Medicine in the United States is generally fragmented as a profession, as are Academic Medical Centers as institutions. Academic Medical Centers (AMC) typically consist of a College of Medicine with its afliated University Hospital. The University Hospital often has a closed medical staff, meaning that only the faculty members of the medical school are able to care for patients in the hospital. Community physicians who are not faculty members are typically not allowed to mana

From empirical studies on joint conversations in the classroom (e.g. Finlay 2015), it becomes apparent on the one hand that skills such as listening and dialogical speaking to one another are regarded as fundamental, but often presupposed and not developed jointly in class; on the other hand, it also becomes apparent that the conversational behaviour of teachers contributes little to the emergence of dialogues (cf. Lüders 2011; de Boer 2015). In this way, a basic attitude of

Aus empirischen Untersuchungen zu gemeinsamen Gesprächen in der Klasse (z.B. Finlay 2015), wird einerseits sichtbar, dass Fähigkeiten wie das Zuhören und das dialogische Miteinandersprechen als grundlegend betrachtet, doch oft vorausgesetzt und nicht im Unterricht gemeinsam entwickelt werden; andererseits zeigt sich auch, dass das Gesprächsverhalten von Lehrkräften nur wenig zur Entstehung von Dialogen beiträgt (vgl. Lüders 2011; de Boer 2015). So kann eine dialogische Grundh