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Medical professionalism faces distinctive challenges in the 21st century. In this chapter, we review the history of professionalism, address specific challenges physicians face today, and provide an overview of efforts to address these issues, including behavioral and virtue ethics approaches. First, we discuss core features professions share and the development of codes of medical ethics that guide the practice of western medicine. Second, we address challenges related to the doctor–patient relationship, continuity of care, cultural competence, conflicts of interest, and the regulation of quality of care through maintenance of certification. We then explore three cultural trajectories that have deeply influenced medical practice: the technologic imperative, physicians’ collective neglect of structural factors impacting medicine, and the rise of commercialism. Finally, we describe efforts to address these challenges, focusing on the Physician Charter developed by the American Board of Internal Medicine and widely endorsed by medical boards and societies internationally.
The Industry-University Cooperative Chemistry Program has sponsored seven previous international symposia covering a wide variety of topics of interest to industrial and academic chemists. The eighth IUCCP symposium, held March 19-22, 1990, at Texas A&M University, represents a deviation from the former symposia, in that it is the first of a two-symposium series dedicated to the rapidly moving new field of industrial biochemistry that has beco~e known as biotechnology. Biotechnology is really not a new discipline, but rather is a term coined to describe the new and exciting commercial applications of biochemistry. The development of the field of biotechnology is a direct result of recombinan...
Dementia is a devastating diagnosis for patients Dementia comes in many forms that can be hard to differentiate. Arriving at an accurate diagnosis without subjecting an already wary patient to unnecessary tests requires clinical acumen. Identifying the correct dementia, and determining a probable prognosis, allows agreement on appropriate management and care with patients and their carers. But how much testing is needed? What do the tests tell you? What management options are available? Dementia provides a progressive approach to help you identify and manage the many forms of this complex and devastating disease. Dr Quinn has assembled a team of expert neurologists and gerontologists to provide the foundation knowledge you need to develop the clinical wisdom for effective dementia care. Dementia clearly explains the diagnosis, investigations and management for Normal pressure hydrocephalus Mild cognitive impairment Alzheimer’s disease Vascular dementia Dementia with Lewy bodies Fronto-temporal dementia Clinical in approach, practical in execution, Dementia helps you diagnose and treat your patients more effectively.
“An actionable framework for driving change.”—Adam Grant Will the next rogue wave sink your ship—or will you choose to profit from it? At this moment, rogue waves are forming under your business. Emerging technologies, changing demographics, the data economy, automation, and other trends—the undercurrents of radical, systemic change—are crashing into each other. When they converge, they’ll produce sea changes that sink companies and wash away entire industries overnight. If your competitor can’t ride out the next wave and you can, you win. In Rogue Waves, Jonathan Brill—a renowned expert on resilient growth and decision making under uncertainty—shows you how to prepare yo...
Includes proceedings of the 54th-55th annual meetings of the association, 1946-47 and proceedings of meetings of various regional psychological associations.
Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiqu...
Cecilia, a fifteenth-century Christian martyr, has long been considered the patron saint of music. In this pathbreaking volume, ten of the best known scholars in the newly emerging field of feminist musicology explore both how gender has helped shape genres and works of music and how music has contributed to prevailing notions of gender. The musical subjects include concert music, both instrumental and vocal, and the vernacular genres of ballads, salon music, and contemporary African American rap. The essays raise issues not only of gender but also of race and class, moving among musical practices of the courtly ruling class and the elite discourse of the twentieth-century modernist movement to practices surrounding marginal girls in Renaissance Venice and the largely white middle-class experiences of magazine and balladry.
This book presents the multiple facets of English as a Medium of Instruction (EMI) in higher education across various academic disciplines, an area that is expected to grow constantly in response to the competitive global higher education market. The studies presented were conducted in various EMI classrooms, with data collected from observing and documenting the teaching activities, and from interviewing or surveying EMI participants. Through data analysis and synthesis, cases across disciplines – from engineering, science, technology, business, social science, medical science, design and arts, to tourism and leisure service sectors – are used to illustrate the various EMI curriculum designs and classroom practices. Although the cases described are limited to Taiwanese institutions, the book bridges the gap between planning and executing EMI programs across academic domains for policy makers, administrators, content teachers, and teacher trainers throughout Asia.