Resident physicians, attending physicians, and graduate medical education (GME) institutions share a collective responsibility to deliver safe and appropriate care to patients. The law does not offer concessions in quality of care to accommodate GME. Resident physicians are generally held to the same standard of care as attending physicians in their respective specialties. This principle encour...

The purpose of this technical report is to provide pediatricians with an understanding of past crises within the professional liability insurance industry, the difficulties of the tort system, and alternative strategies for resolving malpractice disputes that have been applied to medical malpractice actions. Through this report, pediatricians will gain a technical understanding of common altern...

The common theme which appears to have evolved in the actuarial methodology for determining self-insurance funding contributions can be described in basic terms as a two-step process: (a) estimating expected retained losses for the self-insured entity and (b) estimating a safety margin or risk loading to maintain funding at a selected high level of confidence. Variations on this general theme a...

At the time of this writing, the electronic commerce market place is dominated by business-to-business transactions. This paper describes one such application and our software prototype in support of this application. Our main contribution is a software solutions (using Java) that employs the concept of deltas to maintain consistency in a replicated, distributed environment. Our proposed soluti...