On-call Room
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On-call Room
An on-call room, sometimes referred to as the doctors' mess, is a room in a hospital with either a couch or a bunkbed intended for staff to rest in while they are on call or due to be. In the European Community, the 2003 extension of the working time directive to junior doctors and the ruling that on-call time counts as working hours has resulted in the introduction of shift work for hospital medical staff, thereby eliminating the requirements for on-call rooms. A similar change in hospital working hours for interns was implemented in the United States in 2011, but senior residents continue to do 24-hour call. Accreditation Council for Graduate Medical Education The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting all graduate medical training programs (i.e., internships, residencies, and fellowships, a.k.a. subspecialty programs) for physicians in the ... regulations require that residents on call be provided with "adequa ...
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Hospital
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many 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' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) 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 teachi ...
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Couch
A couch, also known as a sofa, settee, or chesterfield, is a cushioned item of furniture for seating multiple people (although it is not uncommon for a single person to use a couch alone). It is commonly found in the form of a bench with upholstered armrests and is often fitted with springs and tailored cushion and pillows. Although a couch is used primarily for seating, it may be used for sleeping. In homes, couches are normally put in the family room, living room, den, or lounge. They are sometimes also found in non-residential settings such as hotels, lobbies of commercial offices, waiting rooms, and bars. Couches can also vary in size, color, and design. Etymology The term ''couch'' originally denoted an item of furniture for lying or sleeping on. ''Couch'' is predominantly used in North America, Australia, South Africa, and Ireland, whereas the terms ''sofa'' and ''settee'' ( U and non-U) are most commonly used in the United Kingdom and India. The word ''couch'' origi ...
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Bunkbed
A bunk bed is a type of bed in which one bed frame is stacked on top of another, allowing two or more beds to occupy the floor space usually required by just one. They are commonly seen on ships, in the military, and in hostels, dormitories, summer camps, children’s bedrooms, and prisons. Bunk beds are normally supported by four poles or pillars, one at each corner of the bed. A ladder or stairs is used to get to the upper bed, which is normally surrounded by a railing to prevent the sleeper from falling out. Some models also have a privacy curtain for the lower bunk. Because of the need for a ladder and the height of the bed, the top bunk of a bunk bed is not recommended for children under six years of age. A loft bed is an elevated bed similar to a bunk bed, but without the lower beds, freeing floor space for other furniture, such as a desk, which might be built into the loft bed. Low loft beds are lower to the ground and designed for younger children. Types The most ...
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European Community
The European Economic Community (EEC) was a regional organization created by the Treaty of Rome of 1957,Today the largely rewritten treaty continues in force as the ''Treaty on the functioning of the European Union'', as renamed by the Lisbon Treaty. aiming to foster economic integration among its member states. It was subsequently renamed the European Community (EC) upon becoming integrated into the first pillar of the newly formed European Union in 1993. In the popular language, however, the singular ''European Community'' was sometimes inaccuratelly used in the wider sense of the plural '' European Communities'', in spite of the latter designation covering all the three constituent entities of the first pillar. In 2009, the EC formally ceased to exist and its institutions were directly absorbed by the EU. This made the Union the formal successor institution of the Community. The Community's initial aim was to bring about economic integration, including a common market and ...
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Directive (European Union)
A directive is a legal act of the European Union that requires member states to achieve a particular result without dictating the means of achieving that result. Directives first have to be enacted into national law by member states before their laws are ruling on individuals residing in their countries. Directives normally leave member states with a certain amount of leeway as to the exact rules to be adopted. Directives can be adopted by means of a variety of legislative procedures depending on their subject matter. The text of a draft directive (if subject to the co-decision process, as contentious matters usually are) is prepared by the Commission after consultation with its own and national experts. The draft is presented to the Parliament and the Council—composed of relevant ministers of member governments, initially for evaluation and comment and then subsequently for approval or rejection. Justification There are justifications for using a directive rather than a ...
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Junior Doctor
In the United Kingdom, junior doctors are qualified medical practitioners working whilst engaged in postgraduate training. The period of being a junior doctor starts when they qualify as a medical practitioner following graduation with a Bachelor of Medicine, Bachelor of Surgery degree and start the UK Foundation Programme, it culminates in a post as a Consultant, a General Practitioner (GP), or some other non-training post, such as a Staff grade or Associate Specialist post. The term ''junior doctor'' currently incorporates the grades of Foundation doctor and Specialty registrar. Prior to 2007 it included the grades of Pre-registration house officer, Senior house officer and Specialist registrar. During this time junior doctors will do postgraduate examinations to become members of a Medical royal college relevant to the specialty in which they are training, for example Membership of the Royal College of Physicians for doctors specialising in Internal medicine, Membership of ...
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Shift Work
Shift work is an employment practice designed to make use of, or provide service across, all 24 hours of the clock each day of the week (often abbreviated as '' 24/7''). The practice typically sees the day divided into shifts, set periods of time during which different groups of workers perform their duties. The term "shift work" includes both long-term night shifts and work schedules in which employees change or rotate shifts. In medicine and epidemiology, shift work is considered a risk factor for some health problems in some individuals, as disruption to circadian rhythms may increase the probability of developing cardiovascular disease, cognitive impairment, diabetes, altered body composition and obesity, among other conditions. History The shift work system in modern industrial manufacturing originated in the late 18th century. In 1867, Karl Marx wrote on the shift work system in ''Capital, Volume 1'': Capitalist production therefore drives, by its inherent nature, tow ...
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Accreditation Council For Graduate Medical Education
The Accreditation Council for Graduate Medical Education (ACGME) is the body responsible for accrediting all graduate medical training programs (i.e., internships, residencies, and fellowships, a.k.a. subspecialty programs) for physicians in the United States. It is a non-profit private council that evaluates and accredits medical residency and internship programs. History The ACGME was founded in 1981 and was preceded by the Liaison Committee for Graduate Medical Education, which was established in 1972. The ACGME currently oversees the post-graduate education and training for all MD and DO physicians in the United States. The ACGME's member organizations are the American Board of Medical Specialties, American Hospital Association, American Medical Association, Association of American Medical Colleges, American Osteopathic Association (AOA), American Association of Colleges of Osteopathic Medicine (AACOM), and the Council of Medical Specialty Societies each of whom appoints m ...
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Mess
The mess (also called a mess deck aboard ships) is a designated area where military personnel socialize, eat and (in some cases) live. The term is also used to indicate the groups of military personnel who belong to separate messes, such as the officers' mess, the chief petty officer mess, and the enlisted mess. In some civilian societies this military usage has been extended to the eating arrangements of other disciplined services such as fire fighting and police forces. The root of ''mess'' is the Old French ''mes'', "portion of food" (cf. modern French ''mets''), drawn from the Latin verb ''mittere'', meaning "to send" and "to put" (cf. modern French ''mettre''), the original sense being "a course of a meal put on the table"; cfr. also the modern Italian ''portata'' with the same meaning, past participle of ''portare'', ''to bring''. This sense of ''mess'', which appeared in English in the 13th century, was often used for cooked or liquid dishes in particular, as in the "mess ...
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National Health Service
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom (UK). Since 1948, they have been funded out of general taxation. There are three systems which are referred to using the "NHS" name ( NHS England, NHS Scotland and NHS Wales). Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The four systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, free at the point of use for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60 and certain state ben ...
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Hospital Departments
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many 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' (geriatric) hospitals, and hospitals for dealing with specific medical needs such as psychiatric treatment (see psychiatric hospital) 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 ...
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