Archive for June 2010

Elijah Is Taken Up to J-Ieaven


Now when the LORD was about to take Elijah up to . heaven by a whirlwind, Elijah and Elisha were on their way from Gilgal. 2 Elijah said to Elisha," Stay here; for the LORD has sent me as far as Bethel. "But Elisha said, "As the LORD lives,and as you yourself live,I will not leave you. " So they went down to Bethel. 3 The company of prophets who were in Bethel came out to Elisha,and said to him, "Do you

know that today the LORD will take your master away from you?"And he said,"Yes,I know; keep silent. "

4 Elijah said to him, "Elisha, stay here; for the LORD has sent me to Jericho. "But he said,"As the LORD lives,and as you yourself live,I will not leave you. "So they came to Jeri¬cho. 5 The company of prophets who were at Jericho drew near to Elisha, and said to him, "Do you know that today the LORD will take your master away from you?"And he answered, "Yes,I know;be silent. "

6 Then Elijah said to him, "Stay here; for the LORD has sent me to the Jordan. "But he said,"As the LORD lives,and as you yourself live,I will not leave you. "So the two of them went on. 7 Fifty men of the company of prophets also went, and stood at some distance from them, as they both were standing by the Jordan. 8 Then Elijah took his mantle and rolled it up,and struck the water;the water was parted to the one side and to the other, until the two of them crossed on dry ground.

9 When they had crossed, Elijah said to Elisha, "Tell me what I may do for you, before I am taken from you. " Elishasaid, "Please let me inherit a double share of your spirit. " 10 He responded,"You have asked a hard thing;yet,if you see me as I am being taken from you, it will be granted you; if not, it will not. " As they continued walking and talking,a chariot of fire and horses of fire separated the two of them,and Elijah ascended in a whirlwind into heaven. 12 Elisha kept watching and crying out,"Father,father! The chariots of Israel.and its horsemen! "But when he could no longer see him, he grasped his own clothes and tore them in two pieces.

Hushai Misleads Absalom


Moreover Ahithophel said to Absalom, "Let me choose twelve thousand men,and I will set out and pursue David tonight. 2l will come upon him while he is weary and discouraged,and throw him into a panic;and all the people who are with him will flee. I will strike down only the king, 3 and I will bring all the people back to you as a bride comes home to her husband. You seek the life of only one man,and all the people will be at peace. "4 The advice pleased Absalom and all the elders of Israel.

Then Absalom said,"Call Hushai the Archite also,and let us hear too what he has to say. "6 When Hushai came to Absalom, Absalom said to him, "This is what Ahithophel has said; shall we do as he advises? If not, you tell us. "yThen Hushai said to Absalom, " This time the counsel that Ahithophel has given is not good. "8 Hushai continued, "You know that your father and his men are warriors,and that they are enraged,like a bear robbed of her cubs in the field. Besides, your father is expert in war;he will not spend the night with the troops. 9 Even now he has hidden himself in one of the pits,or in some other place. And when some of our troops fall at the first attack, whoever hears it will say, 'There has been a slaughter among the troops who follow Absalom. ' 10 Then even the valiant warrior, whose heart is like the heart of a lion, will utterly melt with fear; for all Israel knows that your father is a warrior,and that those who are with him are valiant warriors. 11 But my counsel is that all Israel be gathered to you, from Dan to Beer-sheba,like the sand by the sea for multitude, and that you go to battle in person. 12 So we shall come upon

him in whatever place he may be found , and we shall light on him as the dew falls on the ground ; and he will not survive , nor will any of those with him. 13 If he withdraws into a city, then all Israel will bring ropes to that city, and we shall drag it into the valley, until not even a pebble is to be found there. "14 Absalom and all the men of Israel said , "The counsel of Hushai the Archite is better than the counsel of Ahithophel. " For the LORD had ordained to defeat the good counsel of Ahithophel , so that the LORD might bring ruin on Absalom.

Thorpe's golden dream crashes


Ian Thorpe, the 400 metres world re-cord-holder, world champion and un-beaten in the event for more than six years, will not defend his Olympic title in Athens this year after being dis-qualified2 from a heat3at the Australian team selection trial in Sydney yester-day.

Thorpe, considered by many as the greatest swimmer of all time, was thought to be a certain Olympic gold medallist in the event in August, over¬balanced4 on the starting blocks and tumbled5 into the Sydney Aquatic Centre pool. With that fall, his dream of defending the only individual Olympic title he won in Sydney vanished6.

Under swimming rules, any athlete who causes a false start is immediately disqualified. The one false-start rule was brought into the sport in March 1998. Before then swimmers were given two false starts before being evicted7 from the race.

Thorpe, 21, and his coach Tracey Menzies immediately appealed against"the decision, claiming that the field had been held for a longer than usual time at the start and that Thorpe has heard " a noise". But that appeal was swiftly dis-missed. They then took the matter to a three-person jury of appeal, specially convened to hear the protest. After 45 minutes that too was dismissed and Thorpe's dream of retaining the title he won on the opening night of the 2000 Games in Sydney was officially crushed.

Australian Swimming chief executive Glenn Tasker said there were no more avenues'of appeal.

It was almost surreal just after 11 am yesterday as it was shown that nothing in life is certain. Thorpe stepped onto his "usual" lane four starting block, then appeared to be losing his balance. Almost in slow motion, he lunged'°forward and, with a gasp from the small crowd, he fell into the water.

Everyone knew the rules but nobody wanted to believe them. Thorpe swam to the side of the pool, got out, walked back to his lane and climbed onto the block, greeted by a sigh from the crowd. It was then that referee John Keppie walked across and told Thorpe he could not compete. Again a groan from the fans. Thorpe was out of the event at the Olympics". His manager David Flasks said there hadn't been tears after the officials delivered their decision, just a feeling of "numbness". Mr Flaskas said: "Obviously he is disappointed, but he knows it's very important that he puts his focus on the rest of the meet12, and now he has to get on with it tomorrow.

" He didn't say a lot. The decision has been made and we have got to get on with it. This is day one, he's got some major swims in the next few days. That's where it's at-and Tracey will work on that with him.

" Ian thought that they were held a bit too long and he heard a noise. The audio doesn't hear that noise, so evidence-wise it's difficult13. We put up a legit¬imate14 case and have gone through the process and that's it15, there's not much we can do about it. The rules are the rules.

"Look, lan's a pretty special kid and I think there are people here that [have] seen how he responds to hardship and disappointment, and I'm sure he'll be fine tomorrow. I think it will be great for him to get back in the pool tomorrow 206 morning and have a hit out and really, his meet starts tomorrow morning now. "

Asked how he could tell the public that Australia is sending their best Olympic team to Athens without Thorpe in the 400 metres, Australian Swimming president John Devitt said: "I don't know how you can convince everyone if they wish to have a different opinion, but we'll have the best swim team to go to Athens.

"It's unfortunate but these are the rules and hopefully people will understand that. This is way up there as the most devastating16thing that has happened to us over a period of time. But the only thing you can expect from the trials is the unexpected. At 10 o'clock today that wasn't expected. "Australian head coach Leigh Nugent said: " I've spoken to his coach Tracey and you can imagine how she is feeling. She's very upset about the whole thing. But she's a mature person and a coach and she's got other athletes to look after, as well as Ian, for the next seven days. The one-start rule has been in for a long time. Everyone knows how to handle it; little kids in schools are subjected to17 it right from the beginning. It's an accepted rule. I think the rules are fair.

Wimbledon 2010: John Isner targets second-round win


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American John Isner will be back on court at Wimbledon on Friday, less than 24 hours after winning the longest match in tennis history.

The 25-year-old beat Nicolas Mahut 70-68 in the fifth set of a remarkable match lasting 11 hours, five minutes.

He faces Dutchman Thiemo de Bakker in the second round at 1200 BST.

"I'm going to do everything necessary to get myself ready," said the American number 23 seed. "I definitely think I can win."

De Bakker's 16-14 fifth-set win over Santiago Giraldo took a mere four hours and six minutes and finished on Wednesday.

"I know my opponent, he's not the freshest one either," added Isner.

The winner of their match will have to play in the third round on Saturday.

Roger Federer, Andy Roddick and Lleyton Hewitt are all in action on Friday, along with Venus Williams and Belgian pair Kim Clijsters and Justine Henin.

Federer has already dropped as many sets (three) as he did in winning the title last year, and now meets 32-year-old Frenchman Arnaud Clement.

"The first two matches have been tough," said Federer, seeking a record-equalling seventh Wimbledon title.

"My opponents, I think they did play very well. I'm excited that I'm still in the tournament and I'm looking forward to my third round, regardless of how I got there."

Roddick, beaten by Federer in last year's epic final, came through a tough test against Eastbourne winner Michael Llodra on Wednesday and has another potentially testing encounter against big-hitting German Philipp Kohlschreiber.

Novak Djokovic, the third seed, meets Spain's Albert Montanes, and a fourth-round meeting with Hewitt awaits if the Australian can get past Frenchman Gael Monfils in a potentially explosive match on Centre Court.

In the women's draw, all eyes will be on Clijsters and Henin, who will set up an enticing last-16 clash if they win their third-round matches on Friday.

Both players are back at SW19 this year after a spell away in retirement.

Henin looks to have the more difficult task as she faces 12th-seeded Russian Nadia Petrova, while Cljisters is up against Maria Kirilenko.

Venus Williams continues her quest for a sixth Wimbledon title against Alisa Kleybanova, having thrashed another Russian, Ekaterina Makarova, 6-0 6-4 in the previous round.

Williams, 30, has been given a relatively kind draw through to the semi-finals. Her next opponent would be Angelique Kerber or Jarmila Groth, and 11th seed Marion Bartoli is her projected quarter-final opponent.

Clijsters or Henin could be waiting in the semi-finals.

But Henin, 28, has played down her hopes of winning the title, having ended her 17-month retirement in January.

"I'm very happy to be here. I could never win it in the past, and that remains a dream for me," she said.

"I just see myself as an outsider this year because it's still a year with ups and downs. I don't know how I'm going to deal at a very high level. It's very hard to predict what could happen."

Driver from: news.bbc.co.uk

The United States owes its high level of development to many factors. The land has an abundance of natural resources and includes some of the best farmland in the world


In the past four hundred years people from many countries settled there bringing with them a wealth of knowledge and skills. But in the last hundred years it has been the workingman that was the backbone of the nation. The workingman is found everywhere of course from Maine to California he works at a multitude of jobs. He is at his job even before sunrise in the bitter cold of a- Maine winter. He is still working in the scorching heat of a California summer. What is the American workingman? He is a worker in a shoe factory, or a meat packing house, or a coal min&. But more than that he is a husband and father. He raises his, children to understand the value of a day's work. He raises his children to respect the usefulness of cooperation, and he raises his children to help them better themselves. Frequently his children go to college and leave the working class. But seldom do they forget the values they have learned at home. The workingman fought hard to achieve what he has. In the beginning he was little more than a slave. Long hours working in squalid surroundings for almost no pay took a heavy toll of lives. But the successful unionization of the workers changed many of the dreadful conditions of his life. Today the workingman is faced with a new kind of struggle. Ever advancing technology is taking his job. It' s very probable that the workingman will be replaced by a machine. But the legacy he will leave will not be forgotten. He has served his country well. His country owes him a debt which can never be repaid.

World Cup 2010: Otto Rehhagel silent on Greece future


Otto Rehhagel refused to comment on his future as Greece manager after his side crashed out of the World Cup following a 2-0 defeat by Argentina in Polokwane.

Greece attempted to stifle Argentina's creativity, but second-half goals from Martin Demichelis and Martin Palermo secured the win.

But when pressed on whether he would carry on as Greece boss, Rehhagel instead heaped praise on Argentina.

"A well-deserved victory, no doubt about that," said the German.

"We wanted to avoid an early goal, we managed to do that, but of course Argentina have more class and that earned them the win."

Greece's fate was sealed when South Korea drew 2-2 with Nigeria, ensuring the 2002 semi-finalists from Asia took the second qualifying spot behind Group B winners Argentina.

Veteran coach Rehhagel adopted negative defensive tactics to shackle Argentina's creative players, employing defender Socrates Papaststhopoulos to man-mark Lionel Messi.

The Barcelona striker was clearly frustrated as he was given little room to manoeuvre in the first half, while Greece striker Georgio Samaras rarely ventured into Argentina's penalty area.

But Argentina, encouraged by manager Diego Maradona on the sidelines, continued to press forward in search of an opening - and were duly rewarded when defender Demichelis lashed home a loose ball from a corner in the 77th minute.

And Palermo sealed the win one minute from time when he beat goalkeeper Alexandros Tzorvas following a fierce left-footed strike from Messi.

"My players played with their hearts and with excitement," said German Rehhagel, who masterminded Greece's shock victory in the 2004 European Championships.

"But it was just not enough to cause Argentina much troubles."

Former Bayern Munich boss Rehhagel took over as Greece manager in 2001 and is the longest-serving manager at the 2010 World Cup.

Spain Impresses, but Knows It Has Work Still to Do


21spain2-articleLarge JOHANNESBURG — Spain played with urgency Monday night, to survive in the World Cup, to defeat one opponent in hopes of avoiding another.

Here was the crispness everyone had expected, the flowing movement upfield, the hypnotic cadence of one-touch passes, the geometric beauty of triangles that formed in endless possession.

The most immediate adversary, Honduras, was easily outclassed, 2-0, on a pair of goals by forward David Villa at Ellis Park. The second, Brazil, lurks as a possible matchup in the second round, a meeting between the two tournament favorites that would come before either team has gained its full health and rhythm.

It will be no less vital for Spain (1-1-0) to defeat Chile (2-0) on Friday, to secure advancement and to win its group, thus probably avoiding Brazil in the Round of 16. The situation remains tenuous. If Switzerland (1-1-0) defeats Honduras (0-2) and Spain can wrest only a tie from Chile, it will go home prematurely and embarrassed, adding to its reputation as an underachiever.

After a shocking 1-0 loss to Switzerland last week, though, Spain has resumed its accustomed soccer orbit, emerging from the eclipse that has shadowed other European powers like France, Italy and England.

Still, Spain did not take all that was offered against Honduras. Villa should have scored a third goal on a penalty kick in the 62nd minute. Honduras’s goalkeeper, Noel Valladares guessed the wrong way, but Villa placed his shot wide of the right goal post, putting his hands to his face in exasperation.

The first tie breaker in sorting teams is the difference between goals scored and allowed, and Chile is plus two in goal differential and Spain is plus one. This may be a chance that Spain wishes it did not fail to collect. There were other chances squandered in a match that might have ended 5-0.

“We lacked the finishing touch,” Vicente del Bosque, Spain’s coach, said. “I think the team is in very good physical form. We conceded few opportunities. We managed the game well, but we didn’t finish. We will suffer more against Chile if we continue to play like that.”

Spain must know, too, that no team has lost its opening match and won the World Cup. Much work needs to be done over the next few weeks weaving the thread of this team into a championship tapestry.

Forward Fernando Torres started the match, but he has yet to regain his sharpness after knee surgery in April. He headed one ball downward and bounced it over the crossbar early Monday, then ballooned another shot into the crowd.

Yet Spain is a resourceful team that has lost only twice in 50 matches, both in South Africa, to Switzerland last week and to the United States last June in the Confederations Cup.

If Torres could not find the target Monday, Villa could.

In the 17th minute, he split two defenders and cut inside a third in the penalty area, lifting a shot high into the net while sliding to the turf.

Then, in the 51st minute, Xavi Hernández made a run of 40 yards down the middle of the field and pushed the ball to forward Jesús Navas on the right flank. Navas drew two defenders and cut the ball back to Villa at the top of the penalty area for a looping shot that put Spain ahead, 2-0.

The top scorer at the 2008 European championships, which Spain won, Villa, who has signed with Barcelona, has 40 goals in 60 appearances for the national team.

“There’s nothing to explain except that we faced a team far superior to our side,” Reinaldo Rueda, Honduras’s coach, said. “Spain, they never make mistakes. They’re perfect in their passes and technique. In one simple move, they can eliminate four or five members of the other team.”

A second defeat nearly exhausted the chances of advancement for Honduras, one of the most poignant stories in the World Cup.

It is the only team ever to field three brothers at this competition — Wilson, Johnny and Jerry Palacios. A fourth brother, Edwin Rene Palacios, was kidnapped from the family home by a gang in 2007. The family paid a reported ransom of about $185,000, but Edwin was never freed. His remains were found last year.

During the final stages of World Cup qualifying, Honduras was thrown into crisis when its president, Manuel Zelaya, was ousted in a coup last June 28 by the country’s army.

Still, the team qualified for its first World Cup since 1982 in exotic and indirect fashion, making a Honduran hero of the American midfielder Jonathan Bornstein. On Oct. 14, Bornstein scored a headed goal in extra time to give the Americans a 2-2 tie with Costa Rica, sending Honduras to the World Cup and forcing Costa Rica into a playoff against Uruguay, which it lost.

Roberto Micheletti, who became Honduras’s de facto president after the coup, declared a national holiday and invited Bornstein to vacation in the Central American nation, all expenses paid.

“We’ll bring this gringuito who scored on the header,” Micheletti said at the time. “He doesn’t need a visa to come to Honduras.”

From the looks of it, Spain will not have such a holiday in attempting to win its first World Cup.

“Being world champions, that’s a long way down the road,” Villa said.

Driver from: www.nytimes.com

Wimbledon 2010: Roger Federer aiming for seventh title


_46015272_fed Defending champion Roger Federer will begin his campaign for a seventh Wimbledon title when the Championships get under way on Monday.

The 28-year-old Swiss opens proceedings on Centre Court against Colombia's Alejandro Falla at 1300 BST.

Britain's former junior champion Laura Robson will then make her Centre Court debut against Serbian fourth seed Jelena Jankovic.

Five-time champion Venus Williams is among those also in action on day one.

Reigning women's champion Serena Williams will play on Tuesday, along with British number one Andy Murray and Rafael Nadal.

And Federer believes that 2008 champion Nadal will again be his main rival after the Spaniard won a fifth French Open title in May.

"I felt like what I saw recently was the old classic Rafa on clay hardly losing sets and matches," said Federer.

"That's why it's going to be incredibly hard to beat him here at Wimbledon."

However, Federer is confident that his game is in good shape to take on all comers as he targets Pete Sampras's record Wimbledon haul - starting with world number 65 Falla, an opponent he has beaten in his last two tournaments.

"Obviously I'm thinking about equalling it a little bit because I'm aware of the great things he achieved," said Federer, who beat the American's record of 14 Grand Slam titles when he overcame Andy Roddick in an epic final last year.

"It's nice of him to say I could beat his Wimbledon record but I don't feel pressure from that because people compared me to Sampras even when I had no Grand Slams.

"Obviously my game's made for grass. Since I came here as a junior and since I beat Pete here in 2001 and I won my first Wimbledon here in 2003, I think every time I play, I'll have a chance to win here."

There is plenty of home interest on the opening day but the centre of attention will be 2008 girls' champion, Robson.

The 16-year-old was given a wildcard having risen through the rankings to inside the world's top 250, but after losing to Daniela Hantuchova on her main draw debut in 2009 she has been given an even tougher task this time around.

British number one Elena Baltacha will be more hopeful of getting through against Petra Martic of Croatia in the opening match on Court 12 at 1200 BST, while compatriots Katie O'Brien and Melanie South are also in action.

Venus Williams is seeded to meet her sister Serena in the final for the fifth time - and third year in a row - and she takes the first step against Paraguay's Rossana de los Rios in the third and final match on Court One.

This year also sees the return of Belgian pair Kim Clijsters and Justine Henin after both came out of spells in retirement over the last 12 months.

Henin has made a first Wimbledon title her priority and she plays Latvia's Anastasija Sevastova in the final match on Court 12, while Clijsters will make her first competitive appearance at the All England Club for four years when she takes on Italian Maria Elena Camerin in the opening match on Court Two.

Clijsters has been troubled by a foot injury in recent weeks, and said: "The foot isn't 100% yet but I haven't had any problems other than a few aches."

Away from Federer, the men's side sees former semi-finalist Novak Djokovic, the third seed, completing the day's play on Centre Court when he faces Belgian Olivier Rochus.

Fifth seed Roddick also gets his tournament under way on Monday when he takes on fellow American Rajeev Ram in the second match on Court One, which follows seventh seed Nikolay Davydenko against Kevin Anderson.

And 2002 champion Lleyton Hewitt will be confident of making it past Argentina's Maximo Gonzalez in the final match on Court Two, with the Australian 15th seed coming off the back of a stunning win over Federer on the grass of Halle last week.

British hope Murray will have to wait until Tuesday to take on world number 80 Jan Hajek of the Czech Republic, with Serena Williams opening her title defence against Michelle Larcher de Brito on day two.

If she wins her opener, Serena will face either Anna Chakvetadze or Andrea Petkovic in a match scheduled for Thursday - coinciding with the Queen's first visit since 1977.

"I found out that she was coming to town," Serena commented.

"I thought, 'wow, this is really, really cool. She hasn't been to this tournament in just forever'. I thought, 'wow, I've just got to make sure I'm here on Thursday'.

"Hopefully I have a chance to meet her. I've been working on my curtsy, but it's a little extreme, so I'm going to have to tone it down."

Driver from:news.bbc.co.uk

Rethinking the Way We Rank Medical Schools


During my internship, the first year after graduating from medical school, I took care of a middle-aged woman who began our first conversation with a question that patients still ask me today.

So doctor,” she said as I pulled my stethoscope out to listen to her heart, “where did you go to medical school?”

In a social context, I might have considered her question to be polite chatter, a filler during an awkward quiet moment. But on that particular afternoon her words felt more like a dart lobbed at what I had presumed to be a budding and promising patient-doctor relationship.

Trust from this patient, I remember thinking, is not going to depend on my bedside manner or clinical judgment but my medical school.

But even before I had placed my stethoscope bell against my patient’s chest, I realized that I, too, had been culpable of submitting doctors to the same line of questioning. Although I might have satisfied my curiosity more surreptitiously — searching on the Internet, scanning hospital directories, inconspicuously craning my neck to discern Latinized school names on diplomas — I was just as eager as my patient to learn about the medical schools my doctors had attended.

Once I had the information, I would do what my patient did that afternoon: I would mentally find its place within the medical school hierarchy in my mind. Like some existential fast forward button, the right answer to this question could raise the trust in any patient-doctor relationship to a whole new level without a second thought, because by virtue of having graduated from a “good” school, that doctor had the ability to address the most pressing needs of all of his or her patients.

The thought process was easy — good school, good doctor; bad school, bad doctor.

Maybe.

Shaped by magazine lists, friends’ and strangers’ confirmations and professional hearsay, the notion that a medical school’s quality can be ranked and then passed on directly to their graduates has become an integral part of American culture. But most of these popular rankings reflect a school’s highly specialized research funding and capabilities, not the general quality of its medical school graduates. Criteria like research funding and cutting edge investigations are of course significant, but they more accurately reflect the social needs of the previous century when medicine, backed by scientific investigation, was just starting to make a difference in the health care outcomes of patients.

Thanks to many of those advances, the population as a whole has successfully aged. But the drive to elucidate, for example, the molecular basis of high blood pressure has in turn become less urgent. Instead, other, more social, health care issues have reached critical points: the shortage of primary care physicians; the lack of accessible health care and providers in certain areas of the country; and the yawning disparity between racial and economic backgrounds of those who become doctors and those who are their patients.

Despite the changes in patient needs, many patients, and their doctors, continue to fall back on old rankings, assuming that institutions that succeeded in addressing the needs of the 20th century can still do so in the 21st. But according to a report published this week in The Annals of Internal Medicine, it is time to reexamine that assumption.

Researchers from the George Washington University School of Medicine looked at the more than 60,000 graduates of America’s 141 medical schools — both allopathic and osteopathic — from 1999 to 2001. Putting the issues of primary care shortage, underserved communities and workforce diversity under the banner of “social mission,” the researchers found that many of the schools that were traditionally ranked highly were also among those least focused and least successful in addressing the most pressing issues facing the country right now.

“The absolute irreducible mission of medical schools is the education and graduation of doctors to care for the country as a whole,” said Dr. Fitzhugh Mullan, lead author of the study and a professor of health policy and pediatrics at the university. “U.S. medical education has drifted over to this highly rarified and specialized focus that has resulted in some major shortfalls.”

The funding system has encouraged this drift toward specialization and hi-tech research. The investigators also found that institutions that received more federally funded grants, in the form of research grants from the National Institutes of Health, also tended to devote fewer efforts to a school’s social mission. Grant money and the security it affords individuals and institutions drive institutions to emphasize research, sometimes at the expense of other urgent but less lucrative endeavors.

The opportunity to learn from and be mentored by faculty members involved with the latest research can be stimulating for medical students, but the pressure to bring grant money into an institution can draw even the most enthusiastic educator away from students and back to the laboratory bench. “Research is not the same as medical education,” Dr. Mullan observed. “Research is important, but it can overwhelm.”

And when medical schools “are already heavily invested in a mission that is traditional and research oriented,” noted Dr. Mullan, broadening their focus can be slow and difficult, even if they are aware of the growing crises in primary care and the health care work force.

In recent years, some visionary medical educators have left older institutions in an effort to jump-start such changes in new medical schools. Most of these new schools, sometimes referred to as “millennial medical schools,” embrace missions that unabashedly attempt to address some of the ills of the current health care system. The A.T. Still University of Health Sciences School of Osteopathic Medicine in Mesa, Ariz., and the Herbert Wertheim College of Medicine at Florida International University in Miami, for example, “embed” students in underserved areas from as early as the first year of medical school. Other institutions, like the Hofstra-North Shore -LIJ School of Medicine, which is due to begin classes in August 2011, have made it a priority to educate students from diverse, nontraditional backgrounds.

“Doctors who have done very well on everything from kindergarten to residency training in terms of getting into prestige places are assumed to have sharp intellects,” Dr. Mullan said. “But none of that correlates in any scientific way with their performance as physicians.” The more relevant measure of high level competency, Dr. Mullan asserts, is the multiple certification evaluations that take place during medical school, training and licensure. “They have to pass these, otherwise they cannot practice.”

Moreover, Dr. Mullan noted, “If there’s not even a doctor near where you live who can offer services, then the quality a priori is bad.”

“The mission and function of all schools won’t be and shouldn’t be the same,” Dr. Mullan added. “But we all might think about how we could be a little more responsive to the ongoing needs of patients and of our country. If we continue to produce more doctors in the system we have now, we won’t be able to address the needs, the health outcomes and certainly the populations that are underserved, dying and suffering as a result of it.”

Join the discussion on the Well blog, “Redefining ‘the Best’ Medical Schools.”

 

 

Driver from:www.nytimes.com

World Cup 2010: Gerrard hopes to gain from Barry return


_48105300_england_presserresize640 England captain Steven Gerrard said he is looking forward to playing a more advanced role against Algeria following Gareth Barry's return to the first XI.

Barry has shaken off an ankle injury and will anchor the England midfield in their second World Cup game on Friday.

"I should imagine I will play in a more forward and attacking role and that suits me," said the midfielder.

"It's great to have Gareth back and available, hopefully he'll provide protection for the two centre-halves."

England coach Fabio Capello remained tight-lipped about who else would feature in his first XI for the crunch Group C game in Cape Town.

"I have made up my mind, but I will announce the team on Friday and the players will find out on Friday," said the Italian, sticking to his policy of revealing his selection on the day of a match.

Both the goalkeeping slot and the make-up of the forward line have been debated since the 1-1 draw against the United States.

Starting strikers Wayne Rooney and Emile Heskey failed to hit the target during the opening game.

And Capello revealed that he has contemplated whether to pick Heskey or Tottenham's Jermain Defoe to partner Rooney for the Algeria game.

Heskey set up England's goal against the US for Gerrard but later wasted a golden opportunity when one-on-one with the goalkeeper.

Defoe has 11 goals in 40 internationals, compared with Heskey's record of seven in 59, who Capello favoured in qualifying.

"I could possibly change the type of forward," he added.

"Heskey is important for his movement at this moment, but Defoe is also important."

Regarding dropping West Ham goalkeeper Robert Green, whose calamitous mistake resulted in the US equaliser, Capello responded diplomatically.

"I think Green was in good form, he played very well against Mexico," said the 63-year-old.

"Some keepers are making mistakes. The problem is the ball, the bounce is higher than normal.

"I think all the players can make mistakes.

"But I have to choose by the value of different players, not for mistakes."

Following that response, Capello was asked whether he had made any mistakes himself, having been criticised in the English media following England's opening fixture.

"All managers can make mistakes," he said.

"I decided the best players I saw during training, I decided the first XI and who I think was the best player who can play.

"I can make mistakes but I choose the players at this moment who is the best."

Friday's opponents Algeria lost to Slovenia in their first game, but Capello said he was not going to underestimate the north African side.

"I respect the team," he added.

"They have scored a lot of goals. Algeria are dangerous at free-kicks and corners. Also on counter-attack they play very well.

"I saw all the games that have been played. Not one game is easy. It will be a big mistake to think this game will be easy."

Meanwhile, Capello said he was not as impressed as many were with Germany's 4-0 win over 10-man Australia.

His comments follow Germany legend Franz Beckenbauer's criticism of England's performance against the US which he described as a step back to the dark ages of "kick and rush" football.

"They played a good game when they played 11 against 10," said the Italian.

"I don't think the back four of Australia played well tactically."