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By S. Will. Lycoming College.

Students Excused absences may be granted in should make every effort to leave as late as cases of illness imuran 50mg visa, religious observance discount imuran 50 mg amex, fam- possible and return as early as possible when ily emergency, presentations at scientifc interviewing to minimize time lost from a core conferences, or required legal activity (e. On 6-9 week clerkships, students will be whenever feasible) with the section director, allowed to miss 3 full days of responsibili- course director, and/or Associate Dean for ties as excused absences for interviews. Students must inform course directors Attendance Policy of any such absences in advance of the The School of Medicine recognizes the pri- beginning of the clerkship when possible. Atten- be considered unexcused and will impact dance rules are governed by the School of on the student’s fnal grade. Students should expect to The holidays which occur during the Clerk- attend required basic clerkship educational ship time generally fall on a Monday or Fri- activities after they have completed the exam. If this occurs, scheduled activities activities may be scheduled on those week- for these other courses take priority over all end days at the discretion of the Clerkship scheduled Clerkship activities. Elective Coursework public or civic events are not considered holi- Under no circumstances will elective course- days for Core Clerkship students. Students will not be excused from Excused & Unexcused Absences required Core Clerkship duties to attend a. This includes elective ensure that students obtain suffcient experi- experiences requiring complex or expensive ence in each of the basic disciplines to meet travel arrangements, such as those con- the objectives of the Hopkins curriculum. Illness or Injury (Personal or Family) Holidays) Illnesses or injuries are handled on a case by Students must notify the Clerkship Director case basis by Clerkship Directors. In almost as early as possible before the start of the all cases, such events cannot be predicted in clerkship regarding any scheduled absence advance. When either occurs, the student’s other than those described above, and should frst responsibility is to their own personal expect that they will need to make up missed safety and the safety and well-being of those time. Once the situation has stabi- absence for religious holidays, academic lized suffciently and it is safe to do so, a stu- events (e. As necessary, remediation plans will be tial impact on the educational experience, the made on a case-by-case basis by the Clerk- general rule is “a day for a day” (i. Students who of the educational experience is missed for must miss a class or an examination because any reason, it is at the Clerkship Director’s of a religious holiday must inform the instruc- discretion to require remediation, reduce the tor as early as possible in order to be excused student’s grade, or remove the student from from class or to make up any work that is the Clerkship that cycle. Weather and Other Related Emergencies Clerkship slot, potentially delaying promotion Within the Baltimore Area or graduation in some circumstances. Weather-related policies are stipulated by Students who fail to attend required activi- the Johns Hopkins University. Clerkship Orientation) without ship students are not considered “Required advance notice and are unable to offer a rea- Attendance Employees” and are excused sonable or appropriate justifcation (as judged from attendance at normally-required Clerk- by the Clerkship Director) may be subject ship activities if affected by circumstances to grade reductions, failure, or disciplinary (e. As necessary, remediation plans Any student who feels unfairly treated with will be made on a case-by-case basis by the regard to attendance or duty hours policy Clerkship Director. If a mutually agreeable deci- Outside the Baltimore Area sion is not reached, the student should con- Students who travel during (e.

Brief in the lives of people who engage in risky use of 157 interventions for alcohol use among pregnant addictive substances safe 50mg imuran. Dental patients are women are effective even when provided in a receptive to their dentists’ involvement in the community setting by non-medical prevention and treatment of risky use and 147 professionals 50 mg imuran amex. A 2005 survey of patients visiting an 148 and partners are particularly effective. They also effective in addressing such use among those can be instrumental in controlling the diversion 152 with psychiatric conditions. For example, a of prescription medications for misuse by study evaluating the effectiveness of a screening monitoring the number of prescriptions filled by and brief intervention program in a primary a patient, looking for false or altered prescription 159 health and mental health care setting at a forms and recognizing when a patient is † 160 university found that six weeks after receiving “doctor shopping” or in need of treatment. High School, College and University Settings Dental Care Screening and brief intervention programs Dental professionals can play a unique role in reduce risky use of addictive substances among detecting substance use among their patients, students by changing their attitudes, beliefs and providing brief interventions and referring expectations regarding tobacco, alcohol and 154 161 patients to treatment. The program consists of 163 two one-hour interviews and a brief online of risky alcohol or other drug use. In the second interventions because of the high rates of interview, students receive personalized face-to- substance use in the college population; an face feedback about their alcohol use compared * estimated 67. To date, the majority of the factors for drinking and strategies for reducing 166 screening- and intervention-related research alcohol use and related problems. Screening and brief interventions who did not participate in the intervention to have proven successful in reducing risky alcohol 171 have reduced their alcohol consumption four use and its consequences in this population. The Department of Education recommends the implementation of screening and brief intervention programs in all college health Justice Settings 172 centers. Unfortunately, jurisdictions typically do not provide adequate screening or 174 brief intervention services even though there are several screening tools that have been 175 validated for use with juvenile offenders. Even those facilities that screen an ideal venue for offering confidential youth and use a standardized screening screening, brief interventions and treatment instrument do not necessarily provide referrals. Several ‡ standardized screening and interventions are not pilot studies have demonstrated the 181 § implemented regularly in justice settings. The majority of people ages 18 and older who Comparable data on the proportion of employers meet clinical criteria for addiction (63. Of the 2,658 facilities in the final sample, 2,128 reported information about screening. In this light, it frequently 193 is viewed as infringing on workers’ privacy; Barriers to Effective workers may worry about the confidentiality of Implementation of Screening and their test results and whether they will be used to deny employment or to impose other forms of Brief Interventions 194 discrimination. The drug-testing process can 195 The failure of our health care providers, schools, be costly as well. A significant barrier to change is the 196 fact that services aimed at preventing and included in the screening. Many physicians and other health professionals A significant proportion of individuals who do not screen their patients for risky use of participate in government programs have many addictive substances, provide early interventions risk factors for substance use and addiction and or treat or refer for specialty care, or they do so can benefit from screening and brief intervention inadequately because they simply have not been † services.

W hen public health measures succeeded in cleansing water and disposing o f waste buy imuran 50mg low price, society forgot the lessons we learned from those programs effective imuran 50mg. We succumbed to conceptual cow­ ardice and m iscom prehended the systemic nature of our existence. We then em barked on the pursuit of health by assuming we could deal with the hum an organism in isola­ tion from its society and its environm ent. But as Kenneth Boulding has said: W e m ust get th e idea across th at society is a great p o nd, and ju st as in a fish p ond (if it’s unpolluted) frogs, vegetation an d chem icals all interact to form a reasonably stable equilibrium o f populations, so in society we have ro u g h equilibrium at any one m om ent o f in teracting populations o f crim inals, police, autom obiles, schools, churches, superm arkets, nations, arm ies, corporations, laws, universities and ideas. Today science is under attack because it has lusted after means and been blind to ends. Science will survive the attack because it will adjust and because we cannot do with­ out it. But it will be forced to retrench, and in doing so will be compelled to enter hum an values into its equations. It will be forced to subject the ends it pursues to the assent of those who are affected. This accounts for its successes and for some of the critique lodged against it as well. Medicine, along with the other sciences, has elabo­ rated its means and forgotten its ends. Jacques Ellul described this dichotomy in The Technological Society35 when he pointed out that elaboration of technique and Medicine, Society, and Culture 157 m an’s inability to control the technology he has created is due to our failure to understand how to change the underly­ ing set of assumptions from which we work. In Guatemala, the tourist who takes a photograph of a native has “cap­ tured” the soul o f his subject. T he subject returns to his hut, desists from further hum an interaction, and refuses to eat and care for himself. T o the technocrat this episode is indubitable evidence of primitive foolishness and stupidity. T he camera, he asserts, is merely a device for passively recording physical phenom ena and can in no way harm the subject. While this view may assuage any guilt the tourist may have, it is of little solace to the native. It is, rather, an arrogance borne out of benign assumptions about tools and technology that leads the technocrat to his in­ terpretation. But the fact remains that since the camera can cause the native’s death, it can hardly, under these circum­ stances, be considered value-free.