Responding to a just-released article in the journal Cell, the 16,000-member Christian Medical Association, the nation's largest faith-based association of physicians, cited ethical, practical and safety concerns regarding the cloning of human embryos to harvest stem cells.

CMA CEO Dr. David Stevens noted, "Just when ethically uncontroversial stem cell techniques offer a platform for consen-sus on stem cell research and development, a small band of outliers want to revive the notion of cloning and destroying living human beings to harvest stem cells. As it was years ago when first attempted and discred-ited, human cloning remains unethical, impractical and unsafe.

"Unlike methods such as iPSC (induced pluripotent stem cells) or adult stem cell research that have gained a growing consen-sus of approval, human cloning (somatic cell nuclear transfer or SCNT) requires the deliberate creation and destruction of living human embryos.

"Practically speaking, iPS cells are much better and more easily created for lab mod-els. Most importantly for the patients our physicians treat, adult stem cells already show proven superior achievement at treating patients.

Emergency department (ED) overcrowd-ing has been a major issue nationally for 20 years and continues to increase in severity. To address this issue, a pilot study has been launched at UC San Diego Health System’s ED to use telemedicine as a way to help address crowding and decrease patient wait times. The study is the first of its kind in California to use cameras to bring on-call doctors who are outside of the hospital to the patient in need.

“This telemedicine study will determine if we can decrease wait times while reducing the number of patients who leave the ED without being seen by a physician,” said David Guss, MD, principal investigator and chair of the department of emergency medi-cine at UC San Diego School of Medicine. “With the ED physicians on site and an added telemedicine physician, patient care may be significantly expedited. If the use of a telemedicine evaluation can be shown to be safe and effective, it may shift how care in the emergency department is delivered.”

The study, called Emergency Department Telemedicine Initiative to Rapidly Accommodate in Times of Emergency (EDTITRATE), brings telemedicine doc-tors to patients when the ED becomes busy. An offsite doctor is paged who then remote-ly links to a telemedicine station to see patients. With the aide of an ED nurse, these patients are seen based on arrival time and level of medical need. All patients must sign a consent form to participate in the study.

Guided by high fidelity sound and video, the telemedicine physician can examine a patient’s eyes, ears, nose, throat and skin, as well as listen to heart and lung sounds through the module. Laboratory and imag-ing tests can be ordered and results reviewed. Physician ordering and documentation is accomplished through an electronic medi-cal record. As a final step, the onsite attend-ing physician reassesses the patient to con-firm findings and actions, as well as address any unanswered patient questions.

“Working in an emergency department opened around the clock, you never know who may come through the door, so you are constantly faced with the challenge of matching staffing resources with the demands for care,” said Guss. “Some emer-gency departments have placed a physician in the triage area to expedite care, however, if there is low demand for service during these times, an underutilized physician cre-ates an unneeded expense.”

To add to the challenge, when an on call physician is needed to augment provider resource, there can be delays in making the call or significant delay until the physician arrives. With a telemedicine doctor, the wait is just minutes.

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In its latest survey of the nation's physi-cians, Jackson Healthcare found that 42 percent of practicing physicians are dissatis-fied in their job. Some are considering leav-ing medicine altogether, while others are considering early retirement.

Physicians cite decreasing autonomy (46 percent), low reimbursement (35 percent) and administrative hassles (23 percent) as the key drivers of their dissatisfaction. Female physicians, as well as those younger than 45 years of age, reported higher levels of dissat-isfaction.

Fifty-three percent of physicians younger than 45 years of age who have never worked in private practice said they were dissatisfied with their careers compared with only 32 percent of physicians younger than 45 cur-rently working in private practice.

"Physicians are working harder and longer hours for less reimbursement," said Richard L. Jackson, chairman and CEO of Jackson Healthcare. "Plus, they feel like insurers, gov-ernment and hospitals dictate how they can treat patients."

When asked to gauge the outlook of their medical career in 2013 nearly half (48 per-

cent) said they were cautionary, while 36 percent expressed a generally negative out-look.

Jackson's survey also supported reports that more physicians seek employment over private practice. Respondents reporting hos-pital employment increased six points between 2012 and 2013 from 20 to 26 per-cent.

The top three reasons physicians left pri-vate practice for employment included costly overhead (45 percent), practicing medicine without administrative hassles (34 percent) and reimbursement cuts (32 percent).

"If we continue to devalue the experience and skills of our physicians, they will become the most expensive data entry clerks in the nation," said Jackson.

Dissatisfied physicians were more likely to work 12 or more hours per day, be in a medical practice at its patient capacity and not utilizing advanced practitioner support.

Other topics covered in Jackson's report include physician preferences for advanced practitioners, Medicare/Medicaid patient access and physician participation in ACOs.

Forty-two Percent of Physicians Unhappy with Job

CMA Physicians on Human Cloning Study Revelation

Continued on page 2

Continued on page 2

Jackson Healthcare Releases 2013 National Physician Outlook and Practice Trends Report

DIGITAL

Continued on page 4

Human cloning for stem cells remains unethical, impractical and dangerous

Respondents were self-selected with 3,456 respondents completing the survey between March 7 and April 1, 2013. The error range for this survey at the 95th percent confi-dence level is +/- 1.7 percent.

To access Jackson Healthcare's full report Filling the Void: 2013 Physician Outlook &

Practice Trends, visit: http://www.jackson-healthcare.com/physiciantrends2013

About Jackson Healthcare Jackson Healthcare is the third largest health-

care staffing company in the U.S. and serves more than five million patients in over 1,300

healthcare facilities. The company also pro-vides technology solutions that enable total

hospital efficiency. Jackson has earned nation-al media coverage by providing innovative

solutions to healthcare problems, in addition to championing local, national and interna-

tional charitable work. Atlanta Business Chronicle has recognized the company as one

of theBest Places to Work for six consecutive years. Visit http://www.JacksonHealthcare.

com to learn more.Media Contact:

Keith Jennings, Jackson Healthcare, 678-690-7942, kjennings@jacksonhealthcare.com

News distributed by PR Newswire iReach: https://ireach.prnewswire.comSOURCE Jackson Healthcare

RELATED LINKShttp://www.JacksonHealthcare.com

"So why would we want to turn back the clock by reverting to a technique that stem cell science has already passed by? When neither iPSC nor ASC requires subjecting women to the significant health risk of ovar-ian hyperstimulation, why would we want to commodify human eggs and women who are described by the study authors as having "premium quality human oocytes"?

"Besides the immediate harm of killing living human embryos, embryo-destroying cloning also has the potential to lay the

groundwork for reproductive cloning--bringing a cloned human being to birth."

To schedule an interview, please contact Margie Shealy at (423) 844-1047 or by e-mail: margie.shealy@cmda.org. The Christian Medical Association is equipped with Ku Band Digital Uplink satellite and ISDN lines.

www.cmda.org

FLORIDAESTABLISHED, PRIVATELY OWNED TRADITIONAL IP/OP INTERNAL MEDICINE OFFICE NEAR TAMPA FLSeeks experienced MD/DO for im-mediate opportunity. We provide primary care services with a healthy mix of commercial, Medicare, Medicare Advantage, HMO, PPO, and cash paying patients aged 18 and up. We offer a wide variety of ancillary services including stress testing, cardiac and vascular ultra-sound, radiology, and other testing. 1-2 year partnership track and earn-ings based on percentage of produc-tivity. Full benefi ts, 401(k), mal-practice, and relocation. Apply by sending your CV to hr@cmcb.com. No phone calls or faxes please.

GEORGIABC/BE UROLOGY OPPORTUNITY NORTH GEORGIAGreat opportunity to join faith-based hospital-owned Urology practice in Calhoun, Georgia. Conveniently located 45 minutes south of Chat-tanooga, Tennessee and one hours north of Atlanta, Georgia, Calhoun offers many big city amenities, yet enables you to enjoy the abundant convenience of a relaxed southern lifestyle. Waiting patient popula-tion! * Competitive Salary (based on experience) * Sign-on bonus * Full benefi ts; relocation and malpractice. For more information email tracy.farriba@ahss.org or call 800.264.8642.

MONTANASHELBY-FP WITH OBGroup practice in north central Montana, near Glacier Park, is seeking a FP with OB board eligible or board certifi ed and ER experi-ence. Salary $220,000 or production whichever is greater. Paid malprac-tice. Lots of vacation time. CME allow $2,000, travel/ relocation $10,000 & sign on bonus $15,000. Contact: Jamie Brownell at 406-434-3110, fax 406-434-3143 or e-mail to: jbrownell@mmcmt.org.

NEBRASKA“DO RIGHT, LOVE MERCY, WALK HUMBLY” - MICAH 6:8Do you share this intent? 35+ year old practice devoted to these guid-ing principles. Low malpractice and cost of living, on-site surgery center, mission minded, vibrant community with a university, great schools, low crime rate, and many ways to make a difference. New surgical hospital opening in 2011. Won’t you contact us? Kearney Orthopedic & Sports Medicine, Kearney, NE; Contact; Administrator, Vicki Aten, at 308-865-2512 or vaten@kearneyortho.com.

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Nor thern FloridaPrestigious Hospital system seeks to fill the following positions;Family Practice / Internal Medicine / Geriatrics / Urgent Care / Psychiatry

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Mission driven community health center system in Central VA has several openings for dedicated Family Practice physicians. Whether you like the urban areas, the river life or the rural life, we have an area that needs your experience. CVHS has been serving the communities of Central Virginia since 1970 with 14 different locations.

Most of our sites offer comprehensive primary care as well as dental and behavioral health services. We offer a competitive compensation practice that includes a generous benefit plan, matching retirement benefits and time off.

Check out our website at www.cvhsinc.org or email hr@cvhsinc.org for more information

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PENNSYLVANIACHRISTIAN FAMILY PRACTICEBusy Family Practice inBeautiful Lancaster County Penn-sylvania seeks a mission minded “FP or IM or PEDS” doctor to join a group of 5 FPs, 1 PEDs and 1 Med-Peds doc and 3 midlevels. Contact Chip Mershon @ cmershon@dejazz d.com.IMMEDIATE OPENINGFaith based Family Practice in New Wilmington, PA seeking additional Family Physician CRNP, and or PA. FT/PT positions. Rapidly growing, currently 3 provider practice. Excel-lent salary and benefi ts. Prayerfully consider. Contact Jim Gardner III, M.D. 724-946-3564 (Ask for Lynn) or Email:jamesgardner3@mac.com.

TENNESSEGREAT OPPORTUNITYSalaried-Primary Care. No OB, No Hospital Practice Required. Flexible schedule. Community offers many recreational/cultural activities. Only 2 hrs. from Atlanta & Nashville. For more info please contact Docs2wor k@yahoo.com.

VIRGINIAPRACTICE OPPORTUNITIESOn the coast of Virginia (Virginia Beach, and Chesapeake area) in well established/lucrative practices. Mild climate, population base 1.6M, variety of cultural community, and outdoor activities, tertiary care center/medical school. Strong eco-nomic base with steady population

growth. Great family lifestyle with strong community values. For more info please contact Docs2work@ya hoo.com.

WASHINGTONNORTHWEST PEDIATRIC CENTERLocated in beautiful Western Wash-ington, is seeking a full time Board Certifi ed/Board Eligible Pediatri-cian or Advanced Regis tered Nurse Practitioner for a growing Pediatric practice. Currently Northwest Pe-diatric Center consists of 4 offi ces, 7 Pediatricians, 1 Psychiatrist, and 5 ARNP’s. All of our facilities are certifi ed Rural Health Clinics and we have several outreach clinics. Main location is Centralia, Wash-ington which is situated halfway

between Seattle and Portland along the I-5 corridor. For more informa-tion please contact Lisa McKay. Phone: (360) 736 -6778, Fax: (360) 736-6522, Email: lmckay@nwpeds.com. Visit our website at www.nwpeds.com.

WEST VIRGINIANORTHWCLINICAL TROPICAL MEDICINE & TRAVELER'S HEALTH COURSE ASTMH ACCREDITED.May be taken in person or online. June 11-August 2, 2013. Sponsored by West Virginia University School of Medicine Offi ce of Continuing Education and the Global Health Program. Contact Nancy Sanders (304) 293-5916, email nsanders@ hsc.wvu.edu for more information.

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Physician Assistants Officially Recognized as Key Healthcare Providers

Recently, Health Secretary Kathleen Sebelius emphasized the essential value of PAs while speaking before a general session at the American Academy of Physician Assistants' (AAPA) 41st Annual Conference in Washington, D.C. In her remarks, Secretary Sebelius noted that all healthcare providers, including PAs, will play a critical role in meeting the needs of millions of new patients, especially those living in under-served communities.

"In medically underserved communities, and particularly in rural areas, PAs are an incredible lifeline to patients who might not have regular access to other healthcare pro-viders. So it's vital to do everything we can to bolster the work done by PAs," Sebelius said.

PAs already care for more than 300 mil-lion patients in nearly every medical setting, and the demand is expected to increase sub-stantially under the Affordable Care Act. In 2010, the Bureau of Labor Statistics predict-ed a 30 percent increase in PA jobs over the next decade. There is currently a higher demand for spots in PA programs than there are places available, and more than 60 new PA programs are currently awaiting accredi-tation. With the significant increase in PA programs, it is projected that more than 10,000 PAs will enter the workforce per year by 2020, helping to offset the growing short-age of physicians.

"With more than 90, 000 certified PAs and over 6,000 newly graduated PAs joining

their ranks this past year, the field comprises one of the fastest growing healthcare profes-sions in the U.S.," said AAPA President James E. Delaney, PA-C.

The PA profession is tapping a variety of highly skilled resources to build its work-force, including military veterans. The U.S. Department of the Health and Human Services' Health Resources and Services Administration has earmarked $2.5 million to 13 of the nation's PA programs to make it easier for veterans to leverage their military training to become PAs.

PAs were named as one of three primary healthcare providers in the Affordable Care Act. They are nationally certified and state-licensed to practice medicine as part of a physician-led team. PAs perform physical examinations, diagnose and treat illnesses, order and interpret lab tests, perform proce-dures, assist in surgery, provide patient edu-cation and counseling, and make rounds in hospitals and nursing homes. All 50 states and the District of Columbia allow PAs to practice and prescribe medications.

Also as part of its conference, AAPA is recognizing PAs who are leaders in their field, raising the bar on patient care and improving access to healthcare for millions worldwide. AAPA's PAragon Award honor-ees include: PA Service to Underserved Award Winner Sixtus Atabong, PA-C, of Lubbock, Texas; Outstanding PA of the Year Award Winner Jeffrey Callard, PA-C, of

Ann Arbor, Mich.; Humanitarian PA of the Year Award Winner Earle Canfield, PA, of Grand Rapids, Mich; Preceptor of the Year Award Winner Joseph Cohen, PA-C of Apex, N.C.; Federal Service of the Year Award Winner Earl Morse, PA-C, of Springfield, Ohio.; Eugene A. Stead Jr. Award of Achievement Winner (posthumously) Ron Nelson, PA-C; and President's Award Winner John Trimbath, PA-C, of Cleveland, Ohio. In addition, Marcia Bouton, PA-C, Christopher Castellano, PA-C and Denise Rizzolo, PA-C, are being honored with awards for publishing.

Visit www.youtube.com/aapavideo to learn more and see videos about the 2013 PAragon Award winners.

About the American Academy of Physician AssistantsFounded in 1968, the American Academy of Physician Assistants is the national profes-sional society for physician assistants. It repre-sents a profession of more than 90,000 certified

PAs across all medical and surgical specialties in all 50 states, the District of Columbia, the majority of the U.S. territories and within the uniformed services. AAPA advocates and edu-cates on behalf of the profession and the patients PAs serve. It works to ensure the professional growth, personal excellence and recognition of physician assistants and to enhance their abil-ity to improve the quality, accessibility and cost-effectiveness of patient-centered health-care.Visit www.aapa.org to learn more about the profession and www.pasconnect.org to see PAs in action. SOURCE American Academy of Physician Assistants. http://www.pasconnect.org. http://www.aapa.org

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EDITORIALEditor ..................................................................Andrea Coulter

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“ED overcrowding increases patient risk and decreases patient satisfaction with emer-gency services,” said Vaishal Tolia, MD, MPH, FACEP, emergency medicine physician at UC San Diego Health System. “Implementing telemedicine in the emergency department setting may improve the overall experience for both patients and medical staff.”

Six rooms in the Hillcrest ED can cur-rently accommodate the telemedicine mod-ule, and the project can be activated during the busiest times, Monday through Friday.

The study is supported by a $50,000 University of California Health Quality Improvement (CHQI) grant awarded to Tolia this year.

“We will continue to use the CHQI grant to enhance the efficiency of the project and train staff,” said Guss. “Our goal is to eventu-ally expand this project to our emergency department in La Jolla, and if the study proves successful, potentially see it deployed in other hospital emergency departments across the nation.”

Media Contact: Michelle Brubaker,

619-543-6163, mmbrubaker@ucsd.edu

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