The development of the Corona pandemic in Sweden has led to an intense debate about elderly care and how it should be designed for the future. Today there is a great consensus among politicians that care for the elderly requires more resources, and employees need better employment conditions. Government-sponsored elderly care has come into focus now because about two-thirds of all deaths have occurred within that sector. There have been major shortcomings in the avail- abilit

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

Dialogue in Extreme Business Stress Environments, September 25th 2019

The dialogue intervention I’ll be describing in this paper consumed a year out of my life and went deeply under the surface of my own consciousness with an impact that still reverberates. It was an intense, whole-system engagement focusing on dialogue within a long-term healthcare facility. Although the intervention was conducted almost 22 years ago, it ofers a perspective that is still relevant today, as it focuses on the intensive use of dialogue, eventually taking in a who

As the Director of Graduate Medical Education (GME) at an academic medical center, I oversee the requirements of the resident physician training programs. Resident physicians (residents) are in the final phase of medical education. They are learners who have graduated from medical school and are training in their selected medical specialty field with supervision. At the completion of residency training, these physicians are eligible to be licensed, board certified, independen