20 CFR 408.232 - When do you lose your foreign resident status?

Code of Federal Regulations, 2014 CFR

2014-04-01

... CERTAIN WORLD WAR II VETERANS SVB Qualification and Entitlement Residence Outside the United States § 408... abandoned your residence outside the United States if you: (1) Enter the United States and stay for more than 1 full calendar month (see § 408.234 for exceptions to this rule); (2) Tell us that you no longer...

Evaluation of Academic Library Residency Programs in the United States for Librarians of Color

ERIC Educational Resources Information Center

Boyd, Angela; Blue, Yolanda; Im, Suzanne

2017-01-01

The purpose of this research was to evaluate academic library residency programs that successfully recruit and retain academic librarians of color. This study examines library residencies in the United States and discusses findings of two nationwide surveys. One survey posed questions to residents about the structure of their residencies, aspects…

20 CFR 416.1329 - Suspension due to loss of United States residency, United States citizenship, or status as an...

Code of Federal Regulations, 2014 CFR

2014-04-01

... otherwise permanently residing in the United States under color of law. 416.1329 Section 416.1329 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED... in the United States under color of law. (a) A recipient ceases to be an eligible individual or...

20 CFR 416.1329 - Suspension due to loss of United States residency, United States citizenship, or status as an...

Code of Federal Regulations, 2013 CFR

2013-04-01

... otherwise permanently residing in the United States under color of law. 416.1329 Section 416.1329 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED... in the United States under color of law. (a) A recipient ceases to be an eligible individual or...

20 CFR 416.1329 - Suspension due to loss of United States residency, United States citizenship, or status as an...

Code of Federal Regulations, 2012 CFR

2012-04-01

... otherwise permanently residing in the United States under color of law. 416.1329 Section 416.1329 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED... in the United States under color of law. (a) A recipient ceases to be an eligible individual or...

20 CFR 416.1329 - Suspension due to loss of United States residency, United States citizenship, or status as an...

Code of Federal Regulations, 2010 CFR

2010-04-01

... otherwise permanently residing in the United States under color of law. 416.1329 Section 416.1329 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED... in the United States under color of law. (a) A recipient ceases to be an eligible individual or...

20 CFR 416.1329 - Suspension due to loss of United States residency, United States citizenship, or status as an...

Code of Federal Regulations, 2011 CFR

2011-04-01

... otherwise permanently residing in the United States under color of law. 416.1329 Section 416.1329 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED... in the United States under color of law. (a) A recipient ceases to be an eligible individual or...

International issues: Obtaining an adult neurology residency position in the United States: an overview.

PubMed

Jordan, Justin T; Sellner, Johann; Struhal, Walter; Schneider, Logan; Mayans, David

2014-04-08

Around the world, there are marked differences in neurology training, including training duration and degree of specialization. In the United States, adult neurology residency is composed of 1 year of internal medicine training (preliminary year) and 3 years of neurology-specific training. Child neurology, which is not the focus of this article, is 2 years of pediatrics and 3 years of neurology training. The route to adult neurology residency training in the United States is standardized and is similar to most other US specialties. Whereas US medical graduates often receive stepwise guidance from their medical school regarding application for residency training, international graduates often enter this complex process with little or no such assistance. Despite this discrepancy, about 10%-15% of residency positions in the United States are filled by international medical graduates.(1,2) In adult neurology specifically, 35% of matched positions were filled by international graduates in 2013, 75% of whom were not US citizens.(1) In an effort to provide a preliminary understanding of the application process and related terminology (table 1) and thereby encourage international residency applicants, we describe the steps necessary to apply for neurology residency in the United States.

20 CFR 408.228 - When do we consider you to be residing outside the United States?

Code of Federal Regulations, 2010 CFR

2010-04-01

... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and Entitlement Residence Outside the.... We consider you to be residing outside the United States if you: (1) Have established an actual...

Moving Out: Transition to Non-Residence among Resident Fathers in the United States, 1968-1997

ERIC Educational Resources Information Center

Gupta, Sanjiv; Smock, Pamela J.; Manning, Wendy D.

2004-01-01

This article provides the first individual-level estimates of the change over time in the probability of non-residence for initially resident fathers in the United States. Drawing on the 1968-1997 waves of the Panel Study of Income Dynamics, we used discrete-time event history models to compute the probabilities of non-residence for six 5-year…

[Oral and maxillofacial surgery residency training in the United States: what can we learn].

PubMed

Ren, Y F

2017-04-09

China is currently in the process of establishing formal residency training programs in oral and maxillofacial surgery and other medical and dental specialties. Regulatory agencies, and educational and academic institutions in China are exploring mechanisms, goals and standards of residency training that meet the needs of the Chinese healthcare system. This article provides an introduction of residency training in oral and maxillofacial surgery in the United States, with emphasis on the accreditation standard by the Commission on Dental Accreditation. As there are fundamental differences in the medical and dental education systems between China and United States, the training standards in the United States may not be entirely applicable in China. A competency-based training model that focus on overall competencies in medical knowledge, clinical skills and values at the time of graduation should be taken into consideration in a Chinese residency training program in oral and maxillofacial surgery.

Global Diversity and Academic Success of Foreign-Trained Academic Neurosurgeons in the United States.

PubMed

Mistry, Akshitkumar M; Ganesh Kumar, Nishant; Reynolds, Rebecca A; Hale, Andrew T; Wellons, John C; Naftel, Robert P

2017-08-01

To quantify the proportion of academic neurosurgeons practicing in the United States who acquired residency training outside of the United States and compare their training backgrounds and academic success with those who received their residency training in the United States. We identified 1338 clinically active academic neurosurgeons from 104 programs that participated in the neurosurgery residency match in the United States in January-February 2015. Their training backgrounds, current academic positions, and history of National Institutes of Health (NIH) grant awards between 2005 and 2014 were retrieved from publicly accessible sources. Eighty-four U.S. academic neurosurgeons (6.3%) received their residency training in 20 different countries outside of the United States/Puerto Rico, representing all major regions of the world. The majority trained in Canada (n = 48). We found no major differences between the foreign-trained and U.S.-trained neurosurgeons in male:female ratio, year of starting residency, proportion with positions in medical schools ranked in the top 15 by the U.S. News and World Report, general distribution of academic positions, and proportion with an NIH grant. Compared with U.S.-trained academic neurosurgeons, foreign-trained academic neurosurgeons had a significantly higher proportion of Ph.D. degrees (32.1% vs. 12.3%; P < 0.0001) and held more associate professorships (34.5% vs. 23.1%; P = 0.02). The academic practices of the foreign-trained neurosurgeons were widely distributed throughout the United States. A small group of U.S. academic neurosurgeons (6.3%) have acquired residency training outside of the United States, representing all major regions of the world. Their general demographic data and academic accomplishments are comparable to those of U.S.-trained neurosurgeons. Copyright © 2017 Elsevier Inc. All rights reserved.

Spatial patterns of ecosystem carbon residence time and NPP-driven carbon uptake in the conterminous United States

NASA Astrophysics Data System (ADS)

Zhou, Tao; Luo, Yiqi

2008-09-01

Ecosystem carbon (C) uptake is determined largely by C residence times and increases in net primary production (NPP). Therefore, evaluation of C uptake at a regional scale requires knowledge on spatial patterns of both residence times and NPP increases. In this study, we first applied an inverse modeling method to estimate spatial patterns of C residence times in the conterminous United States. Then we combined the spatial patterns of estimated residence times with a NPP change trend to assess the spatial patterns of regional C uptake in the United States. The inverse analysis was done by using the genetic algorithm and was based on 12 observed data sets of C pools and fluxes. Residence times were estimated by minimizing the total deviation between modeled and observed values. Our results showed that the estimated C residence times were highly heterogeneous over the conterminous United States, with most of the regions having values between 15 and 65 years; and the averaged C residence time was 46 years. The estimated C uptake for the whole conterminous United States was 0.15 P g C a-1. Large portions of the taken C were stored in soil for grassland and cropland (47-70%) but in plant pools for forests and woodlands (73-82%). The proportion of C uptake in soil was found to be determined primarily by C residence times and be independent of the magnitude of NPP increase. Therefore, accurate estimation of spatial patterns of C residence times is crucial for the evaluation of terrestrial ecosystem C uptake.

26 CFR 20.2208-1 - Certain residents of possessions considered citizens of the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... solely by reason of his being a citizen of such possession or by reason of his birth or residence within... examples set forth in § 20.2209-1: Example. A, a citizen of the United States by reason of his birth in the... United States citizenship is based on birth in the United States and is not based solely on being a...

20 CFR 408.435 - How do you prove that you are residing outside the United States?

Code of Federal Regulations, 2012 CFR

2012-04-01

... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you... residing outside the United States for SVB purposes, you must give us all of the following: (1) Evidence of... residing, you can give us evidence such as: (1) A visa or passport showing the date you entered that...

20 CFR 408.435 - How do you prove that you are residing outside the United States?

Code of Federal Regulations, 2014 CFR

2014-04-01

... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you... residing outside the United States for SVB purposes, you must give us all of the following: (1) Evidence of... residing, you can give us evidence such as: (1) A visa or passport showing the date you entered that...

26 CFR 509.118 - Credit against United States tax for Swiss tax.

Code of Federal Regulations, 2010 CFR

2010-04-01

.... For the purpose of mitigating double taxation, Article XV(1)(a) of the convention provides that a citizen or resident of the United States, or a domestic corporation, deriving income from sources within... royalty derived from sources within the United States by a resident of Switzerland, such royalty shall be...

8 CFR 316.5 - Residence in the United States.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Residence in the United States. 316.5 Section 316.5 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS GENERAL... location of the residence of the applicant's spouse and/or minor child(ren); or (iii) The applicant's home...

8 CFR 316.5 - Residence in the United States.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Residence in the United States. 316.5 Section 316.5 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS GENERAL... location of the residence of the applicant's spouse and/or minor child(ren); or (iii) The applicant's home...

8 CFR 316.5 - Residence in the United States.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Residence in the United States. 316.5 Section 316.5 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS GENERAL... location of the residence of the applicant's spouse and/or minor child(ren); or (iii) The applicant's home...

8 CFR 316.5 - Residence in the United States.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Residence in the United States. 316.5 Section 316.5 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS GENERAL... location of the residence of the applicant's spouse and/or minor child(ren); or (iii) The applicant's home...

8 CFR 316.5 - Residence in the United States.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Residence in the United States. 316.5 Section 316.5 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY NATIONALITY REGULATIONS GENERAL... location of the residence of the applicant's spouse and/or minor child(ren); or (iii) The applicant's home...

Residency Applicants Misinterpret Their United States Medical Licensing Exam Scores

ERIC Educational Resources Information Center

Jones, Roger C.; Desbiens, Norman A.

2009-01-01

Proper interpretation of the results of the United States Medical Licensing Exam (USMLE) is important for program directors, residents, and faculty who advise applicants about applying for residency positions. We suspected that applicants often misinterpreted their performance in relationship to others who took the same examination. In 2005, 54…

75 FR 15715 - Filing Procedures and Automatic Extension of Employment Authorization and Related Documentation...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-30

... resided in Liberia) who are physically present in the United States and who held TPS on September 30, 2007... resided in Liberia) who were covered by DED through March 31, 2010. Such individuals include only... United States; Who has voluntarily returned to Liberia or his or her country of last habitual residence...

20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

Code of Federal Regulations, 2011 CFR

2011-04-01

... should give us. You can prove that you are lawfully admitted for permanent residence in the United States by giving us— (1) An Alien Registration Receipt Card issued by the Immigration and Naturalization... granted lawful temporary resident status under section 210 or section 210A of the Immigration and...

20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

Code of Federal Regulations, 2013 CFR

2013-04-01

... should give us. You can prove that you are lawfully admitted for permanent residence in the United States by giving us— (1) An Alien Registration Receipt Card issued by the Immigration and Naturalization... granted lawful temporary resident status under section 210 or section 210A of the Immigration and...

20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

Code of Federal Regulations, 2012 CFR

2012-04-01

... should give us. You can prove that you are lawfully admitted for permanent residence in the United States by giving us— (1) An Alien Registration Receipt Card issued by the Immigration and Naturalization... granted lawful temporary resident status under section 210 or section 210A of the Immigration and...

20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

Code of Federal Regulations, 2014 CFR

2014-04-01

... should give us. You can prove that you are lawfully admitted for permanent residence in the United States by giving us— (1) An Alien Registration Receipt Card issued by the Immigration and Naturalization... granted lawful temporary resident status under section 210 or section 210A of the Immigration and...

20 CFR 408.435 - How do you prove that you are residing outside the United States?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How do you prove that you are residing outside the United States? 408.435 Section 408.435 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you...

20 CFR 408.435 - How do you prove that you are residing outside the United States?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false How do you prove that you are residing outside the United States? 408.435 Section 408.435 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you...

A Comparison of the Health of Older Hispanics in the United States and Mexico

PubMed Central

Angel, Ronald J.; Angel, Jacqueline L.; Hill, Terrence D.

2014-01-01

Objectives This study compares various dimensions of physical and emotional health between older Mexican-origin individuals in the United States and in Mexico. Method The samples are drawn from the Mexican Health and Aging Study (MHAS) and the Hispanic Established Epidemiologic Study of the Elderly (H-EPESE) and include 3,875 Mexican residents with no history of residence in the United States and 2,734 Mexican-origin individuals 65 and older who live in the southwestern United States. Results Both immigrant and native-born Mexican-origin elders in the United States report more chronic conditions than elderly Mexicans, but they report fewer symptoms of psychological distress. Longer residence in the United States is associated with higher body mass index scores. Discussion The discussion addresses the possibility that access to care influences reports of diagnosed conditions and touches on issues of comparability in cross-cultural research and the difficulty in clearly distinguishing cultural and system-level factors in the production and measurement of health. PMID:18252935

Assessing the use of assisted reproductive technology in the United States by non-United States residents.

PubMed

Levine, Aaron D; Boulet, Sheree L; Berry, Roberta M; Jamieson, Denise J; Alberta-Sherer, Hillary B; Kissin, Dmitry M

2017-11-01

To study cross-border reproductive care (CBRC) by assessing the frequency and nature of assisted reproductive technology (ART) care that non-U.S. residents receive in the United States. Retrospective study of ART cycles reported to the Centers for Disease Control and Prevention's National ART Surveillance System (NASS) from 2006 to 2013. Private and academic ART clinics. Patients who participated in ART cycles in the United States from 2006 to 2013. None. Frequency and trend of ART use in the U.S. by non-U.S. residents, countries of residence for non-U.S. residents, differences by residence status for specific ART treatments received, and the outcomes of these ART cycles. A total of 1,271,775 ART cycles were reported to NASS from 2006 to 2013. The percentage of ART cycles performed for non-U.S. residents increased from 1.2% (n = 1,683) in 2006 to 2.8% (n = 5,381) in 2013 (P<.001), with treatment delivered to residents of 147 countries. Compared with resident cycles, non-U.S. resident cycles had higher use of oocyte donation (10.6% vs. 42.6%), gestational carriers (1.6% vs. 12.4%), and preimplantation genetic diagnosis or screening (5.3% vs. 19.1%). U.S. resident and non-U.S. resident cycles had similar embryo transfer and multiple birth rates. This analysis showed that non-U.S. resident cycles accounted for a growing share of all U.S. ART cycles and made higher use of specialized treatment techniques. This study provides important baseline data on CBRC in the U.S. and may also prove to be useful to organizations interested in improving access to fertility treatments. Copyright © 2017 American Society for Reproductive Medicine. All rights reserved.

Explaining direct care resource use of nursing home residents: findings from time studies in four states.

PubMed

Arling, Greg; Kane, Robert L; Mueller, Christine; Lewis, Teresa

2007-04-01

To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design. Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents.

Length of Residence in the United States is Associated With a Higher Prevalence of Cardiometabolic Risk Factors in Immigrants: A Contemporary Analysis of the National Health Interview Survey.

PubMed

Commodore-Mensah, Yvonne; Ukonu, Nwakaego; Obisesan, Olawunmi; Aboagye, Jonathan Kumi; Agyemang, Charles; Reilly, Carolyn M; Dunbar, Sandra B; Okosun, Ike S

2016-11-04

Cardiometabolic risk (CMR) factors including hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia are high among United States ethnic minorities, and the immigrant population continues to burgeon. Hypothesizing that acculturation (length of residence) would be associated with a higher prevalence of CMR factors, the authors analyzed data on 54, 984 US immigrants in the 2010-2014 National Health Interview Surveys. The main predictor was length of residence. The outcomes were hypertension, overweight/obesity, diabetes mellitus, and hyperlipidemia. The authors used multivariable logistic regression to examine the association between length of US residence and these CMR factors.The mean (SE) age of the patients was 43 (0.12) years and half were women. Participants residing in the United States for ≥10 years were more likely to have health insurance than those with <10 years of residence (70% versus 54%, P<0.001). After adjusting for region of birth, poverty income ratio, age, and sex, immigrants residing in the United States for ≥10 years were more likely to be overweight/obese (odds ratio [OR], 1.19; 95% CI, 1.10-1.29), diabetic (OR, 1.43; 95% CI, 1.17-1.73), and hypertensive (OR, 1.18; 95% CI, 1.05-1.32) than those residing in the United States for <10 years. In an ethnically diverse sample of US immigrants, acculturation was associated with CMR factors. Culturally tailored public health strategies should be developed in US immigrant populations to reduce CMR. © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

26 CFR 509.116 - Students or apprentices.

Code of Federal Regulations, 2010 CFR

2010-04-01

... UNDER TAX CONVENTIONS SWITZERLAND General Income Tax § 509.116 Students or apprentices. (a) General... Switzerland, who temporarily visits the United States exclusively for the purposes of study or for acquiring... is a resident of the United States or who is not a resident of Switzerland. ...

Explaining Direct Care Resource Use of Nursing Home Residents: Findings from Time Studies in Four States

PubMed Central

Arling, Greg; Kane, Robert L; Mueller, Christine; Lewis, Teresa

2007-01-01

Objective To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Data Sources/Study Setting Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Data Collection/Extraction Methods Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Principal Findings Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Conclusions Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents. PMID:17362220

Plagiarism in Personal Statements of Anesthesiology Residency Applicants.

PubMed

Parks, Lance J; Sizemore, Daniel C; Johnstone, Robert E

2016-02-15

Plagiarism by residency applicants in their personal statements, as well as sites that sell personal statements, have been described, and led in 2011 to advice to avoid plagiarism and the caution that plagiarism detection software was available. We screened personal statements of 467 anesthesiology residency applicants from 2013-2014 using Viper Plagiarism Scanner software, and studied them for plagiarism. After quotes and commonly used phrases were removed, 82 statements contained unoriginal content of 8 or more consecutive words. After the study, 13.6% of personal statements from non-United States medical school graduates, and 4.0% from United States medical school graduates, contained plagiarized material, a significant difference. Plagiarized content ranged up to 58%. Plagiarism continues to occur in anesthesiology residency personal statements, with a higher incidence among graduates of non-United States medical schools.

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

38 CFR 17.63 - Approval of community residential care facilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... residential care is not the responsibility of the United States Government or VA. (2) The resident or an... resident will be greater than the average cost of care for other residents, or if the resident chooses to... State and local regulations including construction, maintenance, and sanitation regulations; (2) Meet...

6 CFR 37.3 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... resident status in the United States; who has an approved application for asylum in the United States or... United States; who has a pending application for asylum in the United States; who has a pending or approved application for temporary protected status (TPS) in the United States; who has approved deferred...

6 CFR 37.3 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... resident status in the United States; who has an approved application for asylum in the United States or... United States; who has a pending application for asylum in the United States; who has a pending or approved application for temporary protected status (TPS) in the United States; who has approved deferred...

26 CFR 509.108 - Dividends.

Code of Federal Regulations, 2010 CFR

2010-04-01

... SWITZERLAND General Income Tax § 509.108 Dividends. (a) General. (1) The rate of United States tax imposed by... nonresident alien individual who is a resident of Switzerland, or by a Swiss corporation or other entity... resident of Switzerland performs personal services within the United States during the taxable year, but...

31 CFR 515.330 - Person within the United States.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Person within the United States. 515... Definitions § 515.330 Person within the United States. (a) The term person within the United States, includes: (1) Any person, wheresoever located, who is a resident of the United States; (2) Any person actually...

Dominicans Resident in Spain and the United States Faced With Deceased Organ Donation.

PubMed

Ríos, A; López-Navas, A; Ros-Martínez, A; Mikla, M; Martínez-Alarcón, L; Navalón, J C; Ramis, G; Ramírez, P; Parrilla, P

2015-11-01

Investigating the attitude of subgroups of populations living in different countries is useful for establishing whether there are differences in opinion in terms of place of residence. The objective of the study was to analyze attitudes toward deceased organ donation in the population from the Dominican Republic who are residing in the southeast of the United States and Spain. A sample was taken of residents of the population from the Dominican Republic residing in Florida (the United States) (n = 63) and in Spain (n = 80), which was stratified by age and sex. A validated questionnaire about psychosocial aspects (PCID-DTO Rios) was self-administered and completed anonymously: the χ(2) test, Student t test, and logistic regression analysis were used. The completion rate was 86% (123 respondents of the 143 selected). Of those surveyed, 54% were in favor, 23% were against, and 23% were undecided. Of the residents in Spain (n = 57) 63% (n = 36) were in favor, 12% (n = 7) were against, and 25% (n = 14) were undecided. Of the residents in the United States (n = 66) 46% (n = 30) were in favor, 33% (n = 22) were against, and 21% (n = 14) were undecided (P < .001). The following factors were found to be associated with attitude: 1) level of education [OR = 12.195 (52.631-2.808); P = .001]; 2) concern about the possible mutilation of the body after donation [OR = 11.363 (47.619-2.695; P = .001]; and 3) rejection of cremation or burial of the body after death [OR = 6.134 (21.276-1.763); P = .004]. Attitude toward the donation of the respondent's own deceased organs after death was more favorable among Dominican residents in Spain compared with those living in the United States. Copyright © 2015 Elsevier Inc. All rights reserved.

Rural Ageing in the United States: Trends and Contexts

ERIC Educational Resources Information Center

Glasgow, Nina; Brown, David L.

2012-01-01

This paper examines rural population ageing in the United States with a particular focus on the contrasting contexts in which older rural residents live. We compare the characteristics of the older population by rural versus urban residence, and explore challenges and opportunities associated with the ageing of rural baby boomers. The United…

8 CFR 319.1 - Persons living in marital union with United States citizen spouse.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Persons living in marital union with United States citizen spouse. 319.1 Section 319.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY... having jurisdiction over the alien's actual place of residence; (6) Has resided continuously within the...

8 CFR 319.1 - Persons living in marital union with United States citizen spouse.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Persons living in marital union with United States citizen spouse. 319.1 Section 319.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY... having jurisdiction over the alien's actual place of residence; (6) Has resided continuously within the...

8 CFR 319.1 - Persons living in marital union with United States citizen spouse.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Persons living in marital union with United States citizen spouse. 319.1 Section 319.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY... having jurisdiction over the alien's actual place of residence; (6) Has resided continuously within the...

Demand for resident hunting in the southeastern United States

Treesearch

Neelam Poudyal; Seong Hoon Cho; J. Michael Bowker

2008-01-01

We modeled hunting demand among resident hunters in the Southeastern United States. Our model revealed that future hunting demand will likely decline in this region. Population growth in the region will increase demand but structural change in the region's demography (e.g., "browning" and "aging "), along with declining forestland access will...

8 CFR 214.7 - Habitual residence in the territories and possessions of the United States and consequences thereof.

Code of Federal Regulations, 2011 CFR

2011-01-01

.... (2) Freely associated states (FAS) means the following parts of the former Trust Territories of the... resident means a citizen of the FAS who has been admitted to a territory or possession of the United States..., the term does not apply to FAS citizens whose presence in the territories or possessions is based on...

8 CFR 214.7 - Habitual residence in the territories and possessions of the United States and consequences thereof.

Code of Federal Regulations, 2010 CFR

2010-01-01

.... (2) Freely associated states (FAS) means the following parts of the former Trust Territories of the... resident means a citizen of the FAS who has been admitted to a territory or possession of the United States..., the term does not apply to FAS citizens whose presence in the territories or possessions is based on...

8 CFR 214.7 - Habitual residence in the territories and possessions of the United States and consequences thereof.

Code of Federal Regulations, 2014 CFR

2014-01-01

.... (2) Freely associated states (FAS) means the following parts of the former Trust Territories of the... resident means a citizen of the FAS who has been admitted to a territory or possession of the United States..., the term does not apply to FAS citizens whose presence in the territories or possessions is based on...

8 CFR 214.7 - Habitual residence in the territories and possessions of the United States and consequences thereof.

Code of Federal Regulations, 2013 CFR

2013-01-01

.... (2) Freely associated states (FAS) means the following parts of the former Trust Territories of the... resident means a citizen of the FAS who has been admitted to a territory or possession of the United States..., the term does not apply to FAS citizens whose presence in the territories or possessions is based on...

8 CFR 214.7 - Habitual residence in the territories and possessions of the United States and consequences thereof.

Code of Federal Regulations, 2012 CFR

2012-01-01

.... (2) Freely associated states (FAS) means the following parts of the former Trust Territories of the... resident means a citizen of the FAS who has been admitted to a territory or possession of the United States..., the term does not apply to FAS citizens whose presence in the territories or possessions is based on...

Alienation of Elderly Korean American Immigrants as Related to Place of Residence, Gender, Age, Years of Education, Time in the U.S., Living with or without Children, and Living with or without a Spouse.

ERIC Educational Resources Information Center

Moon, Jeong-hwa; Pearl, Joseph H.

1991-01-01

Older Korean immigrants (n=137) completed Dean's Alienation Scale (DAS) to examine relationship of alienation to place of residence, gender, age, years of education, time in United States, and living arrangements. Found significant relationships between DAS subscales and place of residence, age, time in United States, and whether living with or…

Supervision and autonomy of ophthalmology residents in the outpatient Clinic in the United States: a survey of ACGME-accredited programs.

PubMed

Singman, Eric L; Srikumaran, Divya; Green, Laura; Tian, Jing; McDonnell, Peter

2017-06-26

The development and demonstration of incremental trainee autonomy is required by the ACGME. However, there is scant published research concerning autonomy of ophthalmology residents in the outpatient clinic setting. This study explored the landscape of resident ophthalmology outpatient clinics in the United States. A link to an online survey using the QualtricsTM platform was emailed to the program directors of all 115 ACGME-accredited ophthalmology programs in the United States. Survey questions explored whether resident training programs hosted a continuity clinic where residents would see their own patients, and if so, the degree of faculty supervision provided therein. Metrics such as size of the resident program, number of faculty and clinic setting were also recorded. Correlations between the degree of faculty supervision and other metrics were explored. The response rate was 94%; 69% of respondents indicated that their trainees hosted continuity clinics. Of those programs, 30% required a faculty member to see each patient treated by a resident, while 42% expected the faculty member to at least discuss (if not see) each patient. All programs expected some degree of faculty interaction based upon circumstances such as the level of training of the resident or complexity of the clinical situation. 67% of programs that tracked the contribution of the clinic to resident surgical caseloads reported that these clinics provided more than half of the resident surgical volumes. More ¾ of resident clinics were located in urban settings. The degree of faculty supervision did not correlate to any of the other metrics evaluated. The majority of ophthalmology resident training programs in the United States host a continuity clinic located in an urban environment where residents follow their own patients. Furthermore, most of these clinics require supervising faculty to review both the patients seen and the medical documentation created by the resident encounters. The different degrees of faculty supervision outlined by this survey might provide a useful guide presuming they can be correlated with validated metrics of educational quality. Finally, this study could provide an adjunctive resource to current international efforts to standardize ophthalmic residency education.

[From the Residency Training in the United States to See the Challenges and Directions of China Residency Standardized Training].

PubMed

Cui, Yong; Wang, Tianyou

2016-06-20

Resident standardization training has been started and spreaded out gradually in China. Resident standardization training is crucial to ensure the clinician homogenization, improve medical service quality and level of medical treatment and health care, so it received much attention from all sides. Residency training in American has a history of nearly a century. Systematic model of residency training in the United States had been established for nearly 50 years, and it is a typical representative and successful example of the western medical education. The purpose of this paper is to discuss the institutional arrangements and development direction of the resident standardization training in China, based on comparison of the two residency training system between the two countries on target, schedule, management institution, evaluation and remuneration.

Plastic Surgery Training Worldwide: Part 1. The United States and Europe

PubMed Central

Kamali, Parisa; van Paridon, Maaike W.; Ibrahim, Ahmed M. S.; Paul, Marek A.; Winters, Henri A.; Martinot-Duquennoy, Veronique; Noah, Ernst Magnus; Pallua, Norbert

2016-01-01

Background: Major differences exist in residency training, and the structure and quality of residency programs differ between different countries and teaching centers. It is of vital importance that a better understanding of the similarities and differences in plastic surgery training be ascertained as a means of initiating constructive discussion and commentary among training programs worldwide. In this study, the authors provide an overview of plastic surgery training in the United States and Europe. Methods: A survey was sent to select surgeons in 10 European countries that were deemed to be regular contributors to the plastic surgery literature. The questions focused on pathway to plastic surgery residency, length of training, required pretraining experience, training scheme, research opportunities, and examinations during and after plastic surgery residency. Results: Plastic surgery residency training programs in the United States differ from the various (selected) countries in Europe and are described in detail. Conclusions: Plastic surgery education is vastly different between the United States and Europe, and even within Europe, training programs remain heterogeneous. Standardization of curricula across the different countries would improve the interaction of different centers and facilitate the exchange of vital information for quality control and future improvements. The unique characteristics of the various training programs potentially provide a basis from which to learn and to gain from one another. PMID:27257571

26 CFR 20.6018-3 - Returns; contents of returns.

Code of Federal Regulations, 2012 CFR

2012-04-01

... interest, interest rate and date prior to decedent's death to which interest had been paid. (3) A... decedent who was a citizen or resident of the United States at the time of his death must contain an... citizen or resident of the United States at the time of his death must contain the following information...

26 CFR 20.6018-3 - Returns; contents of returns.

Code of Federal Regulations, 2011 CFR

2011-04-01

... interest, interest rate and date prior to decedent's death to which interest had been paid. (3) A... decedent who was a citizen or resident of the United States at the time of his death must contain an... citizen or resident of the United States at the time of his death must contain the following information...

26 CFR 20.6018-3 - Returns; contents of returns.

Code of Federal Regulations, 2013 CFR

2013-04-01

... interest, interest rate and date prior to decedent's death to which interest had been paid. (3) A... decedent who was a citizen or resident of the United States at the time of his death must contain an... citizen or resident of the United States at the time of his death must contain the following information...

26 CFR 20.6018-3 - Returns; contents of returns.

Code of Federal Regulations, 2014 CFR

2014-04-01

... interest, interest rate and date prior to decedent's death to which interest had been paid. (3) A... decedent who was a citizen or resident of the United States at the time of his death must contain an... citizen or resident of the United States at the time of his death must contain the following information...

20 CFR 408.208 - What happens if you establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What happens if you establish residence outside the United States within 4 calendar months? 408.208 Section 408.208 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.212 - What happens if you are a qualified individual already residing outside the United States?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What happens if you are a qualified individual already residing outside the United States? 408.212 Section 408.212 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.212 - What happens if you are a qualified individual already residing outside the United States?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What happens if you are a qualified individual already residing outside the United States? 408.212 Section 408.212 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.208 - What happens if you establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What happens if you establish residence outside the United States within 4 calendar months? 408.208 Section 408.208 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.208 - What happens if you establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false What happens if you establish residence outside the United States within 4 calendar months? 408.208 Section 408.208 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.208 - What happens if you establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false What happens if you establish residence outside the United States within 4 calendar months? 408.208 Section 408.208 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.208 - What happens if you establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false What happens if you establish residence outside the United States within 4 calendar months? 408.208 Section 408.208 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

EKG analysis skills of family practice residents in the United Arab Emirates: a comparison with US data.

PubMed

Margolis, S; Reed, R

2001-06-01

Concern has been raised about the electrocardiogram (EKG) analysis skills of family practice residents in the United States. This study examined EKG analysis skills of family practice residents, medical students, interns, and general practitioners (GPs) in the United Arab Emirates (UAE), a different environment. The measurement instrument was a set of 10 EKGs, used in a study of US family practice residents. Two of the EKGs were normal, and there were 14 clinical abnormalities in the remainder. There was no significant difference in the correct diagnosis of acute myocardial infarction between US family practice residents and UAE family practice residents, medical students, or GPs. Interns' diagnoses were significantly poorer. The mean score for correctly identifying acute myocardial infarction and both normal EKGs was not significantly different between groups: 2.50 medical students, 2.35 interns, 2.58 UAE family practice residents, 2.67 FD, and 2.55 US family practice residents. However, the US family practice resident mean score of 11.26 for all 16 clinical findings was significantly higher than any group in the UAE: 5.35 medical students, 5.87 interns, 6.08 UAE family practice residents, 5.69 family physicians. Difficulty in EKG interpretation transcends geographic boundaries, suggesting that new approaches to teaching these skills need to be explored. Improved EKG reading skills by family physicians are generally needed in both the United States and the UAE.

Results of the American Academy of Neurology resident survey.

PubMed

Freeman, W D; Nolte, C M; Matthews, B R; Coleman, M; Corboy, J R

2011-03-29

To assess the effect of neurology residency education as trainees advance into independent practice, the American Academy of Neurology (AAN) elected to survey all graduating neurology residents at time of graduation and in 3-year cycles thereafter. A 22-question survey was sent to all neurology residents completing residency training in the United States in 2007. Of 523 eligible residents, 285 (54.5%) responded. Of these, 92% reported good to excellent quality teaching of basic neurology from their faculty; however, 47% noted less than ideal training in basic neuroscience. Two-thirds indicated that the Residency In-service Training Examination was used only as a self-assessment tool, but reports of misuse were made by some residents. After residency, 78% entered fellowships (with 61% choosing a fellowship based on interactions with a mentor at their institution), whereas 20% entered practice directly. After adjustment for the proportion of residents who worked before the duty hour rules were implemented and after their implementation, more than half reported improvement in quality of life (87%), education (60%), and patient care (62%). The majority of international medical graduates reported wanting to stay in the United States to practice rather than return to their country of residence. Neurology residents are generally satisfied with training, and most entered a fellowship. Duty hour implementation may have improved resident quality of life, but reciprocal concerns were raised about impact on patient care and education. Despite the majority of international trainees wishing to stay in the United States, stricter immigration laws may limit their entry into the future neurology workforce.

Physician supply and medical education in California. A comparison with national trends.

PubMed Central

Grumbach, K; Coffman, J M; Young, J Q; Vranizan, K; Blick, N

1998-01-01

Concerns have been voiced about an impending oversupply of physicians in the United States. Do these concerns also apply to California, a state with many unique demographic characteristics? We examined trends in physician supply and medical education in California and the United States between 1980 and 1995 to better inform the formulation of workforce policies appropriate to the state's requirements for physicians. We found that similar to the United States, California has more than an ample supply of physicians in the aggregate, but too many specialists, too few underrepresented racial/ethnic minority physicians, and poor distribution of physicians across the state. However, recent growth in the supply of practicing physicians and resident physicians per capita in California has been much less dramatic than in the country overall. The state's unusually high rate of population growth has enabled California, unlike the United States as a whole, to absorb large increases in the number of practicing physicians and residents during 1980 to 1995 without substantially increasing the physician-to-population ratio. Due to a projected slowing of the state's rate of population growth, the supply of physicians per capita in the state will begin to rise steeply in coming years unless the state implements prompt reductions in the production of specialists. An immediate 25% reduction in specialist residency positions would be necessary to bring the state's supply of practicing specialists in line with projected physician requirements for the state by 2020. We conclude that major changes will be required if the state's residency programs and medical schools are to produce the number and mix of physicians the state requires. California's medical schools and residency programs will need to act in concert with federal and state government to develop effective policies to address the imbalance between physician supply and state requirements. Images Figure 2. Figure 3. Figure 4. PMID:9614798

Disaster Education: A Survey Study to Analyze Disaster Medicine Training in Emergency Medicine Residency Programs in the United States.

PubMed

Sarin, Ritu R; Cattamanchi, Srihari; Alqahtani, Abdulrahman; Aljohani, Majed; Keim, Mark; Ciottone, Gregory R

2017-08-01

The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals. Hypothesis This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational models already in place. The authors distributed an online survey of multiple-choice and free-response questions to EM residency Program Directors in the United States between February 7 and September 24, 2014. Questions assessed residency background and details on specific Disaster Medicine competencies addressed during training. Out of 183 programs, 75 (41%) responded to the survey and completed all required questions. Almost all programs reported having some level of Disaster Medicine training in their residency. The most common Disaster Medicine educational competencies taught were patient triage and decontamination. The least commonly taught competencies were volunteer management, working with response teams, and special needs populations. The most commonly identified methods to teach Disaster Medicine were drills and lectures/seminars. There are a variety of educational tools used to teach Disaster Medicine in EM residencies today, with a larger focus on the use of lectures and hospital drills. There is no indication of a uniform educational approach across all residencies. The results of this survey demonstrate an opportunity for the creation of a standardized model for resident education in Disaster Medicine. Sarin RR , Cattamanchi S , Alqahtani A , Aljohani M , Keim M , Ciottone GR . Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368-373.

Differential effect of birthplace and length of residence on body mass index (BMI) by education, gender and race/ethnicity.

PubMed

Sanchez-Vaznaugh, Emma V; Kawachi, Ichiro; Subramanian, S V; Sánchez, Brisa N; Acevedo-Garcia, Dolores

2008-10-01

Although birthplace and length of residence have been found to be associated with Body Mass Index (BMI)/obesity in the USA, their effects may not be the same across groups defined by education, gender and race/ethnicity. Using cross-sectional population based data from the 2001 California Health Interview Survey, we investigated the associations of birthplace and US length of residence with BMI, and whether the influence of birthplace-US length of residence on BMI varied by education, gender and race/ethnicity. Our sample included 37,350 adults aged 25-64 years. Self-reported weight and height were used to calculate BMI. Birthplace and length of residence were combined into a single variable divided into five levels: US-born, foreign-born living in the United States for more than 15, 10-14, 5-9, and less than 5 years. Controlling for age, gender, marital status, race/ethnicity, education, income, fruit and vegetable consumption, current smoking and alcohol use, we found that: (1) foreign-born adults had lower BMI than US-born adults; (2) among foreign-born adults, longer residence in the United States was associated with higher BMI; and (3) the effect of birthplace-length of US residence on BMI differed by education level, gender and race/ethnicity. Specifically, longer residence in the United States was associated with the greatest percent increases in BMI among the lowest educated groups than higher educated groups, among women (vs. men) and among Hispanics (vs. other racial/ethnic groups). These findings suggest that a protective effect of foreign birthplace on BMI appears to attenuate with length of residence in the United States, and also reveal that BMI/obesity trajectories associated with length of US residence vary by education, gender and race/ethnicity. Immigrant status, independently and in combination with education, gender and race/ethnicity should be considered in future obesity prevention and reduction efforts.

Does the Attitude Toward Organ Donation Change as a Function of the Country Where People Emigrate? Study Between Uruguayan Emigrants to the United States and Spain.

PubMed

Ríos, A; López-Navas, A I; Sánchez, Á; Ayala, M A; Garrido, G; Sebastián, M J; Martinez-Alarcón, L; Ramis, G; Hernández, A M; Ramírez, P; Parrilla, P

2018-03-01

The Uruguayan population is sensitized toward transplantation. However, it has not been studied how this awareness can change when emigrating to different countries. To analyze the attitude toward cadaveric organ donation and living organ donation between the Uruguayan population residing in Florida (United States) and the Uruguayan population residing in Spain. Adults born in Uruguay and residing in Florida and Spain were screened. The questionnaire "PCID-DTO Ríos" (donation of cadaveric organs) and "PCID-DVR Ríos" (living renal donation) were used. Subjects were randomly selected according to age and gender stratification. Support from Latin-American immigration associations in Spain and Florida was needed. The survey was anonymized and self-administered. Verbal consent was obtained to collaborate in the study. Because the emigrant population to Spain is far larger than the emigrant population to the United States, a 2:1 proportional sampling was performed (n = 132). Sixty-seven percent of residents in Spain were in favor of organ donation at the time of death compared with 50% among residents in Florida (P = .082), and 100% of residents in Spain were in favor of living renal donation compared with 50% of those living in Florida (P < .001). The attitude toward donation is more favorable among Uruguayan emigrants to Spain than emigrants to the United States, especially in related kidney donation. Copyright © 2017 Elsevier Inc. All rights reserved.

26 CFR 301.7701(b)-4 - Residency time periods.

Code of Federal Regulations, 2010 CFR

2010-04-01

... for tax purposes on the alien's residency starting date. The residency starting date for an alien who... present in the United States. The residency starting date for an alien who meets the lawful permanent... permanent resident. The residency starting date for an alien who satisfies both the substantial presence...

26 CFR 1.672(f)-4 - Recharacterization of purported gifts.

Code of Federal Regulations, 2011 CFR

2011-04-01

... existence of any trust, if a United States person (United States donee) directly or indirectly receives a... section, and without regard to the existence of any trust, if a United States donee directly or indirectly... Commissioner that either— (i) A United States citizen or resident alien individual who directly or indirectly...

26 CFR 1.672(f)-4 - Recharacterization of purported gifts.

Code of Federal Regulations, 2013 CFR

2013-04-01

... existence of any trust, if a United States person (United States donee) directly or indirectly receives a... section, and without regard to the existence of any trust, if a United States donee directly or indirectly... Commissioner that either— (i) A United States citizen or resident alien individual who directly or indirectly...

26 CFR 1.672(f)-4 - Recharacterization of purported gifts.

Code of Federal Regulations, 2014 CFR

2014-04-01

... existence of any trust, if a United States person (United States donee) directly or indirectly receives a... section, and without regard to the existence of any trust, if a United States donee directly or indirectly... Commissioner that either— (i) A United States citizen or resident alien individual who directly or indirectly...

26 CFR 1.672(f)-4 - Recharacterization of purported gifts.

Code of Federal Regulations, 2012 CFR

2012-04-01

... existence of any trust, if a United States person (United States donee) directly or indirectly receives a... section, and without regard to the existence of any trust, if a United States donee directly or indirectly... Commissioner that either— (i) A United States citizen or resident alien individual who directly or indirectly...

26 CFR 521.108 - Exemption from, or reduction in rate of, United States tax in the case of dividends, interest and...

Code of Federal Regulations, 2014 CFR

2014-04-01

... General Income Tax Taxation of Nonresident Aliens Who Are Residents of Denmark and of Danish Corporations... dividends received from sources within the United States by (i) a nonresident alien (including a nonresident alien individual, fiduciary and partnership) who is a resident of Denmark, or (ii) a Danish corporation...

26 CFR 521.108 - Exemption from, or reduction in rate of, United States tax in the case of dividends, interest and...

Code of Federal Regulations, 2011 CFR

2011-04-01

... General Income Tax Taxation of Nonresident Aliens Who Are Residents of Denmark and of Danish Corporations... dividends received from sources within the United States by (i) a nonresident alien (including a nonresident alien individual, fiduciary and partnership) who is a resident of Denmark, or (ii) a Danish corporation...

26 CFR 521.108 - Exemption from, or reduction in rate of, United States tax in the case of dividends, interest and...

Code of Federal Regulations, 2010 CFR

2010-04-01

... General Income Tax Taxation of Nonresident Aliens Who Are Residents of Denmark and of Danish Corporations... dividends received from sources within the United States by (i) a nonresident alien (including a nonresident alien individual, fiduciary and partnership) who is a resident of Denmark, or (ii) a Danish corporation...

26 CFR 521.108 - Exemption from, or reduction in rate of, United States tax in the case of dividends, interest and...

Code of Federal Regulations, 2012 CFR

2012-04-01

... General Income Tax Taxation of Nonresident Aliens Who Are Residents of Denmark and of Danish Corporations... dividends received from sources within the United States by (i) a nonresident alien (including a nonresident alien individual, fiduciary and partnership) who is a resident of Denmark, or (ii) a Danish corporation...

26 CFR 521.108 - Exemption from, or reduction in rate of, United States tax in the case of dividends, interest and...

Code of Federal Regulations, 2013 CFR

2013-04-01

... General Income Tax Taxation of Nonresident Aliens Who Are Residents of Denmark and of Danish Corporations... dividends received from sources within the United States by (i) a nonresident alien (including a nonresident alien individual, fiduciary and partnership) who is a resident of Denmark, or (ii) a Danish corporation...

20 CFR 408.210 - What happens if you do not establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What happens if you do not establish residence outside the United States within 4 calendar months? 408.210 Section 408.210 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.210 - What happens if you do not establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What happens if you do not establish residence outside the United States within 4 calendar months? 408.210 Section 408.210 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.806 - What happens to your SVB payments if you are no longer residing outside the United States?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false What happens to your SVB payments if you are no longer residing outside the United States? 408.806 Section 408.806 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations...

20 CFR 408.210 - What happens if you do not establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false What happens if you do not establish residence outside the United States within 4 calendar months? 408.210 Section 408.210 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.806 - What happens to your SVB payments if you are no longer residing outside the United States?

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false What happens to your SVB payments if you are no longer residing outside the United States? 408.806 Section 408.806 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations...

20 CFR 408.806 - What happens to your SVB payments if you are no longer residing outside the United States?

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false What happens to your SVB payments if you are no longer residing outside the United States? 408.806 Section 408.806 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations...

20 CFR 408.806 - What happens to your SVB payments if you are no longer residing outside the United States?

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false What happens to your SVB payments if you are no longer residing outside the United States? 408.806 Section 408.806 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations...

20 CFR 408.806 - What happens to your SVB payments if you are no longer residing outside the United States?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false What happens to your SVB payments if you are no longer residing outside the United States? 408.806 Section 408.806 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Suspensions and Terminations...

20 CFR 408.210 - What happens if you do not establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false What happens if you do not establish residence outside the United States within 4 calendar months? 408.210 Section 408.210 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

20 CFR 408.210 - What happens if you do not establish residence outside the United States within 4 calendar months?

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false What happens if you do not establish residence outside the United States within 4 calendar months? 408.210 Section 408.210 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS SVB Qualification and...

Putting down roots in earthquake country-Your handbook for earthquakes in the Central United States

USGS Publications Warehouse

Contributors: Dart, Richard; McCarthy, Jill; McCallister, Natasha; Williams, Robert A.

2011-01-01

This handbook provides information to residents of the Central United States about the threat of earthquakes in that area, particularly along the New Madrid seismic zone, and explains how to prepare for, survive, and recover from such events. It explains the need for concern about earthquakes for those residents and describes what one can expect during and after an earthquake. Much is known about the threat of earthquakes in the Central United States, including where they are likely to occur and what can be done to reduce losses from future earthquakes, but not enough has been done to prepare for future earthquakes. The handbook describes such preparations that can be taken by individual residents before an earthquake to be safe and protect property.

Documentation of ethnicity.

PubMed

Brasić, James Robert

2004-12-01

The comparison of the ethnic composition of an intermediate care facility with several Hispanic residents and the general population was hindered by the absence of categorization of ethnicity according to the United States Census. If all Hispanic residents of the facility were white, then 55% of the facility population were white, a proportion comparable to the 58.2% white population of the general population. On the other hand, if all the Hispanic residents were not white, then 27.5% of the facility residents were white. In that case, the proportion of white residents of the facility is much less than in the general population. Therefore, a Demographic Coding Form was developed to capture the essential data to make direct comparisons and contrasts with the general population recorded by the United States Census. Since the United States Census records Hispanic ethnic minority status as a separate category independent from all other ethnic groups, the design of experiments to investigate the possible effects of ethnicity on populations wisely incorporates the administration of a Demographic Coding Form to capture the key ethnic data to permit direct comparison with the general population.

26 CFR 20.2209-1 - Certain residents of possessions considered nonresidents not citizens of the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... nonresidents not citizens of the United States. As used in this part, the term “nonresident not a citizen of... time of his death, was domiciled in a possession of the United States and was a United States citizen... required by Article 6 of the treaty entered into on August 4, 1916, between the United States and Denmark...

31 CFR 542.312 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 542.312 Section 542.312 Money and Finance: Treasury Regulations Relating to Money and Finance... any United States citizen, permanent resident alien, entity organized under the laws of the United...

Confidence, knowledge, and skills at the beginning of residency. A survey of pathology residents.

PubMed

Hsieh, Cindy M; Nolan, Norris J

2015-01-01

To document the pathology learning experiences of pathology residents prior to residency and to determine how confident they were in their knowledge and technical skills. An online survey was distributed to all pathology residency program directors in the United States, who were requested to forward the survey link to their residents. Data were obtained on pathology electives, grossing experience, and frozen section experience. Likert scale questions assessed confidence level in knowledge and skills. In total, 201 pathology residents responded (8% of residents in the United States). Prior to starting residency, most respondents had exposure to anatomic pathology through elective rotations. Few respondents had work-related experience. Most did not feel confident in their pathology-related knowledge or skills, and many did not understand what pathology resident duties entail. Respondents gained exposure to pathology primarily through elective rotations, and most felt the elective experience prepared them for pathology residency. However, elective time may be enhanced by providing opportunities for students to increase hands-on experience and understanding of resident duties. Copyright© by the American Society for Clinical Pathology.

Past residence outside of the United States is associated with diet quality in adults currently residing in the United States.

PubMed

Frankenfeld, Cara L; Poudrier, Jill; Waters, Nigel; Gillevet, Patrick M

2014-01-01

To evaluate healthy dietary factors in relation to prior residence outside the United States (US) among university-affiliated individuals currently residing in the US. Current diet information was collected via a 4-day food record and residential history data were collected by in-person interview for 114 individuals. Residence outside of the US at any point during the interviewee's life was associated with higher diet quality (Healthy Eating Index-2005: 50.0 vs. 46.8) and lower added sugar intake (25.8 vs. 34.9 g/d). Concordance of residence as a child (≤12 years of age) and within the prior 5 years was more strongly associated with higher HEI-2005 score (52.7) than if childhood was outside of the US and recent within the US (47.1), compared with individuals who have only resided within the US (46.9). Results were similar when also accounting for self-reported current residence as permanent residence. Current diet quality, food groups, and nutrient intakes differed depending on where in the world region individuals resided as a child. Restricting the analyzes to a subgroup of individuals of younger age and similar education attenuated associations. Lower added sugar intake and higher overall diet quality were most consistently associated with residence outside of the US, and recent residence outside of the US may be more strongly associated than childhood residence. Some of these differences may be explained by demographic or socioeconomic factors. Future studies could evaluate explanatory factors for these observations, including detailed socioeconomic factors, exposure to diverse foods, and accessibility of processed foods. Copyright © 2013 Wiley Periodicals, Inc.

26 CFR 1.6013-6 - Election to treat nonresident alien individual as resident of the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... reason of the individual's domicile, residence, or citizenship. Under article 4 (1) of the treaty, W is a... both the United States and country X by reason of article 4 (1), the individual shall be deemed to be a... spouses legally separate under a degree of divorce or of separate maintenance. An election that terminates...

Psychiatric Residents' Attitudes toward and Experiences with the Clinical-Skills Verification Process: A Pilot Study on U.S. and International Medical Graduates

ERIC Educational Resources Information Center

Rao, Nyapati R.; Kodali, Rahul; Mian, Ayesha; Ramtekkar, Ujjwal; Kamarajan, Chella; Jibson, Michael D.

2012-01-01

Objective: The authors report on a pilot study of the experiences and perceptions of foreign international medical graduate (F-IMG), United States international medical graduate (US-IMG), and United States medical graduate (USMG) psychiatric residents with the newly mandated Clinical Skills Verification (CSV) process. The goal was to identify and…

Ethics education in family medicine training in the United States: a national survey.

PubMed

Manson, Helen M; Satin, David; Nelson, Valerie; Vadiveloo, Thenmalar

2014-01-01

Although professional organizations endorse ethics education in family medicine training, there is little published evidence that ethics teaching occurs. This survey collated data on the aims, content, pedagogical methods, assessment, and barriers relating to formal ethics education in family medicine residency programs in the United States. A questionnaire surveyed all 445 family medicine residency programs in the United States. Forty percent of programs responded (178/445). Of these, 95% formally teach at least one ethics topic, 68.2% teach six or more topics, and 7.1% teach all 13 core topics specified in the questionnaire. Programs show variation, providing between zero to 100 hours' ethics education over the 3 years of residency training. Of the responding programs, 3.5% specify well-defined aims for ethics teaching, 25.9% designate overall responsibility for the ethics curriculum to one individual, and 33.5% formally assess ethics competencies. The most frequent barriers to ethics education are finding time in residents' schedules (59.4%) and educator expertise (21.8%). Considerable variation in ethics education is apparent in both curricular content and delivery among family medicine residency programs in the United States. Additional findings included a lack of specification of explicit curricular aims for ethics teaching allied to ACGME or AAFP competencies, a tendency not to designate one faculty member with lead responsibility for ethics teaching in the residency program, and a lack of formal assessment of ethics competencies. This has occurred in the context of an absence of robust assessment of ethics competencies at board certification level.

31 CFR 570.313 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 570.313 Section 570.313 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 541.312 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 541.312 Section 541.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 541.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 541.312 Section 541.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 548.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 548.312 Section 548.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 542.319 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 542.319 Section 542.319 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 546.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 546.312 Section 546.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 542.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 542.312 Section 542.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 548.312 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 548.312 Section 548.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 549.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 549.312 Section 549.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 551.311 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 551.311 Section 551.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 552.311 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 552.311 Section 552.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 542.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 542.312 Section 542.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 548.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 548.312 Section 548.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 549.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 549.312 Section 549.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 595.315 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 595.315 Section 595.315 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 570.313 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 570.313 Section 570.313 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 587.312 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 587.312 Section 587.312 Money and Finance: Treasury Regulations Relating to Money and Finance... resident alien, entity organized under the laws of the United States or any jurisdiction within the United...

31 CFR 543.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 543.312 Section 543.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 538.315 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 538.315 Section 538.315 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 552.311 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 552.311 Section 552.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 538.315 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 538.315 Section 538.315 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 546.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 546.312 Section 546.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 549.312 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 549.312 Section 549.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 551.311 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 551.311 Section 551.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 546.312 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 546.312 Section 546.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 551.311 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 551.311 Section 551.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 538.315 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 538.315 Section 538.315 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 543.312 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 543.312 Section 543.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 543.312 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 543.312 Section 543.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 537.321 - United States person; U.S. person.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false United States person; U.S. person. 537.321 Section 537.321 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

31 CFR 541.312 - United States person; U.S. person.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false United States person; U.S. person. 541.312 Section 541.312 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued... any United States citizen, permanent resident alien, entity organized under the laws of the United...

42 CFR 440.200 - Basis, purpose, and scope.

Code of Federal Regulations, 2010 CFR

2010-10-01

... residence or otherwise permanently residing in the United States under color of law; (4) Section 1903(v)(2... quality of services; (3) Section 1903(v)(1), which provides that no payment may be made to a State under...

14 CFR 1259.101 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... the physical, natural and biological sciences, and engineering, space technology, education, economics... accrediting agency or association. (c) National of the United States means a citizen of the United States or a native resident of a possession of the United States. It does not refer to or include a citizen of...

Higher USA State Resident Neuroticism Is Associated With Lower State Volunteering Rates.

PubMed

McCann, Stewart J H

2017-12-01

Highly neurotic persons have dispositional characteristics that tend to precipitate social anxiety that discourages formal volunteering. With the 50 American states as analytical units, Study 1 found that state resident neuroticism correlated highly ( r = -.55) with state volunteering rates and accounted for another 26.8% of the volunteering rate variance with selected state demographics controlled. Study 2 replicated Study 1 during another period and extended the association to college student, senior, secular, and religious volunteering rates. Study 3 showed state resident percentages engaged in other social behaviors involving more familiarity and fewer demands than formal volunteering related to state volunteering rates but not to neuroticism. In Study 4, state resident neuroticism largely accounted statistically for relations between state volunteering rates and state population density, collectivism, social capital, Republican preference, and well-being. This research is the first to show that state resident neuroticism is a potent predictor of state volunteering rates.

31 CFR 515.335 - Permanent resident alien.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Permanent resident alien. 515.335... Definitions § 515.335 Permanent resident alien. As used in § 515.208, the term permanent resident alien means an alien lawfully admitted for permanent residence into the United States. [61 FR 37386, July 18...

31 CFR 515.335 - Permanent resident alien.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Permanent resident alien. 515.335... Definitions § 515.335 Permanent resident alien. As used in § 515.208, the term permanent resident alien means an alien lawfully admitted for permanent residence into the United States. [61 FR 37386, July 18...

31 CFR 515.335 - Permanent resident alien.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Permanent resident alien. 515.335... Definitions § 515.335 Permanent resident alien. As used in § 515.208, the term permanent resident alien means an alien lawfully admitted for permanent residence into the United States. [61 FR 37386, July 18...

31 CFR 515.335 - Permanent resident alien.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Permanent resident alien. 515.335... Definitions § 515.335 Permanent resident alien. As used in § 515.208, the term permanent resident alien means an alien lawfully admitted for permanent residence into the United States. [61 FR 37386, July 18...

31 CFR 515.335 - Permanent resident alien.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Permanent resident alien. 515.335... Definitions § 515.335 Permanent resident alien. As used in § 515.208, the term permanent resident alien means an alien lawfully admitted for permanent residence into the United States. [61 FR 37386, July 18...

Nursing Effort and Quality of Care for Nursing Home Residents

ERIC Educational Resources Information Center

Arling, Greg; Kane, Robert L.; Mueller, Christine; Bershadsky, Julie; Degenholtz, Howard B.

2007-01-01

Purpose: The purpose of this study was to determine the relationship between nursing home staffing level, care received by individual residents, and resident quality-related care processes and functional outcomes. Design and Methods: Nurses recorded resident care time for 5,314 residents on 156 units in 105 facilities in four states (Colorado,…

Happy Healers

ERIC Educational Resources Information Center

Winter, Robin O.

2011-01-01

Family Medicine residency programs in the United States are required to promote resident well-being. This article describes how one residency does this by teaching the concepts of Positive Psychology and Authentic Happiness developed by Dr. Martin Seligman utilizing a multi-media curriculum. As part of this curriculum, residents listen to the song…

31 CFR 560.314 - United States person.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false United States person. 560.314 Section 560.314 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... resident alien, entity organized under the laws of the United States (including foreign branches), or any...

31 CFR 560.314 - United States person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person. 560.314 Section 560.314 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... resident alien, entity organized under the laws of the United States (including foreign branches), or any...

31 CFR 560.314 - United States person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person. 560.314 Section 560.314 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... resident alien, entity organized under the laws of the United States (including foreign branches), or any...

31 CFR 575.321 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 575.321 Section 575.321 Money and Finance: Treasury Regulations Relating to Money and Finance... any United States citizen; permanent resident alien; juridical person organized under the laws of the...

50 CFR 300.2 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... the United States, including, but not limited to, a citizen or resident of the United States, or a... citizen or national of the United States), any corporation, partnership, association, or other entity... one of the six NMFS Regions, described in Table 1 of § 600.502 of this title, or a designee. Science...

50 CFR 300.2 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... the United States, including, but not limited to, a citizen or resident of the United States, or a... citizen or national of the United States), any corporation, partnership, association, or other entity... one of the six NMFS Regions, described in Table 1 of § 600.502 of this title, or a designee. Science...

50 CFR 300.2 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the United States, including, but not limited to, a citizen or resident of the United States, or a... citizen or national of the United States), any corporation, partnership, association, or other entity... one of the six NMFS Regions, described in Table 1 of § 600.502 of this title, or a designee. Science...

50 CFR 300.2 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... the United States, including, but not limited to, a citizen or resident of the United States, or a... citizen or national of the United States), any corporation, partnership, association, or other entity... one of the six NMFS Regions, described in Table 1 of § 600.502 of this title, or a designee. Science...

48 CFR 1352.237-70 - Security processing requirements-high or moderate risk contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... premises of any Department of Commerce owned, leased, or controlled facility in the United States or... Nationals (Non-U.S. Citizens). To be employed under this contract within the United States, non-U.S. citizens must have: (1) Official legal status in the United States; (2) Continuously resided in the United...

State Dream Acts: The Effect of In-State Resident Tuition Policies and Undocumented Latino Students

ERIC Educational Resources Information Center

Flores, Stella M.

2010-01-01

This study examines the effect of in-state resident tuition legislation across the United States on the college enrollment odds of individuals likely to be undocumented Latino immigrants. The study employs a differences-indifferences strategy using data from the Current Population Survey's Merged Outgoing Rotation Groups. Foreign-born noncitizen…

15 CFR 4.21 - Purpose and scope.

Code of Federal Regulations, 2013 CFR

2013-01-01

... citizen of the United States or an alien lawfully admitted for permanent residence into the United States... of retirement benefits, explanations of health and life insurance programs, and explanations of tax...

15 CFR 4.21 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

... citizen of the United States or an alien lawfully admitted for permanent residence into the United States... of retirement benefits, explanations of health and life insurance programs, and explanations of tax...

15 CFR 4.21 - Purpose and scope.

Code of Federal Regulations, 2014 CFR

2014-01-01

... citizen of the United States or an alien lawfully admitted for permanent residence into the United States... of retirement benefits, explanations of health and life insurance programs, and explanations of tax...

15 CFR 4.21 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-01-01

... citizen of the United States or an alien lawfully admitted for permanent residence into the United States... of retirement benefits, explanations of health and life insurance programs, and explanations of tax...

15 CFR 4.21 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-01-01

... citizen of the United States or an alien lawfully admitted for permanent residence into the United States... of retirement benefits, explanations of health and life insurance programs, and explanations of tax...

A Study Identifying and Validating Competencies Needed for Mid-Managers That Work in Housing and Residence Life at Colleges and Universities in the United States of America

ERIC Educational Resources Information Center

Morrison, Hassel Andre

2016-01-01

The researcher identified a gap in the knowledge of competencies needed for midmanagers that work in housing and residence life at the southeast colleges and universities in the United States. The purpose of this study was to identify and develop a consensus on competencies needed by mid-managers. The review of the literature describes and…

26 CFR 1.409A-1 - Definitions and covered plans.

Code of Federal Regulations, 2014 CFR

2014-04-01

... United States is a party. (ii) Participation by nonresident aliens, certain resident aliens, and bona fide residents of possessions. With respect to an alien individual for a taxable year during which such individual is a nonresident alien, a resident alien classified as a resident alien solely under section 7701...

26 CFR 1.409A-1 - Definitions and covered plans.

Code of Federal Regulations, 2012 CFR

2012-04-01

... United States is a party. (ii) Participation by nonresident aliens, certain resident aliens, and bona fide residents of possessions. With respect to an alien individual for a taxable year during which such individual is a nonresident alien, a resident alien classified as a resident alien solely under section 7701...

26 CFR 1.409A-1 - Definitions and covered plans.

Code of Federal Regulations, 2013 CFR

2013-04-01

... United States is a party. (ii) Participation by nonresident aliens, certain resident aliens, and bona fide residents of possessions. With respect to an alien individual for a taxable year during which such individual is a nonresident alien, a resident alien classified as a resident alien solely under section 7701...

Text messaging versus email for emergency medicine residents' knowledge retention: a pilot comparison in the United States.

PubMed

Hoonpongsimanont, Wirachin; Kulkarni, Miriam; Tomas-Domingo, Pedro; Anderson, Craig; McCormack, Denise; Tu, Khoa; Chakravarthy, Bharath; Lotfipour, Shahram

2016-01-01

We evaluated the effectiveness of text messaging versus email, as a delivery method to enhance knowledge retention of emergency medicine (EM) content in EM residents. We performed a multi-centered, prospective, randomized study consisting of postgraduate year (PGY) 1 to PGY 3 & 4 residents in three United States EM residency programs in 2014. Fifty eight residents were randomized into one delivery group: text message or email. Participants completed a 40 question pre- and post-intervention exam. Primary outcomes were the means of pre- and post-intervention exam score differences. Data were analyzed using descriptive statistics, paired t-test, and multiple linear regressions. No significant difference was found between the primary outcomes of the two groups (P=0.51). PGY 2 status had a significant negative effect (P=0.01) on predicted exam score difference. Neither delivery method enhanced resident knowledge retention. Further research on implementation of mobile technology in residency education is required.

Student Residences: From Housing to Education

ERIC Educational Resources Information Center

Parameswaran, Ashvin; Bowers, Jack

2014-01-01

There is a long history of universities perceiving residences as pivotal in the learning process. Over the last 50 years, the nature and efficacy of residential environments as an educational tool have been extensively researched. However, within some sections of the tertiary residential sector, in the United States, the United Kingdom, New…

Do otolaryngology residency applicants relocate for training?

PubMed

Gebhard, Grant M; Hauser, Leah J; Dally, Miranda J; Weitzenkamp, David A; Cabrera-Muffly, Cristina

2016-04-01

To determine whether there is an association between the geographic location of an applicant's undergraduate school, medical school, and residency program among matched otolaryngology residency applicants. Observational. Otolaryngology residency program applications to our institution from 2009 to 2013 were analyzed. The geographic location of each applicant's undergraduate education and medical education were collected. Online public records were queried to determine the residency program location of matched applicants. Applicants who did not match or who attended medical school outside the United States were excluded. Metro area, state, and region were determined according to US Census Bureau definitions. From 2009 to 2013, 1,089 (78%) of 1,405 applicants who matched into otolaryngology residency applied to our institution. The number of subjects who attended medical school and residency in the same geographic region was 241 (22%) for metropolitan area, 305 (28%) for state, and 436 (40%) for region. There was no difference in geographic location retention by gender or couples match status of the subject. United States Medical Licensing Exam step 1 scores correlated with an increased likelihood of subjects staying within the same geographic region (P = .03). Most otolaryngology applicants leave their previous geographic area to attend residency. Based on these data, the authors recommend against giving weight to geography as a factor when inviting applicants to interview. NA. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.

Correlation of United States Medical Licensing Examination and Internal Medicine In-Training Examination Performance

ERIC Educational Resources Information Center

Perez, Jose A., Jr.; Greer, Sharon

2009-01-01

The Internal Medicine In-Training Examination (ITE) is administered during residency training in the United States as a self-assessment and program assessment tool. Performance on this exam correlates with outcome on the American Board of Internal Medicine Certifying examination. Internal Medicine Program Directors use the United States Medical…

31 CFR 543.312 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 543.312 Section 543.312 Money and Finance: Treasury Regulations Relating to Money and Finance.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 538.315 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 538.315 Section 538.315 Money and Finance: Treasury Regulations Relating to Money and Finance.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 548.312 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 548.312 Section 548.312 Money and Finance: Treasury Regulations Relating to Money and Finance.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 594.315 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 594.315 Section 594.315 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 551.311 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 551.311 Section 551.311 Money and Finance: Treasury Regulations Relating to Money and Finance.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 541.312 - United States person; U.S. person.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false United States person; U.S. person. 541.312 Section 541.312 Money and Finance: Treasury Regulations Relating to Money and Finance.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

31 CFR 588.311 - United States person; U.S. person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person; U.S. person. 588.311 Section 588.311 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued.... person means any United States citizen, permanent resident alien, entity organized under the laws of the...

8 CFR 343b.4 - Applicant outside of United States.

Code of Federal Regulations, 2010 CFR

2010-01-01

... director in the United States having jurisdiction over the applicant's place of residence for issuance of... representative abroad interview the applicant regarding identity and possible expatriation. If identity is not...

34 CFR 668.130 - General.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Naturalization Service (INS) that they are permanent residents of the United States or in the United States for... eligibility under § 668.33(a)(2) shall provide documentation from the INS of immigration status. (Authority...

26 CFR 509.109 - Interest.

Code of Federal Regulations, 2010 CFR

2010-04-01

... SWITZERLAND General Income Tax § 509.109 Interest. The rate of United States tax imposed by the Internal... United States by a nonresident alien individual who is a resident of Switzerland, or by a Swiss...

Educational Effects of Banning Access to In-State Resident Tuition for Unauthorized Immigrant Students

ERIC Educational Resources Information Center

Villarraga-Orjuela, Alexander; Kerr, Brinck

2017-01-01

This research examines the effects of state laws banning access to in-state resident tuition for unauthorized immigrant students in the United States. These laws were implemented between 2005 and 2012. We evaluate the policy effects on (a) college enrollment, (b) school dropout rates of unauthorized immigrants, and (c) the enrollment of U.S.…

Attrition in graduate surgical education: an analysis of the 1993 entering cohort of surgical residents.

PubMed

Kwakwa, F; Jonasson, O

1999-12-01

Pyramidal surgical residency programs, in which more residents are enrolled than can complete the program, have gradually declined in number in recent years. In 1996, the Residency Review Committee for Surgery established a policy that the number of residents appointed to a program must be consistent with the number who will complete the program. Even so, there is still attrition in the ranks of surgical residents, some of whom hold undesignated preliminary positions and have no guarantee of a position that will lead to completion of the program. This study examined the 1993 entering cohort of surgical residents to determine the rate of attrition as of 1998. Data were collected from the AMA's Medical Education Research Information Database, the American College of Surgeons Resident Masterfile, and the Association of American Medical Colleges GME Tracking Census database. The data were examined by specialty, gender, ethnic background, and type of medical school attended. The overall attrition rate from surgical GME was 12%; the rate for international medical graduates was 33%; and the rate for osteopathic residents was 28%. African-American United States and Canadian graduates had attrition rates of 16% for men and 8% for women, and Hispanic United States and Canadian graduates had attrition rates of 14% for men and 15% for women. General surgery residents had an attrition rate of 26%, which included residents in undesignated preliminary positions. Gender was not a risk factor except for the significantly higher attrition rate of African-American men. Most (81%) of the residents who dropped out of surgical GME enrolled in GME in other specialties. The attrition rate from surgical GME is low, and most residents who drop out reenter GME in another specialty. Of concern is the high rate of attrition of African-American men who are United States or Canadian graduates. The highest rate of attrition, by far, is in the group of international medical graduates, many of whom are likely to have held undesignated preliminary positions.

Regional variation in drug purchase opportunity among youths in the United States, 1996-1997.

PubMed

James, Kirk E; Wagner, Fernando A; Anthony, James C

2002-03-01

This study was designed to examine geographic variation in illegal drug purchase opportunity among young people living in the United States; there was a subfocus on age, sex, and urban/rural residence. Data from the 1996-1997 National Household Surveys on Drug Abuse were analyzed; the nationally representative sample of community residents included 21,531 participants aged 12-24 years old. Respondents were asked if someone had approached them to sell them an illegal drug during the past 30 days. To protect respondents' confidentiality, there is no finegrained geographical coding of data in the National Household Surveys on Drug Abuse public use data files, but nine geographical divisional indicators are provided (i.e., West North Central, New England, etc.). Results indicated males were an estimated 1.8 times more likely than females to have had a recent illicit drug purchase opportunity, and urban residents were 1.5 times more likely than rural residents to have had a recent drug purchase opportunity. As for geographic divisions, the Pacific division surpassed all other divisions: Its residents were 1.5 times more likely to have recent drug purchase opportunities than the West North Central division (used here as a reference category). After controlling statistically for age, sex, and urban/rural residence, residence in four divisions was found to be associated with greater likelihood of an illicit drug purchase opportunity. The observed patterns of drug purchase opportunity add new features to our understanding of illicit drug involvement across the United States.

Use of Dialectical Behavior Therapy in Borderline Personality Disorder: A View from Residency

ERIC Educational Resources Information Center

Sharma, Binali; Dunlop, Boadie W.; Ninan, Philip T.; Bradley, Rebekah

2007-01-01

Objective: The authors describe the use of dialectical behavior therapy (DBT) in treating borderline personality disorder during psychiatry residency, and assess the status of DBT education within psychiatry residencies in the United States. Method: The authors present a patient with borderline personality disorder treated by a resident using DBT,…

Training in Psychiatric Genomics during Residency: A New Challenge

ERIC Educational Resources Information Center

Winner, Joel G.; Goebert, Deborah; Matsu, Courtenay; Mrazek, David A.

2010-01-01

Objective: The authors ascertained the amount of training in psychiatric genomics that is provided in North American psychiatric residency programs. Methods: A sample of 217 chief residents in psychiatric residency programs in the United States and Canada were identified by e-mail and surveyed to assess their training in psychiatric genetics and…

26 CFR 1.871-5 - Loss of residence by an alien.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Loss of residence by an alien. 1.871-5 Section 1... (CONTINUED) INCOME TAXES Nonresident Aliens and Foreign Corporations § 1.871-5 Loss of residence by an alien. An alien who has acquired residence in the United States retains his status as a resident until he...

Electronic Residency Application Service Application Characteristics Associated with Successful Residency Matching in Neurosurgery in 2009-2016.

PubMed

Leschke, John M; Hunt, Matthew A

2018-05-01

Resident applicants in neurosurgery often wonder what factors impact their chances of successfully matching. Using data published by the National Residency Match Program for 2009-2016, we examined which components of the Electronic Residency Application Service application correlated with successful residency matching. Data were collected from the National Residency Match Program publication Charting Outcomes in the Match from all years it was available for neurosurgery (2009, 2011, 2014, 2016). Individual factors reported (number of contiguous ranks, research projects, publications and presentations, work experiences, volunteer experiences, United States Medical Licensing Examination Step 1 and 2 score deciles, categorical data about Alpha Omega Alpha status, Ph.D. degree, other degree, and strength of medical school National Institutes of Health funding) were aggregated for all 3 years. Categorical data were available only for U.S. seniors. Spearman correlation and χ 2 were used for ranked data and categorical data, respectively. Separate analyses were run for U.S. seniors and independent applicants. For U.S. seniors applying to neurosurgery, number of contiguous ranks, United States Medical Licensing Examination Step 1 and 2 scores, research projects, Alpha Omega Alpha status, and medical school top 40 National Institutes of Health funding were significantly associated with successful matching of applicants. Number of volunteer experiences was nearly statistically significant. For independent applicants, only United States Medical Licensing Examination Step 1 and 2 scores and number of research projects were statistically significant. This is the first study to analyze National Residency Match Program data for predictors of success in neurosurgical matching. Students applying to neurosurgery residency and their mentors should be aware of which baseline objective factors are associated with match success. Copyright © 2018 Elsevier Inc. All rights reserved.

The impact and implications of undocumented immigration on individual and collective health in the United States.

PubMed

Hilfinger Messias, DeAnne K; McEwen, Marylyn Morris; Clark, Lauren

2015-01-01

A nation of immigrants, the United States currently has more foreign-born residents than any other country; approximately 28% of these foreign-born residents are undocumented immigrants--individuals who either entered or are currently residing in the country without valid immigration or residency documents. The complex and constantly changing social, political, and economic context of undocumented migration has profound effects on individuals, families, and communities. The lack of demographic and epidemiologic data on undocumented immigrants is a major public health challenge. In this article, we identify multiple dimensions of vulnerability among undocumented persons; examine how undocumentedness impacts health and health care access and utilization; and consider the professional, practice, and policy issues and implications for nurses. Copyright © 2015 Elsevier Inc. All rights reserved.

Survey of United States neurosurgical residency program directors.

PubMed

Lunsford, L Dade; Kassam, Amin; Chang, Yue-Fang

2004-02-01

The field of neurosurgery in the United States faces many challenges. Neurosurgical program directors in the United States represent a logical source for inquiries about manpower issues, the training process, and Residency Review Committee (RRC) oversight. Ninety-one active residency program directors were sent an anonymous 31-question survey. The respondents were given the option of adding additional comments. The questions were designed to address issues related to manpower, the training process, and RRC governance. Sixty-one responses were returned before an email reminder and 11 after the reminder (a total response rate of 79%). The data were entered into a database, and a descriptive analysis, with frequency distribution, was performed. The purpose of this review was to gain a preliminary understanding of the perceptions of program directors regarding the neurosurgical training process, the RRC, the oversight process, and projected manpower needs. A 79% response rate is high for a mail survey and likely reflects heightened concern and interest in such issues. The survey responses indicate general satisfaction with the role and governance of the RRC, significantly divergent perceptions of resident output and available positions, and serious concerns regarding the current training process. This survey suggests that a broader discussion of resident training issues would be valuable, perhaps using validated survey instruments.

Neurocritical care education during neurology residency: AAN survey of US program directors.

PubMed

Sheth, K N; Drogan, O; Manno, E; Geocadin, R G; Ziai, W

2012-05-29

Limited information is available regarding the current state of neurocritical care education for neurology residents. The goal of our survey was to assess the need and current state of neurocritical care training for neurology residents. A survey instrument was developed and, with the support of the American Academy of Neurology, distributed to residency program directors of 132 accredited neurology programs in the United States in 2011. A response rate of 74% (98 of 132) was achieved. A dedicated neuroscience intensive care unit (neuro-ICU) existed in 64%. Fifty-six percent of residency programs offer a dedicated rotation in the neuro-ICU, lasting 4 weeks on average. Where available, the neuro-ICU rotation was required in the vast majority (91%) of programs. Neurology residents' exposure to the fundamental principles of neurocritical care was obtained through a variety of mechanisms. Of program directors, 37% indicated that residents would be interested in performing away rotations in a neuro-ICU. From 2005 to 2010, the number of programs sending at least one resident into a neuro-ICU fellowship increased from 14% to 35%. Despite the expansion of neurocritical care, large proportions of US neurology residents have limited exposure to a neuro-ICU and neurointensivists. Formal training in the principles of neurocritical care may be highly variable. The results of this survey suggest a charge to address the variability of resident education and to develop standardized curricula in neurocritical care for neurology residents.

Neurocritical care education during neurology residency

PubMed Central

Drogan, O.; Manno, E.; Geocadin, R.G.; Ziai, W.

2012-01-01

Objective: Limited information is available regarding the current state of neurocritical care education for neurology residents. The goal of our survey was to assess the need and current state of neurocritical care training for neurology residents. Methods: A survey instrument was developed and, with the support of the American Academy of Neurology, distributed to residency program directors of 132 accredited neurology programs in the United States in 2011. Results: A response rate of 74% (98 of 132) was achieved. A dedicated neuroscience intensive care unit (neuro-ICU) existed in 64%. Fifty-six percent of residency programs offer a dedicated rotation in the neuro-ICU, lasting 4 weeks on average. Where available, the neuro-ICU rotation was required in the vast majority (91%) of programs. Neurology residents' exposure to the fundamental principles of neurocritical care was obtained through a variety of mechanisms. Of program directors, 37% indicated that residents would be interested in performing away rotations in a neuro-ICU. From 2005 to 2010, the number of programs sending at least one resident into a neuro-ICU fellowship increased from 14% to 35%. Conclusions: Despite the expansion of neurocritical care, large proportions of US neurology residents have limited exposure to a neuro-ICU and neurointensivists. Formal training in the principles of neurocritical care may be highly variable. The results of this survey suggest a charge to address the variability of resident education and to develop standardized curricula in neurocritical care for neurology residents. PMID:22573636

Speaking from Otherness: A New Perspective on U.S. Diversity and Suggestions to Educational Equality

ERIC Educational Resources Information Center

Li, Nan

2005-01-01

For a Chinese educator residing in the United States, one distinctive characteristic of American culture is diversity. The United States is a nation comprised of diversity in race, ethnicity, religion, socioeconomic (SES) status, exceptionality, gender, age, and language. Diversity, on one hand, distinguishes the United States and contributes to…

A Policy Analysis of Missouri Community College Residence Hall Discipline Policies with an Analysis of Changes in the State Fair Community College Residence Hall Policy

ERIC Educational Resources Information Center

Gilgour, Joseph G.

2012-01-01

Community colleges in the United States have long been known as institutions of equal opportunity and affordable education. One facet of student life appearing at more and more community colleges is the addition of residence halls. Still, the number of community colleges with on-campus living is relatively small, and for the campuses with…

Leadership and business education in orthopaedic residency training programs.

PubMed

Kiesau, Carter D; Heim, Kathryn A; Parekh, Selene G

2011-01-01

Leadership and business challenges have become increasingly present in the practice of medicine. Orthopaedic residency programs are at the forefront of educating and preparing orthopaedic surgeons. This study attempts to quantify the number of orthopaedic residency programs in the United States that include leadership or business topics in resident education program and to determine which topics are being taught and rate the importance of various leadership characteristics and business topics. A survey was sent to all orthopaedic department chairpersons and residency program directors in the United States via e-mail. The survey responses were collected using a survey collection website. The respondents rated the importance of leadership training for residents as somewhat important. The quality of character, integrity, and honesty received the highest average rating among 19 different qualities of good leaders in orthopaedics. The inclusion of business training in resident education was also rated as somewhat important. The topic of billing and coding received the highest average rating among 14 different orthopaedically relevant business topics. A variety of topics beyond the scope of clinical practice must be included in orthopaedic residency educational curricula. The decreased participation of newly trained orthopaedic surgeons in leadership positions and national and state orthopaedic organizations is concerning for the future of orthopaedic surgery. Increased inclusion of leadership and business training in resident education is important to better prepare trainees for the future.

Text messaging versus email for emergency medicine residents’ knowledge retention: a pilot comparison in the United States

PubMed Central

2016-01-01

We evaluated the effectiveness of text messaging versus email, as a delivery method to enhance knowledge retention of emergency medicine (EM) content in EM residents. We performed a multi-centered, prospective, randomized study consisting of postgraduate year (PGY) 1 to PGY 3 & 4 residents in three United States EM residency programs in 2014. Fifty eight residents were randomized into one delivery group: text message or email. Participants completed a 40 question pre- and post-intervention exam. Primary outcomes were the means of pre- and post-intervention exam score differences. Data were analyzed using descriptive statistics, paired t-test, and multiple linear regressions. No significant difference was found between the primary outcomes of the two groups (P=0.51). PGY 2 status had a significant negative effect (P=0.01) on predicted exam score difference. Neither delivery method enhanced resident knowledge retention. Further research on implementation of mobile technology in residency education is required. PMID:27780350

8 CFR 240.65 - Eligibility for suspension of deportation.

Code of Federal Regulations, 2011 CFR

2011-01-01

... States or an alien lawfully admitted for permanent residence. (d) Battered spouses and children. To... than 3 years immediately preceding the date the application was filed; (2) The alien has been battered... permanent resident and the child has been battered or subjected to extreme cruelty in the United States by...

8 CFR 240.65 - Eligibility for suspension of deportation.

Code of Federal Regulations, 2010 CFR

2010-01-01

... States or an alien lawfully admitted for permanent residence. (d) Battered spouses and children. To... than 3 years immediately preceding the date the application was filed; (2) The alien has been battered... permanent resident and the child has been battered or subjected to extreme cruelty in the United States by...

Filipino veterans' benefits improvements. Interim final rule.

PubMed

2001-12-27

This document amends Department of Veterans Affairs (VA) adjudication regulations to reflect changes made by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, which changed the rate of compensation payments to certain Filipino veterans residing in the United States and the Veterans Benefits and Health Care Improvement Act of 2000, which changed the amount of the burial benefit paid to the survivors of certain Filipino veterans who were residing in the United States at the times of their deaths.

Migrant children and migrants’ children: Nativity differences in school enrollment in Mexico and the United States

PubMed Central

Glick, Jennifer E.; Yabiku, Scott T.

2016-01-01

BACKGROUND The growing prevalence of migrant children in diverse contexts requires a reconsideration of the intergenerational consequences of migration. To understand how migration and duration of residence are associated with children’s schooling, we need more comparative work that can point to the similarities and differences in outcomes for children across contexts. OBJECTIVE This paper addresses the importance of nativity and duration of residence for children’s school enrollment on both sides of a binational migration system: The United States and Mexico. The analyses are designed to determine whether duration of residence has a similar association with school enrollment across these different settings. METHODS The analyses are based on nationally representative household data from the 2010 Mexican Census and the 2006–2010 American Community Survey. Logistic regression models compare school enrollment patterns of Mexican and U.S.-born children of Mexican origin in the United States and those of Mexican and U.S.-born children in Mexico. Interactions for nativity/duration of residence and age are also included. RESULTS The results demonstrate that, adjusting for household resources and household-level migration experience, Mexican-born children in the United States and U.S.-born children in Mexico, particularly those who arrived recently, lag behind in school enrollment. These differences are most pronounced at older ages. CONCLUSIONS The comparisons across migration contexts point to greater school attrition and non-enrollment among older, recent migrant youth, regardless of the context. The interactions suggest that recent migration is associated with lower schooling for youth who engage in migration at older ages in both the United States and Mexico. PMID:28077926

26 CFR 1.871-5 - Loss of residence by an alien.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 9 2014-04-01 2014-04-01 false Loss of residence by an alien. 1.871-5 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-5 Loss of residence by an alien. An alien who has acquired residence in the United States retains his status as a...

26 CFR 1.871-3 - Residence of alien seamen.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 9 2011-04-01 2011-04-01 false Residence of alien seamen. 1.871-3 Section 1.871... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-3 Residence of alien seamen. In order to determine whether an alien seaman is a resident of the United States for purposes of...

26 CFR 1.871-3 - Residence of alien seamen.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Residence of alien seamen. 1.871-3 Section 1.871... (CONTINUED) INCOME TAXES Nonresident Aliens and Foreign Corporations § 1.871-3 Residence of alien seamen. In order to determine whether an alien seaman is a resident of the United States for purposes of the income...

26 CFR 1.871-5 - Loss of residence by an alien.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 9 2013-04-01 2013-04-01 false Loss of residence by an alien. 1.871-5 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-5 Loss of residence by an alien. An alien who has acquired residence in the United States retains his status as a...

26 CFR 1.871-3 - Residence of alien seamen.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 9 2013-04-01 2013-04-01 false Residence of alien seamen. 1.871-3 Section 1.871... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-3 Residence of alien seamen. In order to determine whether an alien seaman is a resident of the United States for purposes of...

26 CFR 1.871-5 - Loss of residence by an alien.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 9 2011-04-01 2011-04-01 false Loss of residence by an alien. 1.871-5 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-5 Loss of residence by an alien. An alien who has acquired residence in the United States retains his status as a...

26 CFR 1.871-3 - Residence of alien seamen.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 9 2014-04-01 2014-04-01 false Residence of alien seamen. 1.871-3 Section 1.871... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-3 Residence of alien seamen. In order to determine whether an alien seaman is a resident of the United States for purposes of...

26 CFR 1.871-5 - Loss of residence by an alien.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 9 2012-04-01 2012-04-01 false Loss of residence by an alien. 1.871-5 Section 1... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-5 Loss of residence by an alien. An alien who has acquired residence in the United States retains his status as a...

26 CFR 1.871-3 - Residence of alien seamen.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 9 2012-04-01 2012-04-01 false Residence of alien seamen. 1.871-3 Section 1.871... (CONTINUED) INCOME TAXES (CONTINUED) Nonresident Aliens and Foreign Corporations § 1.871-3 Residence of alien seamen. In order to determine whether an alien seaman is a resident of the United States for purposes of...

26 CFR 1.871-4 - Proof of residence of aliens.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 9 2010-04-01 2010-04-01 false Proof of residence of aliens. 1.871-4 Section 1... (CONTINUED) INCOME TAXES Nonresident Aliens and Foreign Corporations § 1.871-4 Proof of residence of aliens... alien within the United States has acquired residence therein for purposes of the income tax. (b...

26 CFR 1.6049-8 - Interest and original issue discount paid to residents of Canada.

Code of Federal Regulations, 2010 CFR

2010-04-01

... residents of Canada. 1.6049-8 Section 1.6049-8 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... original issue discount paid to residents of Canada. (a) Interest subject to reporting requirement. For... nonresident alien individual is an individual who resides in Canada and is not a United States citizen. The...

31 CFR 596.313 - United States person.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false United States person. 596.313 Section 596.313 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... citizen or national, permanent resident alien, juridical person organized under the laws of the United...

Analysis of dermoscopy teaching modalities in United States dermatology residency programs

PubMed Central

Chen, Yun An; Rill, Joanne; Seiverling, Elizabeth V.

2017-01-01

The use of dermoscopy in dermatology residency programs is on the rise (over 94% of chief residents reported using a dermatoscope in 2013) [1]. Despite increased use (100% of our surveyed residents reported using a dermatoscope), dermoscopy training is one of the aspects of United States dermatology residency training with the lowest resident satisfaction [2]. Diagnostic accuracy with dermoscopy is highly correlated with the amount of dermoscopy training the user has undertaken [3]. We sought to analyze dermoscopy use in US Dermatology residencies to better understand resident dermoscopy utilization and teaching modalities. We found residents learn dermoscopy via multiple teaching modalities. The most commonly reported dermoscopy teaching modality was didactic lectures, followed by time in clinic with a dermoscopy expert. Of the different teaching modalities, time in the clinic with a dermoscopy expert was reported to be the most effective. We also found that the majority of dermatology residents receive didactic dermoscopy lectures and clinical dermoscopy training on the differentiation of benign nevi from melanoma using dermoscopy, the detection of basal cell carcinoma, and the identification of seborrheic keratosis. However, few residents receive dedicated training on the use of dermoscopy in the evaluation of inflammatory dermatoses and skin infections despite dermoscopy’s demonstrated value in both areas [4–7]. PMID:29085718

12 CFR 347.105 - Permissible financial activities outside the United States.

Code of Federal Regulations, 2011 CFR

2011-01-01

... and brokerage. (10) Data processing. (11) Organizing, sponsoring, and managing a mutual fund if the fund's shares are not sold or distributed in the United States or to U.S. residents and the fund does...

32 CFR 536.74 - Scope for claims under the Military Claims Act.

Code of Federal Regulations, 2011 CFR

2011-07-01

... (normally a resident) of the United States at the time of the incident giving rise to the claim. See § 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.74... claims against the United States for death or personal injury, or damage to, or loss or destruction of...

32 CFR 536.74 - Scope for claims under the Military Claims Act.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (normally a resident) of the United States at the time of the incident giving rise to the claim. See § 536... AND ACCOUNTS CLAIMS AGAINST THE UNITED STATES Claims Cognizable Under the Military Claims Act § 536.74... claims against the United States for death or personal injury, or damage to, or loss or destruction of...

Obesity and Nursing Home Care in the United States: A Systematic Review.

PubMed

Harris, John Alexander; Castle, Nicholas George

2017-12-14

Obesity is increasing among people residing in nursing homes, and resident obesity substantially affects services needed, equipment and facilities provided, and morbidity in this setting. The purpose of this article is to describe the scope and depth of evidence regarding the impact of obesity among nursing home residents in the United States. A systematic literature review was performed in PubMed, EMBASE, CINAHL, and Web of Science databases as well as additional hand-searched documents. Included articles were published from 1997 to March 2017. The characteristics and content of the included articles were systematically reviewed and reported. Twenty-eight studies met inclusion criteria for review. The median study size was 636 residents (interquartile range 40-11,248); 18 (64%) studies were retrospective and 10 (36%) were prospective in nature. Ten (36%) studies examined medical and functional morbidity, 10 (36%) examined health system effects, and 5 (18%) examined the risk of admission to nursing homes. Most studies found that obesity poses serious issues to resident health and the provision of health care, as well as broad health system and nursing challenges in the provision of high-quality nursing home care and services. Although obesity affects about one in four nursing home residents in the United States, relatively limited evidence exists on the complex challenges of obesity for their residents and their care. A continued focus on resident quality of life, health system improvement, and nursing best practices for properly caring for individuals with obesity is needed. © The Author(s) 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Undocumented students pursuing medical education: The implications of deferred action for childhood arrivals (DACA).

PubMed

Balderas-Medina Anaya, Yohualli; del Rosario, Mithi; Doyle, Lawrence Hy; Hayes-Bautista, David E

2014-12-01

There are about 1.8 million young immigrants in the United States who came or were brought to the country without documentation before the age of 16. These youth have been raised and educated in the United States and have aspirations and educational achievements similar to those of their native-born peers. However, their undocumented status has hindered their pursuit of higher education, especially in medical and other graduate health sciences. Under a new discretionary policy, Deferred Action for Childhood Arrivals (DACA), many of these young immigrants are eligible to receive permission to reside and work in the United States. DACA defers deportation of eligible, undocumented youth and grants lawful presence in the United States, work permits, Social Security numbers, and, in most states, driver's licenses. These privileges have diminished the barriers undocumented students traditionally have faced in obtaining higher education, specifically in pursuing medicine. With the advent of DACA, students are slowly matriculating into U.S. medical schools and residencies. However, this applicant pool remains largely untapped. In the face of a physician shortage and the implementation of the Affordable Care Act, an increase in matriculation of qualified undocumented students would be greatly beneficial. This Perspective is intended to begin discussion within the academic medicine community of the implications of DACA in reducing barriers for the selection and matriculation of undocumented medical students and residents. Moreover, this Perspective is a call to peers in the medical community to support undocumented students seeking access to medical school, residency, and other health professions.

The Importance of Interspecific Interactions on the Present Range of the Invasive Mosquito Aedes albopictus (Diptera: Culicidae) and Persistence of Resident Container Species in the United States.

PubMed

Fader, Joseph E

2016-09-01

Aedes albopictus (Skuse) established in the United States over 30 yr ago and quickly spread throughout the entire eastern half of the country. It has recently spread into western regions and projected climate change scenarios suggest continued expansion to the west and north. Aedes albopictus has had major impacts on, and been impacted by, a diverse array of resident mosquito species. Laying eggs at the edges of small, water-holding containers, hatched larvae develop within these containers feeding on detritus-based resources. Under limited resource conditions, Ae. albopictus has been shown to be a superior competitor to essentially all native and resident species in the United States. Adult males also mate interspecifically with at least one resident species with significant negative impacts on reproductive output for susceptible females. Despite these strong interference effects on sympatric species, competitor outcomes have been highly variable, ranging from outright local exclusion by Ae. albopictus, to apparent exclusion of Ae. albopictus in the presence of the same species. Context-dependent mechanisms that alter the relative strengths of inter- and intraspecific competition, as well as rapid evolution of satyrization-resistant females, may help explain these patterns of variable coexistence. Although there is a large body of research on interspecific interactions of Ae. albopictus in the United States, there remain substantial gaps in our understanding of the most important species interactions. Addressing these gaps is important in predicting the future distribution of this species and understanding consequences for resident species, including humans, that interact with this highly invasive mosquito. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Publications - GMC 159 | Alaska Division of Geological & Geophysical

Science.gov Websites

Surveys Skip to content State of Alaska myAlaska My Government Resident Business in Alaska Visiting Alaska State Employees DGGS State of Alaska search Alaska Division of Geological & Geophysical State #1, Kuparuk Unit #1, Mikkelsen Bay State 13-09-19, Ravik State #1, Pt. Thomson Unit #2, West

Survey of Threats and Assaults by Patients on Psychiatry Residents

ERIC Educational Resources Information Center

Dvir, Yael; Moniwa, Emiko; Crisp-Han, Holly; Levy, Dana; Coverdale, John H.

2012-01-01

Objective: The authors sought to determine the prevalence of threats and assaults by patients on psychiatry residents, their consequences, and the perceived adequacy of supports and institutional responses. Method: Authors conducted an anonymous survey of 519 psychiatry residents in 13 psychiatry programs across the United States. The survey…

Observations on burnout in family medicine and psychiatry residents.

PubMed

Woodside, Jack Richard; Miller, Merry Noel; Floyd, Michael R; McGowen, K Ramsey; Pfortmiller, Debi T

2008-01-01

To investigate the relationship between burnout, work environment, and a variety of personal variables, including age, gender, marital, parental and acculturation status within a population of family medicine and psychiatry resident physicians. Between 2002 and 2005, 155 residents in family medicine and psychiatry at East Tennessee State University College of Medicine were surveyed at intervals using the Maslach Burnout Inventory and Work Environment Scale, form R, to assess their current state of emotional health and job satisfaction. Female residents had lower scores on the Depersonalization scale of the Maslach Burnout Inventory (t=3.37, p=0.001). Parenting was associated with lower Depersonalization (t=3.98, p<0.001) and Emotional Exhaustion (t=2.59, p=0.011). Residents from the United States culture reported higher Depersonalization and Emotional Exhaustion (t=-3.64, p<0.001; t=-3.85, p<0.001). On the Work Environment Scale, residents from United States culture reported less Task Orientation and Control but higher Work Pressure (t=2.89, p=0.005; t=2.24, p=0.027; t=-2.79, p=0.006). Psychiatry residents reported less burnout than family medicine residents on the Depersonalization and Emotional Exhaustion scales (t=2.49, p=0.014: t=2.05, p=0.042) and higher Physical Comfort on the Work Environment Scale (t=-2.60, p=0.011); while family medicine residents reported higher Peer Cohesion, Supervisor Support, and Autonomy (t=3.41, p=0.001; t=2.38, p=0.019; t=2.27, p=0.025). This study design, using well established, standard, and valid measures, identified important issues for further exploration: the relationship between acculturation to burnout, the potential role of parenting as a protective factor from burnout, and the recognition that women residents may not be as vulnerable to burnout as previously reported.

The Educational Rights of Unauthorized Immigrant Students

ERIC Educational Resources Information Center

Russo, Charles J.

2012-01-01

A 2007 report from the Congressional Budget Office (CBO 2007) estimated that 12 million "unauthorized immigrants" lived in the United States, defining the term "unauthorized immigrants" as "foreign citizens residing in the United States illegally." Without providing exact numbers, in his 2011 State of the Union address, President Obama addressed…

8 CFR 301.1 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... STATES AT BIRTH § 301.1 Procedures. (a) Application. (1) A person residing in the United States who... evidence essential to establish the claimed citizenship, such as birth, marriage, death, and divorce.... The person shall be considered a United States citizen as of the date of his or her birth. [62 FR...

Continuity of care in dermatology residency programs in the United States.

PubMed

Loh, Tiffany; Vazirnia, Aria; Afshar, Maryam; Dorschner, Robert; Paravar, Taraneh

2017-05-15

As established by the AccreditationCouncil for Graduate Medical Education (ACGME),dermatology residents in the United States must participate in continuity clinic. This requirement may be achieved through multiple means, allowing for program variation. To better assess continuity clinic's role in resident learning, more data on this component of graduate medical education is needed. An anonymous online survey was distributed via the American Board of Dermatology list serv to all U.S. dermatology residents. Continuity clinic organization, setting, frequency, and patient and preceptor characteristics were assessed; resident satisfaction and learning were compared. Of 231 responses, 7.8% reported continuity clinic daily, 77.1% weekly, 9.1% every other week, 3.0%monthly, 0.4% once every several months, and 2.2%only during certain blocks. Of the clinics reported,80.1% were "resident-run with attending" and 11.3%were attending-run. The rest were "resident-run with no attending" (0.9%), both resident and attending run(3.0%), or "other" (4.8%). Trainees in resident-run clinics (with attendings) reported greater continuity of care than those in attending-run clinics (p<0.001).Residents reported better teaching with attending presence during patient encounters than when attendings were present only if concerns were raised(p<0.01).

Association of duration of residence in the southeastern United States with chronic kidney disease may differ by race: the REasons for Geographic and Racial Differences in Stroke (REGARDS) cohort study

PubMed Central

2013-01-01

Background Prior evidence suggests that longer duration of residence in the southeastern United States is associated with higher prevalence of diabetes and hypertension. We postulated that a similar association would exist for chronic kidney disease (CKD). Methods In a national population-based cohort study that enrolled 30,239 men and women ≥ 45 years old (42% black/58% white; 56% residing in the Southeast) between 2003 and 2007, lifetime southeastern residence duration was calculated and categorized [none (0%), less than half (>0-< 50%), half or more (≥50-< 100%), and all (100%)]. Prevalent albuminuria (single spot urinary albumin:creatinine ratio of ≥30 mg/g) and reduced kidney function (estimated glomerular filtration rate <60 ml/min/1.73 m2) were defined at enrollment. Incident end-stage renal disease (ESRD) during follow-up was identified through linkage to United States Renal Data System. Results White and black participants most often reported living their entire lives outside (35.7% and 27.0%, respectively) or inside (27.9% and 33.8%, respectively) the southeastern United States. The prevalence of neither albuminuria nor reduced kidney function was statistically significantly associated with southeastern residence duration, in either race. ESRD incidence was not statistically significantly associated with all vs. none southeastern residence duration (HR = 0.50, 95% CI, 0.22-1.14) among whites, whereas blacks with all vs. none exposure showed increased risk of ESRD (HR = 1.63, 95% CI, 1.02-2.63; PraceXduration = 0.011). Conclusions These data suggest that blacks but not whites who lived in the Southeast their entire lives were at increased risk of ESRD, but we found no clear geographic pattern for earlier-stage CKD. PMID:23518004

Identifying an Education Gap in Wound Care Training in United States Dermatology.

PubMed

Ruiz, Emily Stamell; Ingram, Amber; Landriscina, Angelo; Tian, Jiaying; Kirsner, Robert S; Friedman, Adam

2015-07-01

As restoration of the integument is paramount to wound healing, dermatologists should be central to managing wounds; yet this is often not the case. If a training gap exists during residency training, this may account for the observed discrepancy. To identify United States (US) dermatology residents' impressions regarding their preparedness to care for wounds, and to assess the amount and type of training devoted to wound care during residency. An online survey among current US dermatology residents enrolled in a residency training program. The primary goal was to determine whether dermatology residents believe more wound care education is needed, evaluate preparedness to care for wounds, and identify future plans to manage wounds. Responses were received from 175 of 517 (33.8%) US Dermatology residents contacted. The majority of residents did not feel prepared to manage acute (78.3%) and chronic (84.6%) wounds. Over three quarters (77.1%) felt that more education is needed. Fewer than half (49.1% and 35.4%) of residents planned to care for acute and chronic wounds, respectively, when in practice. There is a gap in wound care education in US dermatology residency training. This translates to a low percentage of dermatology residents planning to care for wounds in future practice. Dermatology residents need to receive focused wound care training in order to translate the underpinnings of wound healing biology and ultimately better serve patients.

Management of patients with Alzheimer's disease in long-term care facilities.

PubMed

Maas, M

1988-03-01

The care of residents with AD in long-term care facilities presents a number of challenges to nursing staff. The institutionalized person with AD displays a number of behaviors that are difficult to manage on traditional, integrated nursing units. In these units, behaviors such as wandering and falling are often managed by chemical and physical restraints. Multiple, complex stimuli, common on integrated units, contribute to the confusion and disorientation experienced by residents with AD. An alternative setting, the special-care unit designed specifically to meet the needs of residents with AD, has been described. Special-care units modify the environment of the traditional nursing unit to promote the safety of demented residents. The units are an attempt to reduce or control the amount of sensory stimulation in order to prevent catastrophic behaviors in the residents and maximize patient functioning. Staff on special-care units are selected specifically for their commitment to the unique care demands required by residents with AD. Ordinarily, staff in long-term care settings need specialized education to provide this care. A research project designed to evaluate the effectiveness of a special-care unit was also described. This research is valuable to residents with AD, their families, managers, and policy makers of long-term care institutions concerned with the effective use of resources. Considerable costs are involved in the construction and staffing of special-care units. However, the potential costs and threats to quality of care associated with care of residents with AD on traditional units make it imperative to evaluate the effectiveness of special-care units. With the increasing number of persons expected to develop AD, nurses, managers of long-term care facilities, and policy makers are faced with the difficult prospect of determining the most effective means of caring for these residents. Because there have been no definitive, comprehensive studies of special care units, there is an absence of empiric support for the many proposed advantages. Few studies have used systematic measurement techniques or measures with established reliability and validity. Given the growing number of elderly persons in the United States and the expected growth in the number of nursing home residents with AD, it is important to establish the value of special treatment units for residents with AD.

8 CFR 1235.11 - Admission of conditional permanent residents.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Conditional residence based on entrepreneurship. An alien seeking admission to the United States with an... unmarried minor child of an alien entrepreneur shall be admitted conditionally for a period of 2 years. At...

Publications - GMC 183 | Alaska Division of Geological & Geophysical

Science.gov Websites

Surveys Skip to content State of Alaska myAlaska My Government Resident Business in Alaska Visiting Alaska State Employees DGGS State of Alaska search Alaska Division of Geological & Geophysical materials: AK State C #1, Bush Federal #1, Echooka Unit #1, Fin Creek Unit #1, E. De K. Leffingwell #1, Nora

8 CFR 245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 245.22 Section 245.22 Aliens and Nationality DEPARTMENT... PERMANENT RESIDENCE § 245.22 Evidence to demonstrate an alien's physical presence in the United States on a...

8 CFR 245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 245.22 Section 245.22 Aliens and Nationality DEPARTMENT... PERMANENT RESIDENCE § 245.22 Evidence to demonstrate an alien's physical presence in the United States on a...

8 CFR 245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 245.22 Section 245.22 Aliens and Nationality DEPARTMENT... PERMANENT RESIDENCE § 245.22 Evidence to demonstrate an alien's physical presence in the United States on a...

8 CFR 245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 245.22 Section 245.22 Aliens and Nationality DEPARTMENT... PERMANENT RESIDENCE § 245.22 Evidence to demonstrate an alien's physical presence in the United States on a...

26 CFR 31.3121(b)(18)-1 - Services performed by a resident of the Republic of the Philippines while temporarily in Guam.

Code of Federal Regulations, 2012 CFR

2012-04-01

... coming temporarily to the United States to perform temporary services of an exceptional nature requiring merit and ability; or (ii) who is coming temporarily to the United States to perform other temporary... this country; or (iii) who is coming temporarily to the United States as an industrial trainee; [T.D...

26 CFR 31.3121(b)(18)-1 - Services performed by a resident of the Republic of the Philippines while temporarily in Guam.

Code of Federal Regulations, 2010 CFR

2010-04-01

... coming temporarily to the United States to perform temporary services of an exceptional nature requiring merit and ability; or (ii) who is coming temporarily to the United States to perform other temporary... this country; or (iii) who is coming temporarily to the United States as an industrial trainee; [T.D...

26 CFR 31.3121(b)(18)-1 - Services performed by a resident of the Republic of the Philippines while temporarily in Guam.

Code of Federal Regulations, 2013 CFR

2013-04-01

... coming temporarily to the United States to perform temporary services of an exceptional nature requiring merit and ability; or (ii) who is coming temporarily to the United States to perform other temporary... this country; or (iii) who is coming temporarily to the United States as an industrial trainee; [T.D...

26 CFR 31.3121(b)(18)-1 - Services performed by a resident of the Republic of the Philippines while temporarily in Guam.

Code of Federal Regulations, 2014 CFR

2014-04-01

... coming temporarily to the United States to perform temporary services of an exceptional nature requiring merit and ability; or (ii) who is coming temporarily to the United States to perform other temporary... this country; or (iii) who is coming temporarily to the United States as an industrial trainee; [T.D...

78 FR 53478 - Proposed Information Collection; United States Park Police Personal History Statement

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-29

...] Proposed Information Collection; United States Park Police Personal History Statement AGENCY: National Park... Police Personal History Statement) to collect detailed personal history information from applicants... information, including financial data and residence history. Selective Service information and military data...

A national survey on the current status of informatics residency education in pharmacy.

PubMed

Blash, Anthony; Saltsman, Connie L; Steil, Condit

2017-11-01

Upon completion of their post-graduate training, pharmacy informatics residents need to be prepared to interact with clinical and technology experts in the new healthcare environment. This study describes pharmacy informatics residency programs within the United States. Preliminary information for all pharmacy informatics residency programs was accessed from program webpages. An email was sent out to programs asking them to respond to a six-item questionnaire. This questionnaire was designed to elicit information on attributes of the program, behaviors of the preceptors and residents, and attitudes of the residency directors. Of 22 pharmacy informatics residencies identified, nineteen (86%) participated. Twenty (91%) were second post-graduate year (PGY2) residencies. Ten (45%) were accredited by the American Society of Health-System Pharmacists (ASHP), while eight (36%) were candidates for accreditation. Hospital (17/22, 77%) and administrative offices (3/22, 14%) were the predominant training sites for pharmacy informatics residents. Large institutions were the predominant training environment for the pharmacy informatics resident, with 19 of 22 (86%) institutions reporting a licensed bed count of 500 or more. The median (range) number of informatics preceptors at a site was six to eight. Regarding barriers to pharmacy informatics residency education, residency directors reported that residents did not feel prepared based on the limited availability of curricular offerings. In the United States, relatively few residencies are explicitly focused on pharmacy informatics. Most of these are accredited and hospital affiliated, especially with large institutions (>500 beds). Copyright © 2017 Elsevier Inc. All rights reserved.

Arthroscopic training resources in orthopedic resident education.

PubMed

Koehler, Ryan; John, Tamara; Lawler, Jeffrey; Moorman, Claude; Nicandri, Gregg

2015-02-01

The purpose of this study was to determine the frequency of use, perceived effectiveness, and preference for arthroscopic surgical skill training resources. An electronic survey was sent to orthopedics residents, residency program directors, and orthopedic sports medicine attending physicians in the United States. The frequency and perceived effectiveness of 10 types of adjunctive arthroscopic skills training was assessed. Residents and faculty members were asked to rate their confidence in resident ability to perform common arthroscopic procedures. Surveys were completed by 40 of 152 (26.3%) orthopedic residency program directors, 70 of 426 (16.4%) sports medicine faculty, and 235 of 3,170 (7.4%) orthopedic residents. The use of adjunctive methods of training varied from only 9.8% of programs with virtual reality training to 80.5% of programs that used reading of published materials to develop arthroscopic skill. Practice on cadaveric specimens was viewed as the most effective and preferred adjunctive method of training. Residents trained on cadaveric specimens reported increased confidence in their ability to perform arthroscopic procedures. The resources for developing arthroscopic surgical skill vary considerably across orthopedic residency programs in the United States. Adjunctive training methods were perceived to be effective at supplementing traditional training in the operating room. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Preparing International Medical Graduates for Psychiatry Residency: A Multi-Site Needs Assessment

ERIC Educational Resources Information Center

Sockalingam, Sanjeev; Hawa, Raed; Al-Battran, Mazin; Abbey, Susan E.; Zaretsky, Ari

2012-01-01

Objective: Despite the growing number of international medical graduates (IMGs) training in medicine in Canada and the United States, IMG-specific challenges early in psychiatry residency have not been fully explored. Therefore, the authors conducted a needs-assessment survey to determine the needs of IMGs transitioning into psychiatry residency.…

Quality improvement in neurology residency programs. Report of the Quality Improvement Committee of the Association of University Professors of Neurology.

PubMed

Bradley, W G; Daube, J; Mendell, J R; Posner, J; Richman, D; Troost, B T; Swift, T R

1997-11-01

The neurology residency programs in the United States are facing a crisis of quality. The Association of University Professors of Neurology (AUPN) approved the Quality Improvement Committee to examine this situation and make recommendations, which have been accepted by the AUPN. The recommendations are (1) that the educational goals of neurology residency training be dissociated from patient-care needs in academic medical centers and (2) that minimum levels of quality be applied to residents in neurology residency programs and to these programs themselves. These minimum criteria should include minimum educational criteria for entry into the program, minimum criteria for advancement from one year to the next in the program, and minimum criteria for performance of the graduates of neurology residency programs for program accreditation. The implementation of these recommendations will require a shift of funding of the care of indigent patients from the graduate medical education budget to direct patient-care sources. These recommendations will significantly improve the quality of neurologists and neurologic care in the United States.

Non-Resident Enrollment and Non-Resident Tuition at Land Grant Colleges and Universities

ERIC Educational Resources Information Center

Adkisson, Richard V.; Peach, James T.

2008-01-01

Universities around the United States are seeking ways to attract students to their institutions. One possible strategy is to compete for out-of-state students. Since an early 1970s examination of the determinants of student migration by Tuckman, there have been several subsequent studies that have either further developed the methodology of the…

Attitudes Concerning Nuclear War in Finland and the United States.

ERIC Educational Resources Information Center

Johnson, Roger N.; And Others

Four hundred and seventy residents of Ridgewood, New Jersey, and 493 residents of Jyvaskyla, Finland, were randomly selected and interviewed about their attitudes concerning nuclear war. In each area, a high proportion of the sample believed that some kind of nuclear incident is likely in the next decade. The vast majority stated that a nuclear…

DIRECTORY OF CAMPS FOR THE HANDICAPPED.

ERIC Educational Resources Information Center

National Easter Seal Society for Crippled Children and Adults, Chicago, IL.

ONE HUNDRED AND SEVENTY-SEVEN RESIDENT CAMPS IN THE UNITED STATES AND CANADA AND 77 DAY CAMPS IN THE UNITED STATES WHICH SERVE CHILDREN OR ADULTS WITH PHYSICAL, MENTAL, SOCIAL, AND EMOTIONAL HANDICAPS ARE LISTED ALPHABETICALLY BY STATE. FOR EACH CAMP, INFORMATION ON TYPES OF THE HANDICAPPED WHO ARE ACCEPTED, SPECIFIC EXCLUSIONS, AGE RANGE, NUMBER…

Women of Puerto Rican Origin in the Continental United States.

ERIC Educational Resources Information Center

Employment Standards Administration (DOL), Washington, DC. Women's Bureau.

This brief paper presents data on Puerto Rican women residing in the United States as of March of 1975. Information on population, age, marital status, household and family head, labor force participation, work experience, occupational, and income statistics is included. (Author/BS)

The private forest-land owners of the United States

Treesearch

Thomas W. Birch; Douglas G. Lewis; H. Fred Kaiser

1982-01-01

A report on a 1978 survey of private forest-land owners, based on 11,076 questionnaires. About 7.8 million ownership units hold 333 million acres of privately owned forest land in the United States. Regional and subregional breakdowns are included for such important variables as form of ownership; owner's occupation, age, sex, race, residence, and education; size...

Oral health care utilization by US rural residents, National Health Interview Survey 1999.

PubMed

Vargas, Clemencia M; Dye, Bruce A; Hayes, Kathy

2003-01-01

To compare the dental care utilization practices of rural and urban residents in the United States. Data on dental care utilization from the 1999 National Health Interview Survey for persons 2 years of age and older (n=42, 139) were analyzed by rural/urban status. Percentages and 95 percent confidence intervals were calculated to produce national estimates for having had a visit in the past year, the number of visits, reasons given for last dental visit and for not visiting a dentist, unmet dental needs, and private dental insurance. Rural residents were more likely to report that their last dental visit was because something was "bothering or hurting" (23.3% vs 17.6%) and that they had unmet dental needs (10.1% vs 7.5%). Urban residents were more likely to report having a dental visit in the past year (57.7% vs 66.5%) and having private dental insurance (32.7% vs 37.2%), compared to rural residents. There were no significant differences in most reasons given for not visiting the dentist between rural and urban respondents. Dental care utilization characteristics differ between rural and urban residents in the United States, with rural residents tending to underutilize dental care.

Attitudes and Beliefs of Pathology Residents Regarding the Subspecialty of Clinical Chemistry: Results of a Survey.

PubMed

Haidari, Mehran; Yared, Marwan; Olano, Juan P; Alexander, C Bruce; Powell, Suzanne Z

2017-02-01

-Previous studies suggest that training in pathology residency programs does not adequately prepare pathology residents to become competent in clinical chemistry. -To define the beliefs of pathology residents in the United States regarding their preparation for practicing clinical chemistry in their career, their attitude toward the discipline, and the attractiveness of clinical chemistry as a career. -The residents of all pathology residency programs in the United States were given the opportunity to participate in an online survey. -Three hundred thirty-six pathology residents responded to the survey. Analysis of the survey results indicates that pathology residents are more likely to believe that their income may be lower if they select a career that has a clinical chemistry focus and that their faculty do not value clinical chemistry as much as the anatomic pathology part of the residency. Residents also report that clinical chemistry is not as enjoyable as anatomic pathology rotations during residency or preferable as a sole career path. A large proportion of residents also believe that they will be slightly prepared or not prepared to practice clinical chemistry by the end of their residency and that they do not have enough background and/or time to learn clinical chemistry during their residency programs to be able to practice this specialty effectively post graduation. -Our survey results suggest that many pathology residents do not have a positive attitude toward clinical chemistry and do not experience a supportive learning environment with an expectation that they will become competent in clinical chemistry with a residency alone.

Substance Use, Mental Disorders and Physical Health of Caribbeans at-Home Compared to Those Residing in the United States

PubMed Central

Lacey, Krim K.; Powell Sears, Karen; Govia, Ishtar O.; Forsythe-Brown, Ivy; Matusko, Niki; Jackson, James S.

2015-01-01

This study compares the health conditions of domestic Caribbeans with those living in the United States to explore how national context and migration experiences might influence substance use (i.e., alcohol or drug) and other mental and physical health conditions. The study is based upon probability samples of non-institutionalized Caribbeans living in the United States (1621), Jamaica (1216) and Guyana (2068) 18 years of age and over. Employing descriptive statistics and multivariate analytic procedures, the results revealed that substance use and other physical health conditions and major depressive disorder and mania vary by national context, with higher rates among Caribbeans living in the United States. Context and generation status influenced health outcomes. Among first generation black Caribbeans, residing in the United States for a longer length of time is linked to poorer health outcomes. There were different socio-demographic correlates of health among at-home and abroad Caribbeans. The results of this study support the need for additional research to explain how national context, migratory experiences and generation status contribute to understanding substance use and mental disorders and physical health outcomes among Caribbean first generation and descendants within the United States, compared to those remaining in the Caribbean region. PMID:25590147

Risk Factors for Pressure Ulcers Including Suspected Deep Tissue Injury in Nursing Home Facility Residents: Analysis of National Minimum Data Set 3.0.

PubMed

Ahn, Hyochol; Cowan, Linda; Garvan, Cynthia; Lyon, Debra; Stechmiller, Joyce

2016-04-01

To provide information on risk factors associated with pressure ulcers (PrUs), including suspected deep tissue injury (sDTI), in nursing home residents in the United States. This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Examine the literature related to risk factors for the development of PrUs.2. Compare risk factors associated with the prevalence of PrUs and sDTI from the revised Minimum Data Set 3.0 2012 using a modified Defloor's conceptual model of PrUs as a theoretical framework. This study aims to characterize and compare risk factors associated with pressure ulcers (PrUs), including suspected deep tissue injury (sDTI), in nursing home (NH) residents in the United States. Secondary analysis of the 2012 Minimum Data Set (MDS 3.0). Medicare- or Medicaid-certified NHs in the United States. Nursing home residents (n = 2,936,146) 18 years or older with complete PrU data, who received comprehensive assessments from January to December 2012. Pressure ulcer by stage was the outcome variable. Explanatory variables (age, gender, race and ethnicity, body mass index, skin integrity, system failure, disease, infection, mobility, and cognition) from the MDS 3.0 were aligned with the 4 elements of Defloor's conceptual model: compressive forces, shearing forces, tissue tolerance for pressure, and tissue tolerance for oxygen. Of 2,936,146 NH residents who had complete data for PrU, 89.9% had no PrU; 8.4% had a Stage 2, 3, or 4 or unstagable PrU; and 1.7% had an sDTI. The MDS variables corresponding to the 4 elements of Defloor's model were significantly predictive of both PrU and sDTI. Black residents had the highest risk of any-stage PrU, and Hispanic residents had the highest risk of sDTI. Skin integrity, system failure, infection, and disease risk factors had larger effect sizes for sDTI than for other PrU stages. The MDS data support Defloor's model and inform clinicians, educators, researchers, and policymakers on risk factors associated with PrUs and sDTI in NH residents in the United States participating in Medicare and Medicaid.

20 CFR 416.1600 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Introduction. 416.1600 Section 416.1600 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND... United States (see § 416.1615); or (c) An alien permanently residing in the United States under color of...

20 CFR 416.1600 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Introduction. 416.1600 Section 416.1600 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND... United States (see § 416.1615); or (c) An alien permanently residing in the United States under color of...

20 CFR 416.1600 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Introduction. 416.1600 Section 416.1600 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND... United States (see § 416.1615); or (c) An alien permanently residing in the United States under color of...

20 CFR 416.1600 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Introduction. 416.1600 Section 416.1600 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND... United States (see § 416.1615); or (c) An alien permanently residing in the United States under color of...

20 CFR 416.1600 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Introduction. 416.1600 Section 416.1600 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND... United States (see § 416.1615); or (c) An alien permanently residing in the United States under color of...

14 CFR Special Federal Aviation... - Construction or Alteration in the Vicinity of the Private Residence of the President of the...

Code of Federal Regulations, 2011 CFR

2011-01-01

... of the Private Residence of the President of the United States Federal Special Federal Aviation Regulation No. 98 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... Federal Aviation Regulation No. 98—Construction or Alteration in the Vicinity of the Private Residence of...

20 CFR 404.1089 - Figuring net earnings for residents and nonresidents of Puerto Rico.

Code of Federal Regulations, 2014 CFR

2014-04-01

... nonresidents of Puerto Rico. 404.1089 Section 404.1089 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... Puerto Rico. (a) Residents. If you are a resident of Puerto Rico, whether or not you are an alien, a citizen of the United States, or a citizen of Puerto Rico, you must figure your net earnings from self...

20 CFR 404.1089 - Figuring net earnings for residents and nonresidents of Puerto Rico.

Code of Federal Regulations, 2011 CFR

2011-04-01

... nonresidents of Puerto Rico. 404.1089 Section 404.1089 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... Puerto Rico. (a) Residents. If you are a resident of Puerto Rico, whether or not you are an alien, a citizen of the United States, or a citizen of Puerto Rico, you must figure your net earnings from self...

20 CFR 404.1089 - Figuring net earnings for residents and nonresidents of Puerto Rico.

Code of Federal Regulations, 2012 CFR

2012-04-01

... nonresidents of Puerto Rico. 404.1089 Section 404.1089 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... Puerto Rico. (a) Residents. If you are a resident of Puerto Rico, whether or not you are an alien, a citizen of the United States, or a citizen of Puerto Rico, you must figure your net earnings from self...

20 CFR 404.1089 - Figuring net earnings for residents and nonresidents of Puerto Rico.

Code of Federal Regulations, 2010 CFR

2010-04-01

... nonresidents of Puerto Rico. 404.1089 Section 404.1089 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... Puerto Rico. (a) Residents. If you are a resident of Puerto Rico, whether or not you are an alien, a citizen of the United States, or a citizen of Puerto Rico, you must figure your net earnings from self...

20 CFR 404.1089 - Figuring net earnings for residents and nonresidents of Puerto Rico.

Code of Federal Regulations, 2013 CFR

2013-04-01

... nonresidents of Puerto Rico. 404.1089 Section 404.1089 Employees' Benefits SOCIAL SECURITY ADMINISTRATION... Puerto Rico. (a) Residents. If you are a resident of Puerto Rico, whether or not you are an alien, a citizen of the United States, or a citizen of Puerto Rico, you must figure your net earnings from self...

77 FR 4858 - 60-Day Notice of Proposed Information Collection: DS 5507, Affidavit of Physical Presence or...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-31

..., Affidavit of Physical Presence or Residence, Parentage and Support ACTION: Notice of request for public... Physical Presence or Residence, Parentage and Support. OMB Control Number: OMB No. 1405-0187. Type of... physical presence or residence in the United States prior to their child's birth to transmit U.S...

What the U.S. Could Learn from South Africa about Education and Social Justice

ERIC Educational Resources Information Center

Books, Sue; Ndlalane, Thembi

2011-01-01

Educational policy and practice has resided and continues to reside at the vortex of social and political strife in South Africa, as in the United States. Although school poverty and inequities among schools in the U.S. pale in comparison to conditions in South Africa, the two nations have much in common, including histories of state-sanctioned…

Interest in and perceived barriers to flexible-track residencies in general surgery: a national survey of residents and program directors.

PubMed

Abbett, Sarah K; Hevelone, Nathanael D; Breen, Elizabeth M; Lipsitz, Stuart R; Peyre, Sarah E; Ashley, Stanley W; Smink, Douglas S

2011-01-01

The American Board of Surgery now permits general surgery residents to complete their clinical training over a 6-year period. Despite this new policy, the level of interest in flexible scheduling remains undefined. We sought to determine why residents and program directors (PDs) are interested in flexible tracks and to understand implementation barriers. National survey. All United States general surgery residency programs that participate in the Association of Program Directors in Surgery listserv. PDs and categorical general surgery residents in the United States. Attitudes about flexible tracks in surgery training. A flexible track was defined as a schedule that allows residents to pursue nonclinical time during residency with resulting delay in residency completion. Of the 748 residents and 81 PDs who responded, 505 residents and 45 PDs were supportive of flexible tracks (68% vs 56%, p = 0.03). Residents and PDs both were interested in flexible tracks to pursue research (86% vs 82%, p = 0.47) and child bearing (69% vs 58%, p = 0.13), but residents were more interested in pursuing international work (74% vs 53%, p = 0.004) and child rearing (63% vs 44%, p = 0.02). Although 71% of residents believe that flexible-track residents would not be respected as the equal of other residents, only 17% of PDs indicated they would not respect flexible-track residents (p < 0.001). Most residents and PDs support flexible tracks, although they differ in their motivation and perceived barriers. This finding lends support to the new policy of the American Board of Surgery. Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Background radiation in the Albuquerque, New Mexico, U.S.A., area

NASA Astrophysics Data System (ADS)

Brookins, Douglas G.

1992-01-01

Background radiation levels in the Albuquerque, New Mexico, area are elevated when compared to much of the United States. Soil K, U, and Th are somewhat elevated compared to average values in this country and generate roughly 60 mrem per year to the average resident. Cosmic ray contribution, due to the mean elevation of 5,200 ft above sea level, is 80 mrem/yr—well over the average for the United States. Thirty percent of the homes in Albuquerque contain indoor radon levels over the EPA action level of 4 pCi/ℓ compared to 10 12 percent of homes for the entire United States. Indoor radon contributes about 100 300 mrem/yr. Food, beverages, and x-ray doses are assumed at an average-equivalent for the United States and locally yield 96 mrem/yr. Total contributions from other minor sources (color TV, coal, weapons fallout, etc.) are under 10 mrem/yr. Thus total background radiation received by Albuquerque residents is about 330 530 mrem/yr, well in excess of the rest of the United States. The spread in mrem values is due to variations in the contribution from indoor radon.

The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location.

PubMed

Gauer, Jacqueline L; Jackson, J Brooks

2017-01-01

For future physicians, residency programs offer necessary extended training in specific medical specialties. Medical schools benefit from an understanding of factors that lead their students to match into certain residency specialties. One such factor, often used during the residency application process, is scores on the USA Medical Licensing Exam (USMLE). To determine the relationship between USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores and students' residency specialty match, and the association between both USMLE scores and state of legal residency (Minnesota) at the time of admission with students staying in-state or leaving the state for residency program. USMLE scores and residency match data were analyzed from five graduating classes of students at the University of Minnesota Medical School (N = 1054). A MANOVA found significant differences (p < 0.001) between residency specialties and both USMLE Step 1 and Step 2 CK scores, as well as the combination of the two. Students who matched in Dermatology had the highest mean USMLE scores overall, while students who matched in Family Medicine had the lowest mean scores. Students who went out of state for residency had significantly higher Step 1 scores (p = 0.027) than students who stayed in-state for residency, while there was no significant difference between the groups for Step 2 scores. A significant positive association was found between a student who applied as a legal resident of Minnesota and whether the student stayed in Minnesota for their residency program. Residency specialty match was significantly associated with USMLE Step 1 and USMLE Step 2 CK scores, as was staying in-state or leaving the state for residency. Students who were legal residents of the state at the time of application were more likely to stay in-state for residency, regardless of USMLE score. CK: Clinical knowledge; COMLEX: Comprehensive Osteopathic Medical Licensing Examination; GME: Graduate medical education; NRMP: National Resident Matching Program; UME: Undergraduate medical education; USMLE: United States Medical Licensing Examination.

The association of USMLE Step 1 and Step 2 CK scores with residency match specialty and location

PubMed Central

Gauer, Jacqueline L.; Jackson, J. Brooks

2017-01-01

ABSTRACT Background: For future physicians, residency programs offer necessary extended training in specific medical specialties. Medical schools benefit from an understanding of factors that lead their students to match into certain residency specialties. One such factor, often used during the residency application process, is scores on the USA Medical Licensing Exam (USMLE). Objectives: To determine the relationship between USMLE Step 1 and Step 2 Clinical Knowledge (CK) scores and students’ residency specialty match, and the association between both USMLE scores and state of legal residency (Minnesota) at the time of admission with students staying in-state or leaving the state for residency program. Design: USMLE scores and residency match data were analyzed from five graduating classes of students at the University of Minnesota Medical School (N = 1054). Results: A MANOVA found significant differences (p < 0.001) between residency specialties and both USMLE Step 1 and Step 2 CK scores, as well as the combination of the two. Students who matched in Dermatology had the highest mean USMLE scores overall, while students who matched in Family Medicine had the lowest mean scores. Students who went out of state for residency had significantly higher Step 1 scores (p = 0.027) than students who stayed in-state for residency, while there was no significant difference between the groups for Step 2 scores. A significant positive association was found between a student who applied as a legal resident of Minnesota and whether the student stayed in Minnesota for their residency program. Conclusions: Residency specialty match was significantly associated with USMLE Step 1 and USMLE Step 2 CK scores, as was staying in-state or leaving the state for residency. Students who were legal residents of the state at the time of application were more likely to stay in-state for residency, regardless of USMLE score. Abbreviations: CK: Clinical knowledge; COMLEX: Comprehensive Osteopathic Medical Licensing Examination; GME: Graduate medical education; NRMP: National Resident Matching Program; UME: Undergraduate medical education; USMLE: United States Medical Licensing Examination PMID:28762297

The Rights of Aliens

ERIC Educational Resources Information Center

Gordon, Charles

1978-01-01

Aliens have considerable rights and benefits in the United States. They are entitled to the protections of the Constitution. However, the nature of the Constitutional protections may vary with the alien's status, as a permanent resident or as a temporary or irregular resident. (NQ)

Specialized Training on Addictions for Physicians in the United States

ERIC Educational Resources Information Center

Tontchev, Gramen V.; Housel, Timothy R.; Callahan, James F.; Kunz, Kevin B.; Miller, Michael M.; Blondell, Richard D.

2011-01-01

In the United States accredited residency programs in addiction exist only for psychiatrists specializing in addiction psychiatry (ADP); nonpsychiatrists seeking training in addiction medicine (ADM) can train in nonaccredited "fellowships," or can receive training in some ADP programs, only to not be granted a certificate of completion of…

Names: A New Dimension of Transformation

ERIC Educational Resources Information Center

Payne, Keisha E.; Philyaw, Zackary; Rabow, Jerome; Yazdanfar, Sara

2018-01-01

This paper examines the impact and consequences on college students in the United States whose names are Americanized ('Americanization' is used throughout this paper to apply only to residents of the United States and has two possible meanings: within the US, it refers to acculturation of immigrants, whereas internationally it refers to the…

8 CFR 245a.1 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... may be used in addition to, but not in lieu of, the Federal Citizenship Text series); (3) Be designed... regarded as having resided continuously in the United States if, at the time of filing of the application... the United States could not be accomplished within the time period allowed; (ii) The alien was...

8 CFR 245a.1 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... may be used in addition to, but not in lieu of, the Federal Citizenship Text series); (3) Be designed... regarded as having resided continuously in the United States if, at the time of filing of the application... the United States could not be accomplished within the time period allowed; (ii) The alien was...

8 CFR 245a.1 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... may be used in addition to, but not in lieu of, the Federal Citizenship Text series); (3) Be designed... regarded as having resided continuously in the United States if, at the time of filing of the application... the United States could not be accomplished within the time period allowed; (ii) The alien was...

8 CFR 1240.65 - Eligibility for suspension of deportation.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) Battered spouses and children. To establish eligibility for suspension of deportation under former section... was filed; (2) The alien has been battered or subjected to extreme cruelty in the United States by a... of a United States citizen or lawful permanent resident and the child has been battered or subjected...

8 CFR 1240.65 - Eligibility for suspension of deportation.

Code of Federal Regulations, 2011 CFR

2011-01-01

...) Battered spouses and children. To establish eligibility for suspension of deportation under former section... was filed; (2) The alien has been battered or subjected to extreme cruelty in the United States by a... of a United States citizen or lawful permanent resident and the child has been battered or subjected...

Proposing an amendment to the Constitution of the United States regarding presidential election voting rights for residents of all United States territories and commonwealths.

THOMAS, 111th Congress

Rep. Christensen, Donna M. [D-VI-At Large

2009-01-06

House - 02/09/2009 Referred to the Subcommittee on the Constitution, Civil Rights, and Civil Liberties. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

46 CFR 503.60 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... authority of the government of the United States as defined in 5 U.S.C. 551(1) and shall include any...) Individual means a citizen of the United States or an alien lawfully admitted for permanent residence to whom... Federal Maritime Commission, including but not limited to a person's education, financial transactions...

37 CFR 102.21 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-07-01

... a citizen of the United States or an alien lawfully admitted for permanent residence into the United... not limited to, test calculations of retirement benefits, explanations of health and life insurance...

37 CFR 102.21 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... a citizen of the United States or an alien lawfully admitted for permanent residence into the United... not limited to, test calculations of retirement benefits, explanations of health and life insurance...

37 CFR 102.21 - Purpose and scope.

Code of Federal Regulations, 2014 CFR

2014-07-01

... a citizen of the United States or an alien lawfully admitted for permanent residence into the United... not limited to, test calculations of retirement benefits, explanations of health and life insurance...

37 CFR 102.21 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... a citizen of the United States or an alien lawfully admitted for permanent residence into the United... not limited to, test calculations of retirement benefits, explanations of health and life insurance...

37 CFR 102.21 - Purpose and scope.

Code of Federal Regulations, 2013 CFR

2013-07-01

... a citizen of the United States or an alien lawfully admitted for permanent residence into the United... not limited to, test calculations of retirement benefits, explanations of health and life insurance...

21 CFR 1301.26 - Exemptions from import or export requirements for personal medical use.

Code of Federal Regulations, 2010 CFR

2010-04-01

... individual who has in his/her possession a controlled substance listed in schedules II, III, IV, or V, which... purposes of this section, a United States resident is a person whose residence (i.e., place of general...

The Evolution and Increasing Complexity of the Resident Assistant Role in the United States from Colonial to Modern Times

ERIC Educational Resources Information Center

Boone, Katherine B.; Davidson, Denise L.; Bauman, Mark

2016-01-01

The evolution of the resident assistant position and its history are important to understanding its increasing complexities. In this article we examine how court cases and federal legislation, along with changes in popular culture, have altered and shaped the role of the resident assistant. Our premise is that this role, originally relatively…

Influence of Place of Residence in Access to Specialized Cancer Care for African Americans

ERIC Educational Resources Information Center

Onega, Tracy; Duell, Eric J.; Shi, Xun; Demidenko, Eugene; Goodman, David

2010-01-01

Context: Disparities in cancer care for rural residents and for African Americans have been documented, but the interaction of these factors is not well understood. Purpose: The authors examined the simultaneous influence of race and place of residence on access to and utilization of specialized cancer care in the United States. Methods: Access to…

Implementation of a Novel Structured Social and Wellness Committee in a Surgical Residency Program: A Case Study.

PubMed

Van Orden, Kathryn E; Talutis, Stephanie D; Ng-Glazier, Joanna H; Richman, Aaron P; Pennington, Elliot C; Janeway, Megan G; Kauffman, Douglas F; Dechert, Tracey A

2017-01-01

This article provides a theoretical and practical rational for the implementation of an innovative and comprehensive social wellness program in a surgical residency program at a large safety net hospital on the East Coast of the United States. Using basic needs theory, we describe why it is particularly important for surgical residency programs to consider the residents sense of competence, autonomy, and belonging during residence. We describe how we have developed a comprehensive program to address our residents' (and residents' families) psychological needs for competence, autonomy, and belongingness.

Unlicensed care homes in the United States: a clandestine sector of long-term care.

PubMed

Lepore, Michael; Greene, Angela M; Porter, Kristie; Lux, Linda; Vreeland, Emily; Hawes, Catherine

2018-06-11

Residential care facilities operating without a state license are known to house vulnerable adults. Such unlicensed care homes (UCHs) commonly operate illegally, making them difficult to investigate. We conducted an exploratory, multimethod qualitative study of UCHs, including 18 subject matter expert interviews and site visits to three states, including a total of 30 stakeholder interviews, to understand UCH operations, services provided, and residents served. Findings indicate that various vulnerable groups reside in UCHs; some UCHs offer unsafe living environments; and some residents are reportedly abused, neglected, and financially exploited. Regulations, policies and practices that might influence UCH prevalence are discussed.

Performance during internal medicine residency training and subsequent disciplinary action by state licensing boards.

PubMed

Papadakis, Maxine A; Arnold, Gerald K; Blank, Linda L; Holmboe, Eric S; Lipner, Rebecca S

2008-06-03

Physicians who are disciplined by state licensing boards are more likely to have demonstrated unprofessional behavior in medical school. Information is limited on whether similar performance measures taken during residency can predict performance as practicing physicians. To determine whether performance measures during residency predict the likelihood of future disciplinary actions against practicing internists. Retrospective cohort study. State licensing board disciplinary actions against physicians from 1990 to 2006. 66,171 physicians who entered internal medicine residency training in the United States from 1990 to 2000 and became diplomates. Predictor variables included components of the Residents' Annual Evaluation Summary ratings and American Board of Internal Medicine (ABIM) certification examination scores. 2 performance measures independently predicted disciplinary action. A low professionalism rating on the Residents' Annual Evaluation Summary predicted increased risk for disciplinary action (hazard ratio, 1.7 [95% CI, 1.3 to 2.2]), and high performance on the ABIM certification examination predicted decreased risk for disciplinary action (hazard ratio, 0.7 [CI, 0.60 to 0.70] for American or Canadian medical school graduates and 0.9 [CI, 0.80 to 1.0] for international medical school graduates). Progressively better professionalism ratings and ABIM certification examination scores were associated with less risk for subsequent disciplinary actions; the risk ranged from 4.0% for the lowest professionalism rating to 0.5% for the highest and from 2.5% for the lowest examination scores to 0.0% for the highest. The study was retrospective. Some diplomates may have practiced outside of the United States. Nondiplomates were excluded. Poor performance on behavioral and cognitive measures during residency are associated with greater risk for state licensing board actions against practicing physicians at every point on a performance continuum. These findings support the Accreditation Council for Graduate Medical Education standards for professionalism and cognitive performance and the development of best practices to remediate these deficiencies.

Awareness about clostridium difficile infection among internal medicine residents in the United States.

PubMed

Navaneethan, U; Schauer, D; Giannella, R

2011-09-01

Clostridium difficile infection (CDI) is the leading infective cause of antibiotic associated diarrhea. The principal objective of this study was to assess the knowledge and awareness of internal medicine (IM) residents regarding the epidemiology, clinical recognition, diagnosis and management of CDI. A 20-question survey was distributed to 90 IM residents in all three years of their post graduate training in a university-based program. The survey instrument assessed the resident's knowledge of the current epidemiological trend, clinical recognition and presentation, diagnosis and management of CDI. Forty two out of 90 (48%) residents completed the questionnaire. Only 10/42 (23.8%) of the residents recommended the gold standard investigation for diagnosing CDI. The majority of residents 29/42 (69%) were not aware of the existence of CDI in the outpatient setting and would not test for CDI. Only 50% of the residents were aware of the worse outcome of CDI in inflammatory bowel disease patients and only 12/42 (28.6%) would appropriately risk stratify and treat patients. Almost all of the residents (97.6%) knew about the appropriate time to consult surgery. There was no significant difference in the awareness with respect to the year of training (interns vs. residents), their career choices (primary care vs. fellowship) nor did the knowledge correlate with the United States medical licensing examination (USMLE) scores. IM residents had suboptimal knowledge of many aspects of the common problem of CDI. Educational efforts should be directed at IM residents, many of whom plan careers as primary care/hospitalists, who will encounter patients with CDI.

20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Service (INS) in accordance with that Agency's current regulations; (2) A reentry permit; (3) An alien... Northern Mariana Islands for permanent residence; or (4) INS Form I-688 which shows that you have been...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

26 CFR 1.884-5 - Qualified resident.

Code of Federal Regulations, 2014 CFR

2014-04-01

... established securities market (within the meaning of paragraph (d) of this section) in that country or the... securities market (within the meaning of paragraph (d) of this section) in the United States; (D) A not-for... class of stock is listed on an established securities market in the United States or in the country of...

26 CFR 1.884-5 - Qualified resident.

Code of Federal Regulations, 2013 CFR

2013-04-01

... established securities market (within the meaning of paragraph (d) of this section) in that country or the... securities market (within the meaning of paragraph (d) of this section) in the United States; (D) A not-for... class of stock is listed on an established securities market in the United States or in the country of...

26 CFR 1.884-5 - Qualified resident.

Code of Federal Regulations, 2012 CFR

2012-04-01

... established securities market (within the meaning of paragraph (d) of this section) in that country or the... securities market (within the meaning of paragraph (d) of this section) in the United States; (D) A not-for... class of stock is listed on an established securities market in the United States or in the country of...

Adjustment among Different Age and Ethnic Groups of Indochinese in the United States.

ERIC Educational Resources Information Center

Tran, Thanh V.

1992-01-01

Examined adjustment among different age and ethnic groups of Indochinese refugees in the United States. Findings from national probability sample of 3,414 respondents revealed that education, occupational status, urban/rural location in country of origin, English language ability, financial problems, gender, age, and length of U.S. residence had…

HIV in Predominantly Rural Areas of the United States

ERIC Educational Resources Information Center

Hall, H. Irene; Li, Jianmin; McKenna, Matthew T.

2005-01-01

Background: The burden of HIV/AIDS has not been described for certain rural areas of the United States (Appalachia, the Southeast Region, the Mississippi Delta, and the US-Mexico Border), where barriers to receiving HIV services include rural residence, poverty, unemployment, and lack of education. Methods: We used data from Centers for Disease…

Linguistic Support for Non-Native English Speakers: Higher Education Practices in the United States

ERIC Educational Resources Information Center

Snow Andrade, Maureen; Evans, Norman W.; Hartshorn, K. James

2014-01-01

Higher education institutions in English-speaking nations host significant populations of non-native English speakers (NNES), both international and resident. English language proficiency is a critical factor to their success. This study reviews higher education practices in the United States related to this population. Findings indicate…

Experiences of International Female Students in U.S. Graduate Programs

ERIC Educational Resources Information Center

Contreras-Aguirre, Hilda Cecilia; Gonzalez Y Gonzalez, Elsa

2017-01-01

International students enrolled in American institutions of higher education have been increasing during the past decades. The current study addresses the experiences of international female graduate students in the United States, in terms of difficulties as students at a southern American university and temporal residents of the United States.…

Perceived Discrimination and Social Relationship Functioning among Sexual Minorities: Structural Stigma as a Moderating Factor

PubMed Central

Doyle, David Matthew; Molix, Lisa

2015-01-01

Work on structural stigma shows how public policy affects health outcomes for members of devalued groups, including sexual minorities. In the current research, structural stigma is proposed as a moderating variable that strengthens deleterious associations between perceived discrimination and social relationship functioning. Hypotheses were tested in two cross-sectional studies, including both online (N = 214; Study 1) and community (N = 94; Study 2) samples of sexual minority men and women residing throughout the United States. Structural stigma was coded from policy related to sexual minority rights within each state. Confirming hypotheses, support for the moderating role of structural stigma was found via multilevel models across studies. Specifically, associations between perceived discrimination and friendship strain, loneliness (Study 1) and familial strain (Study 2) were increased for those who resided in states with greater levels of structural stigma and attenuated for those who resided in states with lesser levels. In Study 1, these results were robust to state-level covariates (conservatism and religiosity), but conservatism emerged as a significant moderator in lieu of structural stigma in Study 2. Results are discussed in the context of the shifting landscape of public policy related to sexual minority rights within the United States. PMID:26807046

Prevalence and management of pain, by race and dementia among nursing home residents: United States, 2004.

PubMed

Sengupta, Manisha; Bercovitz, Anita; Harris-Kojetin, Lauren D

2010-03-01

Data from the National Nursing Home Survey, 2004. About one-quarter of all nursing home residents reported or showed signs of pain. Nonwhite residents and residents with dementia were less likely to report or show signs of pain compared with white residents and residents without dementia. Nonwhite residents with dementia were least likely, and white residents without dementia were most likely to report or show signs of pain. Forty-four percent of nursing home residents with pain received neither standing orders for pain medication nor special services for pain management (i.e., appropriate pain management). Among residents with dementia and pain, nonwhite residents were more likely than white residents to lack appropriate pain management.

Culture-dependent strategies in coordination games.

PubMed

Jackson, Matthew O; Xing, Yiqing

2014-07-22

We examine different populations' play in coordination games in online experiments with over 1,000 study participants. Study participants played a two-player coordination game that had multiple equilibria: two equilibria with highly asymmetric payoffs and another equilibrium with symmetric payoffs but a slightly lower total payoff. Study participants were predominantly from India and the United States. Study participants residing in India played the strategies leading to asymmetric payoffs significantly more frequently than study participants residing in the United States who showed a greater play of the strategy leading to the symmetric payoffs. In addition, when prompted to play asymmetrically, the population from India responded even more significantly than those from the United States. Overall, study participants' predictions of how others would play were more accurate when the other player was from their own populations, and they coordinated significantly more frequently and earned significantly higher payoffs when matched with other study participants from their own population than when matched across populations.

Pathology resident attitudes and opinions about pathologists' assistants.

PubMed

Grzybicki, Dana Marie; Vrbin, Colleen M

2003-06-01

Changes in health care economics and organization have resulted in increased use of nonphysician providers in most health care settings. Attitudinal acceptance of nonphysician providers is important in the current health care environment. To obtain descriptive information regarding pathology resident attitudes and opinions about pathologists' assistants in anatomic pathology practice and to assess the implications of resident attitudes and opinions for pathology practice and training. A self-administered, mailed, voluntary, anonymous questionnaire was distributed to a cross-sectional sample of pathology residents in the United States (2531 pathology residents registered as resident members of one of the national pathology professional organizations). The questionnaire contained (1) items relating to resident demographics and program characteristics, (2) Likert-scale response items containing positive and negative statements about pathologists' assistants, (3) a multiple-choice item related to pathologists' assistants scope of practice, and (4) an open-ended item inviting additional comments. Both quantitative and qualitative analysis of responses was performed. The overall response rate was 19.4% (n = 490); 50% of the respondents were women, and 77% reported use of pathologists' assistants in their program. Most respondents were 25 to 35 years old and in postgraduate years 3 through 5 of their training, and most were located in the Midwestern United States. The majority of residents expressed overall positive attitudes and opinions about pathologists' assistants and felt that pathologists' assistants enhanced resident training by optimizing resident workload. A minority (10%-20%) of residents expressed negative attitudes or opinions about pathologists' assistants. Additionally, some residents reported a lack of knowledge about pathologists' assistants' training or roles. Increased resident education and open discussion concerning pathologists' assistants may be beneficial for optimizing resident attitudes about and training experiences with pathologists' assistants.

Effects of Perceived Discrimination on Depressive Symptoms Among Black Men Residing in the United States: A Meta-Analysis

PubMed Central

Britt-Spells, Angelitta M.; Slebodnik, Maribeth; Sands, Laura P.; Rollock, David

2016-01-01

Research reports that perceived discrimination is positively associated with depressive symptoms. The literature is limited when examining this relationship among Black men. This meta-analysis systematically examines the current literature and investigates the relationship of perceived discrimination on depressive symptoms among Black men residing in the United States. Using a random-effects model, study findings indicate a positive association between perceived discrimination and depressive symptoms among Black men (r = .29). Several potential moderators were also examined in this study; however, there were no significant moderation effects detected. Recommendations and implications for future research and practice are discussed. PMID:26742988

8 CFR 101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 101.3 Section 101.3 Aliens... ADMISSION § 101.3 Creation of record of lawful permanent resident status for person born under diplomatic...

8 CFR 101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 101.3 Section 101.3 Aliens... ADMISSION § 101.3 Creation of record of lawful permanent resident status for person born under diplomatic...

8 CFR 101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 101.3 Section 101.3 Aliens... ADMISSION § 101.3 Creation of record of lawful permanent resident status for person born under diplomatic...

8 CFR 1101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 1101.3 Section 1101.3 Aliens... PRESUMPTION OF LAWFUL ADMISSION § 1101.3 Creation of record of lawful permanent resident status for person...

8 CFR 1101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 1101.3 Section 1101.3 Aliens... PRESUMPTION OF LAWFUL ADMISSION § 1101.3 Creation of record of lawful permanent resident status for person...

8 CFR 1101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 1101.3 Section 1101.3 Aliens... PRESUMPTION OF LAWFUL ADMISSION § 1101.3 Creation of record of lawful permanent resident status for person...

8 CFR 1101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 1101.3 Section 1101.3 Aliens... PRESUMPTION OF LAWFUL ADMISSION § 1101.3 Creation of record of lawful permanent resident status for person...

8 CFR 1101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 1101.3 Section 1101.3 Aliens... PRESUMPTION OF LAWFUL ADMISSION § 1101.3 Creation of record of lawful permanent resident status for person...

8 CFR 101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 101.3 Section 101.3 Aliens... ADMISSION § 101.3 Creation of record of lawful permanent resident status for person born under diplomatic...

8 CFR 101.3 - Creation of record of lawful permanent resident status for person born under diplomatic status in...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Creation of record of lawful permanent resident status for person born under diplomatic status in the United States. 101.3 Section 101.3 Aliens... ADMISSION § 101.3 Creation of record of lawful permanent resident status for person born under diplomatic...

A cross-national study of prescription nonadherence due to cost: data from the Joint Canada-United States Survey of Health.

PubMed

Kennedy, Jae; Morgan, Steve

2006-08-01

In Canada and the United States, patients who have difficulty paying for prescribed medications are less likely to obtain them and may experience increased risks for morbidity and mortality and/or increased health care costs due to nonadherence. As prescription drug costs have risen, the ability to pay for medications has emerged as a critical public health issue. The objectives of this study were to estimate the rates of cost-associated nonadherence in Canada and the United States, and to identify factors that predict cost-associated nonadherence in both countries. This original analysis used data from the 2002/2003 Joint Canada-US Survey of Health, a household phone survey jointly conducted by Statistics Canada (Ottawa, Ontario, Canada) and the US National Center for Health Statistics (Hyattsville, Maryland). The sample included 3505 adults in Canada and 5183 adults in the United States. Weighted group comparisons and logistic regression analyses were used to identify population factors predictive of cost-associated prescription nonadherence. Residents of Canada were much less likely than residents of the United States to report cost-associated nonadherence (5.1% vs 9.9%; P < 0.001). Americans without health insurance (28.2%) and Americans and Canadians without prescription-drug coverage (16.2%) were significantly more likely than those with insurance (6.2%) to report cost-associated nonadherence (P < 0.001). In addition to country of residence and insurance coverage, significant risk factors predictive of nonadherence were young age, poor health, chronic pain, and low household income. The results of this analysis suggest that people with low incomes and inadequate insurance, as well as those with poor health and/or chronic symptoms, are more likely to report failing to fill a prescription due to cost. The overall rate of cost-associated nonadherence was significantly higher in the United States than in Canada, even when other person-level factors were controlled for, including health insurance and prescription-drug coverage.

Increased Risk of Death for Patients on the Waitlist for Liver Transplant Residing at Greater Distance From Specialized Liver Transplant Centers in the United States.

PubMed

Cicalese, Luca; Shirafkan, Ali; Jennings, Kristofer; Zorzi, Daria; Rastellini, Cristiana

2016-10-01

We have previously shown that patients listed for orthotopic liver transplantation (OLT) in United Network for Organ Sharing Region 4 (Texas and Oklahoma) have higher waitlist mortality rates when residing more than 30 miles from specialized liver transplant centers (LTC). Considering that findings might only be exclusive for this region with its peculiarities in terms of having the highest land surface extensions, lowest population densities, and largest rural populations. We investigated the entire OLT patient population in the United States to assess if our previous regional findings are nationally validated and if a rural, micropolitan, or metropolitan residence location affects outcome of waitlisted OLT patients in the nation. Patients waiting for OLT in the United States from 2002 to 2012 were stratified by distance from the patients' residence to LTC and by Rural Urban Commuting Area (RUCA) codes classification. Statistical analyses were performed to evaluate risk of mortality on the waitlist and the likelihood to receive an OLT using a Cox proportional hazards model and a generalized additive model with a logistic link. Survival time and probability of death while on the waitlist for OLT using distance to LTC showed significant increased risk with the distance (P = 0.001 and P < 0.0001, respectively). At the same time, using RUCA classification as the variable did not show significance (P = 0.14 and P = 0.73, respectively). Distance from an LTC is a risk factor of mortality on the waitlist for OLT, whereas RUCA classification is not a significant factor.

California Dreaming: Latino/a Undocumented Student College Choices

ERIC Educational Resources Information Center

Woodruff, Maria Luisa

2013-01-01

Undocumented students, lacking United States residency or citizenship, select colleges annually. These students navigate a college application process in California whereby they prove AB 540 residency, take standardized exams, and attend competitive four-year universities without a social security number, a driver's license, or federal financial…

Associations Among Health Care Workplace Safety, Resident Satisfaction, and Quality of Care in Long-Term Care Facilities.

PubMed

Boakye-Dankwa, Ernest; Teeple, Erin; Gore, Rebecca; Punnett, Laura

2017-11-01

We performed an integrated cross-sectional analysis of relationships between long-term care work environments, employee and resident satisfaction, and quality of patient care. Facility-level data came from a network of 203 skilled nursing facilities in 13 states in the eastern United States owned or managed by one company. K-means cluster analysis was applied to investigate clustered associations between safe resident handling program (SRHP) performance, resident care outcomes, employee satisfaction, rates of workers' compensation claims, and resident satisfaction. Facilities in the better-performing cluster were found to have better patient care outcomes and resident satisfaction; lower rates of workers compensation claims; better SRHP performance; higher employee retention; and greater worker job satisfaction and engagement. The observed clustered relationships support the utility of integrated performance assessment in long-term care facilities.

First Author Research Productivity of United States Radiation Oncology Residents: 2002-2007

DOE Office of Scientific and Technical Information (OSTI.GOV)

Morgan, Peter B.; Sopka, Dennis M.; Kathpal, Madeera

2009-08-01

Purpose: Participation in investigative research is a required element of radiation oncology residency in the United States. Our purpose was to quantify the first author research productivity of recent U.S. radiation oncology residents during their residency training. Methods and Materials: We performed a computer-based search of PubMed and a manual review of the proceedings of the annual meetings of the American Society for Therapeutic Radiology and Oncology to identify all publications and presented abstracts with a radiation oncology resident as the first author between 2002 and 2007. Results: Of 1,098 residents trained at 81 programs, 50% published {>=}1 article (range,more » 0-9), and 53% presented {>=}1 abstract (range, 0-3) at an American Society for Therapeutic Radiology and Oncology annual meeting. The national average was 1.01 articles published and 1.09 abstracts presented per resident during 4 years of training. Of 678 articles published, 82% represented original research and 18% were review articles. Residents contributed 15% of all abstracts at American Society for Therapeutic Radiology and Oncology annual meetings, and the resident contribution to orally presented abstracts increased from 12% to 21% during the study period. Individuals training at programs with >6 residents produced roughly twice as many articles and abstracts. Holman Research Pathway residents produced double the national average of articles and abstracts. Conclusion: Although variability exists among individuals and among training programs, U.S. radiation oncology residents routinely participate in investigative research suitable for publication or presentation at a scientific meeting. These data provide national research benchmarks that can assist current and future radiation oncology residents and training programs in their self-assessment and research planning.« less

Social-Professional Networks in Long-Term Care Settings With People With Dementia: An Approach to Better Care? A Systematic Review.

PubMed

Mitchell, Janet I; Long, Janet C; Braithwaite, Jeffrey; Brodaty, Henry

2016-02-01

Dementia is a syndrome associated with stigma and social isolation. Forty-two percent of people with dementia in the United States and almost 40% in the United Kingdom live in assisted living and residential care facilities. Up to 90% of residents with dementia experience behavioral and psychological symptoms of dementia (BPSD). Currently psychotropic drugs are often used to manage BPSD, despite the drugs' limited efficacy and adverse effects. Even though psychosocial approaches are as effective as medical ones without side effects, their uptake has been slow. Social networks that investigate the structure of relationships among residents and staff may represent an important resource to increase the uptake of psychosocial approaches and facilitate improvements in care. To conduct a systematic review of social network studies set in long-term care (LTC), including residents with dementia, and identify network factors influencing the care available to residents. Peer-reviewed articles across CINAHL, EMBASE, IBSS, Medline, PsychInfo, Scopus, and Web of Science were searched from January 1994 to December 2014 inclusive, using PRISMA guidelines. Studies included those examining social networks of residents or staff in LTC. Nine articles from studies in the United States, Europe, Asia, and Australia met search criteria. Resident networks had few social connections. One study proposed that residents with high centrality be encouraged to welcome new residents and disseminate information. The high density in 2 staff network studies was associated with the cooperation needed to provide care to residents with dementia. Staff's boundary-spanning led to higher-status nurses becoming more involved in decision-making and problem-solving in one study. In another, the outcome was staff treating residents with more respect and actively caring for them. These studies suggest interventions using a network approach may improve care services in LTC. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

Results of the 2005-2008 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States: Clinical Training and Resident Working Conditions

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gondi, Vinai, E-mail: gondi@humonc.wisc.edu; Bernard, Johnny Ray; Jabbari, Siavash

2011-11-15

Purpose: To document clinical training and resident working conditions reported by chief residents during their residency. Methods and Materials: During the academic years 2005 to 2006, 2006 to 2007, and 2007 to 2008, the Association of Residents in Radiation Oncology conducted a nationwide survey of all radiation oncology chief residents in the United States. Chi-square statistics were used to assess changes in clinical training and resident working conditions over time. Results: Surveys were completed by representatives from 55 programs (response rate, 71.4%) in 2005 to 2006, 60 programs (75.9%) in 2006 to 2007, and 74 programs (93.7%) in 2007 tomore » 2008. Nearly all chief residents reported receiving adequate clinical experience in commonly treated disease sites, such as breast and genitourinary malignancies; and commonly performed procedures, such as three-dimensional conformal radiotherapy and intensity-modulated radiotherapy. Clinical experience in extracranial stereotactic radiotherapy increased over time (p < 0.001), whereas clinical experience in endovascular brachytherapy (p <0.001) decreased over time. The distribution of gynecologic and prostate brachytherapy cases remained stable, while clinical case load in breast brachytherapy increased (p = 0.006). A small but significant percentage of residents reported receiving inadequate clinical experience in pediatrics, seeing 10 or fewer pediatric cases during the course of residency. Procedures involving higher capital costs, such as particle beam therapy and intraoperative radiotherapy, and infrequent clinical use, such as head and neck brachytherapy, were limited to a minority of institutions. Most residency programs associated with at least one satellite facility have incorporated resident rotations into their clinical training, and the majority of residents at these programs find them valuable experiences. The majority of residents reported working 60 or fewer hours per week on required clinical duties. Conclusions: Trends in clinical training and resident working conditions over 3 years are documented to allow residents and program directors to assess their residency training.« less

Associations of physician-diagnosed asthma with country of residence in the first year of life and other immigration-related factors: Chicago asthma school study.

PubMed

Eldeirawi, Kamal M; Persky, Victoria W

2007-09-01

Among Mexican Americans in the United States, US-born children have higher rates of asthma than their Mexico-born peers. To evaluate the associations of immigration-related variables with physician-diagnosed asthma in a sample of Mexican American children. We analyzed data from the ongoing Chicago Asthma School Study, a population-based cross-sectional study, for 10,106 Mexican American schoolchildren in Chicago, Illinois. Mexican American children who lived in the United States in the first year of life were more likely to have physician-diagnosed asthma than their peers who lived in Mexico in the first year of life, independent of age, sex, income, language, and country of birth (odds ratio [OR], 1.79; 95% confidence interval [CI], 1.09-2.94). The risk of asthma in US-born children was higher (but not significantly) than that observed in Mexico-born children after accounting for covariates, including country of residence in the first year of life (OR, 1.37; 95% CI, 0.86-2.18). Long-term immigrants (lived in the United States for 10 years) had an increased risk of asthma compared with short-term immigrants (lived in the United States for <10 years), independent of country of residence in the first year of life (OR, 1.93; 95% CI, 1.00-3.73). These findings confirm the importance of early childhood exposures and environmental factors that are modified with migration and acculturation in asthma development.

Alcohol Consumption among Urban, Suburban, and Rural Veterans Affairs Outpatients

ERIC Educational Resources Information Center

Williams, Emily C.; McFarland, Lynne V.; Nelson, Karin M.

2012-01-01

Purpose: United States rural residents tend toward poorer health than urban residents. Although alcohol use is associated with multiple medical conditions and can be reduced via brief primary care-based interventions, it is unknown whether alcohol consumption differs by rurality among primary care patients. We sought to describe alcohol…

12 CFR 7.1000 - National bank ownership of property.

Code of Federal Regulations, 2010 CFR

2010-01-01

... to a foreign country, including foreign nationals temporarily assigned to the United States; and (v... facility upon the expiration of the lease. (2) Purchase of employee's residence. To facilitate the efficient use of bank personnel, a national bank may purchase the residence of an employee who has been...

8 CFR 245a.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... having interrupted his or her continuous residence as required at the time of filing an application. (2... in lieu of, the Federal Citizenship Text series); (3) Be designed to provide at least 60 hours of... the alien shall be regarded as having resided continuously in the United States if, at the time of...

8 CFR 245a.1 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... having interrupted his or her continuous residence as required at the time of filing an application. (2... in lieu of, the Federal Citizenship Text series); (3) Be designed to provide at least 60 hours of... the alien shall be regarded as having resided continuously in the United States if, at the time of...

Mobile Livelihoods: The Sociocultural Practices of Circular Migrations between Puerto Rico and the United States.

ERIC Educational Resources Information Center

Duany, Jorge

2002-01-01

Documented livelihood practices of migrants based on a recent field study of population flows between Puerto Rico and the United States, comparing characteristics of multiple movers, onetime movers, and nonmovers residing in Puerto Rico. Results suggest that circular migration does not entail major losses in human capital for Puerto Rico, but can…

Science, Engineering, and Humanities Doctorates in the United States: 1981 Profile.

ERIC Educational Resources Information Center

Maxfield, Betty; And Others

This report provides information on the demographic characteristics and employment status of recipients of doctoral degrees granted from June 1980 to January 1983 (who were residing in the United States in February 1981). Information was collected on 39,547 of the 63,022 individuals in the survey sample, yielding a response rate of 63 percent.…

8 CFR 319.1 - Persons living in marital union with United States citizen spouse.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Persons living in marital union with United States citizen spouse. 319.1 Section 319.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY... having jurisdiction over the alien's actual place of residence and in which the alien has filed the...

8 CFR 319.1 - Persons living in marital union with United States citizen spouse.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Persons living in marital union with United States citizen spouse. 319.1 Section 319.1 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY... having jurisdiction over the alien's actual place of residence and in which the alien has filed the...

20 CFR 404.1092 - Figuring net earnings for U.S. citizens or residents living outside the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment, Wages, Self-Employment, and Self-Employment Income Self-Employment Income § 404.1092 Figuring net earnings for U.S. citizens... the United States, your net earnings from self-employment are figured without regard to the exclusion...

20 CFR 404.1092 - Figuring net earnings for U.S. citizens or residents living outside the United States.

Code of Federal Regulations, 2013 CFR

2013-04-01

... ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment, Wages, Self-Employment, and Self-Employment Income Self-Employment Income § 404.1092 Figuring net earnings for U.S. citizens... the United States, your net earnings from self-employment are figured without regard to the exclusion...

20 CFR 404.1092 - Figuring net earnings for U.S. citizens or residents living outside the United States.

Code of Federal Regulations, 2011 CFR

2011-04-01

... ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment, Wages, Self-Employment, and Self-Employment Income Self-Employment Income § 404.1092 Figuring net earnings for U.S. citizens... the United States, your net earnings from self-employment are figured without regard to the exclusion...

20 CFR 404.1092 - Figuring net earnings for U.S. citizens or residents living outside the United States.

Code of Federal Regulations, 2014 CFR

2014-04-01

... ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment, Wages, Self-Employment, and Self-Employment Income Self-Employment Income § 404.1092 Figuring net earnings for U.S. citizens... the United States, your net earnings from self-employment are figured without regard to the exclusion...

20 CFR 404.1092 - Figuring net earnings for U.S. citizens or residents living outside the United States.

Code of Federal Regulations, 2012 CFR

2012-04-01

... ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- ) Employment, Wages, Self-Employment, and Self-Employment Income Self-Employment Income § 404.1092 Figuring net earnings for U.S. citizens... the United States, your net earnings from self-employment are figured without regard to the exclusion...

Mortality Differentials among Persons Born in Cuba, Mexico, and Puerto Rico Residing in the United States, 1979-81.

ERIC Educational Resources Information Center

Rosenwaike, Ira

1987-01-01

Examines the mortality experience in 1979-81 of three first generation Hispanic subpopulations in the United States. Reports that mortality is relatively high among adolescents and young adults, particularly males, largely due to violent deaths. Aged migrants exhibit relatively low death rates from heart disease and cancer. (KH)

22 CFR 41.63 - Two-year home-country physical presence requirement.

Code of Federal Regulations, 2010 CFR

2010-04-01

... hardship upon the alien's spouse or child (if such spouse or child is a citizen of the United States or a... spouse or child (if such spouse or child is a citizen of the United States or a legal permanent resident... and physical presence requirement would impose exceptional hardship upon the spouse or child of the...

Wildfire evacuation and its alternatives: perspectives from four United States' communities

Treesearch

Sarah McCaffrey; Alan Rhodes; Melanie Stidham

2015-01-01

Recent years have seen growing interest within the United States fire management community in exploring alternatives to the standard approach of evacuating entire populations that are threatened by a wildfire. There has been particular interest in what can be learned from the Australian approach, whereby residents choose whether or not to evacuate under the '...

Communication Skills Training in Ophthalmology: Results of a Needs Assessment and Pilot Training Program.

PubMed

Mishra, Anuradha; Browning, David; Haviland, Miriam J; Jackson, Mary Lou; Luff, Donna; Meyer, Elaine C; Talcott, Katherine; Kloek, Carolyn E

To conduct a needs assessment to identify gaps in communication skills training in ophthalmology residency programs and to use these results to pilot a communication workshop that prepares residents for difficult conversations. A mixed-methods design was used to perform the needs assessment. A pre-and postsurvey was administered to workshop participants. Mass Eye and Ear Infirmary, Harvard Medical School (HMS), Department of Ophthalmology. HMS ophthalmology residents from postgraduate years 2-4 participated in the needs assessment and the workshop. Ophthalmology residency program directors in the United States participated in national needs assessment. Ophthalmology program directors across the United States were queried on their perception of resident communication skills training through an online survey. A targeted needs assessment in the form of a narrative exercise captured resident perspectives on communication in ophthalmology from HMS residents. A group of HMS residents participated in the pilot workshop and a pre- and postsurvey was administered to participants to assess its effectiveness. The survey of program directors yielded a response rate of 40%. Ninety percent of respondents agreed that the communication skills training in their programs could be improved. Fifteen of 24 residents (62%) completed the needs assessment. Qualitative analysis of the narrative material revealed four themes; (1) differing expectations, (2) work role and environment, (3) challenges specific to ophthalmology, and (4) successful strategies adopted. Nine residents participated in the workshop. There was a significant improvement post-workshop in resident reported scores on their ability to manage their emotions during difficult conversations (p = 0.03). There is an opportunity to improve communication skills training in ophthalmology residency through formalized curriculum. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Utilization and purchase of medical care services in Mexico by residents in the United States of America, 1998-1999.

PubMed

Escobedo, Luis G; Cardenas, Victor M

2006-05-01

We assessed self-reported frequency of purchase of medications and medical care services in Mexico by southern New Mexico (United States, [U.S.]) residents in relation to their medical insurance coverage. We analyzed data obtained in 1998 and 1999 from a health interview survey of residents in a six-county region of southern New Mexico, using prevalence and logistic regression methods for complex survey data. About 22% of southern New Mexico residents had purchased medications and 11% had sought medical care in Mexico at least once during the year preceding the survey. When we adjusted for the effects of other variables, persons able to pay for services out of pocket and those who were uninsured were more likely than persons who were fully covered to purchase medications or medical care in Mexico. Large numbers of people residing near the border in New Mexico traveled south to Mexico to purchase medications and medical care. Lack of medical insurance was associated with higher frequencies of these purchases. There seems to be a need to establish relationships between U.S. private and public care plans and Mexican medical care providers to identify appropriate mechanisms for U.S. residents to purchase medical care in Mexico.

Family Complexity, Siblings, and Children's Aggressive Behavior at School Entry

PubMed Central

Fomby, Paula; Goode, Joshua A.; Mollborn, Stefanie

2016-01-01

As family structure in the United States has become increasingly dynamic and complex, children have become more likely to reside with step- or half-siblings through a variety of pathways. When these pathways are accounted for, more than one in six children in the United States lives with a half- or step-sibling at age 4. We use data from the Early Childhood Longitudinal Study-Birth Cohort (N~6,550) to assess the independent and joint influences of residing with a single parent or stepparent and with step or half-siblings on children's aggressive behavior at school entry. The influences of parents’ union status and complex sibship status on aggressive behavior are independent. Family resources partially explain the association between residing with an unpartnered mother and aggressive behavior regardless of sibship status. However, the resource hypothesis does not explain the association of complex sibship with aggressive behavior. PMID:26608795

Effect of US health policies on health care access for Marshallese migrants.

PubMed

McElfish, Pearl Anna; Hallgren, Emily; Yamada, Seiji

2015-04-01

The Republic of the Marshall Islands is a sovereign nation previously under the administrative control of the United States. Since 1986, the Compacts of Free Association (COFA) between the Republic of the Marshall Islands and the United States allows Marshall Islands citizens to freely enter, lawfully reside, and work in the United States, and provides the United States exclusive military control of the region. When the COFA was signed, COFA migrants were eligible for Medicaid and other safety net programs. However, these migrants were excluded from benefits as a consequence of the Personal Responsibility and Work Opportunity Reconciliation Act. Currently, COFA migrants have limited access to health care benefits in the United States, which perpetuates health inequalities.

Effect of US Health Policies on Health Care Access for Marshallese Migrants

PubMed Central

Hallgren, Emily; Yamada, Seiji

2015-01-01

The Republic of the Marshall Islands is a sovereign nation previously under the administrative control of the United States. Since 1986, the Compacts of Free Association (COFA) between the Republic of the Marshall Islands and the United States allows Marshall Islands citizens to freely enter, lawfully reside, and work in the United States, and provides the United States exclusive military control of the region. When the COFA was signed, COFA migrants were eligible for Medicaid and other safety net programs. However, these migrants were excluded from benefits as a consequence of the Personal Responsibility and Work Opportunity Reconciliation Act. Currently, COFA migrants have limited access to health care benefits in the United States, which perpetuates health inequalities. PMID:25713965

The World Comes to Tennessee: A Resource Book for Adult Education and ESOL Teachers of Advanced Level ESOL Students

ERIC Educational Resources Information Center

Barnett, Cynthia W.; Cohn, Diane; Elston, Suzanne Poteet; Mayes, Connie; Nicely, Heather; Sutton, Shanna; Sweat, Pat; Wilson, D. Lee; Sawyer, Pat; Tankersley, John M.

2004-01-01

The United States is viewed by many as a country where immigrants can enjoy freedom and economic prosperity, and, recently,more of these newcomers are settling in the state of Tennessee. The 2000 United States Census reveals that 4.8 percent of Tennessee residents live in households where the primary language spoken is not English. That is an…

78 FR 65030 - Department of State Performance Review Board Members

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-30

... State; and Teddy Taylor, Diplomat in Residence, Bureau of Human Resources, Department of State. Dated: October 21, 2013. Hans Klemm, Acting Director General of the Foreign Service and Director of Human... members: Robert Goldberg, Chairperson, Director, Office of the United States Foreign Assistance Resources...

Current status of dermatology residency training in Saudi Arabia: trainees' perspectives.

PubMed

AlGhamdi, K M

2008-01-01

A cross-sectional survey was conducted to look at different aspects of dermatology residency programmes in Saudi Arabia from the residents' perspective. Self-administered questionnaires about future plans, academic activities, examinations, training, workload, surgical procedures, residents' rights and satisfaction were distributed to all 27 residents in all training centres during March-May 2004; 22 (81%) responded. The survey found that 50% of residents were not satisfied with their training and felt they were inadequately trained. Experience of performing certain procedures was much less than for residents in a similar study in the United States of America, and 50% of residents had not received any dermatologic surgery training. Moreover, 36% of residents had been verbally humiliated during their training.

The refinement of a cultural standardized patient examination for a general surgery residency program.

PubMed

Chun, Maria B J; Deptula, Peter; Morihara, Sarah; Jackson, David S

2014-01-01

Recent articles have documented the importance of cultural competency in surgery. Surgical residency programs have used the Objective Structured Clinical Examinations or cultural standardized patient examinations as a training tool. Past studies evaluating cultural competency have noted the importance of including an observational (control) arm, which would allow for a more objective assessment of a resident's competency in this area. The purpose of our article is to present the results of a follow-up study to a pilot cultural standardized patient examination for surgery residents. All first-year surgery residents were required to participate in the videotaped cultural SP examination as part of the general surgery residency curriculum. Two measures were used to assess resident performance. On the day of the examination, the Cross-Cultural Care Survey was administered. The examination was assessed by the residents themselves, faculty observers, and standardized patients, using a written checklist that was developed to evaluate residents on all 6 Accreditation Council for Graduate Medical Education competencies. The current study includes 20 first-year surgery residents from academic years 2011 to 2012 and 2012 to 2013. The examination of pretest differences in groups found that students born outside of the United States had significantly higher scores on attitude (t = -2.68, df = 18, p = 0.02), but no statistically significant differences were found in skillfulness or knowledge or in the overall rating scale. For the overall rating scale, change from pretest to posttest was statistically significant (t = -2.25, df = 18, p = 0.04). Further analysis revealed that students who were born in the United States demonstrated a significant increase in ratings (t = -3.08, df = 10, p = 0.01) whereas students who were not born in the United States showed little change (t = -0.35, df = 7, p = 0.74). These results show that the means in attitude scales changed little for all groups, but both white and US-born students showed greater improvement on skillfulness and knowledge. Training and measurement of cross-cultural health care skills remains challenging. However, studies like these provide a good starting point from which to build. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States.

PubMed

Nabavizadeh, Nima; Burt, Lindsay M; Mancini, Brandon R; Morris, Zachary S; Walker, Amanda J; Miller, Seth M; Bhavsar, Shripal; Mohindra, Pranshu; Kim, Miranda B; Kharofa, Jordan

2016-02-01

The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent of residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This analysis may serve as a valuable tool for those seeking to improve training of the next generation of oncology leaders. Copyright © 2016 Elsevier Inc. All rights reserved.

A National Cross-Sectional Study of Surgery Residents Who Underreport Duty Hours.

PubMed

Bennett, Christopher L; McDonald, David A; Chang, Yuchiao; Finch, Alex; Vuong, Kimmy; Rennie, Stuart; Nadel, Eric S

Previous work demonstrates that many surgery residents underreport duty hours. The purpose of this study was to identify characteristics of these residents and better understand why they exceed duty hours. During the winter of 2015 we conducted an anonymous cross-sectional survey of Accreditation Council for Graduate Medical Education accredited general surgery programs. A total of 101 general surgery residency programs across the United States. A total of 1003 general surgery residents across the United States. Respondents' mean age was 29.9 ± 3.0 years; 53% were male. Study response rate was 31.9%. Residents age <30 were more likely to exceed duty hours to complete charting/documentation (68% vs. 54%, p < 0.001). Females more often cited guilt about leaving the hospital (32% vs. 24%, p = 0.014) as to why they exceed duty hours. Programs with >40 residents had the highest rates of underreporting (82% vs. 67% in other groups p < 0.001) and residents who worked >90 hours on an average week more frequently cited external pressure (p = 0.0001), guilt (p = 0.006), and feeling it was expected of them (p < 0.0001) as reasons why they underreport compared to those who worked fewer hours. Underreporting and duty-hour violations are a complex issue influenced by many variables including age, sex, and internal and external pressures. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Effect of January vacations and prior night call status on resident ABSITE performance.

PubMed

Sugar, Jane G; Chu, Quyen D; Cole, Philip A; Li, Benjamin D L; Kim, Roger H

2013-01-01

To determine if vacations in January or on-call status have an effect on American Board of Surgery In-Training Examination (ABSITE) scores. Retrospective review of the performance of general surgery residents on ABSITE. Data collected included ABSITE scores, United States Medical Licensing Examination Step 2 scores, January vacation schedules, and call schedules. ABSITE performance was examined for correlation with vacation or call schedules. Student t test was used for statistical analysis, with a p value of less than 0.05 considered significant. General surgery residency program at the Louisiana State University Health Sciences Center-Shreveport, a university hospital-based program with 5 categorical residents per year. Postgraduate year (PGY) 1 through 5 general surgery categorical residents from 2006 to 2012. A total of 170 ABSITE scores from 55 residents were reviewed. The mean score when vacation was taken was 48.6 as compared with 36.3 when no vacation was taken (p = 0.02). Residents who took a January vacation at least once in their residency had a mean score of 42.8 as compared with 37.7 of those who did not (p = 0.43). The mean United States Medical Licensing Examination Step 2 score of residents who took a January vacation at least once in their residency was 218 as compared with 217 for their peers (p = 0.78). Among residents who took January vacations, the mean score in the years they took vacation was 49.4 as compared with 35.4 in the years they did not (p = 0.02). Prior night call status had no effect on the examination scores (44.2 vs 38.6, p = 0.30). Mean ABSITE scores were higher for residents who took a January vacation before the examination, despite no apparent difference in baseline test-taking ability. Among residents who took January vacations, mean scores were higher in the years they took vacation than in other years. On-call status did not have an effect on ABSITE performance. Vacation schedules in January can have a significant effect on ABSITE scores. Copyright © 2013 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Gauging interest of the general public in laser-assisted in situ keratomileusis eye surgery.

PubMed

Stein, Joshua D; Childers, David M; Nan, Bin; Mian, Shahzad I

2013-07-01

To assess interest among members of the general public in laser-assisted in situ keratomileusis (LASIK) surgery and how levels of interest in this procedure have changed over time in the United States and other countries. Using the Google Trends Web site, we determined the weekly frequency of queries involving the term "LASIK" from January 1, 2007, through January 1, 2011, in the United States, United Kingdom, Canada, and India. We fit separate regression models for each of the countries to assess whether residents of these countries differed in their querying rates on specific dates and over time. Similar analyses were performed to compare 4 US states. Additional regression models compared general public interest in LASIK surgery before and after the release of a 2008 Food and Drug Administration report describing complaints associated with this procedure. During 2007 to 2011, the Google query rate for "LASIK" was highest among persons residing in India, followed by the United Kingdom, Canada, and the United States. During this time period, the query rate declined by 40% in the United States, 24% in India, and 22% in the United Kingdom, and it increased by 8% in Canada. In all 4 of the US states examined, the query rate declined-by 52% in Florida, 56% in New York, 54% in Texas, and 42% in California. Interest in LASIK declined further among US citizens after the Food and Drug Administration report release. Interest among the general public in LASIK surgery has been waning in recent years.

Who's at Risk When the Power Goes Out? The At-home Electricity-Dependent Population in the United States, 2012

PubMed Central

Molinari, Noelle Angelique M.; Chen, Bei; Krishna, Nevin; Morris, Thomas

2016-01-01

Objectives Natural and man-made disasters can result in power outages that can affect certain vulnerable populations dependent on electrically powered durable medical equipment. This study estimated the size and prevalence of that electricity-dependent population residing at home in the United States. Methods We used the Truven Health MarketScan* 2012 database to estimate the number of employer-sponsored privately insured enrollees by geography, age group, and sex who resided at home and were dependent upon electrically powered durable medical equipment to sustain life. We estimated nationally representative prevalence and used US Census population estimates to extrapolate the national population and produce maps visualizing prevalence and distribution of electricity-dependent populations residing at home. Results As of 2012, among the 175 million persons covered by employer-sponsored private insurance, the estimated number of electricity-dependent persons residing at home was 366 619 (95% confidence interval: 365 700-367 537), with a national prevalence of 218.2 per 100 000 covered lives (95% confidence interval: 217.7-218.8). Prevalence varied significantly by age group (χ2 = 264 289 95, P < .0001) and region (χ2 = 12 286 30, P < .0001), with highest prevalence in those 65 years of age or older and in the South and the West. Across all insurance types in the United States, approximately 685 000 electricity-dependent persons resided at home. Conclusions These results may assist public health jurisdictions addressing unique needs and necessary resources for this particularly vulnerable population. Results can verify and enhance the development of functional needs registries, which are needed to help first responders target efforts to those most vulnerable during disasters affecting the power supply. PMID:26360818

Who's at Risk When the Power Goes Out? The At-home Electricity-Dependent Population in the United States, 2012.

PubMed

Molinari, Noelle Angelique M; Chen, Bei; Krishna, Nevin; Morris, Thomas

Natural and man-made disasters can result in power outages that can affect certain vulnerable populations dependent on electrically powered durable medical equipment. This study estimated the size and prevalence of that electricity-dependent population residing at home in the United States. We used the Truven Health MarketScan 2012 database to estimate the number of employer-sponsored privately insured enrollees by geography, age group, and sex who resided at home and were dependent upon electrically powered durable medical equipment to sustain life. We estimated nationally representative prevalence and used US Census population estimates to extrapolate the national population and produce maps visualizing prevalence and distribution of electricity-dependent populations residing at home. As of 2012, among the 175 million persons covered by employer-sponsored private insurance, the estimated number of electricity-dependent persons residing at home was 366 619 (95% confidence interval: 365 700-367 537), with a national prevalence of 218.2 per 100 000 covered lives (95% confidence interval: 217.7-218.8). Prevalence varied significantly by age group (χ = 264 289 95, P < .0001) and region (χ = 12 286 30, P < .0001), with highest prevalence in those 65 years of age or older and in the South and the West. Across all insurance types in the United States, approximately 685 000 electricity-dependent persons resided at home. These results may assist public health jurisdictions addressing unique needs and necessary resources for this particularly vulnerable population. Results can verify and enhance the development of functional needs registries, which are needed to help first responders target efforts to those most vulnerable during disasters affecting the power supply.

More Learning in Less Time: Optimizing the Resident Educational Experience with Limited Clinical and Educational Work Hours.

PubMed

Sedney, Cara L; Spirou, Eleni; Voelker, Joseph L; Rosen, Charles L

2017-11-01

Resident education in the United States and elsewhere has undergone significant changes in recent years owing to work hour restrictions, requiring didactics to fit within a limited schedule, while being increasingly effective at accomplishing educational goals. A single small program experience in improving the didactic experience of residents is described. Focused mentorship, curricula for intangibles, asynchronous education, and independent curricula all are useful tools in resident education. Residents can be exposed to both clinical material and specialty-specific mores using focused and intentional educational techniques. Copyright © 2017 Elsevier Inc. All rights reserved.

The northeastern area's objectives and beliefs toward national forests and grasslands

Treesearch

Lori B. Shelby; Deborah J. Shields; Brian M. Kent

2008-01-01

The Northeastern Area, an organizational unit of the State and Private Forestry branch of the U.S. Forest Service, serves the Northeastern and Midwestern United States. For this study, residents of the Northeastern Area were asked about their objectives for the management, use, and conservation of forests and grasslands and beliefs about the role the Forest Service...

8 CFR 1245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 1245.22 Section 1245.22 Aliens and Nationality EXECUTIVE... OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.22 Evidence to demonstrate an alien's physical...

8 CFR 1245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 1245.22 Section 1245.22 Aliens and Nationality EXECUTIVE... OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.22 Evidence to demonstrate an alien's physical...

8 CFR 1245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 1245.22 Section 1245.22 Aliens and Nationality EXECUTIVE... OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.22 Evidence to demonstrate an alien's physical...

8 CFR 1245.22 - Evidence to demonstrate an alien's physical presence in the United States on a specific date.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Evidence to demonstrate an alien's physical presence in the United States on a specific date. 1245.22 Section 1245.22 Aliens and Nationality EXECUTIVE... OF PERSON ADMITTED FOR PERMANENT RESIDENCE § 1245.22 Evidence to demonstrate an alien's physical...

Forest root diseases across the United States

Treesearch

I. Blakey Lockman; Holly S. J. Kearns

2016-01-01

The increasing importance and impacts of root diseases on the forested ecosystems across the United States are documented in this report. Root diseases have long-term impacts on the ecosystems where they reside due to their persistence onsite. As a group of agents, they are a primary contributor to overall risk of growth loss and mortality of trees in the lower 48...

Parental Perceptions toward and Practices of Heritage Language Maintenance: Focusing on the United States and Canada

ERIC Educational Resources Information Center

Liang, Feng

2018-01-01

This study reviews 17 studies since the year of 2000 on the perceptions and practices of immigrant parents who reside in the United States or Canada with respect to their children's heritage language maintenance (HLM). The findings suggest that parental perceptions may change due to practical considerations and vary with different degrees of…

A bill to amend title 38, United States Code, to require judges of the United States Court of Appeals for Veterans Claims to reside within fifty miles of the District of Columbia, and for other purposes.

THOMAS, 112th Congress

Sen. Burr, Richard [R-NC

2012-01-31

House - 01/02/2013 Referred to the Subcommittee on Disability Assistance and Memorial Affairs. (All Actions) Tracker: This bill has the status Passed SenateHere are the steps for Status of Legislation:

8 CFR 320.3 - How, where, and what forms and other documents should be filed?

Code of Federal Regulations, 2012 CFR

2012-01-01

... NATIONALITY REGULATIONS CHILD BORN OUTSIDE THE UNITED STATES AND RESIDING PERMANENTLY IN THE UNITED STATES... behalf of a child who has not reached the age of 18 years must be submitted by that child's U.S. citizen... evidence unless such evidence is already contained in USCIS administrative file(s): (i) The child's birth...

8 CFR 320.3 - How, where, and what forms and other documents should be filed?

Code of Federal Regulations, 2014 CFR

2014-01-01

... NATIONALITY REGULATIONS CHILD BORN OUTSIDE THE UNITED STATES AND RESIDING PERMANENTLY IN THE UNITED STATES... behalf of a child who has not reached the age of 18 years must be submitted by that child's U.S. citizen... evidence unless such evidence is already contained in USCIS administrative file(s): (i) The child's birth...

8 CFR 320.3 - How, where, and what forms and other documents should be filed?

Code of Federal Regulations, 2013 CFR

2013-01-01

... NATIONALITY REGULATIONS CHILD BORN OUTSIDE THE UNITED STATES AND RESIDING PERMANENTLY IN THE UNITED STATES... behalf of a child who has not reached the age of 18 years must be submitted by that child's U.S. citizen... evidence unless such evidence is already contained in USCIS administrative file(s): (i) The child's birth...

Contextual Influences on Women's Health Concerns and Attitudes toward Menopause

ERIC Educational Resources Information Center

Strauss, Judy R.

2011-01-01

Social factors that affect women's attitudes toward menopause were examined in a sample of 1,037 baby boomer women who took part in two waves of the Midlife in the United States survey. Survey data were collected in 1996 and 2005 from a nationally representative sample of women born between 1946 and 1964 residing in the United States. Women's…

Korean-Americans in Los Angeles: Their Concerns and Language Maintenance. Technical Report 01-81.

ERIC Educational Resources Information Center

Kim, Kenneth Kong-On; And Others

A preliminary study was conducted by the National Center for Bilingual Education on the Korean community living in the United States. The study focused on Korean Americans residing within the Los Angeles Long Beach area of southern California, one of the largest Korean communities in the United States. This report includes: (1) a history of the…

76 FR 28303 - Requiring Residents Who Live Outside the United States To File Petitions According to Form...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-17

... Special Immigrant, Form I-360, may be filed, accepted, processed and approved through form instructions... Petition for Amerasian, Widow(er), or Special Immigrant, Form I-360, on behalf of a widow or widower may be... immigrate to the United States. A Petition for Amerasian, Widow(er), or Special Immigrant is used by an...

Farm Population of the United States: 1982.

ERIC Educational Resources Information Center

Banks, Vera J.; Mills, Karen M.

1983-01-01

According to estimates prepared by the Bureau of the Census and the Economic Research Service of the United States Department of Agriculture, the 1982 farm population of 5,620,000, or 2.4% of the national population, continued a long downward trend. About 45% of farm residents lived in the North Central region, 35% in the South, 13% in the West,…

Science, Engineering, and Humanities Doctorates in the United States. 1977 Profile.

ERIC Educational Resources Information Center

National Academy of Sciences - National Research Council, Washington, DC.

The results of the 1977 survey of doctorate recipients, conducted by the National Research Council, are summarized. The analyses pertain to over 361,000 scientists, engineers, and humanists who earned doctorates in 1934-1976 and who resided in the United States in February 1977. The sample was 79,400 Ph.D.'s. Extensive data are given about the…

14 CFR 13.18 - Civil penalties: Administrative assessment against an individual acting as a pilot, flight...

Code of Federal Regulations, 2014 CFR

2014-01-01

... the United States for the circuit in which the individual charged resides or has his or her principal place of business or the United States Court of Appeals for the District of Columbia Circuit, under 49 U... of assessment, or (ii) Making an electronic funds transfer according to the directions specified in...

14 CFR 13.18 - Civil penalties: Administrative assessment against an individual acting as a pilot, flight...

Code of Federal Regulations, 2012 CFR

2012-01-01

... the United States for the circuit in which the individual charged resides or has his or her principal place of business or the United States Court of Appeals for the District of Columbia Circuit, under 49 U... of assessment, or (ii) Making an electronic funds transfer according to the directions specified in...

14 CFR 13.18 - Civil penalties: Administrative assessment against an individual acting as a pilot, flight...

Code of Federal Regulations, 2011 CFR

2011-01-01

... the United States for the circuit in which the individual charged resides or has his or her principal place of business or the United States Court of Appeals for the District of Columbia Circuit, under 49 U... of assessment, or (ii) Making an electronic funds transfer according to the directions specified in...

14 CFR 13.18 - Civil penalties: Administrative assessment against an individual acting as a pilot, flight...

Code of Federal Regulations, 2010 CFR

2010-01-01

... the United States for the circuit in which the individual charged resides or has his or her principal place of business or the United States Court of Appeals for the District of Columbia Circuit, under 49 U... of assessment, or (ii) Making an electronic funds transfer according to the directions specified in...

50 CFR 100.17 - Determining priorities for subsistence uses among rural Alaska residents.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 50 Wildlife and Fisheries 9 2013-10-01 2013-10-01 false Determining priorities for subsistence uses among rural Alaska residents. 100.17 Section 100.17 Wildlife and Fisheries UNITED STATES FISH AND..., community, or individual determined to have customary and traditional use, as necessary: (1) Customary and...

50 CFR 100.17 - Determining priorities for subsistence uses among rural Alaska residents.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 50 Wildlife and Fisheries 9 2012-10-01 2012-10-01 false Determining priorities for subsistence uses among rural Alaska residents. 100.17 Section 100.17 Wildlife and Fisheries UNITED STATES FISH AND..., community, or individual determined to have customary and traditional use, as necessary: (1) Customary and...

50 CFR 100.17 - Determining priorities for subsistence uses among rural Alaska residents.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Determining priorities for subsistence uses among rural Alaska residents. 100.17 Section 100.17 Wildlife and Fisheries UNITED STATES FISH AND..., community, or individual determined to have customary and traditional use, as necessary: (1) Customary and...

50 CFR 100.17 - Determining priorities for subsistence uses among rural Alaska residents.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 9 2014-10-01 2014-10-01 false Determining priorities for subsistence uses among rural Alaska residents. 100.17 Section 100.17 Wildlife and Fisheries UNITED STATES FISH AND..., community, or individual determined to have customary and traditional use, as necessary: (1) Customary and...

50 CFR 100.17 - Determining priorities for subsistence uses among rural Alaska residents.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false Determining priorities for subsistence uses among rural Alaska residents. 100.17 Section 100.17 Wildlife and Fisheries UNITED STATES FISH AND..., community, or individual determined to have customary and traditional use, as necessary: (1) Customary and...

19 CFR 12.73 - Motor vehicle and engine compliance with Federal antipollution emission requirements.

Code of Federal Regulations, 2011 CFR

2011-04-01

...) Vehicles of returning residents. Vehicles of residents returning from Canada, Mexico or other countries as... Canadian or Mexican border, or waive the requirements for Mexico or Canadian-registered vehicles of... outside of the United States, Canada, Mexico, or other countries as EPA may designate, until the catalytic...

19 CFR 12.73 - Motor vehicle and engine compliance with Federal antipollution emission requirements.

Code of Federal Regulations, 2010 CFR

2010-04-01

...) Vehicles of returning residents. Vehicles of residents returning from Canada, Mexico or other countries as... Canadian or Mexican border, or waive the requirements for Mexico or Canadian-registered vehicles of... outside of the United States, Canada, Mexico, or other countries as EPA may designate, until the catalytic...

Moral Behavior of Resident Assistants: A Lived Experience

ERIC Educational Resources Information Center

Stark, Rachael H.; Anderson, Sharon K.

2016-01-01

This qualitative study explores the moral behavior in the lived experience of resident assistants who administer disciplinary policy at a large, public, urban institution located in the Mid-Atlantic region of the United States. The 12 participants volunteered to be interviewed by the first author utilizing the research question, "What is the…

Perceived Barriers to Optimum Nutrition among Congregate (Sheltered) Housing Residents in the USA

ERIC Educational Resources Information Center

Mahadevan, Meena; Hartwell, Heather; Feldman, Charles; Raines, Emily

2014-01-01

Objective: Malnutrition, secondary to decreased food intake, is a public health problem of epidemic proportions among older adults in the United States of America (USA). Compared to community-dwelling senior citizens, congregate (sheltered) housing residents are found to be frailer, with documented deficiencies in several major and minor…

Psychotherapy Training for IMGs: Attending to the "How to" and "What to" Teach

ERIC Educational Resources Information Center

Weerasekera, Priyanthy

2012-01-01

International Medical Graduates (IMGs) make up a significant portion of the United States and Canadian workforce, and are well represented in psychiatry residency training programs. A review of the literature indicates that before entering residency training, many IMGs have minimal exposure to the behavioral sciences and poor communication…

14 CFR Special Federal Aviation... - Construction or Alteration in the Vicinity of the Private Residence of the President of the...

Code of Federal Regulations, 2010 CFR

2010-01-01

... presumed to adversely affect aviation safety and therefore is a hazard to air navigation. (b) A... of the Private Residence of the President of the United States Federal Special Federal Aviation Regulation No. 98 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION...

32 CFR Appendix A to Part 86 - Criminal History Background Check Procedures

Code of Federal Regulations, 2011 CFR

2011-07-01

... residences in an employment or security application. It is deemed unnecessary to conduct checks before 18... information exists regarding residence by the individual in the United States for 1 year or more since age 18... video equipment is acceptable provided it is monitored by an individual who has successfully completed a...

Coprocessing of plastics with coal and petroleum resid

DOE Office of Scientific and Technical Information (OSTI.GOV)

Joo, H.; Curtis, C.W.

1995-12-31

Waste plastics have become an increasing problem in the United States since land filling is no longer considered a feasible disposal method. Since plastics are petroleum-derived materials, coprocessing then with coal to produce transportation fuels is a feasible alternative. In this study, catalytic coprocessing reactions were performed using Blind Canyon bituminous coal, Manji petroleum resid, and waste plastics. Model polymers including polystyrene, low density polyethylene (LDPE) and polyethylene tereplithalare (PET) were selected because they represent a substantial portion of the waste plastics generated in the United States. Coprocessing reactions of coal, resid, and polymer as well as reactions of individualmore » components and combinations of two components were performed at 430{degrees}C for one hour with an initial H{sub 2} pressure of 8.5 MPa introduced at ambient temperature with presulfided NiMo/Al{sub 2}O{sub 3} as catalyst. Coprocessing all three materials resulted in a substantial improvement in the total conversion compared to the coal plus polymer reaction and slightly less conversion than the resid plus polymer combinations.« less

Mobile Phone Use in Psychiatry Residents in the United States: Multisite Cross-Sectional Survey Study

PubMed Central

Torous, John; Boland, Robert; Conrad, Erich

2017-01-01

Background Mobile technology ownership in the general US population and medical professionals is increasing, leading to increased use in clinical settings. However, data on use of mobile technology by psychiatry residents remain unclear. Objective In this study, our aim was to provide data on how psychiatric residents use mobile phones in their clinical education as well as barriers relating to technology use. Methods An anonymous, multisite survey was given to psychiatry residents in 2 regions in the United States, including New Orleans and Boston, to understand their technology use. Results All participants owned mobile phones, and 79% (54/68) used them to access patient information. The majority do not use mobile phones to implement pharmacotherapy (62%, 42/68) or psychotherapy plans (90%, 61/68). The top 3 barriers to using mobile technology in clinical care were privacy concerns (56%, 38/68), lack of clinical guidance (40%, 27/68), and lack of evidence (29%, 20/68). Conclusions We conclude that developing a technology curriculum and engaging in research could address these barriers to using mobile phones in clinical practice. PMID:29092807

26 CFR 301.7701(b)-9 - Effective/applicability dates of §§ 301.7701(b)-1 through 301.7701(b)-7.

Code of Federal Regulations, 2010 CFR

2010-04-01

... years, see §§ 1.871-2 through 1.871-5 of this chapter. (b) Special rules—(1) Green card test-residency... green card test in 1985, be considered a resident of the United States as of January 1, 1985, regardless..., days of presence in 1984 will only be counted for aliens who had been residents under prior law (§§ 1...

20 CFR 638.524 - Allowances and allotments.

Code of Federal Regulations, 2011 CFR

2011-04-01

... allotment by the SPAMIS Data Center to the student's spouse, child(ren) or other dependent, if such spouse, child(ren) or other dependent resides in any State in the United States. (d) In the event of a student's...

20 CFR 638.524 - Allowances and allotments.

Code of Federal Regulations, 2012 CFR

2012-04-01

... allotment by the SPAMIS Data Center to the student's spouse, child(ren) or other dependent, if such spouse, child(ren) or other dependent resides in any State in the United States. (d) In the event of a student's...

Cervical cancer incidence in the United States in the US-Mexico border region, 1998-2003.

PubMed

Coughlin, Steven S; Richards, Thomas B; Nasseri, Kiumarss; Weiss, Nancy S; Wiggins, Charles L; Saraiya, Mona; Stinchcomb, David G; Vensor, Veronica M; Nielson, Carrie M

2008-11-15

Cervical cancer mortality rates have declined in the United States, primarily because of Papanicolaou testing. However, limited information is available about the incidence of the disease in the US-Mexico border region, where some of the poorest counties in the United States are located. This study was undertaken to help compare the patterns of cervical cancer incidence among women in the US-Mexico border region and other parts of the United States. Age-adjusted cervical cancer incidence rates for border counties in the states bordering Mexico (California, Arizona, New Mexico, Texas) for the years 1998 to 2003 were compared with the rates for nonborder counties of the border states and with those of nonborder states. Differences were examined by age, race, ethnicity, rural residence, educational attainment, poverty, migration, stage of disease, and histology. Overall, Hispanic women had almost twice the cervical cancer incidence of non-Hispanic women in border counties, and Hispanic women in the border states had higher rates than did non-Hispanic women in nonborder states. In contrast, cervical cancer incidence rates among black women in the border counties were lower than those among black women in the nonborder states. Among white women, however, incidence rates were higher among those in nonborder states. Differences in cervical cancer incidence rates by geographic locality were also evident by age, urban/rural residence, migration from outside the United States, and stage of disease. Disparities in cervical cancer incidence in the US-Mexico border counties, when the incidence is compared with that of other counties and geographic regions, are evident. Of particular concern are the higher rates of late-stage cervical cancer diagnosed among women in the border states, especially because such cervical cancer is preventable.

42 CFR 483.10 - Resident rights.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., to refuse to participate in experimental research, and to formulate an advance directive as specified... advocacy groups such as the State survey and certification agency, the State licensure office, the State ombudsman program, the protection and advocacy network, and the Medicaid fraud control unit; and (iv) A...

42 CFR 483.10 - Resident rights.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., to refuse to participate in experimental research, and to formulate an advance directive as specified... advocacy groups such as the State survey and certification agency, the State licensure office, the State ombudsman program, the protection and advocacy network, and the Medicaid fraud control unit; and (iv) A...

Culture-dependent strategies in coordination games

PubMed Central

Jackson, Matthew O.; Xing, Yiqing

2014-01-01

We examine different populations’ play in coordination games in online experiments with over 1,000 study participants. Study participants played a two-player coordination game that had multiple equilibria: two equilibria with highly asymmetric payoffs and another equilibrium with symmetric payoffs but a slightly lower total payoff. Study participants were predominantly from India and the United States. Study participants residing in India played the strategies leading to asymmetric payoffs significantly more frequently than study participants residing in the United States who showed a greater play of the strategy leading to the symmetric payoffs. In addition, when prompted to play asymmetrically, the population from India responded even more significantly than those from the United States. Overall, study participants’ predictions of how others would play were more accurate when the other player was from their own populations, and they coordinated significantly more frequently and earned significantly higher payoffs when matched with other study participants from their own population than when matched across populations. PMID:25024196

Fortification of corn masa flour with folic acid in the United States: an overview of the evidence

PubMed Central

Hamner, Heather C.; Tinker, Sarah C.

2015-01-01

Corn masa flour, used to make products such as corn tortillas, is a staple food for Hispanic populations residing in the United States, particularly among Mexican Americans and Central Americans. Research has indicated that Hispanic women in the United States continue to be at a higher risk of having a neural tube defect–affected pregnancy than women of other races/ethnicities, even after the introduction of folic acid fortification of cereal grain products labeled as “enriched.” Corn masa flour has, therefore, been suggested as a potential food vehicle for folic acid in the United States. This paper explores the potential impact that folic acid fortification of corn masa flour could have on the Hispanic population in the United States. PMID:24494975

Fortification of corn masa flour with folic acid in the United States: an overview of the evidence.

PubMed

Hamner, Heather C; Tinker, Sarah C

2014-04-01

Corn masa flour, used to make products such as corn tortillas, is a staple food for Hispanic populations residing in the United States, particularly among Mexican Americans and Central Americans. Research has indicated that Hispanic women in the United States continue to be at a higher risk of having a neural tube defect-affected pregnancy than women of other races/ethnicities, even after the introduction of folic acid fortification of cereal grain products labeled as "enriched." Corn masa flour has, therefore, been suggested as a potential food vehicle for folic acid in the United States. This paper explores the potential impact that folic acid fortification of corn masa flour could have on the Hispanic population in the United States. © 2014 New York Academy of Sciences.

Traffic citation rates among drivers of different residency status in the United States.

PubMed

Romano, Eduardo; Tippetts, Scott; Fell, James; Eichelberger, Angela; Grosz, Milton; Wiliszowski, Connie

2013-03-01

Racial/ethnic groups in the United States may be overrepresented in motor-vehicle incidents (crashes and violations), particularly among low-acculturated immigrants coming from countries in which traffic laws are not well enforced. Some evidence suggests just the opposite. We collected and analyzed information on the residency status of licensed drivers in Florida and Tennessee to examine the hypothesis that the prevalence of seat-belt nonuse, DWI, speeding, and failures to obey a traffic signal was higher among recent immigrants than among US citizens. We rejected this hypothesis. Both in Florida and Tennessee, US citizens were more likely to be cited for DWI, seat-belt, or speeding violations than the noncitizens. However, immigrants were more often cited for failure-to-obey than US citizens. We concluded that residency status does, appear to play a role in the likelihood of traffic violations, but this role is far from uniform; varying depending upon the type of traffic violation, the racial/ethnic group, and the state in which the violation occurred. Copyright © 2012. Published by Elsevier Ltd.

The location of displaced New Orleans residents in the year after Hurricane Katrina.

PubMed

Sastry, Narayan; Gregory, Jesse

2014-06-01

Using individual data from the restricted version of the American Community Survey, we examined the displacement locations of pre-Hurricane Katrina adult residents of New Orleans in the year after the hurricane. More than one-half (53 %) of adults had returned to-or remained in-the New Orleans metropolitan area, with just under one-third of the total returning to the dwelling in which they resided prior to Hurricane Katrina. Among the remainder, Texas was the leading location of displaced residents, with almost 40 % of those living away from the metropolitan area (18 % of the total), followed by other locations in Louisiana (12 %), the South region of the United States other than Louisiana and Texas (12 %), and elsewhere in the United States (5 %). Black adults were considerably more likely than nonblack adults to be living elsewhere in Louisiana, in Texas, and elsewhere in the South. The observed race disparity was not accounted for by any of the demographic or socioeconomic covariates in the multinomial logistic regression models. Consistent with hypothesized effects, we found that following Hurricane Katrina, young adults (aged 25-39) were more likely to move further away from New Orleans and that adults born outside Louisiana were substantially more likely to have relocated away from the state.

The Location of Displaced New Orleans Residents in the Year After Hurricane Katrina

PubMed Central

Sastry, Narayan; Gregory, Jesse

2014-01-01

Using individual data from the restricted version of the American Community Survey, we examined the displacement locations of pre–Hurricane Katrina adult residents of New Orleans in the year after the hurricane. More than one-half (53 %) of adults had returned to—or remained in—the New Orleans metropolitan area, with just under one-third of the total returning to the dwelling in which they resided prior to Hurricane Katrina. Among the remainder, Texas was the leading location of displaced residents, with almost 40 % of those living away from the metropolitan area (18 % of the total), followed by other locations in Louisiana (12 %), the South region of the United States other than Louisiana and Texas (12 %), and elsewhere in the United States (5 %). Black adults were considerably more likely than nonblack adults to be living elsewhere in Louisiana, in Texas, and elsewhere in the South. The observed race disparity was not accounted for by any of the demographic or socioeconomic covariates in the multinomial logistic regression models. Consistent with hypothesized effects, we found that following Hurricane Katrina, young adults (aged 25–39) were more likely to move further away from New Orleans and that adults born outside Louisiana were substantially more likely to have relocated away from the state. PMID:24599750

External built residential environment characteristics that affect mental health of adults.

PubMed

Ochodo, Charles; Ndetei, D M; Moturi, W N; Otieno, J O

2014-10-01

External built residential environment characteristics include aspects of building design such as types of walls, doors and windows, green spaces, density of houses per unit area, and waste disposal facilities. Neighborhoods that are characterized by poor quality external built environment can contribute to psychosocial stress and increase the likelihood of mental health disorders. This study investigated the relationship between characteristics of external built residential environment and mental health disorders in selected residences of Nakuru Municipality, Kenya. External built residential environment characteristics were investigated for 544 residents living in different residential areas that were categorized by their socioeconomic status. Medically validated interview schedules were used to determine mental health of residents in the respective neighborhoods. The relationship between characteristics of the external built residential environment and mental health of residents was determined by multivariable logistic regression analyses and chi-square tests. The results show that walling materials used on buildings, density of dwelling units, state of street lighting, types of doors, states of roofs, and states of windows are some built external residential environment characteristics that affect mental health of adult males and females. Urban residential areas that are characterized by poor quality external built environment substantially expose the population to daily stressors and inconveniences that increase the likelihood of developing mental health disorders.

Factors associated with successful matching to dermatology residency programs by reapplicants and other applicants who previously graduated from medical school.

PubMed

Stratman, Erik J; Ness, Rachel M

2011-02-01

To identify factors associated with and not associated with successful matching and matriculation (hereinafter "matching") to dermatology residency programs for applicants who previously graduated from medical school and to distinguish which factors are within applicants' control. Observational cohort study. Six accredited academic dermatology residency training programs in the United States. A total of 221 residency applicants who previously graduated from medical school and who applied through standardized electronic application to 1 or more of the participating residency training programs. Matriculation to a dermatology residency program by August 2008 following the 2006 residency application period. Forty-six of 221 former medical school graduates included in this study matched to a dermatology residency program. Factors strongly associated with matching included United States Medical Licensing Examination Step 3 score; submission of letters written by dermatologists from institutions that train dermatology residents; completion of preliminary medicine internships rather than transitional or other internship types; listing of research experience; publishing of medical manuscripts; and completion of non-Accreditation Council for Graduate Medical Examination dermatology fellowships. Factors not associated with increased matching included volunteer work; PhD status; sex; number of posters or presentations at dermatology conferences; quality of journal publications; and first authorship. Most successful applicants limited personal statements to 1 page and did not mention previously failing to match. The study sample represented at least 86% of such nontraditional applicants who matched in 2006. For candidates seeking to match into dermatology residency programs after graduating from medical school, there are factors within their control that are associated with higher rates of match success. This study provides evidence to assist mentors who counsel such candidates. ©2011 American Medical Association. All rights reserved.

Residents' Attitude, Knowledge, and Perceived Preparedness Toward Caring for Patients from Diverse Sociocultural Backgrounds.

PubMed

Marshall, Jessie Kimbrough; Cooper, Lisa A; Green, Alexander R; Bertram, Amanda; Wright, Letitia; Matusko, Niki; McCullough, Wayne; Sisson, Stephen D

2017-01-01

Purpose: Training residents to deliver care to increasingly diverse patients in the United States is an important strategy to help alleviate racial and ethnic disparities in health outcomes. Cross-cultural care training of residents continues to present challenges. This study sought to explore the associations among residents' cross-cultural attitudes, preparedness, and knowledge about disparities to better elucidate possible training needs. Methods: This cross-sectional study used web-based questionnaires from 2013 to 2014. Eighty-four internal medicine residency programs with 954 residents across the United States participated. The main outcome was perceived preparedness to care for sociocultural diverse patients. Key Results: Regression analysis showed attitude toward cross-cultural care (beta coefficient [β]=0.57, 95% confidence interval [CI]: 0.49-0.64, p <0.001) and report of serving a large number of racial/ethnic minorities (β=0.90, 95% CI: 0.56-1.24, p <0.001), and low-socioeconomic status patients (β=0.74, 95% CI: 0.37-1.10, p <0.001) were positively associated with preparedness. Knowledge of disparities was poor and did not differ significantly across postgraduate year (PGY)-1, PGY-2, and PGY-3 residents (mean scores: 56%, 58%, and 55%, respectively; p =0.08). Conclusion: Residents' knowledge of health and healthcare disparities is poor and does not improve during training. Residents' preparedness to provide cross-cultural care is directly associated with their attitude toward cross-cultural care and their level of exposure to patients from diverse sociocultural backgrounds. Future studies should examine the role of residents' cross-cultural care-related attitudes on their ability to care for diverse patients.

Residents' Attitude, Knowledge, and Perceived Preparedness Toward Caring for Patients from Diverse Sociocultural Backgrounds

PubMed Central

Cooper, Lisa A.; Green, Alexander R.; Bertram, Amanda; Wright, Letitia; Matusko, Niki; McCullough, Wayne; Sisson, Stephen D.

2017-01-01

Abstract Purpose: Training residents to deliver care to increasingly diverse patients in the United States is an important strategy to help alleviate racial and ethnic disparities in health outcomes. Cross-cultural care training of residents continues to present challenges. This study sought to explore the associations among residents' cross-cultural attitudes, preparedness, and knowledge about disparities to better elucidate possible training needs. Methods: This cross-sectional study used web-based questionnaires from 2013 to 2014. Eighty-four internal medicine residency programs with 954 residents across the United States participated. The main outcome was perceived preparedness to care for sociocultural diverse patients. Key Results: Regression analysis showed attitude toward cross-cultural care (beta coefficient [β]=0.57, 95% confidence interval [CI]: 0.49–0.64, p<0.001) and report of serving a large number of racial/ethnic minorities (β=0.90, 95% CI: 0.56–1.24, p<0.001), and low-socioeconomic status patients (β=0.74, 95% CI: 0.37–1.10, p<0.001) were positively associated with preparedness. Knowledge of disparities was poor and did not differ significantly across postgraduate year (PGY)-1, PGY-2, and PGY-3 residents (mean scores: 56%, 58%, and 55%, respectively; p=0.08). Conclusion: Residents' knowledge of health and healthcare disparities is poor and does not improve during training. Residents' preparedness to provide cross-cultural care is directly associated with their attitude toward cross-cultural care and their level of exposure to patients from diverse sociocultural backgrounds. Future studies should examine the role of residents' cross-cultural care-related attitudes on their ability to care for diverse patients. PMID:28905046

Identifying Potentially Preventable Emergency Department Visits by Nursing Home Residents in the United States.

PubMed

Burke, Robert E; Rooks, Sean P; Levy, Cari; Schwartz, Robert; Ginde, Adit A

2015-05-01

To identify and describe potentially preventable emergency department (ED) visits by nursing home (NH) residents in the United States. These visits are important because they are common, frequently lead to hospitalization, and can be associated with significant cost to the patient and the health care system. Retrospective analysis of the 2005-2010 National Hospital Ambulatory Care Survey (NHAMCS), comparing ED visits by nursing home residents that did not lead to hospital admission (potentially preventable) with those that led to admission (less likely preventable). Nationally representative sample of US EDs; federal hospitals and hospitals with fewer than 6 beds were excluded. Older (age ≥65 years) NH residents with an ED visit during this time period. Patient demographics, ED visit information including testing performed, interventions (both procedures and medications) provided, and diagnoses treated. Older NH residents accounted for 3857 of 208,956 ED visits during the time period of interest (1.8%). When weighted to be nationally representative, these represent 13.97 million ED visits, equivalent to 1.8 ED visits annually per NH resident in the United States. More than half of visits (53.5%) did not lead to hospital admission; of those discharged from the ED, 62.8% had normal vital signs on presentation and 18.9% did not have any diagnostic testing before ED discharge. Injuries were 1.78 times more likely to be discharged than admitted (44.8% versus 25.3%, respectively, P < .001), whereas infections were 2.06 times as likely to be admitted as discharged (22.9% versus 11.1%, respectively). Computed tomography (CT) scans were performed in 25.4% and 30.1% of older NH residents who were discharged from the ED and admitted to the hospital, respectively, and more than 70% of these were CTs of the head. NH residents received centrally acting, sedating medications before ED discharge in 9.4% of visits. This nationally representative sample of older NH residents suggests ED visits for injury, those that are associated with normal triage vital signs, and those that are not associated with any diagnostic testing are potentially preventable. Those discharged from the ED often undergo important testing and receive medications that may alter their physical examination on return to the nursing facility, highlighting the need for seamless communication of the ED course to NHs. Published by Elsevier Inc.

Ecosystem services provided by pacific NW Estuaries: State of knowledge

EPA Science Inventory

Coastal regions in the United States are rapidly developing areas, with increasing urbanization and growing populations. Estuarine and nearshore coastal marine waters provide valuable ecosystem services to resident and transient human communities. In the Pacific Northwest (PNW)...

Emergency Department Visits by Nursing Home Residents in the United States

PubMed Central

Wang, Henry E.; Shah, Manish N.; Allman, Richard M.; Kilgore, Meredith

2012-01-01

BACKGROUND/OBJECTIVES The Emergency Department (ED) is an important source of health care for nursing home residents. The objective of this study was to characterize ED use by nursing home residents in the United States (US). DESIGN Analysis of the National Hospital Ambulatory Medical Care Survey SETTING US Emergency Departments, 2005-2008 PARTICIPANTS Individuals visiting US EDs, stratified by nursing home and non-nursing home residents. INTERVENTIONS None MEASUREMENTS We identified all ED visits by nursing home residents. We contrasted the demographic and clinical characteristics between nursing home residents and non-nursing home residents. We also compared ED resource utilization, length of stay and outcomes. RESULTS During 2005-2008, nursing home residents accounted for 9,104,735 of 475,077,828 US ED visits (1.9%; 95% CI: 1.8-2.1%). The annualized number of ED visits by nursing home residents was 2,276,184. Most nursing home residents were elderly (mean 76.7 years, 95% CI: 75.8-77.5), female (63.3%), and non-Hispanic White (74.8%). Compared with non-nursing home residents, nursing home residents were more likely have been discharged from the hospital in the prior seven days (adjusted OR 1.4, 95% CI: 1.1-1.9). Nursing home residents were more likely to present with fever (adjusted OR 1.9; 95% CI: 1.5-2.4) or hypotension (systolic blood pressure ≤90 mm Hg, OR 1.8; 95% CI: 1.5-2.2). Nursing home patients were more likely to receive diagnostic test, imaging and procedures in the ED. Almost half of nursing home residents visiting the ED were admitted to the hospital. Compared with non-nursing home residents, nursing home residents were more likely to be admitted to the hospital (adjusted OR 1.8; 95% CI 1.6-2.1) and to die (adjusted OR 2.3; 95% CI 1.6-3.3). CONCLUSIONS Nursing home residents account for over 2.2 million ED visits annually in the US. Compared with other ED patients, nursing home residents have higher medical acuity and complexity. These observations highlight the national challenges of organizing and delivering ED care to nursing home residents in the US. PMID:22091500

Women of Spanish Origin in the United States, 1976. La Mujer de Origen Hispano en los Estados Unidos, 1976.

ERIC Educational Resources Information Center

Employment Standards Administration (DOL), Washington, DC. Women's Bureau.

The report presents data on selected social, economic, and demographic characteristics of women of Spanish origin in the United States. Derived from the population reports of the U.S. Census Bureau and the March 1973 Manpower Report of the President, the statistical data pertain to age, residence, marital status, heads of families and households,…

The Cuban Population of the United States: The Results of the 1980 U.S. Census of Population. Occasional Papers Series, Dialogues #40.

ERIC Educational Resources Information Center

Perez, Lisandro

The principal results of the 1980 United States Census regarding Cuban Americans are summarized and analyzed in this report. The presentation is divided into the following sections: (1) residence and geographic distribution; (2) age and sex composition; (3) fertility; (4) family structure and marital status; (5) educational characteristics; (6)…

New Data on the Fertility of Southeast Asian Refugees in the United States.

ERIC Educational Resources Information Center

Gordon, Linda W.

1982-01-01

This paper examines the fertility of refugees from Laos, Vietnam, and Cambodia residing in the United States. Data are presented from three major sources: (1) a study of births to Southeast Asian women living in Oregon in 1980; (2) a survey performed by the Department of Health and Human Services in 1981; and (3) computer files of the Office of…

Housing Arrangements among a National Sample of Adults with Chronic Schizophrenia Living in the United States: A Descriptive Study

ERIC Educational Resources Information Center

Tsai, Jack; Stroup, T. Scott; Rosenheck, Robert A.

2011-01-01

There has been no recent national description of where and with whom people with chronic mental illness reside. Using data from the Clinical Antipsychotic Trials of Intervention Effectiveness, the living arrangements of 1,446 clients with schizophrenia from 57 sites throughout the United States were characterized over 1 year. At baseline, 46% of…

8 CFR 216.4 - Joint petition to remove conditional basis of lawful permanent resident status for alien spouse.

Code of Federal Regulations, 2011 CFR

2011-01-01

... petition has been properly filed, the alien may travel outside the United States and return if in... from the United States. In such proceedings the burden shall be on the alien to establish that he or... to terminate his or her status in such proceedings, but the burden shall be on the alien to establish...

Agricultural buffers at the rural-urban fiinge: an examination of approval by farmers, residents, and academics in the Midwestern United States

Treesearch

William C. Sullivan; Olin M. Anderson; Sarah Taylor Lovell

2004-01-01

In the Midwestern United States, urban areas most often expand by converting farmland into residential sites. This process puts households and working farms in close contact, often resulting in conflicts. Can agricultural buffers, which provide a variety of environmental and aesthetic benefits, help mediate this conflict? This study examined the approval of different...

Labor Market Effects of September 11th on Arab and Muslim Residents of the United States

ERIC Educational Resources Information Center

Kaushal, Neeraj; Kaestner, Robert; Reimers, Cordelia

2007-01-01

We investigated whether the September 11, 2001 terrorists' attacks had any effect on employment, earnings, and residential mobility of first- and second-generation Arab and Muslim men in the United States. We find that September 11th did not significantly affect employment and hours of work of Arab and Muslim men, but was associated with a 9-11…

Land grants of New Mexico and the United States Forest Service

Treesearch

Carol Raish; Alice M. McSweeney

2011-01-01

The U.S. Forest Service (FS) has a long, shared history with the Spanish and Mexican land grants of northern New Mexico. The Treaty of Guadalupe Hidalgo, which ended the war between the United States and Mexico, was supposed to recognize and respect the property rights of the resident Hispano population. In many cases the intent of the Treaty was not honored. During...

Pragmatism and the Unlikely Influence of German Idealism on the Academy in the United States

ERIC Educational Resources Information Center

Ream, Todd C.

2007-01-01

In this article I argue that the subject-object distinction, operative in Continental Europe during the late-1700s and early-1800s, led to the religion-secular distinction in higher education in the United States. Many scholars believe the origins of the shifting nature of the religion-secular distinction resided with some form of influence that…

Craniofacial asymmetry as a marker of socioeconomic status among undocumented Mexican immigrants in the United States.

PubMed

Weisensee, Katherine E; Spradley, M Katherine

2018-05-01

This study examines levels of fluctuating asymmetry (FA) in Mexican residents, U.S. residents, and undocumented border crossers (UBCs) from Mexico to the United States. Craniofacial structures develop symmetrically under ideal circumstances; however, during periods of developmental stress random deviations from perfect symmetry, or FA, can occur. It is hypothesized that the UBC sample would represent individuals of a lower socioeconomic status (SES) who experienced higher stress levels during development, and that these individuals would consequently have higher levels of FA. Three-dimensional cranial landmarks were collected from 509 individuals representing the three resident groups. Geometric morphometric methods were used to calculate an FA score for each individual. The FA score provides a distance measure that is a scalar measure of the magnitude of FA in each individual. The results show that the difference in the means of the FA scores between UBCs and U.S. residents is 0.43 (p = 0.02), with UBCs showing significantly higher levels of FA compared to U.S. residents. Moreover, Mexican residents' FA levels are intermediate between and not significantly different from the other two samples. These results suggest that levels of FA may prove useful for reconstructing individuals' social and economic circumstances, and that craniofacial asymmetry provides a suitable biological marker for analyzing differences in SES among different groups. Copyright © 2018 Elsevier B.V. All rights reserved.

Whither the Pulmonary Ward Attending? Preserving Subspecialty Exposure in United States Internal Medicine Residency Training.

PubMed

Santhosh, Lekshmi; Babik, Jennifer; Looney, Mark R; Hollander, Harry

2017-04-01

Twenty years ago, the term "hospitalist" was coined at the University of California-San Francisco (San Francisco, CA), heralding a new specialty focused on the care of inpatients. There are now more than 50,000 hospitalists practicing in the United States. At many academic medical centers, hospitalists are largely replacing subspecialists as attendings on the inpatient medicine wards. At University of California-San Francisco, this has been accompanied by declining percentages of residency graduates who enter subspecialty training in internal medicine. The decline in subspecialty medicine interest can be attributed to many factors, including differences in compensation, decreased subspecialist exposure, and a changing research funding landscape. Although there has not been systematic documentation of this trend in pulmonary and critical care medicine, we have noted previously pulmonary and critical care-bound trainees switching to hospital medicine instead. With our broad, multiorgan system perspective, pulmonary and critical care faculty should embrace teaching general medicine. Residency programs have instituted creative solutions to encourage more internal medicine residents to pursue careers in subspecialty medicine. Some solutions include creating rotations that promote more contact with subspecialists and physician-scientists, creating clinician-educator tracks within fellowship programs, and appointing subspecialists to internal medicine residency leadership positions. We need more rigorous research to track the trends and implications of the generalist-specialist balance of inpatient ward teams on resident career choices, and learn what interventions affect those choices.

Specialty education in periodontics in Japan and the United States: comparison of programs at Nippon Dental University Hospital and the University of Texas Health Science Center at San Antonio.

PubMed

Osawa, Ginko; Nakaya, Hiroshi; Mealey, Brian L; Kalkwarf, Kenneth; Cochran, David L

2014-03-01

Japan has institutions that train qualified postdoctoral students in the field of periodontics; however, Japan does not have comprehensive advanced periodontal programs and national standards for these specialty programs. To help Japanese programs move toward global standards in this area, this study was designed to describe overall differences in periodontics specialty education in Japan and the United States and to compare periodontics faculty members and residents' characteristics and attitudes in two specific programs, one in each country. Periodontal faculty members and residents at Nippon Dental University (NDU) and the University of Texas Health Science Center at San Antonio (UTHSCSA) Dental School participated in the survey study: four faculty members and nine residents at NDU; seven faculty members and thirteen residents at UTHSCSA. Demographic data were collected as well as respondents' attitudes toward and assessment of their programs. The results showed many differences in curriculum structure and clinical performance. In contrast to the UTHSCSA respondents, for example, the residents and faculty members at NDU reported that they did not have enough subject matter and time to learn clinical science. Although the residents at NDU reported seeing more total patients in one month than those at UTHSCSA, they were taught fewer varieties of periodontal treatments. To provide high-quality and consistent education for periodontal residents, Japan needs to establish a set of standards that will have positive consequences for those in Japan who need periodontal treatment.

Do Merit-Aid Programs Help States Build Skilled Workforces?

ERIC Educational Resources Information Center

Groen, Jeffrey A.

2011-01-01

One of the major developments in financing undergraduate education in the United States in the past 20 years has been the introduction of broad-based merit-aid programs by state governments. The typical program waives tuition and fees at public colleges and universities for state residents who have attained a respectable grade-point average…

Training in Tobacco Treatments in Psychiatry: A National Survey of Psychiatry Residency Training Directors

ERIC Educational Resources Information Center

Prochaska, Judith J.; Fromont, Sebastien C.; Louie, Alan K.; Jacobs, Marc H.; Hall, Sharon M.

2006-01-01

Objective: Nicotine dependence is the most prevalent substance abuse disorder among adult psychiatric patients and is a leading cause of death and disability. This study examines training in tobacco treatment in psychiatry residency programs across the United States. Method: The authors recruited training directors to complete a survey of their…

77 FR 76352 - Adjustment of Status of Refugees and Aliens Granted Asylum

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-28

... is not admissible to the United States as described in 8 CFR 209.2(a)(1)(v), may, under section 209(c..., shall be eligible for adjustment without regard to the foreign residence requirement if otherwise... admission for lawful permanent residence as of the date one year before the date of the approval of the...

8 CFR 264.2 - Application for creation of record of permanent residence.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Application for creation of record of... REGULATIONS REGISTRATION AND FINGERPRINTING OF ALIENS IN THE UNITED STATES § 264.2 Application for creation of... this chapter shall submit his/her application for creation of a record of lawful permanent residence on...

8 CFR 264.2 - Application for creation of record of permanent residence.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Application for creation of record of... REGULATIONS REGISTRATION AND FINGERPRINTING OF ALIENS IN THE UNITED STATES § 264.2 Application for creation of... this chapter shall submit his/her application for creation of a record of lawful permanent residence on...

8 CFR 264.2 - Application for creation of record of permanent residence.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Application for creation of record of... REGULATIONS REGISTRATION AND FINGERPRINTING OF ALIENS IN THE UNITED STATES § 264.2 Application for creation of... this chapter shall submit his/her application for creation of a record of lawful permanent residence on...

8 CFR 264.2 - Application for creation of record of permanent residence.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Application for creation of record of... REGULATIONS REGISTRATION AND FINGERPRINTING OF ALIENS IN THE UNITED STATES § 264.2 Application for creation of... this chapter shall submit his/her application for creation of a record of lawful permanent residence on...

United States Census 2000 Population with Bridged Race Categories. Vital and Health Statistics. Data Evaluation and Methods Research.

ERIC Educational Resources Information Center

Ingram, Deborah D.; Parker, Jennifer D.; Schenker, Nathaniel; Weed, James A.; Hamilton, Brady; Arias, Elizabeth; Madans, Jennifer H.

This report documents the National Center for Health Statistics' (NCHS) methods for bridging the Census 2000 multiple-race resident population to single-race categories and describing bridged race resident population estimates. Data came from the pooled 1997-2000 National Health Interview Surveys. The bridging models included demographic and…

Suicidality in African American Men: The Roles of Southern Residence, Religiosity, and Social Support

ERIC Educational Resources Information Center

Wingate, LaRicka R.; Bobadilla, Leonardo; Burns, Andrea B.; Cukrowicz, Kelly C.; Hernandez, Annya; Ketterman, Rita L.; Minnix, Jennifer; Petty, Scharles; Richey, J. Anthony; Sachs-Ericsson, Natalie; Stanley, Sheila; Williams, Foluso M.; Joiner, Thomas E., Jr.

2005-01-01

The rise in suicide by African Americans in the United States is directly attributable to the dramatic, nearly three-fold increase in suicide rates of African American males. Gibbs (1997) hypothesized high social support, religiosity, and southern residence are protective factors against suicidality for Black people. This hypothesis was tested…

76 FR 71355 - United States et al. v. Blue Cross and Blue Shield of Montana, Inc. et al.; Proposed Final...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-17

... Montana residents a high-quality option for their health insurance, routinely pressuring Blue Cross to... reputation for high-quality customer service. 36. Since the Agreement was announced in August 2011, many... offered Montana residents a high-quality option for their health insurance, routinely pressuring Blue...

Handheld Computer Use in U.S. Family Practice Residency Programs

PubMed Central

Criswell, Dan F.; Parchman, Michael L.

2002-01-01

Objective: The purpose of the study was to evaluate the uses of handheld computers (also called personal digital assistants, or PDAs) in family practice residency programs in the United States. Study Design: In November 2000, the authors mailed a questionnaire to the program directors of all American Academy of Family Physicians (AAFP) and American College of Osteopathic Family Practice (ACOFP) residency programs in the United States. Measurements: Data and patterns of the use and non-use of handheld computers were identified. Results: Approximately 50 percent (306 of 610) of the programs responded to the survey. Two thirds of the programs reported that handheld computers were used in their residencies, and an additional 14 percent had plans for implementation within 24 months. Both the Palm and the Windows CE operating systems were used, with the Palm operating system the most common. Military programs had the highest rate of use (8 of 10 programs, 80 percent), and osteopathic programs had the lowest (23 of 55 programs, 42 percent). Of programs that reported handheld computer use, 45 percent had required handheld computer applications that are used uniformly by all users. Funding for handheld computers and related applications was non-budgeted in 76percent of the programs in which handheld computers were used. In programs providing a budget for handheld computers, the average annual budget per user was $461.58. Interested faculty or residents, rather than computer information services personnel, performed upkeep and maintenance of handheld computers in 72 percent of the programs in which the computers are used. In addition to the installed calendar, memo pad, and address book, the most common clinical uses of handheld computers in the programs were as medication reference tools, electronic textbooks, and clinical computational or calculator-type programs. Conclusions: Handheld computers are widely used in family practice residency programs in the United States. Although handheld computers were designed as electronic organizers, in family practice residencies they are used as medication reference tools, electronic textbooks, and clinical computational programs and to track activities that were previously associated with desktop database applications. PMID:11751806

Handheld computer use in U.S. family practice residency programs.

PubMed

Criswell, Dan F; Parchman, Michael L

2002-01-01

The purpose of the study was to evaluate the uses of handheld computers (also called personal digital assistants, or PDAs) in family practice residency programs in the United States. In November 2000, the authors mailed a questionnaire to the program directors of all American Academy of Family Physicians (AAFP) and American College of Osteopathic Family Practice (ACOFP) residency programs in the United States. Data and patterns of the use and non-use of handheld computers were identified. Approximately 50 percent (306 of 610) of the programs responded to the survey. Two thirds of the programs reported that handheld computers were used in their residencies, and an additional 14 percent had plans for implementation within 24 months. Both the Palm and the Windows CE operating systems were used, with the Palm operating system the most common. Military programs had the highest rate of use (8 of 10 programs, 80 percent), and osteopathic programs had the lowest (23 of 55 programs, 42 percent). Of programs that reported handheld computer use, 45 percent had required handheld computer applications that are used uniformly by all users. Funding for handheld computers and related applications was non-budgeted in 76percent of the programs in which handheld computers were used. In programs providing a budget for handheld computers, the average annual budget per user was 461.58 dollars. Interested faculty or residents, rather than computer information services personnel, performed upkeep and maintenance of handheld computers in 72 percent of the programs in which the computers are used. In addition to the installed calendar, memo pad, and address book, the most common clinical uses of handheld computers in the programs were as medication reference tools, electronic textbooks, and clinical computational or calculator-type programs. Handheld computers are widely used in family practice residency programs in the United States. Although handheld computers were designed as electronic organizers, in family practice residencies they are used as medication reference tools, electronic textbooks, and clinical computational programs and to track activities that were previously associated with desktop database applications.

Determinants, associations, and psychometric properties of resident assessments of anesthesiologist operating room supervision.

PubMed

Hindman, Bradley J; Dexter, Franklin; Kreiter, Clarence D; Wachtel, Ruth E

2013-06-01

A study by de Oliveira Filho et al. reported a validated set of 9 questions by which Brazilian anesthesia residents assessed faculty supervision in the operating room. The aim of this study was to use this question set to determine whether faculty operating room supervision scores were associated with residents' year of clinical anesthesia training and/or number of specific resident-faculty interactions. We also characterized associations between faculty operating room supervision scores and resident assessments of: (1) faculty supervision in settings other than operating rooms, (2) faculty clinical ability (family choice), and (3) faculty teaching effectiveness. Finally, we characterized the psychometric properties of the de Oliveira Filho etal. question set in an United States anesthesia residency program. All 39 residents in the Department of Anesthesia of the University of Iowa in their first (n = 14), second (n = 13), or third (n = 12) year of clinical anesthesia training evaluated the supervision provided by all anesthesia faculty who staffed in at least 1 of 3 clinical settings (operating room [n = 49], surgical intensive care unit [n = 10], pain clinic [n = 6]). For all resident-faculty pairs, departmental billing data were used to quantitate the number of resident-faculty interactions and the interval between the last interaction and the assessment. A generalizability study was performed to determine the minimum number of resident evaluations needed for high reliability and dependability. There were no significant associations between faculty mean operating room supervision scores and: (1) resident-faculty patient encounters (Kendall τb = 0.01; 95% confidence interval [CI], -0.02 to +0.04; P = 0.71), (2) resident-faculty days of interaction (τb = -0.01; 95% CI, -0.05 to +0.02; P = 0.46), and (3) days since last resident-faculty interaction (τb = 0.01; 95% CI, -0.02 to 0.05; P = 0.49). Supervision scores for the operating room and surgical intensive care unit were highly correlated (τb = 0.71; 95% CI, 0.63 to 0.78; P < 0.0001). Supervision scores for the operating room also were highly correlated with family choice scores (τb = 0.77; 95% CI, 0.70 to 0.84; P < 0.0001) and teaching scores (τb = 0.87; 95% CI, 0.82 to 0.92; P < 0.0001). High reliability and dependability (both G- and ϕ-coefficients > 0.80) occurred when individual faculty anesthesiologists received assessments from 15 or more different residents. Supervision scores provided by all residents can be given equal weight when calculating an individual faculty anesthesiologist's mean supervision score. Assessments of supervision, teaching, and quality of clinical care are highly correlated. When the de Oliveira Filho et al. question set is used in a United States anesthesia residency program, supervision scores are highly reliable and dependable when at least 15 residents assess each faculty.

American Society for Radiation Oncology (ASTRO) Survey of Radiation Biology Educators in U.S. and Canadian Radiation Oncology Residency Programs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rosenstein, Barry S., E-mail: barry.rosenstein@mssm.ed; Department of Radiation Oncology, New York University School of Medicine, New York, NY; Held, Kathryn D.

2009-11-01

Purpose: To obtain, in a survey-based study, detailed information on the faculty currently responsible for teaching radiation biology courses to radiation oncology residents in the United States and Canada. Methods and Materials: In March-December 2007 a survey questionnaire was sent to faculty having primary responsibility for teaching radiation biology to residents in 93 radiation oncology residency programs in the United States and Canada. Results: The responses to this survey document the aging of the faculty who have primary responsibility for teaching radiation biology to radiation oncology residents. The survey found a dramatic decline with time in the percentage of educatorsmore » whose graduate training was in radiation biology. A significant number of the educators responsible for teaching radiation biology were not fully acquainted with the radiation sciences, either through training or practical application. In addition, many were unfamiliar with some of the organizations setting policies and requirements for resident education. Freely available tools, such as the American Society for Radiation Oncology (ASTRO) Radiation and Cancer Biology Practice Examination and Study Guides, were widely used by residents and educators. Consolidation of resident courses or use of a national radiation biology review course was viewed as unlikely by most programs. Conclusions: A high priority should be given to the development of comprehensive teaching tools to assist those individuals who have responsibility for teaching radiation biology courses but who do not have an extensive background in critical areas of radiobiology related to radiation oncology. These findings also suggest a need for new graduate programs in radiobiology.« less

Are United States Medical Licensing Exam Step 1 and 2 scores valid measures for postgraduate medical residency selection decisions?

PubMed

McGaghie, William C; Cohen, Elaine R; Wayne, Diane B

2011-01-01

United States Medical Licensing Examination (USMLE) scores are frequently used by residency program directors when evaluating applicants. The objectives of this report are to study the chain of reasoning and evidence that underlies the use of USMLE Step 1 and 2 scores for postgraduate medical resident selection decisions and to evaluate the validity argument about the utility of USMLE scores for this purpose. This is a research synthesis using the critical review approach. The study first describes the chain of reasoning that underlies a validity argument about using test scores for a specific purpose. It continues by summarizing correlations of USMLE Step 1 and 2 scores and reliable measures of clinical skill acquisition drawn from nine studies involving 393 medical learners from 2005 to 2010. The integrity of the validity argument about using USMLE Step 1 and 2 scores for postgraduate residency selection decisions is tested. The research synthesis shows that USMLE Step 1 and 2 scores are not correlated with reliable measures of medical students', residents', and fellows' clinical skill acquisition. The validity argument about using USMLE Step 1 and 2 scores for postgraduate residency selection decisions is neither structured, coherent, nor evidence based. The USMLE score validity argument breaks down on grounds of extrapolation and decision/interpretation because the scores are not associated with measures of clinical skill acquisition among advanced medical students, residents, and subspecialty fellows. Continued use of USMLE Step 1 and 2 scores for postgraduate medical residency selection decisions is discouraged.

DIRECTORY OF RESIDENTIAL CAMPS SERVING THE MENTALLY RETARDED.

ERIC Educational Resources Information Center

National Association for Retarded Children, New York, NY.

PREPARED BY THE NATIONAL ASSOCIATION FOR RETARDED CHILDREN FROM A QUESTIONNAIRE SENT TO STATE AND LOCAL ORGANIZATIONS, THE DIRECTORY (1967) LISTS RESIDENT CAMPS SERVING THE MENTALLY RETARDED THROUGHOUT THE UNITED STATES. CAMPS ARE ENTERED ALPHABETICALLY ACCORDING TO GEOGRAPHIC LOCATION WITHIN EACH STATE. TYPES OF CHILDREN SERVED INCLUDE MENTALLY…

Risk of fractures in an intermediate care facility for persons with mental retardation.

PubMed

Tannenbaum, T N; Lipworth, L; Baker, S

1989-01-01

The epidemiology of fractures among 553 residents of an intermediate care facility for persons with mental retardation was examined. In a 10-month period, 61 fractures occurred among 55 residents; application of fracture rates in the United States revealed an expected number of 15 fractures among the 553 residents, p less than .001. Although 52% of fractures involved small bones of the hands and feet, elderly residents were more likely to fracture major bones and to suffer their fractures from a fall than were younger residents. The relationship between potential risk factors and fracture risk were examined and implications for preventive and rehabilitative measures discussed.

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.

PubMed

Payette, Michael; Chatterjee, Abhishek; Weeks, William B

2009-06-01

Efforts to improve patient safety have attempted to incorporate aviation industry safety standards. We sought to evaluate the cost and workforce implications of applying aviation duty-hour restrictions to the entire practicing physician workforce. The work hours and personnel deficit for United States residents and practicing physicians that would be created by the adoption of aviation standards were calculated. Application of aviation standards to the resident workforce creates an estimated annual cost of $6.5 billion, requiring a 174% increase in the number of residents to meet the deficit. Its application to practicing physicians creates an additional annual cost of $80.4 billion, requiring a 71% increase in the physician workforce. Adding in the aviation industry's mandatory retirement age (65 years) increases annual costs by $10.5 billion. The cost per life-year saved would be $1,035,227. Application of aviation duty-hour restrictions to the United States health care system would be prohibitively costly. Alternate approaches for improving patient safety are warranted.

A Statistical Profile of Samoans in the United States. Part I: Demography; Part II: Social and Economic Characteristics; Appendix: Language Use among Samoans. Evidence from the 1980 Census.

ERIC Educational Resources Information Center

Hayes, Geoffrey; Levin, Michael J.

This paper provides a broad overview of the demographic, social, and economic characteristics of Samoans in the United States, focusing particularly on the Samoan populations of Hawaii, California, and Washington, where 85% of Samoans reside. The data is derived from the "race" question on the 1980 Census and other local statistical…

Proposing an amendment to the Constitution of the United States to abolish the Electoral College and provide for the direct election of the President and Vice President by the popular vote of all citizens of the United States regardless of place of residence.

THOMAS, 111th Congress

Rep. Jackson, Jesse L., Jr. [D-IL-2

2009-03-03

House - 03/16/2009 Referred to the Subcommittee on the Constitution, Civil Rights, and Civil Liberties. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Ecosystem services provided by Pacific NW estuaries: State of knowledge - March 3, 2011

EPA Science Inventory

Coastal regions in the United States are rapidly developing areas, with increasing urbanization and growing populations. Estuarine and nearshore coastal marine waters provide valuable ecosystem services to resident and transient human communities. In the Pacific Northwest (PNW) ...

A Prospective Multicenter Evaluation of the Value of the On-Call Orthopedic Resident.

PubMed

Jackson, J Benjamin; Vincent, Scott; Davies, James; Phelps, Kevin; Cornett, Chris; Grabowski, Greg; Scannell, Brian; Stotts, Alan; Bice, Miranda

2018-02-01

Funding for graduate medical education is at risk despite the services provided by residents. We quantified the potential monetary value of services provided by on-call orthopedic surgery residents. We conducted a prospective, cross-sectional, multicenter cohort study design. Over a 90-day period in 2014, we collected data on consults by on-call orthopedic surgery residents at 4 tertiary academic medical centers in the United States. All inpatient and emergency department consults evaluated by first-call residents during the study period were eligible for inclusion. Based on their current procedural terminology codes, procedures and evaluations for each consult were assigned a relative value unit and converted into a monetary value to determine the value of services provided by residents. The primary outcome measures were the total dollar value of each consult and the percentage of resident salaries that could be funded by the generated value of the resident consult services. In total, 2644 consults seen by 33 residents from the 4 institutions were included for analysis. These yielded an average value of $81,868 per center for the 90-day study period, that is, $327,471 annually. With a median resident stipend of $53,992, the extrapolated average percentage of resident stipends that could be funded by these consult revenues was 73% of the stipends of the residents who took call or 36% of the stipends of the overall resident cohort. The potential monetary value generated by on-call orthopedic surgery residents is substantial.

Results of the 2013-2015 Association of Residents in Radiation Oncology Survey of Chief Residents in the United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Nabavizadeh, Nima, E-mail: nabaviza@ohsu.edu; Burt, Lindsay M.; Mancini, Brandon R.

Purpose: The purpose of this project was to survey radiation oncology chief residents to define their residency experience and readiness for independent practice. Methods and Materials: During the academic years 2013 to 2014 and 2014 to 2015, the Association of Residents in Radiation Oncology (ARRO) conducted an electronic survey of post-graduate year-5 radiation oncology residents in the United States during the final 3 months of training. Descriptive statistics are reported. Results: Sixty-six chief residents completed the survey in 2013 to 2014 (53% response rate), and 69 completed the survey in 2014 to 2015 (64% response rate). Forty to 85% percent ofmore » residents reported inadequate exposure to high-dose rate and low-dose rate brachytherapy. Nearly all residents in both years (>90%) reported adequate clinical experience for the following disease sites: breast, central nervous system, gastrointestinal, genitourinary, head and neck, and lung. However, as few as 56% reported adequate experience in lymphoma or pediatric malignancies. More than 90% of residents had participated in retrospective research projects, with 20% conducting resident-led prospective clinical trials and 50% conducting basic science or translational projects. Most chief residents reported working 60 or fewer hours per week in the clinical/hospital setting and performing fewer than 15 hours per week tasks that were considered to have little or no educational value. There was more than 80% compliance with Accreditation Council for Graduate Medical Education (ACGME) work hour limits. Fifty-five percent of graduating residents intended to join an established private practice group, compared to 25% who headed for academia. Residents perceive the job market to be more competitive than previous years. Conclusions: This first update of the ARRO chief resident survey since the 2007 to 2008 academic year documents US radiation oncology residents' experiences and conditions over a 2-year period. This analysis may serve as a valuable tool for those seeking to improve training of the next generation of oncology leaders.« less

26 CFR 1.1402(a)-9 - Puerto Rico.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 12 2010-04-01 2010-04-01 false Puerto Rico. 1.1402(a)-9 Section 1.1402(a)-9...) INCOME TAXES Tax on Self-Employment Income § 1.1402(a)-9 Puerto Rico. (a) Residents. A resident of Puerto... alien, a citizen of the United States, or a citizen of Puerto Rico, shall compute his net earnings from...

Rurality and Nursing Home Quality: Evidence from the 2004 National Nursing Home Survey

ERIC Educational Resources Information Center

Kang, Yu; Meng, Hongdao; Miller, Nancy A.

2011-01-01

Purpose of the Study: To evaluate the impact of rural geographic location on nursing home quality of care in the United States. Design and Methods: The study used cross-sectional observational design. We obtained resident- and facility-level data from 12,507 residents in 1,174 nursing homes from the 2004 National Nursing Home Survey. We used…

20 CFR 25.102 - How is compensation for death of a non-citizen non-resident employee paid?

Code of Federal Regulations, 2012 CFR

2012-04-01

... 20 Employees' Benefits 1 2012-04-01 2012-04-01 false How is compensation for death of a non... DEATH OF NONCITIZEN FEDERAL EMPLOYEES OUTSIDE THE UNITED STATES The Special Schedule of Compensation § 25.102 How is compensation for death of a non-citizen non-resident employee paid? If the disability...

How Green is My Valley? Tracking Rural and Urban Environmentalism in the Southern Appalachian Ecoregion

Treesearch

Robert Emmet Jones; J. Mark Fly; H. Ken Cordell

1999-01-01

Research on the social bases of environmentalism in the United States has generally found that urban residents are more concerned about the environment than rural residents. Recent research suggests this may no longer be the case, particularly in specific settings or under certain conditions. This paper examines the issue by reviewing recent survey research on rural...

Mobile Phone Use in Psychiatry Residents in the United States: Multisite Cross-Sectional Survey Study.

PubMed

Gipson, Shih; Torous, John; Boland, Robert; Conrad, Erich

2017-11-01

Mobile technology ownership in the general US population and medical professionals is increasing, leading to increased use in clinical settings. However, data on use of mobile technology by psychiatry residents remain unclear. In this study, our aim was to provide data on how psychiatric residents use mobile phones in their clinical education as well as barriers relating to technology use. An anonymous, multisite survey was given to psychiatry residents in 2 regions in the United States, including New Orleans and Boston, to understand their technology use. All participants owned mobile phones, and 79% (54/68) used them to access patient information. The majority do not use mobile phones to implement pharmacotherapy (62%, 42/68) or psychotherapy plans (90%, 61/68). The top 3 barriers to using mobile technology in clinical care were privacy concerns (56%, 38/68), lack of clinical guidance (40%, 27/68), and lack of evidence (29%, 20/68). We conclude that developing a technology curriculum and engaging in research could address these barriers to using mobile phones in clinical practice. ©Shih Gipson, John Torous, Robert Boland, Erich Conrad. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 01.11.2017.

Training and use of lasers in postgraduate orthodontic programs in the United States and Canada.

PubMed

Dansie, Chase O; Park, Jae Hyun; Makin, Inder Raj S

2013-06-01

This study was designed to determine if orthodontic residents are being trained to use lasers in the postgraduate orthodontic residency programs of the United States and Canada. An anonymous electronic survey was sent to the program director/chair of each of the seventy orthodontic residency programs, and thirty-seven (53 percent) of the programs responded. Of these thirty-seven programs, twenty-eight (76 percent) reported providing patient treatment with lasers in the orthodontic graduate program, eight (22 percent) said they do not provide treatment in the orthodontic graduate program, and one program (3 percent) reported providing laser training but not using lasers on patients. Gingivectomy and canine exposure were reported as the most common procedures that residents perform with a laser, while debonding of orthodontic brackets was the least common procedure performed with a laser. A diode laser was the most common type of laser used. Of the eight programs (22 percent) not offering laser training, four indicated having no plans to begin using lasers or training on their use. The other four indicated that they have plans to incorporate laser use in the future.

A primer on medical education in the United States through the lens of a current resident physician.

PubMed

Mowery, Yvonne M

2015-10-01

Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor's degree, in contrast to most other countries where medical training begins after graduation from high school. Medical school seniors planning to practice medicine in the US must complete postgraduate clinical training, referred to as residency, within the specialty of their choosing. The duration of residency varies depending on specialty, typically lasting between 3 and 7 years. For subspecialty fields, additional clinical training is often required in the form of a fellowship. Many experts have called for changes in the medical education system to shorten medical training in the US, and reforms are ongoing in some institutions. However, physician education in the US generally remains a progression from undergraduate premedical coursework to 4 years of medical school, followed by residency training with an optional subspecialty fellowship.

A primer on medical education in the United States through the lens of a current resident physician

PubMed Central

2015-01-01

Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor’s degree, in contrast to most other countries where medical training begins after graduation from high school. Medical school seniors planning to practice medicine in the US must complete postgraduate clinical training, referred to as residency, within the specialty of their choosing. The duration of residency varies depending on specialty, typically lasting between 3 and 7 years. For subspecialty fields, additional clinical training is often required in the form of a fellowship. Many experts have called for changes in the medical education system to shorten medical training in the US, and reforms are ongoing in some institutions. However, physician education in the US generally remains a progression from undergraduate premedical coursework to 4 years of medical school, followed by residency training with an optional subspecialty fellowship. PMID:26623123

A primer on medical education in the United States through the lens of a current resident physician

PubMed Central

2015-01-01

Physician training and standards for medical licensure differ widely across the globe. The medical education process in the United States (US) typically involves a minimum of 11 years of formal training and multiple standardized examinations between graduating from secondary school and becoming an attending physician with full medical licensure. Students in the US traditionally enter a 4-year medical school after completing an undergraduate bachelor’s degree, in contrast to most other countries where medical training begins after graduation from high school. Medical school seniors planning to practice medicine in the US must complete postgraduate clinical training, referred to as residency, within the specialty of their choosing. The duration of residency varies depending on specialty, typically lasting between 3 and 7 years. For subspecialty fields, additional clinical training is often required in the form of a fellowship. Many experts have called for changes in the medical education system to shorten medical training in the US, and reforms are ongoing in some institutions. However, physician education in the US generally remains a progression from undergraduate premedical coursework to 4 years of medical school, followed by residency training with an optional subspecialty fellowship. PMID:26605316

The Longer You Stay, the Worse Your Health? A Critical Review of the Negative Acculturation Theory among Asian Immigrants

PubMed Central

Ro, Annie

2014-01-01

Researchers have become increasingly interested in the health patterns of immigrants with longer residence in the United States, as this reveals the health consequences of integration processes. The negative acculturation effect has been the dominant interpretation of duration patterns, despite empirical and theoretical uncertainties about this assumption. This theory assumes that immigrant health declines with longer residence in the United States because of poorer health behaviors and health risks that reflect Americanized lifestyles. This paper reviews the empirical support for the negative acculturation theory among Asian immigrants to determine if and when it is an appropriate interpretation for duration patterns. I conclude that empirical inconsistencies and methodological issues limit the negative acculturation theory as the primary interpretation for duration patterns. First, there is no consistent evidence that health behaviors decline with time. There is also substantial group heterogeneity in duration patterns as well as heterogeneity across health outcomes. The literature has not adequately addressed methodological shortcomings, such as confounding by cohort effects or non-linear duration patterns. Length of residence in the United States is still an important aspect of Asian immigrant health, but the mechanisms of this relationship are still understudied. I propose alternative frameworks between duration and health that consider environmental influences and end with future research directions to explore research gaps. PMID:25111874

Cancer incidence patterns among Vietnamese in the United States and Ha Noi, Vietnam.

PubMed

Le, Gem M; Gomez, Scarlett L; Clarke, Christina A; Glaser, Sally L; West, Dee W

2002-12-01

Nearly 600,000 persons have immigrated to the United States from Vietnam since the end of the Vietnam War. Despite the rapid growth of the U.S. Vietnamese population, little is known about cancer incidence in this migrant group. Using population-based data from the Surveillance, Epidemiology and End Results program, California Cancer Registry and International Agency for Research on Cancer, we compared cancer incidence rates for Vietnamese in the United States (1988-1992) to rates for residents of Ha Noi, Vietnam (1991-1993); non-Hispanic whites were included to serve as the U.S. reference rates. Lung and breast cancers were the most common among Vietnamese males and females, respectively, regardless of geographic region. Rates of cancers more common to U.S. whites, such as breast, prostate and colon cancers, were elevated for U.S. Vietnamese compared to residents in Ha Noi but still lower than rates for U.S. whites. Rates of cancers more common to Asian countries, such as stomach, liver, lung and cervical cancers, were likewise elevated for U.S. Vietnamese compared to residents of Ha Noi and exceeded corresponding rates for whites. Incidence patterns for stomach, liver, lung and cervical cancers may reflect increased risk of exposures in this migrant population and should be further explored to uncover the relative contributions of environmental and genetic factors to cancer etiology. Copyright 2002 Wiley-Liss, Inc.

76 FR 52287 - Political Activity-Federal Employees Residing In Designated Localities

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-22

... 21, 2011. ADDRESSES: Comments may be mailed to Elaine Kaplan, General Counsel, Room 7355, United... CONTACT: Jo-Ann Chabot, Office of the General Counsel, United States Office of Personnel Management, (202... Government of the District of Columbia. Section 7323(a) generally permits Federal employees who are not...

Variability in spine surgery procedures performed during orthopaedic and neurological surgery residency training: an analysis of ACGME case log data.

PubMed

Daniels, Alan H; Ames, Christopher P; Smith, Justin S; Hart, Robert A

2014-12-03

Current spine surgeon training in the United States consists of either an orthopaedic or neurological surgery residency, followed by an optional spine surgery fellowship. Resident spine surgery procedure volume may vary between and within specialties. The Accreditation Council for Graduate Medical Education surgical case logs for graduating orthopaedic surgery and neurosurgery residents from 2009 to 2012 were examined and were compared for spine surgery resident experience. The average number of reported spine surgery procedures performed during residency was 160.2 spine surgery procedures performed by orthopaedic surgery residents and 375.0 procedures performed by neurosurgery residents; the mean difference of 214.8 procedures (95% confidence interval, 196.3 to 231.7 procedures) was significant (p = 0.002). From 2009 to 2012, the average total spinal surgery procedures logged by orthopaedic surgery residents increased 24.3% from 141.1 to 175.4 procedures, and those logged by neurosurgery residents increased 6.5% from 367.9 to 391.8 procedures. There was a significant difference (p < 0.002) in the average number of spinal deformity procedures between graduating orthopaedic surgery residents (9.5 procedures) and graduating neurosurgery residents (2.0 procedures). There was substantial variability in spine surgery exposure within both specialties; when comparing the top 10% and bottom 10% of 2012 graduates for spinal instrumentation or arthrodesis procedures, there was a 13.1-fold difference for orthopaedic surgery residents and an 8.3-fold difference for neurosurgery residents. Spine surgery procedure volumes in orthopaedic and neurosurgery residency training programs vary greatly both within and between specialties. Although orthopaedic surgery residents had an increase in the number of spine procedures that they performed from 2009 to 2012, they averaged less than half of the number of spine procedures performed by neurological surgery residents. However, orthopaedic surgery residents appear to have greater exposure to spinal deformity than neurosurgery residents. Furthermore, orthopaedic spine fellowship training provides additional spine surgery case exposure of approximately 300 to 500 procedures; thus, before entering independent practice, when compared with neurosurgery residents, most orthopaedic spine surgeons complete as many spinal procedures or more. Although case volume is not the sole determinant of surgical skills or clinical decision making, variability in spine surgery procedure volume does exist among residency programs in the United States. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

Births of Hispanic Parentage, 1983 and 1984.

ERIC Educational Resources Information Center

Ventura, Stephanie J.

1987-01-01

Twenty-three states and the District of Columbia collected information on births of Hispanic parentage in 1983 and 1984. More than 92% of the total Hispanic population in the United States resided in those states at this time. This report summarizes the available demographic information and presents data on births of Hispanic parentage in the…

Factors Related to Pertussis and Tetanus Vaccination Status Among Foreign-Born Adults Living in the United States.

PubMed

Sánchez-González, Liliana; Rodriguez-Lainz, Alfonso; O'Halloran, Alissa; Rowhani-Rahbar, Ali; Liang, Jennifer L; Lu, Peng-Jun; Houck, Peter M; Verguet, Stephane; Williams, Walter W

2017-06-01

Pertussis is a common vaccine-preventable disease (VPD) worldwide. Its reported incidence has increased steadily in the United States, where it is endemic. Tetanus is a rare but potentially fatal VPD. Foreign-born adults have lower tetanus-diphtheria-pertussis (Tdap) and tetanus-diphtheria (Td) vaccination coverage than do U.S.-born adults. We studied the association of migration-related, socio-demographic, and access-to-care factors with Tdap and Td vaccination among foreign-born adults living in the United States. The 2012 and 2013 National Health Interview Survey data for foreign-born respondents were analyzed. Multivariable logistic regression was conducted to calculate prevalence ratios and 95% confidence intervals, and to identify variables independently associated with Tdap and Td vaccination among foreign-born adults. Tdap and Td vaccination status was available for 9316 and 12,363 individuals, respectively. Overall vaccination coverage was 9.1% for Tdap and 49.8% for Td. Younger age, higher education, having private health insurance (vs. public insurance or uninsured), having visited a doctor in the previous year, and region of residence were independently associated with Tdap and Td vaccination. Among those reporting a doctor visit, two-thirds had not received Tdap. This study provides further evidence of the need to enhance access to health care and immunization services and reduce missed opportunities for Tdap and Td vaccination for foreign-born adults in the United States. These findings apply to all foreign-born, irrespective of their birthplace, citizenship, language and years of residence in the United States. Addressing vaccination disparities among the foreign-born will help achieve national vaccination goals and protect all communities in the United States.

No Correlation Between Work-Hours and Operative Volumes--A Comparison Between United States and Danish Operative Volumes Achieved During Surgical Residency.

PubMed

Kjærgaard, Jane; Sillesen, Martin; Beier-Holgersen, Randi

2016-01-01

Since 2003, United States residents have been limited to an 80-hour workweek. This has prompted concerns of reduced educational quality, especially inadequate operating exposure. In contrast, the Danish surgical specialty-training program mandates a cap on working hours of 37 per week. We hypothesize that there is no direct correlation between work-hours and operative volume achieved during surgical residency. To test the hypothesis, we compare Danish and US operative volumes achieved during surgical residency training. Retrospective comparative study. The data from the US population was extracted from the Accreditation Council for Graduate Medical Education database for General Surgery residents from 2012 to 2013. For Danish residents, a questionnaire with case categories matching the Accreditation Council for Graduate Medical Education categories were sent to all Danish surgeons graduating the national surgical residency program in 2012 or 2013, 54 in total. In all, 30 graduated residents (55%) responded to the Danish survey. We found no significant differences in mean total major procedures (1002.4 vs 976.9, p = 0.28) performed during residency training, but comparing average major procedures per year, the US residents achieve significantly more (132.3 vs 195.4, p <0.01). When factoring in differences in time spent in training, this amounts to a weekly average difference of 1.2 cases throughout training. In this study, we find no difference in overall surgical volumes between Danes and US residents during their surgical training. When time in training was accounted for, differences between weekly surgical volumes achieved were minor, indicating a lack of direct correlation between weekly work-hours and operative volumes achievable. Factors other than work-hours seem to effect on operative volumes achieved during training. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

Acculturation Needs of Pediatric International Medical Graduates: A Qualitative Study.

PubMed

Osta, Amanda D; Barnes, Michelle M; Pessagno, Regina; Schwartz, Alan; Hirshfield, Laura E

2017-01-01

Phenomenon: International medical graduates (IMGs) play a key role in host countries' health systems but face unique challenges, which makes effective, tailored support for IMGs essential. Prior literature describing the acculturation needs of IMGs focused primarily on communication content and style. We conducted a qualitative study to explore acculturation that might be specific to IMG residents who care for children. In a study conducted from November 2011 to April 2012, we performed four 90-minute semistructured focus groups with 26 pediatric IMG residents from 12 countries. The focus group transcripts were analyzed using open and focused coding methodology. The focus groups and subsequent analysis demonstrated that pediatric IMG residents' socialization to their home culture impacts their transition to practice in the United States; they must adjust not only to a U.S. culture, different from their own, but also to the culture of medicine in the United States. We identified the following new acculturation themes: understanding the education system and family structure, social determinants of health, communication with African American parents, contraception, physician handoffs, physicians' role in prevention, adolescent health, and physicians' role in child advocacy. We further highlight the acculturation challenges faced by pediatric IMG residents and offer brief recommendations for the creation of a deliberate acculturation curriculum for pediatric IMG residents. Insight: Residency training is a unique period in physicians' personal and professional development and can be particularly challenging for IMGs. There is a significant gap in the identified acculturation needs and the current curricula available to IMG residents who care for children.

First Job Search of Residents in the United States: A Survey of Anesthesiology Trainees' Interest in Academic Positions in Cities Distant from Previous Residences.

PubMed

Dexter, Franklin; De Oliveira, Gildasio S; McCarthy, Robert J

2016-01-15

We surveyed anesthesiology residents to evaluate the predictive effect of prior residence on desired location for future practice opportunities. One thousand five hundred United States anesthesiology residents were invited to participate. One question asked whether they intend to enter academic practice when they graduate from their residency/fellowship training. The analysis categorized the responses into "surely yes" and "probably" versus "even," "probably not," and "surely no." "After finishing your residency/fellowship training, are you planning to look seriously (e.g., interview) at jobs located more than a 2-hour drive from a location where you or your family (e.g., spouse or partner/significant other) have lived previously?" Responses were categorized into "very probably" and "somewhat probably" versus "somewhat improbably" and "not probable." Other questions explored predictors of the relationships quantified using the area under the receiver operating characteristic curve (area under the curve) ± its standard error. Among the 696 respondents, 36.9% (N = 256) would "probably" consider an academic practice. Fewer than half of those (P < 0.0001) would "very probably" consider a distant location (31.6%, 99% CI 24.4%-39.6%). Respondents with prior formal research training (e.g., PhD or Master's) had greater interest in academic practice at a distant location (AUC 0.63 ± 0.03, P = 0.0002). Except among respondents with formal research training, a good question to ask a job applicant is whether the applicant or the applicant's family has previously lived in the area.

Ethos of independence across regions in the United States: the production-adoption model of cultural change.

PubMed

Kitayama, Shinobu; Conway, Lucian Gideon; Pietromonaco, Paula R; Park, Hyekyung; Plaut, Victoria C

2010-09-01

Contemporary U.S. culture has a highly individualistic ethos. Nevertheless, exactly how this ethos was historically fostered remains unanalyzed. A new model of dynamic cultural change maintains that sparsely populated, novel environments that impose major threats to survival, such as the Western frontier in the United States during the 18th and 19th centuries, breed strong values of independence, which in turn guide the production of new practices that encourage self-promotion and focused, competitive work. Faced with few significant threats to survival, residents in traditional areas are likely to seek social prestige by adopting existing practices of other, higher status groups. Because of both the massive economic success of the frontier and the official endorsement of the frontier by the federal government, eastern residents of the United States in the 18th and 19th centuries may have actively adopted the frontier practices of independence, thus incorporating the frontier ethos of independence to form the contemporary U.S. national culture. Available evidence is reviewed, and implications for further research on cultural change are suggested. Copyright 2010 APA, all rights reserved.

Support for and aspects of use of educational games in family medicine and internal medicine residency programs in the US: a survey.

PubMed

Akl, Elie A; Gunukula, Sameer; Mustafa, Reem; Wilson, Mark C; Symons, Andrew; Moheet, Amir; Schünemann, Holger J

2010-03-25

The evidence supporting the effectiveness of educational games in graduate medical education is limited. Anecdotal reports suggest their popularity in that setting. The objective of this study was to explore the support for and the different aspects of use of educational games in family medicine and internal medicine residency programs in the United States. We conducted a survey of family medicine and internal medicine residency program directors in the United States. The questionnaire asked the program directors whether they supported the use of educational games, their actual use of games, and the type of games being used and the purpose of that use. Of 434 responding program directors (52% response rate), 92% were in support of the use of games as an educational strategy, and 80% reported already using them in their programs. Jeopardy like games were the most frequently used games (78%). The use of games was equally popular in family medicine and internal medicine residency programs and popularity was inversely associated with more than 75% of residents in the program being International Medical Graduates. The percentage of program directors who reported using educational games as teaching tools, review tools, and evaluation tools were 62%, 47%, and 4% respectively. Given a widespread use of educational games in the training of medical residents, in spite of limited evidence for efficacy, further evaluation of the best approaches to education games should be explored.

Burnout: Job Resources and Job Demands Associated With Low Personal Accomplishment in United States Radiology Residents.

PubMed

Guenette, Jeffrey P; Smith, Stacy E

2018-06-01

We aimed to identify job resources and job demands associated with measures of personal accomplishment (PA) in radiology residents in the United States. A 34-item online survey was administered between May and June 2017 to U.S. radiology residents and included the 8 Likert-type PA questions from the Maslach Burnout Inventory-Human Services Survey, 19 visual analog scale job demands-resources questions, and 7 demographic questions. Multiple linear regression was calculated to predict PA based on job demands-resources. Effects of binomial demographic factors on PA scores were compared with independent-samples t tests. Effects of categorical demographic factors on PA scores were compared with one-way between-subjects analysis of variance tests. A linear regression was calculated to evaluate the relationship of age on PA scores. "The skills and knowledge that I am building are important and helpful to society" (P = 2 × 10 -16 ), "I have good social support from my co-residents" (P = 4 × 10 -5 ), and "I regularly receive adequate constructive feedback" (P = 4 × 10 -6 ) all positively correlated with PA. PA scores were significantly lower for individuals who were single vs those married or partnered (P = .01). Radiology residents score higher in the PA domain of burnout when they receive adequate constructive feedback, have good co-resident social support, and feel that the skills and knowledge they are building are important to society. Improving constructive feedback mechanisms, enabling resident-only social time, and supporting opportunities that reinforce the importance of their contributions may therefore improve radiology residents' sense of PA. Copyright © 2018. Published by Elsevier Inc.

Differences in Selected HIV Care Continuum Outcomes Among People Residing in Rural, Urban, and Metropolitan Areas-28 US Jurisdictions.

PubMed

Nelson, John A; Kinder, Anna; Johnson, Anna Satcher; Hall, H Irene; Hu, Xiaohong; Sweet, Donna; Guido, Alyssa; Katner, Harold; Janelle, Jennifer; Gonzalez, Maribel; Paz, Natalia Martínez; Ledonne, Charlotte; Henry, Jason; Bramel, Theresa; Harris, Jeanne

2018-12-01

The HIV care continuum is used to monitor success in HIV diagnosis and treatment among persons living with HIV in the United States. Significant differences exist along the HIV care continuum between subpopulations of people living with HIV; however, differences that may exist between residents of rural and nonrural areas have not been reported. We analyzed the Centers for Disease Control and Prevention's National HIV Surveillance System data on adults and adolescents (≥13 years) with HIV diagnosed in 28 jurisdictions with complete reporting of HIV-related lab results. Lab data were used to assess linkage to care (≥1 CD4 or viral load test ≤3 months of diagnosis), retention in care (≥2 CD4 and/or viral load tests ≥3 months apart), and viral suppression (viral load <200 copies/mL) among persons living with HIV. Residence at diagnosis was grouped into rural (<50,000 population), urban (50,000-499,999 population), and metropolitan (≥500,000 population) categories for statistical comparison. Prevalence ratios and 95% CI were calculated to assess significant differences in linkage, retention, and viral suppression. Although greater linkage to care was found for rural residents (84.3%) compared to urban residents (83.3%) and metropolitan residents (81.9%), significantly lower levels of retention in care and viral suppression were found for residents of rural (46.2% and 50.0%, respectively) and urban (50.2% and 47.2%) areas compared to residents of metropolitan areas (54.5% and 50.8%). Interventions are needed to increase retention in care and viral suppression among people with HIV in nonmetropolitan areas of the United States. © 2016 National Rural Health Association.

38 CFR 3.42 - Compensation at the full-dollar rate for certain Filipino veterans residing in the United States.

Code of Federal Regulations, 2010 CFR

2010-07-01

... through birth in the territorial U.S., birth abroad as provided under title 8, United States Code, or... is a natural born citizen of the U.S.: (i) A valid U.S. passport; (ii) A birth certificate showing that he or she was born in the U.S.; or (iii) A Report of Birth Abroad of a Citizen of the U.S. issued...

38 CFR 3.42 - Compensation at the full-dollar rate for certain Filipino veterans residing in the United States.

Code of Federal Regulations, 2011 CFR

2011-07-01

... through birth in the territorial U.S., birth abroad as provided under title 8, United States Code, or... is a natural born citizen of the U.S.: (i) A valid U.S. passport; (ii) A birth certificate showing that he or she was born in the U.S.; or (iii) A Report of Birth Abroad of a Citizen of the U.S. issued...

A Plea to Reassess the Role of United States Medical Licensing Examination Step 1 Scores in Residency Selection.

PubMed

Prober, Charles G; Kolars, Joseph C; First, Lewis R; Melnick, Donald E

2016-01-01

The three-step United States Medical Licensing Examination (USMLE) was developed by the National Board of Medical Examiners and the Federation of State Medical Boards to provide medical licensing authorities a uniform evaluation system on which to base licensure. The test results appear to be a good measure of content knowledge and a reasonable predictor of performance on subsequent in-training and certification exams. Nonetheless, it is disconcerting that the test preoccupies so much of students' attention with attendant substantial costs (in time and money) and mental and emotional anguish. There is an increasingly pervasive practice of using the USMLE score, especially the Step 1 component, to screen applicants for residency. This is despite the fact that the test was not designed to be a primary determinant of the likelihood of success in residency. Further, relying on Step 1 scores to filter large numbers of applications has unintended consequences for students and undergraduate medical education curricula. There are many other factors likely to be equally or more predictable of performance during residency. The authors strongly recommend a move away from using test scores alone in the applicant screening process and toward a more holistic evaluation of the skills, attributes, and behaviors sought in future health care providers. They urge more rigorous study of the characteristics of students that predict success in residency, better assessment tools for competencies beyond those assessed by Step 1 that are relevant to success, and nationally comparable measures from those assessments that are easy to interpret and apply.

Does medical student membership in the gold humanism honor society influence selection for residency?

PubMed

Rosenthal, Susan; Howard, Brian; Schlussel, Yvette R; Lazarus, Cathy J; Wong, Jeffrey G; Moutier, Christine; Savoia, Maria; Trooskin, Stanley; Wagoner, Norma

2009-01-01

With the creation of the Gold Humanism Honor Society (GHHS) in 2002, the Arnold P. Gold Foundation established a mechanism for recognizing medical students who demonstrate exemplary humanism/professionalism/communication skills. Currently, 80 medical schools have GHHS chapters. Selection is based on peer nomination using a validated tool. The objective of this survey was to assess the percentage of residency program directors (PDs) who are aware of and are using GHHS membership as a residency selection tool. Surgery (SURG) and internal medicine (IM) PDs in 4 United States regions were surveyed for familiarity with GHHS and perceived rank of GHHS membership relative to Alpha Omega Alpha (AOA) membership, class rank, medical student performance evaluation (MSPE), clerkship grade, and United States Medical Licensing Examination (USMLE) score, in evaluating an applicant's humanism/professionalism, service orientation, and fit with their program. Program demographics and familiarity with GHHS were also surveyed. The response rate was 56% (149 respondents). IM PDs rated GHHS membership higher than did SURG PDs when evaluating professionalism/humanism and service orientation. PDs familiar with GHHS ranked membership higher when considering professionalism/humanism (4.1 vs 3.2; p < 0.05) and service orientation (4.1 vs 2.9; p < 0.01). Familiarity with GHHS correlated with being an IM PD, residency based at teaching hospital, large residency program, knowledge of residents who were GHHS members, and having a GHHS chapter at their school (p < 0.01). Familiarity with GHHS was related to rankings of GHHS (professionalism/humanism F = 3.36; p < 0.05; service orientation F = 3.86; p < 0.05) more than the PDs' specialty was. In all, 157 GHHS students (from all 4 United States regions) were also surveyed about the 1197 interviews they had with residency PDs. They reported that although a few PDs were aware of GHHS, PDs of core medical specialties were more aware of GHHS than SURG PDs. IM PDs were more aware of GHHS (70%) than SURG PDs (30%). Awareness was related to the favorable ranking of GHHS as a selection criterion for humanism/professionalism/service orientation. PDs familiar with GHHS were from larger programs, were likely to know residents who were members, and were likely to think that GHHS membership predicted humanistic care. Membership in GHHS may set candidates apart from their peers and allow PDs to distinguish objectively the candidates who demonstrate compassionate medical care. Increased knowledge about the GHHS may therefore serve to be a useful adjunct for PDs when selecting medical students for their residency programs.

Nursing home quality and financial performance: does the racial composition of residents matter?

PubMed

Chisholm, Latarsha; Weech-Maldonado, Robert; Laberge, Alex; Lin, Feng-Chang; Hyer, Kathryn

2013-12-01

To examine the effects of the racial composition of residents on nursing homes' financial and quality performance. The study examined Medicare and Medicaid-certified nursing homes across the United States that submitted Medicare cost reports between the years 1999 and 2004 (11,472 average per year). Data were obtained from the Minimum Data Set, the On-Line Survey Certification and Reporting, Medicare Cost Reports, and the Area Resource File. Panel data regression with random intercepts and negative binomial regression were conducted with state and year fixed effects. Financial and quality performance differed between nursing homes with high proportions of black residents and nursing homes with no or medium proportions of black residents. Nursing homes with no black residents had higher revenues and higher operating margins and total profit margins and they exhibited better processes and outcomes than nursing homes with high proportions of black residents. Nursing homes' financial viability and quality of care are influenced by the racial composition of residents. Policy makers should consider initiatives to improve both the financial and quality performance of nursing homes serving predominantly black residents. © Health Research and Educational Trust.

Primary language and cultural background as factors in resident burnout in medical specialties: a study in a bilingual US city.

PubMed

Afzal, Khalid I; Khan, Farhan M; Mulla, Zuber; Akins, Ralista; Ledger, Elizabeth; Giordano, Frank L

2010-07-01

The aim of this study was to identify the degree of burnout among resident physicians enrolled in seven postgraduate training programs at Texas Tech University Health Sciences Center (TTUHSC), Paul L. Foster School of Medicine, El Paso, Texas, as it related to residents' age, gender, marital status, number of hours worked per week, primary language, race/ethnicity, and cultural background. : The Maslach Burnout Inventory Human Service Survey (MBI) was administered to measure the level of burnout according to the prevalence of emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (PA). : Eighty-one percent of the residents at TTUHSC participated in the study. Residents raised in the United States or Canada comprised 28% and 35% of the study, and all reported English as their primary language. The EE scale was significant for obstetrics/gynecology (OB/GYN) residents (prevalence odds ratio [POR] = 13.55, P = 0.02) and psychiatry (PSY) residents (POR = 6.50, P = 0.03). Emergency medicine (EM) residents (POR = 23.35, P = 0.002), OB/GYN (POR = 10.89, P = 0.02), and general surgery (GS) (POR = 6.24, P = 0.03) residents had high DP. Internal medicine (IM) residents (primarily Spanish-speaking) reported significantly low EE (POR = 0.22, P = 0.03) and PA (POR = 0.09, P = 0.001) scores. Residents from the United States or Canada who reported English as their primary language and noted their race as white, had high EE (POR = 3.06, P = 0.03; POR = 5.61, P = 0.0001; POR = 2.91, P = 0.004), DP (POR = 3.19, P = 0.02; POR = 8.34, P < or = 0.0001; POR = 4.70, P < or = 0.0001) and PA (POR = 2.61, P = 0.02; POR = 2.35, P = 0.05, POR 0.29, P = 0.3) scores. Using valid measures, this pilot study identified a statistically significant relationship between burnout and residents' race/ethnicity, primary language, and cultural background. Larger studies with similar focus would be necessary to generalize these findings. At-risk residents in bilingual locations should be provided with cultural awareness workshops, language assistance programs, as well as senior resident and faculty mentors.

Intergenerational Conflict and Public Education Expenditure when There Is Co-Residence between the Elderly and Young

ERIC Educational Resources Information Center

Arvate, Paulo Roberto; Zoghbi, Ana Carolina Pereira

2010-01-01

The main objective of this paper is to show that a family arrangement in which the elderly co-reside with the young determines that the elderly support the public education expenditure. Considering that this type of family arrangement is more common in Latin American countries than in the United States, our study is concentrated in Brazil. This…

Applying Resource Utilization Groups (RUG-III) in Hong Kong Nursing Homes

ERIC Educational Resources Information Center

Chou, Kee-Lee; Chi, Iris; Leung, Joe C. B.

2008-01-01

Resource Utilization Groups III (RUG-III) is a case-mix system developed in the United States for categorization of nursing home residents and the financing of residential care services. In Hong Kong, RUG-III is based on several board groups of residents. The aim of this study was to examine the reliability and validity of the RUG-III in Hong Kong…

26 CFR 25.2523(i)-1 - Disallowance of marital deduction when spouse is not a United States citizen.

Code of Federal Regulations, 2010 CFR

2010-04-01

... trust property. In 1995, D, a resident alien, transfers property valued at $500,000 in trust to S, who is also a resident alien. The trust instrument provides that the trust income is payable to S at... S has a life income interest in the trust, S has a present interest in a portion of the trust...

26 CFR 25.2523(i)-1 - Disallowance of marital deduction when spouse is not a United States citizen.

Code of Federal Regulations, 2013 CFR

2013-04-01

... trust property. In 1995, D, a resident alien, transfers property valued at $500,000 in trust to S, who is also a resident alien. The trust instrument provides that the trust income is payable to S at... S has a life income interest in the trust, S has a present interest in a portion of the trust...

26 CFR 25.2523(i)-1 - Disallowance of marital deduction when spouse is not a United States citizen.

Code of Federal Regulations, 2012 CFR

2012-04-01

... trust property. In 1995, D, a resident alien, transfers property valued at $500,000 in trust to S, who is also a resident alien. The trust instrument provides that the trust income is payable to S at... S has a life income interest in the trust, S has a present interest in a portion of the trust...

26 CFR 25.2523(i)-1 - Disallowance of marital deduction when spouse is not a United States citizen.

Code of Federal Regulations, 2014 CFR

2014-04-01

... trust property. In 1995, D, a resident alien, transfers property valued at $500,000 in trust to S, who is also a resident alien. The trust instrument provides that the trust income is payable to S at... S has a life income interest in the trust, S has a present interest in a portion of the trust...