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Since 2005 a dozen states and more than 15 specialties have reported a physician shortage or anticipate one in the next few years. This anticipated shortage and a worsening of physician distribution are compounded by a projected increased demand for women's healthcare services. Women's healthcare is particularly vulnerable, because the obstetrician-gynecologist workforce is aging and is among the least satisfied medical specialists. Furthermore, fellowship training in women's healthcare in internal medicine and in maternal child health in family and community medicine involves only a small portion of general internists and family physicians. In response to this challenge, the Association of American Medical Colleges called for an expansion of medical schools and graduate medical education enrollments. As we cope with significant and rapid changes in organizations and reimbursement, academic departments of obstetrics and gynecology, family and community medicine, and internal medicine have opportunities to create a unified women's health curriculum for undergraduate students, share preventive health and well-woman expertise in training programs, provide improved continuity of care, instill concepts of lifelong learning to our graduates, and better develop our research programs. This volume's chapters focus on strategic planning on behalf of academic faculty who will train the anticipated additional load of students, residents, and fellows in women's healthcare. -changing demographics of faculty -expanding roles of clinician educators -physician investigators and their future -the hidden value of part-time faculty -faculty salaries -required skillsets of academic leaders -the meaning of tenure and faculty satisfaction and retention. Recommendations presented here from authors with distinguished leadership skills indicate a consensus, but not unanimity. In furthering these goals, we summarize in the final chapter our collective expertise and offer ways to implement recommendations to better prepare for tomorrow's needs in academic women's healthcare.

Heute leben ca. 1,2 Millionen Araber in den anerkannten Staatsgrenzen Israels. Im Gegensatz zu den Palästinensern im Westjordanland und Gazastreifen besitzen sie die israelische Staatsbürgerschaft. Ihr Verhältnis zum israelischen Staat, der sich als Demokratie und Staat des jüdischen Volkes definiert, ist ambivalent. Israel befindet sich seit Jahrzehnten mit den Palästinensern, denen sich viele arabische Staatsbürger Israels verbunden fühlen, in einem kriegsähnlichen Zustand. Die Araber Israels werden daher oft als ""fünfte Kolonne"" des Feindes und nicht als Teil der israelischen Gesellschaft

Hauptbeschreibung: Ziel der Arbeit war es, das Phänomen der gescheiterten Staaten, der so genannten Failed States einer völkerrechtlichen Gesamtbetrachtung zu unterziehen. Ausgehend von dem völkerrechtlichen Staatsbegriff, mussten hierzu im ersten Teil der Arbeit zunächst die Definitionsmerkmale sowie die Rechtspersönlichkeit des gescheiterten Staates untersucht werden, bevor in einem zweiten Teil die Rechtsfolgenseite sowie potentielle Reaktionsmöglichkeiten im Umgang mit Failed States erörtert werden konnten. Als Parameter für eine völkerrechtliche Definition ließ sich über die Abwesenheit e

There is not enough water globally for all the things humans need and want water to do for us. Water supply bubbles are bursting in China, the Middle East and India with potentially serious implications for the global economy and for political stability. Even the United States is depleting groundwater on average 25% faster than it is being replenished. Our thirst for water grows with our population, but the amount of fresh water available on Earth is fixed. If we assume "business as usual" by 2050 about 40% of the projected global population of 9.4 billion is expected to be facing water stress or scarcity. With increasing climate variability being predicted by global climate models, we are likely also to have more people without adequate water more of the time, even in water-rich regions. Irrigation productivity rose dramatically over the past 40 years as a result of the Green Revolution. However, even if we disregard the environmental impacts caused by that revolution, we are no nearer to achieving global food security than we were 40 years ago, as every time we come close to filling the food production gap population growth and ecosystem decline associated with water diversions to human purposes set us back. Our natural and agricultural ecosystems are trying to tell us something. This book pursues these overarching themes connecting to water and food production at global and regional scales. The collection offers a comprehensive discussion of all relevant issues, and offers a wide-ranging discussion with the aim of contributing to the global debate about water and food crises.

The mobilization of militant Indigenous politics is one of the most important stories in Latin American studies today. In this critical work, Kenneth J. Mijeski and Scott H. Beck examine the rise and decline of Ecuador's leading Indigenous party, Pachakutik, as it tried to transform the state into a participative democracy. Using in-depth interviews with political activists, as well as a powerful statistical analysis of election results, the authors show that the political election game failed to advance the causes of Ecuador's poor or the movement's own Indigenous supporters.

Women's status in rural Java can appear contradictory to those both inside and outside the culture. In some ways, women have high status and broad access to resources, but other situations suggest that Javanese women lack real power and autonomy. Javanese women have major responsibilities in supporting their families and controlling household finances. They may also own and manage their own property. Yet these symbols and potential sources of independence and influence are determined by a culturally prescribed, state-reinforced, patriarchal gender ideology that limits women's autonomy. Power,

This paper explores time variation in the dynamic effects of technology shocks on U.S. output, prices, interest rates as well as real and nominal wages. The results indicate considerable time variation in U.S. wage dynamics that can be linked to the monetary policy regime. Before and after the "Great Inflation", nominal wages moved in the same direction as the (required) adjustment of real wages, and in the opposite direction of the price response. During the "Great Inflation", technology shocks in contrast triggered wage-price spirals, moving nominal wages and prices in the same direction at longer horizons, thus counteracting the required adjustment of real wages, amplifying the ultimate repercussions on prices and hence increasing inflation volatility. Using a standard DSGE model, we show that these stylized facts, in particular the estimated magnitudes, can only be explained by assuming a high degree of wage indexation in conjunction with a weak reaction of monetary policy to inflation during the "Great Inflation", and low indexation together with aggressive inflation stabilization of monetary policy before and after this period. This means that the monetary policy regime is not only captured by the parameters of the monetary policy rule, but importantly also by the degree of wage indexation and resultant second round effects in the labor market. Accordingly, the degree of wage indexation is not structural in the sense of Lucas (1976).

We compare the economic consequences of several types of oil shocks across a set of industrialized countries that are structurally very diverse with respect to the role of oil and other forms of energy in their economy. We find considerably different effects across countries, which crucially depend on the underlying source of the oil price shift. For oil demand shocks driven by global economic activity and oil-specific demand shocks, all countries experience respectively a temporary increase and transitory decline of real GDP following the oil price increase. The role of oil and other forms of energy seems not to matter to explain cross-country differences for the consequences of both shocks. This role, however, is very important to explain asymmetries in the effects of exogenous oil supply shocks. Whereas net oil and energy-importing countries all face a permanent fall in economic activity, the impact is insignificant or even positive in net energy-exporting countries. In addition, countries that improved their net energy-position the most over time, became less vulnerable to oil supply and oil-specific demand shocks, relative to other countries

In this paper a novel survey dataset allows us to use a direct measure for credit constraints as well as a direct measure for the innovative activity of a firm to identify the effects of credit constraints on the innovation behaviour of firms. Furthermore, the design of the survey questions and the panel structure of the dataset allow us to avoid problems commonly difficult to solve such as the existence of forward looking adjustments in a world of expectations or mutual causation, and moreover to analyse potential asymmetries in the effects of above average and below average credit conditions. As opposed to many other papers we find clear evidence for a negative effect of credit constraints on the innovative activity of firms. In addition, we find that below average financing conditions restrict innovative activity, while above average financing conditions do not foster it. To explain this novel result we extend the usual theory of innovation activity by rigidities with respect to a firm's individual innovation capacity, which leads to a differentiation between a long run and a short run equilibrium in innovative output

When agents are liquidity constrained, two options exist - sell assets or borrow. We compare the allocations arising in two economies: in one, agents can sell government (outside) bonds and in the other they can borrow by issuing (inside) bonds. All transactions are voluntary, implying no taxation or forced redemption of private debt. We show that any allocation in the economy with inside bonds can be replicated in the economy with outside bonds but that the converse is not true. However, the optimal policy in each economy makes the allocations equivalent.

An increasing number of central banks implement monetary policy via two standing facilities: a lending facility and a deposit facility. In this paper we show that it is socially optimal to implement a non-zero interest rate spread. We prove this result in a dynamic general equilibrium model where market participants have heterogeneous liquidity needs and where the central bank requires government bonds as collateral. We also calibrate the model and discuss the behavior of the money market rate and the volumes traded at the ECB's deposit and lending facilities in response to the recent financial crisis.

In this paper we re-consider the effects of monetary policy shocks on exchange rates and forward premia. In the recent empirical literature, these effects have been predominantly described as puzzling, in that they would include delayed overshooting of the exchange rate as well as persistent deviations from uncovered interest parity. We specify an empirical model that in particular (i) allows for simultaneous multi-country adjustments in response to monetary policy shocks, and (ii) takes advantage of the identifying restrictions for monetary policy shocks implied by empirically supported long-run relations between the macroeconomic variables under consideration. Using monthly data from 1978 to 2006 for a panel of nine industrial economies (Australia, Canada, France, Germany, Italy, Japan, New Zealand, United Kingdom, and the United States), we find that U.S. Dollar effective and bilateral real exchange rates appreciate on impact after a contractionary U.S. monetary policy shock, and that there is no delay in the overshooting of the U.S. Dollar. Furthermore, there is no persistent significant forward premium. These results are consistent with the real exchange rate effects of monetary policy shocks in sticky price macroeconomic models, though the results of this paper also suggest that the latter models should be specified so as to capture simultaneous multi-country adjustments to shocks.