138-575: Elizabeth Garrett Anderson (9 June 1836 – 17 December 1917) was an English physician and suffragist . She is known for being the first woman to qualify in Britain as a physician and surgeon and as a co-founder and dean of the London School of Medicine for Women , which was the first medical school in Britain to train women as doctors. She was the first female dean of a British medical school,
276-465: A de facto official language of Namibia after the end of German colonial rule alongside English and Afrikaans , and had de jure co-official status from 1984 until its independence from South Africa in 1990. However, the Namibian government perceived Afrikaans and German as symbols of apartheid and colonialism, and decided English would be the sole official language upon independence, stating that it
414-402: A second language , and 75–100 million as a foreign language . This would imply the existence of approximately 175–220 million German speakers worldwide. German sociolinguist Ulrich Ammon estimated a number of 289 million German foreign language speakers without clarifying the criteria by which he classified a speaker. As of 2012 , about 90 million people, or 16% of
552-474: A "College of Physicians and Surgeons". All American states have an agency that is usually called the "Medical Board", although there are alternate names such as "Board of Medicine", "Board of Medical Examiners", "Board of Medical Licensure", "Board of Healing Arts" or some other variation. After graduating from a first-professional school, physicians who wish to practice in the US usually take standardized exams, such as
690-612: A "commonly used" language and the Pan South African Language Board is obligated to promote and ensure respect for it. Cameroon was also a colony of the German Empire from the same period (1884 to 1916). However, German was replaced by French and English, the languages of the two successor colonial powers, after its loss in World War I . Nevertheless, since the 21st century, German has become
828-500: A DPM degree. After residency, one to two years of fellowship programs are available in plastic surgery, foot and ankle reconstructive surgery, sports medicine, and wound care. Podiatry residencies and/ or fellowships are not accredited by the ACGME . The overall scope of podiatric practice varies from state to state and is not similar to that of physicians holding an MD or DO degree. DPM is also available at one Canadian university, namely
966-456: A basic medical qualification, and up to another nine years to become a specialist. In most jurisdictions, physicians (in either sense of the word) need government permission to practice. Such permission is intended to promote public safety, and often to protect government spending, as medical care is commonly subsidized by national governments. In some jurisdictions such as in Singapore , it
1104-721: A beneficial effect on their health and lifestyle. According to a study of male physicians in the United States, life expectancy is slightly higher for physicians (73 years for white and 69 years for black) than lawyers or many other highly educated professionals. Causes of death which are less likely to occur in physicians than the general population include respiratory disease (including pneumonia , pneumoconioses , COPD , but excluding emphysema and other chronic airway obstruction ), alcohol-related deaths, rectosigmoid and anal cancers , and bacterial diseases. Physicians do experience exposure to occupational hazards , and there
1242-627: A building in the Euston Road ; the architect was J. M. Brydon , who took into his employment Anderson's sister Agnes Garrett and her cousin Rhoda Garrett , who contributed to its design. For many years, the hospital was staffed entirely by medical women. The schools (in Hunter Street, WC1) had over 200 students, most of them preparing for the medical degree of London University , which was opened to women in 1877. Garrett Anderson
1380-558: A feeling of decreased personal achievement, and others. A study by the Agency for Healthcare Research and Quality reported that time pressure was the greatest cause of burnout; a survey from the American Medical Association reported that more than half of all respondents chose "too many bureaucratic tasks" as the leading cause of burnout. Medical education and career pathways for doctors vary considerably across
1518-559: A greater need for regularity in written conventions. While the major changes of the MHG period were socio-cultural, High German was still undergoing significant linguistic changes in syntax, phonetics, and morphology as well (e.g. diphthongization of certain vowel sounds: hus (OHG & MHG "house") → haus (regionally in later MHG)→ Haus (NHG), and weakening of unstressed short vowels to schwa [ə]: taga (OHG "days")→ tage (MHG)). A great wealth of texts survives from
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#17327803131921656-833: A hot bath once a week. However, they made what were to be lifelong friends there. When they finished in 1851, they were sent on a short tour abroad, ending with a memorable visit to the Great Exhibition in Hyde Park , London. After this formal education, Garrett spent the next nine years tending to domestic duties, but she continued to study Latin and arithmetic in the mornings and also read widely. Her sister Millicent recalled Garrett's weekly lectures, "Talks on Things in General", when her younger siblings would gather while she discussed politics and current affairs from Garibaldi to Macaulay's History of England . In 1854, when she
1794-462: A mansion on a hill behind Aldeburgh. A "by-product of the industrial revolution", Garrett grew up in an atmosphere of "triumphant economic pioneering" and the Garrett children were to grow up to become achievers in the professional classes of late- Victorian England . Elizabeth was encouraged to take an interest in local politics and, contrary to practices at the time, was allowed the freedom to explore
1932-609: A memorial to the school against her admittance as a fellow student, despite the support she enjoyed from the administration. She was obliged to leave the Middlesex Hospital but she did so with an honours certificate in chemistry and materia medica . Garrett then applied to several medical schools, including Oxford, Cambridge, Glasgow, Edinburgh, St Andrews and the Royal College of Surgeons , all of which refused her admittance. A companion to Garrett in this effort
2070-458: A native tongue today, mostly descendants of German colonial settlers . The period of German colonialism in Namibia also led to the evolution of a Standard German-based pidgin language called " Namibian Black German ", which became a second language for parts of the indigenous population. Although it is nearly extinct today, some older Namibians still have some knowledge of it. German remained
2208-494: A permanent installation set within the restored hospital building, uses a variety of media to set the story of Garrett Anderson, her hospital, and women's struggle to achieve equality in the field of medicine within the wider framework of 19th and 20th century social history. The critical care centre at Ipswich Hospital was named the Garrett Anderson Centre in her honour and in recognition of her connection to
2346-563: A physician but came round and agreed to do all in his power, both financially and otherwise, to support Garrett. After an initial unsuccessful visit to leading doctors in Harley Street , Garrett decided to first spend six months as a surgery nurse at Middlesex Hospital , London in August 1860. On proving to be a good nurse, she was allowed to attend an outpatients' clinic, then her first operation. She unsuccessfully attempted to enroll in
2484-418: A physician, in the broad sense). In Commonwealth countries, specialist pediatricians and geriatricians are also described as specialist physicians who have sub-specialized by age of patient rather than by organ system. Around the world, the combined term "physician and surgeon" is used to describe either a general practitioner or any medical practitioner irrespective of specialty. This usage still shows
2622-633: A popular foreign language among pupils and students, with 300,000 people learning or speaking German in Cameroon in 2010 and over 230,000 in 2020. Today Cameroon is one of the African countries outside Namibia with the highest number of people learning German. In the United States, German is the fifth most spoken language in terms of native and second language speakers after English, Spanish , French , and Chinese (with figures for Cantonese and Mandarin combined), with over 1 million total speakers. In
2760-619: A professor of internal medicine . Hence, in the 16th century, physic meant roughly what internal medicine does now. Currently, a specialist physician in the United States may be described as an internist . Another term, hospitalist , was introduced in 1996, to describe US specialists in internal medicine who work largely or exclusively in hospitals. Such 'hospitalists' now make up about 19% of all US general internists , who are often called general physicians in Commonwealth countries. This original use, as distinct from surgeon,
2898-474: A qualified practitioner of their own gender. In 1865, there was an outbreak of cholera in Britain, affecting both rich and poor, and in their panic, some people forgot any prejudices they had in relation to a female physician. The first death due to cholera occurred in 1866, but by then Garrett had already opened St Mary's Dispensary for Women and Children, at 69 Seymour Place . In the first year, she tended to 3,000 new patients, who made 9,300 outpatient visits to
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#17327803131923036-483: A result, the surviving texts are written in highly disparate regional dialects and exhibit significant Latin influence, particularly in vocabulary. At this point monasteries, where most written works were produced, were dominated by Latin, and German saw only occasional use in official and ecclesiastical writing. While there is no complete agreement over the dates of the Middle High German (MHG) period, it
3174-455: A significant cultural content, including conventional western medicine. Ayurveda , Unani medicine , and homeopathy are popular types of alternative medicine. Some commentators have argued that physicians have duties to serve as role models for the general public in matters of health, for example by not smoking cigarettes. Indeed, in most western nations relatively few physicians smoke, and their professional knowledge does appear to have
3312-529: A specialist in surgery ). This meaning of physician conveys a sense of expertise in treatment by drugs or medications, rather than by the procedures of surgeons . This term is at least nine hundred years old in English: physicians and surgeons were once members of separate professions, and traditionally were rivals. The Shorter Oxford English Dictionary , third edition, gives a Middle English quotation making this contrast, from as early as 1400: "O Lord, whi
3450-462: A square Georgian house opposite the church in Aldeburgh until 1852. Newson's malting business expanded and more children were born, Edmund (1840), Alice (1842), Agnes (1845), Millicent (1847), who was to become a leader in the constitutional campaign for women's suffrage, Sam (1850), Josephine (1853) and George (1854). By 1850, Newson was a prosperous businessman and was able to build Alde House,
3588-482: A three- or four-year degree, often in science) are usually four or five years in length. Hence, gaining a basic medical degree may typically take from five to eight years, depending on jurisdiction and university. Following the completion of entry-level training, newly graduated medical practitioners are often required to undertake a period of supervised practice before full registration is granted, typically one or two years. This may be referred to as an " internship ", as
3726-529: A variety of care and are therefore also referred to as general practitioners . Family medicine grew out of the general practitioner movement of the 1960s in response to the growing specialization in medicine that was seen as threatening to the doctor-patient relationship and continuity of care. In the United States, the American Podiatric Medical Association (APMA) defines podiatrists as physicians and surgeons who treat
3864-412: A visit to Alde House around 1860, one evening while sitting by the fireside, Garrett and Davies selected careers for advancing the frontiers of women's rights; Garrett was to open the medical profession to women, Davies the doors to a university education for women, while 13-year-old Millicent was allocated politics and votes for women. At first Newson was opposed to the radical idea of his daughter becoming
4002-401: Is evidence-based medicine . Within conventional medicine, most physicians still pay heed to their ancient traditions: The critical sense and sceptical attitude of the citation of medicine from the shackles of priestcraft and of caste; secondly , the conception of medicine as an art based on accurate observation, and as a science, an integral part of the science of man and of nature; thirdly ,
4140-717: Is a West Germanic language in the Indo-European language family , mainly spoken in Western and Central Europe . It is the most spoken native language within the European Union . It is the most widely spoken and official (or co-official) language in Germany , Austria , Switzerland , Liechtenstein , and the Italian autonomous province of South Tyrol . It is also an official language of Luxembourg , Belgium and
4278-423: Is a health professional who practices medicine , which is concerned with promoting, maintaining or restoring health through the study , diagnosis , prognosis and treatment of disease , injury , and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities —or they may assume responsibility for
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4416-601: Is a recognized minority language in the following countries: In France, the High German varieties of Alsatian and Moselle Franconian are identified as " regional languages ", but the European Charter for Regional or Minority Languages of 1998 has not yet been ratified by the government. Namibia also was a colony of the German Empire, from 1884 to 1915. About 30,000 people still speak German as
4554-467: Is a well-known aphorism that "doctors make the worst patients". Causes of death that are shown to be higher in the physician population include suicide among doctors and self-inflicted injury , drug-related causes, traffic accidents, and cerebrovascular and ischaemic heart disease. Physicians are also prone to occupational burnout . This manifests as a long-term stress reaction characterized by poorer quality of care towards patients, emotional exhaustion,
4692-612: Is also notable for its broad spectrum of dialects , with many varieties existing in Europe and other parts of the world. Some of these non-standard varieties have become recognized and protected by regional or national governments. Since 2004, heads of state of the German-speaking countries have met every year, and the Council for German Orthography has been the main international body regulating German orthography . German
4830-558: Is an Indo-European language that belongs to the West Germanic group of the Germanic languages . The Germanic languages are traditionally subdivided into three branches: North Germanic , East Germanic , and West Germanic . The first of these branches survives in modern Danish , Swedish , Norwegian , Faroese , and Icelandic , all of which are descended from Old Norse . The East Germanic languages are now extinct, and Gothic
4968-469: Is begun immediately following completion of entry-level training, or even before. In other jurisdictions, junior medical doctors must undertake generalist (un-streamed) training for one or more years before commencing specialization. Hence, depending on the jurisdiction, a specialist physician (internist) often does not achieve recognition as a specialist until twelve or more years after commencing basic medical training—five to eight years at university to obtain
5106-478: Is called the "German Sprachraum ". German is the official language of the following countries: German is a co-official language of the following countries: Although expulsions and (forced) assimilation after the two World wars greatly diminished them, minority communities of mostly bilingual German native speakers exist in areas both adjacent to and detached from the Sprachraum. Within Europe, German
5244-546: Is common for physicians to inflate their qualifications with the title "Dr" in correspondence or namecards, even if their qualifications are limited to a basic (e.g., bachelor level) degree. In other countries such as Germany , only physicians holding an academic doctorate may call themselves doctor – on the other hand, the European Research Council has decided that the German medical doctorate does not meet
5382-553: Is common in most of the world including the United Kingdom and other Commonwealth countries (such as Australia , Bangladesh , India , New Zealand , Pakistan , South Africa , Sri Lanka , and Zimbabwe ), as well as in places as diverse as Brazil , Hong Kong , Indonesia , Japan , Ireland , and Taiwan . In such places, the more general English terms doctor or medical practitioner are prevalent, describing any practitioner of medicine (whom an American would likely call
5520-430: Is complicated by the existence of several varieties whose status as separate "languages" or "dialects" is disputed for political and linguistic reasons, including quantitatively strong varieties like certain forms of Alemannic and Low German . With the inclusion or exclusion of certain varieties, it is estimated that approximately 90–95 million people speak German as a first language , 10–25 million speak it as
5658-535: Is generally seen as ending when the 1346–53 Black Death decimated Europe's population. Modern High German begins with the Early New High German (ENHG) period, which Wilhelm Scherer dates 1350–1650, terminating with the end of the Thirty Years' War . This period saw the further displacement of Latin by German as the primary language of courtly proceedings and, increasingly, of literature in
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5796-611: Is generally seen as lasting from 1050 to 1350. This was a period of significant expansion of the geographical territory occupied by Germanic tribes, and consequently of the number of German speakers. Whereas during the Old High German period the Germanic tribes extended only as far east as the Elbe and Saale rivers, the MHG period saw a number of these tribes expanding beyond this eastern boundary into Slavic territory (known as
5934-788: Is it so greet difference betwixe a cirugian and a physician." Henry VIII granted a charter to the London Royal College of Physicians in 1518. It was not until 1540 that he granted the Company of Barber-Surgeons (ancestor of the Royal College of Surgeons ) its separate charter. In the same year, the English monarch established the Regius Professorship of Physic at the University of Cambridge . Newer universities would probably describe such an academic as
6072-565: Is less closely related to languages based on Low Franconian dialects (e.g., Dutch and Afrikaans), Low German or Low Saxon dialects (spoken in northern Germany and southern Denmark ), neither of which underwent the High German consonant shift. As has been noted, the former of these dialect types is Istvaeonic and the latter Ingvaeonic, whereas the High German dialects are all Irminonic; the differences between these languages and standard German are therefore considerable. Also related to German are
6210-457: Is often termed biomedicine by medical anthropologists . Biomedicine "formulates the human body and disease in a culturally distinctive pattern", and is a world view learnt by medical students. Within this tradition, the medical model is a term for the complete "set of procedures in which all doctors are trained", including mental attitudes. A particularly clear expression of this world view, currently dominant among conventional physicians,
6348-435: Is one of the major languages of the world . German is the second-most widely spoken Germanic language , after English, both as a first and as a second language . German is also widely taught as a foreign language , especially in continental Europe (where it is the third most taught foreign language after English and French), and in the United States. Overall, German is the fourth most commonly learned second language, and
6486-597: Is one of the three biggest newspapers in Namibia and the only German-language daily in Africa. An estimated 12,000 people speak German or a German variety as a first language in South Africa, mostly originating from different waves of immigration during the 19th and 20th centuries. One of the largest communities consists of the speakers of "Nataler Deutsch", a variety of Low German concentrated in and around Wartburg . The South African constitution identifies German as
6624-401: Is partly derived from Latin and Greek , along with fewer words borrowed from French and Modern English . English, however, is the main source of more recent loanwords . German is a pluricentric language ; the three standardized variants are German , Austrian , and Swiss Standard German . Standard German is sometimes called High German , which refers to its regional origin. German
6762-455: Is partly from their extensive training requirements, and also because of their occupation's special ethical and legal duties. The term traditionally used by physicians to describe a person seeking their help is the word patient (although one who visits a physician for a routine check-up may also be so described). This word patient is an ancient reminder of medical duty, as it originally meant 'one who suffers'. The English noun comes from
6900-525: Is the Sachsenspiegel , the first book of laws written in Middle Low German ( c. 1220 ). The abundance and especially the secular character of the literature of the MHG period demonstrate the beginnings of a standardized written form of German, as well as the desire of poets and authors to be understood by individuals on supra-dialectal terms. The Middle High German period
7038-578: Is the only language in this branch which survives in written texts. The West Germanic languages, however, have undergone extensive dialectal subdivision and are now represented in modern languages such as English, German, Dutch , Yiddish , Afrikaans , and others. Within the West Germanic language dialect continuum, the Benrath and Uerdingen lines (running through Düsseldorf - Benrath and Krefeld - Uerdingen , respectively) serve to distinguish
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#17327803131927176-512: Is the result of history and is often confusing. These meanings and variations are explained below. In the United States and Canada, the term physician describes all medical practitioners holding a professional medical degree. The American Medical Association , established in 1847, as well as the American Osteopathic Association , founded in 1897, both currently use the term physician to describe members. However,
7314-485: Is understood in all areas where German is spoken. Approximate distribution of native German speakers (assuming a rounded total of 95 million) worldwide: As a result of the German diaspora , as well as the popularity of German taught as a foreign language , the geographical distribution of German speakers (or "Germanophones") spans all inhabited continents. However, an exact, global number of native German speakers
7452-689: The Ostsiedlung ). With the increasing wealth and geographic spread of the Germanic groups came greater use of German in the courts of nobles as the standard language of official proceedings and literature. A clear example of this is the mittelhochdeutsche Dichtersprache employed in the Hohenstaufen court in Swabia as a standardized supra-dialectal written language. While these efforts were still regionally bound, German began to be used in place of Latin for certain official purposes, leading to
7590-521: The Université du Québec à Trois-Rivières ; students are typically required to complete an internship in New York prior to obtaining their professional degree. The World Directory of Medical Schools does not list US or Canadian schools of podiatric medicine as medical schools and only lists US-granted MD, DO, and Canadian MD programs as medical schools for the respective regions. Many countries in
7728-639: The Alamanni , Bavarian, and Thuringian groups, all belonging to the Elbe Germanic group ( Irminones ), which had settled in what is now southern-central Germany and Austria between the second and sixth centuries, during the great migration. In general, the surviving texts of Old High German (OHG) show a wide range of dialectal diversity with very little written uniformity. The early written tradition of OHG survived mostly through monasteries and scriptoria as local translations of Latin originals; as
7866-551: The American College of Physicians or the Royal College of Physicians in the United Kingdom, and such hard-won membership is itself a mark of status. While contemporary biomedicine has distanced itself from its ancient roots in religion and magic, many forms of traditional medicine and alternative medicine continue to espouse vitalism in various guises: "As long as life had its own secret properties, it
8004-492: The American College of Physicians , established in 1915, does not: its title uses physician in its original sense. The vast majority of physicians trained in the United States have a Doctor of Medicine degree, and use the initials M.D. A smaller number attend osteopathic medical schools and have a Doctor of Osteopathic Medicine degree and use the initials D.O. The World Directory of Medical Schools lists both MD and DO granting schools as medical schools located in
8142-537: The Early Middle Ages . German is an inflected language , with four cases for nouns, pronouns, and adjectives (nominative, accusative, genitive, dative); three genders (masculine, feminine, neuter) and two numbers (singular, plural). It has strong and weak verbs . The majority of its vocabulary derives from the ancient Germanic branch of the Indo-European language family, while a smaller share
8280-417: The European Union 's population, spoke German as their mother tongue, making it the second most widely spoken language on the continent after Russian and the second biggest language in terms of overall speakers (after English), as well as the most spoken native language. The area in central Europe where the majority of the population speaks German as a first language and has German as a (co-)official language
8418-522: The German states . While these states were still part of the Holy Roman Empire , and far from any form of unification, the desire for a cohesive written language that would be understandable across the many German-speaking principalities and kingdoms was stronger than ever. As a spoken language German remained highly fractured throughout this period, with a vast number of often mutually incomprehensible regional dialects being spoken throughout
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#17327803131928556-746: The Holy Roman Emperor Maximilian I , and the other being Meißner Deutsch , used in the Electorate of Saxony in the Duchy of Saxe-Wittenberg . Alongside these courtly written standards, the invention of the printing press led to the development of a number of printers' languages ( Druckersprachen ) aimed at making printed material readable and understandable across as many diverse dialects of German as possible. The greater ease of production and increased availability of written texts brought about increased standardisation in
8694-525: The Latin word patiens , the present participle of the deponent verb , patior , meaning 'I am suffering', and akin to the Greek verb πάσχειν ( romanized : paschein , lit. to suffer) and its cognate noun πάθος ( pathos , suffering). Physicians in the original, narrow sense (specialist physicians or internists, see above) are commonly members or fellows of professional organizations, such as
8832-539: The London Hospital Medical School . In 1865, Garrett finally took her exam and obtained a licence (LSA) from the Society of Apothecaries to practise medicine, the first woman qualified in Britain to do so openly (previously there was Dr James Barry who was born and raised female but presented as male from the age of 20). On the day, three out of seven candidates passed the exam, Garrett with
8970-531: The National Society for Women's Suffrage in 1889. After her husband's death in 1907, she became more active. As mayor of Aldeburgh, she gave speeches for suffrage, before the increasing militant activity in the movement led to her withdrawal in 1911. Her daughter Louisa , also a physician, was more active and more militant, spending time in prison in 1912 for her suffrage activities. Elizabeth Garrett Anderson once remarked that "a doctor leads two lives,
9108-666: The Old High German language in several Elder Futhark inscriptions from as early as the sixth century AD (such as the Pforzen buckle ), the Old High German period is generally seen as beginning with the Abrogans (written c. 765–775 ), a Latin-German glossary supplying over 3,000 Old High German words with their Latin equivalents. After the Abrogans , the first coherent works written in Old High German appear in
9246-676: The Sprachraum in Europe. German is used in a wide variety of spheres throughout the country, especially in business, tourism, and public signage, as well as in education, churches (most notably the German-speaking Evangelical Lutheran Church in Namibia (GELK) ), other cultural spheres such as music, and media (such as German language radio programs by the Namibian Broadcasting Corporation ). The Allgemeine Zeitung
9384-550: The Standard German language in its written form, and the Duden Handbook was declared its standard definition. Punctuation and compound spelling (joined or isolated compounds) were not standardized in the process. The Deutsche Bühnensprache ( lit. ' German stage language ' ) by Theodor Siebs had established conventions for German pronunciation in theatres , three years earlier; however, this
9522-739: The USMLE for a Doctor in Medicine. Most countries have some method of officially recognizing specialist qualifications in all branches of medicine, including internal medicine. Sometimes, this aims to promote public safety by restricting the use of hazardous treatments. Other reasons for regulating specialists may include standardization of recognition for hospital employment and restriction on which practitioners are entitled to receive higher insurance payments for specialist services. The issue of medical errors , drug abuse, and other issues in physician professional behavior received significant attention across
9660-400: The Upper German dialects spoken in the southern German-speaking countries , such as Swiss German ( Alemannic dialects ) and the various Germanic dialects spoken in the French region of Grand Est , such as Alsatian (mainly Alemannic, but also Central–and Upper Franconian dialects) and Lorraine Franconian (Central Franconian). After these High German dialects, standard German
9798-408: The pagan Germanic tradition. Of particular interest to scholars, however, has been the Hildebrandslied , a secular epic poem telling the tale of an estranged father and son unknowingly meeting each other in battle. Linguistically, this text is highly interesting due to the mixed use of Old Saxon and Old High German dialects in its composition. The written works of this period stem mainly from
9936-551: The "foundation" years in the UK, or as "conditional registration". Some jurisdictions, including the United States, require residencies for practice. Medical practitioners hold a medical degree specific to the university from which they graduated. This degree qualifies the medical practitioner to become licensed or registered under the laws of that particular country, and sometimes of several countries, subject to requirements for an internship or conditional registration. Specialty training
10074-730: The BMA meeting at Nottingham that year, lobbying successfully for the readmission of women to the association. In 1897, Garrett Anderson was elected president of the East Anglian branch of the BMA. Garrett Anderson worked steadily at the development of the New Hospital for Women and Children and in 1874 co-founded and served as dean of the London School of Medicine for Women (LSMW). Both institutions were handsomely and suitably housed and equipped. The New Hospital for Women commissioned
10212-682: The Elizabeth Garrett Anderson Hospital (formerly the New Hospital for Women) are held at the London Metropolitan Archives . On 9 June 2016, Google Doodle commemorated her 180th birthday. The Elizabeth Garrett Anderson Programme of the NHS Leadership Academy is a master's degree in leadership and management. Physician A physician , medical practitioner ( British English ), medical doctor , or simply doctor
10350-723: The Empire. Its use indicated that the speaker was a merchant or someone from an urban area, regardless of nationality. Prague (German: Prag ) and Budapest ( Buda , German: Ofen ), to name two examples, were gradually Germanized in the years after their incorporation into the Habsburg domain; others, like Pressburg ( Pozsony , now Bratislava), were originally settled during the Habsburg period and were primarily German at that time. Prague, Budapest, Bratislava, and cities like Zagreb (German: Agram ) or Ljubljana (German: Laibach ), contained significant German minorities. In
10488-748: The Frisian languages— North Frisian (spoken in Nordfriesland ), Saterland Frisian (spoken in Saterland ), and West Frisian (spoken in Friesland )—as well as the Anglic languages of English and Scots. These Anglo-Frisian dialects did not take part in the High German consonant shift, and the Anglic languages also adopted much vocabulary from both Old Norse and the Norman language . The history of
10626-483: The German language begins with the High German consonant shift during the Migration Period , which separated Old High German dialects from Old Saxon . This sound shift involved a drastic change in the pronunciation of both voiced and voiceless stop consonants ( b , d , g , and p , t , k , respectively). The primary effects of the shift were the following below. While there is written evidence of
10764-451: The German states; the invention of the printing press c. 1440 and the publication of Luther's vernacular translation of the Bible in 1534, however, had an immense effect on standardizing German as a supra-dialectal written language. The ENHG period saw the rise of several important cross-regional forms of chancery German, one being gemeine tiutsch , used in the court of
10902-681: The Germanic dialects that were affected by the High German consonant shift (south of Benrath) from those that were not (north of Uerdingen). The various regional dialects spoken south of these lines are grouped as High German dialects, while those spoken to the north comprise the Low German and Low Franconian dialects. As members of the West Germanic language family, High German, Low German, and Low Franconian have been proposed to be further distinguished historically as Irminonic , Ingvaeonic , and Istvaeonic , respectively. This classification indicates their historical descent from dialects spoken by
11040-655: The Irminones (also known as the Elbe group), Ingvaeones (or North Sea Germanic group), and Istvaeones (or Weser–Rhine group). Standard German is based on a combination of Thuringian - Upper Saxon and Upper Franconian dialects, which are Central German and Upper German dialects belonging to the High German dialect group. German is therefore closely related to the other languages based on High German dialects, such as Luxembourgish (based on Central Franconian dialects ) and Yiddish . Also closely related to Standard German are
11178-865: The Italian autonomous region of Friuli-Venezia Giulia , as well as a recognized national language in Namibia . There are also notable German-speaking communities in France ( Alsace ), the Czech Republic ( North Bohemia ), Poland ( Upper Silesia ), Slovakia ( Košice Region , Spiš , and Hauerland ), Denmark ( North Schleswig ), Romania and Hungary ( Sopron ). Overseas, sizeable communities of German-speakers are found in Brazil ( Blumenau and Pomerode ), South Africa ( Kroondal ), Namibia , among others, some communities have decidedly Austrian German or Swiss German characters (e.g. Pozuzo , Peru). German
11316-518: The MHG period. Significantly, these texts include a number of impressive secular works, such as the Nibelungenlied , an epic poem telling the story of the dragon -slayer Siegfried ( c. thirteenth century ), and the Iwein , an Arthurian verse poem by Hartmann von Aue ( c. 1203 ), lyric poems , and courtly romances such as Parzival and Tristan . Also noteworthy
11454-558: The Order of Physicians to practice medicine. In some countries, including the United Kingdom and Ireland, the profession largely regulates itself, with the government affirming the regulating body's authority. The best-known example of this is probably the General Medical Council of Britain. In all countries, the regulating authorities will revoke permission to practice in cases of malpractice or serious misconduct. In
11592-515: The US state-level depend upon continuing education to maintain competence. Through the utilization of the National Practitioner Data Bank , Federation of State Medical Boards ' disciplinary report, and American Medical Association Physician Profile Service, the 67 State Medical Boards continually self-report any adverse/disciplinary actions taken against a licensed physician in order that the other Medical Boards in which
11730-609: The United States. After completion of medical school , physicians complete a residency in the specialty in which they will practice. Subspecialties require the completion of a fellowship after residency. Both MD and DO physicians participate in the National Resident Matching Program (NRMP) and attend ACGME -accredited residencies and fellowships across all medical specialties to obtain licensure. All boards of certification now require that physicians demonstrate, by examination, continuing mastery of
11868-479: The art or craft of the profession. Both the role of the physician and the meaning of the word itself vary around the world. Degrees and other qualifications vary widely, but there are some common elements, such as medical ethics requiring that physicians show consideration, compassion, and benevolence for their patients . Around the world, the term physician refers to a specialist in internal medicine or one of its many sub-specialties (especially as opposed to
12006-604: The candidates. Also in that year, she was made a visiting physician of the East London Hospital for Children (later the Queen Elizabeth Hospital for Children ), becoming the first woman in Britain to be appointed to a medical post, but she found the duties of these two positions to be incompatible with her principal work in her private practice and the dispensary, as well as her role as a new mother, so she resigned from these posts by 1873. In 1872,
12144-536: The core knowledge and skills for a chosen specialty. Recertification varies by particular specialty between every seven and every ten years. Primary care physicians guide patients in preventing disease and detecting health problems early while they are still treatable. They are divided into two types: family medicine doctors and internal medicine doctors. Family doctors, or family physicians, are trained to care for patients of any age, while internists are trained to care for adults. Family doctors receive training in
12282-622: The county of Suffolk . The new medical school at the University of Worcester , due to accept its first students in 2023, is to be called the Elizabeth Garrett Anderson Building. Elizabeth Garrett Anderson School , a secondary school for girls in Islington, London, is named after her. The archives of Elizabeth Garrett Anderson are held at the Women's Library at the London School of Economics. The archives of
12420-415: The couple went to live in a pawnbroker 's shop at 1 Commercial Road , Whitechapel . The Garretts had their first three children in quick succession: Louie, Elizabeth, and a son, Dunnell, who died at the age of six months. When Garrett was three years old, the family moved to 142 Long Acre , where they lived for two years, while one more child was born and her father advanced in his career, becoming not only
12558-527: The death of Elizabeth's mother. Skelton died of a stroke in 1907. She enjoyed a happy marriage and in later life, devoted time to Alde House, gardening, and travelling with younger members of the extended family. On 9 November 1908, she was elected mayor of Aldeburgh , the first female mayor in England. Her father had been mayor in 1889. She died in 1917 and is buried in the churchyard of St Peter and St Paul's Church, Aldeburgh . The New Hospital for Women
12696-474: The developing world have the problem of too few physicians. In 2015, the Association of American Medical Colleges warned that the US will face a doctor shortage of as many as 90,000 by 2025. Within Western culture and over recent centuries, medicine has become increasingly based on scientific reductionism and materialism . This style of medicine is now dominant throughout the industrialized world, and
12834-430: The development of non-local forms of language and exposed all speakers to forms of German from outside their own area. With Luther's rendering of the Bible in the vernacular, German asserted itself against the dominance of Latin as a legitimate language for courtly, literary, and now ecclesiastical subject-matter. His Bible was ubiquitous in the German states: nearly every household possessed a copy. Nevertheless, even with
12972-456: The dialect so as to make the work as natural and accessible to German speakers as possible. Copies of Luther's Bible featured a long list of glosses for each region, translating words which were unknown in the region into the regional dialect. Luther said the following concerning his translation method: One who would talk German does not ask the Latin how he shall do it; he must ask the mother in
13110-741: The dispensary became the New Hospital for Women and Children , treating women from all over London for gynaecological conditions; the hospital moved to new premises in Marylebone Street in 1874. Around this time, Garrett also entered into discussion with male medical views regarding women. In 1874, Henry Maudsley 's article on Sex and Mind in Education appeared, which argued that education for women caused over-exertion and thus reduced their reproductive capacity, sometimes causing "nervous and even mental disorders". Garrett's counter-argument
13248-472: The dispensary. On hearing that the Dean of the faculty of medicine at the University of Sorbonne , Paris was in favour of admitting women as medical students, Garrett studied French so that she could apply for a medical degree, which she obtained in 1870 after some difficulty. The same year she was elected to the first London School Board , an office newly opened to women; Garrett's was the highest vote among all
13386-466: The early seventeenth century. Newson was the youngest of three sons and not academically inclined, although he possessed the family's entrepreneurial spirit. When he finished school, Newson found few opportunities in Leiston, so he moved to London to make his fortune. There, he fell in love with his brother's sister-in-law, Louisa Dunnell, the daughter of an innkeeper of Suffolk origin. After their wedding,
13524-519: The eastern provinces of Banat , Bukovina , and Transylvania (German: Banat, Buchenland, Siebenbürgen ), German was the predominant language not only in the larger towns—like Temeschburg ( Timișoara ), Hermannstadt ( Sibiu ), and Kronstadt ( Brașov )—but also in many smaller localities in the surrounding areas. In 1901, the Second Orthographic Conference ended with a (nearly) complete standardization of
13662-501: The equal rights of members. This was "one of several instances where Garrett, uniquely, was able to enter a hitherto all male medical institution which subsequently moved formally to exclude any women who might seek to follow her." In 1892, women were again admitted to the British Medical Association following a long campaign by Anderson and others. She, along with Dr Sarah Gray and Dr Eliza Walker Dunbar attended
13800-582: The first female doctor in the United States in 1849. When Blackwell visited London in 1859, Garrett travelled to the capital. By then, her sister Louie was married and living in London. Garrett joined the Society for Promoting the Employment of Women , which organised Blackwell's lectures on "Medicine as a Profession for Ladies" and set up a private meeting between Garrett and the doctor. It is said that during
13938-528: The first woman in Britain to be elected to a school board and, as mayor of Aldeburgh , the first female mayor in Britain. Elizabeth was born in Whitechapel , London, and was the second of eleven children of Newson Garrett (1812–1893), from Leiston , Suffolk , and his wife, Louisa (born Dunnell; c. 1813–1903), from London. Her paternal ancestors had been ironworkers in East Suffolk since
14076-507: The foot, ankle, and associated structures of the leg. Podiatrists undergo training with the Doctor of Podiatric Medicine (DPM) degree. The American Medical Association (AMA), however, advocates for the definition of a physician as "an individual possessing degree of either a Doctor of Medicine or Doctor of Osteopathic Medicine ." In the US, podiatrists are required to complete three to four years of podiatry residency upon graduating with
14214-603: The high moral ideals, expressed in that most "memorable of human documents" (Gomperz), the Hippocratic oath ; and fourthly , the conception and realization of medicine as the profession of a cultivated gentleman. In this Western tradition, physicians are considered to be members of a learned profession , and enjoy high social status , often combined with expectations of a high and stable income and job security . However, medical practitioners often work long and inflexible hours, with shifts at unsociable times. Their high status
14352-458: The highest marks. The Society of Apothecaries immediately amended its regulations to prevent other women obtaining a licence meaning that Jex-Blake could not follow this same path; the new rule disallowed privately educated women to be eligible for examination. It was not until 1876 that the new Medical Act (39 and 40 Vict, Ch. 41) passed, which allowed British medical authorities to license all qualified applicants whatever their gender. Though she
14490-435: The home, the children on the streets, the common man in the market-place and note carefully how they talk, then translate accordingly. They will then understand what is said to them because it is German. When Christ says ' ex abundantia cordis os loquitur ,' I would translate, if I followed the papists, aus dem Überflusz des Herzens redet der Mund . But tell me is this talking German? What German understands such stuff? No,
14628-436: The hospital's Medical School but was allowed to attend private tuition in Latin, Greek and pharmacology with the hospital's apothecary, while continuing her work as a nurse. She also employed a tutor to study anatomy and physiology three evenings a week. Eventually she was allowed into the dissecting room and the chemistry lectures. Gradually, Garrett became an unwelcome presence among the male students, who in 1861 presented
14766-481: The influence of Luther's Bible as an unofficial written standard, a widely accepted standard for written German did not appear until the middle of the eighteenth century. German was the language of commerce and government in the Habsburg Empire , which encompassed a large area of Central and Eastern Europe . Until the mid-nineteenth century, it was essentially the language of townspeople throughout most of
14904-783: The international standards of a PhD research degree. Among the English-speaking countries, this process is known either as licensure as in the United States, or as registration in the United Kingdom , other Commonwealth countries, and Ireland . Synonyms in use elsewhere include colegiación in Spain , ishi menkyo in Japan , autorisasjon in Norway , Approbation in Germany , and άδεια εργασίας in Greece. In France , Italy and Portugal , civilian physicians must be members of
15042-574: The large English-speaking federations ( United States , Canada , Australia ), the licensing or registration of medical practitioners is done at a state or provincial level, or nationally as in New Zealand. Australian states usually have a "Medical Board", which has now been replaced by the Australian Health Practitioner Regulation Agency (AHPRA) in most states, while Canadian provinces usually have
15180-547: The manager of a larger pawnbroker's shop, but also a silversmith . Garrett's grandfather, owner of the family engineering works, Richard Garrett & Sons , had died in 1837, leaving the business to his eldest son, Garrett's uncle. Despite his lack of capital, Newson was determined to be successful and in 1841, at the age of 29, he moved his family to Suffolk, where he bought a barley and coal merchants business in Snape , constructing Snape Maltings from 1846. The Garretts lived in
15318-402: The mother in the home and the plain man would say, Wesz das Herz voll ist, des gehet der Mund über . Luther's translation of the Bible into High German was also decisive for the German language and its evolution from Early New High German to modern Standard German. The publication of Luther's Bible was a decisive moment in the spread of literacy in early modern Germany , and promoted
15456-653: The ninth century, chief among them being the Muspilli , Merseburg charms , and Hildebrandslied , and other religious texts (the Georgslied , Ludwigslied , Evangelienbuch , and translated hymns and prayers). The Muspilli is a Christian poem written in a Bavarian dialect offering an account of the soul after the Last Judgment , and the Merseburg charms are transcriptions of spells and charms from
15594-471: The original meaning of physician and preserves the old difference between a physician, as a practitioner of physic , and a surgeon. The term may be used by state medical boards in the United States, and by equivalent bodies in Canadian provinces, to describe any medical practitioner. In modern English, the term physician is used in two main ways, with relatively broad and narrow meanings respectively. This
15732-446: The physician holds or is applying for a medical license will be properly notified so that corrective, reciprocal action can be taken against the offending physician. In Europe, as of 2009 the health systems are governed according to various national laws, and can also vary according to regional differences similar to the United States. German language German (German: Deutsch , pronounced [dɔʏtʃ] )
15870-582: The poet Robert Browning . There, English literature, French , Italian and German as well as deportment , were taught. Later in life, Garrett recalled the stupidity of her teachers there, though her schooling there did help establish a love of reading. Her main complaint about the school was the lack of science and mathematics instruction. Her reading there included works of Tennyson , Wordsworth , Milton , Coleridge , Trollope , Thackeray and George Eliot . Elizabeth and Louie were known as "the bathing Garretts", as their father had insisted they be allowed
16008-575: The professional and the private, and the boundaries between the two are never traversed". In 1871, she married James George Skelton Anderson (died 1907) of the Orient Steamship Company , but she did not give up her medical practice. She had three children, Louisa (1873–1943), Margaret (1874–1875), who died of meningitis , and Alan (1877–1952). Louisa also became a pioneering doctor of medicine and feminist activist. They retired to Aldeburgh in 1902, moving to Alde House in 1903, after
16146-462: The pronunciation of the ending -ig as [ɪk] instead of [ɪç]. In Northern Germany, High German was a foreign language to most inhabitants, whose native dialects were subsets of Low German. It was usually encountered only in writing or formal speech; in fact, most of High German was a written language, not identical to any spoken dialect, throughout the German-speaking area until well into the 19th century. However, wider standardization of pronunciation
16284-400: The provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice . Medical practice properly requires both a detailed knowledge of the academic disciplines , such as anatomy and physiology , underlying diseases , and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is
16422-546: The states of North Dakota and South Dakota , German is the most common language spoken at home after English. As a legacy of significant German immigration to the country , German geographical names can be found throughout the Midwest region , such as New Ulm and Bismarck (North Dakota's state capital), plus many other regions. A number of German varieties have developed in the country and are still spoken today, such as Pennsylvania Dutch and Texas German . In Brazil,
16560-500: The third most commonly learned second language in the United States in K-12 education. The language has been influential in the fields of philosophy, theology, science, and technology. It is the second most commonly used language in science and the third most widely used language on websites . The German-speaking countries are ranked fifth in terms of annual publication of new books, with one-tenth of all books (including e-books) in
16698-504: The town with its nearby salt-marshes, beach and the small port of Slaughden with its boatbuilders' yards and sailmakers' lofts. There was no school in Aldeburgh, so Garrett learned reading, writing, and arithmetic from her mother. When she was 10 years old, a governess, Miss Edgeworth, a poor gentlewoman, was employed to educate Garrett and her sister. Mornings were spent in the schoolroom; there were regimented afternoon walks; educating
16836-555: The world being published in German. German is most closely related to other West Germanic languages, namely Afrikaans , Dutch , English , the Frisian languages , and Scots . It also contains close similarities in vocabulary to some languages in the North Germanic group , such as Danish , Norwegian , and Swedish . Modern German gradually developed from Old High German , which in turn developed from Proto-Germanic during
16974-476: The world, in particular following a critical 2000 report which "arguably launched" the patient-safety movement. In the US, as of 2006 there were few organizations that systematically monitored performance. In the US, only the Department of Veterans Affairs randomly drug tests physicians, in contrast to drug testing practices for other professions that have a major impact on public welfare. Licensing boards at
17112-439: The world. In all developed countries, entry-level medical education programs are tertiary -level courses , undertaken at a medical school attached to a university . Depending on jurisdiction and university, entry may follow directly from secondary school or require pre-requisite undergraduate education . The former commonly takes five or six years to complete. Programs that require previous undergraduate education (typically
17250-600: The written form of German. One of the central events in the development of ENHG was the publication of Luther's translation of the Bible into High German (the New Testament was published in 1522; the Old Testament was published in parts and completed in 1534). Luther based his translation primarily on the Meißner Deutsch of Saxony , spending much time among the population of Saxony researching
17388-534: The young ladies continued at mealtimes when Edgeworth ate with the family; at night, the governess slept in a curtained off area in the girls' bedroom. Garrett reportedly despised her governess and sought to outwit the teacher in the classroom. When Garrett was 13 and her sister 15, they were sent to a private school, the Boarding School for Ladies in Blackheath, London , which was run by the step aunts of
17526-429: Was a "neutral" language as there were virtually no English native speakers in Namibia at that time. German, Afrikaans, and several indigenous languages thus became "national languages" by law, identifying them as elements of the cultural heritage of the nation and ensuring that the state acknowledged and supported their presence in the country. Today, Namibia is considered to be the only German-speaking country outside of
17664-489: Was also active in the women's suffrage movement . In 1866, Garrett Anderson and Davies presented petitions with more than 1,500 signatures asking that female heads of household be given the right to vote. That year, Garrett Anderson joined the first British Women's Suffrage Committee. She was not as active as her sister, Millicent Garrett Fawcett , though Garrett Anderson became a member of the Central Committee of
17802-547: Was an artificial standard that did not correspond to any traditional spoken dialect. Rather, it was based on the pronunciation of German in Northern Germany, although it was subsequently regarded often as a general prescriptive norm, despite differing pronunciation traditions especially in the Upper-German-speaking regions that still characterise the dialect of the area today – especially
17940-596: Was dean of the school from 1883 to 1902. This school was later called the Royal Free Hospital School of Medicine, and became part of the medical school of University College London . In 1873, Garrett gained membership of the British Medical Association (BMA). In 1878, a motion was proposed to exclude women following the election of Garrett Anderson and Frances Hoggan . The motion was opposed by Dr Norman Kerr who maintained
18078-614: Was eighteen, Garrett and her sister went on a long visit to their school friends, Jane and Anne Crow, in Gateshead where she met Emily Davies , the early feminist and future co-founder of Girton College , Cambridge. Davies was to be a lifelong friend and confidante, always ready to give sound advice during the important decisions of Garrett's career. It may have been in the English Woman's Journal , first issued in 1858, that Garrett first read of Elizabeth Blackwell , who had become
18216-492: Was established on the basis of public speaking in theatres and the media during the 20th century and documented in pronouncing dictionaries. Official revisions of some of the rules from 1901 were not issued until the controversial German orthography reform of 1996 was made the official standard by governments of all German-speaking countries. Media and written works are now almost all produced in Standard German which
18354-400: Was now a licentiate of the Society of Apothecaries, as a woman, Garrett could not hold a medical post in any hospital. So in late 1865, Garrett opened her own practice at 20 Upper Berkeley Street , London. At first patients were scarce, but the practice gradually grew. After six months in practice, she wished to open an outpatients dispensary , to enable poor women to obtain medical help from
18492-757: Was possible to have sciences and medicines based on those properties". The US National Center for Complementary and Alternative Medicine (NCCAM) classifies complementary and alternative medicine therapies into five categories or domains, including: alternative medical systems, or complete systems of therapy and practice; mind-body interventions, or techniques designed to facilitate the mind's effect on bodily functions and symptoms; biologically based systems including herbalism ; and manipulative and body-based methods such as chiropractic and massage therapy. In considering these alternate traditions that differ from biomedicine (see above), medical anthropologists emphasize that all ways of thinking about health and disease have
18630-836: Was renamed the Elizabeth Garrett Anderson Hospital in 1918 and amalgamated with the Obstetric Hospital in 2001 to form the Elizabeth Garrett Anderson and Obstetric Hospital before relocating to become the University College Hospital Elizabeth Garrett Anderson Wing at UCH. The former Elizabeth Garrett Anderson Hospital buildings are incorporated into the new National Headquarters for the public service trade union UNISON . The Elizabeth Garrett Anderson Gallery,
18768-412: Was that the real danger for women was not education but boredom and that fresh air and exercise were preferable to sitting by the fire with a novel. In the same year, she co-founded the London School of Medicine for Women with Sophia Jex-Blake and became a lecturer in what was then the only teaching hospital in Britain to offer courses for women. She continued to work there for the rest of her career and
18906-553: Was the lesser known Sophia Jex-Blake . While both are considered "outstanding" medical figures of the late 19th century, Garrett was able to obtain her credentials by way of a "side door" through a loophole in admissions at the Worshipful Society of Apothecaries . Having privately obtained a certificate in anatomy and physiology, she was admitted in 1862 by the Society of Apothecaries who, as a condition of their charter, could not legally exclude her on account of her sex. She
19044-769: Was the only woman in the Apothecaries Hall who sat the exam that year. Among the 51 male candidates was William Heath Strange , who went on to found the Hampstead General Hospital, which was on the site now occupied by the Royal Free Hospital . She continued her battle to qualify by studying privately with various professors, including some at the University of St Andrews, the Edinburgh Royal Maternity and
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