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What forces lead to changes in governance among medical schools and their associated teaching hospitals? To what extent do such changes affect how well those schools and hospitals do their work? In this book, John A. Kastor, M.D., focuses on the academic medical centers of the University of Pennsylvania and the Johns Hopkins University, two institutions that underwent dramatic change in governance during the late 1990s. Drawing on extensive interviews with more than three hundred administrators, physicians, and other medical professionals at Penn, Hopkins, and elsewhere, Kastor identifies the factors that influenced changes in governance at these two institutions. Chief among these, he finds, are structure, personality conflicts, and current events. This book will be of interest to administrators of teaching hospitals as well as professionals in health policy and management.
Scrutinizes the contentious ideological feuds in American academia during the 1980s and 1990s
Argues that critics have misunderstood the relationship between male playwrights and women's roles because they have neglected the interpretive skills of the actresses playing those roles. Analyzes hypothetical as well as historical performances to demonstrate how women have invented acting styles to portray women created by playwrights from Ibsen to Beckett. Annotation copyright by Book News, Inc., Portland, OR
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The author offers a look at depression in which he draws on his own battle with the illness and interviews with fellow sufferers, researchers, doctors, and others to assess the complexities of the disease, its causes and symptoms, and available therapies. This book examines depression in personal, cultural, and scientific terms. He confronts the challenge of defining the illness and describes the vast range of available medications, the efficacy of alternative treatments, and the impact the malady has on various demographic populations, around the world and throughout history. He also explores the thorny patch of moral and ethical questions posed by emerging biological explanations for mental illness. He takes readers on a journey into the most pervasive of family secrets and contributes to our understanding not only of mental illness but also of the human condition.
Apathy and antipathy toward politics are epidemic. Citizen Democracy provides the antidote. In this revised and updated edition, Stephen E. Frantzich portrays citizens from every walk of life—rich and poor, old and young, black and white, male and female, left and right, famous and obscure—as they choose to become involved in politics at a level to which readers can relate. Some of the stories contain unexpected twists. Candy Lightner, the founder of Mothers Against Drunk Driving, now works as a liquor industry lobbyist and argues that MADD has gone too far. College freshman Gregory Watson reacted to receiving a OCO on a political science paper by quitting school and becoming the driving...
Why would a university renowned for its school of medicine ever sell its teaching hospital? In his newest book, Dr. John A. Kastor presents an insider’s view of why university medical centers decide to sell teaching hospitals, why the decision might be a good one, and how such transitions are received by the faculty and administration. Kastor tells the story of two universities that, under financial duress for more than a decade, chose to sell their teaching hospitals. George Washington University sold to a national, for-profit corporation, Universal Health Services, Inc., and Georgetown University sold to a not-for-profit, local company, MedStar Health. Through interviews with key players involved in and affected by these decisions, Kastor examines the advantages and disadvantages of selling and describes the problems that can afflict medical schools that separate from their faculty practice plans. For the current leaders of medical schools facing similar financial challenges, Kastor analyzes how much it costs to teach clinical medicine and offers valuable advice on how to reduce expenses and increase surpluses.
The complexity of the interplay and relationships over various borders in medieval Europe is here fully teased out. The processes by which ideas, objects, texts and political thought and experience moved across boundaries in the Middle Ages form the focus of this book, which also seeks to reassess the nature of the boundaries themselves; it thus appropriately reflects a major theme of Dr Malcolm Vale's work, which the essays collected here honour. They suggest ways of breaking down established historiographical paradigms of Europe as a set of distinct polities, achieving a more nuanced picture in which people and objects were constantly moving, and challenging previous conceptions of units a...
The story of a poor man and radical activist who fought to revive the French Revolution, and whose failure heralded the republic’s defeat “Very much a book for our times. Mason’s retelling of the trial of Gracchus Babeuf and the French Revolution shows how democracies end. Historians of revolutions and all those concerned with the arc of social justice movements have much to learn from this remarkable story.”—Sophia Rosenfeld, University of Pennsylvania Laura Mason tells a new story about the French Revolution by exploring the trial of Gracchus Babeuf. Named by Karl Marx and Friedrich Engels as the “first modern communist,” Babeuf was a poor man, an autodidact, and an activist ...