Supplemental Athletic History & Physical Form Brown University Brown
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Why do patients have to fill out forms when visiting a doctor? Why isn't there a "Facebook connect" for patient history/information?
There are many (many) reasons - so I'll list a few of the ones that I can think of off-hand.Here in the U.S. - we have a multi-party system: Provider-Payer-Patient (unlike other countries that have either a single payer - or universal coverage - or both). Given all the competing interests - at various times - incentives are often mis-aligned around the sharing of actual patient dataThose mis-aligned incentives have not, historically, focused on patient-centered solutions. That's starting to change - but slowly - and only fairly recently.Small practices are the proverbial "last mile" in healthcare - so many are still paper basedThere are still tens/hundreds of thousands of small practices (1-9 docs) - and a lot of healthcare is still delivered through the small practice demographicThere are many types of specialties - and practice types - and they have different needs around patient data (an optometrist's needs are different from a dentist - which is different from a cardiologist)Both sides of the equation - doctors and patients - are very mobile (we move, change employers - doctors move, change practices) - and there is no "centralized" data store with each persons digitized health information.As we move and age - and unless we have a chronic condition - our health data can become relatively obsolete - fairly quickly (lab results from a year ago are of limited use today)Most of us (in terms of the population as a whole) are only infrequent users of the healthcare system more broadly (cold, flu, stomach, UTI etc....). In other words, we're pretty healthy, so issues around healthcare (and it's use) is a lower priorityThere is a signNow loss of productivity when a practice moves from paper to electronic health records (thus the government "stimulus" funding - which is working - but still a long way to go)The penalties for PHI data bsignNow under HIPAA are signNow - so there has been a reluctance/fear to rely on electronic data. This is also why the vast majority of data bsignNowes are paper-based (typically USPS)This is why solutions like Google Health - and Revolution Health before them - failed - and closed completely (as in please remove your data - the service will no longer be available)All of which are contributing factors to why the U.S. Healthcare System looks like this:===============Chart Source: Mary Meeker - USA, Inc. (2011) - link here:http://www.kpcb.com/insights/usa...
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If you had an infinite amount of money to build an ideal high school, how would you build it?
I have been waiting for this question for so long. You all think far too small.Ladies and gentlemen, welcome to the Michael Faraday Academy of Science!The Faraday Academy is an elite private boarding school for dreamers, intellectuals, and world-changers. It is located high in the mountains of Italy.Our proud motto: sic itur ad astra.In English, “thus one journeys to the stars”.CurriculumAt the Faraday Academy, we do not conform to the regressive standards set by bureaucratic politicians. Our teachers are renowned professors from around the world, teaching academic-level material.While the Faraday Academy is intended for high-school-aged students, we do not teach high-school material. Rather, we teach for degree credit. Some students complete their bachelors degree while still in high school, others have a head start when they go off to college and university.All our programs are original academic courses created by professors specifically for the Faraday Academy.Daily StructureStudents may choose as many courses as they think they can complete, though there is a minimum amount one must choose.Hours are determined by the courses one chooses.Campus BuildingsThe Freeman Dyson School of Physics - Here, the greatest minds in the world have come to teach the next generation about the fundamental laws of our universe.The Wolfgang Pauli Linear Accelerator - A top-notch atom smasher built by some of the greatest nuclear engineers on the planet. Part of the Dyson School.The Robert Lanza Biological Laboratory - Named after Robert Lanza the scientist, not Adam Lanza the serial killer! Features cutting-edge gene splicing tools and equipment. Possibly the source of the glow-in-the-dark squirrels that roam the school grounds.The Antoine Lavoisier Center for Chemistry - Run by a legendary Nobel Laureate, this institution is recognized as having some of the best teachers in the world.The Fritz Zwicky Astronomical Observatory - Featuring one of the largest telescopes in Europe.The Emmy Noether School of Mathematical Sciences - For those of us for whom math is not a chore but a passion. Students here have already discovered several important new theorems.The Marvin Minsky Center for Computer Science and Robotics - Featuring “Turing’s Ghost”, the most powerful supercomputer outside of the US or China, and a robotics laboratory which does not pursue competitions such as FIRST, but rather focuses on machine learning and kinematics.The Gustav Eiffel Engineering Facility - From rockets to buildings, anything is possible here.The Spinoza Philosophical School - Ethics, religion, morality, science, knowledge, and everything in between.SpaceportThe Michael Collins International Spaceport is regarded by many as one of the highlights of the school. Every student is guaranteed a personal suborbital spaceflight aboard an XCOR Lynx (with an experiment of his choice) at least once during his time at the school.Dormitory and AmentiesThe school has several world-class restaurants, with food from all over the globe. We also have a library, theatre, art gallery, and concert hall. There is a pluralistic temple as well, for religious students.The dormitories are beautiful and clean. Each student has a personal room, with a comfortable bed, a bathroom and shower, a work-desk, and a high-end computer setup.ArchitectureThe Michael Faraday Academy of Science was designed by the greatest architects available. We blend a variety of styles, including:Gothic RevivalNeo-FuturisticIndustrialAdmissions and RecruitmentOur school teaches students aged 14–18.Here at the Michael Faraday Academy, we have three criteria for acceptance:Intelligence: We want only the brightest. For this, we have devised the Faraday Mind Metric, a unique test designed to isolate those who have potential but have not necessarily achieved it. This helps assess students from impoverished countries, or students who are unable, for one reason or another, to express themselves intellectually.Passionate Optimism: A love of the future, progress, and human advancement, and a tangible desire to work hard to ensure a better future for humanity.Achievement: This can be in the form of excellent grades, self-studying, prior acceptance into exclusive programs, a dedication to scientific hobbies, exceptional knowledge of certain topics, etc. An applicant must choose only one of these, though.Additionally, we search for the following personality traits in our prospective students:Appreciation for history, culture, fine art, and music.Desire to put intellectual pursuits ahead of materialistic or hedonistic desires.Politeness, courteousness, and graciousness.Revolutionary thinking beyond limits, far ahead of the curve, with no respect for the established status quo.While students from wealthy countries can usually apply and go through a straightforward admission process, we also have recruitment offices, where dedicated educators search for students in war-torn, ravaged, and poor countries who have the potential to positively affect the human future.RulesWe do not permit wild parties, raucous music, or generally unprofessional behavior.All students must either wear dress clothing (suits or buttoned shirts), work clothing (lab coats, engineer aprons), or the school uniform within the main school buildings. Free dress is permitted within the dormitories and around the general grounds. The school uniform has been crafted by top fashion designers from around the world.CostsAll fees, including tuition, spaceflight, food, and dorms are free for the students, and completely covered by the Infinity Fund, part of the nonprofit organization that established the school.
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How does one get invited to the Quora Partner Program? What criteria do they use, or is it completely random?
I live in Germany. I got an invite to the Quora partner program the day I landed in USA for a business trip. So from what I understand, irrespective of the number of views on your answers, there is some additional eligibility criteria for you to even get an email invite.If you read the terms of service, point 1 states:Eligibility. You must be located in the United States to participate in this Program. If you are a Quora employee, you are eligible to participate and earn up to a maximum of $200 USD a month. You also agree to be bound by the Platform Terms (https://www.quora.com/about/tos) as a condition of participation.Again, if you check the FAQ section:How can other people I know .participate?The program is invite-only at this time, but we intend to open it up to more people as time goes on.So my guess is that Quora is currently targeting people based out of USA, who are active on Quora, may or may not be answering questions frequently ( I have not answered questions frequently in the past year or so) and have a certain number of consistent answer views.Edit 1: Thanks to @Anita Scotch, I got to know that the Quora partner program is now available for other countries too. Copying Anuta’s comment here:If you reside in one of the Countries, The Quora Partner Program is active in, you are eligible to participate in the program.” ( I read more will be added, at some point, but here are the countries, currently eligible at this writing,) U.S., Japan, Germany, Spain, France, United Kingdom, Italy and Australia.11/14/2018Edit 2 : Here is the latest list of countries with 3 new additions eligible for the Quora Partner program:U.S., Japan, Germany, Spain, France, United Kingdom, Italy, Canada, Australia, Indonesia, India and Brazil.Thanks to Monoswita Rez for informing me about this update.
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How can I get more people to fill out my survey?
Make it compellingQuickly and clearly make these points:Who you are and why you are doing thisHow long it takesWhats in it for me -- why should someone help you by completing the surveyExample: "Please spend 3 minutes helping me make it easier to learn Mathematics. Answer 8 short questions for my eternal gratitude and (optional) credit on my research findings. Thank you SO MUCH for helping."Make it convenientKeep it shortShow up at the right place and time -- when people have the time and inclination to help. For example, when students are planning their schedules. Reward participationOffer gift cards, eBooks, study tips, or some other incentive for helping.Test and refineTest out different offers and even different question wording and ordering to learn which has the best response rate, then send more invitations to the offer with the highest response rate.Reward referralsIf offering a reward, increase it for referrals. Include a custom invite link that tracks referrals.
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Do doctors actually read the forms that patients are required to fill out (medical history, known allergies, etc.)?
Oh, we read them. We base the start of your plan of care on them. As the nurse doing that, I go over everything. The doctor I work for uses it to be sure he covered everything. It's very common to forget something when you have the doctor in front of you. This is my profession and even I do it. We expect you to forget something.Then it gets scanned into your chart, there, forever. I refer back to those forms if, for example, your labs turn up something life threatening and I can't signNow you. Who was that you listed as an emergency contact? Hope it's legible. Heck, I hope it's filled out! ( If it was entered before my time, it might not be. Now, you can't see the doctor without it filled out.)It's so important my practice asks you to re do them every year. Patients hate it, complain about it, loud! But if I had a dollar for every time I couldn't signNow someone in this day and age of fluid phone numbers, why, I'd have several more dogs and we'd all be living somewhere warmer!And…oh, you have another doctor? We didn't know that. And they prescribed what? Did what tests? We don't know if you don't tell us 99.9% of the time. You would be amazed how many patients don't bother to tell their primary care physician such important things like…they went to the ER, had an MRI, see a cardiologist, and..etc and so on. We don't automatically know. We should, but that's another story.Feel that paperwork is beneath you? Are you too busy to fill it out? I see that every day too. You know what that tells us? That you don't value this very much. That you are so much more likely to be non compliant, not take meds, no show for appointments, maybe fib a little….a lot… your lifestyle choices….how, if you take your meds. I mean, come on, you can't even follow directions to fill out paperwork! How do you expect us to take you seriously, when from the very start, you don't offer us the same courtesy.If there are any doctors out there, not reading these things, shame on you. But in 30+ years, I have not seen it. As for the doctor asking you about it, well, mine works very hard to get it right. And even the most earnest patients forget something.
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