful experiment in high ethics. It espouses, in my opinion, the gold standard principles of medical publishing. Tragically, market forces (or perhaps the lack of perceived value by its own parent company) killed it. So what does this mean for medical publishing? If there is no economic model for “pure science” then are medical journals doomed to go the way of health media – promoting sensational or biased science for profit?