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GENERAL INFORMATION - (PDF version)
- How many PGY-1 positions are available?
- Where do these interns come from?
- By what criteria are Housestaff selected?
- What is the salary?
- How does the Cost of living in Philadelphia compare to other larger cities?
- How many clinical training sites are there?
- What type of communication devices are there?
- How much time do I spend at each site as a PGY1?
- What is the program's approach to duty hour reform?
- What is iCOMPARE?
- What is the 6+2 scheduling model?
- What is the breakdown of rotations?
- What are the basic team structures on ward rotations?
- When are my days off?
- How is sick call handled?
- What are the Interdisciplinary Care Rounds?
- How does the program teach quality improvement?
- Does the program have a patient safety curriculum
- What is the Healthcare Quality and Leadership Track?
- What are the required ambulatory rotations like?
- Firm rotations
- How is the curriculum organized?
- Are there ILM's at the PGY2 and PGY3 level?
- Is there flexibility in choosing how elective time is spent?
- What is the Individualized Learning Plan (ILP)?
- Does the program have a patient safety curriculum
- What is the conference curriculum?
- How many people are on a team?
- Are there non-housestaff covered patients?
- What is the patient mix?
- Are their private attendings?
- What are the hospitalist services?
- What systems are in place at HUP to support duty hour reform?
- What type of technology is available at HUP?
- Where is the VA Hospital located?
- How much time will I be spending there?
- What is the Intensive Teaching Service
- Where is PMC?
- How much time will I spend there?
- What services are there?
- What is the admitting/shift schedule?
- Are there non-housestaff covered patients?
- What is the ACE unit?
- Where will I practice?
- When will I have outpatient office hours?
- What is the faculty to resident ratio in the office practice?
- How many patients are admitted to medicine services through the Emergency Department?
- What is the ED experience like?
- How often do I work in the Emergency Department?
- Where will I live?
- What about transportation to and from work?
- What is there to do outside of work?
- How do the housestaff get to know each other?
- How will I eat?
- Are white coats available?
- Are scrubs available?
- Are lockers available?
- Are their program sponsored social events?
- Is there a retirement plan?
- Does the program support professional society membership?
- Does the program support regional/national conference attendance?
Thank you for your interest in our residency program! We are thrilled to work with outstanding interns & residents while they explore career options, provide superb clinical care, and help us to refine and develop our training program. The program combines strong inpatient and outpatient clinical experiences with individualized elective time that allows each resident to have a unique, personalized training. We hope these FAQ's will begin to answer some general questions about the program, and we hope to have the opportunity to answer more questions in-depth during an interview day.
Q: How many PGY-1 positions are available?
A: There are 37 categorical, 4 Physician Scientist, 6 Primary Care, 4 Medicine-Pediatric, and 10 preliminary.
Q: Where do these interns come from?
A: Our housestaff come from all over - the current intern class represents 35 different medical schools.
Q: By what criteria are Housestaff selected?
A: Our program is built on a shared commitment to outstanding patient care, and the desire to nurture the careers of an exceptional group of young physicians. Our primary goal is to identify a group of interns who will be valued team members and additions to the Penn family. We look for applicants who value professionalism and teamwork, and who are eager to embrace graded patient care responsibility. Our residents have a strong academic record and a wide range of interests with excellent academic potential.
Q: What is the salary?
A: Next year's salary has not been announced. The current PGY-1 salary is $54,808.
Q: How does the cost of living in Philadelphia compare to other larger cities?
A: The cost of living is 42% higher in New York, 38% higher in San Francisco and 17% higher in Boston. Philadelphia is very affordable.
Q: How many clinical training sites are there?
A: Three. The Hospital of the University of Pennsylvania (HUP), The Philadelphia Veterans Affairs Medical Center (PVAMC), and the Presbyterian Medical Center (PPMC). Each site has a faculty site director, a Chief Resident and a coordinator.
Q: What type of communication devices are there?
A: All housestaff receive iPhones at orientation. This has greatly improved the efficiency of our residents, as well as communication with all providers.
Q: How much time do I spend at each site as a PGY1?
A: HUP: 8 - 10 months
PVAMC: 1 - 2 months
PPMC: 1 - 2 months
Q: What is the program's approach to duty hour reform?
A: The program takes adherence to the duty hour standards very seriously, and encourages open and honest reporting at regularly scheduled meetings. All schedules have been designed to promote full compliance. Interns typically work 8-13 hour shifts, 5-6 days a week. There is at least 1 day off in 7 on average over a given rotation, with some rotations supporting golden weekends (Saturday/Sunday off). The supervising resident may be on a rotation with extended shifts or may be working a 13 hour shift as well. About 80-85% of an intern's work is assigned as day work. Interns will rotate through approximately 4-5 weeks of night medicine, 5-6 nights per week on various rotations. Housestaff are expected to log their duty hours in MedHub – the institutional GME management system. The program can generate reports by rotations and promptly address any violations.
Q: What is iCOMPARE?
A: Our program is participating in iCOMPARE, a national, randomized trial that seeks to study patient care and educational outcomes in two different regulatory models: the duty hours regulations as implemented in 2011, and the duty hours regulations as implemented in 2003. Dr. Bellini is one of the lead investigators in this trial. Our program was randomized to the 2003 ("intervention arm") regulations.
The most obvious implication of this is that interns are permitted to work extended (>16 hour) shifts in our program for the 2015-16 and 2016-17 academic years. Other duty hours regulations (i.e. <80 hours per week, at least 1 day off in 7) remain in place and are unchanged. We are excited to be part of this important trial, and happy to have the opportunity to be creative in our scheduling.
Q: What is the 6+2 scheduling model?
A: 6+2 is a block scheduling system that applies to our categorical interns & residents. Interns and residents spend up to 6 weeks in a row on inpatient services, followed by 2 weeks in the ambulatory or elective setting (called Interactive Learning Modules (ILMs)). This system simplifies scheduling, makes it predictable, avoids burnout, and separates inpatient from outpatient responsibilities. We feel that it increases housestaff camaraderie by creating cohorts that travel through the year together. It helps ensure outpatient continuity by making our resident providers available to their patients at regular intervals.
This year (2015-16) is our first year implementing the 6+2 model for all residents in the program. We have used this model for several years for intern scheduling, and the feedback was strongly in favor of expanding to include upper year residents.
Q: What is the breakdown of rotations?
|A: Intern
* Preliminary interns are not required to participate in the ambulatory curriculum, and typically opt to use most of this time as elective. Some preliminary interns are required to use a small portion of this time for other non-call rotations, as determined by their future programs.
|Junior Resident
|A. Senior Resident
* Inpatient medicine denotes a mix of inpatient general internal medicine and subspecialty experiences in pulmonary, infectious diseases, and gastroenterology.
Q: What are the basic team structures on ward rotations?
A: On general medicine services, at HUP and PPMC, a team is made up of 1 resident and 2 interns. We take advantage of the flexibility offered by iCOMPARE and have these teams take traditional "long call" together in an extended 28-hour shift. Interns alternate roles from one call to the next: one intern stays overnight, while the other goes home overnight and returns the next day to round and cover the team post-call.
Night float residents arrive in the evening to admit in the overnight hours and allow the long call teams to have time to finish comprehensive admission workups. There is an additional day float intern or resident who also helps with the post-call team management. General medicine services have an intern cap of 9, and a team cap of 18. Bedside rounding is emphasized, as are multi-disciplinary rounds.
On the specialty services at HUP (solid and liquid oncology, infectious diseases, pulmonary, gastroenterology), all residents and interns are on day or night shifts with a maximum of 13 hours of consecutive duty. Liquid oncology teams are made up of 1 resident and 2 interns, while the other services all have 1 resident and 1 intern per team (2 teams each on pulmonary and gastroenterology). The teams alternate days with admitting duties. The intern service cap is 10 patients.
Q: When are my days off?
A: All housestaff get 1 day off in 7 when averaged over a rotation. These days off are preset in the online schedule such that housestaff know their days off for the year, and plans can be made in advance.
Q: How is sick call handled?
A: The program is fully committed to providing prompt coverage for residents who are sick or who have urgent personal or family needs. A small fraction (about 1/5) of residents on elective are designated for "jeopardy" coverage for 1 of their 2 weeks on elective. These residents carry on with normally scheduled elective activities unless needed for urgent coverage. A separate, smaller group of residents are designated for weekend coverage duties.
Q: Are there Multi-disciplinary Care Rounds?
A: On some services, MCR occur separately from attending rounds. They include nursing, housestaff, social work, clinical resource management and pharmacists. They are designed to facilitate patient flow by assisting with discharge planning. In general medicine and oncology, social workers, clinical research managers nd pharmacists are assigned to resident teams and participate in attending rounds.
Q: How does the program teach quality improvement?
A: Quality Improvement (QI) is taught in a variety of activities and forums. All QI activities are supervised and evaluated by faculty with training and interest in quality and safety.
Interns complete a project involving evaluation of the care delivered to their panel of continuity outpatients, and develop a plan to improve that care.
All residents receive clinical data about their own panel of outpatients in semi-annual face-to-face feedback sessions with a clinic preceptor. This resident-specific and practice-specific data helps residents and faculty generate action plans and learning objectives for the upcoming half-year.
PGY2 categorical residents get an intensive 2-week didactic experience in the principles of quality improvement. In small groups, they also participate in a year- long longitudinal QI project supervised by a member of the faculty who is an expert in QI. The project has a direct impact on the quality of care delivered in our hospital or clinics.
Q: Does the program have a patient safety curriculum?
A: Yes. One of the Assistant Program Directors is one of HUP's Patient Safety Officers. She plans and implement the curriculum. One resident report each month is used to teach basic safety concepts around real cases that represent errors or near misses. Didactic content is included in the ambulatory curriculum. A robust M&M occurs as part of Grand Rounds 6 times per year. Residents are involved in all aspects of these conferences and also participate in Root Cause Analyses.
Q: What is the Healthcare Quality and Leadership Track?
A: This track is designed for individuals wishing to pursue advanced training in healthcare quality and leadership. Residents apply in the spring of internship and begin in the PGY2 year. The track has an annual 2 weeks of core didactics and monthly seminars. Residents are also active members of the Unit Based Clinical Leadership teams.
Q: What are the the required ambulatory rotations like?
A: Yes. During intern year there are 12 weeks of ambulatory rotations divided into ambulatory block rotations, elective rotations, and firm rotations. The 12 weeks are divided into 2-week Interactive Learning Modules (ILMs) that are theme-based. This allows interns to focus their learning on specific, high-yield topics that are lead by faculty experts.
Highlights of the ILMs include:
- A standardized curriculum of interactive talks and seminars on physical diagnosis, screening and prevention, common outpatient illnesses, the patient-doctor relationship, ethics, medical informatics, and critical appraisal of the literature.
- Pre-selected high-yield and landmark literature related to the ILM's theme.
- An online forum that facilitates interactive discussion among interns that is moderated by subspecialty faculty experts.
- Selected clinics in medical and non-medical office-based specialties.
- An increased amount of time building a patient panel in their own continuity practices.
- Simulated training in procedures at the Penn Simulation Center.
- Standardized patient experience to improve communication skills.
Firm Rotations: Each PGY 1 and 2 have two, and each PGY 3 has one required firm rotations designed to solidify their ambulatory skills. The experience is designed to provide an immersion in the practice with a focus on in-depth attention to their primary patient panel, acute outpatient medicine, phone triage and quality improvement.
- Each resident on the firm rotation will participate in team
based care including:
o Phone medicine:
A core curriculum in phone medicine is reviewed, and the firm attending does daily reviews with each resident to insure comfort and facility with phone management.
o EPIC Inbox and Firm Mailbox management:
Residents are responsible for the Ambulatory Resident Pool in EPIC for their firm with the goal of developing co-practice skills. This includes calls and labs concerning firm patients cared for by all interns and residents on wards, elective, ICU, ER, and vacation. Residents review a curriculum of proper management of abnormal laboratory results and patient communication skills. Residents also assist with form completion and mailbox management for colleagues who are schedued to be away from the office.
Q: How is the curriculum organized?
A: The blueprint for the curriculum has been created by the Curriculum Committee made up of Core Faculty from each specialty of Internal Medicine. These individuals create the curriculum based on what they feel is most important for a general internist to know about that specialty. This curriculum integrates resident report, ambulatory conferences, and clinic curricula, while also supplying self-directed learning resources such as videos, reference articles, and a broad array of podcasts recently developed by a group of our residents.
Q: Are there ILM's at the PGY2 and PGY3 level?
A: Yes. The implementation of our innovative theme-based curriculum has been met with much positive feedback. This has led us to rollout of 2-week ILM';s to the rest of the residency program. The format is similar to the intern ILM's but geared toward a higher level. The modules include selection of landmark papers and facilitated discussions on our interactive online forum that re moderated by expert faculty. In addition to having ILMs every 6 weeks, residents have additional elective time.
Q: Is there flexibility in choosing how elective time is spent?
A: Yes. Our goal is to provide all housestaff with sufficient flexibility to explore and develop their future careers while providing a robust base curriculum that all internists need. At the PGY3 level, our residents create an Individualized Learning Plan (ILP). This allows our residents a large amount of flexibility. They are able to choose how and when they spend their elective time including: the selection of speciality faculty with whom they can schedule regularly scheduled clinic days, reserved time to develop and implement research projects, the choice of inpatient and outpatient electives and reserved time for board prep.
Q: What is the Individualized Learning Plan (ILP)?
A: In 2015, the program initiated a new, comprehensive approach to curricular planning for senior residents. Each senior resident, with the assistance of their program advisor and other chosen mentors, creates an ILP, a written plan for how s/he will use their ILM and elective time throughout the year. The senior residents are given top priority for longitudinal outpatient experiences, intensive inpatient electives, research blocks, and other opportunities that will help them achieve their career-oriented goals. By plotting out these opportunities at the beginning of the year, residents can not only get their desired curriculum, but also have the opportunities scheduled in a way that facilitates research goals, fellowship or job interviews, and other life events.
Q: What is the conference curriculum?
A: An integrated conference curriculum provides interns and residents with broad exposure to the principles and competencies of core internal medicine. The purpose and format of each conference is slightly different to provide residents with diverse learning venues. In addition, a variety of both clinical and basic science conferences are held throughout the week in all of the specialties. The weekly conferences include:
Resident report: (12:00 - 1:00 p.m - Monday, Wednesday, and Thursday)
This is the highlight of the curriculum. It is a didactic, patient based conference held 3 times a week. It is run by the chief residents with faculty support. There is equal emphasis on inpatient and outpatient cases. Multiple formats are used including intake, formal case presentations and clinical skills sessions. Integrated here are a physician scientist and a patient safety series.
Intern report: (1:15 - 2:15 p.m. - Monday, Wednesday, and Thursday)
This is similar to resident report but is focused for interns. It is run by the chief residents and occurs three times a week with equal emphasis on inpatient and outpatient cases. Interns are encouraged to forward phone calls to their residents during intern report in order to insure a focused educational experience (and opportunity to eat lunch in peace).
Management Conference: (12:00 - 1:00 p.m. - Friday)
This is a combined intern and resident conference highlighting core management topics given by selected faculty. A monthly favorite is the combined Med/Path conference where two patient deaths with autopsies are presented and discussed by residents and faculty from both departments.
Grand Rounds: (12:00 - 1:00 p.m. - Tuesday)
This is the premier didactic conference for the entire Department showcasing topics by departmental, regional and national faculty. The formats include formal lectures, panel discussions of controversial issues, and CPC's and M&M presentations facilitated by senior residents. These conferences are webcasted to all major clinical sites in the health system, and are archived and available online.
Thursday didactic sessions: (8:00 - 12:00 p.m.) For residents on ILM or firm rotation
These conferences are devoted to inpatient and outpatient management topics presented by core faculty. These sessions are more advanced, case-based discussions aimed at the resident level.
Nighttime Intern series (12:00 a.m.-12:30 a.m. weekdays)
These conferences are taught by a senior resident in house. They focus on teaching scripts designed by residents and reviewed by faculty experts, and highlight inpatient management issues.
Penn POD
This innovative podcast series is one of our newest curricular offerings. Initially suggested and designed by residents on our medical education elective, the podcasts offer condensed, practical talks designed to be 'just in time' learning for interns or housestaff returning to rotations after a long absence. The talks are offered by residents, though all have been reviewed and approved by Penn faculty experts. There are over 50 Penn Podcasts that range in length from 5 to 15 minutes.
Q: How are the teams organized?
A: The HUP ward medicine teams include: 3 Oncology (2 liquid tumor and 1 solid tumor oncology), 3 subspecialty (1 GI, 1 ID & 1 pulmonary) and 6 general medicine teams. The general medicine and liquid tumor teams are made up of one attending, one resident, two interns, and 1 third year medical student. The other teams are made up of 1 attending, 1 resident, 1 intern and 1 third year medical student.
Q: Are there non-housestaff covered patients?
A: Yes. There are 2 non-teaching services at HUP: Cardiology and Oncology. The total number of patients managed by non-teaching services is about 120/day.
Q: What is the patient mix?
A: HUP serves a diverse patient population that varies somewhat by service. On many ward medicine services, quite a few of our patients come from the surrounding West Philadelphia area, which is a very diverse urban population. Our more specialized services also care for the local community while simultaneously drawing referrals from the region of the Delaware Valley and many states in the Mid-Atlantic region.
Q: Are there private attendings?
A: No. Each teaching service has 1 attending for a 2 week block. For example, the pulmonary division has 1 faculty member on general consults for each 2 week block. Any pulmonologist admitting a patient will admit to that attending and service. Thus, there is only 1 pulmonary attending for all general pulmonary admissions.
Q: What are the hospitalist services?
A: We have had hospitalists since 1999. They staff the Martin Service – named after a beloved Program Director at Penn. There are 23 hospitalists, six of whom are on service every month. All unassigned admissions and admissions from many of the Penn Medicine general medicine practices come to this service. These individuals are the teaching attendings as well as the attending of record for their services.
Q: What systems are in place at HUP to support duty hour reform?
- Web-based patient identification and sign out system.
- 24-hour blood culture, and phlebotomy services.
- Dedicated clerical support to make post discharge appointments and obtain outside hospital records.
- Telemetry transport services.
Q: What type of technology is available at HUP?
A: HUP has the following resources:
Return Home
Q: Where is the VA Hospital located?
A: An 8-minute walk across campus from HUP.
Q: How much time will I be spending there?
A: On average, each senior resident spends 1 month per year at the VA. Most resdients will spend 2-4 weeks at the VA.
Q: What is the structure of the VA service?
A: The inpatient service at the VA was remodeled in July 2012 to be the site of our new Intensive Teaching Service. The experience has been designed to optimize the resident's opportunity to teach and supervise students. A teaching curriculum is embedded in this rotation with the goals of enhancing bedside teaching, feedback and evaluation. The VA team structure consists of 3 medicine teams, each with an attending, 1 resident and 2 sub-interns (or 1 resident and 1 intern during the months without sub-interns). Each team is on long-call every third day from 8:00 am – 10:30pm. There is a night float resident that cross-overs for the day teams from 9:30 pm – 10:00am, so there is no overnight call. Each team is capped at 12 patients.
Return Home
Q: Where is PMC?
A: A 12 - 15 minute walk through campus from HUP.
Q: How much time will I spend there?
A: Approximately 1-2 months per year as an intern; 2-3 months as a resident.
Q: What teaching services are at PPMC?
A: General Medicine, Acute Care for Elderly (ACE), Cardiology Care Unit (CCU). All attendings are Penn Medicine faculty, including many outstanding Penn general internal medicine physicians on the general medicine service who also attend in the office practices.
Q: What is the admitting/shift schedule?
- The General Medicine system is similar tothe HUP system, except that call is every fourth night for residents. Team size and structure are unchanged.
- The PPMC CCU has 4 interns and 4 residents. The residents take extended call every fourth night. Interns are on 13 hour shifts that may be either day or night shifts.
- The ACE Unit has 4 residents who take extended call every 4th night.
Q: Are there non-housestaff covered patients?
A: Yes; there is a large non-teaching service for peri-procedure Cardiology patients and for private specialty and general medicine admissions.
Q: What is the ACE unit?
A: The ACE unit is the Acute Care for the Elderly unit and is the core of our geriatric curriculum. Each second year resident spends 2 weeks on this rotation. There is a strong emphasis on interdisciplinary team management and care. The Geriatrics faculty are the attendings for this rotation.
Q: Where will I practice?
A: Housestaff practice in groups at one of three sites: PVAMC, 3701 Market Street or Penn Center for Primary Care. You will practice as a member of your firm for three years.
Q: When will I have outpatient office hours?
A: There are no outpatient practice responsibilities during the majority of inpatient clinical rotations. This is a recent change that allows housestaff to focus on inpatient care while simultaneously enhancing the outpatient experience when it takes place. Interns on ILM have 6 office sessions (half days) every 2 weeks. Residents on ILM have 4 office sessions every two weeks, while those on elective have 3 sessions per 2 weeks. Residents who are considering primary outpatient-based careers have the option to do more outpatient clinic time.
Q: What is the faculty to resident ratio in the office practice?
A: At most the faculty to resident ratio is 1:3, though it is often 1:2.
Q. What is a firm?
A. Those residents that practice at 3701 Market Street belong to one of 4 firms that are run by a faculty firm chief with 2-3 core faculty preceptors. Each resident has their own panel of patients within the practice that they keep throughout the three years of residency. Each PGY 1 amd 2 have two required firm rotations, and eah PGY3 has one required firm rotations designed to solidify their ambulatory skills learned in residency. The experience is designed to provide an immersion in the practice with a focus on acute medicine and quality improvement.
Q: How many patients are admitted to medicine services through the Emergency Department?
A: The HUP Emergency Department treats over 90,000 patients per year. Although the patient population comprises an undifferentiated sample of the medical problems managed by academic emergency departments, the acuity level is considerably higher than many other such departments and accounts for 35% of all admissions to HUP.
Q: What is the ED experience like?
A: Emergency Medicine is a separate Department. Medical Housestaff play a critical role in evaluating and triaging all types of patients who present for care.
Q: How often do I work in the Emergency Department?
A: Each PGY2 and 3 spends 2 weeks in the ED.
Q: Is there an advising program?
A: Yes, interns are assigned in groups to key selected faculty. They meet both in groups and individually to discuss various topics both within and outside the workday. There is an intern retreat in the fall where the entire class gets together for a night and the following day. By the end of the internship, career path dictates the choice of additional faculty mentors, but the assigned program advisor remains with the intern throughout his or her training.
Most residents end up with multiple mentors including research, career and life mentors. For residents interested in research-based academic careers, the Clinical Investigator Toolbox elective jump starts the research mentoring process in July of the second year. Other mentoring is frequently provided by faculty running the various tracks and by the program director and associate program directors.
Q: Is there career counseling?
A: Yes, there is extensive counseling by the Program Director, Chair and Division Chiefs of each subspecialty. There are also identified faculty in each division for this purpose. Residents get help with preparing their CV's and personal statements. There is an annual career fair at the junior resident career day, as well as other structured opportunities for career guidance.
Q: Is there a Wellness Program?
A: Absolutely – our program recognizes the stresses of residency and is fully committed to supporting housestaff through both success and struggles that may come during the training process. There is a longitudinal Self-Care Curriculum for Interns with the goal of teaching various self-care strategies and more importantly, normalizing self-care as an expectation of residency training and beyond.
There are four sessions distributed longitudinally throughout intern year, delivered during Ambulatory Blocks. Sessions are usually mixed didactic/experiential and include:
- Self-Care Strategies Session – This session reviews concrete self-care strategies in both physical and emotional domains. Interns are given a handout with contact numbers of local PCPs, GYNs, urologists, dentists and mental health professionals and empowered to identify their own health teams and are given four (program leadership approved) ½ days a year, to be taken during their ambulatory blocks, that they can utilize for their own health appointments, in addition to reassurance that any time needed for personal health will be accommodated by the program.
- Physician Impairment Session - This mostly didactic session is aimed at helping interns identify warning signs of distress, burnout and disability. Emotional and physical health resources will again be provided with the session materials.
- Awareness Exercise Session - This is a guided self-reflection exercise explores the factors in each participant's lives (at work and outside of work) that are draining and sustaining.
- Emotion Handling Session - This is a mixed didactic/interactive session reviewing communication strategies to use with patients who are expressing emotions like anger, anxiety, grief, etc. The session is then transitioned to discussing and normalizing the complex emotions that interns themselves experience during their daily encounters and emotional handling strategies are reviewed.
Q: Is there a "scholarly requirement"?
A: Yes. Each resident in the categorical and the primary care programs must complete a scholarly project. Scholarship is broadly defined and includes reviews of clinical topics, original work resulting in abstracts or manuscripts, laboratory experience and community service.
Q: How does the program support resident research?
A: Each PGY2 resident participates in a year-long set of seminars called the Clinical Investigator Toolbox. It is designed to teach the basics of research design, principles of informed consent, working with the IRB, etc. Speakers include faculty from across the School of Medicine to provide diverse exposure to careers in academic medicine. Each resident identifies their research interests and then the course directors match those interests with various faculty. Residents subsequently meet with identified faculty to further define their interests and select a research project.
The program supports residents who present at regional
or national meetings including help with post production and financial support for travel and meeting expenses.
Q: How productive are the residents?
Very productive. Over the last two years they have published over 130 peer-reviewed manuscripts. Please review the program bibliography
Q: Are there research electives?
A: Yes. Research electives are available to all trainees within the three year program. The amount of time available is based on the research goals.
Q: Is there a Research Pathway?
A: Yes. It is possible to enter the ABIM Research Pathway after two years in the standard program followed by a clinical fellowship and three years of research. It enables those with physician scientist aspirations to differentiate a year earlier. This decision is usually made during the Spring of the PGY-1 year. Those in the pathway become members of the William Osler Society in Medicine, which serves as a forum for gatherings around research meetings, visiting speakers and provides time and opportunity for mentoring. See link to ABIM Research Pathway.
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Q: What is Penn Medicine at Botswana?
A: In 2003, the Department of Medicine and the School of Medicine entered into a collaborative agreement with the government of Botswana and the Gates and Merck Foundations to develop an HIV care program for the citizens of Botswana. We now have an inpatient firm at Princess Marina Hospital in the capital of Gaborone, Botswana that includes multiple full time faculty. At any time there are multiple rotating residents and medical students.
Q: What is the Global Health Track?
A: Individuals interested in serving the global community as a career path can apply to the Global Health Track as part of the categorical application process or as interns. The track can accommodate up to four people each year. The curriculum begins in the PGY2 year with a core month of intensive course work in community health. International immersion experiences substitute for elective time in the 2 nd/3 rd years. See link to Global Health.
Q: Where will I live?
A:Many residents live across the bridge in Center City. Others live in nearby suburbs or West Philadelphia (University City). Housing options in Philadelphia range from high rise complexes with multiple modern amenities to quaint row homes and older houses with unique charms. All are very affordable when compared to many other large city housing markets. Please see the extensive housing list compiled by the Office of Off Campus Housing for a review of neighborhoods and popular buildings. Please click link to Office of Off Campus Housing
Q: What about transportation to and from work?
A:The hospital supplies parking or commuter passes to all housestaff. Philadelphia's public transportation system provides reliable, easy-to-access transportation all around the city, and makes getting to work easy. If parking is desired, the value of the commuter pass is applied to the cost of parking. Those rotating at PPMC can park on-site if they choose the parking option.
Q: What is there to do outside of work?
A: Philadelphia is a multi-cultural city with something for everyone. There are museums, parks, theaters, a renowned orchestra, a passionate sports community, the waterfront and much more. Philadelphia also has a wide variety of restaurants for every budget, with several nationally acclaimed five star delights. See link to Philly Fun Guide.
Q: How do the housestaff get to know each other?
A: Through rotations together – especially their ambulatory medicine months. Each ambulatory group sponsors a party each month for the rest of the program. There are monthly happy hours as well and special social events each month. Although ours is a larger program it is also a very close knit program where a sense of family and community is central to the experience.
Q: How will I eat?
A: Debit cards for meals are provided by the Office of Graduate Medical Education. Rotations requiring greater than 60 hours/week receive a monthly benefit. Lunch is served at Resident, Intern Report and Management Conference. Philadelphia is noted for its excellent and affordable restaurants.
Q: Are white coats available?
A: The Department provides long white coats to all housestaff. Free laundering is available through the department. We provice 3 white coats; 2 in intern year and another one in 2nd year.
Q: Are scrubs available?
A: Yes.
Q: Are lockers available?
A: Yes.
Q: Are their program sponsored social events?
A: Yes. There is a very active social committee that sponsors 1-2 events/month.
Q: Is there a retirement plan?
A: You can contribute to a 403B.
Q: Does the program support professional society membership?
A: Yes. The program pays for an Associate level membership for all senior residents to the American College of Physicians. The program buys MKSAP for all senior residents.
Q: Does the program support professional regional/national conference attendance?
A: Yes. The program will pay many of the associate costs for any resident presenting original research at a meeting. In addition, the program is usually able to arange coverage to allow residents to present even when on inpatient rotations.
Q: What do most of your residents do after completing the program?
A: A large portion of our residents go on to train in a subspecialty fellowship, including general medicine fellowships. Increasingly, we are seeing more of our residents enter general medicine practice. See link to List.
- Outstanding breadth of clinical training at 3 sites
- HUP: A university-based tertiary care referral center
- PPMC: An academic community hospital
- PVAMC: A Veterans Affairs medical center
- Career guidance and preparatory training
- Clinical research traininng
- Small group and individualized mentorship
- Support to present work at conferences
- Tremendous research opportunities (Department of Medicine ranked #3 in NIH funding)
- Diverse and close-knit housestaff from a wide range of backgrounds
- Active social committee
- Wellness committee for peer supportl/LI>
- Wide range of medical schools, backgrounds, career goals
- Global Health Track
- Penn Medicine at Botswana
- Refugee clinic
- Community involvement
- Individualized training programs
- Global health
- Primary care
- Medical education
- Healthcare quality and leadership
- Tailored curriculum
- Interactive learning modules when not on inpatient services
- Individualized learning plans as senior residents
- Medical education
- Large non teaching services to enable housestaff to focus on the more interesting and complex cases
- Integrated patient safety curriculum.
- Days off scheduled up front for the year.
- Smart phones to support enhanced text and verbal communication with all care providers.
Updated: 8/30/2011


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Inspector Gadget Theme
This fun piano duet arrangement of the famous "Inspector Gadget Theme" is entertaining and full of wit. The four-hand arrangement captures the ragtime character of the original theme, before breaking free into arrangers' imaginations.
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subset: commoncrawl


text:
Mega Menu webpart for Kentico CMS development
This project received 6 bids from talented freelancers with an average bid price of $162 USD.Get free quotes for a project like this
Skills Required
Project BudgetN/A
Total Bids6
Project Description
I want to develop a web part in Kentico CMS, it's a mega menu in three levels.
• The menu should show the top level as icons
• When user hover over a menu we need to show tabs
• And under the each tab we will have links Categories
• Under each category we will have normal links
Please check the attached image for what's needed.
The code should be in C# and I want the source code commented.
Looking to make some money?
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text:
legendary boss drop question!
how many kills to get a legendary from a boss?
I know it's pure RL luck. how many times u killed a boss until a legendary finaly dropped? I'm trying tut but no good luck yet
I NEED that sword so badly:py11:
There's no answer.
Some will say they got a unique in less than 20 kills. Others will say they killed 500+ and have yet to get one. :x
For me: I killed Tenter ~10 times to get the accessory and then ~40 times to get the spear.
I got my first Blood Shield on my 8th seal.. and my first Tenter Mane on anywhere from 30~50 seals, I can't remember. .__.
i got my queens axe on my 30th seal
I got the count blood's helm in my first seal, and since then, I've never gotten any boss drops.
Got a tombeth helm and shield in my first 4 seals on my lion, but I have never had any other uniques drop from any boss.
Two pharaoh hats and a golden lion shield before 40 seals I think. Mark of vampire in 1st and 8th seal. Tenter earring in 4th seal. That's pretty much it, now I'm at 50+ seals and count hasn't given me anything else. @_@
Got a dread cutlass on the first seal on my dragon and got pharaoh hat on my 5th seal
21 Tut - nothing
102 tomb - nothing
15 dread - nothing
674 count - 3x vampire mark
237 tenter - nothing
257 queen - 1x ice shield
136 soki - nothing
total 1400+ seal --> 4 uniques
its random
I think he's asking for how many kills it took other people to get boss uniques so he can more or less gauge when he'll get one.
The others are right though, you really can't tell. Others are ridiculously lucky while others might not be as fortunate.
161 tut 1 pharoah hat ><
Count - 936 seals - got 2 marks (seal 71 and seal 250) and a blood sword (seal 321)
Tenter - 340 seals - got a tenter spear (seal 83)
That's all :py61:
It's literally impossible to tell how many kills you need to get a unique.
Like Mirae stated, you can get one from below 20 seals and none in 500+.
The first unique I ever got was like 90 over count seals, to get the shield, and a total of 400 over seals to complete it
For tenter, I had a bit more luck, got the mane in the 22th seal and only a total of 300+ seals to complete the set
but for queen, I hunted her for like over 500 times already still not a single piece of her unique.
Then i have been pretty lucky whit the drops...
whit my Buff (18 tut seals) and my Dragon (16 tut seals) i have got 3 pharao hats, 2 Gls, and 1 GS but that was before you hade your own boss room so a dammn raccoon took it... -.-
Don't know since I've only fought tut once for the seal xD
15 seal - hat
18 seal - hat
22 seal - hat
Blood :
98 seal - mark
6 seal - hat
16 seal - shield
22 seal - sword
in 86 seals 7x hats 2x shield 2x staff
1 seal sword
3 seal hat
But since new boss system i didnt get any equips
And its really annoying, before there was like a chance to get equips now its really impossible. I rather have the old system back at least there was a chance to get it.
Incidentally, I just killed my first Tenter Lion with a +20% drop rate fortune. I got a Mane on my first seal. :)
204 tut- 2 swords 3 shields 4 hats (old days when tut was first out)
1 skull- XD Nothing.
0 tombeth-Figures I'd forget a boss back then.
21 Karan- Nothing.
13 Tenter-Nothing.
183 Count- 1 mark on seal 80ish?
392 Queen- 1 shield 129th >_> ++
62 Soki- Nothing (Seal from unique starts at 55.)
15 Spicy- No set yet.
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Computer Training & IT Certification Courses in Maryland, DC, Virginia
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The Book of Versions; Or, Guide to French Translation: With Notes, to Assist in the Construction, and to Display a Comparison of the French and English Idioms. For the Use of Schools
J. Souter, 1833 - French language - 240 pages
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Common terms and phrases
Achilles admired Adrastus Anacharsis arms autre avait avoir battle Belisarius bien Book of Versions C'est cher ciel cœur combat conquered coup courage courroux d'une death delight deux Dieu dieux doit doux enemies etre eyes faire fait father faut fils fois formed Frederic French French language Gellert g�n�reux genius gloire glory gods grand Hakham happy havek heart Heaven Henriade hero homme honour Iliad jamais joug jour king l'homme labour Languet Lelius loin Louis XI Lycurgus majesty mankind Marcus Aurelius mettre mind mort n'est nature noble nuit passions peace peine Persia peuple peut Pharsalia PHILOCTETEs Pisistratus pleasure Pompey pouvoir pow'r prince propre qu'il qu'on qu'un reign render rien Roman s'il sage Saladin Scythians seul shew soin soon soul sous style sublime sweet tendre terre thee thou art thought tout Traduction Translation Turenne vers victories virtue Vois voix Voltaire with1 yeux youth
Popular passages
Page 185 - What conscience dictates to be done, Or warns me not to do, This, teach me more than hell to shun, That, more than heaven pursue.
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Page 215 - The friends thou hast, and their adoption tried, Grapple them to thy soul with hoops of steel ; But do not dull thy palm with entertainment Of each new-hatch'd, unfledg'd comrade.
Page 227 - So farewell hope, and with hope farewell fear, Farewell remorse : all good to me is lost ; Evil, be thou my good : by thee at least Divided empire with heaven's King I hold, By thee, and more than half perhaps will reign ; As man ere long and this new world shall know.
Page 223 - O thou that, with surpassing glory crown'd, Look'st from thy sole dominion, like the god Of this new world, at whose sight all the stars Hide their diminish'd heads, to thee I call, But with no friendly voice, and add thy name, 0 sun, to tell thee how I hate thy beams, That bring to my remembrance from what state 1 fell, how glorious once above thy sphere...
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Page 215 - Come on, sir; here's the place: — stand still. — How fearful And dizzy 'tis, to cast one's eyes so low! The crows and choughs, that wing the midway air, Show scarce so gross as beetles : Half way down Hangs one that gathers samphire; dreadful trade! Methinks, he seems no bigger than his head: The fishermen, that walk upon the beach, Appear like mice; and yon...
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text:
February 13, 2015
Posted by Curiosity
Welcome to Heartlanta
By Brandon Curl, Copywriter
Would it really be Valentine's Day without a love story?
This year, GSD&M is helping Southwest share its heart with the city of Atlanta with a campaign that features the new heart logo in TV, print and more.
Atlanta is a city that Southwest has had its eye on for a while. Now thanks to the completion of the AirTran merger, we're ready to show Atlanta what Southwest is all about.
In a word—heart.


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Wine Details
Winemaker's Notes
(From 2011 Vintage) Poor clayey soils. The climate is characterized by its warm days and cool nights, with an average temperature variation of 14°C (57.2°F). The yield is 10 tonnes per hectare (approximately 4.05 tonnes per acre); espalier trellis system and drip irrigation are used. The estate is located at 1,050 meters (almost 3,445 ft) above sea level and the average annual rainfall in this area is 200 mm (7.87 in). At Dona Paula, our vineyards have always been managed using sustainable agriculture practices.


text:
to share your opinion of this business
with YP visitors across the United States
and in your neighborhood
Today:9:00 am - 7:45 pm
Tomorrow:9:00 am - 6:00 pm
34075 Fremont Blvd,
Fremont, CA 94555
(510) 790-7946
in Business
Regular Hours
Calphin Aquatic Club offers year-round swim programs. We are here and ready to provide the best quality of swimming classes in the Bay Area. All coaching staff members are carefully chosen to fit into our program and achieve our goal — "To help swimmers succeed in tomorrow's competitive world through swimming". We believe our swimming program can strengthen a swimmers' physical health, confidence and will-power, which are fundamentally important to succeed in tomorrow's competitive world. Your child will also be able to reinforce and memorize their competitive swimming skills, refine their swimming strokes and improve their swimming times after experiencing our swim program.
Fax: (510) 796-7946
$18 per class
$204-$222 for a 3 month session
$25 registration fee
We are right off of 880 - Fremont/Alvarado Exit.
In the Lucky's shopping center, in front of Motel 6.
California Aquatic Club
Parking: Lot
to share your opinion of this business
with YP visitors across the United States
and in your neighborhood
2401 Whipple Rd, Hayward, CA
37400 Cedar Blvd, Newark, CA
4150 Technology Dr, Fremont, CA
39153 Farwell Drive Suite A, Fremont, CA
4831 Davenport Pl, Fremont, CA
34075 Fremont Blvd, Fremont, CA 94555
(510) 790-7946


text:
Haydn Townsend
CEO & Chief Strategist
Pangea Ultima
Mohale Ralebitso
Board Executive
James Cloete
Creative Director
Pangea Ultima
Gareth Lessing
Creative Director
Pangea Ultima
Thato Cassuto
Group Account Director
Colett Naidu
Account Director
Pangea Ultima
Naomi Meyer
Strategic Planner
Pangea Ultima
Lee Goodal
Pangea ULtima
Daniel Edwards
Multimedia Designer
Pangea ULtima
Kyle Ballie
Art Director
Pangea Ultima
Ruggero Bonomi
Managing Director
Michelle White
Group Account Director
Matseko Motlhala
Account Executive
Blk Ops
Terrence Chimbuya
Operations Manager
Jenna Spilkin
Account Manager
Blk Ops
Nthabi Mofokeng
Account Manager
Chantal SIthole
Account Executive
Blk Ops
Thabiso Mokaba
Store Manager
Blk Ops
Lior Manelis
Rory Townsend
Executive Director
Vaughn Thiel
Lead Digital Marketing Strategist
Pierre Nel
Ntsikelelo Riaan Khuzwayo
Digital Marketing Specialist
Noel Rhalf
General Manager
Karabo Mkhabela
Web Developer & Designer
Dean Barlkey
Digital Marketing Specialist
Chris Smith
Digital Marketing Specialist
Moonchild 2
You could call us the Uber of Advertising.
EVENTING – With our creative and experiential event results your next event will be a big hit. Our team has years of experience in perfecting events and engaging with audiences in the most exciting and compelling ways.
ADVERTISING – We bring your brand to life with humour, essences of life and passion. Our team has a whole lot of talent and out-of-the-box ideas to help you cut through the noise and reach your audience in the most relevant ways.
MARKETING AND BRAND STRATEGY – We help your brand stay relevant by getting to know your audience. We delve into research and draw out insights about your consumers by immersing ourselves in their world. Strategy plays a key role in helping your brand's growth, and to stay up-to-date with your core consumer's needs.
ACTIVATION – Brand activations connect with consumers on a one-on-one basis and provide a personal brand experience. Activations are key for cutting through the clutter of today's world of brands.
DIGITAL AND SOCIAL – With so much information readily available and everyone on social networks, digital advertising is growing rapidly. We provide
interactive and creative campaigns to maximize reach and target your audience at exactly the right time and place.
BRANDED CONTENT – Branding carries the image of a brand. We make people come to your brand and secure your brand's presence in the mind of
your consumer.
Click Below to Open Article
Reshaping African advertising as we know it - by Haydn Townsend
Pangea Ultima: Reshaping African advertising as we know it
By: Leigh Andrews
A new local boutique ad agency opened its doors just a few weeks ago. Here's what Pangea Ultima stands for and how it intends to reintegrate marketing as a whole.
The words 'Pangea' evokes images of an old world – one of unity and integration, especially if you run a Google Image search for the term. Fitting then that new ad agency 'Pangea Ultima' is so named as a geographic analogy of the marketing communications industry.
Founders Hadyn Townsend (chairman and CEO), James Cloete and Gareth Lessing (creative partners) explain that Pangea is the name given to the single landmass from which the continents we know today split apart. Ultimately the continents will drift back together as the world is round, and this new super-continent will be called Pangea Ultima.
Townsend adds that this is exactly what happened to the marketing industry we know today: it all started as one single entity with multiple departments such as media, research and promotions, but these departments eventually split apart to form the myriad of agency types we are flooded with today.
Townsend argues that the time for these to come back together as a collection of separate entities working as one is now. Here's why…
1. Let's start with the basics: When and how did the agency get started?
Townsend: Officially, we launched on 1 September 2015, but we have been building the partner network over the last year. Once we had the key partners and building blocks in place, we officially went to market.
2. Explain Pangea Ultima's strategy and what makes you stand out from the rest.
Townsend: Over the years, the fragmentation that is now plaguing the industry brought with it an unintended consequence: the duplication of creative and strategyacross every agency. So while the intention was always to remove the implementation components from the central agency, these implementation agencies found themselves in a quandary as they still relied on the "lead agency" to deliver conceptualisation. As the pressure mounted to show value, these agencies started bringing in the creative component as a "loss-leader" as their core businesses is and always has been implementation/execution. This then is where the fragmentation begins. Each agency nibbles itself further and further away from the central idea.
Even if the idea integrity is maintained, the nuances will vary enough to create discomfort, as the same team is not overseeing it creatively. We completely eliminate this duplication and inconsistency by having numerous independent agencies all serviced creatively and strategically from one central point.
3. Why is the reintegration of marketing and advertising then so important?
Townsend: Whilst the communication channels to market have proliferated, the need for idea consistency has increased. The more touch points, the better chance of reaching the right consumer, but the greater the risk of misrepresentation or confusion. To this end, a marketing and advertising unit that is 100% aligned and 100% delivered is fundamental to success. Without it, you will end up with more noise than harmony.
4. What's the basic workflow or creative process in the agency?
Townsend: The key differentiator for us is that you have one central port of call whether you require a digital campaign, activation or a TV ad. Whilst the entities remain independent, they have project managers that deliver on projects, but we have one central account management lead for the client interface. Even the billing is done centrally, minimising multiple invoices along with all the removal of other duplication such as statuses etc. and their associated cost.
5. Let's talk about the state of the local advertising awards industry…
Townsend: There is no doubt that we are world-class when it comes to "traditional" advertising. The tricky bit is when we leave these conventional categories and venture into the realms of Titanium or Digital – this is where we come unstuck. We seem to be struggling to break into these worlds, for a host of reasons. Marketing investment in these areas remains comparatively underfunded with the dominance of TV in our country perpetuating this problem. We subsequently don't have enough skilled creatives who can think beyond the lucrative ATL arenas that still has significant runway in SA, but seriously putting us on the back foot at the global award shows, who are visibly migrating away from ATL in its traditional form.
6. Let's shift focus to change. What trends do you see as the biggest to come in 2016?
Townsend: Creative sourcing beyond the agency walls is becoming an imperative. The art director/writer duo is heading for a shake-up with crowdsourcing agencies emerging at a rate of knots and agency disintermediation becoming a daily reality. The reinvention is inevitable and exciting at the same time. How this looks, is certainly still to be defined, but that it will happen, is beyond question.
7. Exciting. What's next for your agency?
Townsend: The Holy Grail for us is to have numerous case studies proving the success of our model and hopefully entice a big brand to take up the proposition. Whilst the need remains greater for big brands to have a central ideation and strategic unit, it appears that the small to medium brands are more willing to try it. With four wins in the last 30 days, we certainly are seeing the nose of the plane off the ground, but we looking forward to some aerobatics.
Certainly an impressive start. For more on the agency, visit their website and follow them on on Twitter.
Article : http://www.bizcommunity.com/Article/196/12/136796.html
Open-sourced collaboration - by Haydn Townsend
[BizTrends 2016] Open-sourced collaboration
Shift in agency roles
Businesses around the world have already been bringing together disparate skills in this way for some time, but it's something new for agencies. Even so, it's a trend we'd best embrace swiftly; if not, we run the risk of disintermediation as clients approach creative practitioners directly.
The problem with this is that it poses a threat to brand consistency – without the agency acting as brand custodian, there is no one to ensure that a thread of cohesiveness runs through every brand execution. This means that, if agencies are to service their clients properly – and, more than this, ensure they remain relevant – they will have to find ways to bring other types of creativity into their pool.
Article : http://www.bizcommunity.com/Article/196/688/139273.html
But this, in turn, poses another challenge: most agencies won't be able to afford to keep these resources on their books permanently; not when only one in, say, 10 jobs require these specialist skills. So we'll have to find a way to manage freelance input. My prediction is, therefore, that agencies will come to rely less on in-house teams.
There are implications for clients, too: they have to learn to be comfortable dealing with creatives outside of the advertising world, people who are not brand-driven and who may balk at the idea of bending their creativity to suit the brand's agenda. So here, too, is a new role for the agency: we'll have to take the lead in a new relationship between client and creative, helping them understand each other's needs. Almost like an editor of content.
It's going to be a tricky balance, because these content producers don't like being told how to handle their creativity, especially if it's in the pursuit of commercial interests – they may see this as compromising their art.
Thus, for me, the biggest trend influencing the industry in the coming year is the shift in agency roles to becoming facilitators of external creativity.
Marketing spend under pressure - by James Cloete
[BizTrends 2016] Marketing spend under pressure
When businesses come under strain, marketing budgets always take the hit first. Although it's been proven that brands that spend more during recessions tend to come out of the dips faster, the fact is that when bottom lines are under pressure, companies cut what they perceive to be the soft stuff – and in most cases, marketing falls into this category. Of course, this isn't true of all companies, but there are very few organisations that are truly brand-led.
The decrease in marketing spend that I anticipate will mean that brands will have to be more creative in how they speak to consumers. I'm not just referring to original thinking, although that also applies; rather, marketers and their suppliers will have to be smart about how they use their apportioned spend.
Increase in digital media spend
As a result, we're likely to see the use of digital and social media continue its upward trajectory, in spite of the fact that South Africans are not yet completely in touch and up to date insofar as technology is concerned. Still, they're relatively cheap mediums, and as more media spend is invested in these areas and access to internet grows, we'll see South African practitioners using them not just more often, but also more effectively and creatively.
Measurability need
Another consequence of the industry coming under economic pressure, and another reason for my opinion that there will be an increase in spend on social and digital media, is the need for measurability. Clients are demanding a trackable investment, and these channels deliver.
While I'm a big believer in brand building and brand advertising, which traditionally are achieved through consistent and long-term above the line communication, it's very difficult to deliver or prove quick turnaround results in the ATL space. Brand building is, after all, a slow burn process and much of the effect that you make takes place on a subconscious level.
Now, I personally think that this is one of the most important shifts you can create among consumers or would-be consumers, but it's much more subtle than the immediate and clearly visible results achieved through digital and social channels. The value of the impact you make can only be seen by looking back over long stretches of time.
I believe we'll also see greater spend in other below-the-line areas, too, with big growth in shopper marketing especially.
The overall impact on the industry insofar as agencies are concerned, is that it's going to become increasingly difficult for larger agencies to maintain their working models. I predict that, more and more, we'll see smaller agencies servicing bigger clients with integrated TTL thinking and making use of outsourced creative and production resources in order to meet executional objectives. Expect to see agencies running leaner, shrinking and expanding according to clients' requirements on a project-by-project basis.
Regardless of trends which may come and go in 2016, the one enduring truth is that the need for strong, insight-driven ideas will never go away. That was, is and will always be how you create resonant content and relevant communication between brands and consumers.
Article : http://www.bizcommunity.com/Article/196/687/139404.html
Making Love - By Gareth Lessing
[BizTrends 2016] Making love
We're likely to see a few trends shaping the industry in 2016, from the shift in agency models – which is one of our main reasons for being – to the challenge of finding the best medium to engage consumers in a world of multiple mixed platforms.
However, the issue that I think will continue to affect us most (and not in a good way) is one that is seldom spoken of: agency fear. It's been a theme in our industry for some time and, unfortunately, I see it continuing into 2016 – and probably beyond.
The fact is that agencies live in fear of angering clients by not giving them what they want when they want, no matter how outlandish the request. How many times do agency staffers tell clients that yes, of course they can produce a big idea, complete with costings and executions, in two days – knowing full well the strain this will place on all members of the agency.
So why do we do this? It's simple: we're scared to push back because of that well-known client threat: "We'll find someone else who is willing to do it." Losing a client just isn't an option for agencies, because they need every cent. Otherwise, staff cuts or even closure may ensue.
Article : http://www.bizcommunity.com/Article/196/688/139272.html
Of course, as with everything, there are exceptions to the rule. There are still clients out there who don't rule by fear, and to them I say a sincere thank you.
This is the core difference between a good client and a bad one. The difference between a good creative director and a bad one. An MD, a CEO – you name it. Think of Calogero who asked Sonny, the mafia boss, in the movie A Bronx Tale: "Would you rather be loved, or feared?" Sonny chose fear – and, two days later, was shot.
Now, I'm not saying I want to go on a shooting spree, but my point is that nothing truly great comes from fear. On the other hand, when you love someone, you want to please them. You want to impress them. In fact, you will go to the end of the world for them. It's only when you really love someone that you will take the time to talk to them in order to truly understand their needs.
I never feared my father; because I loved him and respected him, I never wanted to let him down. I wanted to make him proud of me. It's that desire not to let someone down that draws out the extra bit of effort. It's that care for each other that will keep every agency person motivated and willing to push harder in the search for the elusive creative nut. This is the truth that I wish clients would come to realise.
I would love to see our industry morph into one that actually sticks together, agency and client alike. And as cheesy as this may sound, I'd like us to fall romantically in love with each other. Because then we really can do great things, and maybe even achieve what is probably the most difficult challenge facing today's marketers: connecting on a meaningful level with this millennial generation that knows our tricks far too well.
So I ask you: Would you rather be feared? Or would you rather be loved?
Article : http://www.bizcommunity.com/Article/196/688/139272.html
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In an era of unprecedented institutional expansion and change in children's services, this contribution is most welcome. It places in perspective the critical interdependence between human and environmental resources as they relate to the child in the hospital. The recent establishment of a national coalition concerned with the particular problems and professional programs for children in the hospital further reflects more widespread awareness on the part of organizations of the issues involved. This book documents this concern and skillfully weaves a perceptive and developmentally oriented commentary in with a visual display of some of the humanizing hospital advances that have taken place in recent years. This slender, elegantly illustrated volume brings to life the programmatic aspects of architectural change and provides practical signposts for future development in the field.
The authors' developmental approach provides special clues for each age and state of childhood. If there are deficits in this approach,
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Interest Level
Grades K - 2
Reading Level
Grade level Equivalent: 1.6
Lexile® Measure: 480L
Guided Reading: I
Type of Book: Begining Reader Book
- Informational
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- Dinosaurs
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About This Book
Readers go back in time and see the world through a dinosaur's eyes.
This book describes what the world was like when dinosaurs roamed the earth, and introduces many of the animals and plants in nature today that were also seen by the dinosaurs.
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|If you are Steve Stanton, a family member, or friend, and you would like to claim and edit this author page, please do the following:
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The Bloodlight Chronicles: Redemption
Presenting the thrilling culmination of the epic sci-fi series, this novel revisits a world where global economic activity is carried out in a virtual-gaming realm. A new blood-transmitted virus has become a black market staple due to its rejuvenating effects, forcing infected "Eternals" into a tightly knit underground where they must hack the "V-net" for food and shelter. When the leader of the Eternals, Helena Sharp, begins to lose her immortality, she flees to an old lover for strength and solace as the entire Eternal community is thrown into chaos. Meanwhile, the young clone Niko discovers...
|Steve Stanton
|23 Sep 2012
|to wish list
The Bloodlight Chronicles: Retribution
In a post-cyberpunk future, Mia and Zakariah Davis risk their lives to secure an activated sample of the life-prolonging "eternal virus" for their son Rix. Afterwards, Mia is murdered in retribution and the family is overcome by grief. Zakariah goes on a quest to contact her spirit in the afterlife while Rix wants revenge, no matter the cost. Niko, the teenage clone of Zakariah's dead sister, has received the eternal virus and has been captured by vampires who drain her blood nightly for its rejuvenating effects. After Rix helps Niko escape, they team up in a quest to track down Mia's murderer....
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White Wine Cooler
Recipe courtesy of Sandra Lee
- Semi-Homemade Cooking
- 1 orange
- 1 (750 ml) bottle chilled white wine, such as Riesling
- 1 (15-ounce) can sliced peaches in heavy syrup
- 1/2 cup orange flavored liqueur (recommended: Cointreau)
- 1/2 cup orange juice
- 1/4 cup sugar
DirectionsWatch how to make this recipe.
Slice orange and set aside. Add wine, peaches and their syrup, liqueur, orange juice, and sugar to a large pitcher, and stir to combine. Add orange slices to pitcher. Cover tightly and refrigerate for 1 hour. Pour into 6 wine glasses and serve immediately.
Recipe courtesy of Sandra Lee
Cooking Tips
More Recipes and Ideas
Tickled Punch
Recipe courtesy of Trisha Yearwood
Citrus White Wine Spritzer
Recipe courtesy of Rachael Ray
White Wine California Citrus Sangria
Recipe courtesy of Michael Chiarello


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Created in this Craftsy class
Gain silk-sewing confidence and a gorgeous garment as you stitch along with Linda Lee and her Sewing Workshop pattern, included with the class.
Other projects made as part of this class:
Offer some kudos...
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|Here are some details about my project:
|Classic, Traditional
What materials did you use? White polyester crinkled satin from TexStyles Designer Fabric Showroom in Austin, TX. Buttons from Fabrique Fabrics in Plano, TX
What are you most proud of? The mitered corners (thanks for those wonderful instructions). Also, that no one thinks this top was hand-make. And that I found the perfect buttons to really dress it up.
stunning. I like the addition of the shoulder pads. Gives it a little more tailored look. Really nice!
Thank you, pcampbell. I hadn't actually planned to put the shoulder pads in. I made this before I knew enough about fitting to know that you fit the shoulders first and do a full bust adjustment if necessary. The fit still isn't perfect, but the pads do help.
Looks great. Good job.
This looks so sophisticate, really beautiful.
Very nice looking...love the tailored look.
Very nice!! Elegant!


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Skip to comments.NJ Man Allegedly Shot Squirrels With BB Gun & Hung Bodies On Backyard Fence
Posted on 06/13/2012 5:32:24 PM PDT by ConservativeStatement
LINDEN, N.J. (CBSNewYork) A Linden, N.J. man is accused of assassinating some annoying, pesky and nuisance-causing neighbors a family of squirrels.
(Excerpt) Read more at newyork.cbslocal.com ...
He should have skinned 'em and ate 'em and nobody would have known.
Squirrel = Rat in a designer outfit.
And I ate every one.
My dog must seem like Bib Laden or Attila the Hun to the critters around here
I like squirrels. Most normal people do.
is the guys name Jed ?
Boy they would go crazy if they knew how many morning doves I've eaten. Course I used up many boxes of birdshot too. Those suckers can be hard to hit, they bank faster than jets.
Boy they would go crazy if they knew how many morning doves I've eaten. Course I used up many boxes of birdshot too. Those suckers can be hard to hit, they bank faster than jets.
I like em with a little barbeque sauce...
I have a similar trap but I don't dare use it. The last time I did I caught a skunk. It took me a while to get him out but I did so w/o getting sprayed. I guess I could have dispatched him first but I didn't want to do that.
I LOVE squirrel. Avec mirepoix, a la meuniere, with a roux gravy and the biscuits, let simmer for a half hour. Greens on the side.
Ok so this is news, or a crime? It ain't cruelty to hang a squirrel on a fence after them squirrels be dead. They be dead!
I tracked the number of squirrels I killed over 4 years. 500+. I didn't eat every one, but every one was eaten. I can't eat them anymore. I made squirrel pot pie, squirrel jerky, squirrel bbq, and squirrel everything else. Enough.
I've no problem with shooting squirrels; but hanging them from a fence, in a residential area isn't right.
Kentucky Doctors Warn Against a Regional Dish: Squirrels' Brains
By SANDRA BLAKESLEE
Published: August 29, 1997
Doctors in Kentucky have issued a warning that people should not eat squirrel brains, a regional delicacy, because squirrels may carry a variant of mad cow disease that can be transmitted to humans and is fatal.
A squirrel is nothing more than a rat with good PR.
I've killed thousands of ground squirrels. Thousands.
In the last 15 years, I'd reckon somewhere between 3 and 4K is a firm estimate right now... shot, poisoned, gassed, blown up, trapped... you name it, I've done it.
Rats with furry tails. Son and husband killed many back in SC. They would destroy the pecans. Every single one off a 30'+ tree.
I grew up with a pecan orchard in my back yard. Squirrels were aplenty. Between my brothers and me we took thousands (I have 5 bros). We ate every one and often squirrel meat was the only meat on the table.
If he didn't eat them, I can agree with assassinating. If he didn't want to eat them he should have followed the 3 S doctrine. Shoot shovel and shut up.
You could shoot them with hollow points so they would get on the fence in one step.
It's a message to the survivors!
Kind of like we used to do with criminals before we got over-civilized. ;-)
You could shoot them with hollow points so they would get on the fence in one step.
So? When the groundhogs were getting too brazen (climbing the plum tree, sending the babies through the garden fence to bring out the tomatoes) I put a road-kill squirrel in their hole.
This is Jersey.
They got the message.
The last time I did I caught a skunk
I had the same experience with the same outcome. Threw a plastic tarp over the trap and very carefully opened it from an awkward position.Felt like I was defusing a bomb
The problem is, it's also a message to anti-hunting types. Young children really like squirrels — any that saw that display would be upset. If the kids are upset, so are their mothers. Next thing you know, you're brought up on animal cruelty charges. IMHO, the guy was asking for it.
It aint cruelty to hang a squirrel on a fence after them squirrels be dead.
I agree it's not cruelty, and I don't disagree with his dislike of squirrels. In my state it is hunting out of season, and if not having a hunting license, it gets worse
Well, if you bite into peanut inside of one of them, I gave it to him.
I hope he did it with a little style, Mini Hangman's noose would be pretty original.
Most people like sqiuirrels until they get in their attic or rob their bird feeders.
CBS morons, BODY.
OMG — and it's a BLACK (oops, I mean, African-American) MAN doing this hideous crime! Oh the humanity!!!!!!!!
Most normal people who haven't had squirrels move into the attic, or had them chew up boat upholstery, like squirrels, you mean.
Kinda like a liberal is a person who hasn't been mugged.
Leave them alone. Don't feed them, don't make pets out of them.
And in some parts of the world... squirrel is food. Here, for example.
Well, I probably wouldn't like those particular squirrels- but I like squirrels in general. There was a story about a monorail conductor at Disney World who refused to run over a squirrel on the track. And if I'm in the park and see a dog sneaking up on a squirrel, I always warn the squirrel. I like squirrels!
Vlad the Impaler?
Dumb. Shoulduh made little finger warmers out of them
Oh my! The memory that brings! Years ago mountain boomers chewed into our attic and down through the celing. I got up one morning to find one sitting on the VCR in the living room. My husband opened the front door and tried to shoo him out, but instead, he ran toward me standing there in my long bath robe. I think he couldn't figure out why this "tree" was jumping up and down.
Throw them in the street and everyone will think they were hit by cars.
"I like squirrels. Most normal people do."
Especially with butter and mashed potatoes!
In his OWN back yard?
Cruelty would have been catching them, then letting them starve.
Cruelty would have been catching them, then giving to cats!
He simply shot them, the charge is ridiculous.
No doubt PETA applauds, and the DA is probably a PETA disciple.
Where's the link to make a donation to this guy?
I LOVE squirrel. Avec mirepoix, a la meuniere, with a roux gravy and the biscuits, let simmer for a half hour. Greens on the side."
So is that like a stew or sumpthin?
Well, aint't you something! I'm deeply impressed.
Actually, the "blown up" method wasn't quite as satisfying as anything from Caddyshack.
I used a first-generation version of these:
It pumps a mixture of propane and oxygen down the burrows and then ignites it. I quit using it after a couple of close calls caused by large wads of flaming cheatgrass being ejected from holes 25 yards away...
To be fair, the bulk of those were killed with a restricted pesticide called "Phostoxin," which is aluminum phosphide in tablet or pellet form. You can find MSDS and EPA registration labels online.
When it is dry, it is inactive. Upon exposure to water vapor or liquid water, it out-gasses a very potent poison, phosgene. Phosgene was used in WWI in trench warfare, and is yet another gift to modern civilization from German chemistry labs.
Anyway, the way in which I used it was simple: I'd mark off a 20 to 40 acre piece of ground in the morning, then walk across this area exhaustively during the day, flagging every active squirrel burrow I could find. This would typically number between 100 to 400 holes that I'd find.
Then, come late afternoon, the squirrels would go down into their holes for the night. I'd then re-cover the 20 to 40 acre piece, this time with an ATV carrying the phostoxin, some water in a sprayer, some newspaper to stuff in the holes if it was windy, sometimes a shovel, trowel, etc to disperse the mounds they'd toss up. I'd go to a flagged hole, put a couple tablets down the hole, put some water on them and pull the flag.
Lather, rinse, repeat... lots of times.
Come next morning, a 40 acre area of the field that had been a hive of activity the day before would be a ghost town. Absolutely nothing moved.
I would then start flagging the next 20 to 40 acres.
Shooting ground squirrels was entertainment for us farmers. We called it a "productive waste of time." Productive, because every squirrel that you shot was a benefit for you, the farmer.
A "waste of time" because the squirrels are so numerous in alfalfa fields that you will never, ever shoot them all out. You won't even come close.
Even today, visiting friends with whom I farmed in Nevada and shooting squirrels on their outfits is hugely entertaining. But no one is fooling anyone — only poison and plague can eliminate them.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.


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Transcendent leadership: How to lead anyone, anywhere, anytime
From Les McKeown at ChangeThis: What if your leadership role just felt, well… right: demanding, yes, but fun too; challenging but controllable; intense but invigorating? What if with every step on the ladder of leadership you felt more comfortable, more 'in the zone,' less stressed, less pressured? What if each successive leadership role brought out more of what makes you you, rather than asking you to compromise your core values, bury your deepest wishes, hold ransom your dreams?
Having coached and advised hundreds of leaders, I know this isn't a pipe dream. From frequent observation, I know that it's not only possible to be relaxed, fulfilled and energized by leadership, it is in fact precisely how the most consistently successful leaders operate. · Go to Transcendent leadership: How to lead anyone, anywhere, anytime →


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Vaughan Roberts
|The Reverend
Vaughan Roberts
|Rector of St Ebbe's Church, Oxford
|Church of England
|Diocese of Oxford
|In office
|David Fletcher
|1991 (deacon)
1992 (priest)
|Personal details
|Birth name
|Vaughan Edward Roberts
17 March 1965
Winchester, Hampshire, United Kingdom
|Winchester College
|Alma mater
|Selwyn College, Cambridge
Wycliffe Hall, Oxford
Vaughan Edward Roberts (born 17 March 1965) is a Church of England cleric. Since 1998, he has been the rector of St Ebbe's Church, Oxford. In 2009, he became Director of the Proclamation Trust.
Early life[edit]
Roberts was born on 17 March 1965 in Winchester, Hampshire, UK.[1] He was educated at Winchester College, an all-boys public school in Winchester.[2] He studied law at Selwyn College, Cambridge, and graduated from the University of Cambridge with a Bachelor of Arts (BA) degree in 1988; as per tradition, his BA was promoted to a Master of Arts (MA (Cantab)) degree in 1991.[3][4] In 1987, he was President of the Cambridge Inter-Collegiate Christian Union.
After graduation, he spent a short time in student ministry in South Africa.[3] He then moved to Oxford and in 1989 entered Wycliffe Hall, an Anglican theological college.[4] There, he studied theology and undertook training for ordained ministry.[3]
Ordained ministry[edit]
Roberts was ordained in the Church of England as a deacon in 1991 and as a priest in 1992.[4] In 1991, he joined St Ebbe's Church, Oxford as a curate under David Fletcher.[3][4] From 1995 to 1998, he was the Student Pastor with special responsibilities for students and student ministry.[3][4] In 1998, when Fletcher retired, Roberts was appointed Rector of St Ebbe's.[4] Since 2009, he has also been Director of the Proclamation Trust, an evangelical Christian association dedicated to training preachers in expository preaching.[5]
Roberts has written a number of Christian books, including Turning Points, Distinctives, Battles Christians Face, True Worship, Life's Big Questions and God's Big Picture (an introduction to Biblical theology).
Personal life[edit]
In the fifth anniversary edition of Battles Christians Face a new preface was added in which Roberts acknowledged struggles with unwanted same-sex attraction. He later publicly confirmed this in an interview, adding that he does not define himself as homosexual.[6] He has chosen to remain celibate.[7]
- Turning Points (1999: Authentic) ISBN 978-1-85078-336-7
- True Worship (2002: Authentic) ISBN 978-1-85078-445-6
- God's Big Picture: Tracing the Storyline of the Bible (2002: Inter-Varsity Press) ISBN 978-0-8308-5364-9
- Life's Big Questions: Six Major Themes Traced Through the Bible (2004: Inter-Varsity Press) ISBN 978-0-8308-5367-0
- God's Big Design: Life as He Intends It To Be (2005: Inter-Varsity Press) ISBN 978-0-8308-3343-6
- Distinctives (2006: Authentic) ISBN 978-1-85078-331-2
- Battles Christians Face (2007: Authentic) ISBN 978-1-85078-728-0
- Christmas in Three Words (2007: Inter-Varsity Press) ISBN 978-1-905564-81-1
- Missing the Point? Finding Our Place in the Turning Points of History (2007: Authentic) ISBN 978-1-85078-763-1
- True Spirituality: The Challenge of 1 Corinthians for the Twenty-First-Century Church (2011: IVP) ISBN 978-1-84474-518-0
- Workers for the Harvest Field, with Tim Thornborough (2006: The Good Book Company) ISBN 978-1-905564-30-9
- ^ "Vaughan Roberts". CricketArchive. Retrieved 12 October 2015.
- ^ Stibbe, Mark (2003). "Our Mission in Britain III" (pdf). Anvil. 20 (3): 197–201. Retrieved 12 October 2015.
- ^ a b c d e "Vaughan Roberts". St Ebbe's Church, Oxford. Retrieved 12 October 2015.
- ^ a b c d e f "Vaughan Edward Roberts". Crockford's Clerical Directory (online ed.). Church House Publishing. Retrieved 18 June 2016. (subscription required)
- ^ "The Leadership Team". The Proclamation Trust. Retrieved 12 October 2015.
- ^ Julian Hardyman (October 2012). "A battle I face". Evangelicals Now.
- ^ Steffan, Melissa (27 September 2012). "Prominent Oxford Evangelical Vaughan Roberts Reveals Same-Sex Attraction". Christianity Today. Retrieved 12 October 2015.
- Living people
- British religious writers
- British evangelicals
- 21st-century English Anglican priests
- Evangelical Anglicans
- 1965 births
- People from Winchester
- People educated at Winchester College
- Alumni of Selwyn College, Cambridge
- Alumni of Wycliffe Hall, Oxford
- 20th-century English Anglican priests
- LGBT Anglican clergy


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Research Scholars Program Awards 2013
The annual Research Scholars reception and award ceramony was held in the Center for Student Innovation on Friday May 17, 2013. Students were awarded for their participation in the Research Scholars Program.
COS Research Scholars
Hao Shi, Glenn Sweeney, Joy Snyder with Dean Sophia Maggelakis
The COS Research Scholar award recognizes truly exceptional undergraduate researchers. The key characteristics of a COS Research Scholar are involvement in a long-term mentored-research experience, excellence in that research project, evidence of meaningful peer review of the work, and at least one-instance of dissemination of the research beyond the academic unit.
School of Physics & Astronomy
Hao Shi, Mitchell Bennett, Dylan A. Heberle, John Howson IV, Junghune Nam,
Zachary Howard. Absent: Jonathan Beaumariage
Thomas H Gosnell School of Life Sciences
Harshita Sood, Terry Solomon, Nicole L. Kinlock. Absent: Adam L. Handen
School of Chemistry & Materials Science
Tri Nguyen, Carly Augustyn, Michael Madaio, Joy Snyder, Christian Larrabee,
Anthony Carestia, Kenneth Gerien. Absent: Rachel Schmidt
School of Mathematical Sciences
Samuel Kennedy, Brittany Ambeau, Emily Bartha, Clarissa Garvey.
Absent: John Costanzo
2012 Research Scholars