Arielle Gerard, MD, MPH
Arielle Gerard is an addiction medicine and preventive medicine/public health physician.
Meds
Early in my addiction medicine fellowship, I met a patient for the second time while shadowing another physician in their practice. The patient was a former nurse with opioid use disorder on maintenance therapy with buprenorphine (commonly called Suboxone, the…
Early in my addiction medicine fellowship, I met a patient for the second time while shadowing another physician in their practice. The patient was a former nurse with opioid use disorder on maintenance therapy with buprenorphine (commonly called Suboxone, the original brand name of a formulation combined with naloxone), a partial opioid agonist that is FDA-approved for the treatment of opioid use disorder and can be conveniently prescribed in the …
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Protect the rights of licensed health care workers to take buprenorphine
Education
A few months ago, I submitted an article to KevinMD summarizing a narrative review I compiled grounded in advocacy journalism asserting that Accreditation Council for Graduate Medical Education (ACGME)-regulated: 1) work hour maximums, and 2) U.S. Department of Labor’s Occupational…
A few months ago, I submitted an article to KevinMD summarizing a narrative review I compiled grounded in advocacy journalism asserting that Accreditation Council for Graduate Medical Education (ACGME)-regulated: 1) work hour maximums, and 2) U.S. Department of Labor’s Occupational Safety and Health Administration’s (OSHA) misclassification are the leading drivers of preventable occupational injury for house staff that are also most …
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It’s time for the ACGME to protect house staff with work-hour reductions and OSHA protection
Education
In 2003, the ACGME first set a national standard for house staff duty hours, limiting maximum shift lengths from unlimited hours to 30 hours (24+6) for all house staff. With continued concerns about medical errors and sleep deprivation safer, standards…
In 2003, the ACGME first set a national standard for house staff duty hours, limiting maximum shift lengths from unlimited hours to 30 hours (24+6) for all house staff. With continued concerns about medical errors and sleep deprivation safer, standards were updated in 2011 to reduce maximum shift lengths to 20 hours (16+4) for the first/internship year (noted here as “2011 reform”). …
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Where’s the literature in guiding house staff work hour maximums?
Education
Over 100,000 medical and surgical resident physicians and fellows (combined, "house staff”) are the first-line physicians for most patients in the nation’s 1,100+ teaching hospitals. Maximum weekly work hours regulated by the Accreditation Council for Graduate Medical Education (ACGME) are…
Over 100,000 medical and surgical resident physicians and fellows (combined, “house staff”) are the first-line physicians for most patients in the nation’s 1,100+ teaching hospitals. Maximum weekly work hours regulated by the Accreditation Council for Graduate Medical Education (ACGME) are colloquially cited to be 80 per week. Notably, however, they are 80 hours averaged over 4 weeks (88 with “sound educational rationale”), without maximum weekly hour limits, and with maximum …
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The impact of current work hour restrictions and OSHA misclassification on house staff health
Meds
Medical cannabis is a treatment option with a low risk of dependence, minimal side effects, and few detrimental health effects, that has the potential to help hundreds of thousands of people suffering from various debilitating symptoms. Medical cannabis has gotten…
Medical cannabis is a treatment option with a low risk of dependence, minimal side effects, and few detrimental health effects, that has the potential to help hundreds of thousands of people suffering from various debilitating symptoms. Medical cannabis has gotten a bad rap over the past several decades in the United States due to laws put into place in the early-mid …
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Medical cannabis: Be informed and challenge the myths
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