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Le professionnalisme en anesthesie. Le debat fait rage quant a savoir si le professionnalisme medical n’est en fait qu’un element de plus impose a notre pratique par la bureaucratie ou s’il s’agit d’un concept fondamental pour les medecins, quel que soit le stade de leur carriere. Cover Letter Marketing! Dans ce compte rendu, nous explorons les perspectives historiques du professionnalisme ainsi que le pourquoi et le comment de ce concept. Les mots cles « professionnalisme » et « anesthesie » ont ete utilises (en anglais) pour realiser une recherche dans la base de donnees PubMed, dans les politiques et publications des organismes et organisations de reglementation des medecins pertinents au Canada et a l’international, dans les documents historiques et dans d’autres publications en ligne. Le professionnalisme beneficie d’une longue histoire en anesthesie. Bien qu’il existe de nombreuses definitions de ce terme, dont certaines tres surannees, toutes se fondent sur des vertus, des comportements ou une identite professionnelle. Le professionnalisme joue un role central dans l’equilibre entre autonomie du medecin et contrat social, et il a un impact majeur sur la securite des patients et les litiges medicolegaux. Il existe un nombre important de donnees factuelles soutenant qu’il faut prendre le professionnalisme au serieux, particulierement a l’heure de l’imputabilite sociale et des pressions budgetaires. “You are in this profession as a calling, not as a business; as a calling which exacts from you at every turn self-sacrifice, devotion, love and tenderness to your fellow men.”—William Osler 1. Professionalism has a long history in medicine and in anesthesia. James Young Simpson discovered chloroform as an anesthetic at a dinner party on November 4, 1847 and reported its properties and uses in the Lancet in 1847.
2 Another pioneer, John Snow, published a series of admission essays manuscripts on cover, anesthesia administration. 3 - 7 In 1853, Snow was called to administer chloroform to of methodology proposal, Queen Victoria for the birth of Prince Leopold, and chloroform a la reine provided legitimacy for labour analgesia. There are three fundamental principles in the 2002 Physician Charter of the cover letter product manager marketing American Board of Internal Medicine (ABIM) and in the European Federation of Internal Medicine (EFIM), namely, the primacy of patient welfare, patient autonomy, and social justice. 8 Simpson’s work on labour analgesia – despite opposition suggesting that labour analgesia was “contrary to service, God’s will” – and his scientific conviction to discover chloroform are cited as exemplars of professionalism. 9 John Snow illustrated professionalism by his commitment to letter product manager marketing, improve his understanding of anesthesia and to direct his medical practice entirely toward this purpose, a first at the time. In early 20th century, three American anesthesiologists, Ralph Milton Waters, Francis H. McMechan, and Elmer I. McKeeson, demonstrated exceptional professionalism. 10 Waters instituted rigorous anesthesia training programs for medical students and residents.
With Lundy and Wood, Waters established specialty certification in anesthesiology. Despite crippling rheumatoid arthritis, McMechan helped organize the American Association of Anesthetists, and in 1914, McMechan persuaded the American Journal of Surgery to of essay, begin publishing the Quarterly Supplement of cover letter marketing Anesthesia and Analgesia . In 1915, McMechan, Long, and McKeeson co-founded the International Anesthesia Research Society, and in 1922, Current Researches in Anesthesia and science essay writing, Analgesia , the letter product marketing first journal exclusively for anesthesia, was launched with McMechan as editor. A strong commitment to patients, the thesis profession, and society, qualities at the core of cover letter manager professionalism, ran deep in these early pioneers. By June 2016, PubMed included 5,898 manuscripts on medical professionalism. Not surprisingly, the definition of professionalism can be confusing. 11 In 2005, the Working Party of the Royal College of admission essays to colleges Physicians stated, “Medical professionalism signifies a set of values, behaviours, and relationships that underpins the trust the public has in letter manager, doctors.” 12 Some have a “…I know it when I see it….” 13 approach to professionalism. The Canadian Medical Protective Association (CMPA) states, “Professionalism is at the core of medical practice and the basis of medicine’s contract with society. Singled! Physicians are expected to letter product marketing, demonstrate their commitment to admission essays to colleges, patients, society, and the profession through ethical practice.” 14.
At least three different perspectives on professionalism exist: a) virtue-based, “the good physician” is good at heart and a “person of character”; b) behaviour-based, emphasizing milestones, competencies, and measureable observable behaviours; and letter manager, c) professional identity formation. 15 There may be areas of singled essay incongruence in these different perspectives during implementation, and two additional cross-currents, professional autonomy and social accountability, also deserve comment. The Royal College of Physicians in the UK stated the manager marketing following values in performance appraisal, their 2005 Working Group Report: “integrity”, “compassion”, “altruism”, and “excellence”. The ABIM listed the following elements: “altruism”, “accountability”, “excellence”, “duty”, “honour and integrity”, and “respect for others”. 16 The Australian Medical Association (AMA) lists the following values of professionalism: “respect, trust, compassion, altruism, integrity, advocacy and justice, accountability, protection of cover product manager confidentiality, leadership, collaboration, advancing knowledge and innovation, teaching, mentoring and collegiality, and practicing and promoting responsible stewardship of performance thesis health care resources”.
17 In CanMeds 2005 and 2015, the Royal College of Physicians and Surgeons of Canada (RCPSC) cited the cover letter marketing following values: “integrity”, “honesty”, “altruism”, “humility”, “respect for diversity”, and support case study, “transparency”. 18 , 19 The Canadian Medical Association (CMA) states that the “Ethic of Care” is “characterized by letter marketing, the values of compassion, beneficence, non-maleficence, respect for appraisal thesis persons and justice”. 20 In 2015, the cover ePanel Survey by examples of methodology in research proposal, the CMA showed that the top adjectives to describe a medical professional were “dedicated”, “compassionate”, “competent”, “available”, “altruistic”, and cover product marketing, “collaborative”. Essay! 21. The Declaration of Geneva, first developed in 1948, states, “the health of my patient will be my first consideration”.
22 The same principle is reflected in the Physician Charter, 8 the CMA Medical Professionalism Policy, 20 the letter product manager AMA, 17 the New Zealand Medical Association (NZMA) 23 and the New Zealand Medical Council, 24 the College of Physicians and Surgeons of Ontario (CPSO), 25 and le College du medecins du Quebec (CMQ). 26 Similarly, patient autonomy, as stipulated in examples of methodology, the ABIM – EFIM Physician Charter, 8 is echoed in many organizational policies. Cover Product Marketing! 20 , 23 , 26 , 27 Social justice, last of the performance appraisal thesis fundamental principles in the Charter, is a call “upon the profession to letter product manager, promote a fair distribution of health care resources”. 8 Justice, an axiom of medical ethics, is also echoed in many of the performance appraisal thesis policies. Cover Letter Product Manager! 17 , 23 , 26 - 28. The social contract between physicians and society is mentioned in most policies. The CMA Medical Professionalism Policy states, “Medical professionalism includes both the relationship between a physician and a patient and a social contract between physicians and society.” 20 The Physician Charter, 8 the marketing decision system study AMA, 17 and the NZMA Code of Ethics 23 all echo this principle. Virtues are difficult to measure and evaluate; however, the letter product manager marketing same cannot be said of behaviour. Indeed, CanMeds 2015 identifies “professional duties” and “milestones” that are evaluated, 18 and the Physician Charter stipulates “a set of professional responsibilities” as being important. 8 The CMA outlined that fundamental responsibilities, including those to the patient, society, profession, and to oneself, guide professionalism through physician behaviour. 28 Responsibilities to the profession and to oneself (i.e., wellness) are expectations found in many organizational policies.
These expectations have percolated from national and international contexts 26 , 27 , 29 to admission essays to colleges, institutions (e.g., hospitals and medical schools) as responsibilities, duties, or codes of conduct. The stipulated conduct includes prohibiting disruptive behaviour, harassment (sexual or non-sexual), discrimination, and conflicts of interest, as well as obscuring boundaries between a physician and patient and/or teacher and learner. More recently, issues of professionalism involving the Internet have escalated in importance, ranging from posting inappropriate videos and cyberbullying to breach of manager marketing confidentiality with e-mail or images. Clearly defined expectations, actions, and evaluations are at the core of behaviour-based professionalism, with the aim to reduce uncertainty and misunderstanding. “Organized professionalism” codifies expectations between the institution and the healthcare profession 30 but may risk disenchantment among healthcare professionals. “Multiple institutional logics” 30 derived from professional, organizational, and policy perspectives may be distinct and divergent. Physicians often face complex demands while trying to make a “clumsy system work to meet patients’ demands”, sometimes resulting in disrespectful behaviour.
31 Instead, “a culture of respect requires that the last sentence of essay institutions develop effective methods for responding to episodes of disrespectful behavior while also initiating the cultural changes needed to cover letter manager, prevent such episodes from occurring.” 32 In the CPSO Disruptive Behaviour Guidebook, whether “behaviour truly disrupts” depends “… also on the context in which it arises and the consequences flowing from it.” 33 Context matters. To enhance physician engagement while enforcing institutional professionalism, a bilateral commitment in the form of physician compacts has been recommended between the institution and performance, individual physicians. 30 , 34 - 36. Professional identity formation (PIF) To focus solely on behaviour assessments may limit opportunities to internalize what it means to be a physician, 37 i.e., focusing on “who one is” may be as important, if not more, as “what one does”. Cruess 38 reported on Merton’s work from manager 1957 that PIF is to “transmit the last of essay culture of medicine and… to shape the novice into an effective practitioner of medicine, to give him the best available knowledge and skills, and to provide him with a professional identity so that he comes to think, act, and feel like a physician.” In PIF, a social structure, such as a residency cohort, medical class, or a physician grouping, influences a novice through socialization and social control, thereby internalizing their social construct or culture. In time, as experience is gained, the social construct can be modified. 39 The social structure’s perspective on reality – i.e., “this is our way of doing things” – can be a significant part of the “hidden curriculum”.
During medical student clinical placements, many learn a “loss of idealism” through this hidden curriculum. 40 With increases in social accountability and public scrutiny into physician practice, however, tension develops in the social construct or in the professional identity. Professional identity formation allows opportunities in medical education to define and internalize current group identities. 38 The transition junctures (e.g., pre-clerkship, clerkship, beginning of residency, beginning a new hospital or faculty appointment) representing these opportunities are critical. At each point, one must navigate the dual identities 39 of becoming a physician and joining a transitory social group (medical student, resident, etc.) Therefore, PIF goes beyond assessing behaviours but does provide an opportunity for learners or novices to internalize the professional identity. Physician autonomy and social accountability. Recent resurgence in social accountability comes from a perception that the medical profession is unable to cover product, address many societal healthcare problems. 41 - 43 Over 30,000 articles on social accountability are listed in PubMed. In the Global Consensus for Social Accountability of Medical Schools, which has strong Canadian representation, the first strategic direction for medical schools is to “respond to current and singled spaced essay, future health needs and challenges in cover marketing, society”. 44 , 45.
Physician autonomy is entrenched in many physicians’ understanding of “social contract”. A certain degree of essay service tension may exist between physician autonomy and social accountability. For example, one study has examined an individual physician’s responsibility in a risky duty such as caring for SARS patients. 46 The current debate on abortion and cover letter manager, physician-assisted dying 47 - 49 will likely keep this tension alive. Mirvis cited four reasons for the origin of physician autonomy: 1) medicine is a specialized body of knowledge; 2) society values the science essay work by the medical profession and trusts the profession to product marketing, act in last of essay, the public’s best interests; 3) there is an cover letter product manager marketing expectation that public interests are promoted by medical professional organizations; and 4) the and motivation thesis state, the government, or, in Canada’s case, the provincial legislature has granted autonomy to letter product marketing, the profession. 50 In other words, autonomy is performance appraisal and motivation thesis quid pro quo for the profession’s social accountability. Professionalism and cover letter product manager, cultural competency.
Much of Western society’s medical professionalism is derived from system case Hippocrates, circa 460 BCE. Letter Manager Marketing! In sixth century India, Kasyapa Samhita laid down precepts to guide new medical graduates. 51 In China, the Huangdi Neijing (Inner Canon), from the fourth century BCE to the first century CE, served the same role, and the “ideal physician envisioned in the Inner Canon combines ‘supreme virtue’ (zhi de) with ‘supreme skill’(zhi qiao)”. 52 Differences exist 53 - 57 when professionalism is compared among modern day cultures, including indigenous peoples, with “…substantial differences between indigenous and non-indigenous populations in their expectations of doctors…”. 58 With respect to virtues, there is support system case generally more commonality between cultures; however, with regard to behaviour and PIF, there is divergence between cultures that may need to be heeded. “ What happens if you fail to meet the obligations under the cover product social contract? Canadians will change that contract and redefine professionalism for you. Regulations and changes will be forced upon you—quite possibly in forms that diminish or remove your self-regulatory privilege. One of the best ways for you and for men and women in admission, any profession to avoid having change forced upon you is to relentlessly embrace new ideas, tenaciously set and letter product marketing, reach higher standards and, most importantly, passionately strive to ensure your profession serves the public good.” —Governor General David Johnston 59. There are many reasons why professionalism matters – social contract, patient safety, and litigation are key areas for careful consideration.
The incidence of physician disruptive behaviour, as observed by physicians, is reported to be 49-77%, 60 - 63 and in one study, sexual boundary violations are reported to be 14.5%. 64 After a number of to colleges high-profile scandals, changes were made to letter product manager, self-regulation under the General Medical Council in the UK after 150 years: “Powers of setting standards, monitoring practice, and managing defaults have been relocated to outside the profession”. 65 A general surgeon in the UK was recently charged with manslaughter for not performing surgery in a timely fashion, and he was found guilty. 66 In China, the incidence of essay violence against cover letter marketing physicians tripled from 2002 to 2010 as physicians were perceived to last sentence, be motivated by profit and poorly trained. 67 Society does not grant autonomy and self-regulation to physicians with impunity but with the cover letter manager marketing proviso that the social contract is appraisal honoured. A lack of professionalism in the healthcare team compromises patient safety.
Physician burnout has been correlated with emotional exhaustion and depersonalization, leading some to “… become more callous toward people”. Letter Manager! 68 Risk factors for burnout include number of hours worked and night calls, and burnout itself increases the incidence of self-reported medical errors. Writing Service! 69 , 70 In one study, the odds ratio (OR) of self-reported medical errors in the presence of burnout was 1.89 (95% confidence interval [CI], 1.56 to 2.28). Product Manager Marketing! 71 In the performance thesis Canadian physician health practices survey, 21% of respondents admitted to letter marketing, anhedonia for ? two weeks in the past year; 23% admitted to of methodology in research proposal, depression for ? two weeks, and cover product, 37% of essay service those “thought about death a lot during those ? two weeks”. 72 There is cover product marketing good reason why physician wellness is performance a key commitment under professionalism. In an manager marketing analysis of performance and motivation thesis surgical errors, two of the three most frequent causal factors were communication breakdown among personnel and fatigue/excessive workload at 43% and 33%, respectively. 73 In one perioperative study, participants thought that disruptive behaviour caused loss of concentration (84%), reduced collaboration (89%), reduced information transfer (86%), and reduced communication (89%) at the time. Cover Product Marketing! 63 In the Institute of Medicine report, To Err is Human, it is stated that “health care organizations [must] develop a ‘culture of safety’ such that their workforce and processes are focused on improving the reliability and safety of care for patients.” 74 The TeamSTEPPS program, an initiative resulting from the report, focuses on “medical teamwork … to support study, ensure that the RIGHT INFORMATION is provided to the RIGHT PERSON(S) at the RIGHT TIME resulting in the RIGHT ACTION(S).” 75 Teamwork and communication, another essential part of professionalism, has been confirmed as a key ingredient of patient safety.
76 - 83. A lack of professionalism in dealing with our patients may increase the risk of litigation. In one study, mothers of infants with permanent injuries or deaths were interviewed by telephone using a structured questionnaire and cover letter, open-ended questions. Among the families who initiated lawsuits, the reasons they cited were physicians who “would not listen” (13%), “would not talk openly” (32%), or “attempted to essay, mislead them” (48%). 84 Negative communication behaviour by cover letter marketing, physicians has also been shown to increase the marketing system case risk of malpractice lawsuits. 85 Patients who were left “feeling rushed”, “never receiving explanations for product manager marketing tests”, or “were ignored” were more likely to file complaints against physicians. 86 Similarly, physicians with the most unsolicited patient complaints have been shown to have the most “risk management files” which possibly lead to legal action. 87. Professionalism may be defined based on virtues, codified expectations and conduct, or professional identity. These are broad issues; hence, to examples of methodology, improve professionalism necessitates system-wide strategies as well as changes on an individual level.
Accordingly, the following broad categories provide a framework for improving professionalism, although admittedly, each category alone could represent a review topic. Without clear expectations, it is cover letter product manager marketing difficult for individual physicians or an admission organization to develop a coherent professional identity. Policies, charters, codes of cover letter product marketing conduct, or declarations are some of the existing means to formalize those expectations. Many medical schools have instituted white coat ceremonies to make the marketing decision system case commitment to cover, professionalism clear to their students. Elsewhere, institutions have implemented physician compacts that are reviewed at essay, annual reappointments. 34. Studies have also shown that physicians whose licences are suspended by State Medical Boards have a higher prevalence of prior unprofessional behaviour in medical schools (OR, 3.0; 95% CI, 1.9 to 4.8) 88 and in residency (hazard ratio, 1.7; 95% CI, 1.3 to cover marketing, 2.2). 89 This affirms the imperative that medical schools must introduce professionalism with defined expectations and strategies.
In a few cases, individuals may be identified who may not benefit from continuing in the profession. Developing professionalism policies or charters often does not translate into understanding such policies or how they directly affect individuals. Last! This is the “knowledge translation” aspect of cover marketing professionalism policies. Also, times change and expectations evolve. For example, the convenience of storing research or patient care information on a USB drive without the admission capability to encrypt was relatively common, but these days, it is cover letter product marketing absolutely inappropriate. Performance Appraisal Thesis! For medical students, awareness of product manager marketing professionalism may involve a formal curriculum, case-based learning, portfolios, and examples of methodology, role models. Formal curricula may include delineating professional identity at critical transition points in one’s career. For physicians, this may take the letter manager marketing form of physician engagement initiatives, individual feedback, orientation sessions, or continuing professional development venues which may or may not be mandatory.
“Physician wellness is a critical component of the professional practice of medicine. Writing! Wellness is defined as the condition of cover letter marketing good physical and mental health necessary to singled spaced essay, provide high quality care to patients and to letter product, fulfill the duties…” 29. The association between a lack of wellness and disruptive behaviour and examples in research, patient safety events has already been discussed. 69 - 72 The Ontario Medical Association has a Physician Health Program to cover letter manager, assess at-risk physicians as well as physician wellness. Many institutions have established workplace wellness offices to provide support and examples of methodology in research, guidance to physicians. Feedback on letter product marketing, professionalism concerns is essential. Many physicians are unaware that their behaviour may be a concern unless direct feedback is provided. The feedback may take the form of appraisal and motivation annual reappointment assessments, peer assessments, 360° evaluations, professionalism concern report forms, or other similar procedures. For feedback/awareness to letter product, be effective, a consistent and transparent process must be in place, even though the admission to colleges feedback itself remains confidential.
For some medical schools, teaching hospitals are affiliated institutions and the appointment and credentialling process is separate from the school. Due to cover letter product manager marketing, privacy legislation, professionalism concerns may not necessarily be shared between a hospital and the medical school. For example, a physician who may be close to being suspended by a hospital for disruptive behaviour may be close to last of essay, being promoted at the faculty of medicine, or a clinician teacher found harassing a female medical student is cover letter product manager also harassing a female hospital employee. Physicians with professionalism concerns have also moved from one institution to science, another or from cover one province to another without the receiving institution gaining knowledge of the prior concerns. There is always a balance between privacy, a “fresh start”, and medical professionalism as a social contract with social accountability. While controversial, it is marketing support necessary to cover letter, have the conversation and to find the balance to share that information. Singled Essay! Undoubtedly, to maintain physician autonomy and self-regulation, serious professionalism concerns deserve proper redress and accountability. Many models have been developed to advance professionalism, 38 , 42 , 90 - 93 and I encourage the cover letter product reader to peruse the singled abundant literature. A staged or tiered approach to professionalism concerns has been described. Letter! 94 The CMPA, 95 the CPSO, 33 the University of last sentence of essay Ottawa, 96 and others have adopted a tiered approach. Early discussions at stages 1 and 2 are generally opportunities for formative interventions.
Measures at stage 3 tend to be for egregious or persistent behaviour despite formative intervention and can involve disciplinary action. “The times have changed, [conditions] of practice have altered and are altering rapidly, but when such a celebration takes us back to your origin in manager, simpler days and ways, we find that the ideals which inspired them are ours to-day — ideals which are ever old, yet always fresh and new” — William Osler 97. This submission was handled by Dr. Hilary P. Examples Proposal! Grocott, Editor-in-Chief, Canadian Journal of Anesthesia. /media/Files/Report%20Files/1999/To-Err-is-Human/To%20Err%20is%20Human%201999%20%20report%20brief.pdf (accessed June 2016). Homer Yang 1 Email authorView author's OrcID profile 1. Department of Anesthesiology The Ottawa Hospital Ottawa Canada. Published in cooperation with. .RIS Papers Reference Manager RefWorks Zotero. .BIB BibTeX JabRef Mendeley. .RIS Papers Reference Manager RefWorks Zotero. .BIB BibTeX JabRef Mendeley.
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A History of the World in 6 Glasses Essay. Summary of letter manager, Book: “6 Glasses” is spaced essay a book that takes an innovative approach to world history. The author looks at the development of world civilization through the prism of the beverages that people drank in various time periods. Letter Product Marketing! These are (in chronological order): beer, wine, spirits, coffee, tea, and Coca-Cola. Singled! The use of this book as a summer reading assignment in no way represents any endorsement by the teacher of the use or misuse of any of these beverages, alcoholic, caffeinated or otherwise. The book merely offers an innovative and (hopefully) interesting perspective to initiate our semester long discussion of world history.
Our purpose in reading the book is to get a sense of how civilizations and cover letter product manager, cultures develop and how numerous forces (political, technological, economic, social, religious, cultural, ecological) all affect even the most mundane aspects of people’s daily lives. Expectations for Short Answers: •Each answer should be about one to science essay writing service, two paragraphs long. •Start each answer with a sentence or two that express your main idea(s). Think in product manager marketing terms of patterns or themes. •The idea(s) must be clear, logical, and argumentative (can be supported by evidence from the book). •Provide specific evidence (examples) from the book that will support ideas expressed at support system case study the beginning of your short answer. Letter Product Marketing! Whether it is a direct quote from the book or a reference (paraphrase), indicate the page in parenthesis. Examples In Research Proposal! •Your answers should be done in complete sentences with no or minimal grammar and cover letter product marketing, sentence structure mistakes. “6 Glasses” Questions. 1.How might beer have influenced the transition from hunting and gathering to agricultural based societies? 2.What opportunities associated with wine drinking did men have in ancient Greece that women did not? 3.Why was wine adopted as a ritual drink in Christianity, but Islam prohibited the use of examples of methodology proposal, alcohol? 4.Read the following quote from the book.
Do you agree? Why or why not? (Support your argument with specific examples. It is not enough to say “yes, I agree’ or “ no, I do not.”) “Distilled drinks, alongside firearms and infectious diseases, helped to reshape the modern world by helping the inhabitants of the Old World to establish themselves as rulers of the New World.” (p. Manager! 129) 5.Describe coffee’s effect on the balance of power between various regions of the world. 6.Why was tea important to China’s economy and its relationship with other countries? 7.How did tea change history in India?
8.How did Coca-Cola become the sentence of essay world’s most recognized product? How does Coca-Cola affect, and how is it affected by, people’s views of the United States? 9.Of the six that the cover letter marketing author discusses, which beverage do you think has played the most significant role in marketing study history? Defend your choice. Letter Product Manager! What beverages have been left out of this book that might have had an effect on society? 10.What do you think is the in research proposal beverage for the next era in history? (Do you agree with the author’s choice in the epilogue?) Defend your choice. Description of AP World History Course Themes.
The five course themes below present areas of historical inquiry that should be investigated at cover manager marketing various points throughout the course and revisited as manifested in particular historical developments over time. Science Service! These themes articulate at a broad level the main ideas that are developed throughout the entire span of the letter course. Each theme includes a list of related key topics as well as a description. You should read through each course theme and try to relate your book summary to the themes. You don’t necessarily need to connect every question to every theme. The goal is for you to start developing an understanding of what each theme is all about.
The key concepts were derived from an explicit consideration of these themes, with the admission essays goal of making the product themes more concrete for the course content within each historical period. This clear connection between themes and decision support study, key concepts means students can put what is particular about one historical period into a larger framework. In this way, the themes facilitate cross-period questions and help students recognize broad trends and processes that have developed over centuries in various regions of the world. Theme 1: Interaction between Humans and the Environment. • Demography and disease. • Patterns of settlement. The interaction between humans and letter, the environment is a fundamental theme for world history. The environment shaped human societies, but, increasingly, human societies also affected the environment. During prehistory, humans interacted with the environment as hunters, fishers and last, foragers, and human migrations led to the peopling of the earth. As the Neolithic revolution began, humans exploited their environments more intensively, either as farmers or pastoralists.
Environmental factors such as rainfall patterns, climate, and available flora and fauna shaped the cover product marketing methods of exploitation used in different regions. Human exploitation of the environment intensified as populations grew and as people migrated into new regions. As people flocked into cities or established trade networks, new diseases emerged and spread, sometimes devastating an entire region. During the Industrial Revolution, environmental exploitation increased exponentially. In recent centuries, human effects on the environment —and the ability to master and exploit it — increased with the development of more sophisticated technologies, the exploitation of new energy sources and a rapid increase in human populations.
By the twentieth century, large numbers of humans had begun to of methodology in research proposal, recognize their effect on the environment and took steps toward a “green” movement to protect and work with the natural world instead of exploiting it. Theme 2: Development and cover manager, Interaction of Cultures. • Belief systems, philosophies, and ideologies. • Science and technology. • The arts and architecture. This theme explores the origins, uses, dissemination, and adaptation of service, ideas, beliefs, and knowledge within and between societies. Studying the dominant belief system(s) or religions, philosophical interests, and technical and cover product, artistic approaches can reveal how major groups in society view themselves and others, and admission essays to colleges, how they respond to multiple challenges. When people of different societies interact, they often share components of their cultures, deliberately or not. The processes of adopting or adapting new belief and knowledge systems are complex and often lead to letter manager, historically novel cultural blends. A society’s culture may be investigated and compared with other societies’ cultures as a way to reveal both what is unique to admission essays, a culture and marketing, what it shares with other cultures. Essay Service! It is also possible to analyze and trace particular cultural trends or ideas across human societies.
Theme 3: State-Building, Expansion, and Conflict. • Political structures and forms of governance. • Nations and nationalism. Letter Product Manager Marketing! • Revolts and revolutions. • Regional, trans-regional, and global structures and organizations. This theme refers to the processes by which hierarchical systems of rule have been constructed and maintained and to the conflicts generated through those processes. In particular, this theme encourages the admission to colleges comparative study of different state forms (for example, kingdoms, empires, nation-states) across time and space, and the interactions among them. Continuity and change are also embedded in this theme through attention to the organizational and cultural foundations of letter manager marketing, long-term stability on one hand, and to internal and external causes of conflict on the other. Students should examine and compare various forms of state development and expansion in the context of sentence, various productive strategies (for example, agrarian, pastoral, mercantile), various cultural and ideological foundations (for example, religions, philosophies, ideas of product manager marketing, nationalism), various social and gender structures, and in different environmental contexts. Singled Spaced Essay! This theme also discusses different types of states, such as autocracies and constitutional democracies. Finally, this theme encourages students to explore interstate relations, including warfare, diplomacy, commercial and cultural exchange, and the formation of cover product manager marketing, international organizations. Theme 4: Creation, Expansion, and Interaction of Economic Systems. • Agricultural and pastoral production. • Trade and commerce. • Capitalism and spaced, socialism. This theme surveys the diverse patterns and letter, systems that human societies have developed as they exploit their environments to produce, distribute, and consume desired goods and services across time and space. It stresses major transitions in appraisal thesis human economic activity, such as the growth and spread of agricultural, pastoral, and industrial production; the development of various labor systems associated with these economic systems (including different forms of household management and the use of coerced or free labor); and the ideologies, values, and institutions (such as capitalism and socialism) that sustained them.
This theme also calls attention to patterns of trade and cover letter manager marketing, commerce between various societies, with particular attention to the relationship between regional and global networks of communication and exchange, and their effects on economic growth and decline. Last! These webs of interaction strongly influence cultural and technological diffusion, migration, state formation, social classes, and human interaction with the environment. Theme 5: Development and Transformation of letter manager, Social Structures. • Gender roles and relations. • Family and kinship. • Racial and ethnic constructions. • Social and economic classes. This theme is about relations among human beings. All human societies develop ways of grouping their members, as well as norms that govern interactions between individuals and social groups. Social stratification comprises distinctions based on kinship systems, ethnic associations, and hierarchies of gender, race, wealth, and last sentence of essay, class. The study of world history requires analysis of the processes through which social categories, roles, and manager, practices were created, maintained, and last, transformed. It also involves analysis of the connections between changes in social structures and other historical shifts, especially trends in political economy, cultural expression, and letter product, human ecology.
In order to prepare for AP World History, you are to read the non-fiction book A History of the World in Six Glasses. You will write short answers to a number of questions that will be turned in the first day of school. nds in political economy, cultural expression, and human ecology. University/College: University of examples proposal, California. Type of manager, paper: Thesis/Dissertation Chapter. Date: 18 April 2016. Let us write you a custom essay sample on A History of the World in 6 Glasses.
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Relevant education and training, degrees, diplomas, certifications, licenses etc. Common terms which can describe your work or responsibilities such as “team leader”. Cover Product Manager. Technical and professional acronyms Professional memberships. Though a CV and a resume are often used interchangeably, there are some stark differences between these two. Marketing Decision Study. In fact, there are some companies which might reject your candidature if your offer a resume instead of a CV, and vice-versa.
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Sept 27-Nov 3, 2017. AOTA Fieldwork Educator. Master of Public Health Curriculum Classes. A minimum of cover product marketing 45 hours are required for this degree, including 18 hours of in research proposal core classes, nine hours of essential skills classes, 12 hours of concentration classes, and six hours of professional experience. By taking approximately nine credit hours each semester, you can complete the program in 24 months. The sample plan of study is as follows: The purpose of letter product manager marketing this course is to introduce MPH students to the ubiquitous nature of public health and multiple career paths in the field of public health. MPH students will become familiar with public health as a distinct profession and with the various community and global opportunities that the UIndy MPH program offers. Various public health practitioners representing local, state, national, and international settings will be invited to discuss their areas of science essay writing expertise and to describe potential field placement sites for the required practice experience.
MPH 510 – Understanding Utilization of Epidemiology (3) This course will introduce the key terms and concepts of epidemiology with an emphasis on application for public health practice and utilizing epidemiology to increase understanding of current population health issues including health disparities. Students will gain knowledge preparing them to utilize descriptive epidemiology and cover product marketing interpret the major analytic study designs used in population health. In Research! Examples of applications of epidemiology in letter product marketing, modern public health settings that address a range of major, global population health issues will be covered. MPH 530 – Cultural Competency for Improving Public Health (2) This course is designed for students to build knowledge and appraisal thesis skills in the cross-cutting public health competency of cover marketing diversity and culture. Students will be guided through intensive self-analysis followed by examination of the concepts and indicators of cultural competence necessary for effective professional practice with diverse clients, communities, staff, colleagues, and organizations. Evidence and review of the literature on the role of culturally competent health professionals and health disparities will also be included.
MPH 525 – Social Behavioral Science Applications (3) This course facilitates exploration and understanding of the multitude of essay social and behavioral sciences that contribute to public health including psychology, sociology, anthropology, political science, communication, and letter product geography. Social, historical, political, cultural and behavioral factors will be critically analyzed to marketing system study understand how they interact together to serve as determinants of health and health disparities. Emphasis will be placed on applying ecological approaches to population health problems and utilizing social and letter product marketing behavioral science applications as tools for performance and motivation promoting change and cover product manager marketing designing solutions to improve population health. MPH 520 – Health Systems Management (3) This course provides students with an understanding of the core components of a health system, including management and administration, and the role public health plays within the system. Topics include health system structure, management and administration, health policy overview, role of health and other policies in health disparities, related reforms of health policy, international comparisons of health systems and spaced essay policies, and product manager population health indicators. To Colleges! Emphasis will be placed on recognizing reciprocal relationships between public health practitioners, the health policies and systems within which they practice their profession. MPH 505 – Biostatistics for Public Health Professionals (3) This course provides students with the breadth of biostatistical methods utilized in letter product marketing, public health practice. Topics include research design, data collection methods, database management, secondary data analysis, basic statistical computing and programming, descriptive statistics, summary statistics, probability and distributions, sampling distributions and statistical inference.
Emphasis is on appraisal the utilization of statistics and data for the evidence based design, implementation, and evaluation of public health programs and policies. MPH 515 – Principles of Environmental Health (3) This course examines the manager marketing, myriad physical environmental conditions that impact population health. Topics include, but are not limited to, indoor and outdoor air pollution, other types of pollution, food safety, water supply and safety, occupational health, and emergency preparedness and management. Examples, discussions, and assignments span the local to performance appraisal and motivation the global levels with an emphasis on disparities in health, environmental justice, and advocacy for improving environmental health. MPH 565 – Professional Experience Seminar (1) The purpose of this course is for students to systematically prepare for the required professional practice experience in the field. Requirements for the field experience will be detailed. Students will reflect on the MPH program goals and objectives they formulated during semester one in MPH 500 Public Health Seminar and revise as needed. Students will also identify potential sites, either domestically or internationally, for their practice experience and engage in critical review with the professor and peers of the goodness of fit of the potential sites. Expectations of professionalism are included.
MPH 575 – Global Patterns of Health Disease (3) This course examines issues of global patterns of health and disease through the lens of the social determinants of health (SDH) and equity perspectives. It also explores these patterns within the framework of sustainable health development approaches in letter product, the United States as well as other developed and singled spaced essay developing countries. Marketing! Discussion will address the role of participatory governance in addressing global patterns of health and disease to include strengthening local, national and global partnerships, as well as explore inter-linkages with urbanization, environmental degradation, and social justice concerns. This course is designed to science highlight the disparities and inequities within the current global patterns of health and disease to marketing set a foundation for admission essays action and research. MPH 535 – Program Planning Proposal Development for Diverse Settings (3) The focus of this course is on understanding and utilizing an equity-based approach to program design and development as a means of tackling health disparities found both in developed and less developed countries. Particular emphasis will be placed on planning for the most vulnerable populations in manager marketing, urban settings, hard-to-reach areas and minority communities. The course will culminate with creation of a proposal in response to a current RFP in the field of spaced public health. 1 health disparities elective (see below)
2 health disparities electives (see below) MPH 570 – Professional Experience Capstone (5) The purpose of the graduate public health professional practice and capstone experience is to cover letter product manager marketing 1) provide an opportunity for students to apply knowledge and skills of public health competencies acquired through their core and concentration curriculum in an intensive field based practicum and 2) design and deliver four distinct products in conjunction with their field practicum as their culminating experience for the MPH program. The products will be submitted to essays to colleges the leadership of cover product marketing their fieldwork site and to the MPH program faculty and student colleagues. Acceptable sites for the professional practice experience and capstone will require students to synthesize knowledge and essays to colleges skills in public health as detailed by a job description with an emphasis on their area of concentration.
Electives are offered in a combination of online, hybrid and traditional face-to-face formats. Choose at least one with MPH prefix. Cover Product Manager! One skill elective may be selected from performance and motivation thesis, available graduate courses offered across UIndy upon cover product manager marketing approval of your faculty advisor: MPH 540 – Monitoring Evaluation for Community Health (3) This course is designed to build the capacity of students to effectively build evidence to advocate for and support strategic interventions targeting health disparities.
It also focuses on admission to colleges competencies to measure relevant behavior and social change. MPH 545 – Human Resource Management Leadership in PH Settings (3) This course is letter designed for decision support system MPH students who are pursuing careers as administrators and managers with supervisory responsibility in public health settings. Cover Letter Product Manager! Broad examination of common human resource issues facing public health administrators is followed by more detailed analysis and skill building for issues such as effective supervision and communication, recruiting, hiring and retention in the public health workforce, labor relations and polices in public health, and multi-sectoral leadership and advocacy required of public health administrators. MPH 550 – Public Health Policies, Ethics, Advocacy (3) This course is designed for students planning careers involving analysis and formulation of, and advocacy for policies that impact population health. Policies across multiple settings including organizational, corporate, local, state and global public policies will be analyzed within the context of various ethical frameworks.
Emphasis is placed on examples of methodology proposal comprehensive analyses resulting in recognition of policy as a major tool of public health and recommendations for action and advocacy to impact population health policies. MPH 555 – Qualitative Participatory Research Methods for Promoting Health Equity (3) This course provides instruction and field application of qualitative research methods for studying community health issues. Cover Product Marketing! Emphasis is placed on participatory approaches and working directly with community members. Systematic approaches to collection, analysis, and science essay utilization of qualitative data are addressed while maintaining a lens for health equity.
Students will learn to identify the kinds of health research issues and questions most appropriate for qualitative methods and recognize practical applications for letter manager using qualitative and participatory data for assessment and evaluation of public health programs and policies. MPH 560 – Public Health Informatics (3) This course provides students with a broad understanding of health informatics and exchange of health information to improve community health. Last! Methods of health information collection, storage and utilization, ranging from organizational level to personal health records will be examined. Product Marketing! Emphasis is on of essay the context of rapidly changing regulations and expectations for improved management of public health and cover letter manager marketing health care through partnership between public agencies, providers and patients. Topics include, but are not limited to, electronic health records (EHRs) and related management systems, current and future uses of in research proposal aggregated health information for public use such as disease surveillance, and legal and ethical issues associated with use of EHRs for public health.
Choose at letter marketing least two with MPH prefix. Admission To Colleges! One concentration elective may be selected from available graduate courses offered across UIndy upon letter product manager marketing approval of admission essays your faculty advisor: MPH 580 – Global Issues in Sexual Health, Reproductive Health, HIV/AIDS (3) The purpose of this course is to examine sexual and cover letter product marketing reproductive health (SRH) issues including HIV/AIDS at the population level in developed and developing countries. Current and prevalent health issues, programs, services, and policies will be examined through a lens that incorporates social, cultural, economic, political, environmental, and spaced essay behavioral determinants. Health issues and related interventions, programs, measurement and monitoring, and policies will be covered. Emphasis will be placed on skill development of program components or policy advocacy materials related to students’ primary interest area in SRH. MPH 585 – Global Perspectives on Nutrition and Food Security (3)
This course focuses on current nutritional challenges affecting health in underserved populations globally including developed and developing countries. Product Manager! Students will gain an understanding of the epidemiology of malnutrition ranging from obesity and over-nutrition to hunger and other forms of under-nutrition including food insecurity. The impact of various nutrient inadequacies at different stages of the life cycle and their functional outcomes in terms of morbidity, psychological well-being, reproduction and singled spaced growth will be highlighted. The role of world food production, food availability, and supply in relation to product manager marketing nutrition and health will be discussed in the context of singled essay socioeconomic development and current political/economic contexts. Emphasis will be placed on the role of public health practitioners in cover marketing, designing and delivering comprehensive nutrition programs and admission essays to colleges policies in letter product manager, a variety of settings. MPH 590 – Health Disparities Inequities in the United States (3) This course is designed for students who intend to practice public health in the United States. Health disparities are approached utilizing the definition as differences in the overall rates of disease incidence, prevalence, morbidity, mortality or survival rates that are avoidable and unjust. A comprehensive view is taken with examination of differential health outcomes in the multiple areas where health disparities exist in the United States context: across race/ethnic groups, geographic residence, gender, age, disability, and sexual orientation status. Performance And Motivation! A health equity perspective is utilized to understand multifactorial, root determinants of product health disparities such as cultural factors, socioeconomic factors, racism/discrimination, and political factors. Emphasis is placed on practical skills and singled spaced essay strategies for public health practitioners to infuse across multiple programs and policies to reduce health disparities in the U.S.
MPH 595 – Population Health Approaches to Non-communicable Disease Prevention Management (3) The purpose of this course is to provide students with the content and skills to address the letter manager, rapid global transition of non-communicable diseases (NCD) as an international health pandemic. Non-communicable diseases and illnesses, which include diabetes, mental illness, heart disease and stroke, cancers and chronic respiratory conditions account for 60 per cent of all deaths worldwide. These major NCDs will be analyzed from a public health perspective and students will develop evidence based programs or policies for addressing a specific NCD in a specific setting of last sentence public health practice of letter product marketing their choice. Current research and in research proposal models of prevention and management will also be critically analyzed. Health Pavilion, Second Floor. Indianapolis, Indiana 46227.
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