This week: Economic Incentives for Voluntary Medical Male Circumcision, and Lifestyle Counselling for Ischaemic Heart Disease
Reena and Amol want you to:
1. Understand that medical male circumcision is effective in reducing transmission of HIV and other sexually-transmitted infections.
2. Recognize that an economic incentive designed to compensate people for ancillary costs and lost wages is modestly effective in improving rates of voluntary medical male circumcision.
3. Recognize that the weight of evidence after numerous studies, including the Inter99 RCT, suggests that there is no benefit to routine population level screening for cardiovascular disease followed by counselling for lifestyle intervention.
Continuing Medical Education
Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) and the American Medical Association (PRA Category 1). To receive CME credit for listening to this podcast, please click here to fill out our Evaluation and Impact Assessment Form.
The papers
Thirumurthy H, Masters SH, et al. Effect of Providing Conditional Economic Compensation on Uptake of Voluntary Medical Male Circumcision in Kenya: A Randomized Clinical Trial. JAMA 2014, Jul. 20 Epub. (PubMed).
Jørgensen T, Jacobsen RK, et al. Effect of Screening and Lifestyle Counselling on Incidence of Ischaemic Heart Disease in General Population: Inter99 Randomised Trial. BMJ 2014 Jun 9;348:g3617. (PubMed).
Other Papers Mentioned:
Krogsbøll LT, Jørgensen KJ, et al. General Health Checks in Adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ 2012 345:e7191. (PubMed).
Good Stuff
Reena:
Greenhouse; as seen on Washington Post, Daily Dot
Amol: