Grand Junction’s medical community was not following anyone else’s recipe. But, like Mayo, it created what Elliott Fisher, of Dartmouth, calls an accountable-care organization. The leading doctors and the hospital system adopted measures to blunt harmful financial incentives, and they took collective responsibility for improving the sum total of patient care.
J. Engelstädter. . (2014) Fitness landscapes emerging from pharmacodynamic functions in the evolution of multidrug resistance. 27:5, 840-853.
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Then there are the physicians who see their practice primarily as a revenue stream. They instruct their secretary to have patients who call with follow-up questions schedule an appointment, because insurers don’t pay for phone calls, only office visits. They consider providing Botox injections for cash. They take a Doppler ultrasound course, buy a machine, and start doing their patients’ scans themselves, so that the insurance payments go to them rather than to the hospital. They figure out ways to increase their high-margin work and decrease their low-margin work. This is a business, after all.
HOWEVER, in order to make sure that not taking it won’t impact you down the line, i would sit down one day and draw up a schedule of all the courses you’d like to take during your degree. do any of them require or recommend physics? that can help you decide.
Fangfang Zhang, Lianyan Xie, Xiaoli Wang, Lizhong Han, Xiaokui Guo, Yuxing Ni, Hongping Qu, Jingyong Sun. . (2016) Further Spread of blaNDM-5 in Enterobacteriaceae via IncX3 Plasmids in Shanghai, China. 7.
Others think of the money as a means of improving what they do. They think about how to use the insurance money to maybe install electronic health records with colleagues, or provide easier phone and e-mail access, or offer expanded hours. They hire an extra nurse to monitor diabetic patients more closely, and to make sure that patients don’t miss their mammograms and pap smears and colonoscopies.
Bijie Bie, Lu Tang, Debbie M. Treise. . (2016) Be aware of superbugs: Newspaper coverage of NDM-1 in India, UK, and the USA. 26:1, 58-75.
Wafaa Y. Jamal, M. John Albert, Vincent O. Rotimi, Massimiliano Galdiero. . (2016) High Prevalence of New Delhi Metallo-β-Lactamase-1 (NDM-1) Producers among Carbapenem-Resistant Enterobacteriaceae in Kuwait. 11:3, e0152638.
In every community, you’ll find a mixture of these views among physicians, but one or another tends to predominate. McAllen seems simply to be the community at one extreme.
Fengxia Yang, Daqing Mao, Hao Zhou, Xiaolong Wang, Yi Luo. . (2016) Propagation of New Delhi Metallo-β-lactamase Genes ( NDM-1 ) from a Wastewater Treatment Plant to Its Receiving River. 3:4, 138-143.
additionally, medical schools don’t typically require that you have any physics credits, per se. that said, the mcat does have a . while most of it was probably covered in your A-levels, some people choose to take one or two first-year physics courses just to make sure they’re ready.
Kristin M. Burkholder, Mary X. D. O’Riordan. . 2016. Opportunisitic Pathogens of Humans. The Rasputin Effect: When Commensals and Symbionts Become Parasitic, 301-357.
you could get by in an entire degree in life science without taking physics, and do quite well. there are definitely plenty of subject POSts which don’t require or emphasize physics – just browse the programs offered by , , , and .
Sorabh Dhar, Emily T. Martin, Paul R. Lephart, John P. McRoberts, Teena Chopra, Timothy T. Burger, Ruthy Tal-Jasper, Kayoko Hayakawa, Hadas Ofer-Friedman, Tsilia Lazarovitch, Ronit Zaidenstein, Federico Perez, Robert A. Bonomo, Keith S. Kaye, Dror Marchaim. . (2016) Risk Factors and Outcomes for Carbapenem-Resistant Isolation, Stratified by Its Multilocus Sequence Typing: ST258 Versus Non-ST258. 3:1, ofv213.