Political Tug-of-War and Pediatric Residency Funding
and the Pediatric Residency Program, Seattle Children's Hospital and the University of Washington School of Medicine, Seattle (J.C.D., R.P.S.).New England Journal of Medicine (Impact Factor: 55.87). 10/2013; 369(25). DOI: 10.1056/NEJMp1312898
On October 1, 2013, without a continuing resolution in place to support its budget, the U.S. federal government partially closed. One of many effects of the government shutdown was the defunding of the Children's Hospitals Graduate Medical Education (CHGME) Payment Program. Fifty-five freestanding children's hospitals currently receive CHGME funds. These hospitals train almost 30% of the general pediatricians, 44% of the pediatric medical and surgical subspecialists, and the majority of the pediatric physician-researchers in the United States.(1),(2) Capable of providing highly specialized care for pediatric patients with complex and acute conditions, freestanding children's hospitals are at the apex of . . .
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ABSTRACT: In October 2013, multiple United States (US) federal health departments and agencies posted on Twitter, "We're sorry, but we will not be tweeting or responding to @replies during the shutdown. We'll be back as soon as possible!" These "last tweets" and the millions of responses they generated revealed social media's role as a forum for sharing and discussing information rapidly. Social media are now among the few dominant communication channels used today. We used social media to characterize the public discourse and sentiment about the shutdown. The 2013 shutdown represented an opportunity to explore the role social media might play in events that could affect health. (Am J Public Health. Published online ahead of print October 16, 2014: e1-e3. doi:10.2105/AJPH.2014.302118).