Author: Praveen Suthrum

Most people believe that, if you want to conduct clinical research, the best path is going into academic medicine. However, for physicians who want both the benefits of practicing in the community setting and a career in research, there are many ways to both treat patients and have a rewarding experience making a difference in facilitating treatment options that can become available to patients.

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Las Vegas—Gastroenterologists have made some progress in the pursuit of work–life balance, but the results of a recent survey suggest there is room for improvement when it comes to protected parental leave and workplace support of physicians raising families. In the survey of gastroenterologists, 796 respondents reported putting off starting families, a pregnancy complication rate of 68% (notably higher than the 14% seen in the general population), and a persistent sense that taking adequate parental leave could backfire personally and professionally.

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Young gastroenterologists are increasingly choosing to work for hospitals over going into private practice, but according to Adam Levy, MD, they are missing out on autonomy and future financial gains. Dr. Levy, a gastroenterologist in Macon, Ga., spoke with Becker’s ASC Review about the factors driving gastroenterologists toward and away from private practice. 

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Gastric intestinal metaplasia (GIM) is a histological finding which may identify patients at high risk for gastric cancer, the third leading cause of cancer deaths worldwide. The most common type of gastric cancer is intestinal-type, non-cardiac, which is usually associated with chronic H. pylori infection (80% of global burden) via stepwise mucosal changes: normal mucosa → chronic gastritis → atropic gastritis → GIM → gastric adenocarcinoma.

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A new study has concluded that deep learning convolutional neural network (CNN) architecture to facilitate more objective, reproducible endoscopic assessment of ulcerative colitis (UC) is a promising technology (Scientific Reports2022 Feb 17. https://doi.org/10.1038/s41598-022-06726-2). The researchers noted that endoscopic evaluation to reliably grade disease activity, detect complications—including cancer—and verify mucosal healing is needed to properly care for patients with UC. However, such evaluation is stymied by substantial intra- and interobserver variability.

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A new analysis found a possible role for fecal microbiota as potential biomarkers for early pancreatic cancer detection. To explore the ways in which these microorganisms may be useful for potential early cancer detection, a research team led by Núria Malats, MD, from the Spanish National Cancer Research Centre (CNIO), in Madrid, conducted a prospective study of stool and saliva samples from patients treated at two hospitals in Spain between 2016 and 2019. The patients were over 18 years of age and recently either were diagnosed with or suspected to have pancreatic ductal adenocarcinoma (PDAC) but had not been treated (n=57) or had chronic pancreatitis (n=29). Fifty control samples, matched on age, sex and hospital, were collected from inpatients hospitalized for illness not related to PDAC.

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In this video, Gary W. Herschman, JD, discusses when a physician group should consider entering into a strategic transaction with a private equity group and what changes should be expected. “The issue of whether a strategic transaction is right for any group is going to vary based on the group, not only the specialty of the group, but the size of the group and the physicians, the individuals who are owners of the group and their particular strategic objectives and desires,” Herschman, an attorney in the health care and life sciences practice of Epstein Becker Green, told Healio.

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Bethesda, Maryland (April 26, 2022) – Gastrointestinal hamartomatous polyposis syndromes are rare, hereditary disorders associated with an increased risk of colorectal cancer. The U.S. Multisociety Task Force on Colorectal Cancer has released new guidance for the diagnosis and management of patients with rare hamartomatous polyposis syndromes with a focus on endoscopic management.

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Iget excited anytime there’s new data published on physician employment. (I’m a researcher after all.) But as the physician market becomes more complex, it’s increasingly difficult to collect meaningful data on physician ownership and employment. One of the biggest reasons for this is that the strict dichotomy between hospital-employed and physician-owned medical groups no longer exists—there’s a lot of gray area that’s hard to capture in a survey.

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