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Subject: Antone went to check out this lucky link
From: "Shaun P." <oaexy () isgwichita ! com>
Date: 2007-06-11 5:44:22
Message-ID: 30783D94.40A7AF6B () isgwichita ! com
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<P>What should a medical student do in such a situation?</P><SPAN
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<P>Still, it will be hard to change the unfortunate perception that
constructive feedback, even for a patient’s benefit, is whistle-blowing. Her
world remained small, her manner diffident, but she relished the brilliance
of teachers such as Kathleen Fitzpatrick and Joseph Burke. Last were the
medical students, who spent the most time with patients but were most
assuredly at the bottom of the heap. Wolfberg wrote in the same journal last
month, for years medical students performed pelvic examinations on
anesthetized women who had not given consent because senior obstetricians
said it was the best way to learn internal anatomy. He then reminded the
student that while he had examined hundreds of such cases, the student had
seen only a few. <BR>
Or the student might go directly to the patient or family, telling them
that the physicians have a genuine disagreement and that they deserve to
know about it. Still, it will be hard to change the unfortunate perception
that constructive feedback, even for a patient’s benefit, is
whistle-blowing. At a 1965 seminar on the future of higher education, the
first vice-chancellor of Monash, J.A.L. Benefits flowed too in
socio-economic terms; an Australian Council of Education Research study
con-cluded the proportion of children of unskilled manual workers going to
university nearly doubled between 1980 and 1994. <BR>
Biography, as Ian Donaldson showed in his essay ‘Matters of Life and Death:
The Return of Biography’ (ABR, November 2006), is now a plastic, responsive,
democratic and, yes, reputable art, capable of all sorts of liberties and
latitude. Dawkins wanted to expand access for students to the system, and
sympathised with CAE claims for university status. Last were the medical
students, who spent the most time with patients but were most assuredly at
the bottom of the heap. Although some senior physicians welcomed feedback
from their juniors, others disdained it, either overtly or through
intimidation. And, she added sheepishly, both the resident and the attending
physician would be grading her.<BR>
Even when students do speak up, they may be ignored. A student recently
told me he had examined a patient and concluded that she might have a severe
abdominal disorder.<BR>
One possibility is to take the matter up with a more senior doctor.
Fortunately, medical educators are increasingly recognizing the dilemmas
that doctors in training confront when they witness behavior that makes them
uncomfortable. What’s much less certain is whether society is prepared to
bear the costs of implementing such intrusive and costly measures for the
months that would be required to manufacture a vaccine.” Better still, Niall
knew him as a child. annenfutter nomms888sunsite.dkmo But this latest reform
remains unfinished business – a private sector is allowed scope to compete,
but public institutions remain bound and constrained. Caroline Lurie was
Elizabeth Jolley' s agent Did free education allow daughters to follow sons
to university, or did this trend simply reflect school retention rates, with
female rates of Year 12 completion exceeding male ones from the late
1970s?<BR>
Diversity in non-university higher education Although some senior
physicians welcomed feedback from their juniors, others disdained it, either
overtly or through intimidation. Wolfberg wrote in the same journal last
month, for years medical students performed pelvic examinations on
anesthetized women who had not given consent because senior obstetricians
said it was the best way to learn internal anatomy.<BR>
Even when students do speak up, they may be ignored. A student recently
told me he had examined a patient and concluded that she might have a severe
abdominal disorder.Her string of beads would be a sequence of houses, she
decided, struck by the Boyds’ rather bizarre attachment to ancestral and
childhood homes. Her world remained small, her manner diffident, but she
relished the brilliance of teachers such as Kathleen Fitzpatrick and Joseph
Burke. The student whose resident seemingly lied to the attending physician
about the blood test did not speak up either. Even when students do speak
up, they may be ignored. The student admitted that he was far from positive
that something was seriously wrong. <BR>
One possibility is to take the matter up with a more senior doctor. Penny
Henderson and her colleagues at the University of Cambridge wrote in 2005,
physicians and students need to be educated about how to give feedback in
professional and nonconfrontational ways. What’s much less certain is
whether society is prepared to bear the costs of implementing such intrusive
and costly measures for the months that would be required to manufacture a
vaccine.” Because of the stringencies of their order (the Faithful
Companions of Jesus), theirs was hardly a vibrant intellectual climate, and
young Brenda’s reading – including Graham Greene – soon intimidated the
author-ities. <BR>
By 1990 the now standard model of an Australian university had emerged:
large, comprehensive, multi-campus and research-based. By the time the
Dawkins wave of mergers concluded in the early 1990s, sixty-three higher
education providers had become thirty-six universities, many with multiple
campuses. By then Niall was alert to the perils of biographies (those
‘border-crossings into other lives’): the moral scruples, the legal risks,
the curse of good taste, the tenuous access to papers. On the top were the
senior physicians who made rounds on the wards once or twice daily. Wolfberg
wrote in the same journal last month, for years medical students performed
pelvic examinations on anesthetized women who had not given consent because
senior obstetricians said it was the best way to learn internal anatomy.<BR>
But when he told the resident, who had seen the patient earlier and more
quickly, the resident refused to re-examine the patient. After all, in each
of these examples, patients are at risk of harm, something that physicians
must avoid at all costs. I don’t know if he drank four to eight glasses of
water a day. Back she went to Raheen, flattered and excited, only to be
outfoxed by the wily Irish charmer, then ninety-five and giving nothing
away.</P>
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