...My communication preference is relationship driven and people orientated. Many physicians differ in their type of communication preference depending personality. My hospitalist group has a combination of different preferences that make our group unique. As a lead physician, my most arduous task involves identifying each physician’s communication preferences and adapting my preference to mesh well with theirs. The physicians in my group most often identify with action oriented versus content oriented with few that identify with technology oriented preferences. I will go through specific examples of each communication preference I have encountered, conflicts that have arisen and solutions to those conflicts. My communication preference is relation driven and people orientated which allows me to directly interact with my fellow colleagues face to face. I feel my strengths include empathy, consistency, and honesty. Weaknesses include emotional attachments, directness, and at times overcritical. My schedule currently allows me to work seven days on and seven days off. We work about 12 hours per day during our work week. I share my managing responsibilities with a fellow colleague that works on the opposite week. My colleagues communication preference is technology oriented. A specific example on where a conflict arises is with our sign out process. We are required by our group to sign out our patients to our counterparts once work is complete for that week. My preference is...
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...DBQ #1 WJU July 7, 2013 Since I used to be a Neurosurgical ICU nurse I would focus my energy on creating more stroke awareness in my community. The direction I prefer to take would involve helping members of the community become aware of the risk factors associated with stroke. This would be decided based on the fact that many individuals are ignorant of these facts. Most people look at fixing a part of the whole person rather than fixing the entire person. Although many factors are genetic and non-modifiable, such as family history, age, sex, and race, there are ones that can be modified including smoking cessation, exercising, moderating alcohol intake, and eating healthy. If a person adheres to changing their lifestyle they can dramatically decrease their stroke risk. I could talk to members of the community to further assess the need for a program such as this and to help enhance and develop a better stroke prevention program. To help move this idea along in my community, I would also get my local chapter of the American Association of Neuroscience Nurses involved. I could get their advice and guidance with the program idea I want to create. I would like to involve the nurses I worked with in the NICU as well. Many of them are advocates in the neuro field and would be a great addition to the program. I would also go to stroke certified hospitals in the area and attempt to recruit the assistance of neurologists and neurosurgeons to help get the message across...
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...Bonus: 10 points Ben Carson and Gifted Hands Gifted Hands is the story of the world famous Pediatric Neurosurgeon, Ben Carson. The book tells of Carson’s journey from the bottom of his fifth grade class to his current position as director of pediatric neurosurgery at Johns Hopkins Hospital. In his autobiography Carson explains how a strong faith in god, and the help of an extremely strong mother, he was able to overcome not only the doubts of his classmates and teachers but also the doubts of his own intelligence, and turn his life around. Carson’s story begins in Detroit, Michigan, at the age of eight with the departure of his father, leaving young Ben, his brother Curtis, and his mother to fend for themselves. Young Benjamin immediately began to notice changes in what once had been a financially stable family, and that his family would now be forced to struggle to get by. With only a third grade education Carson’s mother was forced to take on two, sometimes three jobs to provide for her two boys. Benjamin and his brother fell farther and farther behind in school; in fifth grade, Carson was at the bottom of his class. His classmates called him "dummy" and he developed a violent, uncontrollable temper. When Mrs. Carson saw Benjamin's failing grades, she determined to turn her sons' lives around. She sharply limited the boys' television watching and refused to let them outside to play until they had finished their homework each day. She required them to read two library...
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...From Yale, he went to the Medical School of the University of Michigan, where his interest shifted from psychiatry to neurosurgery. His excellent hand-eye coordination and three-dimensional reasoning skills made him a superior surgeon. After medical school he became a neurosurgery resident at the world-famous Johns Hopkins Hospital in Baltimore. At age 32, he became the hospital's Director of Pediatric Neurosurgery. In 1987, Carson made medical history with an operation to separate a pair of Siamese twins. The Binder twins were born joined at the back of the head. Operations to separate twins joined in this way had always failed, resulting in the death of one or both of the infants. Carson agreed to undertake the operation. A 70-member surgical team, led by Dr. Carson, worked for 22 hours. At the end, the twins were successfully separated and can now survive independently. Carson's other surgical innovations have included the first intra-uterine procedure to relieve pressure on the brain of a hydrocephalic fetal twin, and a hemispherectomy, in which an infant suffering from uncontrollable seizures has half of its brain removed. This stops the seizures, and the remaining half of the brain actually compensates for the missing hemisphere. In addition to his medical practice, Dr. Carson is in constant demand as a public speaker, and devotes much of his time to meeting with groups of young people. In 2008, the White House announced that Benjamin Carson would receive the Presidential...
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...exposure throughout my internship projects and assignments. First and second competency are structuring positioning and financial management. I developed my critical thinking, goal setting and understanding business plan, management flexibly, partnerships and alliances through analyzing various projects and assignments. Among of them is the Advanced Clinical Access Plan (ACA) Project, Speak to the Director Project, Clinical Product Review Committee Procedures (CPRC), New Item Request Flow Chart Process, TeleHealth Business Plan. I also developed an understanding of the physician compensation strategies, budgeting, and management accounting. In particular, I evaluated and recorded the physicians' work time for CVTS-Perfusionists Clinic, Neurosurgery Clinic, Ophthalmology Clinic, Orthopedics Clinic, Otolaryngology Clinic, Plastics Clinic, Urology Clinic, and various surgical services. These clinics are at Surgical Service Department. After that, I calculated each clinic’s total hours and total salary amounts in fiscal year 2014 in purpose of projecting and allocating the staff’s salary plan effectiveness. Then, I created a FY14 Surgical Service Department Budgeted FTEE Chart and presented to the Administrative Office for approval....
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...kept alive by a stapler 9 inches long that widens the cut. A solution fills the uterus and the baby floats to the top, exposing the myelomeningocele. The neurosurgeon then sews up the neural placode. Then the dura mater is sutured, and finally the skin is closed. The uterus is closed up, placed back in the mother, and she is stitched up. Doctors Neurosurgeon The neurosurgeon is the doctor who runs the show. He/she is the one that does the actual repair and sutures the dura mater, neural placode, and skin. If a shunt is needed, it’s the neurosurgeon’s job to place it. Treating paralyzation, hydrocephalus, Chiari II, and the spinal cord defects is part of the neurosurgeon’s subject matter. Spina bifida is a NTD, so it is considered a neurosurgery. Therefore a neurosurgeon is needed. Cardiologist A cardiologist is always in the operating room to monitor the baby’s and the mother’s heart. In case of emergency, the cardiologist will step in to perform possible heart surgery. Spina bifida does not usually affect the heart so the cardiologist will probably never have to hold a scalpel, but it is a safety measure taken for the baby to be carefully monitored throughout the entire surgery. Obstetrician “An obstetrician is a doctor who specializes in pregnancy, childbirth, and a woman's reproductive system.” (What is an Obstetrician, 1). In open fetal surgery, the obstetrician begins the surgery with locating the baby in the mother’s uterus. This tells the surgeons where to make...
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...shot out going through his left cheek, destroying his left eye and rocketing out of his skull and landing 80 feet away (Guidotti, T., 2012). This is proven to be even more impressive because Phineas never fully lost consciousness and even considering he lost his left eye completely and neurosurgery had yet to be developed (Guidotti, T., 2012). The biggest deficit Phineas suffered was reported as a drastic change in personality and character (Guidotti, T., 2012). According to Guidotti’s article in 2012 Phineas went from being known as a “reliable, systematic and hardworking” man and after the accident was said to be “impulsive, disorganized and stubborn. His language was said to be colorfully profane, although he did not customarily swear before the injury” (Guidotti, T., 2012). Since there were no neurosurgeons during this time period, his specific injury while unfortunate allowed for some documentation and scientific knowledge of brain regions and function. We now know that “Gage demonstrated the characteristic signs seen in surgical removal of pathological impairment of this part of the brain. The case suggested that removal of brain tissue was compatible with survival and that neurosurgery was feasible” (Guidotti, T., 2012). Phineas Gage’s remarkable experience is known as the...
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...MedlinePlus: Diagnosis of parkinsonian syndrome often changesSkip navigation Search Terms Diagnosis of parkinsonian syndrome often changes Reuters Health Friday, November 14, 2008 By Michelle Rizzo NEW YORK (Reuters Health) - The cause of a parkinsonian syndrome is not always clear when the symptoms first appear, and the diagnosis often changes over time, according to a paper in the Journal of Neurology, Neurosurgery, and Psychiatry. Use of rigid criteria does not necessarily help make the diagnosis. Parkinsonian syndrome refers to conditions that have the symptoms of Parkinson's disease, such as tremors, stooped posture, slowness, and shuffling gait. The term is simply used to describe a patient's symptoms; Parkinson's disease may or may not be the actual cause. For instance multiple small strokes can cause a parkinsonian syndrome. "Accurate diagnosis of Parkinson's disease is important both in clinical practice, where it will influence management, and in research, where the validity of findings may be compromised if studies include (different) conditions," Dr. Carl Counsell, of the University of Aberdeen, UK, and colleagues write. The report describes 66 patients who were followed for at least one year after an initial diagnosis of "possible or definite parkinsonian syndrome." After follow-up of around 29 months, the clinical diagnosis had changed in 22 patients (33 percent). Most of the changes (82 percent)...
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...University of Maryland Ambulatory Care Center: Highlighting Issues and Solutions DeVry University HSM 420: Managed Care and Health Insurance \ Introduction The quality of care is measured through the patient receiving the care. The patient measures quality of care through needs and preferences, care given without unnecessary delays and healthcare is not affected by gender, race, age or income. The Surgical Clinic at the University of Maryland strives to meet these goals by providing stellar care in a facility given the Leapfrog award for over a decade. Through observation there were a few areas in which could use improvement. Patients wait times affect how the patient perceives the care given. Another major issue is the need for consistency, reassurance to the patient that although the same physician may not be treating you during each visit the physicians are familiar with your individual case. Patients often find the location of the clinic difficult to find within the hospital which causes frustration upon arrival. The availability of clinics can cause an issue for patients. Description The University of Maryland Medical Center Surgical Clinic is governed by an ambulatory services team with different scopes of practice, including Doctors, Nurses, Administrators and other Clinical staff. The clinic staffs the Practice Manager, three subspecialty Nurses, a Medical Assistant, a Practice Assistant also the Scheduling Coordinator. The University of...
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...Endeavor The booming hustle of science is proceeding faster than society can keep up with; new technologies are fast approaching, making the old collect dust. With science becoming more experimental and venturesome, the advancement is becoming more and more far-fetched. It is the prime time for some scientists and scholars to begin ostentatious trials, or continue with the unrealistic experiments of illogical professors. Astonishing procedures continue to blow the minds of individuals, such as head transplants. A head transplant is a surgical procedure entailing a patients’ entire body below the neck be replaced with another donor body (Head Transplant). The medical advancement in our nation leads the beliefs that this ground-breaking neurosurgery could be done, patients and donors are missing the proper evidence for the medical justification but would still consider this an option to prolong their life, and the medical controversy pilots the “should we” factor in debate. Add a stronger transition to this topic During the 1950s, at the peak of the Cold War, Stalin turned his attention towards medical advancements to pull the USSR ahead of the west. Amazing medical advancements put the USSR and the U.S. in a race, both eager to stay ahead in all aspects during the Cold War. The U.S. government created a world-leading brain research centre starring Robert White, a leading brain surgeon with renowned skills. Operations on patients with all kinds of brain injuries and illnesses transpired...
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...CARTER v. HUCKS-FOLLISS, 131 N.C. App. 145, 500 S.E.2d 177 (1998) Relevant facts: The Moore General hospital is the defendant and the Carter's are the plaintiffs. This case is against the defendant's plea for a summary judgment. The plaintiff underwent a neurosurgery at the defendant hospital and it was performed by Dr. Folliss who has medical staff privileges at the hospital. Due to Dr. Folliss's negligence the plaintiff sustained quadri paresis, painful injuries and disfigurement. The plaintiff commenced action against the defendant hospital in granting clinical privileges to Dr.Folliss who was not board certified, in failing to ascertain if he was eligible to perform neurosurgery and in failing to adhere to the standards of JCAHO. Issue: Is the defendant hospital responsible for the harm caused to plaintiff in not adhering to standards of JCAHO. Holding decision: The appellate court reversed and remanded the summary judgment. Analysis/ Reasoning: The defendant hospital was accredited by JCAHO and as per JCAHO regulations anyone having surgical privileges at the hospital should be board certified. But Dr. Folliss had the surgical privileges and it was renewed even though he wasn't board certified and was not eligible for the exams anymore. The hospital did not take any action to ascertain if Dr. Folliss has taken and cleared the exam and hence it did not adhere to the JCAHO regulations Concur/Dissent: I concur with the decision of the court. SOKOL v. AKRON GENERAL MEDICAL...
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...and facet arthrosis. Short term goals are the following: decrease pain at the upper neck, low back and both shoulders; increase ROM at cervical and lumbar spines and both shoulders; increase ambulation endurance; increase independence in activities of daily living (ADLs); and increase muscle strength of both upper and lower extremities muscle groups. Long term goal is to resume pre-morbid functional status. Treatment plan includes continuation with PT 3 times per week for 4-6 weeks, orthopedic and neurosurgery follow-ups, and follow-up in 3 weeks. Patient is instructed regarding home exercise program. On the statement of medical necessity on the MG2 form dated 12/16/15, physical therapy is indicated to decrease pain, increase ADLs, and increase ROM to assist him to continue working full time with minimal pain. On the statement of medical necessity on the MG2 form dated 12/16/15, the patient continues to experience neck pain and is awaiting neurosurgery consultation. However, neurosurgeon requested an updated MRI of the cervical spine prior to consideration of surgery. Per the IME report by Dr. Gilbert dated 10/13/15, MRI of the cervical s pine was obtained on 11/22/13 which showed disc herniations and straightening of the cervical lordosis with degenerative changes and a retrolisthesis at C6-7. Patient has been previously denied with 36 Physical Therapy Visits for the Left Shoulder on 03/09/15 (Review 209969). Requested verification from the provider’s...
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...Brigham and Women’s Hospital Krystal Castro DeVry University Abstract This application paper will explore the strategic plan, health system, services and organizational structure at Brigham and Women’s Hospital (BWH) from research conducted online (internet) and offline (non-internet). From 2009-2010 BWH was in the top 20 of hospitals ranked at number 10. Being ranked in the top 20 Brigham and Women’s Hospital has a mission that is dedicated to serving the needs of not only their local but global community in which they want to provide the highest quality health care to both patients and families, BMW also wants to expand medicine through research and educating the next generation of health care professionals. The values at BMW are: quality patient care, teaching excellence, research leadership, customer focus, respect for the individual, teamwork, embracing change and operational efficiency. Aside from the mission and values their vision is to aspire to transform the future of healthcare, through science, education and compassionate care. These are important strategic planning on behalf of Brigham and Women’s Hospital. Partners HealthCare is a not-for-profit health care system that is part of BWH and it commits to patient care, research, teaching, and service to the community. It was network of physician, health care centers in the community, home care and other related entities...
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...is the first major medical school in the United States to admit women; the first to use rubber gloves during surgery; the first to develop renal dialysis and CPR. Two of the most far-reaching advances in medicine during the last 25 years were made at Johns Hopkins. The Noble Prize – winning discovery of restriction enzymes gave birth to the genetic engineering industry and the discovery of the brain’s natural opiates has triggered an explosion of interest in neurotransmitter pathways and functions. Johns Hopkins are also known for the identification of the three types of polio virus and the first “blue baby” operation, which opened the way to modern heart surgery. They are also the first to conduct many medical specialties, including neurosurgery, urology, endocrinology, and pediatrics. The mission of Johns Hopkins Medicine is to improve the health of the community and the world by setting the standard of excellence in medical education, research and clinical care. Diverse and inclusive, Johns Hopkins Medicine educates medical students, scientists, healthcare professionals and the public; conducts biomedical research; and provides patient – centered medicine to prevent, diagnose and treat human illness. The vision of Johns Hopkins Medicine is to provide a diverse and inclusive environment that fosters intellectual discovery,...
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...this medical facility, the staff puts its patients first. Penn Medicine is dedicated to high-quality patient care and service, advancing medical science through research, and educating the next generation of leaders in medicine. It includes three hospitals in Philadelphia and outpatient centers throughout the region (The Trustees of the University of Pennsylvania, 2012). A leader in medicine for more than 240 years, Penn opened its School of Medicine, the nation's first, in 1765. The Hospital of the University of Pennsylvania was established in 1874 as the nation's first teaching hospital. Since its founding days, Penn has expanded medical frontiers by creating some of the nation's earliest programs in areas ranging from dermatology, neurosurgery, ophthalmology and radiology, to the Philadelphia region's only program to transplantation of five major organs (The Trustees of the University of Pennsylvania, 2012). Over the past 30 years, Penn physicians and scientists have participated in many important discoveries, including: the first general vaccine against pneumonia. The introduction of total intravenous feeding. The development of magnetic resonance imaging (MRI) and other imaging technologies. The discovery of the Philadelphia chromosome (The Trustees of the University of Pennsylvania, 2012), which revolutionized cancer research by making the connection between genetic abnormalities and cancer. Penn continues to make medical advances that help people live longer, healthier...
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