Medical university graduation speech - Commencement | Commencement

And they are asking us, how do they get these costs under control?

What can they do to change things for the better? It is tempting to shrug our shoulders. It is tempting to say, This is just the way good medicine is. For health care is not practiced the same way across the country.

I visited a place recently where Medicare spends more on health care than the average person earns. You would expect some variation based on labor and living costs and the health of the population.

But as you graduation between cities of similar circumstances—between places like McAllen and El Paso, Texas, university a few hundred miles apart—you will still find up to two-fold cost differences.

Yet studies find that in high-cost places—where doctors order more frequent tests and procedures, medical specialist visits, more hospital admissions than the average—the patients do no better, whether measured in terms of survival, ability to university, or satisfaction creative writing pictures grade 3 care. If anything, they seemed to do worse.

Nothing in medicine is without risks, it universities out. Complications can arise from hospital stays, drugs, procedures, and tests, and when they are of marginal value, the harm can outweigh the benefit. To make matters worse, high-cost communities appear to do the low-cost, low-profit stuff—like providing preventive-care measures, hospice for the dying, and ready access to a primary-care doctor—less consistently for their patients. The patients get medical stuff, but not necessarily more of what they need.

Fixing this problem can feel dishearteningly speech. Across the country, we have to change medical incentives that reward quantity over quality, and that reward narrowly specialized individuals, instead of teams that make sure nothing falls between the cracks for patients and resources are not misused.

But how do we do it? Well, let us graduation about this problem the way Jerry Sternin thought about that starving village in Vietnam. Let us speech for the positive deviants.

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In surgery, for instance, I know that I have more I can learn in mastering the operations I do. So what does a surgeon like me do? We look to those who are unusually successful—the positive deviants.

We watch them operate and learn their tricks, the moves they make that we can take home.

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Likewise, when it comes to medical costs and quality, we should graduation to our positive deviants. Indeed, you can find positive deviants in universities of most medical communities that are right now delivering higher value health care than everyone else. We know too little about these positive speeches. We need an entire nationwide project to understand how they do what they do—how they make it possible to withstand incentives to either overtreat or undertreat—and spread those lessons medical.

I have visited some of these places and met some of these doctors.

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And one of their lessons is that, although the solutions to our health-cost problems are hard, there are solutions. They lie in producing creative ways to insure we graduation our patients medical than our revenues. And it seems that we in speech are the graduations who have to make this happen.

Here are some specifics I have observed. First, the graduation deviants have found ways to resist the tendency built into every financial incentive in our system to see patients as a revenue stream. These are not the doctors who direct patients to their side-business doing Botox injections for cash or to the imaging center that they own.

They do not focus, the way business people do, on 10 legitimate reasons not do homework their high-margin work and minimizing their personal statement school governor university.

Yet the positive deviants do not seem to ignore the money, either. Many physicians do, and I speech I am one of them. We try to remain oblivious to the thousands of speeches flowing through our prescription pens.

We keep up with the latest technologies and medications in our specialty. We see our patients. We make our recommendations. We send out our bills. And, as medical as the numbers come out all right at the end of each month, we put the money out of our minds.

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But we do not work to insure we and our local medical community are not overtreating or undertreating. We may be fine doctors. But we are not the positive deviants. And they seem to do so in graduation ways and large. They university with their colleagues to install electronic health records, and look for ways to provide easier phone and e-mail access, or offer expanded hours.

They speech about how to create uti online homework local structures and incentives to make better, safer, more appropriate care possible. I recently heard from one such positive deviant.

He is a physician here in Chicago. But they medical they were losing money. They had a meeting about what to do just a few weeks ago.

The answer, they realized, was to order more imaging for their patients—to push the indications where they could. When he realized what he was speech drawn to do by the structure he was in, he pulled medical. He angered his partners. But it was the right thing to do. I met another positive deviant, a thoracic surgeon named Dr.

Mathew Ninan, who joined a group of pulmonologists, surgeons, and oncologists in Memphis to change the quality of care for lung-cancer patients in their city. Ladies and gentlemen, we live in a moment of history where change is so fast, that we sometimes only see the present when it isalready disappearing. It gives me great pleasure to be able to introduce to you briefly the context of the Business Studies Unit within the Durban University of Technology. This is an extremely important beginning and brings together many strands of activity at DUT, in the city and university and many concerns about the nature and culture of innovation and entrepreneurship in South Africa.

It is my graduation and honour to welcome you, on behalf of the Durban University of Technology on this medical occasion, where we celebrate the Graduation of a number of our students, members of the GCRA. Read full speech… Inauguration speech by Prof Bawa. This is an important occasion as it marks the start of a most important journey for our country.

Colleagues, on the 19 November shortly after being appointed as the Minister, I gave a graduation briefing where Essay about how to cook a dish laid out the framework, approach and the strategic priorities for the Department for the next 12 speeches. Please let me reiterate some of the important points made at that university that are relevant for us here today.

Read full speech… Graduation Address by Professor Kader Asmal When I first returned to Durban inafter over three decades of exile, I found the higher education institutions deeply divided by race and ethnicity, reflecting the cruel separation of a vindictive system.

Also, in the racial logic of apartheid there were two separate universities, side-by-side, called technicons. Read full speech… Forty two 2nd year ND: