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Sagebrush
Feb 26, 2012

H.P. Hovercraft posted:

physicians receive their license in the state that they did their residency and transferring it isn't an easy task

so if his family isn't from maine then med school owned him p hard

dad did his residency at dartmouth and is licensed in ontario.

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H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

Sagebrush posted:

dad did his residency at dartmouth and is licensed in ontario.

well yeah canadia has been doin everything in their power to hoover up/lure back their doctors since like the 80s

but if he had done that the other way around he would've had to redo his residency b/c american medicine #1

Shaggar
Apr 26, 2006

H.P. Hovercraft posted:

your pcp was almost certainly at the bottom of his med school class since he is:

a) not a specialist

b) living in maine

actually hes great

born on a buy you
Aug 14, 2005

Odd Fullback
Bird Gang
Sack Them All
i ahve mad respect for anyone that makes it out of residency. have multiple friends that couldn't cut it

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

born on a buy you posted:

i ahve mad respect for anyone that makes it out of residency. have multiple friends that couldn't cut it

famous global warming denier and sometime author michael crichton certainly couldn't and he graduated from harvard medical

hobbesmaster
Jan 28, 2008

when i was working with doctors the licensing transfers between most states was described as nbd

Munkeymon
Aug 14, 2003

Motherfucker's got an
armor-piercing crowbar! Rigoddamndicu𝜆ous.



H.P. Hovercraft posted:

famous global warming denier and sometime author michael crichton certainly couldn't and he graduated from harvard medical

that shitlord hack graduated med school? lmao

born on a buy you
Aug 14, 2005

Odd Fullback
Bird Gang
Sack Them All
threewife went and stopped a few months in after multiple family members died in a two week period and she couldn't handle telling a patient a relative had died

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

hobbesmaster posted:

when i was working with doctors the licensing transfers between most states was described as nbd

it's a bunch of money and paperwork and sometimes they make you retake your boards depending on renewal cycles apparently

iirc some large majority of physicians end up practicing wherever they completed their residency (tho i'm sure that's not the only factor)

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

born on a buy you posted:

threewife went and stopped a few months in after multiple family members died in a two week period and she couldn't handle telling a patient a relative had died

same except that futurewife is supposed to be starting back up next month so we'll see how that goes

shockingly good support for that kinda thing tho including multiple weeks of PTO for grief support

born on a buy you
Aug 14, 2005

Odd Fullback
Bird Gang
Sack Them All
emergency medicine recently got it's own certification and the only place to take the test is chicago. so once a year er docs have to fly to chicago, ake a test, and then fly back. this is usually bookended by their normal long shifts.

Main Paineframe
Oct 27, 2010

Sagebrush posted:

why can't this extra work be handled automatically? how significant is it? if it's things like checking for drug interactions surely that doesn't require any additional input?

users hate error messages and warnings and anything that doesn't work

so when they accidentally prescribe a patient 8000mg of vicodin instead of 80mg and the system pops up an warning, or the system detects a potential interaction between the doctor's two favorite drugs (he may have not known about it or considered it an acceptable risk) and makes him confirm it every time he prescribes them together, they'll usually jump straight to mashing the "cancel" or "x" button without even reading the message and then complain about how the computer doesn't do what they want and paper was so much easier

users, especially ones who aren't big on computers, loving hate validation steps because they want poo poo to Just Work. if the system blocks them in any way, even if it's because they made a genuine mistake and typed in the wrong thing, they get mad because their old paper form wouldn't pop up error messages no matter what they did. same thing with "are you sure you want to do this?" type of dialogs - users loathe them, at least until that one time one of those dialogs saves their rear end (unless they're already so used to clicking through it that they don't catch themselves in time). there's probably a lot that can be done to improve emr user experience, but at the same time, no amount of clever ux design is ever going to make people like the parts of the program that check for human error

kitten emergency
Jan 13, 2008

get meow this wack-ass crystal prison
hm, gonna agree w/ shags here but quirex is right

what if we separated the concerns of patient care from the profit motive, perhaps by implementing some sort of... social program, let's say, that had oversight of the efficiency and effectiveness of caregivers without tying the hospitals and doctors to a twisted reimbursement profit making scheme that had multiple middlemen all looking for a cut

we could increase efficiency on the payments side by having some sort of single payer of procedure costs

some sort of socialized medicine, u might say

H.P. Hovercraft
Jan 12, 2004

one thing a computer can do that most humans can't is be sealed up in a cardboard box and sit in a warehouse
Slippery Tilde

uncurable mlady posted:

hm, gonna agree w/ shags here but quirex is right

what if we separated the concerns of patient care from the profit motive, perhaps by implementing some sort of... social program, let's say, that had oversight of the efficiency and effectiveness of caregivers without tying the hospitals and doctors to a twisted reimbursement profit making scheme that had multiple middlemen all looking for a cut

we could increase efficiency on the payments side by having some sort of single payer of procedure costs

some sort of socialized medicine, u might say

that's crazy then how are you going to incentivize newly minted doctors into becoming dermatologists and other types of medical specialists that cater to the medical problems of the wealthy

qirex
Feb 15, 2001

one of the biggest problems with modern business is a refusal to prioritize, e.g. "mobile first. cloud first."

if you actually prioritize your goals you can make stuff that's a lot less terrible instead of trying to do everything and half-assing it

cremnob
Jun 30, 2010

signs of the tech bubble: the verge is doing a bad superbowl ad

https://www.youtube.com/watch?v=NKeOJ5Y4Zk4

Shaggar
Apr 26, 2006
I hate writing unit tests except when they catch regressions

triple sulk
Sep 17, 2014



cremnob posted:

signs of the tech bubble: the verge is doing a bad superbowl ad

https://www.youtube.com/watch?v=NKeOJ5Y4Zk4

FMguru
Sep 10, 2003

peed on;
sexually

qirex posted:

one of the biggest problems with modern business is a refusal to prioritize, e.g. "mobile first. cloud first."

if you actually prioritize your goals you can make stuff that's a lot less terrible instead of trying to do everything and half-assing it
youd think "you cant have four highest priorities" would be basic common sense, but...

i remember one of ballmers last all-hands memos that he sent out to msft employees a couple of years ago, it said that msft was in trouble (true) and losing its edge (true) and that above all it needed to focus (TRUE)

...and then he listed off the ten things that msft needed to focus on

uninterrupted
Jun 20, 2011

by Fluffdaddy

qirex posted:

I'm not defending any specific people, people don't like being told they're wrong , they don't like feeling like everything thing they do is under a microscope as well

I'm saying it's possible to build a system that both improves patient care and that the people tasked with using it won't despise with every fiber of their being, it's just really hard and nobody's willing to do it because a lovely computer form with an annoying login process and a 10 second response roundtrip that flags every goddamn thing is the standard

I don't have a good solution because "hey our rad emr doesn't flag/reject some problematic behavior" would be a sales challenge but someone somewhere needs to figure that out because if it takes multiple tries to get someone some extra ibuprofen slightly out of recommended dosage [maybe the patient is a big fatty] of course they're not going to play along

an EMR company i interviewed at decided to work backwards, and just hired a bunch of retired doctors/nurses and taught them how to write code and stuck them alongside their real developers

didn't stick around long enough to see what kind of issues that created, but it was a novel approach

qirex
Feb 15, 2001

cremnob posted:

signs of the tech bubble: the verge is doing a bad superbowl ad

https://www.youtube.com/watch?v=NKeOJ5Y4Zk4

cool in two years they can bring back the etrade monkey to re-enact this

hobbesmaster
Jan 28, 2008

uninterrupted posted:

an EMR company i interviewed at decided to work backwards, and just hired a bunch of retired doctors/nurses and taught them how to write code and stuck them alongside their real developers

didn't stick around long enough to see what kind of issues that created, but it was a novel approach

nobody hates doctors more than doctors so this would have been entertaining

GameCube
Nov 21, 2006

cremnob posted:

signs of the tech bubble: the verge is doing a bad superbowl ad

https://www.youtube.com/watch?v=NKeOJ5Y4Zk4

are we not calling it "the big game" for fear of legal action this year?

qirex
Feb 15, 2001

As a Millennial I posted:

are we not calling it "the big game" for fear of legal action this year?

as far as I can tell vox media is paying 4 million united states dollars to show this during the superbowl so they can use the name

GameCube
Nov 21, 2006

qirex posted:

as far as I can tell vox media is paying 4 million united states dollars to show this during the superbowl so they can use the name

i swear i saw companies talking about their "big game commercials" last year but i'm probably wrong

GameCube
Nov 21, 2006

oh wait here's one i definitely remember
https://www.youtube.com/watch?v=AAhkswKitQg
because for months leading up to it all the ketchup bottles were talking about it

qirex
Feb 15, 2001

I'm sure there's some sort of byzantine rules in a seven hundred page brand book somewhere

GameCube
Nov 21, 2006

WTF?!?!?!?!?!?! WHY DID THEY COPY THE PHILIPPINES UFC KETCHUP COMMERCIAL?!?!?!?
THE PHILIPPINES KETCHUP HAVE OUT SINCE 1990!!!!!!!!!!!!!!
HEINZ?!?!?!?!? IM SO ASHAME AT YOU!!!!!!!!!!

Moist von Lipwig
Oct 28, 2006

by FactsAreUseless
Tortured By Flan

H.P. Hovercraft posted:

the only kind of major overstaffing that any business regularly engages in is within management

Moist von Lipwig
Oct 28, 2006

by FactsAreUseless
Tortured By Flan

As a Millennial I posted:

are we not calling it "the big game" for fear of legal action this year?

i know we are at work :q:









in canada











i hate america and i want it destroyed

Chris Knight
Jun 5, 2002

me @ ur posts


Fun Shoe

qirex posted:

I'm sure there's some sort of byzantine rules in a seven hundred page brand book somewhere

this is correct. iirc Super Bowl is trademarked so the nfl can sue anyone who uses it in an ad without permission & accompanying tithing

duTrieux.
Oct 9, 2003

a radio station this morning ran a commercial about a super bowl contest and they just bleeped out "super bowl" whenever anybody said it

kitten emergency
Jan 13, 2008

get meow this wack-ass crystal prison

duTrieux. posted:

a radio station this morning ran a commercial about a super bowl contest and they just bleeped out "super bowl" whenever anybody said it

that's clever

Bloody
Mar 3, 2013

i recall a radio station running a soup or bowl contest about soups and bowls or something inane one year

Nintendo Kid
Aug 4, 2011

by Smythe

H.P. Hovercraft posted:

San Francisco’s new law, which its Board of Supervisors passed Tuesday by unanimous vote, will require any “formula retailer” (retail chain) with 20 or more locations worldwide that employs 20 or more people within the city to provide two weeks’ advance notice for any change in a worker’s schedule. An employer that alters working hours without two weeks’ notice — or fails to notify workers two weeks ahead of time that their schedules won’t change — will be required to provide additional “predictability pay.“ Property service contractors that provide janitorial or security services for these retailers will also need to abide by the new rule.

In addition to limiting schedule changes, the [Retail Workers Bill of Rights] requires employers to pay part-time employees the same starting hourly wage as full-time employees in the same position. Employers must also give part-time employees the same access to time off enjoyed by full-time workers, and equal eligibility for promotion.

The Retail Workers Bill of Rights passed over strong objections from the San Francisco Chamber of Commerce.


lol ofc they did

Cool another law carefully crafted to allow small businesses to abuse workers

cremnob
Jun 30, 2010

whats that website with the full atlas shrugged text

Dolomite
Jul 26, 2000
Cars & Legs

uber.com

hobbesmaster
Jan 28, 2008

cremnob posted:

whats that website with the full atlas shrugged text

galtse.cx has galt's speech in its entirety

i don't understand how the .cx registrar found goatse profane and shut it down but allows galtse to continue

computer parts
Nov 18, 2010

PLEASE CLAP

Shaggar posted:

I imagine most of walmarts problems are w/ unreliable workers and not w/ sudden and unexpected volumes.

tbh you could probably solve that (and most of the systems that are using JIT-scheduling) by just having a smaller number of full time workers

but that would (on paper at least) cost more sooooooo

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Captain Foo
May 11, 2004

we vibin'
we slidin'
we breathin'
we dyin'

hobbesmaster posted:

galtse.cx has galt's speech in its entirety

i don't understand how the .cx registrar found goatse profane and shut it down but allows galtse to continue

who is .cx anyway

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