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Board certification

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Board certification is the process by which a physician , veterinarian , or other professional demonstrates a mastery of advanced knowledge and skills through written, oral, practical, or simulator-based testing.

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80-492: There are more than 25 boards that certify physician specialists in the United States. Although there is no legal requirement for a physician to attain it, some hospitals may demand that physicians be board certified to receive privileges. The commonly used acronym BE/BC (board eligible/board certified) refers to a doctor who is eligible or is certified to practice medicine in a particular field. The term board certified

160-452: A bed. They often delegate such care to nursing assistants . Medication management and administration are common hospital nursing roles, although prescribing authority varies across jurisdictions. In many areas, RNs administer and manage medications prescribed by others. Nurses are responsible for evaluating patients throughout their care – including before and after medication administration – adjustments to medications are often made through

240-432: A career which combines the disciplines of mechanical engineering , casting / sculpting , control technologies, electrical/electronic systems, radio control and airbrushing . Some colleges and universities do offer degree programs in animatronics. Individuals interested in animatronics typically earn a degree in robotics which closely relate to the specializations needed in animatronics engineering. Students achieving

320-657: A collaborative effort between the prescriber and the nurse. Regardless of the prescriber, nurses are legally responsible for the drugs they administer. Legal implications may accompany an error in a prescription, and the nurse may be expected to note and report the error. In the United States, nurses have the right to refuse to administer medication that they deem to be potentially harmful. Some nurses take additional training that allows them to prescribe medications within their scope of practice. Effective patient/family education leads to better outcomes. Nurses explain procedure, recovery, and ongoing care, while helping everyone cope with

400-434: A driving force revolutionizing the technology used to develop animatronics. Animatronics are used in situations where a creature does not exist (like Five Nights at Freddy's), the action is too risky or costly to use real actors or animals, or the action could never be obtained with a living person or animal. Its main advantage over CGI and stop motion is that the simulated creature has a physical presence moving in front of

480-488: A fellow of the college and use the respective post-nominal letters . Similarly, legal specialty colleges are societies that represent specialist lawyers. Fellows of a particular legal specialty college might or might not be board certified. The American College of Trust and Estate Counsel , which was originally known as the American College of Probate Counsel, is one of the oldest legal specialty colleges, although

560-652: A few hundred municipal hospices to remain in operation in northern Europe. Nuns who had been serving as nurses were given pensions or told to marry and stay home. Nursing care went to the inexperienced as traditional caretakers, rooted in the Roman Catholic Church , were removed from their positions. The nursing profession in Europe was extinguished for approximately 200 years. During the Crimean War , Grand Duchess Elena Pavlovna called for women to join

640-419: A few ways to build an animatronic, however most follow this basic structure: An animatronics character is typically designed to be as realistic as possible and thus, is built similarly to how it would be in real life. The framework of the figure is like the "skeleton". Joints, motors, and actuators act as the "muscles". Connecting all the electrical components together are wires, such as the "nervous system" of

720-784: A frequented restaurant to having the characters abandoned on the highway and picked up by the meta company where they reunite in VR. A pioneer animatronic project to substitute the use of living temple elephants in India was kickstarted in 2023 with a 3.5-metre-tall replica made by Indian companies Four He-Art Creations and Aanamaker presented to the Irinjadappilly Sree Krishna Temple in Thrissur , Kerala jointly funded by PETA India and local animal welfare group Voices for Asian Elephants. The film industry has been

800-706: A growing number of states and the US Department of Justice. Although controversial as of methods used, many legacy boards of certification now require that physicians demonstrate, by examination, continuing mastery of the core knowledge and skills for their chosen specialty with recertification of various durations by specialty, between every 7 and every 10 years. More contemporary boards require demonstration of accredited continuing education and maintenance of institutional professional privileges. Most state bar associations restrict their licensed attorneys from advertising that they are certified, experts, or specialists in

880-647: A half century, over 5,000 deaconesses had surfaced in Europe. Formal use of nurses in the military began in the latter half of the nineteenth century. Nurses saw active duty in the First Boer War , the Egyptian Campaign (1882), and the Sudan Campaign (1883). In the 19th and early 20th century, nursing was considered a woman's profession, just as doctoring was a profession for men. With increasing expectations of workplace equality during

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960-445: A long tradition of mechanical automata powered by hydraulics , pneumatics and clockwork . Before the term "animatronics" became common, they were usually referred to as " robots ". Since then, robots have become known as more practical programmable machines that do not necessarily resemble living creatures. Robots (or other artificial beings) designed to convincingly resemble humans are known as " androids ". The term Animatronics

1040-690: A machine to move in a fluent way. They are a modern variant of the automaton and are often used for the portrayal of characters in films , video games and in theme park attractions. It is a multidisciplinary field integrating puppetry , anatomy and mechatronics . Animatronic figures can be implemented with both computer and human control, including teleoperation . Motion actuators are often used to imitate muscle movements and create realistic motions. Figures are usually encased in body shells and flexible skins made of hard or soft plastic materials and finished with colors, hair, feathers and other components to make them more lifelike. Animatronics stem from

1120-466: A more popular option for entertainment, they have been used less as a draw for consumers. However, animatronics still have their place. The 2022 Meta Quest 2 Super Bowl ad uses animatronics to promote the re-branding of the Oculus Quest line of VR headsets . [1] The ad shows the animatronic band members from a fictional restaurant named Questy's in a quick montage of their lives. Going from

1200-578: A narrower scope of practice. Nursing is a female-dominated profession in many countries; according to the WHO's 2020 State of the World's Nursing, approximately 90% of the nursing workforce is female. For instance, the male-to-female ratio of nurses is approximately 1:19 in Canada and the United States. This ratio is matched in many other countries. Notable exceptions include Francophone Africa , which includes

1280-406: A non-certified attorney may advertise that he or she "specializes" in one or more areas). The core body of knowledge that defines an area of medical specialization is referred to as the core competencies for that specialty. Core competencies are developed through detailed review of the medical literature combined with review by recognized experts from established medical specialties, experts within

1360-580: A particular area of law unless they are either (a) certified by the state bar association or (b) certified by an organization approved by the American Bar Association. This approach generally follows Rule 7.4 of the American Bar Association's Model Rules of Professional Conduct . The American Bar Association's Standing Committee on Specialization lists specialty certification programs, including state bar associations and

1440-438: A real animal or person. Steel, aluminum, plastic, and wood are all commonly used in building animatronics but each has its best purpose. The relative strength, as well as the weight of the material itself, should be considered when determining the most appropriate material to use. The cost of the material may also be a concern. Several materials are commonly used in the fabrication of an animatronics figure's exterior. Dependent on

1520-787: A source of free/inexpensive labor. Exploitation of nurses was not uncommon by employers, physicians, and education providers. Many nurses saw active duty in the First World War , but the profession transformed again during the Second World War . British nurses of the Army Nursing Service were part of every overseas campaign. More nurses volunteered for service in the US Army and Navy than any other occupation. The Nazis had their own Brown Nurses, numbering 40,000. Two dozen German Red Cross nurses were awarded

1600-412: A wide range of settings, including hospitals, private homes , schools , and pharmaceutical companies . Nurses work in occupational health settings (also called industrial health settings), free-standing clinics, physician offices, nurse-led clinics , long-term care facilities and camps. They work on cruise ships , military bases , and in combat settings. Nurses act as advisers and consultants to

1680-448: Is a portmanteau of animate and electronics . The term Audio-Animatronics was coined by Walt Disney in 1961 when he started developing professional animatronics for entertainment and film. Modern day animatronics play much less of a role in society than they used to, advances in CGI mean animatronics don't need to be used to do things humans can't, with screens and televisions being

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1760-458: Is a prerequisite to creating the certification examination. Physicians seeking board certification in a given area of specialty must successfully complete and pass an examination process designed to test their mastery of the minimum knowledge and skills contained in the core competency document. Prior to taking the examination, a physician must graduate with a degree, either MD, DO or DPM and meet all other prerequisites to certification as set out by

1840-474: Is also used in the nursing field, where a candidate with advanced mastery of a nursing specialty can also become eligible to be Board Certified . Board certification is also used in the field of pharmacy, where a pharmacist can be recognized in specialized areas of advanced pharmacy practice after fulfilling eligibility requirements and passing a certification examination by the Board of Pharmacy Specialties or

1920-466: Is an animatronic human skeleton that serves as the sidekick on the late-night talk show The Late Late Show with Craig Ferguson . Often referred to as a "robot skeleton", Peterson is a radio-controlled animatronic robot puppet designed and built by Grant Imahara of MythBusters . The British advertisement campaign for Cadbury Schweppes titled Gorilla featured an actor inside a gorilla suit with an animatronically animated face. The Slowskys

2000-537: Is defined and governed by law, and entrance to the profession is regulated at the national or state level. The nursing community worldwide aims for professional nurses to ensure quality care, while maintaining their credentials, code of ethics , standards, and competencies, and continuing their education. Multiple educational paths lead to becoming a professional nurse; these vary by jurisdiction; all involve extensive study of nursing theory and practice as well as training in clinical skills. Nurses provide care based on

2080-533: Is described in many sources as "the first visiting nurse". These traditions were influential in the development of the ethos of modern nursing. Its religious roots remain in evidence in many countries. One example in the United Kingdom is the use of the historical title "sister" to refer to a senior nurse. During the Reformation , Protestant reformers shut down monasteries and convents, allowing

2160-406: Is further complicated by the numerous interpretations of nursing's defining essence. During the 1980s there was an increased focus on research utilization (RU). Nursing research took an interest in clinical issues and US nursing schools began teaching research methods to facilitate interpretation and integration of scientific findings in routine practice. Several RU initiatives were active during

2240-406: Is selected based on the care setting and the population served. In providing nursing care, the nurse uses both nursing theory and best practice derived from nursing research . Many nursing theories are in use. Like other disciplines, the profession has developed multiple theories derived reflecting varying philosophical beliefs and paradigms or worldviews . In general terms, the nursing process

2320-516: Is similar to the process for attorneys. Most state bar associations and organizations approved by the American Bar Association to certify attorneys in a particular area of law generally require five or more years of practice in that area, a minimum number of continuing legal education credits in that area, and references from peer attorneys, judges, or others qualified to comment on the attorney applicant's certification candidacy. Examinations vary, but many utilize multiple choice and essay questions to test

2400-753: Is the method used to assess and diagnose needs, plan outcomes and interventions, implement interventions, and evaluate outcomes. The nursing process as defined by the American Nurses Association comprises five steps: 1) evaluate, 2) implement, 3) plan, 4) diagnose, and 5) assess. Digital health platforms connect nurses and nurse assistants with job openings in healthcare facilities such as skilled nursing homes, home health agencies, and hospitals. Platforms offer an app to facilitate communication and allow nurses to find work opportunities based on their preferences. Healthcare partners and facilities benefit from access to qualified nurses. In 2017,

2480-408: Is the most diverse of all health care professions . Nurses practice in a wide range of settings, but generally follows the needs of their patients. The major specialties are: Nurses with additional degrees allow for specialization. Nursing professions can be separated into categories by care type, age, gender, certain age group, practice setting, individually or in combination. Nurses practice in

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2560-795: Is the oldest and largest certification body in the world to ensure the competency of toxicologists involved in preclinical drug discovery. Board certification is available to a licensed attorney ( J.D. ) in the United States as well, although it generally is not considered a form of licensure and usually does not confer additional privileges of any kind. Many state bar associations, including Arizona, California, Florida, Louisiana, New Mexico, North Carolina, Ohio, South Carolina, Tennessee, and Texas, offer board certification in various specialty areas, such as admiralty law, civil trial law, estate planning (or wills, trusts, and estates) law, family (and/or marital) law, immigration law, and tax law. Other organizations also offer certification, with some being accredited by

2640-516: The American Bar Association . The American Bar Association's Standing Committee on Specialization offers extensive resources to attorneys and consumers. At least one state allows board certified attorneys to use an acronym similar to board certified doctors: The Florida Bar allows its certified attorneys to use the acronym B.C.S. to identify themselves as a "Board Certified Specialist" and prohibits attorneys not holding board certification from identifying themselves as "experts" or "specialists" (though

2720-605: The American College of Trial Lawyers was founded a year later (1950). While medical licensing in general has been criticized , the board certification process itself has generated a number of controversies and debates. Since many certification boards have begun requiring periodic re-examination, critics in newspapers such as The New York Times have decried board certification exams as being "its own industry", costing doctors thousands of dollars each time and serving to enrich testing and prep companies rather than improving

2800-896: The American Medical Association ; the American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS) and the American Osteopathic Association ; the American Board of Physician Specialties (ABPS) and the American Association of Physician Specialists . AOABOS and ABPS each have associated with national medical organizations functioning as an umbrella for its various specialty academies, colleges and societies (see table). The American Board of Medical Specialties represents

2880-510: The Iron Cross for heroism under fire. The development of undergraduate and post-graduate nursing degrees came after the war. Nursing research and a desire for association and organization led to the formation of professional organizations and academic journals . Nursing became recognized as a distinct academic discipline, initially tasked to define the theoretical basis for practice. Nurses are perceived to be in short supply around

2960-418: The first schools of nursing to be connected to a hospital and medical school. It spread widely in Europe and North America after 1870. Nightingale included five factors that helped nurses in her time who worked amidst poor sanitation and little education. These factors included fresh air, clean water, a working drainage system, cleanliness, and good light. Nightingale believed that a clean working environment

3040-558: The 19th century in the Crimea, Central America, and Jamaica. Her predecessors had great success as healers in the Colony of Jamaica in the 18th century, and they included Seacole's mother (Mrs. Grant), Sarah Adams, Cubah Cornwallis , and Grace Donne, the mistress and doctress to Jamaica's wealthiest planter, Simon Taylor . Other important nurses in the development of the profession include: Red Cross chapters, which began appearing after

3120-646: The National Board of Medication Therapy Management. Doctoral level psychologists ( Ph.D. , or Psy.D. ) may also be board certified by the American Board of Professional Psychology , or the American Board of Professional Neuropsychology or the American Board of Pediatric Neuropsychology. The FDA encourages board certification of all toxicologists who work in the pharmaceutical and biotechnology industries, especially of those who oversee preclinical product safety studies. The American Board of Toxicology

3200-740: The National Board of Physicians and Surgeons, with over 10,000 board-certified physicians, that meet national quality standards, including the Joint Commission, the National Committee on Quality Assurance, and the Utilization Review Accreditation Commission, and has gained acceptance by accredited health plans. However, there is controversy with the medical boards certification and re-certification process, and more competition among medical boards' certification agencies have been addressed by

3280-513: The Nursing and Midwifery Council (NMC) are male. The number of male nurses in the United States doubled between 1980 and 2000. On average, male nurses in the US receive more pay than female nurses. Nursing practice is the actual provision of nursing care. In providing care, nurses implement a nursing care plan defined using the nursing process . This is based around a specific nursing theory that

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3360-691: The Order of Exaltation of the Cross ( Krestodvizhenskaya Obshchina ) for a year of service in military hospitals. The first section of twenty-eight "sisters", headed by Aleksandra Petrovna Stakhovich, the Directress of the Order, reached Crimea early in November 1854. Florence Nightingale laid the foundations of professional nursing after the Crimean War , in light of a comprehensive statistical study she made of sanitation in India, leading her to emphasize

3440-520: The UK's National Health Service began trialing such a platform. Platforms such as United States –based ConnectRN, Nomad Health, Gale Healthcare solutions or Lantum add resources, career development tools, and networking opportunities. Florence Nightingale's seminal epidemiological study examining mortality among British soldiers during the Crimean War was published in 1858. With the exception of her works, nursing practice remained an oral tradition until

3520-934: The associated movement is a challenging task when developing animatronics. One of the most common emotional models is the Facial Action Coding System (FACS) developed by Ekman and Friesen. FACS defines that through facial expression, humans can recognize six basic emotions: anger, disgust, fear, joy, sadness, and surprise. Another theory is that of Ortony, Clore, and Collins, or the OCC model which defines 22 different emotional categories. In 2020 Disney revealed its new animatronics robot that can breathe, move its eyes very much like humans, and identify people around it in order to select "an appropriate" response, as opposed to previous Disney animatronics that were used in purely scripted, non-interactive situations, like theme park rides. Animatronics has been developed as

3600-477: The attorney's substantive knowledge and experience. For example, the Texas Board of Legal Specialization generally administers a six-hour examination consisting of three hours of essay questions in the morning and three hours of multiple choice questions in the afternoon, although the format varies based on the area of specialty. Board certification is overseen by different agencies and organizations throughout

3680-634: The body as mentioned before including the skin, cannot be correctly described by one who is not well versed in anatomy. Hence, anyone desirous of acquiring a thorough knowledge of anatomy should prepare a dead body and carefully, observe, by dissecting it, and examining its different parts." In the Middle Ages , members of religious orders such as nuns and monks often provided nursing-like care. Examples exist in Christian , Islamic , Buddhist , and other traditions. The biblical figure of Phoebe

3760-600: The camera in real time. The technology behind animatronics has become more advanced and sophisticated over the years, making the puppets even more lifelike. Animatronics were first introduced by Disney in the 1964 film Mary Poppins which featured an animatronic bird. Since then, animatronics have been used extensively in such movies as Jaws , and E.T. the Extra-Terrestrial , which relied heavily on animatronics. Directors such as Steven Spielberg and Jim Henson have been pioneers in using animatronics in

3840-512: The certifying agency or "board." The examination itself may consist of one or more parts. Traditionally, an exhaustive written examination is required of all candidates for board certifications in any specialty. While written examinations are adequate measures of basic knowledge, they do not test the mastery of skills or the application of knowledge as well. Many specialties have over the decades attempted to evaluate skills through "practical" examinations using "model" patients (actors) or by observing

3920-431: The characters mouth. Pneumatic actuators can be used for small animatronics but are not powerful enough for large designs and must be supplemented with hydraulics . To create more realistic movement in large figures, an analog system is generally used to give the figures a full range of fluid motion rather than simple two position movements. Mimicking the often-subtle displays of humans and other living creatures, and

4000-567: The countries of Benin, Burkina Faso, Cameroon, Chad, Congo, Côte d'Ivoire , the Democratic Republic of Congo , Djibouti , Guinea , Gabon , Mali , Mauritania , Niger , Rwanda , Senegal , and Togo , which all have more male than female nurses. In Europe, in countries such as Spain , Portugal , Czech Republic and Italy , over 20% of nurses are male. In the United Kingdom, 11% of nurses and midwives registered with

4080-405: The domains of competence and areas of competency contained in the document. The core competencies are next formatted using a psychometric taxonomy such as Bloom's Taxonomy based on the core competencies required by physicians practicing in the area of specialization as non-specialists and as specialists or sub-specialists. Development of the first core competency document takes five to ten years and

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4160-719: The establishment of the International Committee of the Red Cross in 1863, offered employment and professionalization opportunities for nurses (despite Nightingale's initial objections). Catholic orders such as Little Sisters of the Poor , Sisters of Mercy , Sisters of St. Mary , St. Francis Health Services, Inc. and Sisters of Charity built hospitals and provided nursing services during this period. The modern deaconess movement began in Germany in 1836. Within

4240-570: The film industry; a film co-directed by the latter, The Dark Crystal , showcased groundbreaking puppets designed by Brian Froud and created by Henson's then recently established Creature Shop in London. The 1993 film Jurassic Park , directed by Spielberg, used a combination of computer-generated imagery in conjunction with life-sized animatronic dinosaurs built by Stan Winston and his team. Winston's animatronic "T. rex" stood almost 20 feet (6.1 m), 40 feet (12 m) in length and even

4320-507: The following definitions: Nursing encompasses autonomous and collaborative care of individuals of all ages, families, groups and communities, sick or well, and in all settings. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. Advocacy, promotion of a safe environment, research, participation in shaping health policy and in patient and health systems management, and education are also key nursing roles. The use of clinical judgment in

4400-567: The founding of the Cochrane Collaboration in 1993. The emerging area of evidence-based medicine also applies to nursing. Common barriers to the study and integration of research findings into clinical decision making include: a lack of opportunity, inexperience, and the rapid pace of evidence accumulation. Nurses manage and coordinate care to support activities of daily living (ADL). This includes assisting in patient mobility, such as moving an activity intolerant patient within

4480-415: The health care and insurance industries. Many nurses also work in health advocacy and patient advocacy , helping in clinical and administrative domains. Some are attorneys and others work with attorneys as legal nurse consultants , reviewing patient records to assure that adequate care was provided and testifying in court. Animatronic An animatronic is a mechatronic puppet controlled by

4560-466: The importance of sanitation. "After 10 years of sanitary reform, in 1873, Nightingale reported that mortality among the soldiers in India had declined from 69 to 18 per 1,000". Nightingale believed that nursing was a social freedom and mission for women. She believed that any educated woman could help improve the care of the ill. Her Notes on Nursing (1859) was a popular call to action. The Nightingale model of nursing education led to one of

4640-435: The individual's physical, emotional, psychological, intellectual, social, and spiritual needs. The profession combines physical science, social science, nursing theory, and technology. Nurses typically hold one or more formal credentials. Roles and responsibilities follow the level of education. For example, in the United States, Licensed Practical Nurses (LPN) have less education than Registered Nurses (RN) and accordingly,

4720-405: The largest animatronics weighing 9,000 pounds (4,100 kg) were able to perfectly recreate the appearance and natural movement on screen of a full-sized Tyrannosaurus rex . Jack Horner called it "the closest I've ever been to a live dinosaur". Critics referred to Spielberg's dinosaurs as breathtakingly — and terrifyingly — realistic . The 1999 BBC miniseries Walking with Dinosaurs

4800-702: The largest component of most healthcare environments. There are shortages of qualified nurses in many countries. Nurses develop a plan of care, working collaboratively with physicians , therapists , patients, patients' families, and other team members that focuses on treating illness to improve quality of life. In the United Kingdom and the United States, clinical nurse specialists and nurse practitioners diagnose health problems and prescribe medications and other therapies, depending on regulations that vary by state. Nurses may help coordinate care performed by other providers or act independently as nursing professionals. In addition to providing care and support, nurses educate

4880-455: The largest of these organizations, with over 800,000 US physicians having received certification from one or more of its 24-member Boards. The ABMS is not affiliated with any medical society. ABPS is recognized by most states, however, there are some states where physicians are not, by law, allowed to call themselves "board certified" if the specialty designation is from their boards. Additionally, there are alternative national medical boards, i.e.

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4960-464: The late 20th century, but the RU movement was superseded by evidence-based practice in the 1990s. Evidence-based practice (EBP) is about using research, but unlike RU it allows for the integration of research findings with clinical expertise and patient preferences. The EBP movement had originated in the field of medicine with Archie Cochrane publishing Effectiveness and Efficiency in 1972, leading up to

5040-412: The late 20th century, nursing became an officially gender-neutral profession, though in practice the percentage of male nurses remained well below that of female physicians in the 21st century. Hospital-based training became standard in the US in the early 1900s, with an emphasis on practical experience. The Nightingale-style school began to disappear. Hospitals and physicians saw women in nursing as

5120-461: The list. A 2023 American survey found that around 30% were considering leaving patient care. According to the traditional interpretation physicians are concerned with curing or treating medical conditions, while nurses focus on care. In healthcare settings this line is often blurred, complicating the task of distinguishing the professions. Although nursing practice varies both through its various specialties and countries, nursing organizations offer

5200-409: The medical situation. Many times, nurses are busy, leaving little time to educate patients. Patients' families needs similar education. Educating both patient and their families increases the chance for a better outcome. Nurses have to communicate in a way that can be understood by patients. Education techniques encompass conversations, visuals, reading materials, and demonstrations. Nursing

5280-424: The mid-20th century. The inaugural issue of Nursing Research , the first scientific journal specialized in nursing, came in in 1952. During the 1960s, interest in attaining PhDs increased among nurses in the US, but nursing remained a fledgling area of research, with few journals until the 1970s. Nursing research is increasingly presented as a valid discipline, although lacking a prevailing definition. The question

5360-407: The new area of specialization and experts from outside the medical profession. This list of core knowledge and skills is then compiled into a draft core competency document. Once the core competency document is drafted, the certifying organization and its associated professional academy, college or society review the document against the existing literature and again solicit expert opinion regarding

5440-432: The nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. The practice of nursing is based upon a social contract that delineates professional rights and responsibilities as well as accountability mechanisms. In almost all countries, nursing practice

5520-524: The particular circumstances, the best material will be used to produce the most lifelike form. For example, "eyes" and "teeth" are commonly made completely out of acrylic. Some examples of different methods of building animatronics are Chuck E. Cheese's studio c animatronic, made of latex rubber, metal, and plastic supported by an internal skeleton and on the other end of the spectrum is the all metal bunyip animatronic in Australia, using water to actuate

5600-457: The physician candidate in a clinical environment. The practical examination has been criticized for being subjective and irreproducible even in the hands of an experienced examiner. As a result, computerized animatronic human patient simulator based examinations are now being adopted. The traditional written examination is also rapidly being replaced by computer-based testing . The certification application and examination process for physicians

5680-515: The provision of care to enable people to improve, maintain, or recover health, to cope with health problems, and to achieve the best possible quality of life, whatever their disease or disability, until death. Nursing is the protection, promotion, and optimization of health and abilities; prevention of illness and injury; alleviation of suffering through the diagnosis and treatment of human responses; and advocacy in health care for individuals, families, communities, and populations. The unique function of

5760-524: The public and promote health and wellness. In the U.S., nurse practitioners are nurses with a graduate degree in advanced practice nursing, and are permitted to prescribe medications. They practice independently in a variety of settings in more than half of the United States. In the postwar period, nurse education has diversified, awarding advanced and specialized credentials , and many traditional regulations and roles are changing. Nursing historians face challenges of determining whether care provided to

5840-693: The quality of the profession. Some also have reported that testing has evolved into a more generalized examination, where a significant portion of the test is not relevant to the specialty a given doctor practices, and thus passing rates are much lower. Nursing Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alleviation of suffering through compassionate presence". Nurses practice in many specialties with varying levels of certification and responsibility. Nurses comprise

5920-552: The sick or injured in antiquity is called nursing care. In the fifth century BC, for example, the Hippocratic Collection in places described skilled care and observation of patients by male "attendants," who may have provided care now provided by nurses. Around 600 BC in India, it is recorded in Sushruta Samhita , Book 3, Chapter V about the role of the nurse as "the different parts or members of

6000-661: The specialty areas offered for certification purposes. ABA Model Rule 7.4(b) specifically allows patent attorneys to advertise their specialty, and Rule 7.4(c) allows admiralty lawyers to do so. In the case of patent attorneys, admission to practice before the patent division of the United States Patent and Trademark Office requires that the attorney pass a federally administered examination . Medical specialty colleges are societies that represent specialist physicians. Any physician may join these organizations, though most require board certification in order to become

6080-466: The world, particularly in South East Asia and Africa. A global survey by McKinsey & Company in 2022 found that between 28% and 38% of nurse respondents in the United States, the United Kingdom, Singapore, Japan, and France said they were likely to leave their role in direct patient care in the next year. The top five factors which they said would make them stay were: Pay ranked eighth on

6160-421: The world. In most cases, these organizations are not only specific to a particular type of physician training (MD vs. DO), but a specific country or group of countries. There are three agencies or organizations in the United States which collectively oversee the certification of M.D.s and D.O.s in the 26 recognized medical specialties. These organizations are the American Board of Medical Specialties (ABMS) and

6240-550: Was an advertising campaign for Comcast Cable's Xfinity broadband Internet service . The ad features two animatronic turtles, and it won the gold Effie Award in 2007. Some examples of animatronic toys include TJ Bearytails , Big Mouth Billy Bass , FurReal , Kota the triceratops , Pleo , WowWee Alive Chimpanzee , Microsoft Actimates , and Furby . Well-known brands include Cuddle Barn, PBC International, Telco, Sound N Light, Nika International, Gemmy Industries , Tickle Me Elmo , Chantilly Lane and Dan Dee. There are quite

6320-536: Was important in caring for patients. In the 19th century, this theory was ideal for helping patients, providing a guide for nurses to alter the environment around patients for the betterment of their health. Nightingale's recommendations built upon the successes of Jamaican "doctresses" such as Mary Seacole , who like Nightingale, served in the Crimean War. Seacole practised hygiene and the use of herbs in healing wounded soldiers and those suffering from diseases in

6400-458: Was produced using a combination of about 80% CGI and 20% animatronic models. The quality of computer imagery of the day was good, but animatronics were still better at distance shots, as well as closeups of the dinosaurs. Animatronics for the series were designed by British animatronics firm Crawley Creatures. The show was followed up in 2007 with a live adaptation of the series, Walking with Dinosaurs: The Arena Spectacular . Geoff Peterson

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