Residency interviews in the digital era

2021 ◽  
pp. postgradmedj-2021-140897
Author(s):  
Isabel Beshar ◽  
William J Tate ◽  
Dan Bernstein

In the midst of the SARS-CoV-2 pandemic, the US Association of American Medical Colleges (AAMC) required residency programme transition from in-person to virtual interviews for all applicants. The new virtual format upended a system that has relied on programmes and applicants balancing the likelihood of acceptance with the financial and time demands of cross-country travel.In this commentary, we address the history of residency interviewing in the USA and the emerging changes that are taking place in light of virtual interviews. We discuss the advantages of the new online format, including the reduced cost for applicants and programmes, as well as the decreased carbon footprint.We also discuss the inequities of virtual interviewing, involving a national maldistribution of interviews to only the top-tier candidates. We share previously unpublished data on the number of virtual interviews accepted by Stanford’s 2020 residency applicants, compared with those conducted in person in 2019. We find Stanford applicants in all fields accepted more interviews: from a mean of 8 in 2019 to 14 in 2020, a change of 160% on average. Despite this, only half of Stanford 2020 applicants interviewing in the virtual format thought they had accepted more interviews than they would have in person.We comment on how transitions to online interviewing may be affecting medical schools and applicants disproportionately. Ultimately, we highlight the need and offer ideas for additional regulation on behalf of the AAMC to ensure a more equitable distribution of interview opportunities.

2018 ◽  
Vol 11 (4) ◽  
pp. 632-647 ◽  
Author(s):  
William C. Baer

Purpose This paper aims to relate early history of housing conceptualizations and market analysis in the Anglosphere (Britain, the USA, Canada, Australia and New Zealand). Historians are ignorant of them but clear market analyses had early beginnings in every urban society for developing and accommodating growing populations. Design/methodology/approach Historiography. Findings Aspects of market analysis, especially appraisal and rudimentary approaches to the housing market in the Anglosphere, can be traced back to ancient Rome, housing market conceptualizations to Dr Nicholas Barbon and seventeenth-century London’s first population and housing boom and market analysis techniques in the USA at its founding, when Charles-Maurice de Talleyrand Perigor was the first to refine them and write them up in 1794-1796. The US next made major advances in the 1930s. The overall trend has been from inferred analyses to fundamental (derived) analyses, emphasizing “quantifiable data.” Practical implications This paper elicits researcher’s professional awareness that each nation has an implicit history of its early development practices and techniques. Originality/value The time frame of most housing market analysts is the recent past, the present and the future. But how enduring are their concerns? Do operational values in a housing market reflect historical epochs, or are there some universalities? Furthermore, most urban historians are ignorant of urban market dynamics. It does not occur to them that some of the dynamics that analysts attempt to capture today might always have been inherent in the urban built environment, regardless of era or urbanized part of the globe under consideration.


2021 ◽  
Vol 2021 (01) ◽  
pp. 171-181
Author(s):  
Muhammad Naveed Ul Hasan Shah ◽  
Muhammad Irfan Mahsud ◽  
Azadar Ali Hamza

Pakistan, since 1947 remains under the umbrella of US, as a result, relations of Pakistan were not smooth with anti US states including USSR. The US was to increase its role in the region in order to make secure the largest petroleum reserves in the Persian Gulf. Pakistan’s alignment with the western world was mainly to counter possible Indian aggression, not to lessen the Soviet influence in the region, but the approach was more or less thwarting Soviet interests in the region. Over 3 million Afghan refugees had travelled to Pakistan in the 1st year of Soviet intervention in Afghanistan. The main objective of the USA during the initial stages of the Soviet invasion of Afghanistan was primarily to ensure that the Soviet exercise would be a costly one. The United States of America supported Afghan militants with the help of Pakistan to organize them against the USSR. A general perception is that US did not want to be directly involved to thwart the Soviet invasion; rather USA handed over the operational aspect of the program to the Pakistan. The Pakistan was in charge of providing the funds and weapons to the mujahedin and setting up training camps. The US remained indecisive over the next course of action in Afghanistan and the Pakistan took the opportunity to carry out its own agenda in Afghanistan to promote their national interests.


2021 ◽  
Vol 66 (6) ◽  
pp. 27-49
Author(s):  
Włodzimierz Okrasa

Censuses of population and housing in the United States are of particular interest to experts in many disciplines – in addition to statisticians, also to demographers, political scientists, sociologists, historians, and even psychologists and anthropologists. This is so not only because of the long history of US censuses (the first census in the US was carried out in 1790) or methodological innovations, but due to immigration responsible for the dynamic population growth, and to the specific purpose of the census, which is ensuring the proportional (according to the numer of inhabitants) distribution of seats in the lower chamber of Congress and federal funds (apportionment), guaranteed by the US Constitution. The heterogeneity of the American society, both in the racial-ethnic and religious-cultural sense, in addition to the above considerations, raise questions about the purposes of those changes and directions for improvement in subsequent censuses. The aim of the article is to present the problems and challenges related to censuses in the USA. The paper focuses on methodological and operational solutions that can be implemented thanks to several improvements, including the progress in the fields of statistics and technology. The paper also discusses the issues of credibility of the census data, based on the example of immigration from Poland and the Polish diaspora in the USA.


2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S450-S451
Author(s):  
R Bornheimer ◽  
S Hass ◽  
A NAG ◽  
G Oster

Abstract Background Treatment for inflammatory bowel disease (IBD: Crohn’s disease [CD] and ulcerative colitis [UC]) has shifted from symptom management using corticosteroids to targeted therapies such as tumour necrosis factor (TNF) inhibitors. An increase in therapeutic options warrants a better understanding of current treatment pathways. This study reports on the pharmacotherapy history of patients with CD and UC prior to initiation of an IBD-targeted biologic. Methods Using the US IQVIA™ Real-World Data Adjudicated Claims Database, we identified adults (≥18 years) with CD or UC who initiated biologics indicated for these diseases from 1 January 2016 to 30 June 2017. Patients were stratified based on the most recent biologic received; the date of initiation was designated the index date. Patients with < 12 months of continuous medical coverage prior to the index date were excluded. Patterns of prior IBD-related pharmacotherapy, in terms of the number and type of biologics, and time spent receiving the biologic, were examined in relation to the index biologic for the study period 1 January 2011 to 30 June 2017. Results In total, 3010 patients with UC and 5210 with CD were identified. Among patients with UC, 1285, 977, 587 and 161 initiated treatment with adalimumab, infliximab, vedolizumab and golimumab, respectively. Among patients with CD, 2634, 1436, 737, 241 and 162 began treatment with adalimumab, infliximab, vedolizumab, certolizumab and ustekinumab, respectively. Most patients beginning treatment with infliximab or adalimumab were biologic-naïve (UC: 79.9%, 89.3%, respectively; CD: 77.8%, 84.6%, respectively). Patients starting treatment with other biologics, however, had typically received at least one IBD-related biologic previously (Figure 1). Among patients who were not biologic-naïve at initiation of therapy, the mean total duration of prior biologic exposure was 17.8 months and 26.6 months for patients with UC and CD, respectively. Conclusion During the study period, anti-TNFs were the most commonly initiated biologics in both groups of patients. Although newer IBD-related biologics (i.e. vedolizumab and ustekinumab) are typically preceded by treatment with other biologics, most patients receiving an anti-TNF are biologic-naïve.


2019 ◽  
Vol 51 (4) ◽  
pp. 562-571
Author(s):  
Tim Koechlin

This paper is about the gaping silence in mainstream economics regarding the relationship among capitalism, race, racism, and enduring racial inequality in the USA. Racial inequality is a glaring and enduring fact about the US economy. And yet mainstream economics has little to say about race or racism. Gregory Mankiw’s bestselling textbook devotes seven pages to “discrimination.” There is no discussion of racism per se. Mainstream economists and textbooks typically conflate racism and “discrimination,” and reassure the reader that “markets contain a natural remedy for employer discrimination” (Mankiw, 2008: 409). A student is likely to leave ECON 101 (or an economics major) with a sense that “economic science” has “shown” that discrimination is not that big a deal, and that the history of racist plunder and exploitation in the USA (of which there likely has been no discussion) is not relevant to “economics.” I argue here that the mainstream narrative (its assumptions, its logic, its conclusions, and its rhetorical choices and emphases) systematically obscures, dismisses, and ignores essential ways that racial inequality has been (re)produced by US capitalism. Especially striking is the resounding silence about the legacy of racist economic practices—in particular, the ways in which the enormous black/white wealth gap (and its effects) in the USA are linked to centuries of racist exclusion, violence, and plunder. The mainstream narrative thus whitewashes capitalism and exonerates “the market system.” The final section argues for a radical multidisciplinary economics. JEL classification: J15, D63


2012 ◽  
Vol 6 (4) ◽  
pp. 383-397
Author(s):  
Katie Day

Abstract This article serves as an introduction to faith-based community organizing and to this special issue of IJPT. First, an overview of the history of community organizing in the US includes introductions to the key figures (Saul Alinsky and Ed Chambers), organizing networks and methods currently employed. Then current challenges to community organizing are explored, such as technology, gender and race. Further, the rigid distinction between broad-based and issue organizing is challenged. Finally, the article notes that the impact of Barack Obama’s background as a community organizer on political discourse has raised the profile of this form of social mobilization, and it is reframing the questions raised for public theologians as community organizing moves into the future.


2019 ◽  
Vol 31 (6) ◽  
pp. 1749-1753
Author(s):  
Lirije Ameti

This theme, The Portrait of the American Woman in Margaret Mitchell's Novel " Gone With The Wind " is broad, challenging, interesting and among many contradictory to one another's point of view, at different social grounds , periods of time simply or merely of the fact that a female writer of this tremendous saga read mostly by women represents multi dimensional themes. It is an interweave of tradition, history , war, social classes, Reconstruction, transition and more. All these and many other themes written with a masterful disciplined imagination put in the longest novel in history. A masterpiece of 1037 pages published in 1939 and subsequently in the greatest and longest motion picture on screen. Piling up records and building it's own history and legends. The novel has sold in more than 25 million copies in at least 27 languages in thirty countries and in more than 185 editions according to the research conducted in 2004. These figures continue to increase, not to mention that the film is seen by more individuals than the total population of the USA. GWTW has grown and conflated into a phenomenon of American and later into a phenomenon of levels of basic appreciation after international popular culture. Thus criticism was attested at the levels of basic appreciation , often in the opposite poles of love and /or hate , the evaluation again in bipolar terms of praise and / or scorn. On the popular level the book was lauded and in the literary world it was defamed. Mitchell's novel " Gone With The Wind " was seen as important symbols of American culture forces. A serious biography in 1965 sparked reconsiderations simply by the assumption of Mitchell's importance as a writer. Other re- evaluations followed which asserted the literary quality of the work, notably in feminist terms. Attesting the qualities that critics wrote such as Michener who said: " The spiritual history of a region". Many other scholarly papers have been undertaken to attack it and completed to praise it. Because of the enormous popularity , readability , embodiment of the heroine woman character Scarlett O'Hara with many other women who saw themselves in those situations or experienced the same then or even nowadays. These multi themes to discuss about, issues primarily of women, the novel is defined as a woman's literary artistic achievement, seen through the eyes off a woman Scarlett herself and many other women characters. Is seen the distinction of the past and present of the old and new society. Mitchell herself says it is about courage and gumption to change as a necessity in order to survive war, reconstruction and transition. The search of survival by poor and nearly defeated young women who had no control or capacity to understand these tensions. Indeed this novel has become an icon of the US culture.


Author(s):  
Anatol Lieven

The history of West Asia over the past century has been defined by the collapse of three great empires. Contemporary history of the region is being defined by the decay of a fourth, informal empire —the USA — and the appearance of a new local power, the Islamic State, which is radically hostile to the US hegemony, local regimes and the very existence of the states of the region. These ruins of empire have been preceded, accompanied, and, to a considerable extent, caused by the decay of the civilizational ideologies, which had legitimized imperial rule. While internal culture, social and economic factors have been crucial barriers to modernization, so too has been the dependence of would-be modernizing Middle Eastern states on the US imperial hegemon. This dependency has stripped these states of the nationalist legitimacy which elsewhere has been vital to the introduction of necessary but highly painful and contested reforms.


Author(s):  
Helena Chance

From the 1880s, a new type of designed green space appeared in the industrial landscape in Britain and the USA, the factory pleasure garden and recreation park, and some companies opened allotment gardens for local children. Initially inspired by the landscapes of industrial villages in the UK, progressive American and British industrialists employed landscape and garden architects to improve the advantages and aesthetic of their factories. In the US, these landscapes were created at a time of the USA’s ascendancy as the world’s leading industrial nation. The factory garden and park movement flourished between the Wars, driven by the belief in the value of gardens and parks to employee welfare and to recruitment and retention. Arguably above all, in an age of burgeoning mass media, factory landscaping represented calculated exercises in public relations, materially contributing to advertising and the development of attractive corporate identities. Following the Second World War the Americans led the way in corporate landscaping as suburban office campuses, estates and parks multiplied. In the twenty-first century a refreshed approach brings designs closer in spirit to pioneering early twentieth century factory landscapes. This book gives the first comprehensive and comparative account of the contribution of gardens, gardening and sports to the history of responsible capitalism and ethical working practices from multiple critical perspectives and draws together the existing literature with key primary material from some of the most innovative and best documented of the corporate landscapes; Cadbury, the National Cash Register Company, Shredded Wheat and Spirella Corsets.


1992 ◽  
Vol 1 (3) ◽  
pp. 305-323 ◽  
Author(s):  
Sharon M. Friedman ◽  
Carole M. Gorney ◽  
Brenda P. Egolf

This study attempted to uncover whether enough background information about nuclear power and the nuclear industries in the USA, USSR and Eastern and Western Europe had been included during the first two weeks of US coverage of the Chernobyl accident so that Americans would not be misled in their understanding of and attitudes toward nuclear power in general. It also sought to determine if reporters took advantage of the Chernobyl accident to attack nuclear technology or the nuclear industry in general. Coverage was analysed in five US newspapers and on the evening newscasts of the three major US television networks. Despite heavy coverage of the accident, no more than 25% of the coverage was devoted to information on safety records, history of accidents and current status of nuclear industries. Not enough information was provided to help the public's level of understanding of nuclear power or to put the Chernobyl accident in context. However, articles and newscasts generally balanced use of pro- and anti-nuclear statements, and did not include excessive amounts of fear-inducing and negative information.


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