11 Expert Perspectives on the Future of Medical Specialties - MD Magazine

1 year ago 52

A radical of investigators, researchers and policymakers sermon the issues, innovations and aspirations that whitethorn specify 2023 advances.

Through the HCPLive Network’s 2022 This Year successful Medicine Series, astir 2 twelve diagnostic articles, reviews and interviews recapped what’s been a whirlwind twelvemonth successful aesculapian and nationalist wellness advances, viral outbreaks and debates successful care.

Though each portion differed successful taxable and opinion, each contained a akin invaluable trait: forward-thinking position from thought-leading physicians, researchers and policymakers.

On the eve of 2023, here’s a look backmost astatine what immoderate experts had to accidental connected the aboriginal of 11 specialties.

11 Expert Perspectives connected  the Future of Medical Specialties

“We request to bring the diligent dependable to everything that we do, including our research, asking them with the illness states they’re surviving with what is astir important to them. That’s wherever we should beryllium focusing immoderate of our research. Certainly, we cognize what questions we privation to ask, but there’s astir apt questions that our patients bring to our attraction that possibly we haven’t thought about.”

Martha Gulati, MD, Director of Cardiovascular Disease Prevention, Cedars-Sinai Medical Center

“So, I deliberation 4 treatments successful a twelvemonth for a precise systemic illness is simply a beauteous large deal. And I deliberation successful wide medicine, we're becoming much funny successful genotype-phenotype correlation. So that means genetically investigating radical to find retired what their illness is and what mutations it harbors, to dainty them much targetedly.”

Karan Lal, DO, Director of Pediatric Dermatology and Cosmetic Surgery for Affiliated Dermatology Scottsdale

“The thought of illness prevention and illness modifying therapy is truly exciting. You tin ideate it mightiness truly alteration the mode we dainty radical with benignant 1 diabetes and those astatine precocious hazard for processing the disease. This is conscionable the beginning.”

Emily Sims, MD, teplizumab investigator, Associate Professor of Pediatrics, Center for Diabetes and Metabolic Diseases and the Herman B Wells Center for Pediatric Research astatine IU School of Medicine

“There's areas successful the US wherever determination is simply a (colon crab screening) backlog, and peculiarly healthcare systems successful smaller agrarian areas, smaller towns, and they are incapable to summation the capacity. And they're inactive trying to drawback up connected the backlog and the much urgent things that person been brewing implicit the past fewer years.”

Mark B. Pochapin, MD, Director of Gastroenterology and Hepatology astatine NYU Langone Health

“I judge that misinformation is present the starring origin of decease successful the US. For the pandemic alone, since the availability of effectual vaccines and antivirals, decease should beryllium an uncommon outcome, but unluckily galore radical person failed to beryllium up-to-date connected vaccination oregon person not received antivirals contempt their precocious hazard status. But this is not constricted to the pandemic—all excessively often nefarious oregon misled accusation has been promulgated, starring to atrocious wellness decisions, peculiarly successful immoderate segments of our population. I anticipation by this clip adjacent twelvemonth we’ll person an effectual strategy to combat misinformation.”

Robert Califf, MD, FDA Commissioner

“It's not thing you tin instrumentality overnight, but we are seeing implicit payoff with our DCLS graduates that are aligning with healthcare systems and hospitals, not lone successful beingness and prime of diligent care, but successful existent dollars saved. If you don't bid each of these tests, particularly immoderate of these costly molecular assays, you tin really assistance the bottommost enactment of a infirmary and a aesculapian lab. It's portion of the ongoing speech alongside different things to beryllium much accurate, and quicker turnarounds—and each of those things that we request to bash to amended diligent care.”

Rodney E. Rohde, PhD, MS, University Distinguished Professor and Chair of the Clinical Laboratory Science Program, College of Health Professions astatine Texas State University

“The much we recognize astir what’s happening successful COVID-19, oregon hypoxia, for example, whitethorn assistance america recognize different Alzheimer-type pathologies and what interventions mightiness beryllium utile successful radical with sporadic Alzheimer [disease], for example. Hopefully determination volition beryllium much improvement successful presumption of our knowing of cognitive processes successful general, adjacent arsenic they subordinate to post-ICU patients.”

Jennifer Frontera, MD, Neuro-critical Care Specialist, NYU Langone

“When moving with the FDA, it’s a substance of wide connection and transparency. We are precise constricted successful time. We promote sponsors, some world and commercialized industry, to petition meetings. Unfortunately, sometimes we can't accommodate everyone's requests. I conscionable anticipation that radical admit that we person a batch of competing priorities, but we privation to assistance and volition assistance arsenic champion we can. In presumption of however we tin optimize that communication, transparency is precise important.”

Peter Bross, MD, Chief, Oncology branch, Center for Biologics Evaluation and Research

“Hopefully we’ll extremity up treating earlier and perchance reducing wide enactment to geographic atrophy and further ocular loss. I deliberation it’s not a wowee moment, it’s a step. A wowee infinitesimal is erstwhile a diligent comes successful and they’re not seeing and abruptly they’re seeing oregon a diligent comes successful and acknowledgment maine for doing the treatment, similar erstwhile we archetypal got anti-VEGF agents. But, I deliberation it's going to beryllium a measurement successful the close direction.”

David Boyer, MD, Senior Partner, Retina Vitreous Associates Medical Group

“Since the 1960s, you say, ‘Oh I cognize your babe has RSV, and there’s thing I tin do.

[A vaccine is besides about] that really, truly impactful, patient-by-patient experience…That’s the joyousness successful this vaccine, you tin yet say, ‘I person thing to offer.’”

Iona M. Munjal, MD, Director of Clinical Research and Development, Pfizer

“Moving into the future, the winning operation is utilizing some patient-reported outcomes and the physician’s appraisal collectively successful bid to measure illness activity, prime of life, and effectiveness of attraction and therapeutics some successful probe and successful objective practice.”

Saira Z. Sheikh, MD, Linda Coley Sewell Distinguished Professor of Medicine Rheumatology, Allergy & Immunology, University of North Carolina astatine Chapel Hill

“Over the past mates years, successful the aftermath of the COVID-19 pandemic, slumber successful wide is having a moment. Insomnia specifically decidedly has grown successful the nationalist consciousness of what a occupation it is. Insomnia rates were rising considerably during the pandemic, peculiarly during the stay-at location orders, truly raising the salience of slumber problems, crossed the population. From young radical to aged people, galore people, adjacent much truthful than before, are alert of it.”

Wendy Troxel, PhD, Senior Behavioral Scientist, RAND Corporation

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