Locations & Directions

'It's Bonkers' — How Ozempic, Wegovy Change Lives Of Those Who Struggle To Lose Weight

On any day, at least 25% of patients at UT Internal Medicine clinic qualify for weight-reduction injections. The medications are so common now, two-thirds of the clinic's calls for insurance pre-authorizations are for the big three: Ozempic, Wegovy and Zepbound.

"We've started having the patient call and ask their insurance company if they cover it because sending it and then having to request an appeal and all this stuff is overwhelming our practice," said Dr. Shelley Ost, internist and associate professor at University of Tennessee College of Medicine.

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The class of drugs, GLP-1, acts like the naturally occurring hormone in the body that regulates blood sugar. The drugs also slow down how quickly the stomach empties, regulating the speed in which food is digested and absorbed.

They are so effective, in one trial, patients who took the highest dose of Wegovy, which is only prescribed for weight loss, lost 10-17% of their weight in less than 18 months.

Mayo Clinic Patient Portal Messages Dropped After E-visit Billing

Rochester, Minn.-based Mayo Clinic researchers say patient portal messages have declined after the system began billing the interactions as e-visits, according to a study published in the Annals of Internal Medicine.

The health system installed e-visit billing systemwide in August 2023 and after six months the patient-initiated medical advice messages dropped 8% year over year. The system reported 5,183 medical advice messages billed over those six months.

Researchers reported a consistent seven-day emergency service use year over year for patients before and after the new policy, even though patients saw the billing disclaimer. The system's providers accepted the e-visit billing policy but were concerned about an increased workload.

"These findings suggest that implementation of e-visit billing was associated with a modest decrease in patient-initiated portal message volume and was overall acceptable to providers in a large integrated health system," the study authors concluded.

Internal Medicine Residency Subspecialty Training

During the Internal Medicine Residency at NYU Langone, residents gain exposure to subspecialty clinical training in a variety of settings during dedicated subspecialty rounds.

Cardiology Teaching Service

During teaching rotations with the cardiology service at NYU Langone's Kimmel Pavilion you are part of a team of four residents and two cardiology attendings, one of whom focuses exclusively on teaching. Together you care for up to 16 patients with cardiac conditions. You gain experience diagnosing, evaluating, and treating patients with acute coronary syndrome, angina, atrial fibrillation, aortic dissection, congestive heart failure, hypertension, and ventricular arrhythmia. This resident-only team is supported by a nurse practitioner, who assists with patient care tasks and creates additional time for residents to learn from world-renowned clinician–researchers in NYU Langone's Leon H. Charney Division of Cardiology.

Hematology Teaching Service

Second- and third-year residents rotate on the hematology service at NYU Langone's Kimmel Pavilion, a primary service where you join a senior hematologist and a fellow to care for a maximum of 11 patients with blood disorders, including conditions that affect red blood cells, white blood cells, platelets, and the clotting system. The patients in residents' care actively receive chemotherapy or require immunosuppression for treatment at the Rita J. And Stanley H. Kaplan Blood and Marrow and Cellular Transplant Center, an inpatient unit within the Kimmel Pavilion.

OpenConsult Specialty Teaching Rounds

Residents at Bellevue and the VA NY Harbor Healthcare System have targeted 30-minute specialty teaching sessions. OpenConsult teams choose a subspecialty, topic, or patient that they wish to learn more about and schedule a session with the attending of record for a particular service. The rounds, conducted in conjunction with an assigned hospitalist, are case-based, occur at the bedside, and include critiques of house staff presentations and diagnostic skills. Through these sessions, instead of learning from a specialist who is not directly involved in the care of a particular patient, you can discuss the rationale for specific care decisions with the healthcare providers who are directly involved in that patient's care.

Global Health

The global health electives for the Internal Medicine Residency program in NYU Langone's Department of Medicine offer a two- or four-week clinical, teaching, or research experience abroad. Global health electives are available to second- and third-year residents.

The program accepts a select group of residents each year through a competitive application process and provides a full salary, benefits, and a travel stipend.

Internal medicine residents can pursue a clinical rotation in one of the programs that have been specially selected by the global health faculty advisors for their robust academic experiences. Residents can also design their own experience abroad on a case-by-case basis in consultation with the global health faculty advisors.

If you have questions about global health electives for internal medicine residents, please contact faculty advisors, Hadas Reich, MD, at Hadas.Reich@NYULangone.Org, or Amanda Klinger, MD, at Amanda.Klinger@NYULangone.Org.

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