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St. John’s Episcopal Hospital

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News You Missed in 2020 (Part 2)

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Health care issues
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Vanessa's Law and Mandatory Reporting

Vanessa's Law, or the Protecting Canadians from Unsafe Drugs Act, is a critical piece of legislation that aims to enhance patient safety and improve Health Canada's oversight of therapeutic products. It was enacted in 2014 in response to the tragic death of 15-year-old Vanessa Young, who suffered a fatal cardiac arrhythmia after taking the prescribed medication cisapride (Prepulsid®). The law seeks to bolster post-market safety information collection, take appropriate action when serious health risks are identified, and promote transparency in the oversight of therapeutic products.

For premed students preparing to become future physicians, understanding Vanessa's Law and its mandatory reporting requirements is essential. The law empowers Health Canada to require information, tests, or studies, enforce label changes or package modifications, recall unsafe therapeutic products, disclose information in certain circumstances, and impose stringent measures for noncompliance.

Effective December 16th, 2019, health care institutions are required to report serious adverse drug reactions (ADRs) and medical device incidents (MDIs) under the law. This mandatory reporting helps to identify emerging safety issues, assess the harm versus benefit of drugs and medical devices, and improve patient outcomes and public health by sharing learnings through warnings, advisories, and risk mitigation measures.

Premed students can benefit from understanding the importance of Vanessa's Law in promoting patient safety, strengthening the healthcare system's knowledge base, and driving continuous improvement in the medical field. By familiarizing themselves with this legislation, future physicians will be better equipped to comply with mandatory reporting requirements and contribute to a safer healthcare environment.

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Atul Gawande (Author of many medical books)

"Great for understanding and learning about how patients will have different needs and how even if a treatment doesn’t make the most medical sense to a physician that it can actually be the best option based on what is important to the patient. " - Ben on Being Mortal by Atul Gawande

Atul Gawande's books, including Being Mortal (2014), The Checklist Manifesto (2009), Better (2007), and Complications (2002), offer valuable insights into various aspects of medical practice, helping premed students better prepare as future physicians. These books discuss challenges, limitations, and improvement areas in medicine, offering readers a deeper understanding of patient care, medical ethics, and healthcare systems.

Being Mortal focuses on the end-of-life care and the importance of maintaining patients' dignity, autonomy, and quality of life. This book can help premed students appreciate the significance of compassionate and person-centered care, enabling them to consider patients' individual needs and preferences when making medical decisions.

The Checklist Manifesto emphasizes the value of using checklists in healthcare to reduce errors, improve patient outcomes, and streamline complex processes. This book highlights the importance of organization, teamwork, and communication in medical practice, preparing premed students for the collaborative nature of their future careers.

Better discusses the pursuit of excellence in medicine, offering insights into the habits and practices of highly effective physicians. Through this book, premed students can develop a better understanding of medical professionalism and learn strategies to enhance their own performance.

Complications explores the uncertainties and complexities inherent in medical practice, examining how physicians make decisions, handle errors, and deal with unexpected outcomes. This book encourages premed students to acknowledge and confront these challenges, fostering a more resilient and adaptable mindset.

In summary, Atul Gawande's books provide premed students with valuable perspectives on various aspects of medicine, helping them develop a well-rounded understanding of the profession and preparing them to become empathetic, effective, and ethical physicians.

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