Newswise Some of Chicagos poorest neighborhoods are expected to see the greatest demand for additional primary care doctors in 2014, as the Affordable Care Act boosts the number of newly insured patients seeking medical services, a new study has found.

Englewood, with a median income of $34,000, for example, will see demand for primary care physicians grow by about 10 percent the largest expected increase in 12 local areas examined in the study published last week by the journal Health Affairs.

Conversely, Streeterville, with a median income of almost $72,000, will see only a 0.5 percent rise in demand for doctors.

Nationwide, at least 7 million Americans live in areas where demand for additional primary care doctors will jump by more than 10 percent, according to Elbert Huang, MD, associate professor of medicine at the University of Chicago Medicine, and co-author Howard Finegold, an analyst in the Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation.

The study forecasts that 29 million people will get health insurance for the first time in 2014 under the health care law, resulting in 26 million additional doctor visits per year. That, in turn, will require 7,200 more primary care providers, including doctors, nurse practitioners and physician assistants, at a time when the numbers of these practitioners are falling.

You might be able to dramatically reduce the number of people who are uninsured, but it does not ensure there's a provider waiting for you once you get that insurance card, said Huang, director of the Center for Translational and Policy Research of Chronic Diseases. He also served as a senior adviser in 2010 for the Office of the Assistant Secretary for Planning and Evaluation at HHS working on implementing the ACA.

Its long been known the country faces a shortage of primary care physicians, as falling government insurance reimbursement rates, among other reasons, has helped to drive prospective doctors into other specialty areas.

In an unrelated study of more than 1,000 first-year medical students, Shalini Reddy, MD, associate professor of medicine and director of student professional development programs at the Pritzker School of Medicine, and colleagues found that only a quarter of students said they would choose a primary care specialty if they had to select a field now.

This is discouraging, as the number of people who ultimately choose a career in primary care after residency is lower, she said.

Complete results of the study, the brainchild of a student intending to go into primary care, will be presented at the Association of American Medical Colleges 9th Annual Physician Workforce Research Conference in May.

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Doctor Shortage to Hit Chicago's Poorer Neighborhoods Harder

The inaugural class of the Warren County Public Schools Hall of Distinguished Alumni includes 12 graduates of Warren County high schools who have distinguished themselves in fields as diverse as agriculture, academics, athletics, politics, and the legal profession. After considering applications for the inaugural class since mid-December, the seven-member selection committee came up with an even dozen alumni with impressive credentials.

This first class of inductees is an impressive group, says Warren County Board of Education Vice Chairman Mike Wilson. The 12 who were selected have all accomplished great things in a variety of fields. I think its great that we have started honoring our distinguished alumni in this way. Its a wonderful honor for them, and it also presents an example for our current students. It gives them something to aspire to.

Likewise, Warren County Public Schools Superintendent Tim Murley believes the Hall of Distinguished Alumni will be an asset to the school district. I love the idea, Murley says. Our district has had so many graduates who have done such amazing things. We need to recognize them and celebrate their accomplishments. The induction of these first members will be a proud day for Warren County Schools.

The induction of this inaugural class will take place on Saturday, May 18 at the Carroll Knicely Conference Center in Bowling Green. The inductees:

-- Dr. Kenneth Bastin, a 1980 graduate of Warren Central High School now living in Wisconsin. Dr. Bastin earned his bachelors degree in Physics and Chemistry at Western Kentucky University (WKU) and his Doctor of Medicine degree at Vanderbilt University. He has dedicated his career to treatment of cancer patients and has helped develop new treatments for the disease. He is now Clinical Director of Radiation Oncology at St. Lukes Medical Center in Milwaukee.

-- Dr. Jenks Britt, a 1962 graduate of Warren County High School now living in Bowling Green. Dr. Britt earned his bachelors degree in Agriculture and Biology at WKU and his Doctor of Veterinary Medicine degree at Auburn University. He has practiced or taught veterinary medicine for the past 42 years. He was a partner/owner of Logan County Animal Clinic for 23 years and a Clinical Assistant Professor in the University of Wisconsin-Madison School of Veterinary Medicine for five years. Since 1998, he has been a professor or department head in the WKU Department of Agriculture.

-- David Clark, a 1986 graduate of Warren Central High School now living in Adams, Tennessee. Mr. Clark was an active-duty Army helicopter pilot from 1986 until his retirement in 2011. He flew combat helicopter missions in Desert Shield/Desert Storm (1990-91), Invasion of Haiti (1994), Iraq (2003-08), and Afghanistan (2005). His military awards include the Legion of Merit, the Distinguished Flying Cross, two Bronze Stars, and 10 Air Medals. Among his career highlights was leading the helicopter assault to rescue POW Jessica Lynch in 2003. Clark now works as a civilian contractor to the U.S. Army designing future Army special operations aircraft cockpits and components.

-- Daymeon Fishback, a 1996 graduate of Greenwood High School now living in Birmingham, Alabama. One of the greatest athletes ever to attend a Warren County high school, Fishback was the first player from Warren County to be named Kentucky Mr. Basketball when he earned that honor in 1996. He is still Greenwoods all-time leading scorer with 2,214 points. He enjoyed a stellar career at Auburn University, playing on a team that finished 29-4 in 1998-99 and finishing as one of the schools top five 3-point shooters. Fishback played professional basketball in Europe before returning to Alabama, where he now works as a financial advisor. He is also a college basketball color analyst with Fox Sports South, ESPN, and The Auburn Network.

-- Dr. Sharron Francis, a 1962 graduate of Warren County High School now living in Nashville. She graduated from WKU in 1965 with a degree in biology then earned her doctorate in Medical Physiology from Vanderbilt University in 1970. Dr. Francis completed postdoctoral work at Washington University in St. Louis and the National Heart and Lung Institute in Bethesda, Maryland. She joined the faculty of Vanderbilt University School of Medicine in 1975 and works as a research professor in the Department of Molecular Physiology and Biophysics. Her research, which focuses on mechanisms cells use to regulate their functions, has contributed to treatment of hypertension, asthma, diabetes, and male impotence. In 2008, Dr. Francis was inducted into the WKU Hall of Distinguished Alumni.

-- Charles Hardcastle, a 1951 graduate of Alvaton High School now living in Bowling Green. A 1956 graduate of WKU, Hardcastle distinguished himself in the military, attaining the rank of captain. For the past 50 years, he has built a successful career in business and politics while also earning accolades for his service to the community. He served terms as Bowling Green mayor and as a Warren County magistrate, and he has spearheaded many community-service projects through his work with the Bowling Green Area Chamber of Commerce and the Rotary Club. A longtime partner in BG Chemical, Hardcastle has also had his hand in businesses such as Bowling Green Paper, WBKO Television, and Citizens First Bank.

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Warren County Public Schools Honor Alumni

As part of its celebration of February as Black History Month, the Black Student Alliance at Yale has been featuring profiles of some of the Universitys pioneering African American alumni on its Facebook. The following are brief descriptions of those individuals. For the complete biographies, visit the BSAY Facebook page.

Nimrod Booker Allen, who earned a bachelors degree in sacred theology from Yale Divinity School in 1915, was head of the Columbus (Ohio) Urban League for nearly 40 years, leading the organization through the rise of the Ku Klux Klan in the 1920s, the economic collapse of the Great Depression of the 1930s, the growth of the black population during World War II, and the civil rights movement of the 1950s. Through all of these years, Allen always advocated a non-confrontational approach to race relations.

John H. Lewis, who earned a Master of Divinity degree from Yale Divinity School in 1913, was a pastor and educator who served for two terms as president of Morris Brown College in Georgia (19201928 and 19511958). During his career, he also served as pastor of First AME Church in Pasadena, California; principal of Dunbar High School and Junior College in Little Rock, Arkansas; president of the AME-supported Shorter College of North Little Rock; and dean of Payne Theological Seminary at Wilberforce University.

Harry G. Tolliver, who graduated from Yale Law School in 1908, was a practicing attorney in New Haven and the citys first African-American alderman, representing the 19th ward for two terms. His election marked a new era in political circles for African Americans as this was the first office of any consequence to which an African American had been elected in the history of Connecticut politics.

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Honoring Yale’s pioneering African-American alumni

In your role at Harvard, you get to range over all the disciplines, right? I teach in the medical school, the School of Public Health, the Kennedy School of Government, and the Business School. And its the best perchbecause most of my work crosses boundaries. The work Im doing on the way we deliver health care draws on ideas that are well-established in the management field but had really never entered the thinking of people in medical schools and hospitals. Whats going to turn around health care in the U.S.? The problem of health care today isnt the one weve been debating for the last 20 or 30 years. The problem weve been debating is insurancehow to get more people covered. Thats important, but ultimately the issue is how we can get more value: improve the outcomes for the money were spending and deliver those excellent outcomes more efficiently. And that will require a restructuring of revolutionary proportions in how we organize health-care organizations, how doctors and nurses work together. Describe this revolution. Health care historically has been a very siloed field thats organized around medical specialtiesurology, cardiac surgery, and so forthand around the supply of these specialty services. The patient is the ping-pong ball that moves from service to service. If youre a diabetic, you need an endocrinologist. You need to worry about your eyes. You need to worry about your veins. Ultimately, health care fails the most basic test. Its not organized around the needs of the patient. Until we make that fundamental transformation, were hobbled in our ability to bend the cost curve. Health care isnt the 900-pound gorilla. Its the 9million-pound gorilla that will dominate our future budget problems. Weve just come through a huge debate on health care. Weve dealt with access. Was cost just too much to bite off at the same time? I could only assume thats why. It was fundamentally the reform of the insurance system. And many of the reforms were good; we need to give full credit there. One of the problems we have in health care is weve got a lot of preventable things that are really driving the cost up. And we havent cracked the code of how to do that. The best work on prevention now is actually in the corporate sector. Companies understand that if their employees are sick, its really expensive. So despite the rhetoric I hear, thank God employers are still in the health-care system. Tell me about this special report from the Harvard Business School on Americas economic future. We decided to take this issue on because we were deeply disturbed about the path that the U.S. economy was on. We were seeing things we havent experienced in this country for many decades. Things like the sputtering of the job creation machine. If you look from 1970 to 2000, we would create, on average, 2percent, 2.1percent job growth every year. Around 2000, 2001, that just stopped. And our wages werent growing. Is that because the world was changing and we werent? Thats probably the biggest part of the problem. The rest of the world had been steadily improving their competitiveness, their skills, their infrastructure, reducing corruption, lowering their taxes. How do you draw the line between spending and investing in the future? Every person will define what they want as investment. But the data show that the things we really know are investments, that shape our future competitiveness, are development programs, education. And our physical infrastructure, that allows us to move goods and people and energy efficiently, has been declining. The president is right to be focusing on some of these areas. That said, our means are shrinking. Weve got to reduce the amount of money were spending, and we have to increase revenues, too. But we would prefer that we do that by closing down loopholes and exemptions rather than driving up tax rates. Does Big Business want a lower corporate rate, or would it prefer to keep the tax breaks? This raises an important question about how business has contributed to the problem we have now, and part of it is special-interest lobbying. But we found, from thousands of executiveswe surveyed our alumni for the first time in the history of our business schooland theres overwhelming consensus that we should lower the corporate rate and close the loopholes. And the general publics favorite, out of all the things we recommended, was to reduce the corporate tax rate and eliminate loopholes.

Watch Charlie Rose on Bloomberg TV weeknights at 7 p.m. and 10 p.m. ET.

Emmy Award-winning journalist Charlie Rose is the host of Charlie Rose, the nightly PBS program.

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Charlie Rose Talks to Harvard's Michael Porter

New Delhi, Feb 26 (IANS) The Delhi High Court Monday issued notice to Delhi Police on the bail plea of Kobad Ghandy who is facing trial under the anti-terror law.

Justice G.P. Mittal sought response from police by May 2 on Ghandy's bail plea filed on medical grounds.

Ghandy, 65, an alumni of the Doon School in Dehradun in Uttarakhand, was said to be part Maoist leadership.

Delhi Police Sep 20, 2009, arrested Ghandy for allegedly trying to set up a base in the city for the banned Communist Party of India-Maoist.

Ghandy moved the court asking it to consider his bail plea sympathetically due to his old age problems.

"The bail application may be considered sympathetically since besides being a senior citizen, I suffer from multiple ailments, including urinary prostate problem, irritable bowel syndrome, heart problem, high blood pressure, arthritis and spondylitis for which I require constant care and consistent medical attention, which I cannot receive in jail," he said.

Ghandy has been facing trial on the charges of being a member of a banned terror outfit and for his alleged involvement in activities in violation of the Unlawful Activities (Prevention) Act and also for alleged offences of impersonation, cheating and forgery.

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Notice to Delhi Police on Kobad Ghandy's bail plea

Hanover When C. Everett Koop wrapped up his tenure as the surgeon general, he had his pick of academic institutions to settle into. But he chose Dartmouth College, where he once fell in love with the region's mountains, skiing and his first wife, Betty.

Throughout his career as a pediatric surgeon, and later during his service as the U.S. governments top medical officer in the 1980s, Koop always came back to the Upper Valley, where he kept a vacation home in Etna and where two of his sons eventually raised their families.

Koop would later attribute his career path to decisions he first made as a Dartmouth student more than 70 years go.

I cant imagine that any incoming Dartmouth freshman prepared with greater enthusiasm than I did, he wrote in Koop, his 1991 autobiography. I knew every Dartmouth song as well as those of the other Ivy League schools.

Koop died in Hanover yesterday at the age of 96. He had been in declining health for several months and suffered kidney failure last week, said Lester Gibbs, Koops personal aide.

At Dartmouth he earned the nickname Chick, and played on the football team, where he received a head blow that injured his vision which required him to wear glasses the rest of his life.

After stepping down as surgeon general, Koops two sons, Allen and Norman, urged their father to leave Washington and return to the Upper Valley.

Joe ODonnell, a senior scholar at Dartmouths C. Everett Koop Institute, had been admiring Koops career for years, and was encouraging Dartmouth medical students to take his cue and become involved in public service.

When he came here, it was like I died and went to heaven, ODonnell said.

Despite Koops stern face, Captain Ahab beard, natty bow ties and intimidating accomplishments, he was an approachable man, ODonnell said, with a surprising sense of humor. ODonnell related how Koop was once sitting on a plane when another passenger turned to him and remarked, Has anyone ever told you that you look like Dr. Koop?

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A Nation’s Doctor Who Came Home to Hanover

The search process for a new dean of the Alpert Medical School is progressing as Edward Wing, dean of medicine and biological sciences, prepares to step down from the position June 30.

The deans job is complicated and important, said Provost Mark Schlissel P15, as many responsibilities fall into one position due to the unusual amount of integration between the University and the Med School. The dean is responsible for heading the Division of Biology and Medicine, which encompasses the entire Med School as well as six undergraduate departments, comprising 19 total departments, Schlissel said. The dean also coordinates more than 600 members of the clinical staff of the Med School across the various affiliated hospitals who employ them in order to ensure a consistent curriculum.

Schlissel, who will be chairing the search, selected the 14 other members of the search committee including Honora Burnett MD15, Dean of the College Katherine Bergeron and Timothy Babineau, president and CEO of Lifespan and hired a search consultant to help generate a large pool of candidates. He said the 14 committee members represent the breadth of the constituency of the position.

In the past weeks, the committee has focused on reaching out and generating a pool of interested candidates, Schlissel said. The committee published notices in the Journal of the American Medical Association, in the Journal of Higher Education and through online venues, he said. The search committee also sent emails to all 3,000 alums of the Med School to spark interest in the position among alumni and their colleagues, Schlissel said.

The committee aims to confidentially interview about 12 of the candidates those who look best suited to the position on paper in early March, Schlissel said. The list of candidates will be narrowed to five or six after the interviews, and the committee will decide in April on the final three candidates to submit to President Christina Paxson and the Corporation, who will make the final decision. Schlissel said Wings successor will be ready before the start of the next academic year and will hopefully be named before he steps down June 30.

Schlissel said the committee is likely to have a range of 50 to 100 serious candidates. While not many of the candidates have personal connections to Brown, they have expressed a lot of respect for the University and the Medical School, Schlissel said. Schlissel added that the identities of the candidates must be kept confidential because all those who would be considered for the position already have prominent jobs, and applying for this position and not being extended an offer may damage their standings.

While Wing offered his own experiences and suggestions for what qualities would be important for his successor at a meeting several weeks ago, he has no role in the search process, which is pretty traditional, Schlissel said.

The formation of a faculty practice plan at Lifespan will be one of the most important tasks for a new dean, Wing said when he announced his plans to step down in November. The complexity of partnering with Lifespan lies in working with and coordinating the efforts of multiple local hospitals that employ clinical members working with the Med School program, Schlissel said. The aim will be to continue to develop good working relationships with a set of shared goals, he said.

The new School of Public Health will not alter the role of the incoming dean, Schlissel said, because the faculty in the public health department and the Medical school are natural collaborators with each other and the creation of a new school will not change that relationship.

Upcoming tasks for Wings successor will include finishing and launching the Med Schools new Primary Care and Public Health curricular track, as well as continuing development of the Brown Institute for Brain Science, which will involve further collaboration with other health facilities and hospitals.

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With Wing to step down, search for new dean of medicine continues

STATE COLLEGE, Pa. (AP) Penn State's Board of Trustees should add academic representatives to the school's governing body, a faculty group said Monday in the latest recommendations for governance reforms following the Jerry Sandusky child molestation scandal.

The report from a Penn State faculty senate committee is thought to be the first recommendations from a group affiliated with the university.

Former FBI director Louis Freeh, who was hired by the school to investigate its handling of sexual abuse allegations against the former assistant football coach and then-Auditor General Jack Wagner are among the others who have weighed in with suggestions for the school.

"One of the best means of ensuring that the Board understands the mission, values, unique structures and operating systems of the complex academic institution that it governs is to select members who have academic expertise and professional experience in higher education," the report said.

The lack of academic representation on a school governing board has been a question raised at institutions across the country, according to the faculty members.

Freeh's report accused three high-ranking university officials, including former president Graham Spanier, of helping to cover up complaints about Sandusky. Those former administrators, who have maintained their innocence, also face criminal charges.

Wagner last year recommended the removal of the president as a voting trustee. But the faculty senate committee urged that the president remain on the 32-member board, in large part because the president is the only member on the current panel with direct higher education governance experience.

The suggestion of removing the president amounts to a "cosmetic change that would have little practical implication to the governance of the university," said John Nichols, an emeritus communications professor and chair of the committee that wrote the report.

The committee advocated academic representation on the board, including at least two faculty members. While not widespread, the inclusion of faculty on governing boards is becoming more common at public universities, the report said.

It also cited as examples Cornell University, with two faculty members on its 64-member board; and the Mayo Clinic in Minnesota, with 17 public trustees and 14 medical professional trustees.

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PSU faculty pose suggested changes to trustees