text:
Nets-Jazz Preview
The All-Star break came at the worst time for the Utah Jazz, whose recent victory over the two-time defending champions kicked off their best stretch of the season.
And while Brooklyn has been playing far better in 2014, the Nets are trying to avoid matching their worst road skid.
Utah welcomes its former point guard Deron Williams back as it seeks a fourth straight win overall and fifth consecutive against the Nets in Salt Lake City on Wednesday night.
Though they've been one of the Western Conference's worst clubs, the Jazz (19-33) have been playing with confidence since snapping a four-game losing streak with a 94-89 win over visiting Miami on Feb. 8.
They followed that stunning victory with a 96-79 road win over the Los Angeles Lakers on Feb. 11 and a 105-100 victory over visiting Philadelphia last Wednesday.
While Utah's starting backcourt of Gordon Hayward and Trey Burke has combined for 47 points on 14-of-53 (26.4 percent) shooting in the past two contests, Alec Burks has stepped up to score 50 while making 14 of 21 shots over that span.
The reserve guard had 10 of his 26 points - including a personal 9-0 run - in the final two minutes against the 76ers after the Jazz had endured a six-minute scoreless stretch with seven missed shots and two turnovers.
"I surprise myself on some of these shots I make," said Burks, who also made 13 of 14 from the foul line.
Burks, who has averaged 21.0 points in his last four home games, will try to help the Jazz extend their longest winning streak of the season to four.
Although the Nets (24-27) have gone 14-6 since Jan. 1, they stumbled into the All-Star break following a 92-76 loss at Chicago in which they shot just 38.8 percent.
Paul Pierce scored a team-high 15 points on just 4-of-11 shooting, while Williams and Joe Johnson missed a combined 20 of 28 from the floor and totaled 24 points.
"Every team in the league has played over 50 games," said Pierce, who has scored 20 or more on four of five trips to Utah dating to his time with Boston. "I wish the break was a little bit longer, especially for us older guys."
Williams, who spent his first six seasons in Utah, has averaged just 11.3 points over his last four games. The veteran finished with 10 points and eight assists in a 104-88 home win over the Jazz on Nov. 5.
Williams makes his third trip to Salt Lake City since being traded for Devin Harris, Derrick Favors and draft picks in February 2011. The Nets dropped their two previous visits while Williams totaled 37 points on 9-of-29 shooting.
Favors is reported to be a game-time decision against his former team after re-injuring his right hip against the 76ers. Utah also could be without Richard Jefferson for the first time this season due to stomach cramps.
The Nets seek their first season sweep of Utah since 2006-07, but they'll have to avert a fourth straight road loss as they play their second on a seven-game trip.
While Brooklyn has averaged 102.3 points during a four-game home win streak, it has scored 89.0 per game during the road skid. The Nets could have a tough time reversing that trend against the Jazz, who have allowed 89.3 per game during their win streak.
The Nets haven't won in Utah since November 2008, dropping the last four meetings by an average of 16.3 points.
Related Stories
Member Comments
Please note by clicking on "Post comment" you acknowledge that you have read the Terms of Use and the comment you are posting is in compliance with such terms. Be Polite. Inappropriate posts may be removed by the moderator.
NBA Headlines
Fox Sports Store
itemName | itemURL | imageSrc | price | itemDescription |
adidas Blake Griffin Los Angeles Clippers Revolution 30 Performance Jersey - Red | http://shop.foxsports.com/FOX_Los_Angeles_Clippers/browse/featuredproduct/491845/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_491000/ff_491845_xl.jpg&w=100 | 59.95 | adidas Blake Griffin Los Angeles Clippers Revolution 30 Performance Jersey - Red |
adidas LeBron James Miami Heat Revolution 30 Swingman Performance Jersey-Black | http://shop.foxsports.com/FOX_Miami_Heat/browse/featuredproduct/498609/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_498000/ff_498609_xl.jpg&w=100 | 89.95 | adidas LeBron James Miami Heat Revolution 30 Swingman Performance Jersey-Black |
adidas Carmelo Anthony New York Knicks Revolution 30 Swingman Performance Jersey - Royal Blue | http://shop.foxsports.com/FOX_New_York_Knicks/browse/featuredproduct/620470/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_620000/ff_620470_xl.jpg&w=100 | 49.99 | adidas Carmelo Anthony New York Knicks Revolution 30 Swingman Performance Jersey.. |
Mitchell & Ness San Antonio Spurs Black Solid Script Snapback Adjustable Hat | http://shop.foxsports.com/FOX_San_Antonio_Spurs/browse/featuredproduct/692239/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_692000/ff_692239_xl.jpg&w=100 | 25.95 | Mitchell & Ness San Antonio Spurs Black Solid Script Snapback Adjustable Hat |
Majestic Kobe Bryant Los Angeles Lakers Logo Man T-Shirt - Black | http://shop.foxsports.com/FOX_Los_Angeles_Lakers/browse/featuredproduct/851828/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_851000/ff_851828_xl.jpg&w=100 | 23.95 | Majestic Kobe Bryant Los Angeles Lakers Logo Man T-Shirt - Black |
Majestic Kevin Durant Oklahoma City Thunder Logo Man T-Shirt - White | http://shop.foxsports.com/FOX_Oklahoma_City_Thunder/browse/featuredproduct/851842/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_851000/ff_851842_xl.jpg&w=100 | 23.95 | Majestic Kevin Durant Oklahoma City Thunder Logo Man T-Shirt - White |
adidas Miami Heat 2012 NBA Eastern Conference Champions Locker Room T-Shirt - White | http://shop.foxsports.com/FOX_Miami_Heat/browse/featuredproduct/890174/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_890000/ff_890174_xl.jpg&w=100 | 21.95 | adidas Miami Heat 2012 NBA Eastern Conference Champions Locker Room T-Shirt - Wh.. |
adidas Oklahoma City Thunder 2012 NBA Western Conference Champions Locker Room Flex Hat - Black | http://shop.foxsports.com/FOX_Oklahoma_City_Thunder/browse/featuredproduct/890384/source/foxsports_prsp_ca | http://images.footballfanatics.com/FFImage/thumb.aspx?i=/productImages/_890000/ff_890384_xl.jpg&w=100 | 19.99 | adidas Oklahoma City Thunder 2012 NBA Western Conference Champions Locker Room F.. |


text:
"[Sugar] Ray Leonard is the kind of guy who's always looking at the edge of the cliff, fascinated as to how close he can get to it. He hasn't gotten to the edge yet."
Mike Trainer
"If I was a boxer, I would bounce those things like Sugar Ray Leonard!"
Liar Liar
"When you're a great finisher, you'll become popular. Joe Louis was a great finisher. So was Ray Robinson. Ray Leonard. They got a man in trouble and they threw everything they had at him. Bring him down."
Mike Tyson
"I am an old scholar, better-looking now than when I was young. That's what sitting on your ass does to your face."
Leonard Cohen
"I loved you in the morning, our kisses deep and warm, your hair upon the pillow like a sleepy, golden storm, yes many loved before us, I know we are not new, in city and in forest they smiled like me and you, but now it's come to distances and both of us must try, your eyes are soft with sorrow, Hey, that's no way to say goodbye."
"There is a crack in everything, that's how the light gets in."
"I don't consider myself a pessimist. I think of a pessimist as someone who is waiting for it to rain. And I feel soaked to the skin."

subset: commoncrawl


text:
Persona Q Now Available In Europe
Atlus have now released the Shin Megami Tensei inspired Persona Q in Europe, at retail and on the Nintendo eShop.
Nintendo eShop Releases for 24th – 30th November
This week, the Nintendo eShop has got the Wii U version of Super Smash Bros., a crossover set in a mysterious labyrinth and three Pokemon games to add to it's extensive catalogue.
Nintendo eShop Releases for 25th – 31st August
This week, the Nintendo eShop has got new cars, entry to an exclusive portable golf club and another Capcom classic to add to it's extensive catalogue.
Shin Megami Tensei IV Finally Dated For Europe
Shin Megami Tensei IV, ATLUS's latest entry in it's demon summoning series, has been given a release date for Europe.
The Art Of Balance Tumbles in to the Wii U eShop
Shin'en Multimedia's new release set to contain new features
The New Pokémon Bank Trailer Shows Off Its Main Features and Some Extras
Pokémon fans prepare to fill your Pokédex's because Pokémon Bank is coming soon.
Codemasters Announce F1 Race Stars Powered Up Edition
Wii U edition of the 2012 racer coming in December.
Phoenix Wright: Ace Attorney – Dual Destinies – Official Launch Trailer
The much loved Phoenix Wright series is back with a vengeance. Check out Phoenix Wright: Ace Attorney - Dual Destines official launch trailer.
Shin Megami Tensei IV Now Available in Stores and Nintendo eShop
Shin Megami Tensei IV is now ready to purchase and download in the Nintendo eShop for Nintendo 3DS
Ducktales: Remastered to be released soon
A quacky old game gets a well deserved remaster.


text: Inside the Nuclear Threat Check your local listings. What could we do if we had evidence terrorists were close to acquiring nuclear weapons, or even making their own? Find out how we could defend ourselves from a blast with fireballs hotter than the sun. Credits More on This Episode: Overview Videos Photos Videos 46:01Inside the Nuclear Threat4:21A Crash Course in Atomic Bombs3:55Iran's Nuclear Program Photos Episode "Inside the Nuclear Threat"


text:
Download Sherlock Holmes: A Game of Shadows movie produced in 2011, USA, starring Jude Law
Resolution | Total Size | Download |
720x304 px | 1.94 GB | LQ |
Forget about additional software or browser plug-ins!
All movies can be downloaded immediately!
Watch them whenever you want and however many times you feel like it.
PC, MAC, DVD, PDA, iPod and iPhone compatibility of downloaded movies is guaranteed.
Created in the genre of Crime, Adventure, Action by Guy Ritchie the movie Sherlock Holmes: A Game of Shadows deserved the following IMDB rating 7.00 most likely because of its cast: Jude Law, Jared Harris, Stephen Fry
Plot Summary | Sherlock Holmes (Robert Downey, Jr.) and his longtime trusted associate, Doctor Watson (Jude Law), take on their arch-nemesis, Professor Moriarty (Jared Harris), with the help of Holmes's older brother Mycroft Holmes (Stephen Fry) and a gypsy named Sim (Noomi Rapace). |
Actors |
Jude Law Jared Harris Stephen Fry Robert Downey Jr. Eddie Marsan Rachel McAdams Geraldine James Kelly Reilly Paul Anderson William Houston Noomi Rapace Wolf Kahler Iain Mitchell Patricia Slater Jack Laskey |
Director | Guy Ritchie | |
Certification |
IMDB Rating | 7.00 out of 10 (13352 votes) |


text:
Orlando City Sells All Standing-Room Tix Jones Asks Court To Keep Him Off Stand NFL Panthers Adding Luxury Club Asics Unveils L.A. Marathon Activation SMI's Admission Revenue Down 5% in '14 Lionsgate Chair Emerges As Hawks Bidder MLS, Union Reach Five-Year CBA Deal ESPN Paying $7-9M For Hockey World Cup Univ. Of Kentucky Extends Nike Deal Classified Advertisements
SBD/25/Sports Industrialists
Print All-
BILL FREEMAN has been appointed VP & GM of ESPN Grill. He was most recently CFO at DAKA Int'l Inc (ESPN Grill). ...Panthers/Ericsson Stadium Ops Coordinator MITCH SILVERMAN will become Facility Dir of the Charlotte-Mecklenburg County Memorial Stadium and Grady Cole Arena Complex beginning December 2 (THE DAILY)....Chicago Sun-Times NFL writer DAN POMPEI is leaving to become the full-time NFL writer for The Sporting News (CHICAGO TRIBUNE, 11/25).
EDITORIAL CRITICAL OF SHINN: An editorial in the CHARLOTTE OBSERVER says that despite a decision not to prosecute Hornets Owner GEORGE SHINN on sexual misconduct charger, his "reputation is in ruins." The OBSERVER: "Since the woman filed the charge in September, Mr. Shinn has made no public statement. His attorney has said, 'There are two sides to every story. There is a side of this story that Mr. Shinn will tell at that proper time....' If people believe the worst about Mr. Shinn, one reason may be that he has offered nothing better to believe. We're not sure what Mr. Shinn and his attorneys consider, 'the proper time,' but [time] seems to us to be running out" (OBSERVER, 11/25). OTHER NAMES: MARV ALBERT and O.J. SIMPSON "have been ousted" from the American Sportscasters Association's new Hall of Fame. Neither of the former sportscasters are mentioned in the ASA's exhibits opening at the MCI Center next week (N.Y. DAILY NEWS, 11/25)....PATRICK EWING held a Thanksgiving dinner at MSG's Club restaurant for 60 kids from Covenant House (N.Y. POST, 11/25)....Lakers C SHAQUILLE O'NEAL is contributing a rap music track for a charity album to benefit underprivileged children. The song is titled "Are You Ready to Fly," and the album is called "Jive's Unreleased Masters for the Children's Health Fund, Vol. 1." The album will be released today (CHICAGO TRIBUNE, 11/25). ...ALBERTO TOMBA is promoting a race called "Slalom For Peace" on December 23 to benefit the injured and the children in Sarajevo, Yugoslavia (DESERET NEWS, 11/23). ....With boxer GEORGE FOREMAN announcing his retirement, DAVID LETTERMAN offered his "Top 10 Signs It's Time To Retire From Boxing." Among our favorites: No. 10: Blows to the jaw often cause your entire head to fly off; No. 9: Your last match was promoted as 'The Snooza in Tuscaloosa; No. 6: Instead of 'Let's get ready to rumble!' announcer says, 'Let's watch the geezer get his ass kicked!'; No. 2: Your idea of a one-two combo is metamucil and a nap; No. 1: MIKE TYSON chipped a tooth on your hearing aid" (CBS, 11/24).


text:
Although the data presented at this workshop suggest that there are current and worsening health care workforce shortages across a variety of health disciplines, these shortages are felt more strongly in cancer care than in other areas of health care, several presenters stressed. Dr. Benz stated that there is great importance in focusing on solutions to the shortage in the oncology workforce because of the high prevalence of cancer in the U.S. population; men have a 1-in-2 chance and women have a 1-in-3 chance of developing cancer during their lifetimes (ACS, 2008). Dr. Lichtveld added that "any investment that we make in cancer care without comprehensively addressing the cancer workforce will fail." She recommended creating a cancer-specific effort at addressing these shortages. "If it is everywhere, it is nowhere, and often public health has suffered from that," she said. "We need to be focused on cancer care and the cancer workforce and not on shortages across the board, no matter how tempting that is." Alison Smith, a Director at C-Change, added that the solutions that are developed in the cancer community could serve as examples for the larger national health care workforce crisis.
A recurring theme during the workshop was that, within the cancer arena, there should be a systems-over-silos approach (i.e., an approach that crosses health care professions and covers the entire spectrum of cancer care). Dr. Lichtveld stressed the multidisciplinary nature of the impending cancer workforce crisis, with shortages felt for all types of health care
Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter.
Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.
Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.
OCR for page 23
Solutions to the
Oncology Workforce Shortage
lthough the data presented at this workshop suggest that there are
current and worsening health care workforce shortages across a
variety of health disciplines, these shortages are felt more strongly
in cancer care than in other areas of health care, several presenters stressed.
Dr. Benz stated that there is great importance in focusing on solutions to
the shortage in the oncology workforce because of the high prevalence of
cancer in the U.S. population; men have a 1-in-2 chance and women have
a 1-in-3 chance of developing cancer during their lifetimes (ACS, 2008).
Dr. Lichtveld added that "any investment that we make in cancer care
without comprehensively addressing the cancer workforce will fail." She
recommended creating a cancer-specific effort at addressing these short-
ages. "If it is everywhere, it is nowhere, and often public health has suffered
from that," she said. "We need to be focused on cancer care and the cancer
workforce and not on shortages across the board, no matter how tempting
that is." Alison Smith, a Director at C-Change, added that the solutions
that are developed in the cancer community could serve as examples for the
larger national health care workforce crisis.
A recurring theme during the workshop was that, within the cancer
arena, there should be a systems-over-silos approach (i.e., an approach that
crosses health care professions and covers the entire spectrum of cancer
care). Dr. Lichtveld stressed the multidisciplinary nature of the impend-
ing cancer workforce crisis, with shortages felt for all types of health care
OCR for page 23
workers who provide cancer care. These shortages are also spread out across
the continuum of care and across geographic boundaries. "We know that
where we did discipline-specific recruitment and retention, although we
had initial success, that success was not sustainable because this is a multi-
disciplinary issue and the challenges are universal," Dr. Lichtveld said.
She also suggested, because the impending health care shortages create "a
growing challenge not only in the quantity of the people, but also in the
quality," both the numbers and knowledge of health care workers should
be strengthened.
Many presenters suggested taking short-term actions to meet the
immediate need for cancer care, such as improving efficiency, recruit-
ment, and retention, as well as pursuing longer-term solutions that
involve strengthening and filling the workforce pipeline. Speakers, such as
Mr. Salsberg, Dr. Lichtveld, and Dr. Benz, noted that both approaches are
necessary, as steps taken now to boost the numbers of cancer care workers
are not likely to have an impact until years after the nation already experi-
ences problems due to this shortage.
This section of the workshop summary outlines the major solutions
suggested by the various speakers to minimize the impact of the oncology
workforce shortage on the quality of care. These included solutions focused
on (1) new models of care, (2) recruitment and retention, (3) education and
training, (4) research support, and (5) policy.
NEW MODELS OF CARE SOLuTIONS
Developing and using new models of care to help meet the demand
for cancer care was explored extensively at the workshop. It is expected
that cancer centers, especially those with academic affiliations, will play
a large role in developing and demonstrating such new models of care, as
these centers or their satellites train most cancer health care professionals,
pointed out Dr. Benz. In addition, cancer centers are the hubs for research
and have the resources to provide the specialized care required by many
patients. They also serve many cancer survivors, a growing population that,
as noted previously, is increasing the demand for cancer care. It is estimated
that between 15 and 20 percent of cancer patients will encounter a cancer
center at some point during their trajectory of care, according to Dr. Benz
However, a large number of cancer patients are seen in community
private practice settings, so physicians practicing in these settings must also
OCR for page 23
be engaged in creating and carrying out solutions to remedy the workforce
shortage, several participants noted. What may work for a large cancer center
may not be practical for a small community practice and thus "we had best
be thinking about multiple options for solutions and not look for the single
magic bullet," said Mr. Thomas Kean, Executive Director of C-Change.
Alternatively, the health care industry could try to develop new models
of care that serve both cancer centers and community practices, as did Duke
University Hospital, Mr. Sowers reported. Its cancer care center has set up
numerous cancer clinics affiliated with the hospital in the nearby, more rural
communities. These clinics are serviced by Duke University physicians,
nurses, and a management staff, who travel to the satellite facilities on a regu-
lar basis. "We keep the cancer patients in their community—chemotherapy
and radiation therapy is delivered in their home hospitals—and they have
the Duke brand providing the service back in their local communities." To
do this, Duke University sets up the policies, procedures, and standards of
care followed by the local hospitals.
Duke University also offers research or program development affilia-
tions (for which it provides billing and clinical trial infrastructure support),
continuing medical and nursing education, and assistance in setting up
new cancer programs. "It really is an infrastructure beyond the walls of the
cancer center—one that reaches out into the community and looks at how
we can serve the community that we live in and influence what happens
with cancer care," Mr. Sowers said. Dr. Shulman added that Dana-Farber
is also developing a community outreach program, which includes bringing
specialized services to nearby communities, such as survivorship and pallia-
tive care—services the communities do not have the resources or expertise
to provide. "That gives us, as academic medical centers, a unique opportu-
nity to develop not only models of care within an academic setting, but also
models that might work out in the community," he said.
In addition, other methods for developing new models of care that
could address an oncology workforce shortage include (1) improving
efficiency; (2) increasing teamwork, especially in the areas of survivorship,
palliative care, and family caregiving; and (3) developing a medical home.
Each of these potential solutions is discussed in detail below.
Improving Efficiency
One way that implementing new models of care can address the
oncology workforce shortage is by improving the efficiency of health care.
OCR for page 23
Mr. Salsberg offered several suggestions for making better use of the lim-
ited number of oncologists, including making greater use of information
technology and electronic medical records (EMRs). When a recent ASCO
survey asked practicing oncologists what actions could help address the
potential shortage of oncologists in the future, the top two suggestions given
by most respondents were to increase efficiency by reducing paperwork
and regulations, and by improving information technology (see Table 3)
Expanded use of computer technology by patients could also reduce the
workload of oncologists, pointed out Dr. Patricia Ganz, Professor of Health
Services in the School of Public Health, and Professor of Medicine in the
David Geffen School of Medicine at the University of California, Los Angeles.
"We are on the verge of having a very empowered patient population—all
those boomers who are going to be having excess demands are also very com-
puter literate," she said. "My patients e-mail me with questions that I pass on
to the nurse practitioner I work with, and this limits the number of visits that
people have to have, and puts less stress and demand on the workforce."
Dr. Bajorin agreed, and added that EMRs combined with patients who
are computer literate "provide tremendous opportunity to engage patients."
TABLE 3 Oncologists' Views on Addressing Workforce Shortage
Increase Reduction of paperwork and regulations 61
Improved IT such as electronic medical records 43
Increase/ Increased use of NPs/PAs 36
Train more clinical oncologists 34
Increased use of oncology nurses and CNS 32
Create incentives to delay retirement 28
Increase use Hospice and palliative care providers 26
Social workers, counselors, and patient educators 24
of related care
Hospitalists 20
Pain and symptom management specialists 17
Primary care providers to care for patients in remission 15
SOURCE: Salsberg presentation (October 20, 2008) and 2006 Practitioner Survey,
OCR for page 23
He noted one initiative at the Memorial Sloan-Kettering Cancer Center
that allows patients to access their lab results through an online portal, and
to ask questions about their health by e-mail. Dr. Shulman also stressed the
need to develop electronic systems that enable measurement of outcomes
and provide decision support for better care, such as electronically based
treatment plans and summaries that patients can share with all the practi-
tioners who are involved in their care.
However, Dr. Goldstein noted that there is a paucity of studies that
document whether EMRs actually increase productivity. Although there is
general agreement that EMRs improve legibility and documentation, and
that they provide a good way to transfer records to physicians, they require
a time-consuming learning curve to implement them properly, and the cost
of purchasing an EMR system can be substantial. Although Dr. Goldstein
indicated EMRs will eventually be instituted in most, if not all, practices,
the best format and ways to integrate them into an oncology practice have
not yet been established. To aid in the decision making involved in changing
to EMRs, ASCO developed an oncology-specific handbook with informa-
tion and resources about selecting and implementing EMRs.
Another strategy for bolstering the oncology workforce by changing
the traditional models of care is to integrate and expand the role of physi-
cian assistants (PAs) and nurse practitioners (NPs) within a collaborative/
team-based care model. Encouragingly, the number of new PAs entering
practice each year has grown fivefold in the past 15 years (AAMC, 2008). The
number of new advanced practice nurses is also growing rapidly—expanding
from just under 6,000 nurses in 2002 to close to 7,000 in 2007. However,
according to Mr. Salsberg, it is uncertain what the impact of increasing edu-
cational requirements will have on the growth of NPs and PAs, and whether
an increase in NPs and PAs will result in more of these health care workers
providing oncology care. Neither PAs nor NPs practice only in primary care.
They are spread throughout the health care system among many different
health specialties, Mr. Salsberg noted. Dr. Goldstein pointed out that only a
minority of PAs opt for internal medicine and oncology specialties (4.7 and
1.7 percent, respectively) (AAPA, 2008), and only 1 percent of NPs specialize
in oncology (AAPA, 2004).
An ASCO survey of practicing oncologists found that about half of
the respondents currently work with an NP or PA and, of those who do,
OCR for page 23
they report that the use of these health professionals fostered higher patient
visit rates. About two-thirds of those who work with an NP or PA believe it
benefits the practice by improving patient care, efficiency, and physician sat-
isfaction (AAMC, 2007). But Dr. Goldstein added that when he surveyed
private practices about the role of PAs or NPs, he found a wide divergence
of opinion on the usefulness of these professionals, which suggests "we're
not doing a good job yet in ascertaining and developing ways that NPs and
PAs can be integrated into practices more effectively," he said. He suggested
documenting and sharing collaborative practice models and doing more
outreach to nonphysician practitioner training programs.
Dr. Goldstein noted that, as part of its strategic 5-year plan, ASCO
will be starting pilot programs that will assess how oncologists can work
most efficiently with NPs and PAs. Also, with support from the Susan G.
Komen Foundation for the Cure, ASCO is seeking proposals for explor-
ing new oncology practice models of care and their impact on efficiency,
productivity, and patient and professional satisfaction. Mr. Salsberg sug-
gested evaluating expanded roles for PAs and NPs within a collaborative
care setting for "how far different professionals can go, in terms of their roles
and their responsibilities." Dr. Bajorin suggested that competitive grants be
given to researchers studying innovative approaches to practice, including
team care and part-time practice, as well as conducting and evaluating pilot
programs to test such innovative models of service delivery.
Mr. Salsberg pointed out, however, that unless there are payment
reforms, there will be little incentive for such a team-based approach to
cancer care. "I think PAs and NPs can do a whole lot of services, but if they
are not paid and it's going to cost the physician money to become more
efficient, they are less likely to do it," he said. He also pointed out that
such expansive team care may not be feasible in a small individual practice.
Dr. Goldstein concurred, noting that the starting salary for an NP in com-
munity practice in the Boston area is about $80,000 a year plus benefits. In
addition, almost no NPs are trained in oncology when they join practices.
One large practice in Massachusetts has developed its own curriculum to
train its own NPs, he said, but this requires about 6 months before the NPs
are free to practice independently. "This is a tremendous use of resources
and constitutes a major expense to the practice," he said. Dr. Thomas
J. Smith, Massey Endowed Professor for Palliative Care Research Medi-
cal Director, Thomas Palliative Care Unit, VCU-Massey Cancer Center,
expressed frustration that there is no agreed-upon reimbursement rate
among insurance companies and Medicare for NP services. Medicare and
OCR for page 23
commercial insurers reimburse NP services at different rates. Attempts to
achieve consensus on a consistent rate have not been successful, he said.
One discussant suggested that various state laws limiting the scope of
practice for PAs and NPs might prove problematic, although Mr. Salsberg
noted that the vast majority of states now permit PAs and NPs to prescribe
drugs. From a policy perspective, Dr. Atul Grover, the Director of Govern-
ment Relations at AAMC, pointed out that special interest groups tend to
pressure Congress not to support initiatives that enable tasks typically done
by doctors to be performed by nonphysicians. "We are going to have to
really think long and hard about how to get to a point where we can stop
worrying about the labels of individuals—their professions or professional
societies—and get to a point where we put the patient back in the center
of care," he said. He also noted the importance of "getting the training
right—of having people function to the maximum ability of their training,
skill level, and competencies." Several participants, including Dr. Benz, sug-
gested ensuring that ancillary cancer care staff have some core competency
in oncology. Dr. Lichtveld called for national benchmarks of quality as
opposed to those provided by individual disciplines.
Carol Schwartz, Senior Manager of Policy and Practice at the American
Society of Hematology, noted the relatively untapped health care employee
pool of exiting military medics. "I challenge you to try and figure out how to
fit them in. Their education and training and experience does not crosswalk
very well into different states' scopes of practice. As a result, in most states
they have to start at the beginning as a nursing assistant when they have
been working very autonomously in the military at a much higher level."
This discourages them from pursing a health career, she claimed.
Building on both the concept of team science and translational
research, Dr. Mooney suggested more partnerships between nursing
research scientists and physician scientists to broaden the clinical research
being conducted in cancer and cancer centers. Dr. Bednash added that the
National Institute of Nursing Research (NINR) is a major source of funding
for pre- and post-doctoral studies in nursing. But NINR is severely under-
funded. This shortage of money has limited NINR's ability to produce the
nursing workforce that can educate, do research, and be specialty-focused,
she said.
There was some discussion about using primary care providers to care for
cancer patients in remission, to help relieve the workload burden of oncolo-
gists. But this strategy was only supported by a small number of practicing
oncologists in a recent ASCO survey (AAMC, 2007). Lack of support for
OCR for page 23
this option may reflect the difficulties of finding available primary care physi-
cians. Nearly one in five Americans have inadequate or no access to primary
care physicians because of a shortage of such physicians, not because they
do not have health insurance (NACHC and RGC, 2007). "The primary
care network is very oversubscribed," said Dr. Shulman. "One of the chal-
lenges I have is that many of my patients don't have primary care physicians
and I can't bribe any of my primary care physician colleagues to take them
into their practice, and so the care for them remains on us. It doesn't look
like there's going to be a tremendous increase in the number of primary care
doctors over the next decade to share the care of these patients, and we need
to acknowledge that fact."
Survivorship Care
A third method of producing new models of care is to change how
survivorship care is administered. Currently, nearly 70 percent of oncologist
office visits are for survivorship care (AAMC, 2007). However, Dr. Jacobs
noted that there are no established guidelines for caring for adult cancer
survivors. The development of such guidelines would help ensure that adult
cancer survivors receive proper care not only from their oncologists, but also
by the other providers who might be responsible for the cancer survivors'
post-cancer-treatment care. One survey of cancer survivors found that more
than one-third rated the quality of information they received from their
oncologists as fair to poor, including information about long-term side
effects (McInnes et al., 2008). "Survivors tend to think that they are left in
the medical twilight zone post-treatment," said Dr. Jacobs.
She reiterated IOM's recommendation that "patients completing
primary treatment should be provided with a comprehensive treatment
summary and follow-up plan that explains the cancer type, treatments, and
consequences, as well as the timing and content of follow-up care" (IOM,
2005). A treatment plan and summary could bolster the use of primary
care physicians or nonphysician health care workers to provide cancer or
survivorship care, pointed out Dr. Goldstein.
However, Ms. Galassi pointed out that if survivorship care is shifted
away from oncologists, into the primary care setting, then oncologists could
be overburdened with acute care patients, which might foster burnout. But,
Dr. Goldstein noted that the ASCO survey of oncologists found that death
and dying were not major factors in leading physicians to retire, but rather it
was frustration with the system and overwork (AAMC, 2007). "Oncologists
OCR for page 23
expect to have dying patients. Frustration with the regulations, paperwork,
and practice environment were driving more people out of practice than
the patient population," he said. Dr. Bajorin added that, if survivorship care
was shifted from the oncologist to the primary care physician, there would
still be a substantial difference between supply and demand. However, he
still recommended training oncology fellows in collaboration with primary
care providers, and the team use of NPs and PAs, as it is estimated that
cancer will increase by 81 percent by 2020 (NCI, 2009).
ASCO currently is developing customizable disease-specific chemo-
therapy treatment plans and summaries (ASCO, 2008). These plans and
summaries are meant to improve documentation and coordination of
cancer treatment and survivorship care. They are intended to facilitate
provider-to-provider and provider-to-patient communication. The tem-
plates may be distributed to patients or providers as records of the care
planned and received. Importantly, the treatment plans and summaries are
not intended to replace detailed chart documentation, including complete
patient histories or chemotherapy flow sheets. The treatment plans detail
planned chemotherapy regimens, doses, cycles, durations, and the major
side effects, while the treatment summaries describe the treatment delivered,
the major toxicities, and the follow-up plan for care. Some ASCO treatment
plans and summaries for specific cancers are already available on the ASCO
website (ASCO, 2008).
Dr. Jacobs recommended the survivorship care plan resource offered
by Oncolink.1 She noted that patients seem to like using this plan, which
can be created by patients for themselves or by their providers, and
includes a large amount of educational information. "It's very important
that patients be empowered and given records of their treatment so that
they become portable in the event of a natural disaster, or in the event
that they are in a different part of the country or the world," said Dr.
Goldstein. "With these treatment plans and summaries, the medical pro-
fessionals seeing the patients will have an adequate summary on which to
base future interventions."
Even with the widespread use of treatment plans, there will still be
several challenges involved in caring for cancer survivors, including their
diverse needs that extend beyond their cancer care needs, and funding
issues, Dr. Jacobs pointed out. Cancer survivors are a diverse group, often
with a wide range of diseases or conditions besides cancer that need to
1See http://www.oncolink.com/oncolife.
OCR for page 23
be treated or monitored. Yet these non-cancer-related health needs are
often not a priority for oncologists. One study found that 8 percent of
cancer survivors only see their oncologist, whereas 68 percent see both
their oncologist and primary care physician. Those who received all their
care from a primary care physician were less likely to undergo cancer-
related surveillance procedures but more likely to receive preventive health
measures such as eye exams, flu vaccines, cholesterol screening, and bone
density scans. Those who saw only an oncologist had the worst preventive
care (Earle and Neville, 2004).
Reimbursement for survivorship care does not cover the costs of pro-
viding appropriate monitoring and support for the physical, social, and
emotional effects in the short and long term course for the disease and treat-
ment of cancer. In order to offer these services, institutions that do provide
this care absorb the cost or must seek funding from other sources. Many
community-level institutions and smaller-scale providers simply cannot
afford to do so. As a result, survivorship care is not self-sustaining and must
receive external support or income from other patients, Dr. Jacobs noted. She
added that when survivorship care is done at a large institution, such as an
academic cancer center, it will generate downstream revenue for that insti-
tution because of the additional care provided by radiologists, cardiologists,
and other specialists.
Several survivorship clinics exist within cancer centers and academic
institutions. The oldest are pediatric oncology follow-up clinics, some of
which have been operational for over 20 years. These clinics serve survivors
will all types of cancers and require significant resources to meet a wide
range of needs. A few cancer centers run adult follow-up clinics akin to these
pediatric models, but they currently reach a limited number of patients and
are unlikely to ever meet the needs of a wide population of cancer survivors,
especially considering how expensive they are to run, Dr. Jacobs said.
Alternatively, some cancer centers, such as Memorial Sloan-Kettering,2
offer disease-specific survivorship clinics, many of which are run by NPs.
"They are fairly successful," said Dr. Jacobs, "but they are unreasonable at
most institutions that don't have the resources to back them up." Instead,
many oncology practices employ NPs to provide survivorship care. In these
practices, the NPs follow the patients and do all of the long-term follow-up
care. Another alternative used for survivorship care is a consultative service,
in which an oncologist interested in providing survivorship care sets aside
2See http://www.mskcc.org/mskcc/html/64918.cfm.
OCR for page 23
one day a week, for example, to see cancer survivors about their long-term,
cancer-related concerns.
Dr. Jacobs is currently involved in a pilot program implementing an
integrative care model of survivorship treatment at the University of Penn-
sylvania. Survivorship care-focused visits are done by NPs in the participat-
ing oncology practices, with the goal of ultimately transitioning patients to
their primary care physicians for their cancer follow-up care. At these visits,
a treatment summary and care plan is completed and discussed with the
patient, and copies of the summary and care plan are made for the patient's
primary care physician or other subspecialists. The NP that does the follow-
up care for the patient is also the same NP assigned to the patient's case
when he or she was undergoing treatment.
Because survivorship clinics are so resource-intensive, Dr. Jacobs
expects their use to be limited to certain cancer centers. "I'm not sure this
is the way to go," she said. "The broadest reaching survivorship care model
is to develop treatment summaries and care plans for patients. Patients take
control, to some extent, of the care that they need. They are informed of
what they need, and we're helping them inform the providers that are caring
for them."
Partnership between private oncology practices and other local medical
offices, hospitals, or cancer centers may be a more efficient and economical
way to provide cancer patients with the full continuum of care they need,
including psychosocial support, nutritional counseling, and palliative and
end-of-life care, Dr. Goldstein suggested. Although, he noted, this option
may not be available in rural and other underserved areas.
More social workers in oncology care might also help relieve the burden
of care on oncologists while improving patients' well-being. Dr. Ferrell
pointed out that, at the City of Hope National Medical Center in Los
Angeles, "our medical oncologists say they are overwhelmed with the
amount of time they are spending with social issues, psychological issues,
anxiety and depression, and yet my institution has very few social workers.
The fact that there are only 1,200 social workers who specialize in oncology
is a glaring cry for our community to see what incentives and opportuni-
ties can get them more involved in cancer care." Ms. Rosalina Van Zanten
from the Association of Oncology Social Work pointed out that, despite
the higher level of education required for social workers, their salary is less
than entry-level nurses with a bachelor's degree, and she suggested that there
needs to be more monetary and professional validation of health care social
workers in order to increase the number of these professionals.
OCR for page 23
adjust to a new way of providing cancer care, whether it be through collab-
orative team efforts, more Internet-based practices, or any of the other new
models proposed. Useful in that reeducation process will be the findings of
several studies that have assessed what prompts physicians to change their
way of practicing medicine, Dr. Mazmanian pointed out. One study found
that printed educational materials and formal continuing medical education
programs did not foster significant behavioral change (Davis et al., 1995).
In contrast, the most effective interventions were mediated through phar-
maceutical representatives, opinion leaders and patients, and by automatic
reminders. Multiple interventions were more effective at eliciting change
than single interventions. As a result, Dr. Mazmanian suggested taking a
systems approach when trying to foster change in the health community,
and conducting educational demonstration projects.
In addition, Dr. Lichtveld, suggested that part of the culture change
needs to include the development of cultural competencies. The workforce
should be able to address the unique needs of minority patients. She pointed
out that the number of African American patients, Hispanic patients,
and other minority patients are increasing in this country, and she stated
that cancer care should be tailored to serve such a diverse population (see
Figure 10). "This is a requirement rather than a luxury to help address
Percent of the Population
80 1990
70 2000
60 2025 (projected)
2050 (projected)
White, Not Black American Asian and Hispanic
Hispanic Indian, Pacific Orgin (of any
Eskimo, and Islander race)
Race and National Origin
FIGuRE 10 Rationale for cultural competence: Why do we have to be culturally
SOURCE: Lichtveld presentation (October 20, 2008). Data from the U.S. Census
Bureau, Population Division on Housing and Household Economic Statistics Division.
New figure 10
OCR for page 23
health disparities," she said. Developing and adopting national standards for
cultural competency, such as the standards the AAMC and the Association
of Schools of Public Health (ASPH) are currently trying to develop, will
help improve the quality of care.
RESEARCH SuPPORT SOLuTIONS
Advances in oncology care are closely related to the basic and clinical
research done on cancer. However, cancer research has been hurt by a lack of
funding in recent years, according to several participants. The NCI provides
a number of Career Development Awards (CDAs) to support basic, transla-
tional, and clinical research in oncology, as well as K12 institutional grants
aimed at fostering physicians to collaborate with basic science researchers
to promote translational therapeutic research. Dr. Wiest noted that "even
during this time of a flat budget, the NCI has continued to support M.D.s
and M.D./Ph.D.s to pursue academic research, both through the Career
Development Awards and the loan repayment program. The success rate
for physician scientists has remained relatively stable, and oncologists are
actively engaged in research."
Dr. Wiest showed that the success rate for applicants being awarded
CDAs is between 15 and 25 percent. This number has remained rela-
tively flat since 2004, across both M.D.s, Ph.D.s and M.D.s/Ph.D.s (see
Figure 11). When broken down by subspecialty, medical oncologists have
acquired the most CDA and K12 grant funds, followed by surgical oncolo-
gists, pathologists, and radiation oncologists (see Figure 12). The success rate
for these specialties being awarded CDAs has varied over the past 4 years, as
can be seen in Figure 13.
Dr. Wiest suggested ways to improve NCI support of physician-
scientists, including increasing the salary cap on CDAs from $75,000 to
$100,000 and partnering with foundations and societies to supplement
resources for subspecialty physicians in academic research. He also sug-
gested considering redirecting dollars to CDA mechanisms that have had
the biggest impact in promoting academic research among physician-
scientists. In addition, it might be worthwhile to consider redirecting some
of the funds used in the loan repayment program to support physician-
scientists, Dr. Wiest said.
Dr. Benz suggested that cancer centers, the NIH, foundations, and
other sources of research training support need to work with one another
to expand training opportunities for faculty across all disciplines related
OCR for page 23
50 30%
MD Awarded
PhD Awarded
45 MD/PhD Awarded
MD Awarded
PhD Awarded
40 MD/PhD Awarded
Number of Awards
Success Rate
25 15%
0 0%
2004 2005 2006 2007 2008
FIGuRE 11 Career Development Awards (CDAs) awarded by applicant degree.
SOURCE: Wiest presentation (October 20, 2008) and the National Cancer Institute.
$12.00 New Figure 11
Investment in Millions
$8.00 Med Onc
$6.00 Rad Onc
2004 2005 2006 2007 2008
FIGuRE 12 Cost by subspecialty. The cost reflects money accrued by each subspe-
cialty through CDA and K12 grant funds. Med Onc = Medical Oncologists, Path =
Pathologists, Rad Onc = Radiation Oncologists, Surg = Surgical Oncologists.
SOURCE: Wiest presentation (October 20, 2008) and the National Cancer Institute.
Figure 12 New
OCR for page 23
Medical Oncologists
35 50%
Number of Applications/Awards
Success Rate
15 20%
0 0%
Radiation Oncologists
35 50%
Number of Applications/Awards
Success Rate
15 20%
0 0%
Surgical Oncologists
Number of Applications/Awards
35 50%
Success Rate
15 20%
0 0%
Number of Applications/Awards
35 50%
Success Rate
15 20%
0 0%
2004 2005 2006 2007 2008
Applied Success Rate
FIGuRE 13 CDAs to subspecialists. The different oncology subspecialties have had
various levels of success at achieving CDA awards over the past four years.
SOURCE: Wiest presentation (October 20, 2008) and the National Cancer Institute.
OCR for page 23
to oncology. Dr. Bajorin suggested continuing programs such as those of
ASCO, which provide travel awards to residents so they can attend national
meetings, as well as supporting a medical school student rotation program
so that medical students can go to a major cancer center and participate in
oncology care and oncology research.
POLICy SOLuTIONS
Two policy experts at the workshop discussed possible policy solutions to
the crisis in the oncology workforce. One long-term solution that was offered
to help counter impending oncology workforce shortages was to boost the
numbers of physicians who receive GME, especially those that pursue internal
medicine residencies and oncology fellowships. As Dr. Grover pointed out,
"No matter how many M.D.s or D.O.s [Doctors of Osteopathic medicine]
you produce or how many international graduates you bring from abroad,
you are largely limited by the size of your graduate medical educational enter-
prise, that is, the training of residents and fellows."
Because the government, through Medicare and other federal and state
programs, provides the financial support for training residents and fellows,
public policy that controls funding for these programs may indirectly affect
both the numbers of physicians and the specialties they acquire, pointed
out Dr. Grover. Medicare is the largest explicit payer for GME and directly
offers financial compensation for residency education costs, including
resident stipends and salaries. It also indirectly compensates for the higher
patient care costs due to the presence of teaching programs in academic hos-
pitals. Other government sources of support for GME include Medicaid;
the Veterans Administration; Title VII, which supports primary care physi-
cian training; and the Children's Hospital Graduate Medical Education
Program, which supports pediatric training.
The Balanced Budget Act of 1997 limited the number of residencies
and fellowships for which Medicare would pay, as part of a money-saving
strategy by the federal government. This Act assumed the number of
physicians currently being generated was sufficient to meet the nation's
needs, and, with a few exceptions, stipulated that additional residencies
and fellowship positions beyond those established in 1996 would not be
funded. In addition to this Act, CMS recently made its requirements for
reimbursement more stringent, according to Dr. Grover. For example, it
no longer reimburses for training at nonhospital sites, or for a number
of other education or patient safety and quality-related activities. It also
OCR for page 23
has made it more difficult to acquire reimbursement for any resident
time spent in research activities unless they relate to the clinical care of
The Bush administration and the Medicare Payment Advisory Com-
mission (MedPAC), an independent Congressional agency, recently
proposed limiting Medicare reimbursement to GME even further. These
measures have not been passed, but some are still being considered. "As
we are trying to grow, they're still thinking about what to cut," noted
Dr. Grover, and "the pressure to cut is even more extreme now with the
current state of the economy," he added.
Dr. Grover showed that the Balanced Budget Act combined with the
influx of managed care, which emphasizes using gatekeeper primary care
physicians to reduce the need for specialists, has led to the total number of
residency positions remaining relatively stagnant since the mid-1990s (see
Figure 14). "We're at a point where we certainly aren't able to grow at the
rate or to the extent at which the population requires additional health care
workers trained," he said. "We are probably in deficit funding now, meaning
that our institutions are taking on the full costs of training an additional
3,000 to 5,000 residents and fellows that Medicare doesn't reimburse. I
don't think our institutions are going to be able to go much further without
some help from the federal government," Dr. Grover stressed.
Senators Joe Biden, Harry Reid, and others tried to provide that
financial help with a bill12 they introduced in 2007 that aimed to raise the
Medicare GME funding caps in those states that are below the national
average in terms of residents to population ratios. The bill, which was
not passed during the 110th session of Congress, would have increased
Medicare-funded slots by 1,222 residency positions, although there were
concerns that the funding for this bill may have come from limiting the
per capita amount of funding for all residency slots. Policy makers could
also try to seek additional funding for GME from other government
agencies or programs that provide health care funding, including the
Veterans Administration and Title VII, Dr. Grover added.
As for seeking policy solutions for the shortage of oncologists specifi-
cally, Dr. Grover noted that since 2002 the number of oncology fellow-
ships has increased more than the number of residencies that train primary
12U.S. Congress. House. Resident Physician Shortage Reduction Act of 200, HR 1093.
110th Cong., 1st. Sess. U.S. Congress. Senate. Resident Physician Shortage Reduction Act of
200, S 588. 110th Cong., 1st Sess.
OCR for page 23
Managed Care
Number of Residents
90,000 PEW and IOM
1980 1984 1988 1992 1996 2000 2004
FIGuRE 14 Total Graduate Medical Education (GME) positions in all medical
specialties, 1980-2004. This graph depicts the effect of the policy environment on growth
in GME positions. In the 1980s when a prospective payment system (PPS) was in place,
there was a steady increase in GME positions. In the 1990s when managed care was being
utilized, the growth in GME positions slowed. Reports by COGME, PEW, and IOM
in the 1990s emphasized the role of gatekeepers and primary care. When the Balanced
Budget Act (BBA) of 1997 was passed, GME positions were already at a plateau.
NOTE: COGME = Council on Graduate Medical Education, Summary of the Fourth
Report, Recommendation to Improe Access to Health Care Through Physician Workforce
Reform, www.cogme.gov/rpt4.htm; IOM = Institute of Medicine. 1996. The Nation's
Physician Workforce: Options for Balancing Supply and Requirements. Washington, DC:
National Academy Press; PEW = Critical Challenges: Executie Summary, Reitalizing the
Health Professions for the Twenty-First Century, www.futurehealth.ucsf.edu/summaries/
SOURCE: Grover presentation (October 21, 2008) and the Association of American
Medical Colleges.
care physicians, for which there is a heightened perceived need to expand.
"People are concerned about family medicine and general internal medi-
cine, so when you look at the lack of problems that oncology has relative
to other specialties in attracting people, it makes it less sympathetic,"
Dr. Grover said. He added that, because oncologists have higher incomes
than many other specialties, "it becomes very difficult to make a case for it
and have people be sympathetic. Within health care, you have to be realistic
OCR for page 23
about where oncology fits in with everybody else, given the overall lack of
federal resources." Dr. Kavita Patel, Deputy Staff Director for the Senate
Health, Education, Labor and Pensions Committee, Health Subcommittee
of Senator Edward M. Kennedy, agreed, noting that "we are dealing with
intersecting forces and needs, and we are trying desperately to prioritize, and
there is definitely a priority for primary care at this time for refinancing and
aligning payment and incentives and workforce issues."
In her presentation, Dr. Patel discussed the recent landscape of federal
and state initiatives intended to provide support for the education and train-
ing of the general health care workforce, as well as the cancer workforce. Her
first example, the Health Professions Education Partnerships Act of 1998,13
illustrated successfully enacted federal legislation that provides grants,
contracts, and scholarships to support the education of underrepresented
minorities interested in the health professions. She also highlighted some
examples of legislation that did not pass Congress, including the National
Cancer Act,14 which was introduced in 2002, 2003, and 2007 and included
provisions to promote the growth of the cancer workforce through grants,
scholarships, fellowships, loans, and loan repayment mechanisms. An addi-
tional bill not passed by Congress was the Quality of Care for Individuals
with Cancer Act,15 introduced in 2002 and 2004, which included provi-
sions to establish grants to support cancer curriculum development, pro-
grams to promote an adequate and diverse cancer workforce, and a plan to
assist health care workers in professions facing the most severe shortages.
Dr. Patel also discussed two examples of state legislation addressing
health care workforce issues. Massachusetts enacted legislation16 in 2008
that created a loan forgiveness program for physicians and nurses who agree
to practice primary care in medically underserved areas, as well as providing
tuition incentives for University of Massachusetts medical students who
agree to practice primary care in the state for 4 years. As part of the state's
13Health Professions Education Partnerships Act of 1, P.L. 105-392, 105th Cong., 2d
Sess. (November 13, 1998).
14U.S. Congress. Senate. National Cancer Act of 2002, S 1976. 107th Cong., 2d Sess.;
U.S. Congress. Senate. National Cancer Act of 200, S 1101. 108th Cong., 1st Sess.; U.S.
Congress. Senate. National Cancer Act of 200, S 1056. 110th Cong., 1st Sess.
15U.S. Congress. Senate. Quality of Care for Indiiduals with Cancer Act, S 2965. 107th
Cong., 2d Sess.; U.S. Congress. Senate. Quality of Care for Indiiduals with Cancer Act,
S 2771. 108th Cong., 2d Sess.
16The Commonwealth of Massachusetts General Court. Senate. Bill to promote cost con-
tainment, transparency and efficiency in the deliery of quality health care, SB 2863. 185th Sess.
OCR for page 23
overall health care reform efforts, Minnesota also passed legislation17 in
2008 that requires the commissioner of health to study and recommend
changes necessary to health professional licensure and regulation so that
advanced practice RNs, PAs, and other licensed health care professionals
are fully utilized.
In addition to Dr. Patel's survey of recent workforce legislation,
she also discussed the comprehensive cancer legislation that Senators
Kennedy and Hutchison are currently developing.18 The legislation is
aimed at the entire continuum and spectrum of cancer care, including
workforce issues. In crafting the legislation, one of the issues that they are
trying to confront is determining which agencies the legislation should
target. According to Dr. Patel, they have debated whether the legislation
should designate multiple agencies responsible for programs that foster
quality cancer care or increase the oncology health care workforce. "We
talk sometimes about having a 'cancer czar' or some coordinator of cancer
programs," she said.
But both Drs. Patel and Grover pointed out that any current efforts to
devise legislation that fosters a growth in the oncology workforce may be
dwarfed by both the new administration's focus on making major health
care reforms and an economy on the downturn that cannot support major
funding for new programs and initiatives. However, Dr. Patel noted that
the change in administration offers new opportunities. "We are going to be
dealing with new agencies and agency heads and new high-level nonpolitical
appointees, so this may be the time to make sure that those people hear that
cancer care must be a priority," she said. Ms. Smith added that attempts to
acquire funding for programs that will help alleviate the shortage of oncol-
ogy health care workers should be couched in language that stresses their
long-term economic benefits. "We could say, 'by funding a more elegant
model for delivering care, we could offset hospitalization, or by funding
educational programs, we might offset unemployment,'" she said.
Ms. Bruinooge raised the issue of whether Medicare funding for GME
could be used for collaborative cancer care, much of which takes place
outside hospital settings. Dr. Grover concurred, noting that "with the new
administration coming in, we will have the opportunity to say there's a lot
that can be done from a regulatory side to train people for the 21st century
17Minnesota State Legislature. Senate. SF 3780. 85th Sess.
18U.S. Congress. Senate. 21st Century Cancer ALERT (Access to Life-Saing Early Detec-
tion, Research, and Treatment) Act of 200, S. 717. 111th Cong., 1st Sess.
OCR for page 23
and not the 18th century. It would be helpful if Congress gave CMS that
extra leeway to encourage the development of new arenas of training, new
models of collaborative, interdisciplinary care."
However, Dr. Grover warned that training in new models of care will be
a waste of time if there are not opportunities to employ those new models in
real-world settings. He suggested a strategy that attempts to transform the
practice of medicine to fit training activities in the new models of care. He
added that a major barrier to developing new models of care is a payment
system that is based on capitation. "Health care is not widgets," he said.
"We shouldn't get rewarded for doing more and get paid according to vol-
ume." Ms. Smith suggested a pay-for-performance reimbursement system
that rewards better care, a concept which Dr. Grover noted is just starting to
be explored by policy makers. Dr. Patel cautioned that pay-for-performance
is "an answer in certain areas for certain conditions, but it's not going to get
us to that comprehensive change."
Dr. Patel also noted that "we are going to have to marry what we do in
training with what we do on the private side and so sometimes I think that
CMS is not necessarily the vehicle of change." She noted that there are over
230 demonstration projects within CMS, and it is unclear how useful they
are. "These demonstration programs are usually underfunded and though
you might get results from it, you don't have the sample size to actually show
anything that is going to convince policy makers," she said. Instead, she sug-
gested organizations, such as the AAMC, support demonstration projects
in real time to inform those at the federal level what innovative and creative
programs should be supported with public funds. "Show people what you
know works even if it is examples from 20 institutions—that's a lot more
data than we have in many cases about anything," Dr. Patel said.
Both Drs. Patel and Grover stressed the importance of thinking out-
side the box of oncology and building on the work of other related fields.
Dr. Patel suggested using what can be done within the cancer arena as a
model for what can be done in all health care and vice versa. For example,
the coordination of care required for adequate cancer survivorship care can
be a useful model for the care of patients with other medical problems,
she pointed out. "We need to think of how we can build on each other's
energies and passions and the money spent on doing these things," she said.
Ms. Schwartz suggested building synergy by supporting other organization
efforts related to oncology, such as the National Priorities Partnership,
which recently released a document that stresses making palliative care a
health care priority.
OCR for page 23
Dr. Grover concurred but commended IOM's effort to bring together
different professions within the cancer care umbrella with a unified purpose
of determining what cancer patients need. He suggested that all these fac-
tions voicing a unified message will impress policy makers more than frac-
tious efforts. Dr. Shulman added, "We're only going to make progress if we
band together with physicians, nurses, social workers, physician assistants,
and all the other groups. If we're all squabbling and have different ideas
about how to divide up the pie and who's in charge and who gets reim-
bursed for what, then we'll be nibbling at change and won't foster the bold
changes that are needed." Dr. Bednash agreed and urged physicians to join
with nurses in lobbying for more support for the clinical training of nurses
and their reimbursement in a collaborative care setting. She also suggested
that the numerous consumer advocacy groups for various types of cancers
join this unified effort to address oncology workforce issues. Ms. Smith
added that the cancer survivor community should be tapped to advocate
for oncology health care needs.
Mr. Salsberg suggested learning from what was done to promote efforts
to address the shortage of primary care providers. Studies documenting
the shortages of primary care providers led to public media campaigns and
lobbying efforts in Congress, he noted. "There were a number of alliances
and principle statements coming out that increased awareness on the part
of the public about the shortages of primary care physicians," he said. He
also noted the speed and creativity of the government efforts that are under
way to address the current economic crisis. "It does seem that this country
seems to respond more quickly to crisis so maybe we need a public relations
effort to really help our leaders understand that this is a crisis that needs
urgent attention," he said.


text:
It's pretty difficult to get banned from the PlayStation Network. You have to be a total jerk-face to get booted off PS3's online community. However, that's what Erik Estavallo managed to do whilst playing Resistance. With access to the game cut off, Estavallo decided to take part in the most appropriate action possible: a lawsuit.
Estavallo argues that a ban from the PlayStation Network goes against his First Amendment rights. "The plaintiff was exercising his First Amendment Rights to Freedom of Speech in the game's public forum when he was banned from, not only [Resistance], but also banned from playing all other games online via the PlayStation Network," a court document retrieved by GamePolitics reveals. This, in turn, has caused "pain and suffering" because the PS3 is "the only way the plaintiff can truly socialize since he also suffers from Agoraphobia."
Estavallo is asking for $55,000 in punitive damages and demands Sony no longer implement bans of any sort. He alleges that "PlayStation 3 is the only system that incorporates this type of wide-ranged ban. As where Nintendo does not ban customers at all. And Microsoft Xbox rarely bans."
Featured Stories
Off the Grid: The Witcher Adventure Game and Star Wars Imperial Assault
Posted on Feb 3rd 2015 2:15PM


text:
Call: 1-855-509-9227 1-855-509-9227
Click: Car on Dealer's Website
View: Similar Cars from this Dealer
Call: 1-855-509-9227
Familiarize yourself with the 2013 Jeep Wrangler! A comfortable ride in a go-anywhere vehicle! With less than 20,000 miles on the odometer, you'll be sure to appreciate this model's condition and value. Jeep prioritized comfort and style by including: front fog lights, skid plates, and much more. Under the hood you'll find a 6 cylinder engine with more than 270 horsepower, and for added security, dynamic Stability Control supplements the drivetrain. Four wheel drive allows you to go places you've only imagined. We have the vehicle you've been searching for at a price you can afford. Stop by our dealership or give us a call for more information.
$27,988 *
Humboldt Chrysler Dodge Jeep
*Features and options are descriptive of what can be expected on the vehicle. Actual options should be verified by the customer and dealer.
Price excludes any optional equipment selected by purchaser and state and local taxes, tags, registration and title fees.
CARFAX Vehicle History is based only on information supplied to CARFAX. CARFAX Vehicle History information on this page is current as of 03/05/15 at 03:25:00 PM (CST). The CARFAX Vehicle History Report for the vehicle may contain more current information. Other information about the vehicle, including problems, may not have been reported to CARFAX. Use the CARFAX Vehicle History as one important tool, along with a vehicle inspection and test drive, to make a better decision about your next used car. Vehicle descriptions and details on this page may have been provided, in part or entirely, by the seller or its agent. CARFAX does not verify these descriptions and details, and is not responsible for the accuracy of the information. Please refer to the CARFAX Terms of Use for further information.


text:
Cameras of the Year
Every year a series of "revolutionary" and "game-changing" cameras are released into the market. They included amazing high-resolution sensors, new professional-grade cameras, and slim new mirrorless designs in 2012. So what could possibly change in just one year?
A lot.
Hover over and click on the cameras below for more information:
To start, we saw a variety of new tech from Canon. They released the smallest DSLR to date with the SL1, which weighs only 13 ounces. It even has all the features you have come to expect from a Canon DSLR camera, including full HD video. It brings with it a Video Snapshot feature for automatically combining short clips into one longer video file.
But, the dual-pixel autofocus technology in their 70D was the biggest splash they made this year. The newly developed 20.2-megapixel sensor utilizes two photodiodes within each pixel for faster and more accurate contrast-detect focusing times. Or, for those not up to date on CMOS sensor terminology, it means faster and more accurate focusing in Live View and video modes.
Another more recent addition to Canon's DSLRs can be seen in the 70D's Wi-Fi capabilities. This is showing up more and more on cameras as a built-in feature to allow for wireless control via smartphones and simple transmission of images across devices.
Other DSLR sensor development came with the Pentax K-3's ability to turn on and off the anti-aliasing filter. They managed this by using micro vibrations of the sensor to blur the image just enough to create the effect of an actual anti-aliasing filter. But, when turned off, you can maximize the potential sharpness of your image.
Additional features of the K-3 include a revamped autofocus system with an impressive 25 cross-type sensors and durable body construction. Pentax makes their professional equipment with all-weather sealing, meaning that if you get caught out in the rain or snow you can be confident that your camera will work flawlessly.
Many would find it difficult to follow up a year with Nikon's D4, D800, and D600 as well as Canon's 1D C, 5D Mark III, and 6D. Manufacturers still tried to fill the appetites of camera enthusiasts with new cameras and tech. But, the real surprise came from Nikon's announcement of a retro-styled camera.
They released the Nikon Df. With a body style evoking the spirit of the classic F-series and a full-frame CMOS sensor, Nikon is trying to appeal to those simply wanting "pure photography." It features physical dials for settings like shutter speed and ISO and can use practically every Nikon F-mount lens, especially if you consider the metering coupling lever that allows you to use AI and non-AI lenses without any additional modification.
The Df is sure to attract those who shot with film cameras, or even those who still shoot film, to make the move to digital. And sure to please many enthusiasts, a screw-in port for using a manual release cable is available. This camera's photography-only theme is stressed with the purposeful omission of video found on practically every digital camera today, even the common point-and-shoot.
On to point-and-shoots: they have been completely redesigned for the Instagram age. The square design of the Canon PowerShot N exemplifies this concept, along with featuring Wi-Fi connectivity for instantly syncing to our phones and posting pictures to our social media profiles. It can even send photos and video back to a computer at home or to an online photo album to share with friends and family at home.
But, speaking of camera designs, the QX-series camera modules from Sony take the cake. The QX10 and QX100 are powerful point-and-shoot cameras that clip onto your smartphone, using Wi-Fi or NFC connectivity to transform your phone into a full-featured digital camera.
Then, by connecting to your phone via a free Sony app, you can access live view and camera settings. However, you aren't limited to simply attaching the camera to your phone; you can detach it and use it wirelessly to capture images above crowds or in tight spots in which you would never get the right perspective, normally.
Getting back to the standard form factor, Sony's RX10 features the new BIONZ X image processor along with Wi-Fi and 1080p video at up to 60 frames per second—impressive specifications and video capabilities for a point-and-shoot. It wasn't alone however; Sony released two other cameras using the BIONZ X image processor, the A7 and A7r.
These full-frame mirrorless interchangeable-lens cameras have 24- and 36-megapixel sensors, respectively. These maintain the image quality found in high-end DSLRs but with a compact form factor. Additionally, the A7r has a gapless on-chip lens design that better directs light across the entire sensor to each individual pixel and omits the low-pass filter for getting the maximum resolution possible out of the image.
On the other hand, the A7's lower resolution sensor benefits from a "hybrid" contrast- and phase-detect focusing system. This means you will have faster, more reliable autofocusing. Regardless of which option you choose, these mirrorless cameras are perfect for constant travelers, or someone looking to carry a smaller gear bag for everyday use.
For adventurers who aren't afraid to get a little dirty, the waterproof and shock-resistant Nikon 1 AW1 is perfect. It has superb weather-sealing and is waterproof up to 49.2'. The best part is that somehow, Nikon has endowed it with an interchangeable lens system, although I wouldn't recommend swapping lenses while underwater.
Back on solid ground, the Galaxy NX from Samsung runs Android 4.2 Jelly Bean, meaning you can skip an entire step when dealing with your images. No more wireless transferring in order to work with your favorite photo-editing and sharing applications. The Galaxy NX even has Wi-Fi and 3G/4G LTE connectivity for uploading while on the go.
Don't forget about the retro-styled bodies coming from Olympus. The new OM-D EM-1 addresses many of the gripes addressed to its predecessor. These have been resolved, with changes from simple generational updates in firmware and camera technology to the addition of a heftier grip for a solid handhold.
With the EM-1, Olympus is trying to reach out to the professional market. It's designed with a durable build that is splash, dust, and cold proof. It also offers good image quality and a noticeable improvement in autofocus, a common issue on mirrorless cameras due to the lack of a dedicated autofocus sensor.
This year was filled with notable improvements across the board, and the cameras mentioned here were only a small fraction of those released. So, whether you need a tiny camera for quickly sending photos to your social media accounts, or the latest video technology in a DSLR, I'm sure there is something here for you.
Items discussed in article
Add new comment
Yes, Canon and Nikon seem to dominate this article despite other leaders in different classes. Perhaps this has to do more with their marketing budget than their products.... though they have some nice stuff. The authors went almost the whole article before mentioning Olympus and didn't mention the em1's weatherproofing or wireless features. Speaking of M4/3 the article avoided Lumix altogether. If an article is going to be called Cameras of the Year, it would be logical that classes be established and winners be decided.
Well, the OM D EM-1 just got released and hasn't been in enough peoples hand and professionals long enough. The OMD E5 should be mentioned though, along with the new Panasonic GH3 which is a excellent camera on stills but steals the show when it comes to video in comparison to what else is out there. I was a huge Canon/Nikon fan for years, but Sony/Olympus and Panasonic are putting out some very comparable gear for less.
Seems people don't read what the article is called "CAMERAS of the year" that is plural plus the article is written as a guide. As an amateur I like Canon my friend swears by Nikon, it's all a matter of choice. I don't see the names Haselblad or PhaseOne so is someone out there going to complain that these great cameras are not on the list.
Love the article B&H even though I am not in the market for an upgrade just yet love my 6D with 24-105 and 70-300 "L" series glass too much
Yep, it was a great yr for camera developement. I think, however, a wait and see attitude is manditory these days. If you don't absolutely have to have it now, wait. It'll be out in a better version tommorrow. Lenses are a different story they change less often and less radically. So as much as I would like some of the really cool cameras that just came out, I don't have to have them, so I'm focusing (no pun intended) on new glass over the next two yrs. Have fun, whatever you decide.
The entry regarding the Olympus OMD E-M1 is extremely lame. It starts out by casting the camera first in terms of retro style and then frames the camera as addressing "gripes" about prior cameras. As though the E-M5 had been in the weeds and the E-M1 finally got the brand out onto the playing field. Talk about a negative cast! While the article starts by lauding Canon for implementing on-sensor phase detect autofocus, they give no credit to Olympus for also implementing on-sensor phase detect AF opening up the full range of four thirds lenses (many of them stellar) to fast AF. Rather than saying that Olympus is reaching out to the professional market with this camera, the author states that they are "trying" to do so. Talk about damning with faint praise! This is the camera that many put as the top camera of the year (for instance Dpreview.com) but in this write-up Shawn puts it at the bottom.


text:
Ambarella To Present At Upcoming Investor Conferences
SANTA CLARA, Calif., Aug. 26, 2013 (GLOBE NEWSWIRE) -- Ambarella Inc., (Nasdaq:AMBA) today announced that it will be attending the following September conferences:
- 4 th Annual ROTH Semiconductor Corporate Access Day on Monday, Sept. 9 in San Francisco
- Deutsche Bank Technology Conference on Tuesday, Sept. 10 in Las Vegas
- Morgan Stanley IPO Conference on Tuesday, Sept. 24 in New York
The company will host one-on-one meetings at all of the conferences and is currently scheduled to present at the Deutsche Bank conference at 4:50 p.m. on Sept. 10, which will be webcast on the Investor page of Ambarella's website at http://investor.ambarella.com/index.cfm .
About Ambarella
Ambarella, Inc. (Nasdaq:AMBA), is a leading developer of low-power, high-definition (HD) video compression and image processing solutions. The company's products are used in a variety of HD cameras including security IP-cameras, wearable sports cameras, and automotive video camera recorders. Ambarella technology is also used in television broadcasting with TV programs being transmitted worldwide using Ambarella compression chips. For more information about Ambarella, please visit www.ambarella.com .CONTACT: Deborah A. Stapleton 650.470.4200 landline 650.815.1239 cell firstname.lastname@example.com
Check Out Our Best Services for Investors
Action Alerts PLUS
Portfolio Manager Jim Cramer and Director of Research Jack Mohr reveal their investment tactics while giving advanced notice before every trade.
Product Features:
- $2.5+ million portfolio
- Large-cap and dividend focus
- Intraday trade alerts from Cramer
Quant Ratings
Access the tool that DOMINATES the Russell 2000 and the S&P 500.
Product Features:
- Buy, hold, or sell recommendations for over 4,300 stocks
- Unlimited research reports on your favorite stocks
- A custom stock screener
Stocks Under $10
David Peltier uncovers low dollar stocks with serious upside potential that are flying under Wall Street's radar.
Product Features:
- Model portfolio
- Stocks trading below $10
- Intraday trade alerts
Check Out Our Best Services for Investors
Dividend Stock Advisor
David Peltier identifies the best of breed dividend stocks that will pay a reliable AND significant income stream.
Product Features:
- Diversified model portfolio of dividend stocks
- Updates with exact steps to take - BUY, HOLD, SELL
Trifecta Stocks
Every recommendation goes through 3 layers of intense scrutinyquantitative, fundamental and technical analysisto maximize profit potential and minimize risk.
Product Features:
- Model Portfolio
- Intra Day Trade alerts
- Access to Quant Ratings
Options Profits
Our options trading pros provide over 100 monthly option trading ideas and strategies to help you become a well-seasoned trader.
Product Features:
- Actionable options commentary and news
- Real-time trading community


text:
Check out our YouTube channel for even more tech tips, installation videos, how-tos, and more. The best place to go for anything Mustang related!
I have a 91 coupe with a 408W, AFR205 heads, 10-1 compression, Hydraulic roller, Trick Flow R intake, Accufab throttle body, 42lb injectors and Pro M mass air for the 42's. The car has a TKO600 with 373's. Car has old tune on stock AL9 with chip burned. Problem is it runs good but below 2000 RPM;s and at low speeds it kicks, bucks and really sucks to drive through town and cruises.
Will the Pro M EFI system help this or do I just have too much motor.
really frustrated with the car.....
Asked by Darrell M.
from Rockdale |
Best Answer:
The Pro-M system would help with all of that and more. From your laptop, you'll have complete control of engine functions and you can greatly improve drivability as well as performance. With the Pro-M coil on plug conversion, you could even control spark for each individual cylinder!
Answered by Jonathan M.
from Hewitt |
Will this kit be available with the Pro M Distributor-less Ignition System?
Asked by Andrew B.
from Fountain Valley |
Ford Mustang - 1991 (91) - 1992 (92) - 1993 (93)


text:
VERY HONEST, CLEAN 71,000 MILE MERC. ROCK SOLID FLOORS & FRAME. CLEAN STRAIGHT BODY WITH GREAT FIT. PAINTED ONLY ONCE. STILL HAS ORIGINAL JAMBS.... More
1952 Mercury Monterey 2 Door Hardtop Northwest Classic Auto Mall advertises this vehicle for the owner. If you are interested in this vehicle or have any... More
For sale in our Chicago Showroom is a rare vintage convertible a 1952 Mercury Monterey. Produced by the Mercury division of the Ford Motor... More
Up for sale in our Tampa Showroom is this 1954 Mercury Monterey called ??The Junkyard Dog?. This legendary car has raced the La Carrera... More
1950 Mercury Monterey 103,904 Original Miles! Extremely rare, Original black & yellow leather interior with yellow top. Original chrome trim, original tan vinyl top Mostly orig black paint, Straight shift,... More
1950 Mercury V-8 6-Passenger Coupe VIN: 50LA35014M Ultra rare find!! An all original unmolested 1950 Mercury Coupe!! Has been owned by the same person for over 30... More
1956 MERCURY MONTEREY 312 C.I. V8 3/SPEED MILD CUSTOM CRUISER YEAR: 1956 MAKE: MERCURY MODEL: MONTEREY BODY:... More
Frame & Suspension Art Morrison custom frame and suspension specially built for a 1951 Mercury Coupe Air Ride Technologies air ride suspension with computerized... More
1951 Mercury 4 Door Northwest Classic Auto Mall advertises this vehicle for the owner. If you are interested in this vehicle or you have any questions,... More
1953 Mercury Monterey Woody Woodie Station Wagon. Excellent. Restored. Retaining its excellent original interior from FoMoCo. Less than 8000 ever produced. History from new. 250 pages of documentation. Featured 15... More
Stunning frame-off restoration to the highest standards. Factory overdrive, functional AM radio, and heater. The best! This gorgeous Raven Black over Lakewood Green (code 54A)... More
1950 Mercury, suicide doors, 7k miles on rebult flathead v8, 3 speed o/d, rechrome front and rear bumpers, 92,xxx on car, nice paint, newer... More


text:
MCSE Windows NT Workstation 4 with CDROM (Certification Study Guides) Certification of Windows NT programmers and engineers is a fast-growing trend - required by many companies. This textbook is officially endorsed by Global Knowledge Network (GKN), the world's largest independent IT training company and Microsoft's largest Authorized Technical Education Center. Each chapter provides objectives, exercises, a summary, a 2-minute drill, and self tests. There is also a chapter on "How to Take Exams" with pointers on how to maximize your chances for success on the day of the exam.
Please visit Help Page for Questions regarding ISBN / ISBN-10 / ISBN10, ISBN-13 / ISBN13, EAN / EAN-13, and Amazon ASIN
Home | ISBN Directory | Affiliate Program | Contact Copyright © 2003-2014 AllDiscountBooks.net All rights reserved.


text:
25 scriptures to give you strength - Inspirational Videos
701 views
A video of 25 beautiful scriptures about strength set to music. You will love it. You can find more Scriptures for strength at http://taberstruths.com/bible-verses-about-strength-my-10-scripture-passages-on-strength/
Brought to you by Taber's Truths Christian News and Commentary
Brought to you by Taber's Truths Christian News and Commentary
- Powerful Story About Music Brings A News Anchor To TearsInspirational Videos
- Talented Group Gives Irish Dance A Modern MakeoverMusic Videos
- This Beautiful Version of Psalm 23 Had Me in TearsInspirational Videos
- 'Holy Spirit' – Awe-Inspiring Kari Jobe Hit Will Move YouMusic Videos
- 'Where I Am Right Now' – Powerful Worship Song Will BLOW You AwayMusic Videos
- Loving Husband Shows Blind Devotion To Wife After She Loses Her SightInspirational Videos
- Skit Guys - Psalms for Lent: 1st SundayMinistry Videos
- Easter Version of 'Hallelujah' Will Give You ChillsMusic Videos
- Social Experiment Shows How Appearance Changes The Way We Are TreatedInspirational Videos
- 'This I Know' – Inspiring NEW Song From CrowderMusic Videos
- BibleStudyTools.com: This Powerful Video of the "Love Chapter" Gave Me ChillsInspirational Videos
- Shout Out 'We BELIEVE' With This Praise-Worthy Newsboys HitMusic Videos
No playlists found for this account.


text:
We need honest County CommissionersSubmitted by Guest324 (not verified) on Fri, 04/01/2011 - 3:15pm.
Mr. Barfield clearly is against neighborhood schools and is covering it up. I was within ear shot when he told the SchoolBoard that it could effect their budget. Come clean Barfield. It will make you feel better about yourself. Remember, you and the others are elected and it really looks like a mistake. Hopefully this will be your last term if all the people that wanted neighborhood schools vote you out. »
Reply |


text:
Strap on your sandals and grab your sword for the centurion combat epic, Ryse: Son of Rome.
A damaged sixth-century sword in a museum in Norway has been perfectly reproduced as new through 3D printing.
So you bought a new 4K TV and you're wondering what's on. The answer right now is: not much. But the list is growing. Here's a look at what you can watch now in 4K, and what's coming down the pike in the near future.
How do your clothes go from filthy to grunge free? Through the chemistry of laundry detergent. In the latest installment of our Appliance Science column, we look at the chemistry of clean clothes.
Ancient amphitheater is leaning, authorities say, with north side more than 15 inches lower than south.
Drivers for the social network's shuttle bus contractor say they seek better schedules and wages that allow them to live near their jobs.
Travel back in time to 1984 to get the scoop on the many uphill battles James Cameron, Arnold Schwarzenegger and other stars faced when making the futuristic thriller.
Teamsters urge Mark Zuckerberg to support effort to improve working conditions and provide a wage that allows drivers to live near their jobs.
The next wave of consumer electronics could come from the maker movement and indie developers. Intel's Edward Ross wants to make the company's chips a key part of that trend.
The Microsoft console is finally arriving in the region. How much will it cost in each country? Which games are available? All the answers are here.


text:
Reload the page and try again.
Local Area: There Is Stuff to Do – The atmosphere is very chill. In a mile radius of campus you have a bunch of fine restaurants. There is always a play, comedy show, concert that you can go to. Since the Light Rail and Transit Center are on the outskirts of campus, the ability to travel back and forth from Phoenix and Tempe is very enticing. The locals here are very student friendly and you get that hometown feeling.
Health & Safety: Very Open Campus – There's not much security on the Tempe campus when it relates to people being able to walk through the campus grounds and do what they want to. It gets pretty crowded sometimes when your walking from one class to another. In the rare ocassion you get the "blind" driver who almost kills you or the "lovable drunk" who won't stop bothering you.
Campus Quality: The athletic centers are always being used from open to close by student athletes and many others who are keeping up their health. They offer many different classes like yoga, pilates, and spin. the main library is open 24 hours which is always helpful and gives a place to study all the time.
Campus Housing: Good but Expensive – The nicer dorms on campus are a lot more expensive than the older ones, even costing more than in-state tuition.
Scholarships: I dont know how this works at ASU because I am not currently on scholarship.
Guys & Girls: The girls are GORGEOUS. Arizona is known for having hot students, and I would definitely say the ladies of ASU are proof of that. Tempe 12 is also evidence enough. The guys are equally attractive.
Overall Experience: Honestly, ASU definitely gives a great freshman experience. It's probably not something I would do for 4 years though.
Administration: Not gonna lie, police crack down hard on parties, and several people get MIC's. But for the most part, if you're careful, you'll get home safely without the campus security knowing.
Diversity: There's definitely a melting pot of ethnic groups at ASU.
Weather: Besides the excruciating summer heat, the weather is absolutely amazing. Is there any other school on the west coast that throws raging pool parties in February? Definitely not.
Transportation: The safety escort is probably my lifesaver over the weekend. Parking is definitely ridiculous here--the towing is insane and the parking spots are normally full on weekends, so people normally get around by taxi.
Campus Food: The best places are the Barret dining hall and the Memorial Union
Campus Quality: Overall, ASU is looked at as a big party school in which almost anyone can get in, but really, ASU holds very highly ranked programs. The Walter Cronkite school of Journalish is very well known as well as the business program here at ASU.
Off-Campus Housing: Overall, the off-campus housing for upperclassmen is pretty good. They may be a little bit pricey, but the facilities are up to date, and modern.
Local Area: It's very much a city with a lot to do. There is great shopping on Mill Avenue, and Fashion Square in Scottsdale just 15 minutes away. There's always something fun to do at night.
Party Scene: Since I attend the West campus, there are not many teenage clubs. However, the schools shuttle drives to each campus so that students can still engage in activities on other campuses, especially the Tempe campus since there are more bars/clubs and parties.
Health & Safety: In case of emergencies, ASU has "blue lights" set up so that if anyone feels that they are in danger anywhere on campus, they can push the button on one of these and security will come right away.
Parking: Permit costs are actually pretty cheap but finding a spot is a hassle. Then you have to worry about moving your car to the other side of campus on game days
Athletics: Varsity Sports are mediocre at ASU it seems like some people enjoy the sports while others don't. Our football team is mediocre but our Basketball team is good. Although ASU is a D1 school it doesn't always seem like it.
Off-Campus Dining: Off campus dining is very good they have some of the best choices near campus. Chiptotle, In-n-out, Chili's, Jack in the Box, McDonalds, Jersey Mikes..etc
Greek Life: Greek Life on a scale of 1-10 is about a 7 at ASU. You always see the girls with their sorority bags or the boys with their greek shirts. More than half the campus is involved Greek Life
Technology: ASU is totally a MAC campus. Every classroom you go into has a MAC computer with everything you need. The computer commons even sells more of MACs then PC's
Academics: I came to Arizona State University for my major so far I have only taken one class that actually relates to my major. Most of the professors at this campus are very helpful they tell you to come to office hours and help with tutoring. The academics at ASU are amazing
Administration: Not Too Much – It's not too strict on campus, anti drug usage is enforced. but there are a variety of freedoms. the campus is public
Local Area: ASU tempe campus is a pretty adjustable and adaptable environment...almost anywhere you need to go is walking distance
{{review.SectionLabel}} at {{review.EntityName}}:
Sorry, there are no reviews.
Arizona State is like no other university in the country. With a large, vibrant, and exciting student body that truly makes the campus unique, there is no arguing that ASU is by any means a boring place to be for the next four years of your life. As soon as you step onto ASU's campus, you will feel the immense amount of positive and exciting energy that gives you sense of belonging. Even though there are so many students around campus, you will be sure to find a niche to call your own. College is the time to find yourself and truly learn who you are as you prepare for the real world. ASU provides the perfect environment to challenge you to make "adult" decisions, and you won't always, but by the end of it all, you will mature into a dedicated individual!
Even though students will struggle with all-nighters, sports practice, parking tickets, and trying to recover from a great night, many of them couldn't ask for anything else. There will be times that you are drowning in homework and studying, but by the end of it all, you will look back and laugh. Your peers help you get through the tough times and make those social outings even more fun. ASU knows how to party hard, but when it comes to crunch time, we pull it off well. The kids here know how to have a great time, the nightlife and social settings are extremely fun, the academics are quite challenging—especially when you apply yourself and take it seriously—but most importantly, students will leave prepared for post-graduation and taking on the world. ASU is a fantastic place to meet new people and a great way to experience life in the great southwest. But don't take my word for it—come on out and experience it for yourself!
Compared against the students in the chart, you are in the:
Non-registered users are limited to 5 school profile page views per month.
Register for free to gain full access!