“This initiative isn’t about ‘adding more stuff’ to an already full curriculum,” said committee member Jessica Halem, the LGBT program director at HMS. “It’s about unearthing where wrong ideas are unwittingly getting cemented in people’s heads and correcting them from the beginning so they don’t have to be unlearned later. It’s about rewriting the stories and the language we use, built around a better understanding of how sex and gender really work in people’s lives.”The committee will then create a map of learning objectives and add explicit requirements related to SGM health for the six core competencies HMS students must demonstrate in order to graduate.When the plan is complete, a group of Curriculum Faculty Fellows will develop the new components and integrate them throughout pre-clerkship courses, including the practice of medicine, basic science, and population and social science; the principal clinical experience, when students are likely to encounter SGM health issues in specialties such as medicine, surgery, pediatrics, obstetrics, and gynecology and psychiatry; and the post-clerkship curriculum, expanding opportunities for students to take elective courses and pursue scholarly research projects focused on SGM health.In this way, every student earning an M.D. from HMS will undergo rigorous training in the science and clinical practice of sexual and gender minority health, “not only those with a pre-existing interest in caring for this segment of the population,” said Dalrymple.Teaching the teachersThe initiative’s educational component doesn’t end with students. Dalrymple’s team will also teach the teachers.Barbara Cockrill, recently appointed as the School’s director of faculty development for the Program in Medical Education, will create and work with a faculty interest group on SGM health in the HMS Academy to design seminars, retreats, and online modules that prepare faculty educators at HMS and its hospital affiliates to teach the new curriculum objectives.In addition, the team will help clinicians across the HMS community increase their competence and confidence in caring for SGM patients.“Clinicians have the enthusiasm and compassion needed for health equity, but often lack the knowledge and skills because most of us had minimal exposure to gender and sexual minority health principles and practices as medical students,” said Keuroghlian. “We will provide opportunities for training in best practices as well as how to create inclusive and affirming health care environments.”Measuring successTo ensure that the initiative achieves its goals, the team will conduct outcome studies and recommend any needed adjustments. Dalrymple is prepared to lead this effort as faculty head of the Office of Educational Quality Improvement at HMS.“The M.D. curriculum at HMS is designed to perpetually evolve through iterative improvements and regular evaluation of its effectiveness,” said Hundert. “It is precisely this spirit of continuous improvement that allows us to integrate critical new material and ensure its effectiveness for current students and generations of physicians to come.”Dalrymple and colleagues will share their findings with clinicians and leaders in medical education at national and international meetings. HMS will also make all curricular and faculty development materials freely available online for other medical schools to use.It’s about the peopleLast but not least, the initiative will help HMS recruit more students, faculty, and staff from SGM populations or those who have interests or experience in SGM health, and support and retain those individuals.“This project interweaves with multiple efforts going on across HMS and our affiliated hospitals, including other health equity curriculum enhancements,” said Potter, who is also faculty adviser for LAHMS, the LGBT, queer, and allies student organization at HMS. “It’s a collaborative piece with value-adds for everyone.”“This grant to rewrite the way we train doctors works because it’s backed by five years of preparation at HMS,” said Halem. “Faculty members have been engaged and are excited to take this on. The student body has a large and growing interest in SGM health. Our affiliate hospitals have dramatically increased clinical care and outreach for LGBTQ populations. Federal and insurance policies have changed. The national conversation has evolved. We’re fitting in the final puzzle piece.” Harvard Medical School physician Mark Schuster shares a story that opens doors What it means when ‘The Doctor Is Out’ Reede leads the way with Medical School’s Task Force on Diversity and Inclusion When Perry Cohen experienced an urgent health concern earlier this year, his town’s only care provider who specializes in working with LGBTQ (lesbian, gay, bisexual, transgender, and queer) patients wasn’t available to see him. He went to a different doctor, then to a second. Both times, when the providers learned that Cohen was transgender, “their faces fell,” he recalled.“It wasn’t about malice; it wasn’t about not affirming me,” he said, “but rather, they had this look of, ‘Oh, no, I don’t know if I’ll be able to help this patient.’ They didn’t want to get it wrong, but they were out of their element.”Cohen’s confidence in both doctors ebbed.“I felt that their fear of messing up on a cultural or emotional level hampered their ability to do their usual rigorous critical thinking,” he said.Too often, for Cohen and countless other LGBTQ patients across the country, the problem begins not in the exam room but in the classroom — physicians lack sufficient training in how to provide competent, affirming care for patients who identify as members of sexual and gender minority (SGM) groups, especially for transgender people.This educational gap has led to alarming health disparities for SGM patients, experts report. According to Healthy People 2020, a program of the U.S. Department of Health and Human Services, transgender people alone experience disproportionate rates of suicide, homelessness, substance use, HIV and other sexually transmitted diseases, mental health disorders, and victimization, yet they also confront barriers to accessing effective health care.Students, faculty, and staff at Harvard Medical School (HMS) are joining forces to change that.This fall, Harvard Medical School launched the Sexual and Gender Minorities Health Equity Initiative, a three-year plan to amend the core M.D. curriculum so that all students and faculty clinicians can become exceptionally well equipped to provide high-quality, holistic health care for sexual and gender minority patients of all ages. The plan encompasses curriculum reform, faculty development, continuous quality assessment, and global dissemination, as well as increased efforts to recruit and support students, faculty, and staff with interests or experience in SGM health.“The most powerful vehicle to effect durable, meaningful change across current and future generations of clinicians in all specialties caring for LGBTQ patients is singular: education,” said Ed Hundert, dean for medical education at Harvard Medical School.“We are immensely grateful to be able to embark on this exciting and important initiative, which allows us to transform longitudinal medical education for students, teachers, researchers, and care providers at Harvard Medical School and our affiliated institutions, and also share our curriculum, faculty development programming, and lessons learned with medical schools worldwide,” he said.“Our faculty, staff, and students are eager to do this work and to help right the health inequities that sexual and gender minorities confront throughout their lives,” said Harvard Medical School Dean George Q. Daley. “We firmly believe that Harvard Medical School must lead this widespread change in medicine.”The initiative was made possible by a $1.5 million gift from the Cohen and Bull-Cohen families.“We’re hoping this becomes part of a broader way of looking at transgender people and transgender health care across the U.S.,” said Cohen. “If we can train medical students, then they can go out into not just the few major hospitals that are doing great work for transgender patients, but also into local community hospitals and places further afield and bring high-quality care to transgender patients who might not live on the coasts.“We want transgender people to not feel so scared to go to the doctor,” he said.Changing timesHow do you conduct routine physical exams that respect the dignity of transgender or gender-nonconforming patients? What’s the best way to take thorough sexual histories for all patients? What are the unique cancer-screening needs of transgender men and women?“When I came to HMS as an LGBT student 30 years ago, there was no curriculum about LGBT health,” said John Dalrymple, M.D. ’91, the Dr. Mark and Karen Lawrence Director of Humanism in Medicine and associate dean for medical education quality improvement at Harvard Medical School. “Just being ‘out’ was a difficult circumstance.“It means a lot to me to see how far HMS has come and how far medical education has evolved, to the point that we’re not adding small components on SGM health but doing it in a global, transparent, candid, integrated, and meaningful way,” he said. “I’m thrilled.”Dalrymple now serves as principal investigator for the initiative. His co-faculty directors are Jennifer Potter, M.D. ’87, advisory dean and director of the William Bosworth Castle Society at HMS and co-chair of the Fenway Institute in Boston, and Alex Keuroghlian, director of the psychiatry gender identity and sexual orientation program at Massachusetts General Hospital, course director for the fourth-year clerkship Care for Patients with Diverse Sexual Orientations and Gender Identities at HMS, and director of the National LGBT Health Education Center at the Fenway Institute.Together they will usher the initiative through its multiple components.First, the team is leading a committee of students and faculty members in conducting a comprehensive review of the School’s four-year curriculum and identifying areas that are ripe for enhancement with material on SGM health or that contain assumptions or errors about sex and gender, such as conflating sexual orientation with gender identity, presuming gender as immutable, or treating heterosexuality as a default. “It’s about rewriting the stories and the language we use, built around a better understanding of how sex and gender really work in people’s lives.” Jessica Halem, the LGBT program director at HMS Alongside further diversification of the faculty and student body, the team plans to engage more people from SGM populations in the curriculum-enrichment process as guest speakers in preclinical courses and as actual patients in clinical rotations.“If you want to reduce health inequities, you have to engage members of those populations in the effort of education and research,” said Potter. “We don’t want to base our decisions on what we think they need. Plus, studies show that students learn best when they meet authentic members of the community.”Along the way, the team hopes to change the learning environment for faculty and students so those who identify as sexual and gender minorities feel heard and respected, while others grow comfortable with SGM health topics that may be new to them, Potter said.“Understanding our differences makes everyone better,” said Dalrymple. “We learn better, we provide better care.”Dalrymple also anticipates that the initiative will inspire faculty to seek additional opportunities to innovate in SGM health education and research and lead more students to choose SGM health as their focus.“We’re just scratching the surface of what the impact could be,” he said.For additional information, visit the Harvard Medical School website. Related Champion of equity and social justice
Jason Danieley from $49.50 Broadway alum Jason Danieley will return to Chicago on Broadway. He steps back into Billy Flynn’s tux at the Ambassador Theatre on February 29, taking over for NFL legend Eddie George. Danieley first took on the role last year.Danieley last appeared on Broadway in The Visit. His additional credits include Next to Normal (opposite his wife Marin Mazzie), Curtains, The Full Monty and Candide. He has also recently appeared in Can-Can at Paper Mill Playhouse and Carousel with the New York Philharmonic.Danieley joins a cast that also includes Paige Davis as Roxie Hart, Amra-Faye Wright as Velma Kelly, Raymond Bokhour as Amos Hart, NaTasha Yvette Williams as Matron “Mama” Morton and R. Lowe as Mary Sunshine. Chicago Related Shows Star Files Jason Danieley View Comments
62SHARESShareShareSharePrintMailGooglePinterestDiggRedditStumbleuponDeliciousBufferTumblr,Glenn Christensen Glenn Christensen is Founder and President of CEO Advisory Group the first Merger and Acquisitions consultancy focusing on the credit union industry.As a visionary and entrepreneurial leader with 25 … Web: www.ceoadvisory.com Details Chances are growth strategies will once again be the central topic of discussion at your strategic planning session this autumn. You’ve heard the prediction “branches are dead”. Stats show markets are over-branched. Banks are closing branches at a record rate. Yet you look at the numbers and see your market penetration and product utilization is highly correlated with proximity to your branch locations.Perhaps you’ve seen your members taking new jobs and relocating to surrounding neighborhoods or towns. Growth has stagnated at your primary SEG or the community you serve, yet there are abundant opportunities in neighboring markets to serve existing members and generate new member relationships. There is excitement among the board members to pursue these opportunities. But then the economic reality of this investment opportunity comes into play and these planning session dreams vanish into thin air.The challenges facing the vast majority credit unions are illustrated in the numbers. Since 2009 credit unions have grown their branch network by 1,659 bringing the total 20,482 branches. Credit unions over $1 billion contributed to 60 percent to the growth. In contrast credit unions below $50 million in assets experienced a net loss of 440 branches.The credit union balance sheet and income statement help explain the differences in strategy. Of course as credit union leaders you recognize the disparity in strategy between large and small credit unions driven by resources, branching expertise and capacity for risk taking. This disparity is illustrated in the financial ratios to follow.Large credit union investment in land & building outpaced smaller- and medium-sized credit unions over the last five years. Two-thirds of credit unions over $500 million increased the book value of their investment in land and facilities. Similarly among medium-sized credit unions in the $250 – $500 million asset category over half expanded their investments. The investments for smaller credit unions was significantly less with 80% reducing or maintaining existing land & building investment.It is interesting to note that despite their significantly higher rate of branch expansion, the $1 billion plus credit unions tend of have a smaller portion of assets tied up in land & building, with the majority having a land & building to asset ratio below 2%. As show in the table below the smallest credit unions often enjoy the benefit of sponsored space, however this can be both a blessing and a curse. Sponsored space can, for some credit unions, be an anchor on their growth.Credit unions have been growing their occupancy expense at 4.3% per year. At the same time the occupancy expense/asset ratio has dropped 2 basis points over the last five years. As expected, growth in occupancy expense was correlated with asset size. Small- and mid-sized credit unions were constrained in their occupancy expenditures. In the last five years over half (55%) of all credit unions increased occupancy. Credit unions over $250 million invested significantly more in occupancy expenses.Over the last few years there has been a great deal of debate about the role of branches in the future of credit unions. For now we continue to see the investment in facilities continues to be highly correlated with growth. As shown in the table below the annualize growth for credit unions under $100 million in assets has been below 4%. In contrast credit unions over $500 million have annualized growth exceeding 6%. Similarly over half of large credit unions have assets growth exceeding 5% annually. Interestingly, when examining credit unions that have experienced declining assets the last five years we see double digit declines among peer groups below $250 million.Branches will likely continue to play an important role in credit union growth in the foreseeable future. Many markets are considered over-branched. The cost of entering a new market highly expensive and cost prohibitive for many smaller- and medium-sized credit unions.With the changing market dynamics and branching economics, mergers should be a strategy both large and small credit unions should consider. Branch network expansion is a key part of the value proposition for most credit union mergers. A merger enables the members of the acquired credit union to instantaneously gain access the convenience of a broader branch network. Occasionally, the merger deal points include building a new branch that is mutually beneficial to both credit unions. A merger benefits the acquiring credit union’s ability to expand its branch infrastructure to serve new and existing members in a cost effective manner. Collaborating in this way provides economic and competitive benefits to both sides. Members benefit. Employees benefit. The community benefits.Mergers among credit union is one of the greatest, if not the greatest, strategic competitive advantages we have as an industry.
Google is expected to see its first decline in United States ad revenues this year as the coronavirus pandemic hits travel advertising, a market tracker said Monday.New research by eMarketer indicates Google will still be leading digital advertising but with a smaller share as the market evolves into a “triopoly” with Facebook and Amazon.Google’s net US digital ad revenues will drop 5.3 percent to US$39.58 billion to bring its market share down to 29.4 percent, according to the eMarketer forecast which was sharply revised due to the pandemic. Google’s decline is “primarily because of a sharp pullback in travel advertiser spending, which in the past has been heavily concentrated on Google’s search ad products,” said eMarketer analyst Nicole Perrin.”Travel has been the hardest-hit industry during the pandemic, with the most extreme spending declines of any industry. E-commerce-related ad spending has also been dampened to some extent: Amazon reportedly pulled its ads from Google search earlier this year as it struggled to meet customer demand for its e-commerce services.”A big part of the decline will come from “search advertising,” or paid messages deployed by Google when a user enters a search query.Search ad revenue, in which travel is a major component, is expected to drop by 7.2 percent in the US, eMarketer said. Facebook is expected to see growth in its US ad revenues of nearly five percent to $31.43 billion, driven by Instagram, according to the report. That would give Mark Zuckerberg’s firm a 23.4 percent market share.Amazon, meanwhile, is extending its strong growth in online advertising with an expected 23.5 percent rise to $12.75 billion, putting its market share at 9.5 percent, eMarketer said.Until recently, analysts had described the digital ad market as a duopoly dominated by Google and Facebook, but Amazon has been rising quickly.Google has been growing at a slower rate than the overall digital ad market since 2016, ” so this year will continue a trend of Google losing digital ad market share in the US,” Perrin said.Topics :
Topics : Since then it has announced job cuts, reduced inventories and picked a new chief executive among a series of changes, while it is also responding to the pandemic which contributed to a 41% drop in sales.”It has been a challenging period with our dealers and factories closed due to COVID-19, in addition to aligning our sales with inventory with the associated impact on financial performance as we reposition for future success,” Stroll said.The firm’s half-year pre-tax loss of 227 million pounds compares to a loss of 80 million pounds in the same period last year. Revenue fell by nearly two thirds to 146 million pounds.The company said it had identified an accounting error in its U.S. region, meaning the firm’s loss was slightly deeper in 2019 with a reduction in earnings before interest and tax of 15.3 million pounds.Aston’s first 4×4 is central to its turnaround plans as it enters a lucrative segment of the market in a bid to widen its appeal, including to more female buyers.”We’re pleased with how it’s developing,” finance chief Ken Gregor told Reuters. Carmaker Aston Martin, which has changed its boss and brought in a billionaire investor this year, posted a deeper first-half loss of 227 million pounds ($293 million) on Wednesday amid a slump in sales.Its main factory, which closed during the lockdown, is not due to reopen until the end of August as the firm focused on resuming production at a new site in Wales, where its first sport utility vehicle, the DBX, rolled off the line this month.Renowned as James Bond’s carmaker of choice, the firm has had a difficult time since floating in 2018 as it failed to meet expectations and burnt through cash, prompting it to give a stake to a consortium led by billionaire Lawrence Stroll.
26 School Street, Kelvin Grove.A family home only 3km from Brisbane’s CBD has been snapped up for a multi-million dollar figure.The property at 26 School St, Kelvin Grove sold for $2.31 million after being marketed as an inner-city residential development site. 26 School Street, Kelvin Grove. More from newsFor under $10m you can buy a luxurious home with a two-lane bowling alley5 Apr 2017Military and railway history come together on bush block24 Apr 2019The character home at 26 School Street, Kelvin Grove.LJ Hooker — New Farm selling agent Claudia Marchand said the character home, on a generous land holding, could be moved to accommodate further building behind.The 1783sq m allotment is close to Brisbane’s CBD and a short walk to QUT, walking trails and parkland. 26 School Street, Kelvin Grove.Ms Marchand said a local developer bought the property and was planning to build a child care centre.“We had this property on the market for a week and it got snapped up — it was incredible,” she said.She said the sellers had owned the property for several years.
Sharing is caring! Share Share Today, June 30, marks the end of a three-month State of Emergency in Dominica.The initial period was from April 1st to 20th and was extended for a total of three months following a sitting of Parliament.The Act allowed for Government to impose restrictions to contain the coronavirus threat to public health.Individuals who were not considered essential workers were prohibited from being outdoors in public places from 6pm to 6am on weekdays, with a total lock down on weekends.The island is almost fully reopened now except for sporting facilities and events and commercial passenger travel.The Hon Prime Minister, Chair of the Cabinet Subcommittee on Covid19, Roosevelt Skerrit, said Sunday that the emergency powers jurisdiction would not be extended past June 30th.“The Emergency Powers [Act] comes to an end on Tuesday, 30th. The Government is not intending to extend this. Therefore, in large measure we will go back to the normal or the new normal,” he said. The Hon Minister for Health and Wellness, Dr Irving McIntyre responded to the question of what the new normal will be after today.“We’re back to where we were before,” he said hastening to add that “before, we didn’t have Covid; now that we have Covid, we have to make sure that we can practice all these public health and social measures that we’ve had in place, which is what has brought our success.”He listed proper hand hygiene and respiratory etiquette,wearing masks and sanitisation.Hon McIntyre also stated that there was a decrease in influenza-like symptoms for which he credits the guidelines promoted to curb the new coronavirus.“As a matter of fact,” he said, “Up to March of this year, influenza-like symptoms were down to 4 cases per week. Prior to these measures we put for Covid we used to get 25 cases a week.“It just shows you how wearing a mask, washing of hands and proper respiratory etiquette can cut down these things. This is what we want to emphasize.” Tweet 223 Views no discussions LifestyleLocalNews State of Emergency Ends Today by: – June 30, 2020 Share
GREENSBURG — A Decatur County man was killed in a two vehicle accident at the intersection of State Highway 421 and S.R. 3 early Wednesday morning.Anthony Hoegeman, 36, of Greensburg was the driver of an SUV that was found underneath the trailer portion of a semi, police said.Authorities received a call about the accident at 2:47 a.m. Greensburg Police requested an accident reconstructionist from the Indiana State Police to assist in the investigation and reconstruction of the crash scene.The intersection was closed for approximately three and half hours. The accident remains under investigation.Greensburg officers were assisted on the scene by the Indiana State Police, Decatur County Coroner’s Office, Decatur County Sheriff’s Department, Greensburg Fire and Decatur County EMS.
VERSAILLES, Ind. – State troopers are offering a few safety tips during the Halloween holiday.Parents and children will be out in full force over the next few days trick-or-treating and police would like to remind residents to observe a few rules that endorse a fun and safe evening:Try make-up instead of a mask. Masks often obstruct a child’s vision, which makes tasks like crossing the street and going up and down stairs dangerous.Make sure children wear light colors or put reflective tape on their costumes.Make sure older children trick-or-treat with friends. Together, map out a safe route so parents know where they will be.Instruct children to stop only at familiar homes where the outside lights are on.Encourage children to trick-or-treat while it’s still light out. If children are out after dark, make sure they have flashlights and travel on well lighted streets.Remind children not to enter the homes or cars of strangers.Remind children not to eat any of their treats until they get home.Check out all treats at home in a well-lighted place.Only eat unopened candies and other treats that are in original wrappers. Remember to inspect fruits for anything suspicious.Motorists are reminded that they should also do their part in making Halloween safe for children.