Word: shiftings
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Dates: during 1980-1989
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...heart of that document and in the soul of the nation it constituted: What inalienable rights -- ranging from free speech to equal justice to personal privacy -- are guaranteed to citizens by the highest law of the land? Because Bork's ascension to the chair of Lewis Powell could decisively shift the court to the right on these issues, the outcome could affect the course of American law and society well into the 21st century...
...responsibility at a young age," he says pensively. "I made a lot of decisions out there. You know, which plow and which shift to bring on and what to do . . ." His wife Elise is at his side and, sensing that the conversation is getting pretty silly, brings it to a close. "Isn't this getting terribly psychoanalytic?" she dryly interjects. Du Pont leans back, relieved. He is too well bred to say so, but if endless soul-searching is what it takes to be President, then he doesn't want...
...shortages at teaching hospitals, warned the report. In addition, the cost of transferring responsibility from low-paid residents to high-salaried senior staff and implementing other reforms would be staggering: at least $200 million a year for G.N.Y.H.A.'s 70 member hospitals. The report also warned of introducing a "shift mentality" to medicine. This notion, it said, "is generally inconsistent with the delivery of high-quality patient care...
...floor. On one occasion, he reports, a resident, on duty for nearly 24 hours, had just enough stamina to oversee safely the birth of a baby at 4 a.m. "Then he walked out of the delivery room and collapsed." The early-morning hours toward the end of a shift constitute a "danger zone" for patients, says Sachter. "When it's 5 a.m. and the case doesn't appear to be life threatening, the next thing you want to know is, Can this wait until 7 a.m.? because that's when the next resident comes...
Many physicians insist, however, that the long hours of residency are a critical part of medical education. "Illness knows no shift," says Dr. Robert Petersdorf, president of the Association of American Medical Colleges. Such ailments as diabetic coma or toxic shock, he notes, can progress over 36 hours. "You have to follow the history of the particular illness." Others point out that if shifts are significantly shortened, medical residencies might have to be lengthened to ensure that trainees get enough experience. With residencies already lasting from three years for internal medicine to seven years for neurosurgery, few young doctors would...