Tag Archives: Tony Mai

More Surgery for Better Global Health: Dr. Mark Shrime

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Is surgery too expensive for global health?

expensive photo
Is surgery ‘too expensive’ for global health?

Mark Shrime is an otolaryngologist (and American Ninja Warrior competitor) who may just be on the leading edge of change in the way global health sees surgery.  In this conversation with Tony Mai, Amanda Manorot, Brian Wall, and Hadeal Ayoub, Dr. Shrime argues that the way surgery is used in international development to date–surgeons fly in for two weeks, do their thing, and fly back out–doesn’t do much to allow their host countries to develop their own surgery skills.  For his part, he’s managed to arrange his work at Harvard to allow him two months abroad helping to strengthen health systems in countries like Congo, Haiti, Cameroon, and Madagascar.

The problem is, policy-makers see surgery as ‘too expensive,’ disregarding it as a tool for global health intervention.  Ebola and Zika therefore get all the attention.  But analysis of the cost-effectiveness of surgery as a tool in global health efforts belies this view, and shows the burden of surgical diseases may be as high as a third of the global total.  Fortunately, Dr. Shrime has good advice for future surgeons who face a system that embraces Relative Value Units as a measure of physician performance, and yet want to pursue work outside their hospitals to effect global healthcare change.

We Want to Hear From You

What are your thoughts on the effort to elevate surgery as a global health intervention? Any thoughts on who we should interview next? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com to share your ideas.

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Rejection Happens

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“When you’re following your inner voice, doors tend to eventually open for you, even if they mostly slam at first.”
― Kelly Cutrone

reject photoEuthalia (not her actual name, though it probably should be. Feel free to take that name, anonymous caller) called us at 347-SHORTCT to express her sadness that she didn’t get a secondary interview at Iowa.  Which sucks for Iowa because…well, we might not get to meet Euthalia.  Of course, she knows rejection is not the end of the road for her dream. Brett Hanson, Tony Mai, Patrick Brau, and Levi Endelman share some things she needs to do now to deal with it, and to prepare her for the next time she applies.

Euthalia might be feeling anxious, a good bet because just about everyone we know has anxiety up the wazoo.  Luckily, Dave heard about a study in which subjects were able to decrease their anxiety by talking to themselves in the third person.  This seemed like a good idea, so we gave it a try.  Warning: you might want to turn down the volume.  Or unsubscribe.

This Week in Medical News

The Endocrine Society has new guidelines for how young transgender kids can begin hormone therapy.  And, to the surprise of no nurses at all, nurses in some places have more dangerous jobs than prison guards and police officers.  Be kind to the nurses, doctors.

We Want to Hear From You

What are your rejection stories? Call us at 347-SHORTCT anytime, visit our Facebook group, or email theshortcoats@gmail.com.  Do all three!

Continue reading Rejection Happens