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Biomedical subjects

Jeremiah A Barondess

Publications and source records attributed to Jeremiah A Barondess.

10 recordsLinked to original sources

Viewpoint: on wondering.

Wondering is a cousin of curiosity and the parent of inventiveness. Almost everything learned in the course of professional education and in the processes of professional life has been discovered or developed because of wondering. A host of creative individuals once wondered in ways that made today's medicine possible, and make the medicine of tomorrow feasible. Wondering is also integral to clinical decision making in general, to diagnosis, therapeutic choices, and management priorities. It is central to broader themes and to opportunities to seek the larger issues of which the daily problems of clinical practice and research are manifestations. Oddly enough, it is important to decide to wonder in this way to harvest its benefits. It is useful to identify one or two big things to wonder about from time to time to use as bases for the development of fractals of interest and professional growth. The author discusses in depth two such opportunities for wondering, both of which concern issues that underlie the immediate clinical event: (1) why individuals' health, disease outcomes, and life expectancy vary, and (2) why disease patterns change. He concludes that developing a capacity for wondering exercises the mind and the spirit, broadens the horizon, and in the long run is not only good for the doctor but also for his or her patients, for patients to come, and for the health of the profession itself, because it opens the door to change.

Education, Medical↗

Urban health: a look out our windows.

Approximately 80% of Americans live in cities or immediately adjacent communities. Such urban environments are complex amalgams of people of disparate backgrounds, economic status, and expectations, with extraordinary disparities in health status and outcomes between groups just blocks apart. Urban health as a framing paradigm is of recent vintage and offers a perspective on health and disease that integrates clinical medicine and public health and draws on the social and political sciences to seek understanding of the impact of cities on the health of populations and individuals. Ironically, disparate outcomes and increased mortality among poor minority populations in cities are not primarily related to the consequences of the urban epidemics of drugs and violence but rather are due to the increased prevalence and severity of common diseases such as asthma, cardiovascular disease, diabetes, and kidney disease. Several factors may be responsible for such disparities, including stress, racism, perceptions of deprivation, economic inequalities, and lack of access to quality health care. It is time for leaders in medical education and health care delivery to focus on the populations that surround their institutions in order to study urban health and meet the challenge of caring for all the residents of our cities.

Catchment Area, Health↗

Municipal support of biomedical research.

Difficulties in funding promising young researchers at the outset of their careers have led to efforts to find new kinds of sources of support. In the past four years the municipal administration in New York City has funded a program to help support new junior research faculty in the city's research-intensive institutions. Under the aegis of the New York Academy of Medicine a program has been designed that provides support for research proposals that are peer-reviewed and competitively awarded. As measured by the quality of the submitted proposals, progress toward realizing the scientific goals of each, and additional research funding received, the program has been a success, and should be considered for replication by other municipalities.

Community-Institutional Relations↗

Is Osler dead?

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Canada↗