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Though the CIA has had its setbacks in the region--it failed to predict the Shah's 1979 fall in Iran and Iraq's invasion of Kuwait in 1990--the agency retains a mystique in the Arab world. "For Arafat, it's a big deal to be dealing with the head of the CIA," says a senior State Department official. The P.L.O. chairman and Tenet have taken pains to cultivate each other. During Tenet's first visit to the West Bank in 1996, Arafat arranged for Tenet, who is Greek Orthodox, to tour Bethlehem's Church of the Nativity, guided...

Author: /time Magazine | Title: Coming In From The Cold | 11/2/1998 | See Source »

...forces that have changed Shah's career path are changing Duke as well. In the department of surgery, the faculty once relied exclusively on hospital patients as case studies for teaching residents, but the average number of days that patients spend at Duke has dropped from 8.3 to 6.9 in the past five years. That prompted administrators to scrap plans for a nine-story inpatient addition to the 1,124-bed hospital and opt instead to construct the ambulatory surgery center, completed last June, which houses seven operating rooms for same-day surgery procedures. "We spent hours deciding...

Author: /time Magazine | Title: Residents: The Doctors of The Future | 10/12/1998 | See Source »

...Shoe was Shah's first patient at Duke's outpatient clinics three years ago, when he was a first-year resident, and the two have established a comfortable rapport. "Oww, that hurts!" she says, wincing as he inserts an otoscope into each nostril. "That hurts? I'm not even touching you," he counters as he peers into her nose. Shah suspects that the bleeds are triggered by her dry nasal cavities and recommends an over-the-counter nasal saline spray, available at any drugstore. He spends a few more minutes chatting with Shoe, then reminds her to return...

Author: /time Magazine | Title: Residents: The Doctors of The Future | 10/12/1998 | See Source »

...This is Shah's classroom, and patients like Shoe are his textbooks. Now in his last year of residency in internal medicine, he spends two afternoons each week at the clinic, seeing patients under the supervision of an attending physician who must approve every medical decision he makes. Only the short length of his white coat betrays his status as a doctor-in-training--an M.D. after four years of medical school, he examines patients, writes prescriptions, orders tests and fills out insurance forms...

Author: /time Magazine | Title: Residents: The Doctors of The Future | 10/12/1998 | See Source »

...Shah is one of five residents participating in an innovative program that allows him to act as a primary-care physician in an HMO. All five doctors share a PCP number and take responsibility for 10 patients each week. "When I went to medical school, I don't recall learning anything about managed care," says Shah. "But working here has helped me to think about prevention more. Now I ask my patients about health-maintenance things like diet, nutrition and exercise...

Author: /time Magazine | Title: Residents: The Doctors of The Future | 10/12/1998 | See Source »

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