The United States is facing a worsening epidemic of physician burnout with unprecedented numbers of them leaving the workforce and practice of clinical medicine across all career stages. The prevalence of physician burnout has accelerated through COVID-19, resulting in an anticipated serious national shortage of physicians within the current decade amidst an increased proportion of aging and unhealthy population. The critical shortage of physicians coupled with an unhealthy physician workforce results in longer wait times for access, continued increased healthcare costs, decreased quality of care, and worsening patient experience. Despite increasing media coverage, published data, and identification of system-based factors that erode physician wellbeing, no standardized systematic solution has been implemented across hospitals, health systems, or a variety of employment models or practice settings for any or all doctors regardless of whether they are primary care, medical, or surgical subspecialists. Effective solutions to mitigate physician burnout, protect current working physicians, and keep them from leaving medicine require a SHIFT and a more individualized approach. Many proposed academic models address system-based factors, but such solutions depend greatly on those who employ doctors. Executive leadership in charge of healthcare systems are often challenged by physician burnout and their desired autonomy, against the need for standardization of care delivery to improve quality and decrease cost. Physician productivity measures continue to be based on data samples of physician compensation surveys supplied by companies like Sullivan Cotter or Medical Group Management Association (MGMA). Such benchmarks are commonly used but data may not reflect specific realities for any organizations nor the rapid changes in the landscape of US healthcare amidst mergers, acquisitions, consolidation, and shifts in employment models from insurance and online retail giants and private equity. This book uses a "checklist" approach to empower any medical student, resident, fellow, or practicing physician to create and experience psychological, personal, and professional safety and wellbeing. Not only can individual physicians choose and use these checklists themselves, but those who live with, love, and cherish one or more physicians in their families and/or lives can use this book to understand physician realities and their risks.
A Parent’s Guide to Reflux in Infants, Children & Teens “Meeting Dr. Jamie Koufman completely changed my life. My symptoms of chronic cough and shortness of breath had been diagnosed since my childhood as asthma. Dr. Koufman identified that I had reflux, not asthma, and guided me step by step how to cure it. I have my life back and I owe it all to Dr. Koufman's insight and help.” -Suze Orman, Host of the Suze Orman Show, CNBC This is an important book that will help change how America eats and guide parents to heal our needlessly sick children and adolescents. There are 80 million infants, children and teens in America, and most have unhealthy diets. Every year, tens of millions are misdiagnosed as having asthma, allergies, nasal congestion, ear infections, chronic cough and croup, when the real problem is acid reflux. A bad diet and childhood obesity are both strongly associated with reflux. So, when a child has a respiratory disease and is not getting better with medical treatment, we believe parents should consider that reflux may be the problem. Why? Because it can be fixed! Reflux is the greatest masquerader of our time. It can be the cause of almost any kind of respiratory symptom or disease. Unlike adults who may have obvious reflux symptoms (indigestion and heartburn), children are almost always “silently refluxing,” and silent means that reflux is mysterious, difficult to diagnose and easy to overlook. Kids with reflux rarely complain of heartburn or indigestion. Respiratory reflux is the missing link between bad diet and many symptoms. Today, respiratory reflux is so common it is almost invisible. Pediatricians and medical specialists often diagnose children with asthma, sinusitis or allergy, when what they really have is reflux. Doctors all too frequently prescribe children antacid medications without beneficial effects. The real villain is not vanquished by pills. Most medications won’t do a thing for children’s reflux symptoms and can sometimes cause more harm than good. Reflux is not only uncomfortable and inconvenient, it’s dangerous. If left untreated, reflux can wreak havoc on a child’s ears, nose, throat, airways, lungs and digestive system. Our successful reflux rehabilitation program is a platform for change, with the long-term goal of health maintenance and disease prevention. And, for overweight children, another benefit of this book’s reflux program is that they will lose weight naturally and slowly with a diet that is simply “lean, clean, green and alkaline.” When we fix a child’s reflux, parents’ knowledge translates to significant dietary changes for the entire family. Out go the juice, soda, chocolate milk and other unhealthy choices. When parents understand that too much acid and sugar in the diet, and eating supper too late in the day has a big negative impact on the family’s health, they act. Their children’s well-being is at stake. Once reflux is identified or even suspected, the fix is more in parents’ control than many realize. Acid Reflux in Children is the revolutionary book for parents who want to help their children lead healthy, active lives, free of acid reflux and the many other symptoms this condition can create. Here’s to our future - HEALTHY CHILDREN!
This book addresses how the new linguistic concept of 'Translanguaging' has contributed to our understandings of language, bilingualism and education, with potential to transform not only semiotic systems and speaker subjectivities, but also social structures.
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