For most physicians, the period of official apprenticeship ends with the completion of residency or fellowship, yet the acquisition of expertise requires ongoing opportunities to practice a given skill and obtain structured feedback on one’s performance.

Hospitalists need to continue to take C-suite positions at hospitals and policy roles at think tanks and governmental agencies. They need to continue to master technology, clinical care, and the ever-growing importance of where those two intersect. Most of all, the field can’t get lazy. Otherwise, the “better mousetrap” of HM might one day be replaced by the next group of physicians willing to work harder to implement their great idea. “If we continue to be the vanguard of innovation, the vanguard of making the system work better than it ever has before,” Dr. Wachter says, “the field that creates new models of care, that integrates technology in new ways, and that has this can-do attitude and optimism, then the sky is the limit.”

At a time of once-in-a-generation reform to healthcare in this country, the leaders of HM can’t afford to rest on their laurels, says Dr. Goldman. Three years ago, he wrote a paper for the Journal of Hospital Medicine titled “An Intellectual Agenda for Hospitalists.” In short, Dr. Goldman would like to see hospitalists move more into advancing science themselves rather than implementing the scientific discoveries of others. He cautions anyone against taking that as criticism of the field. “If hospitalists are going to be the people who implement what other people have found, they run the risk of being the ones who make sure everybody gets perioperative beta-blockers even if they don’t really work,” he says. “If you want to take it to the illogical extreme, you could have people who were experts in how most efficiently to do bloodletting. “The future for hospitalists, if they’re going to get to the next level—I think they can and will—is that they have to be in the discovery zone as well as the implementation zone.” Dr. Wachter says it’s about staying ahead of the curve. For 20 years, the field has been on the cutting edge of how hospitals treat patients. To grow even more, it will be crucial to keep that focus.

And while hospitalists have already moved into post-acute-care settings, Dr. Bessler says that will become an even bigger focus in the next 20 years of the specialty. “It’s not generally been the psyche of the hospitalist in the past to feel accountable beyond the walls of the hospital,” he says. “But between episodic care [and] bundled payments … you can’t just wash your hands of it. You have to understand your next site-of-care decision. You need to make sure care happens at the right location.”

Dr. Gandhi, who was finishing her second year of residency at Duke Medical Center in Raleigh, N.C., when the NEJM paper was published, sees the acuity of patients getting worse in the coming years as America rapidly ages. Baby boomers will start turning 80 in the next decade, and longer life spans translate to increasing medical problems that will often require hospitalization.

So what now? For all the talk of SHM’s success, HM’s positive impacts, and the specialty’s rocket growth trajectory, the work isn’t done, industry leaders say. Hospitalists are not just working toward a more valuable delivery of care, they’re also increasingly viewed as leaders of projects all around the hospital because, well, they are always there, according to Dr. Gandhi. “Hospitalists really are a leader in the hospital around quality and safety issues because they are there on the wards all the time,” she says. “They really have an interest in being the physician champions around various initiatives, so [in my hospital tenures] I partnered with many of my hospitalist colleagues on ways to improve care, such as test-result management, medication reconciliation, and similar efforts. We often would establish multidisciplinary committees to work on things, and almost always there was a hospitalist who was chairing or co-chairing or participating very actively in that group.”

Dr. Bessler says that as HMGs continued to focus on improving quality and lowering costs, they had little choice but to get involved in activities outside the hospital. “We got into post-acute medicines because there was an abyss in quality,” he says. “We were accountable to send patients out, and there was nobody to send them to. Or the quality of the facilities was terrible, or the docs or clinicians weren’t going to see those patients regularly. That’s how we got into solving post-acute.”

“The day is upon us where we need to strongly consider nurse practitioners and physician assistants as equal in the field,” he says. “We’re going to find a much better continuity of care for all our patients at various institutions with hospital medicine and … a nurse practitioner who is at the top of their license.”

Recent State of Hospital Medicine surveys showed that 83% of hospitalist groups are utilizing NPs and PAs, and SHM earlier this year added Tracy Cardin, ACNP-BC, SFHM, as its first non-physician voting board member

“To me, this is the new frontier,” Dr. Wachter says. “If our defining mantra as a field is, ‘How do we make care better for patients, and how do we create a better system?’ … well, I don’t see how you say that without really owning the issue of informatics.”

SHM’s Information Technology Committee, believes that hospitalists have to take ownership of health information technology (HIT) in their own buildings.

Dr. Bessler of Sound Physicians notes that advances in technology have come with their hurdles as well. Take the oft-maligned world of electronic medical records (EMRs). “EMRs are great for data, but they’re not workflow solutions,” Dr. Bessler says. “They don’t tell you what do next.” So Sound Physicians created its own technology platform, dubbed Sound Connect, that interacts with in-place EMRs at hospitals across the country. The in-house system takes the functional documentation of EMRs and overlays productivity protocols, Dr. Bessler says. “It allows us to run a standard workflow and drive reproducible results and put meaningful data in the hands of the docs on a daily basis in the way that an EMR is just not set up to do,” he adds. Technology will continue “to be instrumental, of course, but I think the key thing is interoperability, which plenty has been written on, so we’re not unique in that. The more the public demands and the clinicians demand … the better patient care will be. I think the concept of EMR companies not being easy to work with has to end.”

Poor health literacy is a silent and ubiquitous health care issue, and the field of neurosurgery is particularly prone to the consequent adverse effects. Failure to address low health literacy has several detrimental health and economic consequences, and numerous policies have been initiated to address these. Better facilitating patient understanding of neurosurgical disease, treatment options, and care surrounding the operative period may have a positive impact on the health care economy and ultimately achieve improved outcomes for patients.

Beyond the Frame: The New Classroom

forensically informed, interdiscipli-nary approach that integrates neuropsychiat-ric, neuropsychological, and psychophysiologi-cal methods for the study of brain localisation,social cognition, and emotional processing

neuropsychiatric evaluation of violentpatients should include clinical assessment forfrontal lobe impairment and neuropsychologi-cal evaluation of executive functions,

Accurate measurement of theincreased risk of violence in subjects with pre-frontal dysfunction also requires comparisonwith rates of aggression in appropriate controls

future studies testing the relation betweenfrontal lobe dysfunction and aggression shouldincorporate controls for known risk factorscontributing to violent behaviour

As the power is unleashed, computers on the Semantic Web achieve at first the ability to describe, then to infer, and then to reason. The schema is a huge step, and one that will enable a vast amount of interoperability and extra functionality. However, it still only categorizes data. It says nothing about meaning or understanding.

having children is a privilege that has been historically denied to many nonwhite and nonafflu-ent people.

Snap is also confident that it can reach a high amount of new voters: 80 percent of its users are over 18, so this campaign won't just fall on well-meaning (but still too young) thumbs.

keenest attachments, and whose natural gifts may be, if we do not squander or destroy them, exactly what we need to flourish and perfect ourselves—as human beings.

Động thái một loạt ông lớn như Vingroup, Viettel, FPT, VNPT, Phenikaa… công bố các dự án thúc đẩy đầu tư cho khoa học, công nghệ trùng hợp với sự kiện 100 nhân tài trẻ nước ngoài trở về tham gia Chương trình Kết nối mạng lưới đổi mới sáng tạo Việt Nam 2018 đã thổi bùng niềm tin về một công cuộc vĩ đại đánh thức các tiềm lực mới cho phát triển kinh tế.

appointment. Time chunksopen up the possibility for future-oriented temporal manipulation and valuation; they assumethat we are able to know, in advance, the duration of tasks and experiences.

tries (Prado 2013). Here again, instead of looking at the present as a heterogeneous context, the present isconsidered as uniform and following a linear trajectory toward

Text is not going away, but if we really want it to be understood and remembered, we should integrate it better with physical and emotional experience. This convergence may happen with the “physicalization” of the digital world, where digital experiences become part of our physical life.

The possibilities of this storytelling technique are demonstrated by its transference into real-life projects, such as the immersive model that his production company, 5D GlobalStudio, developed for Al Baydha, a Bedouin village in Saudi Arabia.

Offering consultation services to clients is no longer optional in a world where websites can be generated by Squarespace and other white label services.

The model of future successful brand agencies is a hybrid approach of digital and brand, neither one prioritized over the other.

While none of these are a traditional logo, each of them represents a touch point between a human and a brand. Just like a logo, these types of interactions represent the tip of the iceberg of a brand. These days, a brand mark does not need to be visual–touch, interaction, or sound can equally be a brand mark.

At a time when brand experiences are often based upon touch, sound, and voice, how can a branding process that starts out from a purely visual perspective ever possibly succeed?

In the short term, digital design will move beyond screens to physical surfaces and augmented or artificial environments, and designers will occupy more positions where they are directing or consulting on larger and more complex systems of experience. Design is already less visual and more collaborative, and will continue along that trend. It’s not enough, though, to look five or ten years in the future. Will there be a Machine-Learning designer in 2050? Maybe. But in forty years, it’s just as likely that jobs will no longer exist, or at least not in a way that we would recognize them.

The present is sticky.  The Long Now became the Long Right Now, somehow. This is not what we had in mind when we philosophised about atemporality, but it's probably what we deserved.

This is their ‘afterlife’!” They successfully transmitted some essence of their life to a world far beyond their own.

Notably, a movement is growing to provide copyright-free open-access text books.

Belong to us and to our children — Are the proper objects of our inquiries, that thereby we may know our duty, and, by complying with it, may be kept from such terrible calamities as these now mentioned.

Dude, you broke the future!

A Field Guide to ‘jobs that don’t exist yet’

The head of a small university’s "academic innovation" office explains why that phrase isn’t a contradiction in terms, and how the office helps professors amplify creative approaches to teaching and learning.

What happened this year that will still matter in 2022? Digital learning experts weigh in.

faculty as guides for students toward knowledge and mastery

it also turns out that neural networks and data mining in general are really good at reinforcing the prejudices of their programmers, and embedding them in hardware. Here's a racist hand dryer — it's proximity sensor simply doesn't work on dark skin! Engineers with untested assumptions about the human subjects of their machines can wreak havoc.)

People with scientific training are adopting these practices as well, either by offering services on sites such as Upwork or finding projects through their previous academic networks.

I can’t go on

I take as given the evidence that human beings are irrevocably altering the conditions for life on Earth and that, despite certain unpredictabilities, we live at the cusp of a mass extinction. What is the place of digital humanities (DH) practice in the new social and geological era of the Anthropocene? What are the DH community’s most significant responsibilities, and to whom?

c = np.full((2,2), 7) # Create a constant array print(c)

Change is inevitable: transformation is possible.

that to secure Ourselves where we are, we must tread with awfull reverence in the footsteps of Our fathers.

The underlying lesson of the basics was about the social order and its sources of authority, a lesson which was appropriate for a society which expected its workers to be passively disciplined.

With our extensive prior knowledge derived from offline reading, we naturally interpret this standard, using a lens to our past, and teach infer-ential reasoning with narrative text offline.

But further than that, at a fundamental level, graphic design works as a kind of user interface; we organize information visually to allow people to navigate through and understand the world. As graphic designers we channel interactions through a primarily visual funnel, stripping out everything that can’t be accommodated in the medium. But as sensors, processing power and machine intelligence become more portable, ubiquitous, and increasingly part of the designer’s lexicon, we will one day find that our user interfaces are no longer primarily visual, but more sonic, haptic, and multi-sensory. With that comes a brand new palette of output at our disposal. Allow me to take this to a more extreme conclusion: We’re beginning to interface with our devices in more conversational terms as natural-language-processing algorithms improve, and in more gestural terms with improvements in computer vision and virtual reality. When coupled with renewed interest in anticipatory design, a massive signal appears pointing to a future in which graphic designers are barely required at all. But by taking a designer’s mindset to problem-framing and solving, we have skills that position us well to help shape the deployment and development of this new artificial intelligence in design; helping to develop new tools, new interfaces, and new interactions that shape future worlds in unimaginably profound ways.

The next design trend is one that eliminates all choices Written by Anne Quito Obsession Design June 18, 2015

Application developers will also likely win in all this. While the APIs and the data available will be pretty standardized, the manner in which it’s displayed will become a battleground of creativity. Innovation here will be key, doing something different and better than what everyone else is doing is the only way an app will stand out.

If there’s a definite winner in this possible future Internet, it is the content creators. If the only thing that sets one company or organization apart from their competition, then those who can create high-quality content will be in high demand. The thousands of dollars that a company used to be spent on website design will be funneled into website content instead.

Multimedia content will also still have a strong market. Those who can produce high-quality videos and even web-based apps (for things like Chrome OS) will have a strong business for years to come.

And all these touchpoints need to be designed, planned, and managed. This is a job that will continue to exist, regardless of the channel. We will still need cohesive experiences and valuable content across smart climatizers, virtual reality devices, electronic contact lenses, and whatever we invent in the decades to come.

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

Alaska's Future

In many ways, it’s precisely this union of science and magic that needs to be bottled and tirelessly cultivated if VR is to win the favor of mass audiences.

Richardson, Lawver, Ross, and Meeter are the future politicians, activists, educators, writers,entrepreneurs, and media makers.

Educators must work together to ensure that every American young person has access to theskills and experiences needed to become a full participant, can articulate their understanding of

Textbook Example of Unbundling

High-end digital products that directly or indirectly improve student outcomes Related services that help colleges improve student outcomes Services that help colleges improve the unsexy but critical aspects staying viable, from marketing to administration Loans to schools looking to make changes that will (theoretically) make them more sustainable in the long run but require significant up-front investment—preferably in the products and services of the company offering the loan

Computer technology is already eating jobs and has been since 1990.

Consider Phlebas, who was once handsome and tall as you.

The other problem is that the AI crowd seems to be assuming that people who might exist in the future should be counted equally to people who definitely exist today. That's by no means an obvious position, and tons of philosophers dispute it. Among other things, it implies what's known as the Repugnant Conclusion: the idea that the world should keep increasing its population until the absolutely maximum number of humans are alive, living lives that are just barely worth living. But if you say that people who only might exist count less than people who really do or really will exist, you avoid that conclusion, and the case for caring only about the far future becomes considerably weaker

If "social memory" can be defined as "how and what social groups remember," then digital culture, as Richard Rinehart and Jon Ippolito point out, changes both the how and the what of social memory.

Even some of the world's largest companies live in constant "fear of Google"; sudden banishment from search results, YouTube, AdWords, Adsense, or a dozen other Alphabet-owned platforms can be devastating.

The Future of the Professions: How Technology Will Transform the Work of Human Experts

“The Future of Employment: How Susceptible Are Jobs to Computerisation?”

It is by now close to certain that there are millions of people currently in high school and college who are fine-tuning their skills for steady-looking careers that will, following technological breakthroughs, dissipate by the time they retire.

We commonly look at Ivy League institutions as the standard of higher education in America, but the truth is that the majority of the nation's workforce, innovation identity and manufacturing futures are tied to those institutions which graduate outside of the realm of high achievers from wealthy families. 

When everything’s connected and nobody’s responsible for the consequences, what happens?

The War on Stupid People

TEACHING & LEARNING CONSULTANT

Why do we suddenly pretend that the twenty-first century never happened when a child enters an examination room?

rather than having an education system which has been industrialised around content and testing, why not have one that’s based around solving problems, working together, collaborating?

“fundamentally if we want to realize the potential of human networks to change how we work then we need analytics to transform information into insight otherwise we will be drowning in a sea of content and deafened by a cacophony of voices”

Designing Next-Generation Universities

The commoners who participate are just as importantly the commons, making it a dynamic and evolving eco-system.

The Professoriate Reconsidered

NMC Horizon Report: 2016 Higher Education Edition

Technology can help students fill in the vast blank spaces on their mental maps. But it cannot, on its own, create a safe space that encourages kids to ask tough questions.

from plantations. If that were to increase to 75 percent, the logged area of natural forests could drop in half.” Meanwhile the consumption of all wood has leveled off---for fuel, buildings, and, finally, paper. We are at peak timber.

RAJ: Paul, “sooner or later” doesn’t matter. You cannot deal in the future at the present time. Therefore, you should not govern your feelings on the basis of a future that you imagine may be.

Paul, there most certainly is an intent or purpose, a Divine Purpose, being fulfilled today. However, it is far from what it appears to be from a three-dimensional standpoint. I know that you have really no more idea what is going to happen as the day finishes out than you do when you begin a healing session, than you do when we begin a conversation, or than you do when you lay out the Tarot cards. Do not let that concern you. Just stay where you are and observe the Divine Purpose fulfill Itself. You have trusted me before when you weren’t even sure I was real. I am saying now, again, “Trust me.” And I can see that you do trust even more.

Vast infrastructural projects, including dams and highways—again, all debt-financed—are transforming the landscape.

●

The idea of a sensing package, a bundle of constitutive, participatory tendrils, may help press past commonplace conditional observations — e.g., that rhetorical activity is embodied — and could offer a way to think about connective, participatory dimensions of sensing. This I think is where sensation can go. But where has it been?

2087

I think a properly-designed city could eliminate 80% of daily living expenses while providing a quality of life far beyond what we experience today. And I think this future will have to happen because the only other alternative is an aggressive transfer of wealth from the rich to the poor by force of law. I don’t see that happening.

@tispnetwork

[1]

These three kinds of rhetoric refer to three different kinds of time. The political orator is concerned with the future: it is about things to be done hereafter that he advises, for or against. The party in a case at law is concerned with the past; one man accuses the other, and the other defends himself, with reference to things already done. The ceremonial orator is, properly speaking, concerned with the present, since all men praise or blame in view of the state of things existing at the time, though they often find it useful also to recall the past and to make guesses at the future.

For of the three elements in speech-making -- speaker, subject, and person addressed -- it is the last one, the hearer, that determines the speech's end and object. [1358b] The hearer must be either a judge, with a decision to make about things past or future, or an observer. A member of the assembly decides about future events, a juryman about past events: while those who merely decide on the orator's skill are observers. From this it follows that there are three divisions of oratory-(1) political, (2) forensic, and (3) the ceremonial oratory of display.

Let me ask you, however, not to pay any attention to what you have heard about me in the past from my would-be slanderers and calumniators, not to credit charges which have been made without proof or trial, and not to be influenced by the suspicions which have been maliciously implanted in you by my enemies, but to judge me to be the kind of man which the accusation and the defense in this trial will show me to be; for if you decide the case on this basis, you will have the credit of judging honorably and in accordance with the law, while I, for my part, shall obtain my complete deserts.

After having dwelt upon this subject, deplored the misfortunes of Hellas, and urged Athens not to allow herself to remain in her present state, finally I summon her to a career of justice, I condemn the mistakes she is now making, and I counsel her as to her future policy.

For I think, now that the charge under which I formerly labored has been disproved, you are anxious to change your attitude and want to hear from me what sort of eloquence it is which has occupied me and given me so great a reputation.

He has made his accusation in this manner, thinking that his extravagant assertions about me and my wealth and the great number of my pupils would arouse the envy of all his hearers, while my alleged activities in the law-courts would stir up your anger and hate; and when judges are affected by these very passions, they are most severe upon those who are on trial.

But I urge all who intend to acquaint themselves with my speech, first, to make allowance, as they listen to it, for the fact that it is a mixed discourse, composed with an eye to all these subjects; next, to fix their attention even more on what is about to be said than on what has been said before; and, lastly, not to seek to run through the whole of it at the first sitting, but only so much of it as will not fatigue the audience.16

they pretend to have knowledge of the future"

Homer, who has been conceded the highest reputation for wisdom, has pictured even the gods as at times debating among themselves about the future

Indeed, who can fail to abhor, yes to contemn, those teachers, in the first place, who devote themselves to disputation,(2) since they pretend to search for truth, but straightway at the beginning of their professions attempt to deceive us with lies?(3) For I think it is manifest to all that foreknowledge of future events is not vouchsafed to our human nature, but that we are so far removed from this prescience(4) that Homer, who has been conceded the highest reputation for wisdom, has pictured even the gods as at times debating among themselves about the future(5) --not that he knew their minds but that he desired to show us that for mankind this power lies in the realms of the impossible.