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January 10, 2013

WORLD TOP 15 MEDICAL UNIVERSITIES 2012


The future need for increased numbers of physicians has been clearly demonstrated and the gap between demand and supply is growing. This gap is the largest, and is growing the fastest, in primary care specialties and in rural communities. To meet the need for physician workforce in our region we need to begin producing more physicians locally.
The medical education pipeline is a minimum of seven years long (up to 12 or 13 for some specialties). This lead time adds to the urgency of the medical education expansion effort. Attaining the medical education from the best universities will add more turbo to the personal and profession growth of the individual. In contrast of all these medical profession is always a Hallmark of the quality of education and patient care. 
Let me explain a short summary about medicine.
Medicine is a profession that has an established history of teaching its own trainees in the practice setting. Considering the entire medical education pipeline, all but the first two years of that education occurs in a practice setting. Thus, in places where much medicine is practiced, much teaching could and, I would argue, should occur. Should occur because when physicians teach, and the clinic or hospital becomes a teaching environment, the quality of care tends to improve. For many physicians, job satisfaction also improves when teaching is part of the practice environment. Spokane has a very large clinical practice community and a relatively small medical education enterprise. This is a natural place for medical education to grow.
In the field of medicine, the ranking of the universities by the following indicators: the number of alumni and staff winning Nobel Prizes and Fields Medals; number of highly cited researchers selected by Thomson Scientific; number of articles published in journals of Nature and Science; number of articles indexed in Science Citation Index - Expanded and Social Sciences Citation Index; and per capita performance with respect to the size of an institution. So, selection of Best universities is always a important from Under graduation to Post Doctor Fellowship (PDF). Here,I am listing the TOP 15 medical universities in the world.

15. University College London
Country: United Kingdom
Total Score: 61.4
Total Enrollment: 19,673
International Students: 7,203 (37%)

14. Mayo Medical School
Country: United States
Total Score: 61.8
Total Enrollment: 57,000
International Students: N/A

13. University of Minnesota, Twin Cities
Country: United States
Total Score: 62.3
Total Enrollment: 40,909
International Students: 3,424 (8%)

12. University of Michigan – Ann Arbor
Country: United States
Total Score: 64
Total Enrollment: 39,694
International Students: 4,666 (12%)

11. Karolinska Institute
Country: Sweden
Total Score: 64.1
Total Enrollment: 7,051
International Students: N/A

10. University of Pittsburgh
Country: United States
Total Score: 64.7
Total Enrollment: 25,359
International Students: 1,957 (8%)

9. Stanford University
Country: United States
Total Score: 65.4
Total Enrollment: 15,861
International Students: 3,581 (23%)

8. University of Cambridge
Country: United Kingdom
Total Score: 68.6
Total Enrollment: 17,868
International Students: 5,526 (31%)

7. University of California, Los Angeles
Country: United States
Total Score: 69.1
Total Enrollment: 37,633
International Students: 3,169 (8%)

6. The University of Texas Southwestern Medical Center at Dallas
Country: United States
Total Score: 69.6
Total Enrollment: 2,004
International Students: 142 (7%)

5. Columbia University
Country: United States
Total Score: 71
Total Enrollment: 21,817
International Students: 5,280 (24%)

4. The Johns Hopkins University
Country: United States
Total Score: 76.9
Total Enrollment: 15,116
International Students: 2,484 (16%)

3. University of Washington
Country: United States
Total Score: 78.9
Total Enrollment: 40,280
International Students: 3,270 (8%)

2. University of California, San Francisco
Country: United States
Total Score: 87.5
Total Enrollment: 3,119
International Students: 133 (4%)

1. Harvard University
Country: United States of America
Total Score: 100
Total Enrollment: 21,260
International Students: 4,526 (21%)
Harvard University is ranked number one since 2003 in not just the clinical medicine and pharmacy field, but also natural sciences and mathematics, life and agriculture sciences and social sciences. The only field in which Harvard has not taken the top spot is engineering/technology and computer sciences — over the last six years its average ranking is around 38.
Source-ARWU
by
Akshaya Srikanth
Pharm.D India

January 07, 2013

Connection between Smoking and Back Pain

The possible relationship between tobacco smoking and pain is complex and research on this subject often has been confusing. A new study, widely reported in news media, claims that smoking cessation can be important for aiding patients with back pain disorders. While this seems sensible, the outcomes of the study were not as strong and unambiguous as news reports implied.
Caleb Behrend, MD, at the University of Rochester, New York, and colleagues conducted a cross-sectional study to examine the effects of tobacco smoking versus smoking cessation on pain and disability in 5,333 patients with painful spinal disorders. Data for the study came from a medical records database at two academic hospital centers where the selected patients were receiving care for back pain disorders, either focused on the spine (axial) or also involving the legs (radicular). 
The researchers extracted data regarding smoking history and patient assessments of pain on 4 visual analog scales (VAS) during the course of care — evaluating 
(1) worst, 
(2) least,
(3) weekly average, and 
(4) current pain. 
During the study, patients were treated with physical therapy, over-the-counter pain relievers, a home exercise program, injections, and/or surgery. The average duration of follow-up was 8 months.
Given the strong association between improved patient-reported pain and smoking cessation, the researchers believe that their data support the need for smoking cessation programs for all patients with painful spinal disorders.
Comment:
Behrend et al. concede that a weakness of their study was in not being able to assess the types of medical interventions for pain in the various groups, or the influences of individual patient factors (other than smoking). For example, is it possible that smokers were provided a different range of therapies for their back-pain conditions than non-smokers? Or, that more non-smokers had generally healthier lifestyles — eg, diet, exercise, etc. — which may have affected their outcomes?
by
B.Akshaya Srikanth
Hyderabad, India