19 Matching Annotations
  1. Nov 2018
    1. 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.”
    2. 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.

      Hospitalists can learn these skills through residency and fellowship training. In addition, through mentorship models that create evergrowing

    3. 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.”
    4. 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.
    5. 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.”
  2. Oct 2018
    1. 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.

      The author presents an interesting progression for the Web to eventually learn to reason. The picture he paints of more accessible content on the internet hinges on the internet learning to reason, which is a human characteristic. It seems we need to apply human characteristics to all of our mechanics for them to progress in their usefulness.

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

      The idea of "no future"/ "declining to reproduce the Child" doesn't do anything to help indigenous people because having children is an act that has been regulated for indigenous people. Settler colonialism/white supremacy does not want indigenous people to create future generations so having a child could be seen as a radical act for indigenous people.

  3. Aug 2018
  4. Apr 2018
    1. 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.
  5. Oct 2017
    1. 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.)

      racism? in my algorithms because of the biases of the people who designed them? it's more likely than you think.

  6. Jul 2017
    1. 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.

      preparing our students for jobs that may not yet exist.

    1. 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.
  7. Mar 2017
    1. 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.
  8. Sep 2016
    1. 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

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    1. 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.
    1. 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.
  9. Jul 2016
  10. Jun 2015
    1. I would like the page-based approach first. When I downloaded the add-on, this was the feature I was expecting to use, which made me very excited. It was like Disqus, only more perfect, because the comments could be directly and seamlessly linked to specific parts of pages. Additionally, this was possible on any webpage or PDF document. Anyone could share ideas and reactions with others, anywhere. An added plus was to be going on random web pages, looking for citations that people had made there. It felt like a whole new hidden layer of the internet was put into place, and with it came the delight of discovering where said layer had manifested itself. That was something I thought was special.

      The plans on this document look perfect. When can we expect for them to be implemented?

  11. Nov 2013
    1. [1]

      Annotations might be a better way of doing footnotes because you are not taken to a completely different place thus losing your place in the text.