scholarly journals The American College of Surgeons, Minimum Standards for Hospitals, and the Provision of High-Quality Laboratory Services

2017 ◽  
Vol 141 (5) ◽  
pp. 704-717 ◽  
Author(s):  
James R. Wright
Keyword(s):  
New York ◽  
Medical Staff ◽  
Clinical Pathology ◽  
The United States ◽  
Historical Sources ◽  
Minimum Standards ◽  
Laboratory Services ◽  
American College Of Surgeons ◽  
American Society ◽  
Voluntary Adoption

Context.— The first major project of the American College of Surgeons (Chicago, Illinois), founded in 1913, was implementing Minimum Standards for Hospitals. The 1918 standard (1) established medical staff organizations in hospitals; (2) restricted membership to licensed practitioners in good standing; (3) mandated that the medical staff work with hospital administration to develop and adopt regulations and policies governing their professional work; (4) required standardized, accessible medical records; and (5) required availability of diagnostic and therapeutic facilities. One hundred years ago, these were radical expectations. Objectives.— To describe the origin, “marketing,” and voluntary adoption of the 1918 standards, and to describe how the evolution of those standards profoundly affected laboratory medicine after 1926. Design.— Available primary and secondary historical sources were reviewed. Results.— The college had no legal mandate, so it used a highly consultative approach, funded by its membership and the Carnegie Foundation (New York, New York), to establish the Minimum Standards, followed by a nonthreatening mechanism to determine which hospitals met them. Simultaneously, the college educated the public to fuel their expectations. Compliance by more than 100-bed hospitals in the United States and Canada, although entirely voluntary, rose from negligible when first implemented in 1918 to more than 90% in only a few years. From 1922 to 1926, the American Society for Clinical Pathology (Chicago, Illinois) worked creatively with the college to establish Minimum Standards for “adequate” laboratory services. Conclusions.— The birth and implementation of this program exemplifies how a consultative approach with full engagement of grassroots stakeholders facilitated a voluntary, rapid, sweeping North America–wide change-management process. This program eventually evolved into the Joint Commission (Oakbrook Terrace, Illinois).

scholarly journals The Politics Underlying the Provision of and Changes in Pathology and Laboratory Services in the United States During the Roaring Twenties

2016 ◽  
Vol 140 (9) ◽  
pp. 983-991 ◽  
Author(s):  
James R. Wright
Keyword(s):  
American Medical Association ◽  
Medical Association ◽  
American Medical ◽  
Clinical Pathology ◽  
The United States ◽  
Laboratory Medicine ◽  
Laboratory Model ◽  
Historical Sources ◽  
Commercial Laboratory ◽  
American Society

Context.—Prior to 1900, laboratory tests were simple enough to be performed by clinicians on the wards and most pathologists were academicians with little involvement in patient care issues. In the next 2 decades, laboratory test menus expanded rapidly and the increasing complexity of the tests created a potential niche for clinical pathologists (ie, pathologists providing patient-oriented anatomic and clinical pathology services). In the late 1910s and early 1920s, most of these services were provided by mail-order commercial laboratories or state public health laboratories rather than by hospital-based pathologists. Objective.—To describe the political events in the 1920s that would drastically alter the practice of pathology and laboratory medicine and that would have been important to the discipline at the time the Archives of Pathology and Laboratory Medicine was being conceived and first published. Design.—Available primary and secondary historical sources were reviewed. Results.—In the 1920s, clinical pathologists organized, forming the American Society of Clinical Pathologists, and took on the powerful American Medical Association for permitting advertisements by private laboratories in the pages of the Journal of the American Medical Association that listed test prices as if these were commodities. They found a strong partner in the American College of Surgeons, which was attempting to elevate surgical practice by creating minimum standards for hospitals. Through this symbiotic relationship, hospital-based practice was firmly established and the commercial laboratory model faltered. Conclusions.—The Roaring Twenties was the time when the practice of pathology and laboratory medicine evolved into what we recognize today.

scholarly journals Philip Hillkowitz The “Granddaddy of Medical Technologists” and Cofounder of the American Society for Clinical Pathologists and the Jewish Consumptives' Relief Society

2018 ◽  
Vol 142 (1) ◽  
pp. 127-138 ◽  
Author(s):  
James R. Wright ◽  
Jeanne Abrams
Keyword(s):  
20Th Century ◽  
Clinical Pathology ◽  
Early 20Th Century ◽  
Eastern European ◽  
Immigrant Communities ◽  
Historical Sources ◽  
American College Of Surgeons ◽  
Medical Technologists ◽  
Eastern European Immigrant ◽  
American Society

Context.— In the early 20th century, the future of hospital-based clinical pathology practice was uncertain and this situation led to the formation of the American Society for Clinical Pathologists in 1922. Philip Hillkowitz, MD, and Ward Burdick, MD, were its cofounders. No biography of Hillkowitz exists. Objective.— To explore the life, beliefs, and accomplishments of Philip Hillkowitz. Design.— Available primary and secondary historical sources were reviewed. Results.— Hillkowitz, the son of a Russian rabbi, immigrated to America as an 11-year-old child in 1885. He later attended medical school in Cincinnati, Ohio, and then moved to Colorado, where he began his clinical practice, which transitioned into a clinical pathology practice. In Denver, he met Charles Spivak, MD, another Jewish immigrant and together they established the Jewish Consumptives' Relief Society, an ethnically sensitive tuberculosis sanatorium that flourished in the first half of the 20th century because of its national fundraising network. In 1921, Hillkowitz and Burdick, also a Denver-based pathologist, successively organized the pathologists in Denver, followed by the state of Colorado. Early the next year, they formed the American Society for Clinical Pathologists (ASCP). Working with the American College of Surgeons, the ASCP put hospital-based practice of clinical pathology on solid footing in the 1920s. Hillkowitz then established and oversaw the ASCP Board of Registry of Medical Technologists. Conclusions.— Philip Hillkowitz changed the directions of clinical pathology and tuberculosis treatment in 20th century America, while simultaneously serving as a successful ethnic power broker within both the American Jewish and Eastern European immigrant communities.

Since 1945: New Amenities, New Hazards

2000 ◽  
Author(s):  
William B. Meyer
Keyword(s):  
New York ◽  
Large Scale ◽  
Social Scientist ◽  
World History ◽  
The United States ◽  
Economic Role ◽  
The Past ◽  
American Society ◽  
Service Employment

If the average citizen's surroundings defined the national climate, then the United States grew markedly warmer and drier in the postwar decades. Migration continued to carry the center of population west and began pulling it southward as well. The growth of what came to be called the Sunbelt at the "Snowbelt's" expense passed a landmark in the early 1960s when California replaced New York as the most populous state. Another landmark was established in the early 1990s when Texas moved ahead of New York. In popular discussion, it was taken for granted that finding a change of climate was one of the motives for relocating as well as one of the results. It was not until 1954, though, that an American social scientist first seriously considered the possibility. The twentieth-century flow of Americans to the West Coast, the geographer Edward L. Ullman observed in that year, had no precedent in world history. It could not be explained by the theories of settlement that had worked well in the past, for a substantial share of it represented something entirely new, "the first large-scale in-migration to be drawn by the lure of a pleasant climate." If it was the first of its kind, it was unlikely to be the last. For a set of changes in American society, Ullman suggested, had transformed the economic role of climate. The key changes included a growth in the numbers of pensioned retirees; an increase in trade and service employment, much more "footloose" than agriculture or manufacturing was; developments in technology making manufacturing itself more footloose; and a great increase in mobility brought about by the automobile and the highway. All in one way or another had weakened the bonds of place and made Americans far freer than before to choose where to live. Whatever qualities made life in any spot particularly pleasant thus attracted migration more than in the past. Ullman grouped such qualities together as "amenities." They ranged from mountains to beaches to cultural attractions, but climate appeared to be the most important, not least because it was key to the enjoyment of many of the rest. Ullman did not suppose that all Americans desired the same climate. For most people, in this as in other respects, "where one was born and lives is the best place in the world, no matter how forsaken a hole it may appear to an outsider."

Ethnocultural Political Analysis: A New Approach to American Ethnic Studies

1971 ◽  
Vol 5 (1) ◽  
pp. 59-79 ◽  
Author(s):  
Robert P. Swierenga
Keyword(s):  
New York ◽  
Ethnic Studies ◽  
New York Times ◽  
The United States ◽  
Melting Pot ◽  
Political Analysis ◽  
Heated Debate ◽  
American Society ◽  
Nathan Glazer

At the seventy-ninth annual meeting of the American Historical Association in 1964, a panel of scholars enlivened one of the sessions with a heated debate over the effects of ethnic assimilation in American culture. The topic of debate, ‘Beyond the Melting Pot: Irish and Jewish Separateness in American Society’, focused on a recent controversial study of ethnic mixture in New York City by Nathan Glazer and Daniel Patrick Moynihan, both sociologists. Glazer and Moynihan in their bookBeyond the Melting Pottraced the ‘role of ethnicity’ in the seaboard city. The melting pot ‘did not happen’, they concluded, ‘at least not in New York and,mutatis mutandis, in those parts of America which resemble New York’. This frontal assault on the concept of Americanization, long a cherished ideal in the United States, drew a sharp reaction from several panellists, especially William V. Shannon, editorial writer for dieNew York Timesand author ofThe American Irish, and Irving Greenberg, professor of history at Yeshiva University. Both Shannon and Greenberg insisted that Irishmen and Jews had indeed been assimilated in American society, either for better or for worse. At this point, the discussion degenerated into the traditional moralistic debate on the merits and demerits of assimilation. Reflecting the divergent views of their colleagues in the history profession, Shannon praised assimilation and Greenberg condemned it.

scholarly journals American Society for Clinical Pathology’s 2019 Wage Survey of Medical Laboratories in the United States

2020 ◽  
Author(s):  
Edna Garcia ◽  
Iman Kundu ◽  
Karen Fong
Keyword(s):  
Urban Areas ◽  
Clinical Pathology ◽  
The United States ◽  
Washington Dc ◽  
Laboratory Personnel ◽  
Education Marketing ◽  
And Performance ◽  
Board Of Certification ◽  
American Society ◽  
Laboratory Information Systems

Abstract Objectives To inform the pathology and laboratory field of the most recent national wage data. Historically, the results of this biennial survey have served as a basis for additional research on laboratory recruitment, retention, education, marketing, certification, and advocacy. Methods The 2019 Wage Survey was conducted through collaboration of the American Society for Clinical Pathology (ASCP) Institute of Science, Technology, and Policy in Washington, DC, and the ASCP Board of Certification in Chicago, Illinois. Results Compared with 2017, results show an overall increase in salaries for most laboratory occupations surveyed except cytogenetic technologists, laboratory information systems personnel, and performance improvement or quality assurance personnel. Geographically, laboratory professionals from urban areas earned more than their rural counterparts. Conclusions As retirement rates continue to increase, the field needs to intensify its efforts on recruiting the next generation of laboratory personnel. To do so, the report urged the field to highlight advocacy for better salaries for laboratory personnel at the local and national levels when developing recruitment and retention strategies.

Beyond Chrismukkah

2018 ◽  
Author(s):  
Samira K. Mehta
Keyword(s):  
The United States ◽  
Young Adult Fiction ◽  
Religious Leaders ◽  
Historical Sources ◽  
Mixed Marriages ◽  
The Social ◽  
The Sixties ◽  
Eye Opening ◽  
Tv Shows ◽  
American Society

The rate of interfaith marriage in the United States has risen so radically since the sixties that it is difficult to recall how taboo the practice once was. How is this development understood and regarded by Americans generally, and what does it tell us about the nation’s religious life? Drawing on ethnographic and historical sources, Samira K. Mehta provides a fascinating analysis of wives, husbands, children, and their extended families in interfaith homes; religious leaders; and the social and cultural milieu surrounding mixed marriages among Jews, Catholics, and Protestants. Mehta’s eye-opening look at the portrayal of interfaith families across American culture since the mid-twentieth century ranges from popular TV shows, holiday cards, and humorous guides to “Chrismukkah” to children’s books, young adult fiction, and religious and secular advice manuals. Mehta argues that the emergence of multiculturalism helped generate new terms by which interfaith families felt empowered to shape their lived religious practices in ways and degrees previously unknown. They began to intertwine their religious identities without compromising their social standing. This rich portrait of families living diverse religions together at home advances the understanding of how religion functions in American society today.

Introduction: Immigration and Incorporation

1997 ◽  
Vol 40 (3) ◽  
pp. 333-338 ◽  
Author(s):  
Rubén G. Rumbaut
Keyword(s):  
United States ◽  
New York ◽  
Los Angeles ◽  
Race And Ethnicity ◽  
The United States ◽  
The Past ◽  
Immigrant Settlement ◽  
Wide Range ◽  
The Subject ◽  
American Society

In at least one sense the “American century” is ending much as it had begun: the United States has again become a nation of immigrants, and it is again being transformed in the process. But the diversity of the “new immigration” to the United States over the past three decades differs in many respects from that of the last period of mass immigration in the first three decades of the century. The immigrants themselves differ greatly in their social class and national origins, and so does the American society, polity, and economy that receives them—raising questions about their modes of incorporation, and challenging conventional accounts of assimilation processes that were framed during that previous epoch. The dynamics and future course of their adaptation are open empirical questions—as well as major questions for public policy, since the outcome will shape the future contours of American society. Indeed, as the United States undergoes its most profound demographic transformation in a century; as inexorable processes of globalization, especially international migrations from Asia, Africa, and the Americas, diversify still further the polyethnic composition of its population; and as issues of immigration, race and ethnicity become the subject of heated public debate, the question of incorporation, and its serious study, becomes all the more exigent. The essays in this special issue of Sociological Perspectives tackle that subject from a variety of analytical vantages and innovative approaches, covering a wide range of groups in major areas of immigrant settlement. Several of the papers focus specifically on Los Angeles and New York City, where, remarkably, fully a quarter of the total U.S. immigrant population resides.

scholarly journals Race, Housing, and the Federal Government: Black Lives on the Margins of the American Dream

2016 ◽  
Vol 106 ◽  
Author(s):  
Richard Hughes
Keyword(s):  
Federal Government ◽  
American Dream ◽  
The United States ◽  
Thinking Skills ◽  
Historical Sources ◽  
Racial Injustice ◽  
Federal Housing ◽  
Historical Relationship ◽  
American Society

As historians have increasingly explored the complex historical relationship between race, class, and institutions such as the federal government in shaping contemporary American society, historical sources such as the Federal Housing Association’s Underwriting Manual (1938) provide provocative opportunities for teaching. Brief excerpts from the Manual are a small window through which to examine the underappreciated role of the U.S. federal government in creating and sustaining a racialized version of the American Dream. The result is an opportunity to equip students, as citizens, with the historical thinking skills and sources to examine the enduring historical arc of racial injustice and resistance in the United States that serves as the foundation for the Black Lives Matter movement.

Stephen Foster

Music ◽  
2020 ◽  
Author(s):  
Deane L. Root ◽  
Codee Spinner
Keyword(s):  
United States ◽  
New York ◽  
Cultural History ◽  
Western Europe ◽  
The United States ◽  
Online Information ◽  
Tin Pan Alley ◽  
George Gershwin ◽  
Instrumental Works ◽  
American Society

Stephen Collins Foster (b. Lawrence, near Pittsburgh, PA, 4 July 1826–d. New York, 13 January 1864) was the first professional songwriter in the United States, and the earliest to write songs whose images pervaded American culture and whose melodies endure into the 21st century. For his most familiar songs, he wrote both lyrics and music, though he also set poems that had appeared in household magazines, and toward the end of his life he partnered with poet George Cooper. His oeuvre includes principally songs for solo voice (or solo voice plus four-voice chorus) with piano accompaniment, four-voice hymns, and instrumental works (mostly dances, for piano). His songs for blackface minstrels (which provided him with the majority of his income, though they amount to less than one-tenth of his 287 authenticated compositions) were controversial from the start; they made Foster’s reputation, even as he attempted to create “refined” songs in a genre he considered to be rife with “trashy and really offensive words” (Foster letter to E. P. Christy, 25 May 1852). He was of Scots-Irish descent, and as a resident of a northern industrializing urban center that drew workers from throughout Western Europe, he was attuned to different national styles of song and common sentiments of lyric poetry not confined by ethnicity, race, or social class. His song structures and lyrics became models for other songwriters well into the Tin Pan Alley era; his inability to control copyrights (which were owned by his publishers) and his death in poverty (with 38 cents in his pocket) were factors in the establishment of the American Society of Composers, Authors and Publishers (ASCAP) fifty years later. It is perhaps not coincidental that songs quoting Foster’s “Swanee River” (“The Old Folks at Home”) helped launch the careers of two of the most significant American songwriters of the 20th century, Irving Berlin (“Alexander’s Ragtime Band”) and George Gershwin (“Swanee”). This bibliography summarizes the major sources of archival, published, and online information about Foster’s life, career, music, and their interpretation and influence in the social and cultural history of the United States, Europe, and East Asia. It omits the sound recordings, plays, films, novels, and other creative works that reflect and contribute to that influence.

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