The Role of Humanities in Medical Education

2020 ◽  
pp. 148-155
Author(s):  
Arthur L. Frank
Keyword(s):  
United States ◽  
Medical Education ◽  
Patient Care ◽  
The United States ◽  
Physician Communication ◽  
Ethical Behaviors ◽  
The Subject ◽  
Improving Patient Care

This chapter considers the role and value of the study of the humanities in medical education. Most authors on this subject believe the study of the humanities results in a better physician. However, few papers document this almost universally accepted idea. This chapter cites the available literature on the subject and also considers how the study of the humanities has become more common in countries beyond the United States. The study of the humanities is thought to improve physician communication and to influence ethical behaviors, ultimately improving patient care.

scholarly journals Staffing at Ambulatory Endoscopy Centers in the United States: Practice, Trends, and Rationale

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Deepak Agrawal ◽  
Rajeev Jain
Keyword(s):  
United States ◽  
Patient Care ◽  
Response Rate ◽  
The United States ◽  
Survey Study ◽  
Moderate Sedation ◽  
Endoscopic Procedures ◽  
Staffing Patterns ◽  
And Training

Background. Endoscopy nurse (RN) has a pivotal role in administration and monitoring of moderate sedation during endoscopic procedures. When sedation for the procedure is administered and monitored by an anesthesia specialist, the role of an RN is less clear. The guidelines on this issue by nursing and gastroenterology societies are contradictory. Methods. Survey study of endoscopy lab managers and directors at outpatient endoscopy units in Texas. The questions related to staffing patterns for outpatient endoscopies and responsibilities of different personnel assisting with endoscopies. Results. Responses were received from 65 endoscopy units (response rate 38%). 63/65 (97%) performed at least a few cases with an anesthesia specialist. Of these, 49/63 (78%) involved only an endoscopy technician, without an additional RN in the room. At 12/49 (25%) units, the RN performed tasks of an endoscopy technician. At 14/63 (22%), an additional RN was present during endoscopic procedures and performed tasks not directly related to patient care. Conclusions. Many ambulatory endoscopy units do not have an RN present at all times when sedation is administered by an anesthesia specialist. An RN, when present, did not perform tasks commensurate with the education and training. This has implications about optimal utilization of nurses and cost of performing endoscopies.

1. Inventing the Presidency

2013 ◽  
Author(s):  
Charles O. Jones
Keyword(s):  
United States ◽  
The United States ◽  
Creative Work ◽  
Policy Debate ◽  
Trial And Error ◽  
Considerable Debate ◽  
The Subject ◽  
The Creation ◽  
Law Making

The creative work involved in writing the Constitution of the United States in Philadelphia in 1787 has been interpreted and analysed in political and policy debate ever since. ‘Inventing the Presidency’ considers how the Founders of the United States tried to create unity in a separated system. Why was the title of president selected? What was the role of president going to look like? How long should the single executive serve? Should the person be term-limited? Providing a legislative or law-making role for the president was the subject of considerable debate at the beginning. Inventors solve problems: they tinker until they have a workable device. The creation of the presidency was a process of trial and error.

scholarly journals Prevalence of Burnout in the U.S. Oncology Community: Results of a 2003 Survey

2005 ◽  
Vol 1 (4) ◽  
pp. 140-147 ◽  
Author(s):  
Carmen J. Allegra ◽  
Ray Hall ◽  
Greg Yothers
Keyword(s):  
United States ◽  
Patient Care ◽  
Multivariate Analyses ◽  
The United States ◽  
High Rate ◽  
Community Practice ◽  
Personal Time ◽  
Medical Oncologists ◽  
Improving Patient Care ◽  
Time Away

Purpose To investigate the level of burnout in the oncology community in the United States. Patients and Methods Seven thousand seven hundred fifteen oncology physicians were queried by e-mail or during attendance at oncologic meetings and asked to complete a 22-question survey concerning their feelings of personal burnout and their perceptions of physician burnout in the oncology community. The data were analyzed using standard statistical methods including a multivariate analyses using logistic regression with stepwise selection. Results One thousand seven hundred forty oncologists (22.6%) completed and returned the survey, with 92.6 % representing medical oncologists or hematologist-oncologists. Two thirds of the respondents were from community practice and one third from academia. Overall, 61.7% of the respondents reported feelings of burnout, with the top three signs being frustration (78%), emotional exhaustion (69%), and lack of satisfaction with their work (50%). The highest-ranked causes for their feelings of burnout included overwork, lack of time away from the office, and reimbursement concerns. The top remedies for burnout were felt to be fewer patients, more time away from the office, and increased attendance at medical meetings. The multivariate analyses demonstrated highly significant associations between burnout and hours spent on patient care, personal time off, and number of educational meetings attended. Conclusion The rate of burnout in the oncology community of the United States exceeds 60%. This report suggests causes and potential solutions for the high rate of burnout. Such information may lead to an improved understanding of the needed steps to improve the quality of life for the oncology community with the ultimate goal of further improving patient care. Patients deserve optimal medical and emotional support that is best provided by caring and well-informed practitioners.

Our Columnists on the A-Bomb

1950 ◽  
Vol 3 (1) ◽  
pp. 72-87
Author(s):  
Janet Besse ◽  
Harold D. Lasswell
Keyword(s):  
United States ◽  
Decision Making ◽  
General Theory ◽  
Policy Making ◽  
The United States ◽  
Decision Making Process ◽  
History Of ◽  
The Subject

Opinion differs about the role of syndicated columnists in the forming of national opinion and in the decision-making process in the United States. Our columnists have been the subject of pioneering studies, but we have a long way to go before the picture can be called historically complete, scientifically precise, or fully satisfactory for policy-making purposes. What the columnists say is an important chapter in the history of the American public, and history is most useful for critical purposes when written close to the event. The general theory of communication and politics can be refined as the details of the opinion process are more fully known.

scholarly journals The Homelessness Crisis and the Role of the Church

2021 ◽  
Vol 7 (1) ◽  
pp. 25
Author(s):  
William B. Bowes
Keyword(s):  
United States ◽  
Public Opinion ◽  
The United States ◽  
Biblical Theology ◽  
The Poor ◽  
The World ◽  
The Subject ◽  
Church In The World ◽  
The Church

In The United States, The Homelessness Situation Has Developed Into What Is Commonly Called A Crisis. An Array Of Helpful And Unhelpful Responses Has Been Proposed, And Public Opinion On The Homeless Varies. Apathy Or Inaction On The Part Of The Church Is Not An Option, Since Concerns For The Poor And Displaced Permeate Scripture. This Article Considers The Complex Factors Related To Homelessness And The Theology Of Scripture On The Subject, Evaluating Approaches And Offering Meaningful And Effective Responses In Light Of The Role Of The Church In The World. The Intersection Of Ecclesiology And A Practical Response To The Crisis Will Be Examined To Elucidate Better A Specifically Christian Approach. KEYWORDS: Homelessness, Homelessness Crisis, Ecclesiology, Biblical Theology, Poverty, Church Action

Conclusion

2020 ◽  
pp. 199-214
Author(s):  
Kelly Underman
Keyword(s):  
United States ◽  
Medical Education ◽  
Patient Experience ◽  
Teaching And Learning ◽  
Expert Knowledge ◽  
Learning Experience ◽  
Medical Schools ◽  
The United States ◽  
Pelvic Exam

The conclusion looks at debates about the role of consent in teaching and learning the pelvic exam and what these indicate about affective governance in medical education and the making of physicians. The presence of the GTA program in most medical schools in the United States has meant an enthusiastic embracing of the “patient experience.” And yet, there is still a prioritization of the learning experience of the trainee at the expense of the patient when pelvic exams are performed on patients who are under anaesthesia. The chapter suggests that affective governance in medical education is about producing more efficient workers, and more compliant consumers. In short, it is no longer possible to set aside the important role that emotion and bodily capacities to move and be moved by play in the governance of conduct via expert knowledge.

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