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83-505: Media mogul Bill Parrish is contemplating a merger with another media giant. Meanwhile, his eldest daughter, Allison, is planning an elaborate 65th birthday party for him. His younger daughter Susan, a resident in internal medicine , has a relationship with Drew, a member of Bill's board. As Bill contemplates Susan's planned marriage to Drew and realizes that she is not deeply in love, he suggests that she wait to be swept off her feet. After Bill's company helicopter lands at his office, he hears

166-457: A medical school attached to a university . In the US, medical school consists of four years. Hence, gaining a basic medical education may typically take eight years, depending on jurisdiction and university. Following completion of entry-level training, newly graduated medical practitioners are often required to undertake a period of supervised practice before their licensure , or registration ,

249-555: A European Certificate of Internal Medicine (ECIM) to facilitate the free movement of medical professionals with the EU are currently underway. The internal medicine specialist is recognized in every country in the European Union and typically requires five years of multi-disciplinary post-graduate education. The specialty of internal medicine is seen as providing care in a wide variety of conditions involving every organ system and

332-524: A compulsory subspecialty training (including acute internal medicine or a dual subspecialty including internal medicine). This latter stage of training is achieved through competition rather than just by yearly progress as the first years of postgraduate training. In the US, three organizations are responsible for the certification of trained internists (i.e., doctors who have completed an accredited residency training program) in terms of their knowledge, skills, and attitudes that are essential for patient care:

415-493: A hilltop above the party, Joe waits with tears in his eyes. Bill heads up to him, and they share their thoughts. Susan watches Joe and Bill cross a nearby bridge and descend out of sight on the other side. Joe reappears alone. He is again the young man from the coffee shop, uninjured and not comprehending where he is. Susan descends hand-in-hand with the young man toward the party with the fireworks bursting all around them. Most of William Parrish's country mansion scenes were shot at

498-468: A holistic approach to care for the entire family unit. Internists also receive substantial training in various recognized subspecialties within the field and are experienced in both inpatient and outpatient settings. On the other hand, family medicine physicians receive education covering a wide range of conditions and typically train in an outpatient setting with less exposure to hospital settings. The historical roots of internal medicine can be traced back to

581-424: A lot, but the thing I like the most about this character is just that he is a genuine, good person." Writer Tim Herlihy said the story was intended to invert the formula of his previous films, where Sandler was an extreme character surrounded by regular people. "With Happy Gilmore, [...] it was a very straight world that he was the disruptive element in. The pressure was all on Adam to be funny as Happy. Whereas this

664-413: A patient is typically seen as unethical and in violation of a patient's right to make informed decisions.  However, in situations where a patient has requested not to be informed or to have the information provided to a second party or in an emergency situation in which the patient does not have decision-making capacity, withholding information may be appropriate. The Waterboy The Waterboy

747-799: A period of decline, was reemphasised by the Royal College of Physicians of London report from the Future Hospital Commission (2013). The European Board of Internal Medicine (EBIM) was formed as a collaborative effort between the European Union of Medical Specialists (UEMS) - Internal Medicine Section and the European Federation of Internal Medicine (EFIM) to provide guidance on standardizing training and practice of internal medicine throughout Europe. The EBIM published training requirements in 2016 for postgraduate education in internal medicine, and efforts to create

830-445: A room. Materializing, the voice identifies itself as "Death" and now inhabits the body of the young man Susan met at the coffeeshop. Death explains that Bill's impassioned speech to his daughter piqued his interest. Given Bill's "competence, experience, and wisdom", Death says that for as long as Bill is his guide on Earth, Bill will not have to die. They both return to the dinner table and under pressure to make an introduction, Bill names

913-742: A term commonly used for a medical doctor who has obtained a medical degree but does not yet have a license to practice medicine unsupervised. In the United States and Commonwealth nations, there is often confusion between internal medicine and family medicine , with people mistakenly considering them equivalent. Internists primarily work in hospitals, as their patients are frequently seriously ill or require extensive medical tests . Internists often have subspecialty interests in diseases affecting particular organs or organ systems. The certification process and available subspecialties may vary across different countries. Additionally, internal medicine

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996-541: A trip to the annual Bourbon Bowl on New Year's Day to face the Cougars and Coach Beaulieu. However, Beaulieu and his team crash the Mud Dogs' pep rally and reveal that the high school Bobby went to does not exist and that he was homeschooled , and his fake high school transcript makes him ineligible for college and football. The team and fans turn against Bobby, believing him to be a liar and cheater. Klein convinces

1079-406: A voice that he tries to ignore. Arriving in his office, Bill has pains in his chest and hears the voice again, saying "yes". While studying in a coffee shop near her hospital, Susan meets a young man and forms a connection. She departs without getting his name. Unbeknownst to her, directly afterward, he is struck fatally by multiple cars. That evening, Bill hears the voice again that summons him to

1162-726: Is a medical specialty for medical doctors focused on the prevention, diagnosis, and treatment of internal diseases in adults. Medical practitioners of internal medicine are referred to as internists , or physicians in Commonwealth nations. Internists possess specialized skills in managing patients with undifferentiated or multi-system disease processes. They provide care to both hospitalized ( inpatient ) and ambulatory (outpatient) patients and often contribute significantly to teaching and research. Internists are qualified physicians who have undergone postgraduate training in internal medicine, and should not be confused with " interns ",

1245-544: Is a 1998 American sports comedy film directed by Frank Coraci . It was written by Adam Sandler as well as Tim Herlihy and produced by Robert Simonds and Jack Giarraputo . Sandler also stars as the title character while Kathy Bates , Fairuza Balk , Henry Winkler , Jerry Reed , Lawrence Gilliard Jr. , Blake Clark , Peter Dante , and Jonathan Loughran play other characters. Lynn Swann , Lawrence Taylor , Jimmy Johnson , Bill Cowher , Paul "The Big Show" Wight , and Rob Schneider have cameo appearances. The film

1328-733: Is also required. Internists may practice in Canada as generalists in Internal Medicine or serve in one of seventeen subspecialty areas. Internists may work in many settings including outpatient clinics, inpatient wards, critical care units, and emergency departments. The currently recognized subspecialties include the following: Medicine is mainly focused on the art of diagnosis and treatment with medication . The diagnostic process involves gathering data, generating one or more diagnostic hypotheses, and iteratively testing these potential diagnoses against dynamic disease profiles to determine

1411-456: Is an important part of most post-graduate education programs, and many licensed physicians continue to be involved in research activities after completing post-graduate training. Inherent in any medical profession are legal and ethical considerations. Specific laws vary by jurisdiction and may or may not be congruent with ethical considerations. Thus, a strong ethical foundation is paramount to any medical profession. Medical ethics guidelines in

1494-651: Is distinguished from family medicine in that the latter provides a broader model of care the includes both surgery and obstetrics in both adults and children. Accreditation for medical education and training programs in Australia is provided by the Australian Medical Council (AMC) and the Medical Council of New Zealeand (MCNZ). The Medical Board of Australia (MBA) is the registering body for Australian doctors and provides information to

1577-513: Is generally considered one of his best works. Meet Joe Black earned a Razzie Award nomination for Worst Remake or Sequel , being a takeoff from the film Death Takes a Holiday . On Rotten Tomatoes , the film holds a 46% approval rating on 52 reviews, with an average score of 5.60/10. The website's critical consensus reads, " Meet Joe Black is pretty to look at and benefits from an agreeable cast, but that isn't enough to offset this dawdling drama's punishing three-hour runtime." On Metacritic ,

1660-427: Is granted, typically one or two years. This period may be referred to as " internship ", "conditional registration", or " foundation programme ". Then, doctors may follow specialty training in internal medicine if they wish, typically being selected to training programs through competition. In North America, this period of postgraduate training is referred to as residency training , followed by an optional fellowship if

1743-475: Is monitored and accredited by the independent General Medical Council (which also maintains the specialist register). Doctors who have completed medical school spend two years in foundation training completing a basic postgraduate curriculum. After two years of Core Medical Training (CT1/CT2), or three years of Internal Medicine Training (IMT1/IMT2/IMT3) as of 2019, since and attaining the Membership of

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1826-402: Is not accepted as good practice with few exceptions. These exceptions include cross-coverage within a practice and certain public health urgent or emergent issues. The ethics of telemedicine including questions on its impact to diagnosis, physician-patient relationship, and continuity of care have been raised. However, with appropriate use and specific guidelines, risks may be minimized and

1909-547: Is recognized as a specialty within clinical pharmacy and veterinary medicine . The term internal medicine in English has its etymology in the 19th-century German term Innere Medizin . Originally, internal medicine focused on determining the underlying "internal" or pathological causes of symptoms and syndromes through a combination of medical tests and bedside clinical examination of patients. This approach differed from earlier generations of physicians, such as

1992-572: Is solely focused on adults and does not typically include surgery , obstetrics , or pediatrics . According to the American College of Physicians , internists are defined as "physicians who specialize in the prevention, detection, and treatment of illnesses in adults." While there may be some overlap in the patient population served by both internal medicine and family medicine physicians, internists primarily focus on adult care with an emphasis on diagnosis, whereas family medicine incorporates

2075-704: Is the highest-grossing film in the sports comedy genre. For his role, Sandler was nominated for a Golden Raspberry Award for Worst Actor . The Stinkers Bad Movie Awards awarded him Most Annoying Fake Accent in 1998. He also won a Blockbuster Entertainment Award and a MTV Movie Award for his performance. In 2000, the American Film Institute , nominated the film for AFI's 100 Years of Laughs . Comparisons are often made between former LSU head coach Ed Orgeron and Waterboy character Farmer Fran due to Orgeron's Louisiana roots, Cajun heritage and accent. In September 2022, Sandler stated that he

2158-417: Is too dangerous. Klein convinces Bobby to play anyway, seeing that he is eager to attend college. Bobby becomes a feared outside linebacker and the Mud Dogs go on a winning streak. Bobby's newfound fame and confidence also allow him to reconnect with his felonious childhood love interest, Vicki Vallencourt. Helen forbids Bobby from seeing her, insisting that she "is the devil". The team's success earns it

2241-454: Is under), they discuss the meaning of life and she tells him the danger of meshing two worlds. When Joe asks if she is ready to go, she nods her head and dies. As Bill's birthday arrives, Joe declares his intention to take Susan with him. Bill pleads with Joe to recognize the meaning of true love and to not steal Susan's life. At the party, knowing his death is imminent, Bill says goodbye to his daughters. Susan tells Joe she has loved him since

2324-590: The Chicago Sun-Times gave the film a negative review, saying "Sandler is making a tactical error when he creates a character whose manner and voice has the effect of fingernails on a blackboard, and then expects us to hang in there for a whole movie." He also included the film on his most hated list. Lisa Alspector of the Chicago Reader also gave the film a negative review, writing "Geek triumphs after all comedies can be charming, but in this one

2407-840: The Aldrich Mansion in Rhode Island. The penthouse interiors and Parrish Communications offices were sets built at the 14th Regiment Armory in the South Slope neighborhood in Brooklyn, New York. The coffee shop where Susan meets the young man is Broadway Restaurant, at 2664 Broadway and West 101st Street in New York's Manhattan. Principal photography commenced on 11 June 1997 and concluded on 12 November 1997. The restaurant closed permanently in June 2023. A two-hour version

2490-782: The American Board of Internal Medicine , the American Osteopathic Board of Internal Medicine and the Board of Certification in Internal Medicine . In the UK, the General Medical Council oversees licensing and certification of internal medicine physicians. The Royal Australasian College of Physicians confers fellowship to internists (and sub-specialists) in Australia. The Medical Council of Canada oversees licensing of internists in Canada. In

2573-648: The Australian Health Practitioner Regulation Agency (AHPRA). Medical graduates apply for provisional registration in order to complete intern training. Those completing an accredited internship program are then eligible to apply for general registration. Once the candidate completes the required basic and advanced post-graduate training and a written and clinical examination, the Royal Australasian College of Physicians confers designation Fellow of

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2656-496: The Ayurvedic anthologies of Charaka . Internal medicine specialists, also referred to as general internal medicine specialists or general medicine physicians in Commonwealth countries, are specialized physicians trained to manage complex or multisystem disease conditions that single-organ specialists may not be equipped to handle. They are often called upon to address undifferentiated presentations that do not fit neatly within

2739-565: The National Collegiate Athletic Association (NCAA) to let Bobby play if he can pass a General Educational Development (GED) exam. He apologizes to Bobby and admits to submitting the fake transcript because he was desperate to get even with Beaulieu. Twenty years ago, Klein and Beaulieu were assistant coaches at the University of Louisiana. After Beaulieu stole and took credit for Klein's playbook, he

2822-658: The Sahara while serving in the Peace Corps back in the 1960s. As the players constantly bully Bobby, the Cougars' head coach, Red Beaulieu, fires him for being "disruptive" during the 18 years of his employment. Bobby approaches Coach Klein of the South Central Louisiana State University Mud Dogs and is retained as the water boy on a voluntary basis. The Mud Dogs have lost 40 consecutive games, their cheerleaders as well as

2905-471: The specificity and sensitivity of a particular test. An important part of this process is knowledge of the various ways that a disease can present in a patient.  This knowledge is gathered and shared to add to the database of disease profiles used by physicians. This is especially important in rare diseases. Communication is a vital part of the diagnostic process. The Internist uses both synchronous and asynchronous communication with other members of

2988-565: The 17th-century English physician Thomas Sydenham , known as the father of English medicine or "the English Hippocrates ." Sydenham developed the field of nosology (the study of diseases) through a clinical approach that involved diagnosing and managing diseases based on careful bedside observation of the natural history of disease and their treatment. Sydenham emphasized understanding the internal mechanisms and causes of symptoms rather than dissecting cadavers and scrutinizing

3071-556: The 19th century. During this time, internal medicine emerged as a field that integrated the clinical approach with the use of investigations. Many American physicians of the early 20th century studied medicine in Germany and introduced this medical field to the United States, adopting the name "internal medicine" in imitation of the existing German term. Internal medicine has historical roots in ancient India and ancient China . The earliest texts about internal medicine can be found in

3154-542: The Bourbon Bowl. Arriving at halftime, Bobby finds the Mud Dogs losing by a score of 27–0. Using the same technique of "visualizing and attacking" as Klein taught him, Bobby then turns the lesson back on him. Klein overcomes his fear of Beaulieu and comes up with new plays. The Mud Dogs catch up and go on to win the Bourbon Bowl 30–27, and Bobby is named the game's Most Valuable Player (MVP). Sometime later, Bobby and Vicki get married. Robert Sr., who has since adopted

3237-654: The GED are part of Stetson University , also located in DeLand. Stetson's Carlton Student Union building is featured in the scene where Bobby is told his mother has been hospitalized. The scenes involving mama's cabin were shot on Lake Louisa in Clermont . Coach Klein's office was a stage built inside of the Florida Army National Guard Armory in DeLand. It is home of Btry B 1st Bn 265th ADA. In

3320-818: The Royal Australasian College of Physicians (FRACP). Basic training consists of three years of full-time equivalent (FTE) training (including intern year) and advanced training consists of 3–4 years, depending on specialty. The fields of specialty practice are approved by the Council of Australian Governments (COAG) and managed by the MBA. The following is a list of currently recognized specialist physicians. After completing medical school, internists in Canada require an additional four years of training. Internists desiring to subspecialize are required to complete two additional years of training that may begin after

3403-490: The Royal College of Physicians , physicians commit to one of the medical specialties: Many training programmes provide dual accreditation with general (internal) medicine and are involved in the general care to hospitalised patients. These are acute medicine, cardiology, Clinical Pharmacology and Therapeutics, endocrinology and diabetes mellitus, gastroenterology, infectious diseases, renal medicine, respiratory medicine and often, rheumatology. The role of general medicine, after

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3486-466: The US box office, earning $ 39,414,071 in its opening weekend, a record opening for November, surpassing Ace Ventura: When Nature Calls . The trailer for Star Wars: Episode I – The Phantom Menace was released alongside the film, in its second week. The film was released in the United Kingdom on April 30, 1999, and topped the country's box office that weekend. As of 2020, The Waterboy

3569-456: The US, two organizations are responsible for certification of subspecialists within the field: the American Board of Internal Medicine and the American Osteopathic Board of Internal Medicine . Physicians (not only internists) who successfully pass board exams receive "board certified" status. The following are the subspecialties recognized by the American Board of Internal Medicine . The American College of Osteopathic Internists recognizes

3652-404: The United States and Canada on the weekend of 13–15 November 1998, and had a weekend gross of $ 15,017,995 ranking #3, behind The Waterboy ' s second weekend and the opening of I Still Know What You Did Last Summer . While the film had a disappointing box office gross in the United States and Canada of $ 44,619,100, it fared much better internationally. Taking in an additional $ 98,321,000,

3735-460: The Western world typically follow four principles including beneficence , non-maleficence , patient autonomy, and justice . These principles underlie the patient-physician relationship and the obligation to put the welfare and interests of the patient above their own. The relationship is built upon the physician obligations of competency, respect for the patient, and appropriate referrals while

3818-643: The background of the practice field scenes, the Armory and some military vehicles can be seen. The initial exterior shot of the University of Louisiana stadium was TIAA Bank Field in Jacksonville ; the interior of the stadium is actually the Camping World Stadium in Orlando . The Camping World Stadium was also the filming location for the climactic Bourbon Bowl game, while the flyover shot at

3901-457: The bayou farce is neither inventive nor outrageous enough." David Nusair of Reel Film Reviews also gave the film a mixed review, calling it "an agreeable yet forgettable comedy." Janet Maslin of The New York Times wrote the film was "so cheerfully outlandish that it's hard to resist, and so good hearted that it's genuinely endearing." Mark Savlov of The Austin Chronicle also gave

3984-715: The beginning of the game is of Williams-Brice Stadium at the University of South Carolina in Columbia, South Carolina . The " medulla oblongata " lecture scene was filmed at Florida Southern College in Lakeland. The extras in the scene were students at the college, and the scene was shot on campus in Edge Hall. The soundtrack for The Waterboy was released on November 3, 1998 by Hollywood Records . As of July 2022, review aggregator website Rotten Tomatoes reported

4067-443: The benefits including increased access to care may be realized. Ethical considerations in financial include accurate billing practices and clearly defined financial relationships.  Physicians have both a professional duty and obligation under the justice principle to ensure that patients are provided the same care regardless of status or ability to pay.  However, informal copayment forgiveness may have legal ramifications and

4150-822: The best course of action for the patient. Data may be gathered directly from the patient in medical history-taking and physical examination . Previous medical records including laboratory findings, imaging, and clinical notes from other physicians is also an important source of information; however, it is vital to talk to and examine the patient to find out what the patient is currently experiencing to make an accurate diagnosis. Internists often can perform and interpret diagnostic tests like EKGs and ultrasound imaging (Point-of-care Ultrasound – PoCUS). Internists who pursue sub-specialties have additional diagnostic tools, including those listed below. Other tests are ordered, and patients are also referred to specialists for further evaluation.  The effectiveness and efficiency of

4233-413: The complexity involved in explaining the treatment of diseases that are not localized to a single organ, there has been some confusion surrounding the meaning of internal medicine and the role of an "internist". Although internists may serve as primary care physicians , they are not synonymous with " family physicians ", "family practitioners", " general practitioners ", or "GPs". The training of internists

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4316-496: The day in the coffee shop. Joe decides to allow her to live. Quince apologizes to Bill for unwittingly undermining Bill's position, and Bill forgives him. Joe helps Bill regain control of his company, exposing Drew's underhanded business dealings to the board by claiming to be an agent of the Internal Revenue Service and threatening to put Drew in jail. Susan and Bill later say goodbye. Fireworks begin, and on

4399-449: The disease and are based on the likelihood that someone with the disease has a particular symptom.  A list of potential diagnoses is termed the "differential diagnosis" for the patient and is typically ordered from most likely to least likely, with special attention given to those conditions that have dire consequences for the patient if they were missed. Epidemiology and endemic conditions are also considered in creating and evaluating

4482-673: The exam, but Helen feigns a coma. Feeling he drove his mother to illness, Bobby stays in the hospital with her. Meanwhile, Vicki leads a gathering of fans to the hospital to convince him to play. Seeing her son struggling to ignore this, Helen ends her fake illness. She tells Bobby the truth about Robert Sr., who abandoned her while she was four months pregnant with Bobby to have an affair with a voodoo priestess named Phyllis in New Orleans . This led to Helen constantly fearing that Bobby would leave her too. Deciding to put her son's happiness ahead of her own selfishness, she encourages him to play in

4565-401: The film a positive review, writing that it was "A mildly amusing bayou farce with plenty of 'foosball' action to liven the sometimes plodding proceedings." The Waterboy grossed $ 169,429,646 in the United States, and a further $ 28,700,000 internationally, for a worldwide total of $ 190,191,646 worldwide, against an estimated production budget of $ 20 million. The film opened at number 1 at

4648-417: The film had an approval rating of 33% based on 75 reviews with an average rating of 4.50/10. The site's critical consensus reads: "This is an insult to its genre with low humor and cheap gags." On Metacritic , the film has a score of 41% based on reviews from 21 critics, indicating "mixed or average reviews". Audiences surveyed by CinemaScore gave the film a grade "A−" on scale of A to F. Roger Ebert of

4731-468: The film received a 43% score on 24 reviews, indicating "mixed or average reviews". Audiences surveyed by CinemaScore graded the film "A−" on a scale of A to F. In retrospect, Pitt was critical of his performance on the film: "That was the pinnacle of my…loss of direction and compass." Internal medicine Internal medicine , also known as general internal medicine in Commonwealth nations ,

4814-635: The following subspecialties: In the United Kingdom, the three medical Royal Colleges (the Royal College of Physicians of London, the Royal College of Physicians of Edinburgh and the Royal College of Physicians and Surgeons of Glasgow ) are responsible for setting curricula and training programmes through the Joint Royal Colleges Postgraduate Training Board (JRCPTB), although the process

4897-563: The incorporation of scientific principles into medical practice in the 1800s, while family medicine emerged as part of the primary care movement in the 1960s. The training and career pathways for internists vary considerably across different countries. Many programs require previous undergraduate education prior to medical school admission. This " pre-medical " education is typically four or five years in length. Graduate medical education programs vary in length by country. Medical education programs are tertiary -level courses , undertaken at

4980-411: The internal workings of the body. In the 17th century, there was a shift towards anatomical pathology and laboratory studies, and Giovanni Battista Morgagni , an Italian anatomist of the 18th century, is considered the father of anatomical pathology. Laboratory investigations gained increasing significance, with contributions from physicians like German physician and bacteriologist Robert Koch in

5063-477: The internist decides to train in a subspecialty. In most countries, residency training for internal medicine lasts three years and centers on secondary and tertiary levels of health care , as opposed to primary health care . In Commonwealth countries, trainees are often called senior house officers for four years after the completion of their medical degree (foundation and core years). After this period, they are able to advance to registrar grade when they undergo

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5146-418: The list of diagnoses. The list is dynamic and changes as the physician obtains additional information that makes a condition more ("rule-in") or less ("rule-out") likely based on the disease profile.  The list is used to determine what information will be acquired next, including which diagnostic test or imaging modality to order.  The selection of tests is also based on the physician's knowledge of

5229-421: The mascot are alcoholics, and players are forced to share equipment due to budget cuts. When the new team teases him, Klein encourages Bobby to stand up for himself. Remembering all the bullying he has put up with over the years, Bobby tackles the team's quarterback , knocking him out. Seeing Bobby's potential, Klein meets with Helen and tries to persuade her to let Bobby play on the team, but she refuses, saying it

5312-439: The medical care team, including other internists, radiologists, specialists, and laboratory technicians.  Tools to evaluate teamwork exist and have been employed in multiple settings. Communication to the patient is also important to ensure there is informed consent and shared decision-making throughout the diagnostic process. Treatment modalities generally include both pharmacological and non-pharmacological, depending on

5395-428: The movie grossed a worldwide total of $ 142,940,100. As Meet Joe Black was one of the few films showing the first trailer for Star Wars: Episode I – The Phantom Menace , it was reported that Star Wars fans bought tickets for the film, only to leave after the trailer showed. Meet Joe Black received mixed reviews from critics, with most complimenting the performances but criticizing the film's three-hour length,

5478-690: The nickname "Roberto", makes a surprise appearance to try to convince Bobby to skip school and go to the National Football League (NFL) so he can share in his son's newfound fame. Helen angrily tackles him to the ground for talking to Bobby like that and for abandoning her and Bobby years ago, prompting cheers from the attendants. Bobby and Vicki leave on his lawn mower to consummate their marriage. The idea for The Waterboy came from one of Adam Sandler's Saturday Night Live characters. Sandler said "You could compare him to 'Canteen Boy,' whereas he does love water and they both get picked on

5561-415: The patient requirements include decision-making and provides or withdraws consent for any treatment plan.  Good communication is key to a strong relationship but has ethical considerations as well, including proper use of electronic communication and clear documentation. Providing treatment including prescribing medications based on remote information gathering without a proper established relationship

5644-540: The primary diagnosis. Additional treatment options include referral to specialist care including physical therapy and rehabilitation.   Treatment recommendations differ in the acute inpatient and outpatient settings. Continuity of care and long-term follow-up is crucial in successful patient outcomes. Aside from diagnosing and treating acute conditions, the Internist may also assess disease risk and recommend preventive screening and intervention.  Some of

5727-756: The providing professional courtesy may have negatively impact care. Physicians must disclose all possible conflicts of interest including financial relationships, investments, research and referral relationships, and any other instances that may subjugate or give the appearance of subjugating patient care to self-interest. Other foundational ethical considerations include privacy, confidentiality, accurate and complete medical records, electronic health records , disclosure, and informed decision-making and consent. Electronic health records have been shown to improve patient care but have risks including data breaches and inappropriate and/or unauthorized disclosure of protected health information. Withholding information from

5810-686: The scope of a single-organ specialty, such as shortness of breath, fatigue, weight loss, chest pain, confusion, or alterations in conscious state. They may manage serious acute illnesses that affect multiple organ systems concurrently within a single patient, as well as the management of multiple chronic diseases in a single patient. While many internal medicine physicians choose to subspecialize in specific organ systems , general internal medicine specialists do not necessarily possess any lesser expertise than single-organ specialists. Rather, they are specifically trained to care for patients with multiple simultaneous problems or complex comorbidities. Due to

5893-713: The script and noticed Sandler's name, and convinced her to reconsider. Despite taking place in Louisiana , The Waterboy was mostly filmed in Central Florida and the Orlando area , as well as Clermont , Daytona Beach , DeLand , and Lakeland . The Mud Dogs home games were filmed at Spec Martin Stadium in DeLand, home of the local high school 's football team, as well as the Stetson Hatters (Pioneer League, FCS) The classrooms and gym where Bobby takes

5976-415: The slow pacing, and the screenplay. Roger Ebert gave it three stars, but disliked the peripheral storylines and overly drawn-out ending. He concluded that despite its flaws, "there's so much that's fine in this movie". Peter Travers of Rolling Stone wrote that most of the characters were one-dimensional. Hopkins received uniform praise for his performance, with Travers opining that Hopkins' Bill Parrish

6059-459: The specialist referral process is an area of potential improvement. Determining which pieces of information are most important to the next phase of the diagnostic process is of vital importance. It is during this stage that clinical bias like anchoring or premature closure may be introduced. Once key findings are determined, they are compared to profiles of possible diseases.  These profiles include findings that are typically associated with

6142-565: The third year of internist training. The Royal College of Physicians and Surgeons of Canada (RCPSC) is a national non-profit agency that oversees and accredits medical education in Canada. A full medical license in Internal Medicine in Canada requires a medical degree, a license from the Medical Council of Canada , completion of the required post-graduate education, and certification from the RCPSC. Any additional requirements from separate medical regulatory authorities in each province or territory

6225-608: The tools available to the Internist include genetic evaluation. Internists also routinely provide pre-operative medical evaluations including individualized assessment and communication of operative risk. Training the next generation of internists is an important part of the profession.  As mentioned above, post-graduate medical education is provided by licensed physicians as part of accredited education programs that are usually affiliated with teaching hospitals. Studies show that there are no differences in patient outcomes in teaching versus non-teaching facilities. Medical research

6308-402: The triumphing begins so early it's hard to feel for the geek." Michael O'Sullivan of The Washington Post described the movie as "[a]nother film about . . . a cretinous, grating loser." Manohla Dargis of LA Weekly gave the film a mixed review, writing: "Of course it's dumb, but every 10 minutes or so, it's also pretty funny." Glen Lovell of Variety wrote of the film, "This yahoos on

6391-408: The young man "Joe Black". Joe does not seem to know how to drink, eat, or use food and utensils. Drew secretly conspires to sell Parrish Communications, despite Bill's strong objections. Capitalizing on Bill's strange behavior and reliance on Joe, he convinces the board of directors to vote Bill out as chairman and to approve the merger. Intrigued by Joe's naivete, Susan realizes he is different from

6474-475: The young man she met in the coffee shop. She falls in love with him and he with her. Later, Bill sees them kissing. Bill angrily confronts Joe about his relationship with Susan. He then suggests to Susan that Joe will not be around much longer. At Susan's hospital, Joe interacts with a terminally ill woman, who wishes to die to escape her constant physical pain. She realizes that Joe is part of her impending death. When Joe mentions that he loves Susan (whose care she

6557-471: Was extremely profitable, earning $ 39.4 million in its opening weekend alone in the United States, earning a total of $ 190 million worldwide. The film received mixed reviews from critics. Bobby Boucher is a socially inept, stuttering 31-year-old man serving as the water boy for the University of Louisiana football program. He lives with his protective and extremely religious mother, Helen, and believes his father, Robert Sr., died of dehydration in

6640-435: Was like a funhouse, crazy version of Southern college football milieu. And it was the first movie where things were funny when Adam wasn't on screen. The pressure wasn't even on him." Herlihy could not believe their luck getting Kathy Bates to play Boucher's mother. Bates' agent did not want her to do the film, and Bates threw the script in the trash after reading some pages, not being interested in football. Her niece spotted

6723-551: Was made to show on television and airline flights, by cutting most of the plotline involving Bill Parrish's business. Since Director Martin Brest derided this edit of his film and disowned it, the director's credit on this release used Hollywood pseudonym Alan Smithee . The film premiered as the closing night film of the Tokyo International Film Festival on 8 November 1998. Meet Joe Black opened in

6806-409: Was promoted, and Klein was fired. Klein suffered a mental breakdown and became unable to come up with new plays . The story convinces Bobby to help Klein get revenge on Beaulieu and prove himself to everyone. Bobby finally stands up to Helen while studying for the GED, angrily revealing that he has been playing football, going to college, and seeing Vicki, and intends to continue doing so. Bobby passes

6889-399: Was the only fully realized character in the film; Mick LaSalle wrote that "Hopkins' acting is so emotionally full that the tiniest moments...ring with complexities of thought and feeling." Pitt, on the other hand, received a mixed response, with LaSalle calling his performance so bad "it hurts" and James Berardinelli calling it "execrable". Thomas Newman's score received critical acclaim; it

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