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Electronic health records (EHRs) offer significant advantages over paper charts, such as ease of portability, facilitated communication, and a decreased risk of medical errors; however, important ethical concerns related to patient confidentiality remain. Although legal protections have been implemented, in practice, EHRs may be still prone to breaches that threaten patient privacy. Potential safeguards are essential, and have been implemented especially in sensitive areas such as mental illness, substance abuse, and sexual health. Features of one institutional model are described that may illustrate the efforts to both ensure adequate transparency and ensure patient confidentiality. Trust and the therapeutic alliance are critical to the provider–patient relationship and quality healthcare services. All of the benefits of an EHR are only possible if patients retain confidence in the security and accuracy of their medical records.
This article describes the components of a unique 9 month required course in bioethics for 3rd year medical students at the American University of Beirut. The blended (hybrid) learning format emphasizes three innovative learning activities: the bioethics documentary, edutainment games, and the bioethics log book. Sample student responses are included as well as an outline of limitations.
Recent research has stressed the importance of “popular politics” in English political culture especially after the Peasants' Revolt and during the political disturbances of the fifteenth century. Scholars have begun to explore how the structures of local political culture could inflect the nature of politics on a national level, notably through petitioning and the circulation of open letters and manifestos, thus moving beyond the nobility and gentry to consider the influence on late medieval political life of the society and culture of rural and urban communities that were far from the center of power. This article is a contribution to a growing body of work that aims to show how particular aspects of provincial urban politics affected national political culture. By focusing first on news distribution and contemporary conceptual structures that linked rumor, noise, and riot in one continuum; and by then considering the relationship between communal mobilization at times of political crisis and everyday policing institutions such as the hue and cry, the article investigates how the nature of political life in provincial towns affects our understanding of late medieval English political culture as a whole.