Download or read book Challenging Operations written by Katherine C. Kellogg and published by University of Chicago Press. This book was released on 2011-07-05 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Download or read book On Call written by Emily R. Transue and published by Macmillan + ORM. This book was released on 2005-07-14 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: On Call begins with a newly-minted doctor checking in for her first day of residency--wearing the long white coat of an MD and being called "Doctor" for the first time. Having studied at Yale and Dartmouth, Dr. Emily Transue arrives in Seattle to start her internship in Internal Medicine just after graduating from medical school. This series of loosely interconnected scenes from the author's medical training concludes her residency three years later. During her first week as a student on the medical wards, Dr. Transue watched someone come into the emergency room in cardiac arrest and die. Nothing like this had ever happened to her before-it was a long way from books and labs. So she began to record her experiences as she gained confidence putting her book knowledge to work. The stories focus on the patients Dr. Transue encountered in the hospital, ER and clinic; some are funny and others tragic. They range in scope from brief interactions in the clinic to prolonged relationships during hospitalization. There is a man newly diagnosed with lung cancer who is lyrical about his life on a sunny island far away, and a woman, just released from a breathing machine after nearly dying, who sits up and demands a cup of coffee. Though the book has a great deal of medical content, the focus is more on the stories of the patients' lives and illnesses and the relationships that developed between the patients and the author, and the way both parties grew in the course of these experiences. Along the way, the book describes the life of a resident physician and reflects on the way the medical system treats both its patients and doctors. On Call provides a window into the experience of patients at critical junctures in life and into the author's own experience as a new member of the medical profession.

Download or read book Intern written by Sandeep Jauhar and published by Farrar, Straus and Giroux. This book was released on 2007-12-26 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intern is Sandeep Jauhar's story of his days and nights in residency at a busy hospital in New York City, a trial that led him to question our every assumption about medical care today. Residency—and especially the first year, called internship—is legendary for its brutality. Working eighty hours or more per week, most new doctors spend their first year asking themselves why they wanted to be doctors in the first place. Jauhar's internship was even more harrowing than most: he switched from physics to medicine in order to follow a more humane calling—only to find that medicine put patients' concerns last. He struggled to find a place among squadrons of cocky residents and doctors. He challenged the practices of the internship in The New York Times, attracting the suspicions of the medical bureaucracy. Then, suddenly stricken, he became a patient himself—and came to see that today's high-tech, high-pressure medicine can be a humane science after all. Now a thriving cardiologist, Jauhar has all the qualities you'd want in your own doctor: expertise, insight, a feel for the human factor, a sense of humor, and a keen awareness of the worries that we all have in common. His beautifully written memoir explains the inner workings of modern medicine with rare candor and insight.

Download or read book Numbered Account written by Christopher Reich and published by Dell. This book was released on 1999-05-17 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: In his explosive debut thriller, Christopher Reich tells the harrowing story of a young man willing to risk everything--his career, his integrity, and even his life--to hunt down his father's killer. Set in the secret, labyrinthine world of Swiss banking, Numbered Account, with its detail and intelligence, could have been written only by an insider--the author himself worked at a major Swiss bank for three years. Former U.S. marine and Harvard Business School graduate Nicholas Neumann seems to have it all: a dream job, a beautiful fiance, a future bright with promise. But beneath the dazzling veneer of this golden boy is a man haunted by the brutal killing of his father seventeen years before. And when new evidence implicates the venerable United Swiss Bank in the crime, Nick finds himself willing to do whatever it takes to uncover the truth. Leaving behind everything he holds dear, Nick takes a job in Zurich with the United Swiss Bank, and is soon plunged into a world where everything--loyalty, power, even life and death--can be bought and sold for the right price. As the secrets of the venerable bank are laid bare, suddenly Nick knows far too much--about the offer he never should have accepted, about the money he never should have handled, about the woman he never should have loved. And as the darkness gathers around him, Nick is faced with a shattering truth: To catch the criminal who murdered his father, he must become a criminal himself. A work of searing intelligence and sheer storytelling genius, Numbered Account is one of those rare thrillers that not only make you sweat, but make you think. BONUS: This edition includes an excerpt from Christopher Reich's The Prince of Risk.

Download or read book Moon Glacier National Park written by Becky Lomax and published by Moon Travel. This book was released on 2017-06-13 with total page 324 pages. Available in PDF, EPUB and Kindle. Book excerpt: Moon Travel Guides: Find Your Adventure Lush green parkland, jagged summits, and glacier-carved basins: forge your own path with Moon Glacier National Park. Inside you'll find: Flexible, strategic itineraries, ranging from one day in the park to a week-long road trip, designed for outdoor adventurers, families, road-trippers, and more The top experiences and unique ideas for exploring the park: Hike verdant valleys, meander fields of alpine wildflowers, and walk beneath frigid waterfalls and over scenic high passes. Go whitewater rafting, cast a line for wild trout into the Flathead River, or hop on a guided horseback ride. Drive or bike the Going-to-Sun-Road, take in views of peaks and glaciers, and spot wild moose or grizzlies roaming the mountainside. Spend a night in a historic lakeside lodge, or set up camp after a day of adventurous backcountry exploring Strategies for getting to Glacier and coverage of gateway cities and towns Expert tips for travelers looking to go hiking, biking, backpacking, fishing, rafting, and more, plus detailed hike descriptions with individual trail maps and backpacking options Valuable insight from seasoned explorer and Glacier local Becky Lomax including avoiding crowds, and exploring Glacier's less-visited areas Honest advice on when to go and where to stay inside the park, including hotels, campgrounds, hostels, and RV sites Full-color, vibrant photos and detailed maps throughout Up-to-date information on park fees, passes, and reservations, plus essential packing and health and safety information, including how to avoid encounters with grizzlies, mountain lions, and other common wildlife Recommendations for families, seniors, international visitors, travelers with disabilities, and traveling with pets Thorough background on the terrain, culture, and the park's history With Moon Glacier National Park's expert advice, myriad activities, and insider perspective, you can plan your trip your way. Hitting the surrounding states? Try Moon Montana & Wyoming or Moon Idaho. For full coverage of America's national parks, check out Moon USA National Parks: The Complete Guide to All 59 National Parks.

Download or read book Canoeing Michigan Rivers written by Jerry Dennis and published by Thunder Bay Press Michigan. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Caution! You may want to paddle every river! Rapid by rapid, rock by rock descriptions of 1500 miles of canoeing opportunities on 45 blue-ribbon rivers by two experts who personally paddled every mile. A wealth of canoeing adventures from placid family floats to blood-curdling whitewater runs. Accurate, easy-to-follow maps show access sites, campgrounds, put-ins/take-outs, roads, bridges. . . and more. Concise, essential call-out data features gradient, rapids and falls, portages, skill required. . . and more. Clear, authoritative descriptions detail lengths, trip times, depth, current, bottom composition, widths, access information, parking facilities, fishing opportunities. . . and more.

Download or read book Wallowa Whitman National Forest N F OR ID Hells Canyon National Recreation Area N R A Snake River Recreation Wild and Scenic River s WSR Management Plan written by and published by . This book was released on 1994 with total page 494 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Code of Federal Regulations written by and published by . This book was released on 1997 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries.

Download or read book The Lower Wisconsin written by United States. National Park Service and published by . This book was released on 1978 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Moon Belize written by Lebawit Lily Girma and published by Moon Travel. This book was released on 2017-10-17 with total page 702 pages. Available in PDF, EPUB and Kindle. Book excerpt: With turquoise waters, dreamlike islands, and pristine rainforests, Belize is a sensory feast: dive in with Moon Belize. Inside you'll find: Flexible, strategic itineraries from one week of highlights to a three-week adventure through the whole country, with tips for outdoor adventurers, archeology aficionados, foodies, and more Unique experiences and can't-miss highlights: Hike rainforests filled with medicinal trees and howler monkeys, snorkel the second-largest (and best preserved) coral reef in the world, or explore ancient Maya ceremonial caves and cool off beneath the waterfalls. Canoe to a farmers' market to sample fresh pupusas and cashew wine, or spend your day at the beach and your night dancing barefoot in the sand to the sound of Garifuna drums Honest advice on when to go, what to pack, and where to stay, from Belize transplant-turned-local Lebawit Lily Girma Full-color photos and detailed maps throughout Handy phrases in Kriol, Garifuna, and Q'eqchi' Mayan Practical background on the landscape, climate, wildlife, and culture Helpful recommendations for health and safety, traveling solo as a woman, getting around with children or as a senior, and suggestions for LGBTQ+ visitors and travelers with disabilities With Moon Belize's expert tips and local insight, you can plan your trip your way. Planning an island getaway? Pick up Moon Belize Cayes. Looking to expand your trip? Try Moon Yucatán Peninsula, Moon Guatemala, or Moon Jamaica.

Download or read book Federal Register written by and published by . This book was released on 2013-12 with total page 708 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Floating Collections written by Wendy K. Bartlett and published by Bloomsbury Publishing USA. This book was released on 2014-01-13 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: This easy-to-use, comprehensive guide shows how to establish a floating collection in any library—regardless of type or size. Despite its increasing popularity, there are few published works about floating and floating collections. Virtually no one has addressed critical long-term issues like core collections, material selection, and weeding after floating has taken place. Floating Collections: A Collection Development Model for Long-Term Success makes all of this urgently needed information available in one place. This unique guidebook defines "floating," explains the pros and cons, explores the impact of floating collections on collection work, and enables readers to establish a floating collection in any library. Not only does this book help librarians to decide rationally if, how, and when to float, it also outlines a how-to process for maximum success based on the real-world experience of many systems and identifies ways to maximize the advantages of a floating collection. In addition, the author addresses common collection concerns and outlines workable solutions for problematic issues that can arise.

Download or read book Title 46 Shipping Parts 90 139 Revised as of October 1 2013 written by Office of The Federal Register, Enhanced by IntraWEB, LLC and published by IntraWEB, LLC and Claitor's Law Publishing. This book was released on 2013-10-01 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: 46 CFR Shipping

Download or read book Residency Coordinator s Handbook written by Inc Hcpro and published by HC Pro, Inc.. This book was released on 2011-03 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Fodor s The Complete Guide to the National Parks of the USA written by Fodor's Travel Guides and published by Fodor's Travel. This book was released on 2021-09-14 with total page 1524 pages. Available in PDF, EPUB and Kindle. Book excerpt: Whether you want to hike through the jaw-dropping scenery of Acadia, see rare wildlife and natural wonders in Yellowstone, or go river-rafting in the Grand Canyon, the local Fodor’s travel experts in all the National Parks are here to help! Fodor’s Complete Guide to the National Parks of the USA is packed with maps, carefully curated recommendations, and everything else you need to simplify your trip-planning process and make the most of your time. This brand new title has been designed with an easy-to-read layout, fresh information, and beautiful color photos. Fodor’s Complete Guide to the National Parks of the USA travel guide includes: AN ILLUSTRATED ULTIMATE EXPERIENCES GUIDE to the top things to see and do MULTIPLE ITINERARIES to effectively organize your days and maximize your time MORE THAN 70 DETAILED MAPS to help you navigate confidently COLOR PHOTOS throughout to spark your wanderlust! HONEST RECOMMENDATIONS FROM LOCALS on the best sights, restaurants, hotels, activities, and more PHOTO-FILLED “BEST OF” FEATURES on “Ultimate Experiences,” “Best Campgrounds,” “Best Lodges,” and more TRIP-PLANNING TOOLS AND PRACTICAL TIPS including when to go, getting around, beating the crowds, and saving time and money HISTORICAL AND CULTURAL INSIGHTS providing rich context on the local people, art, architecture, geography and more SPECIAL FEATURES on “Exploring the Colorado River,” “What to Watch and Read Before You Visit,” and “Yellowstone’s Geothermal Wonders” LOCAL WRITERS to help you find the under-the-radar gems UP-TO-DATE COVERAGE ON: Acadia National Park, Arches National Park, Badlands National Park, Big Bend National Park, Biscayne National Park, Black Canyon of the Gunnison National Park, Bryce Canyon National Park, Canyonlands National Park, Capitol Reef National Park, Carlsbad Caverns National Park, Channel Islands National Park, Congaree National Park, Crater Lake National Park, Cuyahoga Valley National Park, Death Valley National Park, Denali National Park, Dry Tortugas National Park, Everglades National Park, Gates of the Arctic & Kobuk Valley National Park, Gateway Arch National Park, Glacier Bay National Park, Glacier & Waterton Lakes National Parks, Grand Canyon National Park, Grand Teton National Park, Great Basin National Park, Great Sand Dunes National Park, Great Smoky Mountains National Park, Guadalupe Mountains National Park, Haleakala National Park, Hawaii Volcanoes National Park, Hot Springs National Park, Indiana Dunes National Park, Isle Royale National Park, Joshua Tree National Park, Katmai National Park, Kenai Fjords National Park, Lake Clark National Park, Lassen Volcanic National Park, Mammoth Cave National Park, Mesa Verde National Park, Mount Rainier National Park, National Park of American Samoa, New River Gorge Park and Preserve, North Cascades National Park, Olympic National Park, Petrified Forest National Park, Pinnacles National Park, Redwood National and State Parks, Rocky Mountain National Park, Saguaro National Park, Sequoia & Kings Canyon National Parks, Shenandoah National Parks, Theodore Roosevelt National Park, Virgin Islands National Parks, Voyageurs National Parks, White Sands National Park, Wind Cave National Park, Wrangell-St. Elias National Park, Yosemite National Park, Yellowstone National Park, Zion National Park Planning on spending more time in any of the states? Check out Fodor’s Arizona and the Grand Canyon, Fodor’s California, Fodor's Colorado, Fodor’s Florida, Fodor’s Essential Hawaii, Fodor’s Maine, Vermont, and New Hampshire, Fodor's U.S. & British Virgin Islands, Compass Yellowstone National Park, Compass Yosemite and Sequoia/Kings Canyon National Parks, and Fodor's InFocus Smoky Mountains. *Important note for digital editions: The digital edition of this guide does not contain all the images or text included in the physical edition. ABOUT FODOR'S AUTHORS: Each Fodor's Travel Guide is researched and written by local experts. Fodor’s has been offering expert advice for all tastes and budgets for over 80 years. For more travel inspiration, you can sign up for our travel newsletter at fodors.com/newsletter/signup, or follow us @FodorsTravel on Facebook, Instagram, and Twitter. We invite you to join our friendly community of travel experts at fodors.com/community to ask any other questions and share your experience with us!

Download or read book Field Stream written by and published by . This book was released on 1986-05 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: FIELD & STREAM, America’s largest outdoor sports magazine, celebrates the outdoor experience with great stories, compelling photography, and sound advice while honoring the traditions hunters and fishermen have passed down for generations.

Download or read book Field Stream written by and published by . This book was released on 1986-05 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: FIELD & STREAM, America’s largest outdoor sports magazine, celebrates the outdoor experience with great stories, compelling photography, and sound advice while honoring the traditions hunters and fishermen have passed down for generations.