scholarly journals Framework for Just Culture: Rhode Island Board of Medical Licensure and Discipline

2020 ◽  
Vol 106 (4) ◽  
pp. 27-31
Author(s):  
James V. McDonald ◽  
Bianca Melo
Keyword(s):  
Rhode Island ◽  
Regulatory Body ◽  
Disciplinary Actions ◽  
Just Culture ◽  
Individual Physician ◽  
Core Concepts ◽  
The Individual

ABSTRACT The Rhode Island Board of Medical Licensure and Discipline (BMLD) is the regulatory body for physicians in Rhode Island, granting licenses and imposing disciplinary actions. The BMLD created a framework in the context of Just Culture to evaluate allegations of misconduct regarding physicians. This framework incorporates core concepts from Just Culture, in order to help determine if a physician is blameless or blameworthy regarding the underlying allegations and to help determine accountability to the individual physician or attribute to systems issues.

2019 TOKYO DECLARATION

2021 ◽  
Vol 9 (4) ◽  
pp. 83-85
Author(s):  
James Appleyard
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Professionals ◽  
Ethical Framework ◽  
Life Balance ◽  
Individual Level ◽  
Service Environment ◽  
Environment And Health ◽  
Individual Physician ◽  
The Individual

As the Congress explored the nature of burnout among doctors and health professionals in differing settings and in different nations it is clear that burnout is a global phenomenon. An organizational paradigm changes to a person- and people-centered system that incorporates complexity, is adaptive and integrative is essential. Such a change will enable continuing medical education be effective and the current unaffordable and unnecessary waste of human resources that the Congress identified reduced. The Congress reviewed a range of features precipitating burnout including a dysfunctional work–life balance and a variety of relatively simple individually protective factors. It is because of this variety that person- and people-centered initiatives rather than narrowly based top-down management solutions will prove effective Individual-level actions can be taken to reduce stress and poor health symptoms through effective coping and promoting healthy behavior. But there needs to be a much better alignment between the health system and the individual physician so that there are shared professional values within a clear medical ethical framework [23] that encourages professional development and adaptation to the health service environment and health system.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1953 ◽  
Vol 11 (4) ◽  
pp. 416-418
Keyword(s):  
Medical Training ◽  
Considerable Extent ◽  
The Public ◽  
Individual Physician ◽  
Good Medicine ◽  
Shortage Of Physicians ◽  
Shortage Of Doctors ◽  
The Subject ◽  
Training Resources ◽  
The Individual

Since you were interested in some casual remarks I made concerning the dispersion of our medical training resources in this country, I am going to impose on your patience by further expanding the subject. Much has been said and written lately about the shortage of physicians and allied technical personnel. In spite of the fact that we have more physicians per thousand population than any other major country, we are constantly being told that we face a critical shortage of doctors and that something must be done about it. It is true that the demand of the general population for health services has vastly increased. Whether this increase is due to an intelligent understanding by more people of what good medicine can offer, or to overindulgence in the luxuries of medicine, may be open to question. The fact remains, however, that in spite of a constant increasing number of doctors per thousand, and greater productivity of the individual physician by reason of better transportation, improved mechanical aids, and an increased number of technical assistants, the load on medicine steadily increased. This load has been diminished in no way by dividing "Gaul" not into three parts, but into six. This alleged shortage of doctors and other health personnel is partly due to faulty distribution but it is also to a considerable extent an artificial creation brought about by unnecessary expansion of government medical services.

THEORY AND VOCATION OF THE POLICE IN MODERN STATE STUDIES: INTERPRETATION OF M. FОUCAULT

2021 ◽  
Vol 2 (2) ◽  
pp. 39-48
Author(s):  
Oleh Turenko ◽  
Keyword(s):  
A Priori ◽  
Social Institutions ◽  
Modern Society ◽  
Modern Concept ◽  
Practical Implementation ◽  
Regulatory Body ◽  
Continuous Control ◽  
State Laws ◽  
Theoretical Substantiation ◽  
The Individual

The Foucault’s interpretation of the police, its theoretical substantiation, the range of powers and managerial tasks in modernist discourses. The French philosopher emphasized it should the modern concept of “police” does not coincide with its original theories of modern times. The doctrines of modern political scientists idealized the vocation of the police and identified it with the entire government, providing it with universal means of implementing the state interest. Considering the police from the perspective of “history of thought” Foucault notes that it is the unlimited nature of police functions gave the modern government to approve a disciplinary society, a new form of government - bio-power. This form of power totally controlled the individual, “took care of him” at all levels of biological life and, above all, the depths of consciousness - artificially created his authenticity. At the same time, in the theories of political scientists, the police received the status of a self-regulatory body, whose activities were not strictly controlled by state laws. In this case, the police, in the imaginary sense, is the living embodiment of state interest, morality and integrity, the formative and corrective body of state power. In order to form a disciplined and productive life, the police must direct individuals to regulation, to their temporal and hierarchical repetition. The a priori qualities of the police and its all-encompassing powers form the basis for the assertion of the idea of a “police state” and its radical form of panopticon. It is thanks to the idea of panopticon, its practical implementation by the police in modern society - the formation of disciplinary practice of continuous control in the social institutions of modernism.

Interdisciplinary Treatment of Drug Misuse among Older People of Color: Ethnic Considerations for Social Work Practice

1989 ◽  
Vol 19 (2) ◽  
pp. 297-313 ◽  
Author(s):  
Paul R. Raffoul ◽  
C. Allen Haney
Keyword(s):  
Older People ◽  
Older Persons ◽  
Work Practice ◽  
Social Work Practice ◽  
Interdisciplinary Treatment ◽  
People Of Color ◽  
Drug Misuse ◽  
Individual Physician ◽  
Health And Illness ◽  
The Individual

Drug misuse involves the interaction of individual, physician, pharmacist and the drugs themselves; when ethnicity is included in this definition, information about the cultural heritage of the individual and what health and illness mean within that culture for that particular individual must be included to fully understand their drug-taking behavior. A model of interdisciplinary treatment of drug misuse for practitioners, who work primarily with noninstitutionalized older persons of color is presented. Being ethnically sensitive to individual differences is a first step in treating the older minority persons' drug misuse; with this sensitivity comes the knowledge of what objective differences are most important to consider in preventing drug misuse among all people, particularly older people of color.

Kant and the Common Law: Intersubjectivity in Aesthetic and Legal Judgment

2010 ◽  
Vol 23 (2) ◽  
pp. 429-460
Author(s):  
Douglas E. Edlin
Keyword(s):  
Common Law ◽  
Aesthetic Judgment ◽  
Political Community ◽  
Aesthetic Theory ◽  
Objective Truth ◽  
Core Concepts ◽  
The Common ◽  
The Individual ◽  
Relationship Of ◽  
The Relationship

This article develops some conceptual correlations between Kant’s theory of aesthetic judgment and the common law tradition of legal judgment. The article argues that legal judgment, like aesthetic judgment, is best conceived in terms of intersubjective validity rather than objective truth. Understanding the parallel between aesthetic and legal judgment allows us to appreciate better the relationship between subjectivity and intersubjectivity, the individual and the community, in the formulation and communication of judgments, which combine a personal response and a reasoned determination intended for a discrete audience. The article frames and pursues these themes in relation to four core concepts in Kant’s aesthetic theory: judgment, communication, community, and disinterestedness. Through sustained comparison and application of these concepts in aesthetic judgment and legal judgment, the article provides a conception of judging that more accurately captures the common law role and relationship of the individual judge and the institutional judiciary as integral parts of the broader legal and political community.

scholarly journals Review of Disciplinary Actions Regarding Controlled Substances, Rhode Island 2012–2017

2019 ◽  
Vol 105 (1) ◽  
pp. 22-27
Author(s):  
Luke Barre ◽  
Justin Gallo ◽  
James V. McDonald
Keyword(s):  
Public Health ◽  
Medical Education ◽  
Rhode Island ◽  
Health Resources ◽  
Opioid Epidemic ◽  
Academic Detailing ◽  
Disciplinary Actions ◽  
Controlled Substances ◽  
State Medical Boards ◽  
Effective Use

ABSTRACT Inappropriate and excessive prescribing is an important cause of the opioid epidemic. A retrospective review of disciplinary actions related to controlled substances in Rhode Island from 2012–2017 was undertaken from publicly available data. There were 47 physicians with opioid related disciplinary actions. All of them were male and the average age was 63. Providing targeted academic detailing and stratified continuing medical education to physicians who have been in practice longer than others provides state medical boards with a means of primary prevention of inappropriate and excessive prescribing. This approach may provide a more effective use of limited public health resources.

scholarly journals The language of numbers

AILA Review ◽  
2018 ◽  
Vol 31 ◽  
pp. 81-112
Author(s):  
Marlies Whitehouse
Keyword(s):  
Financial Literacy ◽  
Financial Analysts ◽  
Pension Plans ◽  
Cyclic Process ◽  
Research Projects ◽  
Financial Industry ◽  
Financial Communication ◽  
Core Concepts ◽  
Set Up ◽  
The Individual

Abstract Wider parts of society-at-large are not fluent in the language of numbers, and financial literacy in particular is low in many countries (OECD, 2014). This paper shows how research on financial communication with and for practitioners (Cameron, Frazer, Rampton, & Richardson, 1992, p. 22) can foster intra-lingual translation in the financial sector, which increases financial texts’ communicative potential and finally enables laypersons to better understand the language of numbers. Such an increased understanding allows individuals to set up investment plans for their current and future wealth and, for example, make informed decisions about their pension plans. By doing so, financial crises on the individual, organizational, and societal level can be avoided, which benefits social welfare and society-at-large. Transdisciplinary Action Research (TDA) offers a framework and procedures to approach such goals through close collaboration of scholars and practitioners throughout research projects. Following TDA core concepts, a cyclic process of research and development has been established in the last two decades (e.g. Perrin, this volume; Whitehouse, 2014). Whereas applied linguists involved aimed at better understanding practices of writing and intra-lingual translation at the interface of technical and everyday language, stakeholders from the financial industry wanted to improve their communication. The representatives of society-at-large, finally, were interested in contributing to sustainably increasing financial literacy. In the first part of the present paper, I sketch the suitability of transdisciplinarity in general and TDA in particular in financial communication (Section 1). Then I define the key concepts of intra-lingual translation, communicative potential, and financial literacy (Section 2). Next, I outline the data corpus and explain how TDA was applied in a series of research projects (Section 3). The presented results on a macro-level shed light on the financial analysts’ situation and practices in their multilingual workplace: the findings on the micro-level suggest that financial analysts’ texts pose a risk of partial communicative failure (Section 4). The article concludes by indicating empirically based measures to develop financial literacy, intra-lingual translation across stakeholders and texts’ communicative potential in finance (Section 5).

scholarly journals Identifying and Distinguishing Among Teachers’ Supplementary Curriculum Use Patterns Using the Lasso

2021 ◽  
Vol 6 ◽  
Author(s):  
Morgan S. Polikoff ◽  
Daniel Silver
Keyword(s):  
Rhode Island ◽  
Sparse Models ◽  
Math Teachers ◽  
Use Patterns ◽  
Supplement Use ◽  
Teacher Surveys ◽  
American Teacher ◽  
The Individual ◽  
K 12 ◽  
Lasso Estimator

Research has shown that officially-adopted textbooks comprise only a small part of teachers’ enacted curriculum. Teachers often supplement their core textbooks with unofficial materials, but empirical study of teacher curriculum supplementation is relatively new and underdeveloped. Grounding our work in the Teacher Curriculum Supplementation Framework, we use data from two state-representative teacher surveys to describe different supplement use patterns and explore their correlates. (We use RAND’s American Teacher Panel survey of K-12 ELA teachers, representative of Louisiana, Massachusetts, and Rhode Island, and Harvard’s National Evaluation of Curriculum Effectiveness survey of fourth and fifth grade math teachers, representative of California, Louisiana, Maryland, New Jersey, New Mexico, and Washington.) We find evidence of four distinct supplement use patterns. We then predict each pattern, producing sparse models using the lasso estimator. We find that teacher-, school-, and textbook-level characteristics are predictive of teachers’ supplement use, suggesting that it may be affected by structures and policies beyond the individual teacher. We recommend researchers use consistent measures to explore the causes and consequences of supplementation.

Core Concepts in Cardiac Surgery

2018 ◽  
Keyword(s):  
Cardiac Surgery ◽  
Heart Surgery ◽  
Relevant Literature ◽  
Controversial Issues ◽  
Surgical Trainees ◽  
Core Concepts ◽  
Lung Failure ◽  
Cardiac Surgeon ◽  
The Individual ◽  
Cardiac Surgeons

This textbook provides the reader with up-to-date concepts in cardiac surgery encompassing many of its subdisciplines, including coronary artery surgery and conduit choice, valvular heart surgery, minimally invasive approaches, and surgery for heart and lung failure. It includes concise reviews of the relevant literature in addition to important technical details. The individual chapters are written by internationally renowned experts in their respective fields, providing the practicing cardiac surgeon with current updates in the specialty, and also covering controversial issues that would have a direct impact in everyday practice. This textbook is an invaluable resource for senior cardiac surgical trainees and practicing cardiac surgeons.

Disproportionate Short Stature: Diagnosis and Management, by Joseph A. Bailey, II, M.D., F.A.C.S. Philadelphia/London/Toronto: W. B. Saunders Co., 1973, 589 pp., $22.50

PEDIATRICS ◽  
1974 ◽  
Vol 53 (2) ◽  
pp. 302-302
Author(s):  
Jürgen W. Spranger
Keyword(s):  
Short Stature ◽  
Skeletal Development ◽  
Orthopedic Procedures ◽  
Inborn Errors ◽  
Diagnosis And Management ◽  
Individual Physician ◽  
The Individual

The orthopedic management of patients with inborn errors of skeletal development is unsatisfactory to both patient and physician. The results of major orthopedic procedures are frequently poor and the individual physician sees too few patients with a given condition to critically evaluate the results of his treatment. In his book, Dr. Bailey reviews the operative and nonoperative procedures recommended in the management of various types of disproportionate dwarfism. His approach is particularly well shown in the chapter on diastrophic dwarfism: various orthopedic procedures are presented and their results are critically evaluated in 22 patients.

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