Download or read book Overnight Float written by Clare Munnings and published by Penguin Mass Market. This book was released on 2001 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Voyageurs National Park N P General Management Plan and Visitor Use and Facilities Plan Koochiching and St Louis Counties written by and published by . This book was released on 2001 with total page 550 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 Searching for the Best Medicine written by Arthur Bank and published by World Scientific. This book was released on 2013-04-30 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the life and times of a physician-scientist over the last half-century. Part One is about the author's struggle with colon cancer and the lessons he learnt from the experience; Part Two is about his life growing up, the pretzel bakery, his family, being educated at Bronx Science, Columbia College, Harvard Medical School, and his medical training at the Boston City Hospital and the NIH. Part Three, the major portion of the book, describes the author's experiences as a practicing physician and hematologist at Columbia-Presbyterian Medical Center over 40 years. It also presents his views on what it takes to be a good doctor and to practice good medicine. Part Four is about medicine today, the crisis in medical care and in obtaining affordable health insurance in the United States, and potential solutions to these problems. And finally, it also describes the author's views on how changes in America over the past few decades have transformed our society from that of the meritocracy as known in the early days to that of the present society dominated by financial considerations. Contents:The Doctor as Patient:The Big CGetting BetterGrowing Up:In the BeginningCollege DaysDecisions, DecisionsBasic TrainingDoing Medicine:A Special CallingMaking DiagnosesColumbia-Presbyterian MedicineBecoming a HematologistHematology and OncologyDoing HematologySickle Cell DiseaseSpecial PeopleMedicine Today:The Practice of MedicineThe Business of MedicineSolutionsChanging TimesThe Last Chapter Readership: Educated people with no special medical or scientific training as well as those who do; people who read the New York Times, college and medical students, physicians, nurses, medical personnel as well as people who are just generally interested in medicine. Keywords:Memoir;Medicine;Hematology;Health Care;Medical CareKey Features:A frank account of the life and times of an American physician scientist chronicling how American society has changed over the last half-centuryA frank discussion of a physician's response to his own illnessA detailed discussion of good medical practice in the United States in internal medicine and hematologyReviews: "Arthur writes well, I hope his interesting book gets the broad readership it deserves." Arnold S Relman, MD Professor of Medicine and Professor of Social Medicine, Emeritus Harvard Medical School and the Brigham and Women's Hospital and Former Editor of the New England Journal of Medicine
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-05-27 with total page 323 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
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 By the Bedside of the Patient written by Nortin M. Hadler, M.D. and published by UNC Press Books. This book was released on 2016-01-11 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: In By the Bedside of the Patient, Nortin Hadler places current efforts to reform medical education--from the undergraduate level through residency programs and on to continuing medical education--in historical context. In doing so, he traces the evolution of medical school curricula, residency and fellowship programs, and the clinical practices they promoted. Hadler examines crucial junctures in history to locate the seeds for reform. Some believe that medical education and training should highlight literature, ethics, and culture, while others emphasize science and efficiency to abbreviate the time from entry to licensure. Neither of these approaches, Hadler argues, maintains or improves patient care, which should be at the core of medical education and practice. Hadler contends that most reform attempted thus far constitutes, at best, little more than a reshuffling of the basic curriculum and, at worst, an augmenting of medicine's predilection to measure, grade, and record. Examining generational changes in medical education, Hadler mines sixty years of training and practice to identify mistaken approaches and best practices. Ultimately, in the contemporary era of managed care, Hadler argues for a clinical practice that draws on the best available scientific knowledge, transmits the wisdom of experienced clinicians, reforges an empathetic relationship between physician and patient, and treats each patient as an individual--all centered on restoring the mandate to care.
Download or read book Final Environmental Impact Statement and Comprehensive Management Plan written by and published by . This book was released on 1981 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Gasconade River Missouri Wild and Scenic River Study written by United States. Bureau of Outdoor Recreation and published by . This book was released on 1975 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Fundamentals of Sleep Technology written by Nic Butkov and published by Lippincott Williams & Wilkins. This book was released on 2007 with total page 758 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides a thorough understanding of the use of polysomnography and other technologies in the evaluation and management of sleep disorders. Coverage includes in-depth reviews of the neurophysiology and cardiopulmonary aspects of sleep and the pathophysiology of sleep disorders. Detailed sections on polysomnography include recording procedures, identifying and scoring sleep stages and sleep-related events, and report generation. Chapters discuss therapeutic interventions including positive airway pressure, supplemental oxygen, surgical and pharmacologic treatments, and patient education. A section focuses on pediatric sleep disorders and polysomnography. Also included are chapters on establishing and managing a sleep center and accrediting a sleep program.
Download or read book Moon Glacier National Park written by Becky Lomax and published by Moon Travel. This book was released on 2021-03-30 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through lush green parkland and up to the top of jagged summits, forge your own path with Moon Glacier National Park. Flexible Itineraries: Unique and adventure-packed ideas for day trips, a week on the road, families with kids, wildlife enthusiasts, and more The Best Hikes in Glacier: Individual trail maps, mileage and elevation gains, and backpacking options Experience the Outdoors: Trek through fields of alpine wildflowers and walk beneath waterfalls. Go whitewater rafting, cast a line into the Flathead River for wild trout, or hop on a guided horseback ride. Drive or bike the Going-to-the-Sun Road, take in views of snowy peaks and glaciers, and spot wild moose or grizzlies roaming the mountainside How to Get There: Up-to-date information on gateway towns, park entrances, park fees, and tours Where to Stay: Spend a night in a historic lakeside lodge, or sleep under the stars with campgrounds, resorts, and more both inside and outside the park Planning Tips: When to go, what to pack, safety information, and how to avoid the crowds, with full-color photos and detailed maps throughout Helpful resources on COVID-19 and traveling to Glacier Expertise and Know-How: Explore Glacier with former park guide and Whitefish local Becky Lomax Experience the best of Glacier National Park with Moon. Visiting more of North America's national parks? Try Moon Yellowstone & Grand Teton. Trying to hit them all? Check out Moon USA National Parks.
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 320 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 Sleep Deprivation written by Clete A. Kushida and published by CRC Press. This book was released on 2004-11-16 with total page 618 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the wide array of structures, substances, and environments that are primary factors in the initiation or inhibition of sleep, this reference highlights key findings from respected professionals around the globe on the social and economic burden of impaired performance, productivity, and safety arising from sleep deprivation-studying pharm
Download or read book The Washington Manual Internship Survival Guide written by Thomas M. DeFer and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 258 pages. Available in PDF, EPUB and Kindle. Book excerpt: This small pocket book contains all the essentials that every resident needs to know from day one on the wards. It presents practical, must-have information from the front lines of the wards in an easy-to-use quick reference format.
Download or read book Paddling Montana written by Kit Fischer and published by Rowman & Littlefield. This book was released on 2021-07-15 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Montana’s rivers hold a wealth of riches, and Paddling Montana, fully updated and revised, features over thirty river trips for avid paddlers, floaters, and anglers. History buffs can follow the routes of Lewis and Clark along the Missouri, the Jefferson, the Beaverhead, and the Bitterroot. Whitewater enthusiasts can head for the Gallatin or the Madison’s Beartrap Canyon. Look inside to find: Full-color photos GPS coordinates Detailed river descriptions Maps showing access points and river miles Level of difficulty, optimal flows, rapids, and other hazards Who to call for up-to-the minute information on floating conditions A brief overview of Lewis and Clark’s historic paddle through Montana
