Part-Time Residency Training

1981 ◽  
Vol 26 (7) ◽  
pp. 484-486 ◽  
Author(s):  
Sandra Fisman ◽  
Lynne Ginsburg

The development of part-time training in the United States and Canada is described. The flexibility required for young women physicians who attempt to combine childbearing and career development, together with the increasing number of women entering medicine, underlines the importance of part-time training schedules. A variety of flexible training options have been defined and a set of guidelines has been produced by the Canadian Royal College of Physicians and Surgeons. The experiences of part-time psychiatry residents at Queen's University, Kingston is presented. Thus far this has involved a total of six residents over a four year period, including the authors of this paper. The advantages and disadvantages, viewed from both the resident and system viewpoint, are discussed.

2005 ◽  
Vol 22 (3) ◽  
pp. 29-38
Author(s):  
Abid Ullah Jan

The Debate Question 1: Various commentators have frequently invoked the importance of moderate Muslims and the role that they can play in fighting extremism in the Muslim world. But it is not clear who is a moderate Muslim. The recent cancellation of Tariq Ramadan’s visa to the United States, the raids on several American Muslim organizations, and the near marginalization of mainstream American Muslims in North America pose the following question: If moderate Muslims are critical to an American victory in the war on terror, then why does the American government frequently take steps that undermine moderate Muslims? Perhaps there is a lack of clarity about who the moderate Muslims are. In your view, who are these moderate Muslims and what are their beliefs and politics? AUJ: The promotion of “moderate” Muslims is part of an extremist tendency sweeping the United States, unlike the situation in the Muslim world. It is the result of a war between two Americas: the America of ideals (e.g., of equality and justice) and the America of extremism, which has succumbed to self-interest groups and individuals. For the America of ideals, the Tariq Ramadan episode is a dark spot, one among many such episodes in recent times. Periodic episodes of tragedy are the hallmark of the America that has shifted its priorities under the pressure and manipulation of the extremists. These forces use all expedient means to sacrifice the wellbeing of the United States for self-interest and promotion of the Zionist state. This extremism entails a morbid dread of Islam. It never regards any Muslim as moderate unless one publicly rejects the Qur’an as “the final manifesto of God,”1 considering this belief a “disturbing cornerstone of Islam,”2 and submitting to the rejection of key parts of the Qur’an.3 Unquestioning support for Israel, along with all other American-approved dictatorships, is the minimum criterion.4 All other factors are irrelevant. The fascistic American track record of accepting “moderates” and rejecting “radicals” is clear.5 The final distinction is not defined by their adherence to Islam, but by the assumed threat they pose to the interests of these extremists. For example, a devout man, fervent in all of his personal rituals but not participating in political affairs, would be a “moderate,” whereas a marginally practicing Muslim with the zeal to voice his opposition to the injustice perpetrated by the extremists’America is classified as a “radical.” In the current political context, a moderate is one who is passive like the devout man, or active like the extremist “moderates” – the Muslim neomods – who openly promote the extremist agenda using Islamic interpretations or “Project Ijthihad”6 as a cover. Hence, the distinction is not academic or religious, but political. Two opposing factors prove this point. First, there are clear commands for Muslims to be moderate by default.7 Moderateness is a prerequisite for all Muslims, not a label of identity for some. Accordingly, Muslims cannot be part-time or partial Muslims (Qur’an 2:208) or reject part of the Qur’an (Qur’an 2:85).8 Hence, such religious labelling is irrelevant. Second, the extremists insist that strong belief in the totality of the Qur’an makes Muslims “Islamists.”9 That is why they believe themselves to be “absolutely at war with the vision of life that is prescribed to all Muslims in the Koran.”10 It means that the standards of “moderateness,” as set by the American extremists, are directed at neutralizing a preconceived threat. Under these circumstances, mere claims of being a “moderate” do not make any difference at all, as long as a Muslim is presented as a threat, however baseless, to the interests of extremist America. Similarly, the so-called extremism in the Muslim world is not the result of Muslims’faith. Rather, it is a function of the perpetually colonized and oppressed people due to the lack of true independence and a central authority to control and productively channel their energies. It is naïve to suggest that a few ill-informed “moderate” individuals or puppet regimes can emulate the abilities of an entire central authority (i.e., the Islamic state) and effect progress and positive meaningful change.


2019 ◽  
Vol 76 (4) ◽  
pp. 936-948 ◽  
Author(s):  
Zhamshid Okhunov ◽  
Shoaib Safiullah ◽  
Roshan Patel ◽  
Samuel Juncal ◽  
Harwood Garland ◽  
...  

2016 ◽  
Vol 24 (6) ◽  
pp. 675-685 ◽  
Author(s):  
Susan Yarbrough ◽  
Pam Martin ◽  
Danita Alfred ◽  
Charleen McNeill

Background: Hospitals are experiencing an estimated 16.5% turnover rate of registered nurses costing from $44,380 - $63,400 per nurse—an estimated $4.21 to $6.02 million financial loss annually for hospitals in the United States of America. Attrition of all nurses is costly. Most past research has focused on the new graduate nurse with little focus on the mid-career nurse. Attrition of mid-career nurses is a loss for the profession now and into the future. Research objective: The purpose of the study was to explore relationships of professional values orientation, career development, job satisfaction, and intent to stay in recently hired mid-career and early-career nurses in a large hospital system. Research design: A descriptive correlational study of personal and professional factors on job satisfaction and retention was conducted. Participants and research context: A convenience sample of nurses from a mid-sized hospital in a metropolitan area in the Southwestern United States was recruited via in-house email. Sixty-seven nurses met the eligibility criteria and completed survey documents. Ethical considerations: Institutional Review Board approval was obtained from both the university and hospital system. Findings: Findings indicated a strong correlation between professional values and career development and that both job satisfaction and career development correlated positively with retention. Discussion: Newly hired mid-career nurses scored higher on job satisfaction and planned to remain in their jobs. This is important because their expertise and leadership are necessary to sustain the profession into the future. Conclusion: Nurse managers should be aware that when nurses perceive value conflicts, retention might be adversely affected. The practice environment stimulates nurses to consider whether to remain on the job or look for other opportunities.


2018 ◽  
Vol 129 (5) ◽  
pp. 1093-1099 ◽  
Author(s):  
Alice L. Tang ◽  
Adam Miller ◽  
Samantha Hauff ◽  
Charles M. Myer ◽  
Vinita Takiar ◽  
...  

2016 ◽  
Vol 44 (4) ◽  
pp. 359-374 ◽  
Author(s):  
Lia D. Falco

There is an increasing concern that the demand for science, technology, engineering, and math (STEM) workers in the United States will exceed the supply. In the United States, very few students, and underrepresented students in particular, are pursuing STEM educational and occupational goals that underscores the need for school counselors to understand how to maximize opportunities for student success in STEM. Understanding the factors that influence students’ academic and career choices early on is necessary in order to provide effective interventions and responsive services that will have a positive impact on students’ future STEM career outcomes. Using social-cognitive career theory as a framework, this article synthesizes pertinent research on student STEM engagement, so that school counselors will be better able to support STEM career development for all students, especially those from historically underrepresented groups. Implications for school counseling practice are discussed.


Author(s):  
John Hartranft ◽  
Bruce Thompson ◽  
Dan Groghan

Following the successful development of aircraft jet engines during World War II (WWII), the United States Navy began exploring the advantages of gas turbine engines for ship and boat propulsion. Early development soon focused on aircraft derivative (aero derivative) gas turbines for use in the United States Navy (USN) Fleet rather than engines developed specifically for marine and industrial applications due to poor results from a few of the early marine and industrial developments. Some of the new commercial jet engine powered aircraft that had emerged at the time were the Boeing 707 and the Douglas DC-8. It was from these early aircraft engine successes (both commercial and military) that engine cores such as the JT4-FT4 and others became available for USN ship and boat programs. The task of adapting the jet engine to the marine environment turned out to be a substantial task because USN ships were operated in a completely different environment than that of aircraft which caused different forms of turbine corrosion than that seen in aircraft jet engines. Furthermore, shipboard engines were expected to perform tens of thousands of hours before overhaul compared with a few thousand hours mean time between overhaul usually experienced in aircraft applications. To address the concerns of shipboard applications, standards were created for marine gas turbine shipboard qualification and installation. One of those standards was the development of a USN Standard Day for gas turbines. This paper addresses the topic of a Navy Standard Day as it relates to the introduction of marine gas turbines into the United States Navy Fleet and why it differs from other rating approaches. Lastly, this paper will address examples of issues encountered with early requirements and whether current requirements for the Navy Standard Day should be changed. Concerning other rating approaches, the paper will also address the issue of using an International Organization for Standardization, that is, an International Standard Day. It is important to address an ISO STD DAY because many original equipment manufacturers and commercial operators prefer to rate their aero derivative gas turbines based on an ISO STD DAY with no losses. The argument is that the ISO approach fully utilizes the power capability of the engine. This paper will discuss the advantages and disadvantages of the ISO STD DAY approach and how the USN STD DAY approach has benefitted the USN. For the future, with the advance of engine controllers and electronics, utilizing some of the features of an ISO STD DAY approach may be possible while maintaining the advantages of the USN STD DAY.


1999 ◽  
Vol 8 (2) ◽  
pp. 222-223 ◽  
Author(s):  
S. I WOODRUFF ◽  
T. L CONWAY ◽  
C. C EDWARDS ◽  
J. P ELDER

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