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Gender equity in academic rheumatology

d Nicola Dalbeth, MBChB, MD, FRACP, FRSNZ

Although almost half of our specialist rheumatology physician workforce is now women, gender inequity in career progression within academic rheumatology is a persistent problem. A recent analysis of the US rheumatology workforce showed that although women were well represented in rheumatology program director and division director leadership roles, women academics were less likely to be full or associate professors, had fewer publications, and received fewer NIH grants.

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The Match Game (4.14.2023)

d Jack Cush, MD

Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com, including Rheumatology success in the NRMP MATCH, Cocaine vasculitis and worrisome safety risks with Biologics and tsDMARDs.

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Doctor’s Contracts: Pitfalls and Traps

d Kathryn H. Dao, M.D.

I have signed a few employment contracts in my career. Signing a legal document always makes me nervous. Did I forget to add something, was there something in the fine print I missed, should I have clarified a clause, what happens if I break a clause or cannot fulfill the contract obligations?

I spoke with Andrea Liberatore, JD, to navigate these questions and explain what to look for in a contract. 

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4/18 Tuesday Night Rheumatology: Private Practice & Academia Our panelists will address the big questions of: "How do I choose between private practice and academia?" and "How do I advance in my career?" Sign up for this session and all sessions here: https://t.co/TrMpNmHpj3 https://t.co/3vIwxK0CUU

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"If you want to go fast, go alone. If you want to go far, go together." -(African proverb)

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COVID had a significant effect on mental health of inflammatory rheumatic Dz (IRDs) pts. UK NHS survey of 639 IRD (70% RA, 16% PsA) saw 40% w/ mod/severe pandemic impact on physical & mental health; 29% w/ depression, 22% anxiety; affecting Women>males https://t.co/kcAwa2Lks2 https://t.co/R6tk2aOrGQ

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Japanese cohort study shows Lung cancer is more common in males w/ elder-onset dermatomyositis - risk increased by Smoking, anti-TIF1-γ-Abs and elevated MLR (monocyte to lymphocyte ratio) https://t.co/C7BTAV5gCj https://t.co/YGq6sUbLOh

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Retrospective study of 42 pts w/ cocaine-induced midline or systemic vasculitis; Current cocaine use common (20/23 + urine tox, including pts who prev. deniedcocaine). Found: septal perfs (75%), oronasal fistula(15%), less(27%) systemic Sxs, 56% PR3-ANCA+https://t.co/tCt8l6Neb3 https://t.co/LzEpP5Z2fT

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Antiphospholipid Antibodies With Incident Cardiovascular Events Are antiphospholipid antibodies (aPL) associated with atherosclerotic cardiovascular (ASCVD) event risk? https://t.co/5KhXWgF4RA https://t.co/BjIINjM1ml

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Dr. John Cush RheumNow ( View Tweet)
Probiotic strain Ligilactobacillus salivarius studied in gout (as it metabolizes purines). 30 pts w/ hyperuricemia & recurrent gout were given L. salivarius or allopurinol for 6 mos. Probiotic group had less gout attacks (5/15) than controls (13/15). https://t.co/YYq4zHEPoB https://t.co/aitjaTgx8B

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Dr. John Cush RheumNow ( View Tweet)
This past Tuesday Night Rheumatology was focused on contracts and contract negotiations. This highly informative discussion featured: Gwenesta B. Melton, MD, FACR ( @gwenesta_melton ) Andrea Liberatore, JD Kathryn H. Dao, MD ( @KDAO2011 ) https://t.co/fK7JkQQzRZ https://t.co/aDHA5COq2V

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Dr. John Cush RheumNow ( View Tweet)
RA Patients on Biologics and tsDMARDs are still High Risk A new Swedish ARTIS registry study of key safety outcomes in RA patients receiving either targeted synthetic or b/ts DMARDs, including JAKi, has been updated and affirms previously held risks. https://t.co/mqfP4deGJv https://t.co/m43GSRlrct

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Dr. John Cush RheumNow ( View Tweet)
Best Treatments for Immune Checkpoint Inhibitor-associated Arthritis A retrospective study of cancer patients who developed ICI-IA shows that biologic DMARDs were more effective than csDMARDs in rapid control of arthritis. https://t.co/O5bMpwwM8Z https://t.co/H27RSA3oMt

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Dr. John Cush RheumNow ( View Tweet)
Mentoring is Personal Dr. Una Makris ( @UnaMakris ) shares a few lessons learned about being both a mentor and mentee. https://t.co/6UyHlre0hL https://t.co/iGS4LDcnO0

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Dr. John Cush RheumNow ( View Tweet)
Clinical Profile of RA-associated Interstitial Lung Disease A prospective, cross-sectional analysis of patients with rheumatoid arthritis (RA) shows those with interstitial lung disease (ILD) tend to be older, obese and have a smoking history. https://t.co/Khe9jV1jGa https://t.co/WejiaxolQP

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Dr. John Cush RheumNow ( View Tweet)
Join us April 18 for: Private Practice & Academia In this session, our panelists will address the big questions of: "How do I choose between private practice and academia?" and "How do I advance in my career?". https://t.co/BrWG57mRRG https://t.co/A0pzEvJ3cu

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Dr. John Cush RheumNow ( View Tweet)
Industry Payments to Rheums Dropped During COVID Having their clinics shut down and patients staying away during the COVID-19 pandemic was bad enough for physicians' finances, but now a new study finds that payments from industry dried up as well. https://t.co/jsxw23tTyY https://t.co/5PiaRpiSa4

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Dr. John Cush RheumNow ( View Tweet)
COVID had a significant effect on mental health of inflammatory rheumatic Dz (IRDs) pts. UK NHS survey of 639 IRD (70% RA, 16% PsA) saw 40% w/ mod/severe pandemic impact on physical & mental health; 29% w/ depression, 22% anxiety; affecting Women>males https://t.co/odUCjScMBZ https://t.co/Eb1E2In5z1

Links:

Dr. John Cush RheumNow ( View Tweet)
Rheumatology Workforce: Is it a Women’s Issue? Dr. Rachel Tate weighs in. https://t.co/wcAtnbMu5C @uptoTate https://t.co/RU5sYABGol

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Dr. John Cush RheumNow ( View Tweet)
Retrospective of 28,360 #PsA pts saw more comorbidities by race - AAs had signif. more HTN (59% vs 52%), DM (31% vs 23%), obesity (47% vs 30%) & gout (12% vs 8%); but whites more cancer (20% vs 16%), anxiety (28% vs 23%), OP(14% vs 12%), more biologic use https://t.co/YwGjVowO3G https://t.co/3BUXFX11rh

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