Doctor of Medicine
A Doctor of Medicine is a medical degree, the meaning of which varies between different jurisdictions. In the United States and other countries, the MD denotes a professional graduate degree awarded upon graduation from medical school. In the United Kingdom and other countries, the MD is a research doctorate, higher doctorate, honorary doctorate or applied clinical degree restricted to those who hold a professional degree in medicine. In 1703, the University of Glasgow's first medical graduate, Samuel Benion, was issued with the academic degree of Doctor of Medicine. University medical education in England culminated with the MB qualification, in Scotland the MD, until in the mid-19th century the public bodies who regulated medical practice at the time required practitioners in Scotland as well as England to hold the dual Bachelor of Medicine and Bachelor of Surgery degrees. North American medical schools switched to the tradition of the ancient universities of Scotland and began granting the MoD title rather than the MB beginning in the late 18th century.
The Columbia University College of Physicians and Surgeons in New York was the first American university to grant the MD degree instead of the MB. Early medical schools in North America that granted the Doctor of Medicine degrees were Columbia, Harvard, McGill; these first few North American medical schools that were established were founded by physicians and surgeons, trained in England and Scotland. A feminine form, "Doctress of Medicine" or Medicinae Doctrix, was used by the New England Female Medical College in Boston in the 1860s. In most countries having a Doctor of Medicine degree does not mean that the individual will be allowed to practice medicine. A doctor must go through a residency for at least four years and take some form of licensing examination in their jurisdiction. In Afghanistan, medical education begins after high school. No pre-medicine courses or bachelor's degree is required. Eligibility is determined through the rank applicants obtain in the public university entrance exam held every year throughout the country.
Entry to medical school is competitive, only students with the highest ranks are accepted into medical programs. The primary medical degree is completed in 7 years. According to the new medical curriculum, during the 12th semester, medical students must complete research on a medical topic and provide a thesis as part of their training. Medical graduates are awarded a certificate in general medicine, regarded "MD" and validated by the "Ministry of Higher Education of Afghanistan". All physicians are to obtain licensing and a medical council registration number from the "Ministry of Public Health" before they begin to practice, they may subsequently specialize in a specific medical field at medical schools offering the necessary qualifications. After graduation, students may complete residency; the MD specification: Before the civil wars in Afghanistan, medical education used to be taught by foreign professors or Afghan professors who studied medical education abroad. The Kabul medical institute certified the students as "Master of Medicine".
After the civil wars, medical education has changed, the MD certification has been reduced to "Medicine Bachelor". In Argentina, the First Degree of Physician or Physician Diplomate is equivalent to the North American MD Degree with six years of intensive studies followed by three or four years of residency as a major specialty in a particular empiric field, consisting of internships, social services and sporadic research. Only by holding a Medical Title can the postgraduate student apply for the Doctor degree through a Doctorate in Medicine program approved by the National Commission for University Evaluation and Accreditation. Australian medical schools have followed the British tradition by conferring the degrees of Bachelor of Medicine and Bachelor of Surgery to its graduates whilst reserving the title of Doctor of Medicine for their research training degree, analogous to the PhD, or for their honorary doctorates. Although the majority of Australian MBBS degrees have been graduate programs since the 1990s, under the previous Australian Qualifications Framework they remained categorized as Level 7 Bachelor's degrees together with other undergraduate programs.
The latest version of the AQF includes the new category of Level 9 Master's degrees which permits the use of the term'Doctor' in the styling of the degree title of relevant professional programs. As a result, various Australian medical schools have replaced their MBBS degrees with the MD to resolve the previous anomalous nomenclature. With the introduction of the Master's level MD, universities have renamed their previous medical research doctorates; the University of Melbourne was the first to introduce the MD in 2011 as a basic medical degree, has renamed its research degree to Doctor of Medical Science. In French-speaking Belgium, the medical degree awarded after six years of study is "Docteur en Médecine". Physicians would have to register with the Ordre des Medicins to practice medicine in the country. At the end of the six-year medical programs from Bulgarian medical schools, medical students are awarded the academic degree Master in Medicine and the professional title Physician - Doctor of Medicine.
After 6 years of general medical education, all students will graduate with
An academic or scholarly journal is a periodical publication in which scholarship relating to a particular academic discipline is published. Academic journals serve as permanent and transparent forums for the presentation and discussion of research, they are peer-reviewed or refereed. Content takes the form of articles presenting original research, review articles, book reviews; the purpose of an academic journal, according to Henry Oldenburg, is to give researchers a venue to "impart their knowledge to one another, contribute what they can to the Grand design of improving natural knowledge, perfecting all Philosophical Arts, Sciences."The term academic journal applies to scholarly publications in all fields. Scientific journals and journals of the quantitative social sciences vary in form and function from journals of the humanities and qualitative social sciences; the first academic journal was Journal des sçavans, followed soon after by Philosophical Transactions of the Royal Society, Mémoires de l'Académie des Sciences.
The first peer-reviewed journal was Medical Essays and Observations. The idea of a published journal with the purpose of " people know what is happening in the Republic of Letters" was first conceived by Eudes de Mazerai in 1663. A publication titled Journal littéraire général was supposed to be published to fulfill that goal, but never was. Humanist scholar Denis de Sallo and printer Jean Cusson took Mazerai's idea, obtained a royal privilege from King Louis XIV on 8 August 1664 to establish the Journal des sçavans; the journal's first issue was published on 5 January 1665. It was aimed at people of letters, had four main objectives: review newly published major European books, publish the obituaries of famous people, report on discoveries in arts and science, report on the proceedings and censures of both secular and ecclesiastical courts, as well as those of Universities both in France and outside. Soon after, the Royal Society established Philosophical Transactions of the Royal Society in March 1665, the Académie des Sciences established the Mémoires de l'Académie des Sciences in 1666, which more focused on scientific communications.
By the end of the 18th century, nearly 500 such periodical had been published, the vast majority coming from Germany and England. Several of those publications however, in particular the German journals, tended to be short lived. A. J. Meadows has estimated the proliferation of journal to reach 10,000 journals in 1950, 71,000 in 1987. However, Michael Mabe warns that the estimates will vary depending on the definition of what counts as a scholarly publication, but that the growth rate has been "remarkably consistent over time", with an average rates of 3.46% per year from 1800 to 2003. In 1733, Medical Essays and Observations was established by the Medical Society of Edinburgh as the first peer-reviewed journal. Peer review was introduced as an attempt to increase the pertinence of submissions. Other important events in the history of academic journals include the establishment of Nature and Science, the establishment of Postmodern Culture in 1990 as the first online-only journal, the foundation of arXiv in 1991 for the dissemination of preprints to be discussed prior to publication in a journal, the establishment of PLOS One in 2006 as the first megajournal.
There are two kinds of article or paper submissions in academia: solicited, where an individual has been invited to submit work either through direct contact or through a general submissions call, unsolicited, where an individual submits a work for potential publication without directly being asked to do so. Upon receipt of a submitted article, editors at the journal determine whether to reject the submission outright or begin the process of peer review. In the latter case, the submission becomes subject to review by outside scholars of the editor's choosing who remain anonymous; the number of these peer reviewers varies according to each journal's editorial practice – no fewer than two, though sometimes three or more, experts in the subject matter of the article produce reports upon the content and other factors, which inform the editors' publication decisions. Though these reports are confidential, some journals and publishers practice public peer review; the editors either choose to reject the article, ask for a revision and resubmission, or accept the article for publication.
Accepted articles are subjected to further editing by journal editorial staff before they appear in print. The peer review can take from several weeks to several months. Review articles called "reviews of progress," are checks on the research published in journals; some journals are devoted to review articles, some contain a few in each issue, others do not publish review articles. Such reviews cover the research from the preceding year, some for longer or shorter terms; some journals are enumerative. Yet others are evaluative; some journals are published in series, each covering a complete subject field year, or covering specific fields through several years. Unlike original research article
United States Department of Health and Human Services
The United States Department of Health & Human Services known as the Health Department, is a cabinet-level department of the U. S. federal government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health and Welfare. HHS is administered by the Secretary of Health and Human Services, appointed by the President with the advice and consent of the Senate; the United States Public Health Service is the main division of the HHS and is led by the Assistant Secretary for Health. The current Secretary, Alex Azar, assumed office on January 29, 2018, upon his appointment by President Trump and confirmation by the Senate; the United States Public Health Service Commissioned Corps, the uniformed service of the PHS, is led by the Surgeon General, responsible for addressing matters concerning public health as authorized by the Secretary or by the Assistant Secretary of Health in addition to his or her primary mission of administering the Commissioned Corps.
The Federal Security Agency was established on July 1, 1939, under the Reorganization Act of 1939, P. L. 76-19. The objective was to bring together in one agency all federal programs in the fields of health and social security; the first Federal Security Administrator was Paul V. McNutt; the new agency consisted of the following major components: Office of the Administrator, Public Health Service, Office of Education, Civilian Conservation Corps, Social Security Board. By 1953, the Federal Security Agency's programs in health and social security had grown to such importance that its annual budget exceeded the combined budgets of the Departments of Commerce, Justice and Interior and affected the lives of millions of people. In accordance with the Reorganization Act of 1949, President Eisenhower submitted to the Congress on March 12, 1953, Reorganization Plan No. 1 of 1953, which called for the dissolution of the Federal Security Agency and elevation of the agency to Cabinet status as the Department of Health and Welfare.
The plan was approved April 1, 1953, became effective on April 11, 1953. Unlike statutes authorizing the creation of other executive departments, the contents of Reorganization Plan No. 1 of 1953 were never properly codified within the United States Code, although Congress did codify a statute ratifying the Plan. Today, the Plan is included as an appendix to Title 5 of the United States Code; the result is that HHS is the only executive department whose statutory foundation today rests on a confusing combination of several codified and uncodified statutes. The Department of Health and Welfare was created on April 11, 1953, when Reorganization Plan No. 1 of 1953 became effective. HEW thus became the first new Cabinet-level department since the Department of Labor was created in 1913; the Reorganization Plan abolished the FSA and transferred all of its functions to the Secretary of HEW and all components of the Agency to the Department. The first Secretary of HEW was Oveta Culp Hobby, a native of Texas, who had served as Commander of the Women's Army Corps in World War II and was editor and publisher of the Houston Post.
Sworn in on April 11, 1953, as Secretary, she had been FSA Administrator since January 21, 1953. The six major program-operating components of the new Department were the Public Health Service, the Office of Education, the Food and Drug Administration, the Social Security Administration, the Office of Vocational Rehabilitation, St. Elizabeth's Hospital; the Department was responsible for three federally aided corporations: Howard University, the American Printing House for the Blind, the Columbia Institution for the Deaf. The Department of Health and Welfare was renamed the Department of Health & Human Services in 1979, when its education functions were transferred to the newly created United States Department of Education under the Department of Education Organization Act. HHS was left in charge of the Social Security Administration, agencies constituting the Public Health Service, Family Support Administration. In 1995, the Social Security Administration was removed from the Department of Health & Human Services, established as an independent agency of the executive branch of the United States Government.
The 2010 United States federal budget established a reserve fund of more than $630 billion over 10 years to finance fundamental reform of the health care system. The Department of Health & Human Services is led by the United States Secretary of Health and Human Services, a member of the United States Cabinet appointed by the President of the United States with the consent of the United States Senate; the Secretary is assisted in managing the Department by the Deputy Secretary of Health and Human Services, appointed by the President. The Secretary and Deputy Secretary are further assisted by seven Assistant Secretaries, who serve as top Departmental administrators; as of Jan. 20, 2018, this is the top level of the organizational chart. HHS provides further organizational detail on its website. Several agencies within HHS are components of the USPHS or Public Health Service. Secretary, Deputy Secretary, Chief of Staff The Executive Secretariat Office of Intergovernmental and External Affairs Headquarters Staff Regional Offices Office of Human Resources Office of Health Reform Office of the Secretary Office of the Assistant Secretary for Administration Office of the Assistant Secretary for F
Food and Drug Administration
The Food and Drug Administration is a federal agency of the United States Department of Health and Human Services, one of the United States federal executive departments. The FDA is responsible for protecting and promoting public health through the control and supervision of food safety, tobacco products, dietary supplements and over-the-counter pharmaceutical drugs, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices, animal foods & feed and veterinary products; as of 2017, 3/4th of the FDA budget is paid by people who consume pharmaceutical products, due to the Prescription Drug User Fee Act. The FDA was empowered by the United States Congress to enforce the Federal Food and Cosmetic Act, which serves as the primary focus for the Agency; these include regulating lasers, cellular phones and control of disease on products ranging from certain household pets to sperm donation for assisted reproduction. The FDA is led by the Commissioner of Food and Drugs, appointed by the President with the advice and consent of the Senate.
The Commissioner reports to the Secretary of Human Services. Scott Gottlieb, M. D. is the current commissioner, who took over in May 2017. The FDA has its headquarters in Maryland; the agency has 223 field offices and 13 laboratories located throughout the 50 states, the United States Virgin Islands, Puerto Rico. In 2008, the FDA began to post employees to foreign countries, including China, Costa Rica, Chile and the United Kingdom. In recent years, the agency began undertaking a large-scale effort to consolidate its 25 operations in the Washington metropolitan area, moving from its main headquarters in Rockville and several fragmented office buildings to the former site of the Naval Ordnance Laboratory in the White Oak area of Silver Spring, Maryland; the site was renamed from the White Oak Naval Surface Warfare Center to the Federal Research Center at White Oak. The first building, the Life Sciences Laboratory, was dedicated and opened with 104 employees on the campus in December 2003. Only one original building from the naval facility was kept.
All other buildings are new construction. The project is slated to be completed by 2021, assuming future Congressional funding While most of the Centers are located in the Washington, D. C. area as part of the Headquarters divisions, two offices – the Office of Regulatory Affairs and the Office of Criminal Investigations – are field offices with a workforce spread across the country. The Office of Regulatory Affairs is considered the "eyes and ears" of the agency, conducting the vast majority of the FDA's work in the field. Consumer Safety Officers, more called Investigators, are the individuals who inspect production and warehousing facilities, investigate complaints, illnesses, or outbreaks, review documentation in the case of medical devices, biological products, other items where it may be difficult to conduct a physical examination or take a physical sample of the product; the Office of Regulatory Affairs is divided into five regions, which are further divided into 20 districts. Districts are based on the geographic divisions of the federal court system.
Each district comprises a main district office and a number of Resident Posts, which are FDA remote offices that serve a particular geographic area. ORA includes the Agency's network of regulatory laboratories, which analyze any physical samples taken. Though samples are food-related, some laboratories are equipped to analyze drugs and radiation-emitting devices; the Office of Criminal Investigations was established in 1991 to investigate criminal cases. Unlike ORA Investigators, OCI Special Agents are armed, don't focus on technical aspects of the regulated industries. OCI agents pursue and develop cases where individuals and companies have committed criminal actions, such as fraudulent claims, or knowingly and willfully shipping known adulterated goods in interstate commerce. In many cases, OCI pursues cases involving Title 18 violations, in addition to prohibited acts as defined in Chapter III of the FD&C Act. OCI Special Agents come from other criminal investigations backgrounds, work with the Federal Bureau of Investigation, Assistant Attorney General, Interpol.
OCI receives cases from a variety of sources—including ORA, local agencies, the FBI—and works with ORA Investigators to help develop the technical and science-based aspects of a case. OCI is a smaller branch; the FDA works with other federal agencies, including the Department of Agriculture, Drug Enforcement Administration and Border Protection, Consumer Product Safety Commission. Local and state government agencies work with the FDA to provide regulatory inspections and enforcement action; the FDA regulates more than US$2.4 trillion worth of consumer goods, about 25% of consumer expenditures in the United States. This includes $466 billion in food sales, $275 billion in drugs, $60 billion in cosmetics and $18 billion in vitamin supplements. Much of these expenditures are for goods imported into the United States; the FDA's federal budget request for fiscal year 2012 totaled $4.36 billion, while the proposed 2014 budget is $4.7 billion. About $2 billion of this budget is generated by user fees.
Pharmaceutical firms pay th
A hospital is a health care institution providing patient treatment with specialized medical and nursing staff and medical equipment. The best-known type of hospital is the general hospital, which has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital is the major health care facility in its region, with a large number of beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors' hospitals, hospitals for dealing with specific medical needs such as psychiatric treatment and certain disease categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received. A teaching hospital combines assistance to people with teaching to medical nurses; the medical facility smaller than a hospital is called a clinic.
Hospitals have a range of departments and specialist units such as cardiology. Some hospitals have outpatient departments and some have chronic treatment units. Common support units include a pharmacy and radiology. Hospitals are funded by the public sector, health organisations, health insurance companies, or charities, including direct charitable donations. Hospitals were founded and funded by religious orders, or by charitable individuals and leaders. Hospitals are staffed by professional physicians, surgeons and allied health practitioners, whereas in the past, this work was performed by the members of founding religious orders or by volunteers. However, there are various Catholic religious orders, such as the Alexians and the Bon Secours Sisters that still focus on hospital ministry in the late 1990s, as well as several other Christian denominations, including the Methodists and Lutherans, which run hospitals. In accordance with the original meaning of the word, hospitals were "places of hospitality", this meaning is still preserved in the names of some institutions such as the Royal Hospital Chelsea, established in 1681 as a retirement and nursing home for veteran soldiers.
During the Middle Ages, hospitals served different functions from modern institutions. Middle Ages hospitals were hostels for pilgrims, or hospital schools; the word "hospital" comes from the Latin hospes, signifying a foreigner, hence a guest. Another noun derived from this, hospitium came to signify hospitality, the relation between guest and shelterer, hospitality and hospitable reception. By metonymy the Latin word came to mean a guest-chamber, guest's lodging, an inn. Hospes is thus the root for the English words host hospitality, hospice and hotel; the latter modern word derives from Latin via the ancient French romance word hostel, which developed a silent s, which letter was removed from the word, the loss of, signified by a circumflex in the modern French word hôtel. The German word'Spital' shares similar roots; the grammar of the word differs depending on the dialect. In the United States, hospital requires an article; some patients go to a hospital just for diagnosis, treatment, or therapy and leave without staying overnight.
Hospitals are distinguished from other types of medical facilities by their ability to admit and care for inpatients whilst the others, which are smaller, are described as clinics. The best-known type of hospital is the general hospital known as an acute-care hospital; these facilities handle many kinds of disease and injury, have an emergency department or trauma center to deal with immediate and urgent threats to health. Larger cities may have several hospitals of facilities; some hospitals in the United States and Canada, have their own ambulance service. A district hospital is the major health care facility in its region, with large numbers of beds for intensive care, critical care, long-term care. In California, "district hospital" refers to a class of healthcare facility created shortly after World War II to address a shortage of hospital beds in many local communities. Today, district hospitals are the sole public hospitals in 19 of California's counties, are the sole locally-accessible hospital within nine additional counties in which one or more other hospitals are present at substantial distance from a local community.
Twenty-eight of California's rural hospitals and 20 of its critical-access hospitals are district hospitals. They are formed by local municipalities, have boards that are individually elected by their local communities, exist to serve local needs, they are a important provider of healthcare to uninsured patients and patients with Medi-Cal. In 2012, district hospitals provided $54 million in uncompensated care in California. Types of specialised hospitals incl
American Osteopathic Association
The American Osteopathic Association is the representative member organization for the more than 145,000 osteopathic medical doctors and osteopathic medical students in the United States. The AOA is headquartered in Chicago, is involved in post-graduate training for osteopathic physicians. Beginning in 2015, it began accrediting post-graduate education as a committee within ACGME, creating a unified accreditation system for all DOs and MDs in the United States; the organization promotes public health, encourages academic scientific research, serves as the primary certifying body for D. O.s overseeing 18 certifying boards, is the accrediting agency for osteopathic medical schools through its Commission on Osteopathic College Accreditation. As of October 2015, the AOA no longer owns the Healthcare Facilities Accreditation Program, which accredited hospitals and other health care facilities; the AOA has held yearly conventions since its founding in 1897. The AOA manages DOCARE International, a non-profit charitable organization.
The AOA publishes The DO, an online publication, The Journal of the American Osteopathic Association, a peer reviewed medical journal. The AOA's mission is to advance the philosophy and practice of osteopathic medicine by promoting excellence in education and the delivery of quality, cost-effective healthcare; the AOA supports the annual "D. O. Day on Capitol Hill," where more than 1,000 osteopathic physicians and osteopathic medical students go to Washington, D. C. to meet with members of congress to discuss current issues in health care, such as access to care challenges. The event serves as an opportunity for legislators to learn more about health care and osteopathic medicine and for medical students to become more familiar with the political process; the association was founded as the American Association for the Advancement of Osteopathy on April 10, 1897, in Kirksville, Missouri, by students of the American School of Osteopathy Andrew Taylor Still. It was renamed the American Osteopathic Association in 1901.
In September 1901, the AOA began to publish a scientific journal entitled the Journal of the American Osteopathic Association. Subscriptions were offered to AOA members, at the time, membership fees were $5 annually; the journal was published bimonthly for the first year monthly thereafter. In April 1927, the AOA began publishing The Forum of Osteopathy, a monthly magazine that covered news relating to osteopathic medicine, the AOA, related groups. In September 1960, the magazine was renamed The DO. In the early 1900s, the AOA, citing concerns about safety and efficacy, was opposed to the introduction of pharmacology into the curriculum of osteopathic medicine. However, in 1929 the AOA board of trustees voted to allow the teaching of pharmacology in D. O. schools. By 1938, the AOA began requiring that osteopathic medical students have at least 1 year of undergraduate college coursework, by 1940, the AOA required two years. In 1957, the U. S. Department of Health and Welfare recognized the AOA as the official accrediting body for osteopathic medical education.
In 1967, the National Commission on Accrediting recognized the AOA as the official accrediting agency for all aspects of osteopathic medical education. The Department of Health and Welfare recognized the AOA as the official accrediting body for osteopathic hospitals under Medicare in 1966; as of October 2015, the AOA no longer owns the Healthcare Facilities Accreditation Program, which accredited hospitals and other health care facilities through its program, the Healthcare Facilities Accreditation Program The AOA provides funding for post-graduate osteopathic medical residencies. In the 2017 match, more than 2,200 osteopathic physicians matched into these residency programs. In February, 2014, the AOA and AACOM decided to join with ACGME to form a unified post-graduate accreditation system. From July 1, 2015, to June 30, 2020, AOA-accredited training programs will transition to ACGME recognition and accreditation. There will continue to be osteopathic-focused training programs under the ACGME accreditation system.
Two osteopathic review committees will be developed to evaluate and set standards for the osteopathic aspects of training programs seeking osteopathic recognition. DOs and MDs would have access to all training programs. There will be prerequisite competencies and a recommended program of training for MD graduates who apply for entry into osteopathic-focused programs. AOA and AACOM will become ACGME member organizations, each will have representation on ACGME’s board of directors; the American Osteopathic Association publishes The DO, an online publication covering news related to osteopathic medicine, health care changes, osteopathic continuing medical education programs. The AOA publishesThe Journal of the American Osteopathic Association, a monthly peer-reviewed medical journal focusing on original research and editorial articles. DOCARE International is a non-profit medical charity serving remote areas of the Western Hemisphere. DOCARE is operated by the American Osteopathic Association, consists of osteopathic physicians, osteopathic medical students, M.
D. physicians, other healthcare professionals. American Association of Colleges of Osteopathic Medicine The DO Journal of the American Osteopathic Association Student Osteopathic Medical Association George, John. "Class-action lawsuit filed against American Osteopathic Association over membership fees". Philadelphia Business Journal. American Osteopathic Association "The DO" online news publication Mini-Medical School