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The training of physicians in the past century was based primarily on responsibility and the chain-of-command. Those with the bulk of that responsibility in the fields of pediatrics and internal medicine were residents. Residents trained the medical students and supervised them carefully in caring for patients. Most attending physicians supervised their teams at arm's length, primarily serving as teachers of the finer points of diagnosis and treatment during set periods of the day or week with a perfunctory signature on write-ups or progress notes. Residents endeavored to protect the attending physician from being heavily involved unless they were unsure about a clinical problem. Before contacting the attending physician, a more senior resident would be called. Responsibility was the ultimate teacher. The introduction of diagnosis-related groups by the federal government dramatically changed the health care delivery system, placing greater emphasis on attending physician visibility in the medical record, ultimately resulting in more attending physician involvement in day-to-day care of patients in academic institutions. Without specified content in attending notes, hospital revenues would decline. Although always in charge technically, attending physicians increasingly have assumed the role once dominated by the resident. Using biographical experiences of more than 40 years, the author acknowledges and praises the educational role of responsibility in his own training and laments its declining role in today's students and house staff.
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In: The journal of negro education: JNE ;a Howard University quarterly review of issues incident to the education of black people, Band 27, Heft 1, S. 84
ISSN: 2167-6437
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Working paper
In: Matatu, Band 47, Heft 1, S. 127-152
ISSN: 1875-7421
Identity-politics refers to the way in which a specific section of a given society agitates for equal rights, increased recognition and greater opportunities based on the specific ethnic, religious, gender or other characteristic that simultaneously binds it together as a social group and sets it apart from other groups. This essay looks at the changing nature of identity-politics in the drama of the contemporary Nigerian dramatist Ahmed Yerima. It argues that the playwright traces crucial shifts in relationships that obtain between and within the individuals and social groups depicted in his plays as part of his overall concern with the nature of society.
Part 4: eParticipation Initiatives and Country Studies ; International audience ; In the context of local civic governance, much of the interest in e-Participation concerns the extent to which online media might overcome the limitations of geography and scale, and so allow local interests to be better represented in institutionally driven participatory processes at national or regional level. In contrast, this study investigates the online deliberations of a local, geographically bounded community in a series of mailing lists that had originated from their own initiative and self-organisation. The interactions we observe challenges assumptions of democratic deliberation as mainly policy debate between citizens and government, or of lobbying administrative government. It also proposes a broader conception of the role of online deliberation in local governance, where instrumental decision-making and developing consensus is frequently over privileged in research.
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Cover -- Praise for Ibtihal Samarayi's -- Title -- Copyright -- Table of Contents -- Acknowledgments -- Foreword -- Author's note -- Prologue -- One -- Two -- Three -- Four -- Five -- Six -- Seven -- Eight -- Nine -- Ten -- Eleven -- Twelve -- Thirteen -- Fourteen -- Epilogue - Australia: "for we are young and free …".
In: Zeitschrift für europäisches Sozial- und Arbeitsrecht: ZESAR, Heft 8
ISSN: 1868-7938, 1864-8479
In: 72 Florida Law Review Forum 171 (2023) (response to John Infranca, Differentiating Exclusionary Tendencies, 72 Fla. L. Rev. 1271 (2020))
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In: Housing, care and support, Band 8, Heft 2, S. 5-9
ISSN: 2042-8375
Bournemouth Churches Housing Association has developed a continuum of accommodation and support services through consultation with residents and local authorities. This is a holistic continuum of services that is designed to be flexible enough to enable residents to move between different services offered as their support needs change. Ultimately, the continuum of support services is intended to empower residents in achieving independent living after moving from fully supported services, to semi‐supported services, to independent accommodation with floating support. It has been possible to develop this range of services by mapping accurately support needs and developing effective professional working relationships with partnership agencies, such as Supporting People Administering Authorities.
In: Territoires: le mensuel de la démocratie locale ; mensuel publié par l'Adels, Heft 406 bis, S. 1-24
ISSN: 0223-5951
World Affairs Online