Word: physicians
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Dates: during 1970-1979
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...Barney Reiffen, principal associates in Medicine (Engineering), led students in a discussion of the use of high school graduates in an experimental program at the Beth Israel Hospital to administer primary medical care--care needed to decide whether or not the patient needs further attention by a trained physician...
...give their classmates a crucial margin of understanding. The environment of students fighting each other in subtle and unsubtle ways is detrimental to academia. The biggest danger from excessive competition in Chem 20 is that it may create a student who is unlikely to become a humane and considerate physician...
Like many nurses, Lucille Kinlein, 51, considered hospital work restrictive. Frustrated by lack of authority, she felt that a nurse functioned as a mere tool of the physician. Unlike most nurses, she decided to do something about it. In May 1971, she rented an office in suburban College Park, Md., and hung out her shingle as one of the nation's first independent nurse-practitioners...
Nurse Kinlein's practice is more limited than a doctor's. Because she is not a physician, she will not diagnose major illnesses or prescribe medication; nor does she read X rays or set fractures. But she can still bring the benefits of her training to those who visit her comfortable, informally furnished office, where she treats minor injuries, teaches patients to care for themselves, and helps them to decide when they should see a doctor. "I'm not focusing on disease, but rather on the person and his perspective of his own health," she explains...
Most independent nurse-practitioners continue to work closely with physicians. Koltz, for example, requires written instructions from a patient's physician before he will administer care. Most nurse-practitioners also depend upon physicians to refer at least some of their patients. A few doctors, doubtful of the nurse-practitioner's qualifications, will not make referrals. But many physicians seem to take a larger view, recognizing that the nurses can help make better health care available to more people...