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Statins May Lower
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No link was found for localized disease.
Shedding Light BY ROBERT FINN gan in 1986 at the Harvard
On Parkinson’s San Francisco Bureau School of Public Health, Boston.
©K EVIN B ERNE
Initiative Seeks Better Outcomes source (PIER); the medical knowledge self-
assessment program (MKSAP); and the
“Beating diabetes is our passion, not just
our business,” said Alan C. Moses, M.D.,
Diabetes Care from page 1 college’s Web site (www.acponline.org). vice president of medical affairs for Novo
Versions of MKSAP will be developed Nordisk. “We try to distinguish ourselves
cian practices that improve the care of pa- mented and that they don’t disappear once for nonphysician members of the diabetes from other companies by acting in accor-
tients with diabetes. the intervention goes away.” management team. And ACP will develop dance with our triple-bottom-line principle,
“Knowledge is necessary but not suffi- The initiative was inaugurated at the a self-management tool kit to help patients [which] emphasizes a commitment not
cient for change,” Dr. Snow said, noting ACP annual meeting with a diabetes track become working partners with their only to the economic success of the busi-
that all internists have extensive training in consisting of 16 workshops and courses. health care providers in diabetes care. ness, but just as importantly, to environ-
diabetes care. “It’s not necessarily that This track will be a feature of future an- These materials, available in both English mental soundness and social responsibility.”
our members don’t know what to do. We nual meetings, and clinical skills modules and Spanish, will include versions intend- The initiative will include a research
need to empower them to do that in their will be offered at local chapter meetings. ed for patients whose literacy is at the component that will assess measurable
real-life practices. What has been shown is Other parts of the program will be in- third- or fourth-grade level. outcomes as the project progresses. “I
that multifaceted and multi-intervention troduced at a rapid pace, Dr. Snow said. Additionally, ACP will develop a Web hope that 3 years from now we’ll be here
educational programs are what works. For example, enhanced diabetes informa- portal collecting all of its diabetes infor- again talking about the positive results of
You have to hit people over the head many, tion will become part of the ACP’s Web- mation in one place, offering clinical de- the project and the real changes that have
many times in many different ways to based point-of-care decision support tool, cision support, CME credit, and the latest occurred in diabetes care,” Dr. Francis
make sure that new things are imple- Physicians’ Information and Education Re- research in diabetes care. said. ■
E
xperts are applauding the in- it,” Dr. Ornish said. “On the one
clusion of exercise in the na- hand, they’re asking people to ex-
tion’s revamped food pyra- ercise more, but then if they’re
mid guide, but they also question going to be eating that many calo-
the value of a national dietary icon ries from fat, it’s going to be hard
that lacks details and requires the to control the number of calories
use of a computer to interpret. as requested.”
The new “My Pyramid” replaces Emphasizing a balance between
the familiar horizontal configura- food and physical activity is a step
tion of the 1992 Food Guide Pyra- in the right direction, but the new
mid with six vertical color wedges pyramid may not be able to help
that represent the five food groups teach that concept in the clinical
and oils, and adds a staircase to setting, according to Monica Myk-
symbolize the importance of phys- lebust, M.D., director of Integra-
ical activity. tive Medicine clinical services at
Instead of one pyramid, there the University of Michigan, Ann
are now 12 different versions. They Arbor.
contain 23 general recommenda- Even after an electronic session
tions and 18 specific suggestions with their physician, it will be chal-
for the elderly, children, and other lenging for patients to carry the
special populations. necessary information in their
M Y P YRAMID. GOV