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Ireland English Closing Your Summer Home Medicine has always been characterized by a tension between the particular and the general. A clinician is obligated to treat the individual in front of her, yet she accomplishes this task by applying generalized knowledge that describes an abstract average but not necessarily a specific person. Efforts to systematize this process of moving between the particular and the general have led to the development of randomized controlled trials and large observational studies. Inclusion of tens of thousands of people in such studies, it is argued, will enhance the applicability of the data to more individual circumstances. Yet, as genetic sequencing data have become more widely obtained and used, there has been an increased focus on what has been broadly termed “precision medicine”, a highly individualized approach to therapeutics. Moreover, advances in statistical methods have enabled researchers to use N-of-1 study data—traditionally considered too individualized to be broadly applicable—in new ways. This paper contextualizes these apparently modern debates with reference to historical arguments about methods of disease diagnosis and treatment, and earlier physicians’ concerns about the tension between the particular and the general that is intrinsic to medical practice. Full article
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Rated 3.9 out of 5, based on 307 reviews on Google Rating. Female physicians continue to face myriad challenges in medicine ranging from implicit bias to gaps in payment and promotion to sexual harassment. It is accordingly not surprising (although still appalling) that although equal numbers of males and females currently graduate from medical school, only a small fraction of female physicians become medical leaders. The numbers point to a clear need for better representation of female physicians among the ranks of medical leadership. How exactly to achieve this given the many barriers cited has been harder to identify. Yet bright spots have emerged, both in healthcare and in other industries asking themselves a similar question. Four moves may help: quantification, rethinking awards and promotions, engaging broadly, and creating opportunities for development and sponsorship.
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How many at-fault accidents have you had? 20 to 29 $1,918 Health care extends beyond the delivery of services to patients, encompassing many related sectors, and is set within a bigger picture of financing and governance structures.
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