Hospital residents unionizing, generative AI for health records, deadly fungus, and more

April 23, 2023 Check out STAT+

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By Torie Bosch Editor, First Opinion

This week on First Opinion: Two residents at Mass General Brigham offering dueling perspectives on unionization. Plus: judges interfering with established health policy, the trickiest parts of generative AI for electronic health records, two major disappointments for digital mental health, and more. Got an essay you think might work for First Opinion? Email it!

Araya Doheny/Getty Images I'm a medical resident. Here's why I think my hospital should unionize With a union at Mass General Brigham, residents and fellows will have agency to enable change within a troubled health care system. By Minali Nigam I'm a medical resident. I want to pause the drive to unionize hospital trainees No one knows what a union for medical residents at Mass General Brigham will or will not accomplish, because there's very little research. By David N. Bernstein Judicial overreach is an immediate hazard to already precarious public health Some courts seem intent on disrupting access to critical services like mifepristone and preventive health care By Ellen J. MacKenzie and Joanne Rosen Adobe STAT+ | Generative AI's three possibly insurmountable challenges for health care Truth, time, and thought: the three problems that might block attempts to use AI to generate electronic health records. By S. Scott Graham STAT+ | Where are the guidelines for the production of animals with intentional genomic alterations? The public should not have to settle for reading regulatory tea leaves when it comes to animals with intentional genomic alterations. By Peter G. Lurie and Beth Ellikidis RSV vaccine approval should be a top priority for the FDA RSV results in more pediatric hospitalization than any other single cause. Why is the FDA taking so long to approve effective vaccines? By Sallie Permar and Karen Acker Adobe The window is closing to stop deadly drug-resistant fungi like Candida auris The C. auris outbreak is alarming. But even scarier are the issues it highlights: the lack of fungus surveillance and overuse of antifungals. By Matthew Wellington and Lance Price What the recent failures of Mindstrong and Pear tell us about the future of digital mental health The failures of Mindstrong and Pear Therapeutics are symptomatic of problems with the digital mental health field. By John Torous Rural hospitals are closing labor and delivery services. Babies' lives are in jeopardy Proximity to labor and delivery services is important not only for the health of pregnant people, but also for the health of their fetuses. By Rachel Fleishman KENA BETANCUR/AFP via Getty Images OTC naloxone is a baby step toward making the life-saving medication accessible Now that naloxone will be available OTC, we need more substantial efforts to reduce cost and increase access to this lifesaving medication. By Jonathan JK Stoltman and Mishka Terplan

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