Writing Contest Winners Reasons Why Doctors Write Why We Need
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Basch Unbound—The House of God and Fiction As Resistance at 40
THE ARTS AND MEDICINE Basch Unbound—The House of God and Fiction as Resistance at 40 Stephen Bergman, MD, DPhil here’s a saying you should read nonfiction for facts demic and clinical careers. The Fat Man—the senior resident and fiction for the truth. The novel The House of God who teaches Roy Basch (a thinly veiled version of me), the T is a true account of my internship experience at moral center of the novel, and ultimately its hero—is an ex- Beth Israel Hospital (the BI) in 1973-1974. The book has sold ception. A literary invention, he seemed to write himself, 3 million copies to date and his sausage fingers on my typewriter keys, so buoyant, so funny, counting, popular because so wise. A measure of the success of the character is that Related article of its authentic portrayal of I hear of Fat Man sightings all over the world, from Iowa to medicine and postgraduate Australia, to this day. Casual readers may be turned off by his training, its rowdy sex and greed and ambitions for the “Big Fortoona.”But those who stick Video bawdy comedy, and its char- with him learn it’s all a put-on, a way of using the language of acters’ (my friends’) attempt to stay human and honor our money, which now more than ever is coursing through health patients’ humanity in a dehumanizing year. care, to disarm his interns, create connections with and be- I previously described why I wrote it.1 I knew before tween them, and teach them what is important in patient- and medical school I wanted to be a writer, but I wanted to make self-care. -
2014-2018 SRP Faculty and WUSM Med Students (488) 2014-2018 SRP List WUSM OMSR July 2018
2014-2018 SRP Faculty and WUSM Med Students (488) 2014-2018 SRP List WUSM OMSR July 2018 SRP Faculty SRP Faculty SRP SRP Faculty Faculty Research Interest Student LN Student FN SRP Research Project SRP FIHTM LN FN Faculty Division year Dept Abendschein Dana Medicine Cardiology Role of Coagulation Proteases & Karlow Nicholas Targeting the Antithrombotic 2015 Inflammatory Molecules in Vascular Effect of Human Apyrase Remodeling Directly to the Site of Arterial Thrombosis Abraham Christopher Radiation Clinical Brain metastases, stereotactic Bhat Nisha Predictors of Discovery of 2018 Oncology Divisions radiosurgery, and palliative care. Previously Undetected Brain Metastases at the Time of Gamma Knife Radiosurgery Akinwande Olaguoke Radiology Interventional oncology, bariatric Atagu Norman Construction of a predictive 2018 embolization. model for future liver remnant hypertrophy after portal vein embolization Anadkat Milan Medicine Dermatolog Dermatology; Blood Pokala Naveen Clinical Findings in Cutaneous 2015 y Graft vs Host Disease Ances Beau Neurology Developing Structural and Functional Deliz Juan Personality and Resting-State 2016 Neuroimaging Biomarkers of Normal Gonzalez Functional Connectivity in the Aging and Neurodegeneration; Setting of Alzheimer's Disease Therapeutic Interventions to Improve Neurocognitive Deficits Associated with Neurodegenerative Disorders Anokhin Andrey Psychiatry Substance Abuse; Genetic & Mulvey Bernard Neurocognition, Genetics, and 2014 Neurobiological Bases of Human Adolescent Substance Abuse Individual -
Covid-19 Sentinel Hospital Surveillance for Hcws Report
COVID-19 Sentinel Hospital Surveillance Weekly Update on Hospitalized HCWs Update: Week 37, 2020 Compiled by: Epidemiology and Surveillance Division National Institute for Occupational Health 25 Hospital Street, Constitution Hill, Johannesburg This report summarises data of COVID-19 cases admitted to sentinel hospital surveillance sites in all 1 provinces. The report is based on data collected from 5 March to 12 September 2020 on the DATCOV platform. HIGHLIGHTS As of 12 September 2020, 2 811 (4.2%) of the 66 920 COVID-19 hospital admissions recorded on the DATCOV surveillance database, were health care workers (HCWs), reported from 253 facilities (87 public-sector and 166 private-sector) in all nine provinces of South Africa. Among 885/2811 (31.5%) HCWs with available data on type of work, 430/885 (50.1%) were nurses, 165/885 (19.2%) were categorized as other HCWs, 119/885 (13.4%) porters or administrators, 65/885 (7.6%) allied HCWs, 56/885 (6.5%) doctors, 16/885 (1.9%) paramedics, and 7/885 (0.8%) laboratory scientists. There was an increase of 125 new HCW admissions since week 36. There were 407 (14.5%) and 2404 (85.5%) admissions reported in the public and private sector, respectively. The majority of HCW admissions were reported in Gauteng (869, 30.9%), KwaZulu-Natal (697, 24.8%), Eastern Cape (490, 17.3%) and Western Cape (290, 10.3%). The median age of COVID-19 HCW admissions was 49 years, there were 556 (19.8%) admissions in HCWs aged 60 years and older. A total of 2000 (71.2%) were female. -
Covid-19 Sentinel Hospital Surveillance for Hcws Report
COVID-19 Sentinel Hospital Surveillance Weekly Update on Hospitalized HCWs Update: Week 34, 2020 Compiled by: Epidemiology and Surveillance Division National Institute for Occupational Health 25 Hospital Street, Constitution Hill, Johannesburg This report summarises data of COVID-19 cases admitted to sentinel hospital surveillance sites in all 1 provinces. The report is based on data collected from 5 March to 22 August 2020 on the DATCOV platform. HIGHLIGHTS As of 22 August 2020, 2 481 (4.2%) of the 58 594 COVID-19 hospital admissions recorded on the DATCOV surveillance database, were health care workers (HCWs), reported from 245 facilities (71 public-sector and 174 private-sector) in all nine provinces of South Africa. Among 701/2481 (28.3%) HCWs with available data on type of work, 335/701 (47.8%) were nurses, 171/701 (24.4%) were categorized as other HCWs, 88/701 (12.5%) porters or administrators, 47/701 (6.7%) allied HCWs, 37/701 (5.3%) doctors, 16/701 (2.3%) paramedics, and 7/701 (1.0%) laboratory scientists. There was an increase of 261 new HCW admissions since week 33. Notably, 185/261 HCW admissions were retrospectively captured into the DATCOV system and are not real-time admissions from the last week. There were 299 (12.1%) and 2182 (87.9%) admissions reported in the public and private sector, respectively. The majority of HCW admissions were reported in Gauteng (778, 31.4%), KwaZulu-Natal (606, 24.4%), Eastern Cape (395, 15.9%) and Western Cape (276, 11.1%). The median age of COVID-19 HCW admissions was 49 years, there were 440 (17.7%) admissions in HCWs aged 60 years and older. -
Covid-19 Sentinel Hospital Surveillance for Hcws Report
COVID-19 Sentinel Hospital Surveillance Weekly Update on Hospitalized HCWs Update: Week 35, 2020 Compiled by: Epidemiology and Surveillance Division National Institute for Occupational Health 25 Hospital Street, Constitution Hill, Johannesburg This report summarises data of COVID-19 cases admitted to sentinel hospital surveillance sites in all 1 provinces. The report is based on data collected from 5 March to 29 August 2020 on the DATCOV platform. HIGHLIGHTS As of 29 August 2020, 2 529 (4.1%) of the 61 599 COVID-19 hospital admissions recorded on the DATCOV surveillance database, were health care workers (HCWs), reported from 248 facilities (74 public-sector and 174 private-sector) in all nine provinces of South Africa. Among 751/2529 (29.7%) HCWs with available data on type of work, 368/751 (49.0%) were nurses, 169/751 (22.5%) were categorized as other HCWs, 95/751 (12.6%) porters or administrators, 50/751 (6.7%) allied HCWs, 47/751 (6.3%) doctors, 15/751 (2.0%) paramedics, and 7/751 (0.9%) laboratory scientists. There was an increase of 48 new HCW admissions since week 34. There were 321 (12.1%) and 2208 (87.3%) admissions reported in the public and private sector, respectively. The majority of HCW admissions were reported in Gauteng (787, 31.1%), followed by KwaZulu-Natal (612, 24.2%), Eastern Cape (414, 16.4%) and Western Cape (278, 11.0%). The median age of COVID-19 HCW admissions was 49 years, there were 447 (17.7%) admissions in HCWs aged 60 years and older. A total of 1808 (71.5%) were female. -
Health Professions Act: List of Approved Facilities for the Purposes
STAATSKOERANT, 16 OKTOBER 2013 No. 36936 39 No. 791 16 October 2013 HEALTH PROFESSIONS ACT, 1974 (ACT NO. 56 OF 1974) LIST OF APPROVED FACILITIES FOR THE PURPOSES OF PERFORMING COMMUNITY SERVICE BY MEDICAL PRACTITIONERS IN THE YEAR 2014 The Minister of Health has, in terms of regulation 5.1 of the Regulations relating to Performance of Community Service by Persons Registering in terms of the Health Professions Act, 1974 (Act No. 56 of 1974), listed the following approved facilities for purposes of the profession of medicine. PROVINCE REGION/DISTRICT FACILITY EASTERN CAPE Alfred Nzo Khotsong Hospital* Madzikane kaZulu Hospital ** Umzimvubu Cluster Mt Ayliff Hospital** Taylor Bequest Hospital* (Matatiele) Amathole Bhisho CHH Cathcart Hospital * Amahlathi/Buffalo City Cecilia Makiwane Hospital Cluster Dimbaza CHC Duncan Village Day Hospital Empilweni Gompo CHC Fort Grey TB Hospital Frere Hospital Grey Hospital * Komga Hospital Nkqubela TB Hospital Nompumelelo Hospital* SS Gida Hospital* Stutterheim FPA Hospital* Mnquma Sub-District Butterworth Hospital* Nqgamakwe CHC* Nkonkobe Sub-District Adelaide FPA Hospital Tower Hospital* Victoria Hospital * Mbashe /KSD District Elliotdale CHC* Idutywa CHC* Madwaleni Hospital* Chris Hani All Saints Hospital** Engcobo/IntsikaYethu Cofimvaba Hospital** Martjie Venter FPA Hospital This gazette is also available free online at www.gpwonline.co.za 40 No. 36936 GOVERNMENT GAZETTE, 16 OCTOBER 2013 Sub-District Mjanyana Hospital * InxubaYethembaSub-Cradock Hospital** Wilhelm Stahl Hospital** District Inkwanca -
Tech in the Suburbs March 14, 2018
Tech in the Suburbs March 14, 2018 Mary Wussow, Branch Manager Dakota County Library – Wescott Goals of Class To share ideas of To suggest programs, To suggest reaching out To encourage library science & technology services & to potential community staff to dream small or programs for all ages & equipment/software partners for sources of big and to think outside to inspire library staff for a variety of price expertise, funding and the box to branch out ranges teachers or volunteers Areas covered Equipment, Programs Software & Kits Funding & Community Support Not included Specific details of presenting the programs Technical ‘how-to’ steps (Can put you in touch with librarians who have offered the programs) Programs Big Truck Day (Truck ‘Petting Zoo’) City & County Fire Truck Trucks: Snowplow & other Police Car maintenance vehicles Homeschool Science/STEAM on Saturdays (Youth) Look at local Average cost: $250. community or 4-year Less expensive Some free. Some colleges to see if they alternatives: higher priced. have someone to do the program for free Check with any local Find hands-on STEM high-tech company to activities on the see if they have an Internet and librarians expert who might do a teach programs and/or program show videos Homeschool Science/STEAM on Saturdays (Youth) Homeschool Science programs offered once monthly on a weekday during the school year. STEAM on Saturdays is often a repeat of Homeschool Science but offered Saturday once monthly on a Saturday afternoon. Presenters: . Mad Science . 3M Visiting Wizards . Raptor Center . Leonardo’s Basement . Minnesota Zoo . The Works . Science Museum of Minnesota . Rich Valley Radio Controlled . -
Groups Split on Prop 8 Repeal Time
THE VOICE OF CHICAGO’S GAY, LESBIAN, BI AND TRANS COMMUNITY SINCE 1985 Aug. 19, 2009 • vol 24 no 46 www.WindyCityMediaGroup.com Groups split on Prop 8 repeal time BY REX WOCKNER “There’s no question that the community is, EQCA Executive Director Geoff Kors said that Clinton Rues you know, not unified behind one position and “if (other) people want to move forward with DOMA, DADT page 4 Equality California said Aug. 12 that it does not we really feel that we ... owe the LGBT commu- 2010, they’re welcome to it.” support returning to the ballot to try to repeal nity and our allies our best analysis,” Solomon “It’s a democracy and a free country,” Kors Proposition 8 until 2012. said. “We’d be leading people down a path that I said. “If something qualifies, we will support it Other groups are preparing for a 2010 ballot don’t feel comfortable leading them down (if we (but) we think we have one shot over these next fight. They include the Courage Campaign, Love supported 2010). It’s our job to say, ‘We think elections. ... We’ve come to a different conclu- Honor Cherish, Los Angeles’ Stonewall Demo- this 38-month path is the right path.’” sion than other organizations. ... We’re going to cratic Club and at least 40 other organizations. Solomon said the next ballot fight will cost do this right and smart and strategically.” “Donors want to make sure their investments “$40 million to $60 million.” Meanwhile, the Courage Campaign announced to win back marriage are wisely invested,” EQCA “Californians have been static on the issue of Aug. -
Virtual Mentor American Medical Association Journal of Ethics
Virtual Mentor American Medical Association Journal of Ethics July 2011, Volume 13, Number 7: 417-520. Physician-Authors From the Editor Healing Narrative—Ethics and Writing about Patients 420 Rimma Osipov Educating for Professionalism Clinical Cases Case Studies and the Therapeutic Relationship 425 Commentary by Ronald Pies and Judy L. Kantrowitz Ethics, Memoir, and Medicine 435 Commentary by Jack Coulehan Anonymous Physician Blogging 440 Commentary by Bryan S. Vartabedian, Emily Amos, and Jay Baruch Conley Ethics Essay Contest Winning Essay: Social (Networking) Justice 448 Russell J. Coletti Runner-Up Essay: Social Roles and Semi-Public Spaces on the Internet—The Case of Jason and Emily 454 Christopher Langston Runner-Up Essay: Jason’s Journal—Thoughts of an Ethically Conflicted Medical Student 461 Ankoor Shah Medical Education Medical Students Learn to Tell Stories about Their Patients and Themselves 466 Johanna Shapiro, Elena Bezzubova, and Ronald Koons Multiple Exposures—Reflective Writing in the First Year of Medical School 471 Martin Kohn, Janine Bernardo, Daniel Huck, and Eric Coble www.virtualmentor.org Virtual Mentor, July 2011—Vol 13 417 The Code Says AMA Code of Medical Ethics’ Opinions on Confidentiality of Patient Information 475 Journal Discussion The Poetry of John Stone, MD 478 Angeline L. Wang Clinical Pearl The Art of Writing Patient Record Notes 482 Thomas Robey Law, Policy, and Society Health Law When Doctors Pick up the Pen—Patient-Doctor Confidentiality Breaches in Publishing 485 Valarie Blake Policy Forum A Delicate Balance—Ethical Standards for Physician-Journalists 490 Tom Linden Medicine and Society Vulnerability in Physicians’ Narratives 494 Susan Sample History, Art, and Narrative Medical Narrative The House of God: Is It Pertinent 30 Years Later? 499 Howard Brody Op-Ed and Correspondence Op-Ed The Case History and Deferred Pain 503 G. -
39070 7-8 Health
Government Gazette Staatskoerant REPUBLIC OF SOUTH AFRICA REPUBLIEK VAN SUID AFRIKA Regulation Gazette No. 10177 Regulasiekoerant August Vol. 602 6 2015 No. 39070 Augustus PART 1 OF 2 ISSN 1682-5843 N.B. The Government Printing Works will 39070 not be held responsible for the quality of “Hard Copies” or “Electronic Files” submitted for publication purposes 9 771682 584003 AIDS HELPLINE: 0800-0123-22 Prevention is the cure 2 No. 39070 GOVERNMENT GAZETTE, 6 AUGUST 2015 IMPORTANT I nfarmai,o-w from Government Printing Works Dear Valued Customers, Government Printing Works has implemented rules for completing and submitting the electronic Adobe Forms when you, the customer, submits your notice request. Please take note of these guidelines when completing your form. GPW Business Rules 1. No hand written notices will be accepted for processing, this includes Adobe ,-..,. forms which have been completed by hand. 2. Notices can only be submitted in Adobe electronic form format to the email submission address submit.egazette @gpw.gov.za. This means that any notice submissions not on an Adobe electronic form that are submitted to this mailbox will be rejected. National or Provincial gazette notices, where the Z95 or Z95Prov must be an Adobe form but the notice content (body) will be an attachment. 3. Notices brought into GPW by "walk -in" customers on electronic media can only be submitted in Adobe electronic form format. This means that any notice submissions not on an Adobe electronic form that are submitted by the customer on electronic media will be rejected. National or Provincial gazette notices, where the Z95 or Z95Prov must be an Adobe form but the notice content (body) will be an attachment. -
Television's Portrayal of Doctors: Effects on the Public and the Profession
Television’s Portrayal of Doctors Effects on the Public and the Profession John E. Anderson M.D., JHUSOM ’72, JHMI Nephrology retired 2010 Board of Directors Docent Editor of Dials and Channels 2608 Mitchellville Rd, Bowie, MD 20716 NCRTV.ORG Brief History of Television August 26, 1930, Philo T. April 1939 RCAs David Sarnoff World War 2 stops TV’s Farnsworth, a Utah farm announces first commercial commercial development boy: Patent #1,773,980 broadcast TV; settles with for electronic TV Farnsworth for $1,000,000 Medic 1954-55 “The Eye of an Eagle, the Heart of Lion, the Hands of a Woman” Creator James Moser copied the style of his earlier show: Technical accuracy and unquestioned competence and integrity but ignored doctors’ personal lives, weaknesses, or motivations. Medic also established the template that most later doctor shows followed: Hospital-based, acute illnesses resolved in the allotted time. Both had the imprimatur of their professional organizations: the Los Angeles Police Department and the Los Angeles County Medical Society. The latter reviewed all scripts to ensure an idealized presentation of doctors. Dr. Kildare 1961-66 “Three Stars Will Shine Tonight” Dr. Kildare was based on a series of radio shows and movies from the 1930- 40’s. Richard Chamberlin’s Kildare was an imperfect, inexperienced but earnest young doctor mentored by Raymond Massey’s acerbic Dr. Gillispie. Guest stars on Dr. Kildare Eddie Albert Ron Howard Leonard Nimoy Ed Asner Brian Keith Carroll O'Connor Tom Bosley Ted Knight Suzanne Pleshette Robert Culp Harvey Korman Robert Reed Angie Dickinson Carolyn Jones William Shatner Barbara Eden Jack Lord Jean Stapleton Linda Evans Walter Matthau Sam Waterston Peter Falk Gavin McLeod Robert Young ` Ben Casey 1961-66 "Man, Woman, Birth, Death, Infinity!" Vince Edward’s Ben Casey was a brilliant young neurosurgeon, who battled administrators and other doctors to help his patients. -
Man's 4Th Best Hospital by Samuel Shem
Man’s 4th Best Hospital by Samuel Shem: A Review In the late 70s and early 80s I underwent my training in internal medicine at some of the busiest hospitals in New York City. The AIDS epidemic was raging. Poverty, urban decay and crime were taking their tolls. The prevailing ethic was that internship and residency were survival ordeals—a sort of “hazing” ritual to initiate new doctors, and to winnow out the weak. I seldom slept when I was “on call” every third or fourth night. I’d have responsibility for 10-15 severely ill patients by day, 30 to 40 when I covered overnights. My responsibilities included lots of “scut” like drawing blood, moving patients to radiology, and putting in IV lines. There were many times when I felt like the wheels were coming off. Amid this scenario arrived a revolutionary book, deemed illicit and underground at that time. It was so taboo that my professors condemned it and discouraged us from reading it. It was written by a young doctor who even adopted a pseudonym—Samuel Shem—to avoid repercussions to his medical career. That book was The House of God . The House of God detailed the misadventures of a young intern at a fictional hospital modeled after Boston’s Beth Israel. The protagonist is an idealistic young intern, like me, beleaguered by the overwhelming demands of his first year as a doctor. It’s a ludicrously cynical view of medicine, but its dark humor helped sustain me and my overworked colleagues through those challenging years. Shem coined the term GOMER, which stands for Get Out of My Emergency Room, which designated the endless stream of elderly, chronically ill patients who flooded our services.