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- Current Students
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- Alumni & Donors
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Information For:
2013 Hall of Fame Inductees
Congratulations to Dr. Timothy J. Byron, Dr. Edward J. Fiffick, and Dr. Lawrence S. Osher, as they represent the 2013 OCPM Hall of Fame Class per the members of the alumni association. The 2013 Hall of Fame class will be inducted into the OCPM Hall of Fame on Friday, May 17, 2013 at the 9th Annual Glass Slipper Fete. Induction into the OCPM Hall of Fame Society is the highest honor given to OCPM alumni by the alumni association.
Timothy J. Byron, DPM, MS, Class of 1971
IMAGE: ByronUpdated 032113
In his words: "I have spent my entire professional career treating Soldiers, Sailors, Airman, & Marines. For almost 40 years, I have given all I could to our Armed Forces & the Veterans Administration. It was my first full time job, and it will be my last. Huge strides have been made in Federal Podiatric Medicine over the past 40 years and I have been proud to be a small part of the progress."
Edward J. Fiffick, DPM, Class of 1959
IMAGE: EdFiffick4x6-2
In his words: I am deeply honored and humbled to be nominated for the Hall of Fame Society of the Ohio College of Podiatric Medicine and our Alumni Association. To me, this is the ultimate honor one can receive from their alma mater. It has been a goal and privilege as a member of the Board of Trustees to continually improve the education of our students, and to continually upgrade our facilities. I believe that we at the Kent State University College of Podiatric Medicine have the best educational program and the finest facilities of any podiatric medical college in the country, if not in the world."
Lawrence S. Osher, DPM, Class of 1982
IMAGE: Osher
In his words: I am awe-struck at even being considered for this honor. I have never taken for granted the great privilege I've been given - that is, to be a teacher at the Ohio College of Podiatric Medicine, now the Kent State University College of Podiatric Medicine. To be sure, I enjoy serving on the Radiation Equipment Committee of the Ohio Dept. of Health - as service to OPMA. However, there is no better "rush" for me than to meld with the young minds of the students in my rotations and classes at KSUCPM."


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We've been keeping our eyes on The Brooklyn Museum's latest generation of artistic wunderkinds. And when the storied institution invited us across the pond to fête their new exhibitions, we jumped on board — along with 1,000 of our closest friends.
Indeed, last night, New Yorkers of all kinds turned out to honor the museum — and raise some dough, of course — with a swanky dinner followed by an R29-sponsored after-party. DJs Andrew Andrew and Atlanta de Cadenet Taylor spun tunes for the crowd, which busted moves in the museum-lobby-turned massive dance floor.
In between cocktail sips and dance circles, guests were also treated to first-looks at the breathtaking new exhibitions and interactive games. Since we would never want you to feel left out, dear reader, we've compiled our favorite pics of the soiree for your viewing pleasure, from up-close-and-personal art shots, to total Wednesday-night mayhem. Enjoy!
Photographed by Jena Cumbo

subset: commoncrawl


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text: We've been in the bike industry for over 90 years, we're not just about cycling (though we are pretty fond of it). At Evans Cycles we've got the swim, bike, and run gear for you to train and race in. Whether you're just dipping a toe into the sport, or if you're an experienced racer, if you're female, male, large or small – you'll find a wide range to suit your needs. Our kit comes from the leading brands, including Speedo, 2XU, Louis Garneau and Adidas, and of course we've got the accessories you need from visors, glasses and race belts, right down to your elastic laces.


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Hang tight!
Recipe by Bethany Bambenek
"Very good tasting recipe that was given to me by my mother. Try it you will like it. Everyone whom has had this raves about it. Best if made a day or several hours ahead."
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1 cup
sour cream
1 cup
1 tablespoon
dried dill weed
1 tablespoon
minced onion
1 tablespoon
dried parsley
1 teaspoon
Beau Monde ™ seasoning
This is a FABULOUS dip! I tasted it 25 years ago and have been looking for the right recipe since. I made it recently and it IS the one I remember! (I only added a couple shakes of course-ground pepper) I am so happy to have stumbled on it. You can't go wrong w/ this dip. **The tough part was finding the "Beau Monde" spice (which is a unique mix of salt, celery & onion powder: "Spice Islands®" is the brand I found in a regular grocery store finally & use now). Also a good spice for use in any cold summer salads. Thanks for sharing, CATWOMAN2!
Good - but I found it salty. I made it for a party and wouldn't make it again.
138 Ratings
I use Seasoned Salt instead of Beau Monde seasoning and 2 tablespoons of the dill, parsley and onion. My husband uses this as a chip and pretzel dip too.
I have been making this dip for 50 years and there is nothing better. Be sure to use vegetables, radishes, cauliflower, broccoli, celery, cherry tomatoes. Sometimes I put an extra shake of the spices in. Yumm
Substitute for Beau Monde-- OLD BAY SEASONING! I googled the ingredients and both were so close. Being the type to run to the store to make it perfectly, but finding the time close to midnight, I settled for this sub and it was GREAT! I also used a 16-oz container of sour cream (2 cups) and a cup of mayo, then did a 1 1/2 recipe of spices (24 servings). Thanks for a super make-it-yourself dip!
A nice, basic, familiar vegetable dip recipe that has stood the test of time and remained popular for decades. I used green onion but beyond that made this as written. Hubs thought it had a tad too much mayonnaise but I think it's just fine. If you can't find Beau Monde you could easily substitute some onion powder and celery salt.
I liked this dip a lot. I didn't have Beau Monde seasoning, so I just made a "seasoned salt" with salt, black pepper, garlic powder, paprika and celery seed. It turned out great. I couldn't stop eating it! Thanks for sharing.
This is the dip I remember from many, many years ago! I finally found the Beau Monde in a specialty food store here in Pensacola (pricey!) but it was worth it to taste that flavor again. I like the addition of the minced onion. The recipe doesn't state if it's fresh or dried but I used dried and I like that flavor. Thank you CATWOMAN2 for this nostalgic yet delicious recipe.
* Percent Daily Values are based on a 2,000 calorie diet.
Vegetable Dill Dip
Serving Size: 1/16 of a recipe
Servings Per Recipe: 16
Amount Per Serving
** Calories: 130
** Calories from Fat: 125
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Delicious recipes, party ideas, and cooking tips! Get a year of Allrecipes magazine for $7.99!
A colorful, creamy dip that's perfect for celebrating St. Patrick's Day.
A light, fluffy, super-easy dip with cream cheese and marshmallow crème.
Dannon Yogurt is a perfect complement to all kinds of fish.


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Watch now
Watch now
iPhone / Smart Phones
Oh Molly Rae...we aren't in Kansas anymore. If this is the kind of teenage pussy they're growing in the Heartland, then I'm packing up and moving out of the city ASAP! This leggy blonde walked in wearing a pair of fuck me pumps and the kind of Daisy Duke shorts that made the boys back home want to throw her in the back of the pickup truck and put those long legs in the air. Molly might have practiced on the boys in Kansas, but she came to LA to show us how small town girls suck cock. She didn't want to chat or talk dirty. After a little tease, she got right down to working that cock with her lips and didn't come up until she tasted a load of yummy cum.


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Nb: infants must be under the age of 2 and
children must be under the age of 12 at the time of
Residence "Les Charmoz", 2 storeys. 600 m from the centre. Shop 400 m, shopping centre 600 m, restaurant 400 m, bus stop 300 m, railway station 1 km. Golf course (18 hole) 2.6 km, sports centre 600 m, cable car 1 km, mountain railway 1 km, gondola lift, cross country ski track 700 m. Please note: ski bus (free of charge). The photograph shows a typical example. There are more similar properties for rent in this same residence. 3-room apartment 48 m2 on 2nd floor: living/dining room with 1 double sofabed and TV. 1 room with 1 double bed. 1 small room with sliding door with 1 x 2 bunk beds. Kitchenette (4 hot plates, dishwasher, microwave). Shower, sep. WC. Electric heating. Balcony, south-east facing position. Beautiful view of the mountains. Facilities: washing machine. Reserved parking. Please note: maximum 1 pet/ dog allowed. TV only FR.
Iglu acts as a travel agent for disclosed principals/tour operators, further details
of which will be made available at the time of booking. Your holiday contract will
be bound by the tour operators terms and conditions.
Prices are shown for a basic room or unit, can be subject to change and are indicative
until time of booking. Please call on 020 8544 7114 for prices for other travel
and room options for this property.
The price shown includes 7 nights accommodation,
on an accommodation only basis.
Prices shown are per person per week based on maximum occupancy. Descriptions and
quality ratings are provided by the Tour Operator (or one of the Tour Operators
where similar holidays are offered by more than one supplier). We reserve the right
to make minor adjustments to the description or rating based on staff and customer
feedback. For payments by credit card, a 2.5% credit card charge (4% for AMEX) will
be added to your invoice. If you pay by a UK issued debit card, there is no charge.
All bookings are subject to a £5 per person Passenger Admin Fee charged by Iglu.com.


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|News » Archives
Three East Tennessee State Football Players Named All-Conference By Media
Thursday, November 29, 2001Johnson City, Tenn. (Nov. 29, 2001) - Three players on East Tennessee State's football team were named to the All-Southern Conference team as selected by members of the Southern Conference Sports Media Association the conference announced today. Junior wide receiver Cecil Moore (Morristown, Tenn.) leads the group as a first team selection. Senior tight end Nick Hendrickson (Greenville, Tenn.) and sophomore defensive back Tony Tiller (Lithonia, Ga.) were both second team selections. Moore led Southern Conference receivers with 57 receptions for 908 yards and five touchdowns. His yardage total was the best of his career. Already one of ETSU's all-time leading receivers, Moore has totaled 117 catches for 1,806 yards and 12 touchdowns. His reception totals are fifth in the ETSU record books, while his yardage total stands at fourth. In his first season as a defensive back, Tiller led the Southern Conference in interceptions with seven, returning them for a total of 102 yards. In addition to picking off seven passes, he also led the team with 13 pass break ups. He finished the season with 52 tackles. His seven pics ties him for fourth in the ETSU record book for most interceptions in a season. Hendrickson started all 11 games for the Bucs at tight end this season and played a significant role on the Bucs' offensive line. He finished third on the team in receptions and reception yardage, hauling in 14 passes for 150 yards and one touchdown.


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The Americans with Disabilities Act of 1990 (the "ADA") is a federal law that recognizes -- and seeks to ensure -- the right of individuals with disabilities to participate to the fullest extent possible in the activities and benefits of society. One such activity or benefit is employment; the ADA carefully regulates the extent to which an employer may allow an individual's disability (actual or perceived) to influence an employment decision involving that individual. In this regard, the ADA emphasizes and extends the manner in which other federal and state laws protect the employment rights of the disabled.
Employment provisions of the ADA require good faith efforts by an employer and an employee who is a qualified individual with a disability to identify reasonable accommodations that permit the employee to perform the essential functions of the position. The following forms offer additional guidance when requesting or inquiring about a reasonable accommodation.
Campus Information & Resources
ADA Reasonable Accommodation Request Forms
Accessibility Statement for Publications and Programs
Knowing My Rights and Responsibilities Brochure (PDF)
ADA Supervisor Training
ADA: American Disability Act for Supervisors: Recent developments with the American with Disabilities Act Amendments Act (ADAAA), made significant changes to the definitions of "disability." Supervisor's do you know what do, if an employee makes a request for a reasonable accommodation or disclosures impairment? This workshop will provide discussion on the ADA, address practical questions regarding reasonable accommodations, and identify internal resources with expertise that can assist you.
Compliance Specialist and ADA Coordinator
For questions regarding ADA or additional assistance regarding supervisor training please contact:
Mandee Mlcek at 786-4788


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Phoenix Round Mirror
The Phoenix Round Mirror has an alternating wavy design that yields a 3-D effect. Both you and you child will love looking at this mirror in any of the fun colors that it is offered in! The resin frame is available in a variety of fun, glossy lacquer finishes. Shown in Glossy Royal Blue and Glossy Royal Purple.This item is custom made especially for you upon order. Due to the custom nature of this mirror, we are unable to accept returns, except in cases when the mirror arrives damaged. Please examine your mirror upon arrival and make detailed notes about damages. In the unfortunate event that your mirror is damaged during shipment, please contact customer service within 5 days of receipt at 1-877-214-6875.
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Filicori Zecchini Espresso and Coffee
Italian Style Espresso Roasted in Bologna Italy
Filicori Zecchini is one of Italy's oldest coffee roasters. Established in Bologna in 1919, the company is still operated by its founding families: Filicori and Zecchini. Its mission is to perfect authentic Italian-style espresso.
Painstakingly roasted to perfection
Filicori Zecchini roasts every single-origin coffee separately prior to blending them to preserve the beans' unique flavor and aroma. Filicori Zecchini coffees have earned the prestigious "Espresso Italiano" certification from the Italian Espresso National Institute.
Items 1 - 17 of 17
Items 1 - 17 of 17


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Four masked avengers find themselves stripped of their powers by a cruel arch-nemesis they defeated years earlier or so they thought. When the sinister mastermind puts the heroes through a series of brutal challenges that are virtually impossible to overcome, they must battle the clock - and even each other - in a race to stop a deadly countdown that could mean total destruction.
Cast: James Remar, Lucas Till, Jason Trost
Produced by: Lucas Till, Jason Trost
Directed by: Jason Trost
Written by: Jason Trost
Running time: 1hr 18min
Opens: Jan 14, 2013 Limited
|Theaters for Today
Pick a day
on this day.


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En Español| How does the U.S. health care system stack up against Canada's? You've probably heard allegedly true horror stories about the Canadian system — like 340-day waits for knee replacement surgery, for example.
To separate fact from fiction, Aaron E. Carroll, M.D., the director of the Center for Health Policy and Professionalism Research in Indianapolis, identified the top myths about the two health care systems.
Myth #1: Canadians are flocking to the United States to get medical care.
How many times have you heard that Canadians, frustrated by long wait times and rationing where they live, come to the United States for medical care?
I don't deny that some well-off people might come to the United States for medical care. If I needed a heart or lung transplant, there's no place I'd rather have it done. But for the vast, vast majority of people, that's not happening.
The most comprehensive study I've seen on this topic — it employed three different methodologies, all with solid rationales behind them — was published in the peer-reviewed journal Health Affairs.
Source: "Phantoms in the Snow: Canadians' Use of Health Care Services in the United States," Health Affairs, May 2002.
The authors of the study started by surveying 136 ambulatory care facilities near the U.S.-Canada border in Michigan, New York and Washington. It makes sense that Canadians crossing the border for care would favor places close by, right? It turns out, however, that about 80 percent of such facilities saw, on average, fewer than one Canadian per month; about 40 percent had seen none in the preceding year.
Then, the researchers looked at how many Canadians were discharged over a five-year period from acute-care hospitals in the same three states. They found that more than 80 percent of these hospital visits were for emergency or urgent care (that is, tourists who had to go to the emergency room). Only about 20 percent of the visits were for elective procedures or care.
Next, the authors of the study surveyed America's 20 "best" hospitals — as identified by U.S. News & World Report — on the assumption that if Canadians were going to travel for health care, they would be more likely to go to the best-known and highest-quality facilities. Only one of the 11 hospitals that responded saw more than 60 Canadians in a year. And, again, that included both emergencies and elective care.
Finally, the study's authors examined data from the 18,000 Canadians who participated in the National Population Health Survey. In the previous year, 90 of those 18,000 Canadians had received care in the United States; only 20 of them, however, reported going to the United States expressively for the purpose of obtaining care.


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Game Development, PokéMon Battling, Artwork Showcase, Creative Writing and a little bit more.
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Your #1 resource for transportation information & options to make getting into and around the District easier than ever.
Notice Sidewalk Cafe
Monday, November 15, 2010
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Hotel Diaries
Filmed over six years in six different countries, Hotel Diaries is a compelling series of single-take films by John Smith documenting his hotel stays in Ireland, Germany, Switzerland, England, the Netherlands and Palestine. As Smith shares his thoughts and observations on his surroundings, he presents a startling account of the 'War on Terror', geographic dislocation and the plight of contemporary Palestine. The films have a cumulative effect as Smith transforms his experiences as a travelling filmmaker into a deeply engaging work.
Produced by:
Directed by: John Smith
Written by:
Running time: 1hr 22min
|Theaters for Today
Pick a day
on this day.


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Gallery: VIDEO: Inhabitat Lighting Makeover – Inhabitots Editor Julie S...
If you read our enlightening "how to switch to LED bulbs" tutorial, you've hopefully already seen how much money and energy you can save by replacing your incandescent bulbs, but we wanted to make it even clearer how easy and effective a home light bulb makeover can be. We headed over to Brooklyn to give a light bulb overhaul to the managing editor of Inhabitots, our very own Julie Seguss! Julie is going to be a new mom in just a few months, so saving money is of the utmost importance right now, but she still wanted to keep her Park Slope home illuminated with a warm, bright glow. In just a few hours, the Inhabitat lighting makeover crew (aka Inhabitat editors Jill & Yuka) were able to swap out all of Julie's electricity-guzzling incandescents and halogens with energy-efficient Philips LEDs, and we think you'll be impressed with the monthly savings we tallied up for Julie at the end of the day. Check out our video above to see the whole makeover, and find out how much extra cash Julie and her husband will have after the makeover to spend on diapers and baby clothes!
Julie and her husband loved the overhead lighting in their beautiful home in Park Slope, Brooklyn, but they noticed that their electricity bill was quite pricey every month. With a new baby coming in just a few months, they hoped to cut back on whatever expenses they could, and swapping out incandescent and halogen light bulbs with LED bulbs is an easy way to effortlessly and automatically save money on your energy bill every month. Contrary to the old stereotype, the latest generation of high tech LED light bulbs can be just as warm and bright as incandescent bulbs, so unlike other makeovers, the point of our lighting makeover was to show that Julie couldn't see a noticeable difference with her new lights at all — that is, until got her next energy bill and saw how much money she would be saving!
Julie's spacious living room and kitchen are filled with sunshine during the day but at night, it takes 11 75W halogen flood bulbs to light up the space. Luckily, it didn't take much elbow grease at all for Inhabitat editor-in-chief Jill Fehrenbacher to swap out those energy-guzzlers with 11 12W Philips Par30 LED flood bulbs. As you can see in the video, Julie's very pleased with the result and the amount of money she'll save with this simple switch.
$183.48 per year
Though you might not pay much mind to them, your hallway lights can really add to your monthly electricity bill if you're using halogens or incandescents. We didn't want to ignore this small space in Julie's home because there are savings to be found there (at least enough for a few new bottles or swaddles). We swapped out her 2 60W Mini Halogen Reflector Bulbs and replaced with 7W Philips Par20 LED Flood bulbs for a savings of $21.84 per year.
$21.84 per year
Next we moved to Julie's bedroom, office and bathroom, where we swapped out 15 60W incandescent light bulbs with equivalent brightness Philips 12.5W AmbientLED replacement bulbs. Julie also expressed to us that she wished she had more light in her bedroom so we swapped out the two 60W incandescent bulbs in her ceiling sconce with 17W Philips AmbientLED Bulbs (75W replacement bulbs) to provide her with a lot more light. Even though these bulbs use just 17W of electricity, they provide light that's as bright as a 75W incandescent bulb, so now she's getting a lot more light with a lot less energy! We also gave her two bright new yellow table lamps from West Elm to create a cheery (and matchy) new space. The total energy savings between bathrooms, office and bedroom is $208.76 per year.
$208.76 per year
So now for the moment of truth – how much will Julie save after our lighting makeover? We swapped out a total of 11 halogen and 17 incandescent bulbs in Julie's house and her total annual savings (based on the cost per kWh noted on her past energy bills) comes to $411.36! Now, that's a lot of diapers! Don't forget to watch a video of the whole makeover above and click through a photo gallery for a play by play of our favorite highlights of our video shoot. And if you have a baby on the way or would just like to save some extra money on your monthly energy bill, don't be afraid to try your own lighting makeover!
$411.36 per year
That's a lot of diapers for Julie's new bundle of joy!
Inspired to make the switch from incandescents to LEDs in your own home? Check out our How to Switch Your Bulbs to LEDs To Get Ready for the Incandescent Bulb Phase-Out tutorial here.
30 Comments
July 9, 2012 at 9:24 am
Hi Jill:
Sorry it's been a few days, but I was out of town all last week.
To answer your second question first, I'm in North Carolina.
To answer your first question – here is my work:
My power cost: $.107/kWh
Your projected savings (Bed/Bath): $208/yr
-or- $1.16/month/bulb
-or- $.0385/day/bulb (assuming 30 day month)
60W bulb = $.00642/hr of use (@ $.107/kWh)
15W bulb = $.00161/hr of use
(.00642 – .00161)x = .0385 <—solve for x
x = 8.00hrs/day
Now, since your power is a bit more expensive, you'll reach your savings much quicker than I will. But, still, that requires turning on every single light in the house for 3 hours. I typically only use lights in the rooms I'm in. And, even then, I don't usually use every single light in the room.
July 2, 2012 at 5:20 pm
Not only should you check your dimmers to see if they will work, you also need to watch how many LED bulbs you use on a dimmer. I have LED lights in my kitchen that say no more than 5 per 600 watt dimmer even though the lights are only 14.5 watts each, the reason is because the in rush current can exceed the dimmer rating if you use too many.
July 2, 2012 at 10:50 am
LEDs do get hot and require heatsinks, but the heat is very concentrated compared to light bulbs, and is far less than lightbulbs. Put a 60w incandescent next to an LED equivalent, put your hand over them and you will see that the overall heat is less with the LED.
June 26, 2012 at 1:05 pm
I've already bought a few LED bulbs, but some of the first ones(Sams Club, which no longer carries them) were nowhere near as bright as they claimed, and didn't last very long. I've also bought a few from overseas that were much cheaper than the Philips ones.
I do understand that it is a good investment to replace with LEDs, but it will be an even better investment to wait another year or two when the prices are even lower.
Meanwhile, I use them in my highest use lights.
I'm also building a small solar PV system to run 12 volt LEDs that ar more efficient and cheaper than 110 volt AC lights.


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It is important that advisory board members are well-informed of meeting schedules, their responsibilities as a board member, and the expectations for their behavior and contribution. It is staff's role to ensure that members have access to information that will make their service successful. It is also staff's responsibility to consult with members about issues that may arise such as attendance, meeting participation, personality conflicts with other members, and disruptive behavior.
Use these tools and ideas to orient your new advisory board members:
Orientation Manual for Advisory Board Members*
A Quick Reference Guide to Oregon's Public Meetings Law*
Your advisory board's bylaws
The group's ground rules & decision-making process (if applicable)
Background information on the history of the advisory board and its current work
Responsibilities as a public official
Expectations for meeting participation and attendance
*Sent to the new member by the Board of Commissioners office with a congratulations letter and the Order of Appointment.
Establish a consistent line of communication (i.e. regular mailings, e-mail updates, etc.) and use that often to "check in" with your advisory board volunteers
Send meeting information, background material, and expectations in plenty of time before the meeting
Encourage questions and make sure that someone is accessible to answer questions if you are not
Periodically, ask members if there is information that was not given to them that should have been
Clarify each officer's role on the board, in the meetings and in interacting with the public
Enlist the officers' assistance with developing the agenda for each meeting
Make sure the officers understand impending issue items that will be discussed
Communicate regularly with the officers between meetings and encourage them to do the same
Keep the conversation focused on the issue--not the person
Describe the problem clearly
Ask the advisory board member for solutions to the problem
Agree on a plan for resolving the issue
Set a future date to review the success of the solution or to establish a new plan


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Monitoring at work
by paul_sweb - 11/19/12 1:56 PM
I'd be interested to hear opinions on this one.
I work for an employer with a, shall we say, idiotic head of IT. I believe that he is dialing into our computers, while we are using them and basically watching what we're doing as we're doing it.
I'm fairly certain this is borderline legal, but I'd be interested to hear what the consensus is on the morality of this and if we can take any steps to stop this!


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Great Otway National Park
Distance: 8.5 kilometres
Duration: 3 hours
Track condition: Easy/Medium
Grade: Flat
Start: Sheoak picnic area
Finish: Sheoak picnic area
Nearby: Lorne
Henderson Falls is an easy hike, return to the falls is about 3 hours. Henderson Falls is about 8 to 10 meters, Panthom Falls about 15 meters high. This is 8.5km circuit taking in what should be some swollen waterfalls, a fern gully and a Canyon with steep walls and moss-covered rocks. It will be muddy, so if you have walking poles, bring them.
Its graded easy/medium, which means there may be some slopes. I think the mud might make things slightly slippery underfoot during winter.


text: Nick Laham, Getty Images [ Danica Patrick Wins Daytona 500 Pole, Becomes First Woman To Win A Cup Series Pole By Joe Student February 17, 2013 | GuySpeed Danica Patrick won the pole of the Daytona 500 on Sunday, becoming the first woman in NASCAR history to win the pole position of a Cup Series event. Patrick turned in a qualifying speed of 196.434, besting fellow drivers Jeff Gordon, Trevor Bayne, Ryan Newman and teammate Tony Ste Read More Category: Sports Tags: danica patrick Send to a friend! Share on Facebook Share on Twitter Pin it! Reddit This! Share on Tumblr!


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- Brian Cox, MD
- Cardiff By The Sea, CA
- United States
Medical Doctor, Research Scientist,
This conversation is closed.
Should medical ethics be taught in medical school?
Over the course of the summer, I am embarking on a fairly comprehensive examination of medical ethics curriculum in the medical schools of the UK, Ireland, Canada, and America. I will be conducting focus groups and distributing surveys to understand how medical students view their competency in dealing with ethical issues, especially those encountered at the end-of-life.
I hope to use this information to make specific curriculum amendments that will allow future doctors to confidently manage terminally ill patients.
However, I need your help.
In order to make my study even more robust, I wish to garner as many perspectives as possible. Please contribute your opinions, your experiences, your attitudes and beliefs. Tell me how doctors deal with end-of-life issues: how they have managed your family and friends.
*The first comment gives a little background on the current state of medical ethics in the UK. It is an excerpt from my proposal earlier this year.
Jul 11 2012: Hi, Brian. Yes, ethics should definitely be taught as part of medical school. I'm a professor of philosophy and ethics, and I'm currently pursuing a second degree specifically in bioethics. People often approach ethics with the attitude that studying it is of no real value. As someone who has spent the past 20 years doing just that, I can assure you that's not the case. Philosophy, and by extension ethics, is just like anything else - the more you do it, the better you become at it. Not all explanations are created equal.
That being said, the current trends in spirituality and medicine (where spirituality isn't defined as exclusively "religious" but merely as whatever is at the core of one's source of meaning in life...family, appreciation of nature, altruistic acts, etc.) begin from the idea of treating patients as a person (i.e. a being with a set of beliefs, values, ideals, hopes, concerns, personality traits, etc.) rather than merely treating an illness or a symptom. Ethics is about how we weigh values, often in relation to a conflicting sense of duty. If we can consider such things in advance, it makes it easier to know what to look for, think about, and consider before we have to do so when we're interacting with people when it really matters. Two things I tell my own students at the beginning of every semester are that if we're going to even attempt to do philosophy well, we need to always keep in mind 1) make no assumptions (or as few as possible) and 2) just because you've heard something all your life doesn't make it true. Most of the students in my current graduate courses are medical students and my program is in the school of medicine, not philosophy; and they all the time make assuptions that philosophers wouldn't simply because of their background. If we combine the two disciplines, everyone benefits. Philosophers who attempt bioethics without any medical science are at an equal disadvantage as doctors who have no exposure to ethics.
Stancy Kelly
Jun 30 2012: Hi, I am a final year medical student from NZ. We have been taught medical "ethics" throughout our clinical years. I put the ethics part in quotation mark as I do think that there is a component of ethics that stems from the morals and values that we develop from childhood. Our teaching was based around autonomy, non-malificence, beneficence and justice. From this base we were encouraged to build discussions and arguments around case. We were always challenged to bring our own views and to try to look at things from all angles. There were many learning points were based around autonomy and competence. I found the teaching really useful in that it has helped me to develop my thinking and has given me a structure to refer back to when I come across a challenging case. We didn't have much teaching specifically about end of life care but I feel that with the base that I have I will have some confidence in my approach to such problems. Separate to out ethics teaching we have had a few sessions on breaking bad news which I found helpful but nothing can compare to witnessing it being done. But it was really nice to have a palliative care physician talk to us about his experiences. I have had a quick glance though the previous comments and see that someone suggested that you include australia. I imagine that aus and NZ have a similar curriculum. Let me know if you want to know more about my medical school and I can give you more details.
- +2
Jul 5 2012: Hey Stancy, sorry for the delayed reply, I've been conducting and transcribing focus groups with medical students. I'm very interested in what appears to be an apparent difference in Australia/NZ and UK teaching, especially considering the two countries are British colonies. I probably will not be examining Australia/NZ this time around, but I'm on elective next summer. It would be interesting to followup some of this data through the Medical Ethics Institute out by you guys. If you can send me a message, I'd like to ask you just a few questions. I'm pretty wary about putting my email up on a public forum, but if you'd like, you could message me via facebook https://www.facebook.com/brian.k.cox. If not, no worries. Thanks for the comprehensive reply!Jun 28 2012: I'm pursuing my masters in education and we learned medical ethics as part of one of our courses. The purpose of learning this in education was because we deal with vulnerable children, as is the case with doctors too - dealing with vulnerable patients. It's important for people in these professions (that deal with a vulnerable people) to know how to empathize and understand that their role in their these peoples lives isn't just something in passing.
From my experience of learning medical ethics as an education student I can say that it is highly valuable and concur that ethics is something that is engrained from childhood and home life. If you don't have an ethically sound upbringing then learning about medical ethics can be quite surprising and new, and difficult to grasp. Ethics can also vary culture to culture.
Jul 5 2012: Yes, definitely. I'm looking into improving the curriculum through an examination of cultural differences and how to respond empathetically to a diversity of groups.
The world needs great teachers, wish you the best in your pursuit!Jun 28 2012: With my shallow knowledge I am aware of that all medical students go through Hippocratic oath at least, which is pretty good base for medical ethics till today.....how much of those ethics are practiced in real professional life setting as a whole ?
My feeling is, it is better to think how can we bring ethics in practice what we learnt whether from familial , societal or institutional setting............
Jul 5 2012: The idea of "auditing" ethical practices is an interesting idea. I've written it down to research whether it has been done before.
Jul 6 2012: Thanks for your compliment......would love to know your findings of such research as well......
My feeling is how to get right response from the respondents can be a challenge....as the most unethical person in practice seems most ethical in talking that's what my experience is.......I have no doubt you have the expertise to unmask respondents tactically to get real answer.....
All the best with your research.
Stevan S.
Jun 28 2012: It is not a question IF Ethics should be studied. It's rather HOW, or in which manner should the matter be presented to students.
- +2
The presentation of seemingly impossible dilemmas to students who are at the beginning of their medical education (f.e. 1st year of medical school) leads to fruitless discussions.
However, students at a later stage of education should be stimulated to utilize their acquired knowledge, therefore ethical discussions can be infused with actual medical facts. In addition, experienced doctors could be invited to share their own stories and views on certain subjects.
Jul 5 2012: You nailed it. Currently ethical teaching is considered to be formal, informal, or hidden. Formal teaching is comprised of lectures, seminars, etc. while informal teaching is the reflective aspect of some tutorials and discussions. The "hidden" curriculum is the idea that medical ethics is pervasive throughout the hospital, and students witness good ethical practice subconsciously. However, it appears there is a drive to make teaching substantial and lasting but in a more formal manner. Medical students need to be engaged in the discussion of medical ethics early, but discussions (as you said) which do not lead to impossibly "grey" outcomes.
Fritzie -
Jun 26 2012: I assumed medical ethics are already part of medical curricula. Don't most professions include training in the ethics of the discipline?
- +2
Jun 26 2012: Medical ethics is part of a curriculum, but teaching is not universal nor is it comprehensive.
As a result, many individuals receive "informal" or "hidden" teaching. That is, you learn as a witness and through reflection. However, the eventuality of this practice may lead to the adoption of bad habits. It is therefore necessary for students to receive more "formal" teaching. Scripted scenarios and tutorial based learning are essential if medical students join the workforce with competency in end-of-life issues.
Fritzie -
Jun 26 2012: Case studies seem like an effective vehicle for such a curriculum. In a business school, a law school, a teacher training program, a public affairs school... ethics is often addressed by putting forward case studies for discussion.Jun 28 2012: My own understanding(I am a Doctor myself) is that Medical ethics or any ethics can't be taught in medical schools... it's something that has to be inculcated since childhood... at home, in junior school, senior school, higher education.... and "life". All Doctors sign the "Hippocratic Oath" at the time of registration, but do most Doctors follow them?
- +1
Jul 5 2012: It's difficult to know whether ethics should be taught as apparently as math, english, and science, or whether it should "informally" be taught through experience and reflection. Surely we know right from wrong, but in the complicated world of medicine, it is sometimes not a question of what "can" we do, but what "should" we do? The Hippocratic Oath is a reflection of the ethical tenets, but it may not always govern our actions. "Doing no harm" can have many interpretations, unfortunately.Jul 11 2012: Ethical theory can definitely be taught. I spend every day of the week doing it. The idea that something can't be taught simply because there are no strict answers, as one expects to find in sciences and other disciplines, is mistaken. Philosophy is about abstract critical thinking, not memorizing empirical facts. They're just two different ways to approach knowledge, and each has its own purpose, function, and merits. And ethics is always about what we ought to do, if you're talking about what we "can" do, then you're no longer talking about ethics. That's the difference between normative (evaluative) and non-normative (purely descriptive) statements. Ethical considerations are always normative, because they attempt to assess or evaluate. For example, one theory (often mistaken as an ethical theory) is psychological egoism, which simply states we observe that humans tend to act in self-serving ways. That's a purely descriptive statement, it doesn't attempt to prescribe anything. Its "sister" theory is ethical egoism, which states that if we do, in fact, observe people to behave as such, then people "ought" to do so, because they're simply acting on human nature. The latter of these two statements is normative, because it's prescribing what one ought to do...that's the realm of ethics.Jun 28 2012: In a manner of speaking it is already covered. Your bedside manner is critiqued and discussed. If I could suggest ... hospitals have staff that counsel and refer families in death situations. I would be there for the announcement of the cause and answer medical questions and then sincerly offer condolences on the passing and turn them over to the professionals. You have a speciality and so do they each of you should respect the areas of the other.
All the best. Bob.
Jul 5 2012: But is it too late if you're practicing the art of breaking bad news at the bedside?
Barry Palmer
Jun 27 2012: I see end of life issues being mentioned a lot in these comments. While those issues are dramatic, ethics is involved in every aspect of an industry that should be centered around care. Any issue that negatively affects the quality of care is an injustice to the patient. Examples: the relationship of care giver to third parties such as drug companies, equipment suppliers and especially insurance companies; the doctor nurse relationship; mistakes that cause patients to get new infections in hospitals, many of them dying. When medical care is so expensive that many people can't afford needed care, the compensation of the care givers is an ethical issue.
- +1
I think that ethics should be taught as a separate class in each year of medical school and in every class it should be emphasized that quality of care is an ethical issue.
Lejan .
Jun 27 2012: Isn't it taught in medical school already? If it isn't the question may then start with 'why'...
- +1
I think any end-of-life situation - where possible - should be based on 'free will' from inside and outside the sick-bed to keep both parties in their very own dignity at any time.
Teaching medical ethics may help the student to learn about it, yet it does not and should not prevent him and her to reflect and decide for themselves on this issue. May this decision be general or case specific later on. But to feel comfortable with whatever decision one makes, it will probably have helped to have learned about it. And if it doesn't it would not do any harm.
The conflict caused by the hippocratic oath in those situations lays in the oath istelf, which could be changed if it proofs
obstructive in finding a personal decision for a doctor. It has been written by men, it could be changed by men if it helps avoiding moral conflicts out of itself.
I can only say that if I ever have to make a decision for myself to end my life because I wan't it to, I would be grateful and honored if my doctor agreed on helping me by this. Also I have to honor and respect if he or she choses not to, yet knowing who would, would be helpful at that pont in time.
Debra Smith
Jun 27 2012: Dear Brian, teach me how to help and I will.
- +1
I hope you feel well today (and every day)
DebraJun 27 2012: Maybe medecine should be taught in elementary schools (at least the basic). The medical industry is too big to be ethical.. and cost an arm to develop, while some simple knowledge and a peaceful environment could be much more proficient !
Jun 27 2012: Classes in ethics are surely forgotten until a high school/collegiate level. I think academic administrators view ethical understanding is a purely philosophical pursuit rather than an integral part of communication, empathy, and integrity. Starting early is a great idea!
Jul 11 2012: Exactly, Brian. Ethics could easily be characterized as the most practical branch of philosophy, because it addresses social behaviors, which is a subset of human behaviors.
Barry Palmer
Jun 27 2012: Of course it should, and so should medical systems.
- +1
Jun 27 2012: AGREED. System management is another major source of problems.
Terry Haynes
Jun 27 2012: I am a believer in medical ethics . I also support dying with Dignity. I am not a doctor, but if I was one, My primary goal would be to save lives,not end lives. But if I could not save the patient, I would try to help the patient die with dignity and grace. I would be respectfull, compassionate and professional to the highest degree.
- +1
Jun 27 2012: I agree with you wholeheartedly. However, finding a way to 'respectfully, compassionately and professionally' allow a patient to die with dignity while maintaining medical principles of 'do no harm,' presents a tremendous challenge. If you can figure out how to balance all elements of this problem, you would win a Nobel Prize.
Jun 28 2012: Hello Brian
My answer is what I already have, And that is a Living Will ( Advance directive ). Which states that I am not to be resucitated or put on life support. It allows the doctor to respect my wishes ethically and legally. Its not a nobel prize winner. But in my case it is the right answer.
Alec Chapa
Jun 27 2012: I believe there is a solution. I think that people are all on different planes of thought, though we may be perceiving the same thing (glass half empty or half full.). I compare this to different denominators but the same idea. So, let's say I'm 1/2 and you are 2/4 . We have a different way to explain the same thing. The easily solution is to find a common denominator and work from there, thus allowing solutions to be in both yours and my terms.
- +1
The same principle i illustrated here is apparent in Hegels philosophy: the synthesis is finding the common denominator of the thesis (your viewpoint) and the antithesis (my viewpoint).
Yes, I think debates would work, as it is basically allowing a synthesis between the students, but then what happens when two people did not attend the same class or school? I think this is when ethics of a time period (bigger scale, no longer just in terms of an individual) comes into play. If we can get on common terms as a generation, we may teach ethics in that generation. Though, this would be very difficult...
Jun 27 2012: Thank you for your insight into Hegel's philosophy and the idea of a common denominator for consensus' sake.
Sebastian R.
Jun 26 2012: I am not a medical student, but I think the responsibility of a Doctor is very important topic.I think that a Doctor can not be personally held responsible for every mistake because in such an environment he will try not do admit any mistakes. If he does not admit them, others cannot learn from them so they will happen again. In a lot of cases mistakes are even not realized because the patient is passed to the next doctor. For plane accidents every country has a institution dealing with every single accident or close accident. (NTSB). There is a video series on youtube which then brings the human side back to the accident story: Example: http://www.youtube.com/watch?v=DyuSmPYF0YM
- +1
The Pilots can talk about it and the passengers profit from this practice. I think is is a major issue in medicine. However it is not as easy to do "the right thing".
Jun 27 2012: Have you watched the TED talk about doctors admitting mistakes?
Debra Smith
Jun 26 2012: Absolutley!
- +1
John Dunbar
Jun 26 2012: Although this isn't related to end of life issues I have to bring up an issue that is related. The prescription pill epidemic in the United States has far surpassed the carnage of the crack epidemic. A multitude of doctors have been arrested for illegally prescribing prescription opiods, benzodiazapenes, and others.
- +1
As a 24 year old living in NH,(which sits on the border of massachusetts, which has the highest opiod overdose rate per capita in the country) i have many friends who went from college students, to full blown addicts in a matter of weeks due to this scourge.
Doctors need to have a better understanding of what it is they are actuality prescribing and how potentially addictive it is. The psychiatric community is also under siege for over medicating children with narcotic stimulants. I can count the number of people on my hands that don't take adderall to write a paper. Yes, at the end of the day the people taking the medication need to be responsible for what they put in their system.
To me, it seems as though many doctors seemed to be happily deceived by patients who doctor shop. Kickbacks, rigged studies, and false marketing have been shown by numerous sources in regards to pharmaceutical companies.
I can't tell you how much I agree that rigorous ethics should be taught in medical school. Something must be done to curtail the abuse of prescription medication and although profit seeking doctors seem to be only one part of the equation, it doesn't lessen the role it has played in this ongoing tragedy.
Jun 26 2012: Couldn't agree with you more. We live in a finger pointing society where everyone passes the blame.
It is the responsibility of all parties involved - the patient, doctor, lawyer, judge, and pharmaceutical company - to ensure profits do not come before safety.
And you may not have realized it, but opioids play a large role in patient management at end-of-life. There is something called the "Doctrine of Double Effect" (DDE). DDE states that although opioids are used to prolong life by reducing personal suffering, they are also simultaneously reducing respiratory rate and increasing side effects. Though the net result is a prolonged life, the argument is that life is prolonged at a cost.Jun 26 2012: All professions should cover the legal and ethical considerations that are relevant.
Given education is more centralised than working. This is a good place to start.
Places of work (hospitals) also have an obligation to provide a policy framework and training in this regards etc. Ideally appropriate ethics should be built into the culture of all organisations.
Personally, I support teaching ethics at school with an age appropriate curriculum.
Jun 26 2012: You very insightfully point out that education is centralized. I never thought of that before. It would be interesting to examine whether medical programs with similar curricula produce equivalent ethical competencies.Jun 26 2012: Maybe you should include Australia in your investigation. An ethics class is a requirement for the first four semesters.
Jun 26 2012: In medical school? Can you describe what is covered? Many medical schools attempt to cover the topics of beneficence, malevolence, autonomy, etc. Additionally, they have classes on "breaking bad news" and talking to family members, yet many junior doctors still report apprehension in dealing with end-of-life issues. I am trying figure out why this is.
I would be very, very interested to hear from you if you have time.
Jun 27 2012: Sorry Brian I have no knowledge of course content. I'm a highschool teacher so often have discussions with students regarding thier future after highschool. We get a book that lists the subjects studied for all courses offered at Australian universities so I looked up medicine and found ethics listed as a mandatory subject for 4 semesters. I'll see if I can find out a bit more.
This page is a descrition of the course from the University of Queensland
Linda Taylor
Jun 26 2012: It is somewhat disconcerting to think that physicians would not be educated in medical ethics. There is so much involved in medicine that surrounds ethics. I also do not think it should be a comprehensive education in ethics but adequate information to make decisions and to be able to competently address an ethics board.
- +1
There are medical ethicists who study ethics and who can be sought out as consults for complex cases. Much like there are medical specialists. But the truly complex cases need to be deliberated by a board or a community of care providers.
Every physician has a set of ethics under which he/she operates. Two physicians can disagree about the same exact case. Over time, they learn about how other physicians practice and if they run into an ethical dilemma, they can refer.
One person was requesting continuing futile medical treatment which one physician was uncomfortable initiating. That physician referred the patient to a research hospital physician who had no issue continuing treatment. Explained that he could not help but he knew someone who could.
Jun 26 2012: At that stage, medical ethical principles are often quite clear to the physician in question. What I am trying to examine is whether we need to start learning the complexities of medical ethics earlier in our career.
Jun 26 2012: I don't think you can arrive at that level of practice without the proper educational base from which to make decisions. Yes I think we all need it early in our careers.Jun 26 2012: As a nurse who has dealt for many years with dying patients, I have one important idea to mention. Physicians have a moral responsibility to tell a patient when they are nearing the end of their life.
I have been in the unfortunate position of being the bearer of this news. Frequently I feel that I often do not have all the details, while the person who did have the information, chose not to share them with the patient. Come on, doctors! Don't you think your patients deserve to hear the most important information in their lives from you? Just because it's something you can't fix, doesn't make it essential for you to deal with.
Jun 26 2012: It is a shame that you have been placed in such a position. These types of situations should not occur, but frequently do. Doctors need to feel comfortable and competent delivering bad news regardless of the circumstance so that individuals like yourself are not forced into an unfamiliar situation.Jun 25 2012: I think this quote applies to this: "Never let the rules, overrule common sense".
Jun 26 2012: Now to find a way to teach common sense! :)Jun 25 2012: I think doctors should be posed all sorts of ethical questions relating to their field etc and develop their own views that fit within guidelines such as, not trying hard enough for a critical patient just because they're an organ donor and their organs could be used elsewhere. Teaching around this sort of area such as medicine isn't just about having the highest net score of survival rates.
Jun 26 2012: Your pessimism is unfortunately common in the patient population. I think it may be due to the apparent and growing lack of trust that exists between today's doctor and their patient. Patient's would hope doctors have their best interest in mind, but it is often difficult to distinguish. To combat this, medical schools worldwide are trying to promote communication skills and empathy in their graduates. However, thus far, this has not wholly resulted in competency.
Alec Chapa
Jun 25 2012: I'm not sure if this is relevant to what is being asked, but I find myself questioning whether ethics can or should be taught anyways. It seems to me ethical values and such vary place to place, time to time and so the only way ethics really exist, much like norms, is by us acting as if they do and creating/empowering them.
- +1
What if we were to get everyone on the same page and a problem in our way of thinking manifests itself? There will be no one to offer a different solution...
Jun 25 2012: There is truth in what you wrote but, even if values are changing, it is very important to find solutions to these kind of questions. I have not say an answer but a solution. Actually, we cannot stay here, timorous, saying that it is impossibe to solve these problems. There is a need to be "efficient".
By efficient i do not want to say that we have to applicate a random solution and force people to deal with it. I just want to say that, in order to find a solution, the first step would be to largely talk about these problems. By the meantime it would be the occasion to break some taboos.
As a consequence I totally agree with this enterprise which will be the occasion to talk about these problems but i am more sceptic about the idea of teaching "Medical ethics" because it is controversial by nature. So i cannot imagine lessons about that but rather debates for example.
Thanks for read me.Jul 11 2012: Hi, Alec. Your starting point with this explanation assumes that there are no such thing as moral absolutes, but that needn't be the case, even though, as you note, it certainly seems that way because of a lack of agreement. However, consider this example I pose to my own students as a possible explanation in favor of moral absolutes. I'm not claiming it's true; rather, I just use this as a tool to counter the "it's all relative" mindset students always have when they enter the class each semester. Let's use the analogy of xrays. There was a time when we knew nothing of the existence of xrays. It was only after we developed certain technologies that we knew of their existence, but we wouldn't make the claim that when we created the technology we, at the same time, somehow invented xrays. Rather, they were always there and we simply knew nothing of their existence. Similarly, couldn't one argue (as did people like Socrates and Plato) that moral absolutes are merely one more thing we haven't yet discovered about the universe? There's no logical contradiction there, regardless of how implausible that explanation "seems" to us. Our initial reaction is to state "That makes no sense. How could values exist in the abstract sense?" What might this tell us. Does it follow that simply because human being operate based on common-sense, therefore, so does the universe? Common-sense is a by-product based on our expectations about how things work, which doesn't in any way influence the truth about how things do work. It may turn out that we're right, and ethics/morals are always relative to a given frame of reference. However, claiming as much may also turn out to one day be proven otherwise. Or maybe (worst-case scenario) moral absolutes exist but are forever beyond our ability to discover them. Something's existence in no way is hinged upon our ability or inability to discover it.
Jul 11 2012: Speaking of Plato, you bring up my next point. It seems it doesn't matter, really, if there are moral absolutes or not, because they ( seem to be) unreachable. Much like the form of a human being can never be manifested into any one human being-there is mo synthesis for tall and short, black and white, black hair, blonde hair.. etc. All of which would have to coexist in a single human at the same time for it to truly represent all instances. In other words, a concept is a concept for a reason.
It seems the idea of moral axioms, from this standpoint, is merely an idea. Whilst I'm not putting it down, I do think that it's more a "form" as Plato would call it that has many manifestations which we bring to the world, just as the form of a human being has many manifestations, some of which include you and I.
On a side note- a part of me thinks that all axioms are simply supposed. Base 8 or 5, or 20, is just as good a base as 10, but we almost absolutely use base 10 today. Why? Just because that's what we've decided.
Jul 11 2012: You're taking Plato's theory of the forms out of context a bit. Forms don't have to manifest in a single being to validate their existence. In fact, you'd never find that, because they ARE abstractions. Take a look at how Socrates words his objections in the dialogs. When there's a call for definition, which happens at the outset of nearly every dialog, such as "What is justice?" in the Crito or again in the Republic, the secondary character begins by listing examples of things we consider just. Socrates then redirects by stating he's not interested in the examples. What he's asking is, if we were to make an exhaustive list of every last example of just things, what would be the common criteria among all of them that made us include them on this list? In other words, what is justice in the abstract sense? You'd never find the Forms manifested in material objects, because that's the distinction between universals (the Forms themselves) and particulars (specific objects that populate the universe). There's also a difference between moral absolutes and a "moral axiom." Be careful with your language here. An axiom is a self-evident truth and just because something may be absolute (i.e. universal) in no way implies that it's also self-evident. Yes, what you note about mathematics is true, but that's because mathematical truths, themselves, are definitional truths. As such, what's important is the relationships between the values and the symbols. Where you start is irrelevant as long as the same relationships hold. When you say "merely an idea," what is that meant to imply? Don't ideas exist? Ideas are, at the very least, brain energy and energy certainly exists. Existence isn't a generic term, meaning things don't simply exist in one manner of speaking. There are two basic ways things can exist, as either an object or as a concept. But concepts exist nonetheless. They aren't, in some way, "less real," because what does that mean?Jul 11 2012: Additionally, asking for a synthesis between opposites is another error based on the assumption that existence is a generic term. It's what Gilbert Ryle referred to as a category-mistake. There's nothing to synthesize between tall and short, because these things only exist as matters of description. You don't have to find an average between short and tall (because you can't). What has actual existence is human beings (the object). Short and tall are just descriptions we give to the objects, similar to how there's no such object as a "crowd." "Crowd" is just a term we use to describe a collection of individuals, but the only actually existing objects are individual human beings. So, "crowd" is concpetual...which takes us back to the previously mentioned distinction about the fundamental categories of existence: 1) objects and 2) concepts.Jul 24 2012: It is very important to have people of intergrity in the medical profession.
A lot of factors would contribute to the moulding of an individual; even those in the medical profession. But it would be unwise, and even disastrous, not to try all that can be done, including teachings, laws and regulations, to make individuals better. So that they can be more effective as agents of life.Jul 11 2012: "You don't have to find an average between short and tall (because you can't)"
I agree that one cannot and this is my point. In order to put the absolute into the words as it *really* is, we would have to synthesize (and bear with me, as it's the best word i can think to use) all of the perspectives on it, as in this case, they are examples or manifestations of the concept, just as Socrates would combine examples (which is similar to the word perspective- an example is in a way a perspective of the concept) to find the concept of just.Jul 11 2012: "Forms don't have to manifest in a single being to validate their existence. In fact, you'd never find that, because they ARE abstractions."
Yes, exactly. What I'm trying to say is that precisely because instances of these concepts are abstractions, "imperfect" and individuated models of the concept, we cannot and will not arrive at the moral axioms we speak of.
"In other words, what is justice in the abstract sense?"
yes, this is the idea/concept/form i speak of, which produces the examples.
"Don't ideas exist? Ideas are, at the very least, brain energy and energy certainly exists."
It's a tricky thing to say and im not quite sure i can put it into words, but I'll try. When you speak of the concept/idea/form that makes the examples just, can it be, itself, made into an example? Of course not! It is just an idea. And of course it is real, as it may not be tangible or visible but it definitely effects the world, which is in some way real, at least. My point is, when I say "absolute" I associate it with form/idea/concept and since the idea itself can never be modeled perfectly, so, too, can an absolute be modeled perfectly by language. Not to say that language is insufficient, but just that regardless of the means, any way of manifestation will only be an example of the idea, not the idea/form/concept or absolute we seek.
I think that humans can only be inspired by this absolute, to put it poetically, and then put it into their own words, but never be able to put the absolute, without bias or perspective, into words, as everyone will describe it differently.Jul 6 2012: They definitely should.Jul 5 2012: How do brian
Quick question why would anyone let a doctor manage there family? Unless he was part of it. And what make you think that a doctor handles there death different from any one else? Please tell me if there is good money desinging a curculum for group that has almost no potential for being ethical.
Now with all that said the medical profession is a bloated pig that has as much use as tits on a boar hog.Jun 25 2012: In regard to the UK:
"...Although the General Medical Council mandates medical students be equipped with medical ethics education, establishing a formal, structured medical ethics curriculum has proved difficult. In 2010, a consensus statement made by teachers of medical ethics and law expressed concerns with the status, content, delivery, and assessment of medical ethics in medical schools. The document discouraged reliance on "hidden" forms of medical ethical curriculum, stating that a medical student may inadvertently develop 'unacceptable habits and attitudes . . . through observing medical misconduct and mistaking it as the norm.'
Additionally, the Institute of Medical Ethics claims such teaching is currently underrepresented in medical schools worldwide (Stirrat et al, 2010), causing newly qualified doctors to report apprehension when dealing with End-of-Life care (Sullivan et al, 2003)."


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Celebrate, Reds backers - for the first time in six years, a major trophy is yours! This spectacular commemorative poster celebrates Liverpool's dramatic victory in the Carling Cup Final to finally break through to glory once again. With no less than six great celebratory shots including Captain Steven Gerrard hoisting the cup, Luis Suarez riding piggyback on Dirk Kuyt, Martin Skrtel flexing his tattooed muscles, and the whole team enjoying a champagne shower, this poster has it all! Complete with official team crests, commemorative title, final score with goal scorers, and game date, this is both a beauty for your wall, and a valuable collector's item for years to come! Limited quantity available.
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It's time for a joyous celebration—your Reds have made it to the postseason! Do you know what that means? You've gotta let the whole world know about this historic occasion with this Postseason tee from Nike. Featuring a Cincinnati logo printed on the front along with MLB's 2012 Postseason logo, this shirt is a great way to let everyone know that your Reds will dominate the World Series!
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Welcome to the website of the
Global Phosphorus Research Initiative
The Global Phosphorus Research Initiative (GPRI) is a collaboration between independent research institutes in Europe, Australia and North America. The main objective of the GPRI is to facilitate quality interdisciplinary research on global phosphorus security for future food production. In addition to research, the GPRI also facilitates networking, dialogue and awareness raising among policy makers, industry, scientists and the community on the implications of global phosphorus scarcity and possible solutions.
The GPRI was co-founded in early 2008 by researchers at the Institute for Sustainable Futures at the University of Technology, Sydney (UTS), and the Department of Water and Environmental Studies at Linköping University, Sweden. Today, GPRI members also include the Stockholm Environment Institute (SEI) in Sweden, the University of British Columbia (UBC) in Canada and Wageningen University in The Netherlands.
GPRI member ISF wins Mercedes-Benz Environmental Research Award, Nov 2011
[Read more..]
3rd Sustainable Phosphorus Summit to be held in Sydney, February 2012
Phosphorus (P)
Phosphorus is an essential nutrient for all plants and animals. We get our phosphorus through the food we eat, which has been fertilized by mineral or organic phosphorus fertilizers. But where the phosphorus in our food comes from and how sustainable it is in the long term is often not the topic of debate or significant investigation.
Modern agricultural systems are dependent on continual inputs of phosphorus fertilizers processed from phosphate rock. Yet phosphate rock, like oil, is a non-renewable resource that takes 10-15 million years to cycle naturally. While all farmers need access to phosphorus, just 5 countries control around 90% of the world's remaining phosphate rock reserves, including China, the US and Morocco (which also controls Western Sahara's reserves). Studies suggest current high-grade reserves will be depleted within 50-100 years. Further, peak phosphorus could occur by 2030. While the exact timing might be disputed, it is widely accepted that the quality of phosphate rock is decreasing and costs increasing. In mid 2008 the price of phosphate rock reached a peak 800% higher than early 2007.
The phosphorus situation has many similarities with oil, yet unlike oil, there is no substitute for phosphorus in food production. Phosphorus cannot be manufactured, though fortunately it can be recovered and reused over and over again.
Click here to read 8 reasons why we need to better manage our global phosphorus resources for sustainable food production.


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Survival Island
South Georgia is a barren, remote island majestic set alone in the great Southern Sea. Yet in the spring and summer months, this majestic and miraculous island plays host to some of the largest concentrations of animals anywhere on Earth, including half the world's southern elephant seals and thousands of king and macaroni penguins and fur seals. This is the story of these vast animal cities, and of the order that lies beneath their seeming chaos.
Cast: David Attenborough
Produced by: Christopher Parsons
Directed by: David Douglas
Written by: David Attenborough
Running time: 40min
Opens: Jan 01, 1996
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The Easy Fix Fabric Stretcher Frames is an easy to use, modular, versatile, durable, and inexpensive fabric painting frame system. Great for stretching any fabric and many pre-made scarf sizes for crafts such as silk painting, batik and fabric painting. Strong plastic which can be simply wiped clean after use. It allows maximum and continuously adjustable tension and comes with a nylon storage/carrying case.
The Basic and Small systems are each made of 4 plastic bars with clever corner connectors that allow for size adjustments. The bars are riddled with holes into which fit the special suspension hooks attached to pegs. A set of these hooks are included with each frame, and are available separately also. The Extension can be added to either System to make a larger square, or to make a longer skinny frame to accommodate many different scarf sizes.
As you may know our SF1s have been out of stock for the past year due to manufacturing issues. The bars provided in these kits may or may not line up correctly with the blue corner connector pieces. We cannot realistically inspect every piece, unfortunately. We have provided four replacement bars taped onto the outside of the kits that should work just fine. If you cannot get four of the eight bars to line up correctly please call (800)542-5227 or email (firstname.lastname@example.com) us right away and we will get you ones that do. If you receive a kit with only 4 bars this kit is from the newest batch and the bars inside should line up correctly. We sincerely apologize for this inconvenience and we want to provide you with the best quality product possible.
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I got the SF1 and extension. They have made my life much easier. The best thing is the ease of tightening up the silk after wetting. It is very easy to clean and it doesn't take up any space when broken down. Great product!
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27 of 27 users found this review helpful.
love it !! no more wooden frames of various sizes all over the shop taking up valuable space great invention
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26 of 26 users found this review helpful.
I have the basic the small and the extender and I am hooked! :) Once you do it the first time it's super easy to put together. It's easy to clean easy to adjust to a huge variety of sizes (especially with the extender) and when broken down it takes up as much space as a standard umbrella. Love it. Woo-hoo!!!
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17 of 17 users found this review helpful.
I have the basic frame with extenders. The corners do not lock properly in all four corners at once which greatly lessens the stability of the product. I believe I'm going to drill my frame to make the corners fit correctly and use wingnuts to make the extenders more stable.
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13 of 14 users found this review helpful.
Flimsy poorly designed poorly manufactured. The holes and connectors do not align properly. Thus you cannot bump or move your work even slightly without risking the connections coming apart and messing up your work. Definitely not sturdy enough for rectangular scarves but might work for small squares up to 22 inches stretched (not a format I ever use.) Only two cross-supports provided for the two (yes TWO) sets I purchased and the connectors do not lock to keep the frames together when you tilt them to provoke flow or special effects. Also missing is a way to create a long rectangle shape because the corner bars only go one way so your fourth corner will have to be gerryrigged -- I use duct tape for that. If you need to move the framed work off your work table the whole thing falls apart causing huge headaches and probably ruined work. Very sorry I bought these. I will stick to home-made pvc frames from now on.
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8 of 9 users found this review helpful.
I'm taking an online batiking class and this has worked perfectly for the classwork. Love the carrying case too!
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2 of 3 users found this review helpful.
no comment.
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2 of 8 users found this review helpful.
Very easy to use and accommodates every size and shape I have ever made. The only reason I'm not giving it 5 stars is because it's kind of awkward sometimes when using it for smaller sizes and the long ends of the frame get in the way. I prefer this frame over my wooden frame with tacks.
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5 of 6 users found this review helpful.
Works like a charm!
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0 of 2 users found this review helpful.
need better instructions for how to assemble it...
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5 of 6 users found this review helpful.
Could be a bit more user friendly. I have a problem with the "extra" frame that sticks out and gets in your way. I have a design idea :0)
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4 of 4 users found this review helpful.
useful good quality
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Chris Furniss Spends Quality Time With Samus Aran and Other Gaming Greats [Art]
Have you ever wondered what Samus Aran's day-to-day life is like when she's not rolling up into a ball and blowing up floating jellyfish aliens? Chris Furniss obviously does. In fact, he began a series of pieces called 31 Days of Zero Suit Samus, and last we looked, he was already on day number 23. So far