...Medical Associates-Middleboro Case Study Assignment Case Overview: Founded in 1951 and led by Dr. James R. Fairchild, a board-certified internist, Medical Associates is a physician group practice that expanded slowly and added other specialties in 1963. It has continued to expand over the years, and began to provide specialty and sub-specialty medical and surgical care in 1972. Medical Associates has also grown into a large tax paying medical group of forty physicians and two separate location in Middleboro and the eastern edge of Jasper which opened in 1972 and 1985 respectively. The practice was originally a single specialty practice but now has several specialties and sub-specialties in addition to ambulatory surgical services due to Dr. Fairchild advocating on behalf of multi-specialty medical care. Medical Associates provides services in cardiology, ENT, gastroenterology, general surgery, internal medicine, OB/GYN, orthopedic surgery, pediatrics, thoracic surgery, and urology. However, the practice struggles to provide an adequate amount of lab and imaging services. The board is battling many issues that are time sensitive and need to be fixed as quickly as possible such as staffing and insurances for example. They will need to remedy the situations before they become too hard to control and manage. A SWOT analysis of the organization, chart is attached at the end of this document, will be conducted to determine the strengths, weaknesses, opportunities and threats of...
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...Peter Blackwell Chapter 2 Test April 30, 2012 (1) Distinguished between the care provided in a/an: a. Hospital treats the acutely ill whereas a SNF cares for those less acutely ill. b. Level of care required is less in ICF c. RCF residents carry out activities of daily living on their own, whereas ICF residents may need some help. d. Trauma center is equipped to handle more severe injuries. (2) Distinguished between: a. Medicare id for people age 65 and older. Medicaid is for the poor. b. Retrospective is upon or after discharge, concurrent is during hospitalization. (3) Describe the type of care provided by a Primary Care Centers. Basic care by an internist, family practice physician, or pediatrician (4) Name : (a) An ancillary service . X-ray, labs test, physical therapy (b) A primary care physician. Internist, family practice physician , or pediatrician (c) Medical ,surgical, newborn, obstetrics (d) AMA (against medical advice (e) 14 (5) State the term for : a. satellite b. hospice care c. swing beds d. observation beds e. respite care f. intrahospital transfer g. incident report (6) Identify the initials AMA as related to discharge. Against Medical Advice (7) Is the adolescent included in adult or children statistics ? Adult (8) Name a list compiled daily in a hospital ? Admission, transfer, death, discharge (9) Name three indexes maintained in a a hospital. MPI, number, disease, procedure/ operation (10)...
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...Having the opportunity to work with several PA’s, I experienced first-hand how they all worked closely with the patients, took the time to speak to them, listened to their complaints and symptoms, and consulted with the physicians regarding the patients’ course of treatment. I began to realize what an integral role a PA can have in both a hospital and private practice setting, and the relationships that they develop with their patients. There were many times that I witnessed the PA’s spending more time and being more involved in the care and treatment of the patients than the physician for some of their regular patients. During this time, several PA’s and physicians I had worked with suggested to me that I would make an excellent physicians assistant, and that was when I first became inspired to pursue a career as a PA. I further explored the field by spending time shadowing several PA’s in various fields, including plastic surgery, vascular surgery and OB/GYN. This has inspired me to take 36 credits of prerequisite courses in one year, while still working full time. I constantly strive to excel in what I do, and I commit myself fully to any endeavor that I become passionate about. I am going back to school after almost ten years since graduating college in order to pursue my dream of becoming a PA because I believe in what I am doing, and I am passionate about my goals. I look very forward to a rewarding profession that combines my interests in clinical science and...
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...Job Description A paediatrician is a type of doctor that specializes in the medical care of infants, youth and teenagers until the age of 18. Paediatricians look after an individuals physical, mental and emotional well-being, in good health or illness. They diagnose and treat: infections, injuries, genetic defects, diseases, and dysfunctions. In addition, they are involved with the prevention, early detection and management of problems effecting children such as behavioural difficulties, developmental disorders, social stresses, functional problems, and depression or anxiety disorders. Paediatricians work with other medical professionals to fulfill the needs of patients. The word paediatrics comes from a greek word meaning “healer of children.” I selected the occupation of a paediatrician because I enjoy working with children to improve the community that I live in by treating diseases and teaching. In addition, paediatricians have a career that is flexible and very rewarding. Education and Training In high school, an individual must take chemistry, biology, and physics, as well as grade 11 math and grade 12 calculus. After an individual finishes high school, if they wish to become a paediatrician they must enrol in 4 years of college and 4 years of medical school. In college, you must take the following classes: 4 biology, 1 chemistry, 1 physics and 2 maths. After college, you must take 2 years of basic medical science. For the second 2 years, you will decide what field of...
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...“My Specialty: Pediatric Nursing” The article, “My Specialty: Pediatric Nursing,” by PHN Elizabeth Hanks focuses on pediatric nursing, a field very close to my heart. When my youngest daughter was two years old, she was diagnosed with a brain tumor that caused severe seizures. We spent the next several years in and out of the hospital. The pediatric nurses who cared for her helped my daughter and our family feel as comfortable as they could. I felt that my daughter was well taken care of and without them the situation would have been harder on the entire family. Therefore, I chose an article about pediatric nursing because it is a field of nursing that is very close to my heart and has played a big role in my life and the lives of my family members. Pediatric nursing is a field of nursing that encompasses multiple specializations. The article featured interviews from three pediatric nurses from different sub-fields, including a foster care support nurse, a pediatric oncologist, and a pediatric nurse involved in private practice. The foster care nurse is assigned to a family who is adopting a child, and stays in close contact with the family for the first few months to help them get accustomed to the new child and is called upon when they are in need of medical advice or assistance. Also, Hanks interviewed a pediatric oncologist, which is a nurse who specializes in the study of different cancers among children and their care. The final interview was with a nurse who...
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...International Journal of Health Research in Modern Integrated Medical Sciences (IJHRMIMS) is adouble blind peer reviewed, Print andOnline journal, giving priority for research in Health andModern Innovative Medical Sciences. It is a non profit, peer reviewed journal and will be published quarterly. As medical science is fast expanding, this journal is a platform for the researchers for their publication as it reaches globally. It publishes original research articles in the field of Medical and Health and its Allied branches. Journal invites original articles, short communications, case reports, Letter to Editor and review articles on recent advances in medical and health. Manuscripts submitted to this journal, should not have been published or under consideration for publication in any substantial form in any other journal. The views expressed in the articles published in this journal are those of the authors alone. Under no circumstances shall the editor be liable for any direct, incidental, special and consequential loss and damage that results from the user’s reliance or non reliance of information provided in this journal. Editors do not necessarily agree with the said views and the same should not be taken to reflect either the views or the policy of this journal. Material published in this journal is the exclusive copy right property of IJHRMIMS. This is an ideal platform for researchers who are willing to publish their articles. We have a dynamic editorial team who...
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...children from birth to the age of 21” (WebMD). Their roles in family lives are very important; Pediatricians are educated to make a diagnosis and then treat children with minor health problems to serious illnesses. With that, they will be working closely with the child’s family through adulthood, so Pediatricians are required to have great communication skills, time management, and diligence while being in their field of work. Pediatricians primarily do “physical exams, give your child recommended immunizations, give you information about your child’s health, safety, nutrition, and fitness needs, […] and answer your questions about your child’s growth and development” (WebMD). As a Pediatric, they are also known to be a “highly flexible specialty” (Iannelli) which offers a wide range of career opportunities so it is difficult to generalize what they do. But, this research paper will primarily be on Pediatricians who are more focused on taking care of children’s general health concerns. With an interview with Dr. Rose Bascon, a Pediatrician from El Centro Regional Medical Center, I asked five questions: What is the nature of the work like? How are the working conditions? Are there possible ethical concerns you have faced? What were the obstacles you had to overcome as a Pediatrician? Are there any tips for those pursuing a career like yours? Dr. Bascon stated that the nature of the work is “service-oriented”. She says that it involves a lot of communication between the patients...
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...Opportunities for Advancement Pediatricians work in pediatric offices, hospitals and specialty centers. Advanced careers are available in surgery, allergy, oncology and other areas related to the health and well-being of children. Some of the highest paying would include continuing on in residency and entering into pediatric cardiology, oncology or neurology. Pediatricians who are business minded usually work for themselves and also do very well along with the fact that they can set the hours that work best for them. By getting additional training and learning new skills. They can also increase the number of patient they see. And by opening a solo practice. Section 4....
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...Should Marijuana be legalized for Medical Purposes? Brian Daniels INTRODUCTION I. Should Marijuana be legalized for Medical Purposes? a. Should Marijuana be legalized for Medical Purposes? i. Some people agree and help aid the move to get marijuana legalized for medical use. ii. Other people disagree and help aid the move to keep marijuana illegal for medical and personal use. b. I both agree and disagree with the move to legalize medical marijuana. i. I agree the marijuana should be legalized for medical use. ii. But also disagree the marijuana should be legalized for the fact of abuse. II. Facts and information. a. As of 2012 18 states and Washington DC have legalized marijuana for medical use. b. As of November 7, 2012 there are 4 states Pending Legislation to Legalize Medical Marijuana. c. However, I am in favor for them to legalize medical marijuana in all 50 states, under strict guidelines to control the use of medical marijuana. BODY I. Pros a. It could be a source of additional tax revenues. b. Medical benefits such as those for cancer patients. c. Police and court resources would be freed up for more serious crimes II. Cons a. Marijuana is often used as a stepping-stone drug b. Driving while under the influence and other dangers would be increased. c. Some consider use of the drug as morally wrong III. Ethical, moral, or legal issues. a. Some religions prohibit the use of intoxicating substances (marijuana included) ...
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...Sofia Pérez Semanaz August 23, 2013 Character Development Story Her name is Victoria May and she is 32 years old. She has a beautiful blonde hair color, skinny, beautiful ocean green eyes, and a smile that shines like the sunrays. She has always been a dedicated, goal-oriented, intuitive, sweet and caring person. She comes from a humble high-class and wealthy family. She is recently engaged to a very sweet and handsome man. Her family has always been there for her with all the support she needs. When she was 13 years old, she dreamed of becoming a pediatric neurosurgeon that was her “difficult to get dream”. Her biggest fear was becoming something else, just like everyone told her it was going to happen. Until one day, a successful doctor gave her the best advice to keep dreaming for what she really wants and never giving up. When all the years passed, she graduated from medicine school and her biggest day is coming up. She’s going to be interviewed for jobs in hospitals. She is finally going to be working as a pediatric neurosurgeon. She is delighted for achieving her biggest dream. This is one of the most inspiring stories of all time, everyone told her: “what if you finish studying something else? Do you really want to go to medicine? It is really hard.” And Victoria just ignored them and said to herself: “who are you to tell me what is going to happen with my life? Unlike you, I am a very confident and goal-oriented person that knows exactly what she wants to...
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...An Yurmologist is a scientist who studies Yurtles. Yurmologists have many important jobs, such as the study of the habits, life cycle, living condition, and behavior of Yurtles. Right now only a few people work as Yurmologists. However, there are many amateur Yurmologists and hobbyists who study Yurtles in their spare time. CAREER OPPORTUNITIES Yurmology careers can mean anything from studying Yurtles or just helping discover new opportunities in the Yurtle world. Research Opportunities Many Yurmologists are involved with research concerning the scientific advancements in the Yurtle community. Each research technique must be carefully planned so it is environmentally friendly and is safe for the places around the research site. Once it meets...
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...of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree” (AAMC, 2014). “The first two years of medical school are largely comprised of classroom and laboratory learning, while the last two years involve clinical experience under the supervision of licensed physicians” (DegreeDirectory, 2014). Upon graduation, “pediatricians spend a minimum of three years in residency training where they’ll gain hands-on experience in their specialty prior to obtaining a license to practice” (Elissa Hansen, 2014). This ensures future pediatricians will be exposed to hands on experiences without the danger of not knowing what to do since they are being supervised. “No classroom work is required for residencies. Rather, residents focus on clinical work related to their field of practice, in this case, pediatrics” (Fried, 2014). While these are the general requirements to becoming a pediatrician, “many employers require a pediatrician to receive board certification through the American Board of Pediatrics one of the certifying boards of the American Board of Medical Specialties” (Romm, 2014). This ensures that the pediatrician is indeed qualified to do his/her job in a safe and secure manner. College Degree Required While many pediatricians only need their M.D. degree, “some doctors may need to obtain a Ph.D. in conjunction with their M.D. degree in order to engage in certain fields of pediatric research” (Elissa Hansen, 2014). Being a pediatrician requires years of schooling and specializing to...
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...G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist “Excellence wasn’t our goal. It was our starting point”. HEALTHWEALTH MedicAL Specialist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.: 7139156 Email: glazyespina@gmail.com Glazy S. Espina Registered Medical Technologist G/F, Unit 12 Lancaster Square, Alapan 2-B, Imus Cavite Phone: 09174852368 Tel No.:...
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...physician rPOLICY 32 Physician Self-Referral The referral of patients to an additional individual provider or institution for any services in which the referring physician has a financial interest may constitute “self-referral.” Physicians who make referrals to professional practitioners or health care entities or facilities in which they have financial interest must provide full disclosure of that interest to patients, allowing them to make informed decisions. In addition, patients should be given a list of effective alternative resources, if any, that are reasonably available, informed that they have the option to use one of the alternative resources, and assured that they will not be treated differently by the physician if they choose an alternative provider or entity. Physicians should make referrals to providers based only on the needs of the patient and the medical standard of care in order to provide quality health care to their patients. References: Stark 42-USC-1395nn 42 C.F.R. 411.350 et seq. Stark 42-USC-1320a-7b 42 C.F.R. 1001.951 American Medical Association Council on Long Range Planning and Development in cooperation with the Council on Constitution and Bylaws, and the Council on Ethical and Judicial Affairs. Policy Compendium. Chicago: American Medical Association, 1999, E-8.00, 106-111. Code of Medical Ethics, Current Opinions and Annotations, Council on Ethical and Judicial Affairs, American Medical Association: 95, 108-112. The Physician Ownership and Referral...
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...and opportunities, and provides overall specific vision regarding the vital contribution of advanced practice nurses to the health care system. The Department of Veteran’s Affairs (VA), the Geisinger Health system, and Kaiser Permanente are used as examples of care delivery organizations that maximize nursing scope of practice. The transformation of the VA from a hospital-based system into a primary care focused organization is based on the maximization of nurse practitioners (NPs) as primary care providers. As a result, by 2007, VA patients experienced higher quality and significantly lower-cost care compared with similar Medicare populations. Geisinger is noted in the report as an organization that that transitioned from a high-cost, specialty-focused medical facility to an organization of high value. Geisinger’s vision includes “having staff work up to the limit of their license” and to “redistribute caregiving work to increase quality and decrease cost.” Under this model, nurses in call centers shifted to primary care sites and established relationships with patients and families, resulting in the creation of more effective care plans thus reducing hospitalizations. Additionally, Geisinger created its own NP-staffed convenient care clinics. Kaiser is noted for its experimentation with nurses’ roles to improve quality and patient satisfaction, and to lower costs. The organization established the discharge nurse role, which has full authority over the discharge process from...
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