--- title: December 5, 2024 Customer Newsletter description: Homeless Medicine, What is Immunotherapy?, Use CME Money,Med Ed &AI Playbook, Hard to Attract Pediatricians image: https://challengercme.com/hs-fs/hubfs/nl%20dec%205.png?upscale=true&width=1200&upscale=true&name=nl%20dec%205.png --- [![Med-Challenger-green-logo-1024x244](https://challengercme.com/hubfs/Med-Challenger-green-logo-1024x244.webp) ](https://challengercme.com/) - [SHOP EXAM PREP & CME ](https://challengercme.com/blog/december-5-2024-customer-newsletter-0#) ### [EMERGENCY MEDICINE](https://challengercme.com/emergency-medicine-exam-review-cme-course) [ABEM exam prep](https://challengercme.com/emergency-medicine-exam-review-cme-course), [MyEMCert](https://challengercme.com/emergency-medicine-myemcert-exam-review-course), etc. ### [FAMILY MEDICINE](https://challengercme.com/family-medicine-exam-review-cme-course) [ABFM exam prep](https://challengercme.com/family-medicine-exam-review-cme-course), [ABFM KSA](https://challengercme.com/family-medicine-moc-ksa-course), etc. ### [INTERNAL MEDICINE ABIM exam prep, MOC points, etc.](https://challengercme.com/internal-medicine-exam-review-cme-course) ### [OBGYN ABOG exam prep, CREOG, etc.](https://challengercme.com/obgyn-exam-review-cme-course) ### [PEDIATRICS ABP exam prep, MOCA-PEDS, etc.](https://challengercme.com/pediatric-medicine-exam-review-cme-course) ### [PEDIATRIC EM](https://challengercme.com/pediatric-emergency-medicine-3rd-edition) [ABP/ABEM exam prep Ed.3](https://challengercme.com/pediatric-emergency-medicine-3rd-edition), [Ed.2](https://challengercme.com/pediatric-emergency-medicine-pack2), etc. ### [SPECIAL PURPOSE / SPEX FSMB exam prep, etc.](https://challengercme.com/special-purpose-exam-review-spex-exam-preparation-course) ### [PHYSICIAN ASSISTANT](https://challengercme.com/physician-assistant-exam-review-cme-course) [PANCE / PANRE](https://challengercme.com/physician-assistant-exam-review-cme-course), [CAQ-EM](https://challengercme.com/pa-caq-em-review-course), etc ### [NURSE PRACTITIONER](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course) [FNP](https://challengercme.com/family-nurse-practitioner-exam-review-cme-course), [ENP](https://challengercme.com/emergency-nurse-practitioner-exam-review-cne-course), [AGNP](https://challengercme.com/adult-gerontology-nurse-practitioner-exam-review-cne-course), [PNCB/CPNP](https://challengercme.com/pediatric-nurse-practitioner-exam-review-cne-course), etc. ### [NURSING / NCLEX NCLEX, CNE, etc.](https://challengercme.com/nursing-certification-nclex-exam-review-cne-courses) ### [STATE-REQUIRED CME / CE State CME requirements, etc.](https://challengercme.com/state-required-cme) ### [JOINT COMMISSION CME](https://challengercme.com/stroke-center-ce-review-course) [Stroke](https://challengercme.com/stroke-center-ce-review-course), [Cardiac](https://challengercme.com/cardiac-center-ce-review-course), [Trauma](https://challengercme.com/trauma-center-ce-review-course), [ALS](https://challengercme.com/advanced-life-support-and-resuscitation-center-ce-review-course), etc. ### [PROFESSIONALISM CME Professionalism review with CME](https://challengercme.com/professionalism-review-course) ### [DERMATOLOGY CME Dermatology review with CME](https://challengercme.com/dermatology-review-course) ### [USMLE STEP 2CK / STEP 3 USMLE exam prep, etc.](https://challengercme.com/usmle-certification-exam-review-clerkship-exams-shelf-exam-review) - [INSTITUTIONS ](https://challengercme.com/atlas-pro-inst) - [BLOG ](https://challengercme.com/blog) - [SUPPORT ](https://support.challengercme.com/knowledge) [SIGN IN ](https://fuse.challengercme.com/sign-in?redirectURL=%2Fuserdash) # December 5, 2024 Customer Newsletter Homeless Medicine, What is Immunotherapy?, Use CME Money,Med Ed &AI Playbook, Hard to Attract Pediatricians [ Challenger Corporation ](https://challengercme.com/blog/author/challenger-corporation) Dec 5, 2024 ### < [All Posts](https://challengercme.com/blog) Try Med-Challenger Start a free trial today and save! 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[BROWSE COURSES](https://fuse.challengercme.com/store) --- ### Share this article [mailto:?subject=Check%20out%20https://challengercme.com/blog/december-5-2024-customer-newsletter-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-5-2024-customer-newsletter-0&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://challengercme.com/blog/december-5-2024-customer-newsletter-0&utm_medium=social&utm_source=email%20&body=Check%20out%20https://challengercme.com/blog/december-5-2024-customer-newsletter-0&utm_medium=social&utm_source=email) ### Subscribe ### Subscribe ![Med Challenger](https://challengercme.com/hs-fs/hubfs/nl%20dec%205.png?upscale=true&width=1200&upscale=true&name=nl%20dec%205.png) ![nl dec 5](https://challengercme.com/hs-fs/hubfs/nl%20dec%205.png?upscale=true&upscale=true&width=1200&height=600&name=nl%20dec%205.png) - ## Homeless Medicine - ## What is Immunotherapy? - ## Use Your CME Money - ## Med Ed Needs AI Playbook - ## Hard to Attract Peds Doctors - ## QUIZ QUESTION! ![Untitled (63)](https://challengercme.com/hs-fs/hubfs/Untitled%20(63).png?upscale=true&upscale=true&width=1120&height=78&name=Untitled%20(63).png) # Nation's First Medical Residency Program to Offer a Certification in Homeless Medicine is in Southern Arizona In most acute or primary care environments, you don’t really think about things like susceptibility to scurvy, or long-term chronic carbon monoxide exposure, as opposed to acute presentations.  There’s also an update at the article link, explaining a little more about CO exposure, and how the partnership between the street clinic and the residency works.   [Nation's First Medical Residency Program to Offer a Certification in Homeless Medicine is in Southern Arizona](https://keyt.com/cnn-regional/2024/11/22/nations-first-medical-residency-program-to-offer-a-certification-in-homeless-medicine-is-in-southern-arizona/?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) | ## ![fall divider](https://challengercme.com/hs-fs/hubfs/fall%20divider.png?upscale=true&upscale=true&width=1120&height=78&name=fall%20divider.png)What is Immunotherapy? Meet the Surgeon Behind Cancer Treatment Immunotherapy has exploded in the last decade, with several treatments for blood malignancies and solid tumors becoming standard-of-care. Immunotherapy shows promise in areas such as vaccines against prostate cancer (e.g., Sipuleucel-T) and personalized mRNA treatments for individual tumors. Dr. Steven Rosenberg, who pioneered immunotherapy in the 1980s, was the first to use IL-2 in cancer treatment. [What is Immunotherapy? Meet Surgeon Behind Cancer Treatment](https://www.usatoday.com/story/opinion/voices/2024/11/29/immunotherapy-cancer-treatment-immune-system/75777020007/?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) ![Untitled (40)](https://challengercme.com/hs-fs/hubfs/Newsletter%20-%20Customer%20Newsletter%20Graphics/Untitled%20(40).png?upscale=true&upscale=true&width=1120&height=78&name=Untitled%20(40).png)[![cme to good use-1](https://challengercme.com/hs-fs/hubfs/cme%20to%20good%20use-1.png?upscale=true&upscale=true&width=1080&height=1080&name=cme%20to%20good%20use-1.png)](https://challengercme.com/med-challenger-free-trial-landing-page)[![Untitled (10)](https://challengercme.com/hs-fs/hubfs/Newsletter%20-%20Customer%20Newsletter%20Graphics/Untitled%20(10).png?upscale=true&upscale=true&width=1120&height=78&name=Untitled%20(10).png)](https://challengercme.com/med-challenger-free-trial-landing-page) Medical Education Needs Its Own AI Playbook Guest article in MedPage by Dr. Naga Kanaparthy.  Grappling with AI and AI tools in medical education is similar to the problems they are facing in general education.  To a large degree, the initial reactions in medical education and general education have been the same.  First it’s banned, then it’s talked about a lot.  Unlike general education, the end goal of clinical education is to create a physician or other diagnostic professional that uses all their senses and their knowledge  to treat complex diagnostic situations. [Medical Education Needs Its Own AI Playbook](https://www.medpagetoday.com/opinion/second-opinions/113150?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) - MedPage Today ## ![fall divider2](https://challengercme.com/hs-fs/hubfs/fall%20divider2.png?upscale=true&upscale=true&width=1120&height=78&name=fall%20divider2.png)Why It Is So Hard to Attract New Doctors to Pediatrics  According to the Children’s Hospital Association, some pediatric specialties have 40% vacant rates in hospital positions.  Bed shortages are a chronic issue.  While the article takes a swing at conservative lawmakers, consider there’s also a structural issue with Medicaid versus Medicare, and state budgets versus federal budgets.  Only a few states offer GME payments as part of their Medicaid programs.   Couple this “seniors vote, children don’t” and a lot of free standing pediatric hospitals are on life support.  Pediatric compensation in general medicine is 25% under most other specialties, and while pediatric subspecialties earn more, their compensation is dwarfed by most internal medicine subspecialties.  [Why It Is So Hard to Attract New Doctors to Pediatrics](https://www.statnews.com/2024/11/27/pediatrics-residency-match-pay-pediatrician-shortage/?utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) - STAT News ## ![Untitled (40)](https://challengercme.com/hs-fs/hubfs/Newsletter%20-%20Customer%20Newsletter%20Graphics/Untitled%20(40).png?upscale=true&upscale=true&width=1120&height=78&name=Untitled%20(40).png)[![quiz ad NL](https://challengercme.com/hs-fs/hubfs/quiz%20ad%20NL.png?width=940&height=788&name=quiz%20ad%20NL.png)](https://challengercme.com/blog/62-year-old-woman-presents-after-being-treated-at-the-scene-for-pea?utm_campaign=Blog%20Subscribe&utm_content=318481931&hss_channel=fbp-122666784576&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD)QUIZ QUESTION # 62-year-old woman presents after being treated at the scene for (PEA) A 62-year-old woman presents after being treated at the scene for pulseless electrical activity (PEA) with epinephrine, which improved her blood pressure and increased her heart rate from 50 to 65 beats/minute. However, she remained apneic and was successfully intubated in the field. She now has a pulse between 60 and 65 beats/minute, her blood pressure is 80/20 mm Hg, and she has persistent apnea unless ventilated. The paramedics report that she did not require sedation either before or after intubation. Her pupils are miotic but symmetrical. [(See chart)](https://challengercme.com/blog/62-year-old-woman-presents-after-being-treated-at-the-scene-for-pea?utm_campaign=Blog%20Subscribe&utm_content=318481931&hss_channel=fbp-122666784576&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) Results on computed tomography (CT) of her head are normal, as are initial findings on a basic metabolic profile and bedside glucose determination. She was thought to be down about 3 minutes prior to the arrival of emergency medical services. Her blood pressure has changed only minimally after a trial of normal saline bolus 500 mL. The first treatment of choice for this patient is which of the following? - Naloxone - Dobutamine - Norepinephrine - Dopamine [![CLICK FOR ANSW](https://challengercme.com/hs-fs/hubfs/CLICK%20FOR%20ANSW.jpg?upscale=true&upscale=true&width=333&height=84&name=CLICK%20FOR%20ANSW.jpg)](https://challengercme.com/blog/62-year-old-woman-presents-after-being-treated-at-the-scene-for-pea?utm_campaign=Blog%20Subscribe&utm_content=318481931&hss_channel=fbp-122666784576&utm_source=hs_email&utm_medium=email&_hsenc=p2ANqtz-_FHEN2PxDqxBD8-4SOqguUPAfp9Yugl-xeRR1vWTA-W_O7YA6lxGpsoHuPR-5CuPbmSyRD) | | --- | [ Subscribe to Our Blog & Save 15% ](https://challengercme.com/blog) ## Similar posts ### [August 01, 2024 Customer Newsletter](https://challengercme.com/blog/august-01-2024-customer-newsletter-0) Diagnostic uncertainties, hospital tech failures, SPEX exam prep, and addressing addiction in medical practice. Stay informed on modern medicine... Challenger Corporation Aug 1, 2024 ### [January 25, 2024 Customer Newsletter](https://challengercme.com/blog/january-25-2024-customer-newsletter) AI Promises in Healthcare, Foreign Trained Doctors in Florida, Joint Commission Certification, Family Medicine KSA, and Emergency Medicine News Challenger Corporation Jan 26, 2024 emergency medicine ### [25-year-old man presents to you with an injury to his left foot](https://challengercme.com/blog/25-year-old-man-presents-to-you-with-an-injury-to-his-left-foot) It's Wound Management Quiz Time with Med-Challenger! EM case: contaminated plantar laceration — high‑yield wound management quiz, Emergency Medicine... Med-Challenger Dec 12, 2024 ## Stay informed. ### Subscribe to our [Medical Education Blog](https://challengercme.com/blog)  Stay informed of new medical education content, certification requirements and deadlines, case-based CME quizzes, and special offers. 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All rights reserved [Privacy Policy](https://support.challengercme.com/knowledge/what-are-your-terms-of-service-privacy-policy-user-agreement) ```json { "@context" : "https://schema.org", "@id" : "https://challengercme.com/blog#webpage", "@type" : "WebPage", "description" : "The Challenger Medical Education Blog offers informative patient cases, medical certification exam preparation courses and board exam review tips.", "inLanguage" : "en", "isPartOf" : { "@type" : "WebSite", "name" : "Med-Challenger", "url" : "https://challengercme.com/" }, "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog", "@type" : "WebPage" }, "name" : "Challenger Medical Education Blog", "primaryImageOfPage" : { "@type" : "ImageObject", "url" : "https://challengercme.com/hubfs/Webpage%20Featured%20Images/Medical%20Education%20Blog%20-%20Free%20CME%20resources%2c%20certification%20exam%20tips%2c%20clinical%20challenge%20questions%20and%20more.png" }, "publisher" : { "@type" : "Organization", "name" : "Challenger Corporation", "url" : "https://challengercme.com/" }, "url" : "https://challengercme.com/blog" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "about" : [ "Homeless Medicine", "Immunotherapy", "Continuing Medical Education (CME)", "AI in Medical Education", "Pediatric workforce and recruitment", "Pulseless Electrical Activity (PEA)", "Residency certification", "Exam preparation / question bank" ], "articleSection" : "Medical Education Newsletter", "author" : { "@type" : "Organization", "name" : "Challenger Corporation" }, "dateModified" : "2024-12-05T23:09:06.095Z", "datePublished" : "2024-12-05T23:09:05.000Z", "description" : "Homeless Medicine, What is Immunotherapy?, Use CME Money,Med Ed &AI Playbook, Hard to Attract Pediatricians", "headline" : "December 5, 2024 Customer Newsletter", "image" : [ { "@type" : "ImageObject", "alternateName" : "Med-Challenger Medical Education", "contentUrl" : "https://challengercme.com/blog/december-5-2024-customer-newsletter-0#image1", "description" : "Med-Challenger Medical Education, a Division of Challenger Corporation" }, { "@type" : "ImageObject", "alternateName" : "newsletter header", "contentUrl" : "https://challengercme.com/blog/december-5-2024-customer-newsletter-0#image2", "description" : "nl dec 5" }, { "@type" : "ImageObject", "alternateName" : "quiz call-to-action", "contentUrl" : "https://challengercme.com/blog/december-5-2024-customer-newsletter-0#image3", "description" : "quiz ad NL (CALL TO ACTION: CLICK FOR ANSW)" } ], "inLanguage" : "en-US", "keywords" : [ "homeless medicine", "immunotherapy", "CME", "AI in medical education", "pediatrics workforce", "PEA quiz", "residency certification", "exam preparation", "question bank" ], "mainEntityOfPage" : { "@id" : "https://challengercme.com/blog/december-5-2024-customer-newsletter-0", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://challengercme.com/logo.png" }, "name" : "Challenger Corporation" } } ``` ```json { "@context" : "https://schema.org", "@type" : "QAPage", "mainEntity" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "This newsletter presents the PEA case and lists the multiple-choice options but does not include the answer or an explanation in this post. The article includes an indication to \"CLICK FOR ANSW\" and invites readers to follow the linked quiz or subscribe for the answer." }, "name" : "First-line treatment choice for 62-year-old woman presenting after PEA treated in field?", "text" : "A 62-year-old woman presents after being treated at the scene for pulseless electrical activity (PEA) with epinephrine, which improved her blood pressure and increased her heart rate from 50 to 65 beats/minute. She remained apneic and was intubated in the field. She now has a pulse between 60 and 65 beats/minute, her blood pressure is 80/20 mm Hg, and she has persistent apnea unless ventilated. The paramedics report that she did not require sedation either before or after intubation. Her pupils are miotic but symmetrical. Results on computed tomography (CT) of her head are normal, as are initial findings on a basic metabolic profile and bedside glucose determination. She was thought to be down about 3 minutes prior to the arrival of emergency medical services. Her blood pressure has changed only minimally after a trial of normal saline bolus 500 mL. The first treatment of choice for this patient is which of the following? Options: Naloxone; Dobutamine; Norepinephrine; Dopamine." } } ``` ```json { "@context" : "https://schema.org", "@type" : "ItemList", "description" : "Exam-style review questions based on this article’s teaching points.", "itemListElement" : [ { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Southern Arizona — the newsletter notes the nation's first medical residency program to offer a certification in homeless medicine is in Southern Arizona and mentions the partnership between a street clinic and the residency." }, "name" : "Where is the nation's first residency program offering a certification in homeless medicine located?" }, "position" : 1 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Dr. Steven Rosenberg — the article names him as a pioneer in immunotherapy and notes he was the first to use IL-2 in cancer treatment." }, "name" : "Who is identified in the newsletter as a pioneer of immunotherapy and the first to use IL-2 in cancer treatment?" }, "position" : 2 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter summarizes that early institutional reactions often follow a pattern: first it's banned, then it's discussed extensively; it argues medical education needs its own AI playbook." }, "name" : "How does the newsletter summarize initial reactions to AI in medical education?" }, "position" : 3 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "Factors listed include high vacancy rates in some pediatric specialties, chronic bed shortages, differences in Medicaid versus Medicare funding (with few states offering GME payments via Medicaid), state budget constraints, and generally lower pediatric physician compensation (noted as ~25% under most other specialties)." }, "name" : "What structural factors does the newsletter cite that make it hard to attract new doctors to pediatrics?" }, "position" : 4 }, { "@type" : "ListItem", "item" : { "@type" : "Question", "acceptedAnswer" : { "@type" : "Answer", "text" : "The newsletter presents the case and the answer choices but does not include the correct answer or explanation in this post; readers are directed to the linked quiz or the subscription/answer option in the newsletter." }, "name" : "Quiz: 62-year-old woman post-PEA — which treatment is first choice (Naloxone; Dobutamine; Norepinephrine; Dopamine)?" }, "position" : 5 } ], "name" : "Practice Questions", "numberOfItems" : 5 } ```