Residency programs should include a system composed of night float teams, wide cross-coverage, and effective communication at the time of patient hand-off in order to maintain an 80-hour work week.
The current Medicare operation—reimbursing medical goods and services to a growing number of people without basing the reimbursement benefit on the actual cost of the services—is unsustainable, but there are some possible remedies.
Parents’ right to choose the culture of their children and a child’s right to an open future outweigh the right of the Deaf to perpetuate their culture by disallowing government funding of cochlear implant research to restore hearing.
The Columbia University Community Pediatrics Program incorporates cultural competency training into its curricula by requiring residents to participate in community service programs.
Physicians are cautioned that the two obstacles to reforming post-marketing clinical trials are the FDA's reluctance to revisit past approvals and its inability to enforce pharmaceutical companies' commitment to conduct Phase IV trials.