CAREER GUIDE for RESIDENTS
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CAREER GUIDE for RESIDENTS
Winter 2017 CAREER GUIDE for RESIDENTS Featuring: • Finding a job that fits • Fixing the system to fight burnout • Understanding nocturnists • A shift in hospital-physician affiliations • Taking communication skills seriously • Millennials, the same doctors in a changed environment • Negotiating an Employment Contract Create your legacy Hospitalists Legacy Health Portland, Oregon At Legacy Health, our legacy is doing what’s best for our patients, our people, our community and our world. Our fundamental responsibility is to improve the health of everyone and everything we touch–to create a legacy that truly lives on. Ours is a legacy of health and community. Of respect and responsibility. Of quality and innovation. It’s the legacy we create every day at Legacy Health. And, if you join our team, it’s yours. Located in the beautiful Pacific Northwest, Legacy is currently seeking experienced Hospitalists to join our dynamic and well established yet expanding Hospitalist Program. Enjoy unique staffing and flexible scheduling with easy access to a wide variety of specialists. You’ll have the opportunity to participate in inpatient care and teaching of medical residents and interns. Successful candidates will have the following education and experience: • Graduate of four-year U.S. Medical School or equivalent • Residency completed in IM or FP • Board Certified in IM or FP • Clinical experience in IM or FP • Board eligible or board certified in IM or FP The spectacular Columbia River Gorge and majestic Cascade Mountains surround Portland. The beautiful ocean beaches of the northwest and fantastic skiing at Mt. Hood are within a 90-minute drive. The temperate four-season climate, spectacular views and abundance of cultural and outdoor activities, along with five-star restaurants, sporting attractions, and outstanding schools, make Portland an ideal place to live. -
The Provision of American Medical Services at Or Via Southampton During WWII
The Provision of D-Day: American Medical Stories Services at or via from Southampton the Walls during WWII During the Maritime Archaeology Trust’s National Lottery Heritage Funded D-Day Stories from the Walls project, volunteers undertook online research into topics and themes linked to D-Day, Southampton, ships and people during the Second World War. Their findings were used to support project outreach and dissemination. This Research Article was undertaken by one of our volunteers and represents many hours of hard and diligent work. We would like to take this opportunity to thank all our amazing volunteers. Every effort has been made to trace the copyright hold-ers and obtain permission to reproduce this material. Please do get in touch with any enquiries or any information relating to any images or the rights holder. The Provision of American Medical Services at or via Southampton during WWII Contents Introduction ..................................................................................................................................... 2 Planning for D-Day and Subsequently ............................................................................................. 2 Royal Victoria Hospital, Netley near Southampton ......................................................................... 3 Hospital Trains .................................................................................................................................. 5 Medical Services associated with 14th Port ................................................................................... -
B-170847 Use of Ambulance Trains and Assigned Personnel
r-i I 0 L COMPTROLLER GENERAL OF THE UNITED STATES WASHINGTON. D.C. 20548 B- 170 847 Dear Senator Proxmire : This is our report on the use of ambulance trains and assigned personnel. We made the review in response to your request of September 15, 1970. We plan to make no further distribution of the report un- less copies are specifically requested, and then we shall make distribution only after your agreement has been obtained or public announdement has been made by you concerning the contents of the report. Sincerely yours, Comptroller General of the United States The Honorable William Proxmire United States Senate 50TH ANNIVERSARY 1921- 1971 I I I I I I COMPTROLLERGENERAL'S REPORT TO USE OF AMBULANCE TRAINS AND I I THE HONORABLEWILLIAM PROXMIRE ASSIGNEDPERSONNEL I UNITED STATESSENATE Department of the Army B-170847 I I I I I ------DIGEST I I I I WHYTHE REVIEW WASMADE I I I By letter dated September 15, 1970, Senator William Proxmire requested I the General Accounting Office (GAO) to ascertain the correctness of in- I I formation furnished to him concerning an Army hospital train--the 22d I Medical Ambulance Train--while it was stationed at Walson Army Hospital, I Fort Dix, New I Jersey. (See app. I.) The information concerned the I train's movement, the activities of the medical corpsmen and other per- I so-@ assigned to it, and the cost of the train. I --.I.-A-c_a, 4 ..Cli,_, r,_ __l _ _ -~ I I I FINDINGS AND CONCLUSIONS I I I The Office of the Surgeon GeneraJ of the Army said that the train was I I activated to transport patients between Walson Army Hospital and Val- I ley Forge General Hospital, Pennsylvania; to give personnel training I and for contingent mo~f~;"~~ff~.&"ij"n-pur- I in ambulance train operations; I -Some personnel at Fort Dix and in the Office of the Surgeon Gen- I mxpressed doubt that the train was intended to be used to transport I I patients to Valley Forge General Hospital (See pp. -
Operation Just Cause, the Joint Military Incursion in the Republic Of
1990 - 1999 Students training on the new TAMMIS system (U.S. ArmyPhoto) peration Just Cause, the joint military incursion in the Republic of Panama, continued, although fighting throughout Othe country had subsided. Fort Sam Houston and San Antonio Joint Medical Command were alerted on 19 December to activate their contingency plans for support and prepare to receive large numbers of casualties. BAMC received 43 casualties during the conflict and, fortunately, all injuries were diagnosed as minor. All of FSH played a major role in ensuring soldiers in combat support readiness roles were prepared to respond in whatever capacity necessary. (“Panama: FSH Responds to Major Crisis,” News Leader, 5 Jan 1990) A new “tool” traveled with the 41st Combat Support Hospital during a week of training at Camp Bullis. The new tool was a computer program that became part of the Theater Army Medical Management Informa- tion System (TAMMIS). TAMMIS enhanced health care combat sup- port hospitals by assisting medical personnel in the management and On June 15, a proposal was authorized to commission all warrant offi- accountability of patients and logistics. It had an automated, on-line cers who served as active duty physicians assistants. Awaiting congres- interactive microcomputer system that assisted units by providing ac- sional approval, the legislative change allowed PAs to join the Army curate and timely medical information in blood management, patient Medical Service Corps and to apply constructive service credits when accounting and reporting, supply maintenance, and optical fabrication. converting to commissioning. The change was made in hopes of mak- ing the Army more competitive, and of recruiting and retaining quality (“Computer Program Provides Army with Pertinent Soldier Information,” News Leader, 9 Feb 1990) physician assistants. -
Georgia Trauma System Regionalization Pilot Project Evaluation
Georgia Trauma System Regionalization Pilot Project Evaluation December 2012 Prepared by Public Health Consultants, LLC for the Report approved by the Georgia Trauma Commission on June 18, 2013 Georgia Trauma System Regionalization Pilot Project Evaluation I. Executive Summary……………………………………………………………….1 II. Overview and Context…………………………………………………………….2 III. Evaluation Methodology………………………………………………………….5 IV. Evaluation Results………………………………………………………………...8 V. References………………………………………………………………………..17 Appendices: A. Interview Results by Region a. Region V……………………………………………………………..19 b. Region VI…………………………………………………………….29 c. Region IX…………………………………………………………….38 d. Statewide Stakeholders………………………………………………45 B. Interviewee Names…………………………………………………………..51 C. Interview Questions………………………………………………………….52 D. Glossary……………………………………………………………………...53 I. Executive Summary In 2007, the Georgia Legislature through Senate Bill 60 established the Georgia Trauma Care Network Commission, also known as the Georgia Trauma Commission (GTC). The GTC has the responsibility to establish, maintain and administer a trauma center network and to coordinate the best use of existing trauma facilities in Georgia. 1 Following a Georgia trauma system review by the American College of Surgeons’ Trauma System Consultation Program in January 2009, the GTC identified the need for both a comprehensive state trauma system plan and for a statewide trauma communications system. In 2009, the GTC developed the "Regional Trauma System Planning Framework" and a plan to test that framework through a pilot project ("Pilot Project for Georgia Trauma System Regionalization, White Paper"). The pilot project tested the framework as a regional trauma plan development guide and was the opportunity for the GTC to operationalize the Statewide Trauma Communications Center. In 2011, the pilot project was funded and was implemented in three of the state's 10 EMS regions (Regions V, VI and IX). -
Hospital Ships That Docked in Southampton
D-Day: Hospital Ships that Stories Docked in from Southampton the Walls During the Maritime Archaeology Trust’s National Lottery Heritage Funded D-Day Stories from the Walls project, volunteers undertook online research into topics and themes linked to D-Day, Southampton, ships and people during the Second World War. Their findings were used to support project outreach and dissemination. This Research Article was undertaken by one of our volunteers and represents many hours of hard and diligent work. We would like to take this opportunity to thank all our amazing volunteers. Every effort has been made to trace the copyright hold- ers and obtain permission to reproduce this material. Please do get in touch with any enquiries or any information relating to any images or the rights holder. D-Day Stories from the Walls: Hospital Ships that Docked at Southampton ____________________________________________________________________________________________________ Notes on a Selection of Hospital Ships which Docked at Southampton Contents Introduction ........................................................................................................................................ 2 HMHS Dinard ...................................................................................................................................... 3 USAHS Frances Y. Slanger ex USAT Saturnia ..................................................................................... 4 USAHS Jarrett M. Huddleston ........................................................................................................... -
Review Style Sheet
xxxxxxxxxx Canadian Military Hospitals at Sea 1914-1919 Jonathan C Johnson, OTB S there was an ocean between Canada and the fighting during WWI, the movement of casualties needing lengthy treatment required special arrangements. Many of the Acasualties returning home, especially in 1915 and 1916, came back to Canada on relatively empty troop ships (ex-passenger ships) and were accompanied by a small medical team. The more serious casualties came home on either hospital ships or ambulance transports, most of which were equipped as floating convalescent hospitals. Hospital ships and ambulance transports generally were identically equipped. The former were commissioned naval auxiliaries painted white with green stripe and large red crosses and protected by the Geneva Convention (Figure 1). The latter were normal naval auxiliaries painted troop ship colours that sailed in convoy and were not protected by the Geneva Figure 1. Colour postcard of HMHS LETITIA with the correct Convention. Like most military colour scheme for a commissioned hospital ship under the Geneva Convention. units each ship had an ‘Orderly Room’ where mail could be posted and, if lucky, picked up upon arrival at port. Military service personnel overseas could post mail unpaid. For much of the war, the Canada Post Office added postage upon arrival in Canada so postage due would not be applied. Canada had six hospital ships and ambulance transports during WWI. Of this number, two were lost while in service. A return trip from Liverpool to Canada and back took one month. HMCHS PRINCE GEORGE The HMCHS PRINCE GEORGE was Canada’s only naval hospital ship. -
South Dakota Health and Educational Facilities Authority (The “Authority”) Will Issue Its $213,690,000* Revenue Bonds
PRELIMINARY OFFICIAL STATEMENT DATED AUGUST 14, 2017 NEW ISSUE RATINGS: See “RATINGS” herein. BOOK-ENTRY ONLY Subject to compliance by the Authority and the Members of the Obligated Group with certain covenants, in the opinion of Bond Counsel, under present law, interest on the Series 2017 Bonds is excludable from gross income of the owners thereof for federal income tax purposes and is not included as an item of tax preference in computing the alternative minimum tax for individuals and corporations. See “TAX EXEMPTION” herein for a more complete discussion. $213,690,000* SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY Revenue Bonds, Series 2017 (Regional Health) Dated: Date of Delivery Due: September 1, as shown on the inside front cover Maturities, Principal Amounts, Interest Rates, Yields/Prices and CUSIPs® as Shown on the Inside Front Cover The South Dakota Health and Educational Facilities Authority (the “Authority”) will issue its $213,690,000* Revenue Bonds, Series 2017 (Regional Health) (the “Series 2017 Bonds”) through a book-entry system under a Bond Trust Indenture dated as of September 1, 2017 (the “Bond Indenture”), between the Authority and The First National Bank in Sioux Falls, as bond trustee for the Series 2017 Bonds (the “Bond Trustee”), and loan the proceeds thereof to Regional Health, Inc., a South Dakota nonprofit corporation (the “Corporation”), for the purpose of financing the improvement of certain facilities of the Corporation and other Members of the Obligated Group (as defined herein) located in South Dakota and refunding all or a portion of certain outstanding bonds. See “PLAN OF FINANCE” herein. -
Pdf (Accessed 2020 June 15)
Research Impact of an internal medicine nocturnist service on care of patients with cancer at a large Canadian teaching hospital: a quality-improvement study Richard Dunbar-Yaffe MDCM MSc, Robert C. Wu MD MSc, Amit Oza MBBS, Victoria Lee-Kim BMSc, Peter Cram MD MBA Abstract Background: Nocturnists (overnight hospitalists) are commonly implemented in US teaching hospitals to adhere to per-resident patient caps and improve care but are rare in Canada, where patient caps and duty hours are comparatively flexible. Our objective was to assess the impact of a newly implemented nocturnist program on perceived quality of care, code status documentation and patient outcomes. Methods: Nocturnists were phased in between June 2018 and December 2019 at Toronto General Hospital, a large academic teaching hospital in Toronto, Ontario. We performed a quality-improvement study comparing rates of code status entry into the elec- tronic health record at admission, in-hospital mortality, the 30-day readmission rate and hospital length of stay for patients with cancer admitted by nocturnists and by residents. Surveys were administered in June 2019 to general internal medicine faculty and residents to assess their perceptions of the impact of the nocturnist program. Results: From July 2018 to June 2019, 30 nocturnists were on duty for 241/364 nights (66.5%), reducing the mean maximum over- night per-resident patient census from 40 (standard deviation [SD] 4) to 25 (SD 5) (p < 0.001). The rate of admission code sta- tus entry was 35.3% among patients admitted by residents (n = 133) and 54.9% among those admitted by nocturnists (n = 339) (p < 0.001). -
Pediatric Hospitalist Nocturnist South Bend, Indiana
Pediatric Hospitalist Nocturnist South Bend, Indiana Want to be awesome too? Beacon Children’s Hospital Critical Kids, a Beacon Medical Group practice, is seeking a BC/BE Pediatric Hospitalist Nocturnist to join an existing group of seven (7) awesome pediatric hospitalists providing evidence-based, high quality care. This hospitalist group has been practicing since 2007. Schedule is comprised of in-house 12-hour and 6-hour shifts and responsibilities include general and subspecialty pediatric care and moderate sedation. No NICU, nursery, or delivery coverage. Pediatric multi-specialty coverage consists of neurology, behavioral/developmental peds, gastroenterology, C/A psychiatry, pulmonology/sleep medicine, infectious disease, and hematology/oncology. In 2017, Beacon Health System opened Beacon Childrens’ Hospital, a NACHRI designated children’s hospital since 2004. This brand new $49 million dollar addition to Memorial Hospital of South Bend is the regions only Childrens’ Hospital that covers 15 counties and serves 31 hospitals. Beacon Childrens’ Hospital has a 39 bed Level III NICU including 9 NIC2 beds where post-partum moms can share a hospital room with their infant requiring NICU care (the first in the nation!), as well as a 12 bed PICU staffed by Pediatric Intensivists and a 23 bed general/subspecialty pediatric unit. Memorial Hospital South Bend is the only Trauma Center in the region. Affiliation with Indiana University School of Medicine and Memorial Hospital Family Medicine Residency allows for teaching of medical students and supervision of post-graduate trainees on rotations of the pediatric patients. Beacon Medical Group, a division of Beacon Health System, is the largest, most integrated medical group in the region, employing more than 250 physicians and 125 advanced practice clinicians and representing over 35 different specialties throughout northern Indiana and southwestern Michigan. -
Hospitalist Burnout PAGE 8 PAGE 12 PAGE 29
JOHNBUCK CREAMER, MD, SFHM KEY CLINICAL QUESTION JOHN NELSON, MD, MHM Scope of services Managing CIED The causes of continues to evolve infection hospitalist burnout PAGE 8 PAGE 12 PAGE 29 VOLUME 21 NO. 7 I JULY 2017 AN OFFICIAL PUBLICATION OF THE SOCIETY OF HOSPITAL MEDICINE Meet the Pediatric hospitalists two newest march toward recognition SHM board members By Richard Quinn HM’s two newest board Smembers – pediatric hospital- ist Kris Rehm, MD, SFHM, and perioperative specialist Rachel Thompson, MD, MPH, SFHM – By Larry Beresford will bring their expertise to bear on the society’s top panel. ediatric hospital medicine is moving However, neither woman sees her Pquickly toward recognition as a role as shaping the board. In fact, they board-certified, fellowship-trained see themselves as lucky to be joining medical subspecialty, joining 14 other the team. pediatric subspecialties now certified by “It’s a true honor to be able to sit on the American Board of Pediatrics (ABP). the board and serve the community It was approved as a subspecialty by the of hospitalists,” said Dr. Thompson, American Board of Medical Specialties outgoing chair of (ABMS) at its October 2016 board meet- SHM’s chapter ing in Chicago in response to a petition support commit- from the ABP. Following years of discus- tee and head of sion within the field,1 it will take 2 more the section of years to describe pediatric hospital medi- hospital medicine cine’s specialized knowledge base and write at the University test questions for biannual board exams that of Nebraska in PEDIATRIC CONTINUED ON PAGE 17 Omaha. -
Fy 2018 Massachusetts Hospital Profiles Technical Appendix January 2020
CENTER FOR HEALTH INFORMATION AND ANALYSIS FY 2018 MASSACHUSETTS HOSPITAL PROFILES TECHNICAL APPENDIX JANUARY 2020 Publication Number 20-30-CHIA-02 CHIA FY18 Massachusetts Acute Care Hospitals (January 2020) TECHNICAL APPENDIX Table of Contents Introduction ....................................................................................................................................................................................... 2 Multi-Acute Hospital System Affiliation and Location ................................................................................................................... 3 Regional Definitions ..................................................................................................................................................................... 4 Special Designations.................................................................................................................................................................... 6 Hospital Types ............................................................................................................................................................................. 7 At a Glance ....................................................................................................................................................................................... 9 Acute Hospital Profiles: Services ...................................................................................................................................................