. . . in my view the pendulum has over swung with the stringent new ACGME residency work-hour restrictions. I do not believe that the challenges to continuity of care are of benefit to either patients or trainees. We walked down the hall at a brisk pace, challenged with the task of seeing all the patients before our time for rounds expired. Upon reaching the sought-after room, I inquired “who k...

Abstract New hope can draw on anti-humanist duty of care. Turning from debate about how one ought to act in discursively produced “realities,” Paul Cobley advocates a bioethics living semiotic fields. Thanks observership, humans make good use both the known and things appear as signs . For Cobley, latter are “mind independent.” Once deemed real , semiosis unite lawful, perceivable and, at least...

To determine if implementing an educationally minded schedule utilizing consecutive night shifts can moderate the impact of the 2011 duty hour standards on education and patient continuity of care in longitudinal primary care experience (continuity clinic). A 14-month pre-post study was performed in continuity clinic with one supervising physician group and two intern groups. Surveys to assess ...

introduction: health care industry consists of an unexpected and confusing environment in which quality events play the important role. in such conditions, the necessary changes should be made. excellence models are general oriented frameworks that are able to achieve the above intention. materials & methods: this study is a descriptive cross-sectional study. data gathered by a standard checkli...

Vaccinating Health Care Employees In vaccinating low-risk employees early, leaders of some U.S. health care organizations violated their duty to promote public and contributed the narrati...

Many people were outraged when Richard Lamm claimed that old people had a duty to die. Modern medicine and an individualistic culture have seduced many to feel that they have a right to health care and a right to live, despite the burdens and costs to our families and society. But in fact there are circumstances when we have a duty to die. As modern medicine continues to save more of us from ac...