The Fukushima disaster and nuclear power Essay:
No Comments Starting inwith the original contract for full-time emergency medical services that was negotiated by James Mills, Jr. Because of this successful business model, emergency medicine has been able to support over 31, Board-certified physicians, who see over million patients per year in the US.
The business of EM has also contributed in a major way to the explosion in the number of EM residencies in the past 40 years, and has generated millions of dollars to develop academics and research.
Along the way, an enduring tension has existed between those who have profited mightily from EM physician practice management PPM and those who have been concerned about emergency physician compensation, employment opportunities, and the potential for exploitation.
These factors created a great demand for around-the-clock staffing of emergency departments EDs. This enhanced the profitability of emergency care. Before EM residencies were established, a few entrepreneurial emergency medicine practitioners who worked in EDs took on the task of staffing EDs through contracts with hospitals.
Mangold started out moonlighting in EDs in Northern California while he was stationed there as a flight surgeon for the Coast Guard. The hospital he worked for soon asked him to take over the staffing of the ED, and he recruited fellows, residents, and other physicians for this hospital.
As Mangold noted the demand for ED staffing, and positive feedback from internists and other physicians who now did not need to come to the ED in the middle of the night, he saw a huge opportunity.
This is going to sweep the country. Their business model was a huge success for them, and their full-time physicians. Mangold countered this criticism by pointing out the longevity of physicians who worked for him, and noting that the exploitation of emergency physicians can occur in any practice setting.
They just wanted to rotate residents and military and fellows through forever because they could make a big amount of money. The new experts were in such high demand, that many went from residency directly into ED directorships, with the responsibility of staffing and managing their EDs.
They learned on the fly, using the business-oriented components of American College of Emergency Physicians meetings to expand their business knowledge. I said we want them too. He spoke passionately about the need for improved emergency care and quality training and certification for emergency physicians.
Increasingly, lay and academic emergency physicians began to criticize the corporate growth of EM. This spawned the American Academy of Emergency Medicine in which argued strongly for reform in PPM business practices and the formation of democratic EM groups, with partnership for all members, and an end to restrictions on practice if physicians changed jobs.
The complex tensions between those who support the independent practice of emergency medicine in democratic groups and the large, corporations that staff multiple hospitals continue to the present.
As the first major entrepreneur in emergency medicine, Karl Mangold exemplified the yin and yang of business in the growing field. On the other hand, he personally greatly profited from running his PPM business, and was viewed by others as not always promoting fair and equitable practice in his contracts.
Above all, Mangold believed he should be able to function and compete as a physician and businessman. He had this to say to those who questioned his approach: We are a competitive based, free enterprise society.
You are not going to change the American economic system.First of all we ought to ask, What constitutes a good history essay? Probably no two people will completely agree, if only for the very good reason that quality is in the eye – and reflects the intellectual state – of the reader.
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The present volume comprising thirteen articles cover aspects the history of science, technology and medicine from the ancient to the modern period. It focuses on the scope and cultural oriental orientations in science, history of different branches of colonial Indian.
The History of Emergency Medicine The history of Emergency Medicine is an inexact study.
The actual beginning date is unknown. This paper attempts to combine the facts given from many different sources into one single overview of known history from approximate known dates.
History of Emergency Medicine: Historical Backgrounds of EM in the s, Historical Backgrounds of EM between s and (Term Paper Sample) Instructions: Task was to research on the History of Emergency Medicine.
Your essay will be unique because you are unique: it’s up to you to ensure that it’s uniquely good, not uniquely mediocre. Robert Pearce is the editor of History Review.