...and over-the-counter (OTC) contraceptives and identify strengths and weaknesses in resident education. Methods: We developed a survey for distribution among 50 randomly selected U.S. obstetrics-gynecology residency programs. Results: Of 202 respondents, only 57% and 36% of residents reported adequate knowledge to counsel patients regarding latex vs. nonlatex condom use, respectively. Ninety-six percent knew spermicides were nonprotective against sexually transmitted diseases (STDs); however, there was limited knowledge about delivery options. Only 17% had ever fit or prescribed a diaphragm, and 30% reported knowledge in performing a fitting. Greater than 80% of residents stated they received no formal didactics addressing the use of condoms, spermicides, or diaphragms. Limited experience regarding Cycle Beads and natural family planning was expressed. Conclusions: Obstetrics-gynecology residents receive little formal training about barrier and OTC contraceptive options and seek more education because of their awareness of inadequate knowledge. Introduction he Accreditation Council for Graduate Medical Education (ACGME) and Residency Review Committee require that all obstetrics-gynecology residency programs include education and training regarding ‘‘clinical skills in family planning.’’1 Furthermore, because a woman’s choice for contraception is highly individual and depends on multiple factors, it is important that education encompasses the spectrum of all available...
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... PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS “Knowing is not enough; we must apply. Willing is not enough; we must do.”-Goethe This is the mission statement of the Institute of Medicine report of 2010, the future of Nursing: Leading Change and Advancing Health. Currently, the health care system in the United States is facing the greatest storm fir reform, with the enactment of comprehensive health care legislation and the signing of the Affordable Care Act(ACA), which focuses on supplying super quality, safer, more assessable and much affordable care. Nursing being the largest portion of the health care workforce has an eminent role to play in the transformation and remodeling of the various aspect of the health care system. This report committee provided high level suggestions that unanimously served as a blueprint, to empower nurses to fully adopt their critical role in renovating the current system. The final report contain four key messages: 1) make sure that nurses can practice to the horizon of their education and training (2) improve nursing education, (3) brings prospects for nurses to assume leadership positions and serve as full partners to upgrade health care and improvement efforts, and (4) systematic data collection for manpower planning and policy making. Hence, the Institute of Medicine report of 2010 has made a major impact on the nursing professional practice education and leadership. Nurse working on the forefront of health care delivery...
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...The DO s Dr. Andrew Taylor Still, 1828 –1917 THE DOS OSTEOPATHIC MEDICINE IN AMERICA Second Edition NORMAN GEVITZ The Johns Hopkins University Press Baltimore & London © 1982, 2004 The Johns Hopkins University Press All rights reserved. Published 2004 Printed in the United States of America on acid-free paper 246897531 The Johns Hopkins University Press 2715 North Charles Street Baltimore, Maryland 21218-4363 www.press.jhu.edu Library of Congress Cataloging-in-Publication Data Gevitz, Norman. The DOs : osteopathic medicine in America / Norman Gevitz.–2nd ed. p. ; cm. Rev ed. of: The D.O.’s. c1982 Includes bibliographical references and index. ISBN 0-8018-7833-0 (alk. paper) — ISBN 0-8018-7834-9 (pbk. : alk. paper) 1. Osteopathic medicine—United States—History. [DNLM: 1. Osteopathic Medicine—history—United States. WB 940 G396d 2004] I. Gevitz, Norman. D.O.’s. II. Title. RZ325.U6G48 2004 615.5′33′0973—dc21 2003012874 A catalog record for this book is available from the British Library. Frontispiece courtesy of the Still National Osteopathic Museum, Kirksville, Missouri. For Kathryn Gevitz This page intentionally left blank CONTENTS Preface & Acknowledgments ix Chapter 1 Andrew Taylor Still THE MISSOURI MECCA IN THE FIELD 39 1 22 Chapter 2 Chapter 3 Chapter 4 STRUCTURE & FUNCTION EXPANDING THE SCOPE 54 69 85 Chapter 5 Chapter 6 THE PUSH FOR HIGHER STANDARDS A QUESTION OF IDENTITY The California Merger 101 115...
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...of Psychology, Michigan State University, 262 Psychology, E. Lansing, Michigan 48824-1116, USA a r t i c l e i n f o a b s t r a c t Objective and subjective career success were hypothesized to mediate the relationships between sociodemographic variables, human capital indices, individual difference variables, and organizational sponsorship as inputs and a retirement decision and intentions to leave either the specialty of emergency medicine (EM) or medicine as output variables. Objective career success operationalized as the number of leadership positions held did not mediate the relationship, but income change and career satisfaction mediated the relationship between the hours worked and years employed in emergency medicine. Work centrality was significantly related to subjective career success more so for men than women and perceptions of success or self-efficacy were positively related to subjective career success for women, but not for men. The expected pattern of women indicating more difficulties with personal time and family time did not emerge; but women did indicate less perceived support from the organization, fewer EM leadership positions, less perceived control over their work situation and less organizational support than did men. Ó 2008 Elsevier Inc. All rights reserved. Article history: Received 22 January 2008 Available online 12 June 2008 Keywords: Career success Emergency physicians Salary change Career satisfaction Leisure and career success Work...
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...Health Sciences Institute Address: Dasmariñas City, Cavite Title: Study Habits of Millennial Learners in Selected Health Allied Courses at De La Salle Health Sciences Institute Authors: Abulad, Aldred Jillian L. Cabalquinto, Janine B. Desiderio, Andrea Domini I. Guilleno, Danielle May B. Hombrebueno, Mabelle A. Degree: Bachelor of Science in Nursing Cost: P 20,000.00 Date Started: November 2009 Date Completed: October 2010 STATEMENT OF THE PROBLEM The study aimed to determine the study habits of millennial learners and if these study habits differ as regards to age, course, gender, monthly family income and residency. Specifically, the following questions were answered in this study: 1. What is the profile of the millennial learners as regards to age, course, gender, monthly family income, and residency? 2. What are the study habits of millennial learners? 3. Are there significant differences in the study habit of millennial learners when they are grouped according to age, course, gender, monthly family income and residency? SCOPE AND COVERAGE This study was conducted in De La Salle Health Sciences Institute Dasmariñas City, Cavite. The respondents of the study were 120 students from the selected health allied courses. The variables that were considered in this study were the demographic profile...
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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...Vincent Coughlin PATHE 200 Final Project Spring/15 RELIGION AND SPIRITUALITY IN MEDICINE THESIS STATEMENT: Patients with multiple religious beliefs are treated everyday by emergency care workers which creates a void in respect towards the patient and their beliefs if the proper training and knowledge are lacking. INTRODUCTION When the subject of religion and spirituality come up in conversation in the governmental arena most people will argue that they are both on separate planes and should remain that way. But when people were asked if there is a place for religion in the medical field, the majority of those asked will say that they would prefer their physicians inquire about their individual faith and beliefs. In fact, polls indicate that the U.S. Population is highly religious; that most people believe in Heaven and hell. The same people also believe in the healing power of prayer and the capacity of faith to aid in the recovery from disease (N.E.J.O.M. 342). Religion and Spirituality have become an intricate part of patient care in the last 20 plus years. Religion is understood as a set of beliefs, rituals and practices usually embodied within an institution or an organization. Religion is more generalized and all-inclusive. Spirituality is more defined and specific to each individuals Religion. Spirituality is thought of as a search for what is sacred in life, one’s deepest values, along with a relationship with God...
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...Even a request of such measure would not solve the problem with physician shortage. Assistance from international countries like Canada with a surplus of physician is welcomed; however as a country we cannot depend on other national to resolve United States physician shortage. It is predicted that we will have a “shortage of 85,000 to 200,000 physicians in 2020 unless action is taken soon to increase the number from 25,000 physicians who graduate from United States medical schools annually. Also “shortage of physicians in rural areas will present an even greater challenge than for metropolitan areas, as fewer and fewer physicians” entering the medical profession is choosing a rural location for their practice. (Stanley, 2009) Problem Statement Physician supply is decreasing at a time when the demand for quality healthcare along with the number of aging patients is increasing. Hospitals and health care organizations are experiencing an increase in physician attrition rates that is expected to grow through 2020. How do you attract and retain talented physicians? Suggestions The healthcare facility or hospital should create a recruiting plan which considers the need...
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...Physicians-Assisted Suicide Physician-Assisted Suicide is a medical process where a physician supplies a terminally ill patient with a prescription for one dose of lethal medication. The prescription is given to a patient upon request only if the patient intends to end his or her own life because of suffrage from a terminal illness. Today, physicians-assisted suicide is more commonly known as the Death-With-Dignity Act. Recent stories of patients who have attempted to end their own life by lethal medication have made countless headlines concerning the topic throughout many informational sources. Currently, the states of Washington, Oregon, and Vermont are the only three states that have adopted the Death-With-Dignity Act. Physician-Assisted Suicide is among many practices that aid in ending a patient’s life along with DNR’s, DNI’s, and AND’s, when life-sustaining treatments are denied. Physicians-Assisted Suicide is much more controversial than other life ending methods because it enables a patient to end her or her own life in a way that many individuals feel is immoral and unethical. The ethical issues of physicians-assisted suicide are both emotional and controversial, yet healthcare workers deal with a request for this alternative every day. Is physicians-assisted suicide the answer? The question doesn’t come by an easy answer. However, both sides of the debate, either for it or against it, provide strong, concrete points that help truly uncover where the controversy lies...
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...Organizational Leadership and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient family centered care. A strategy will be created that includes goals and an operational plan to increase PFCC of the organization by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the...
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...Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession Prepared by the American Physical Therapy Association January 2011 Foreword The American Physical Therapy Association (APTA) created Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession to provide accurate information for government entities and the public about the history, role, educational preparation, laws governing practice, standards of practice, evidence base of the profession, payment for physical therapy services, and workforce issues unique to the physical therapy profession. As government, private health care entities, and provider groups pursue solutions to the considerable health care provision challenges the United States faces, it is imperative that accurate information about the qualifications and roles of specific providers, in this case physical therapists, be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents ...
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...www.pwc.com/ro The Romanian Tax Pocket Book 2011 Edition TaxOnline.ro is the online solution that brings PwC professional tax services to the internet. We invite you to visit the website (www.taxonline.ro) and to enrol for a FREE 30-day trial to We invite you to visit the website (www.taxonline.ro) and to enrol for a FREE 30-day trial to our PREMIUM our PREMIUM subscription. After the expiry of the free trial period, access can be available for subscription. After the expiry of the free trial period, access can be available for the following types of the following types of subscriptions: subscriptions: STANDARD subscription - FREE STANDARD subscription - FREE TaxOnline.ro is the online solution that brings PwC professional tax services to the internet. • Daily Tax Update & Tax and Legal Alerts Daily Tax Update & Tax and Legal Alerts • Romanian, EUEU and Intl taxation regulatory section Romanian, and Intl taxation - - regulatory section Read only access to the TaxOnline Forum • Read only access to the TaxOnline Forum PREMIUM subscription Access to analysis and opinions of of our consultants on hot taxissues Access to analysis and opinions our consultants on hot tax issues Ability to a question online and receive a a response from our PwC consultants Ability to askask a question online and receive response from our PwC tax consultants FullFull participation our TaxOnline Forum participation in in our TaxOnline Forum Daily Tax Update & Tax and Legal Alerts Daily Tax...
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...Introduction Aggression is behavior that is forceful, hostile or attacking. It is an intention to cause harm or an act intended to increase relative social dominance. Workplace aggression is any act of aggression, physical assault, threatening or coercive behavior that causes physical or emotional harm in a work setting (Rai, 2002). Aggression at workplace can also be to show or as a result of dissatisfaction and disapproval to other’s action. Violence is defined by the World Health Organization as the intentional use of physical force or power, threatened or actual, against a person, or against a group or community that either results in or has a high likelihood of resulting in injury, death, psychological harm, mal-development or deprivation. Workplace violence is an action or incident that physically or psychologically harms another person. It includes situations where employees and other people are threatened, attacked or physically assaulted at work (Department of Health, 2004). It ranges from threats and verbal abuse to physical assaults and even homicide. It can affect and involve employees, clients, customers and visitors. Violence is aggression; however aggression does not necessarily imply violence. When people talk about workplace violence they may be referring to a range of hostile acts – from threats and intimidation to homicide.. Workplace aggression includes violent acts as well as nonviolent acts such as harassment, intimidation, and threats that create...
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...Philippine Institute for Development Studies A Study of Philippine Hospital Management Administrative Systems Fred Avestruz DISCUSSION PAPER SERIES NO. 95-16 The PIDS Discussion Paper Series constitutes studies that are preliminary and subject to further revisions. They are being circulated in a limited number of copies only for purposes of soliciting comments and suggestions for further refinements. The studies under the Series are unedited and unreviewed. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the Institute. Not for quotation without permission from the author(s) and the Institute. June 1995 For comments, suggestions or further inquiries please contact: The Research Information Staff, Philippine Institute for Development Studies 3rd Floor, NEDA sa Makati Building, 106 Amorsolo Street, Legaspi Village, Makati City, Philippines Tel Nos: 8924059 and 8935705; Fax No: 8939589; E-mail: publications@pidsnet.pids.gov.ph Or visit our website at http://www.pids.gov.ph A STUDY OF PHILIPPINE HOSPITAL MANAGEMENT AND ADMINISTRATIVE SYSTEMS PIDS Project No. DOH / 91-92 / 05 (Final Report) October 30, 1994 Fred S. Avestruz, MBA, Ph.D. Asian Institute of Management TABLE OF CONTENTS Chapter 1 Page INTRODUCTION ........................................................ 1 1.1 Objectives of the Study .................................................. 1 1.2 Conceptual Framework of Hospital Management .....
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...The Marketing Plan BY GEORGE SAMIR SAAD Introduction: My department is "AlSalam Nephrology department", in which I am the senior doctor and the responsible for patients and the subordinates –doctors, nurses and workers-. This department one of the most famous oldest unit in Egypt, in which renal transplantation done successfully and legally. The unit has: * 8 renal dialysis machines, * 2 outpatient clinics, * 20 inpatient beds, * 3 professors, * 1 senior doctor, * 5 doctors, * 3 head nurses, * 5 nurses, * 4 assistances, * 2 workers. Situation analysis: Current service: - AlSalam nephrology department, responsible for many services, like: * Renal transplantation, * Follow up renal-transplanted patients, * Renal dialysis for chronic renal failure patients, * Outpatient clinic for kidney diseases; and * Teaching and practicing place for new doctors who care with nephrology. - The unit in AlSalam hospital, which present in ElMohandseen area in Giza, Egypt, which is a famous, commercial, crowded, rich area. - The hospital accredited with ISO 9001 in 2004. -Background information -Date of opening the unit: 1983 -Average No. of outpatient/Day: 60 patients - No. renal failure patients/Day: 20 patients -Costs /outpatient: 40 LE -Revenue /out patient: 120 LE -Net profit /outpatient: - 80 LE, which is good. -Costs / renal failure patients: 200 LE -Revenue / renal failure patients: 250...
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