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Home The Battalion. November 21, Image 1. Below is the OCR text representation for this newspapers page. It is also available as plain text as well as XML. There was virtually no gunfire in he capital as troops regained con- rol of the working-class districts of Sacamil and Metropolis on the north side, Mejicanos in the northeast and Soyapango on the eastern edge of the city. Army patrols moved through the shattered streets, strewn with the rubble of fighting. On some streets, several burned bodies could be seen. Later Sunday, security troops raided for the second time in a week a small church in the capital habor ing refugees from the fighting. A military news release gave a ten tative count of nearly 1, soldiers and guerrillas killed since the rebels launched their offensive in San Sal vador and other cities in the country Nov. The military said guerrillas were killed, wounded and captured and government forces lost killed and wounded. Neither the military nor rebels gave an estimate of casualties among civilians, who suffered heavily in the block-by-block fighting. The Red Cross said an estimate was difficult because many bodies are still in the streets. The famous Italian craftsman fin ished his instruments with varnish bought at a local drugstore, Nagy vary said, and used wood that was soaked in the lagoon surrounding Venice to make the instrument bod- Nagyvary believes these two com ponents, wood and varnish, were crucial to the quality of the famous violins made in the 17th and 18th centuries by Stradivari and his col leagues. Crystals contained in the Dr. Nagyvary instructs student David Malcolmson. Fewer than Stradivarius vio lins are known to exist today, and modern instrument makers so far have been unable to recreate the beautiful, rich sound of those instru ments. But Nagyvary thinks he has found the secret. He starts with wood bought in Or egon, Washington and Alaska — spruce for the belly and sides of the violin, maple for the top — and soaks it in water. Since he does not have the luxury of waiting many years for the wood to age, he speeds up the process by treating the wood with enzymes. Next, the violins are carved by machines run from computer pro grams. After the instruments are assem bled, they are finished with many coats of a special gemstone varnish — made mostly from crushed quartz crystals, Nagyvary says, not precious stones — and dried under ultraviolet light. The result? An instrument that Nagyvary claims is equal to, if not better than, the famous Stradivarius. At the end of December, Nagy vary and his assistants will have pro duced 12 violins this year. Much of the time was spent ironing out prob lems with the computer system, he said, so production should be faster in the future. Au thorities arrested 10 dissidents but left the marchers alone. The government denied reports that police killed a student in bloody clashes Friday, when hundreds were beaten, tear-gassed and attacked by dogs in the largest demonstration in 20 years. About 2, demonstrators split away and crossed a bridge over the Vltava river in an apparent attempt to reach the hillside presidential resi dence. Police did not interfere in the march but did block access to the hill. The smaller group eventually returned to Narodni Street, from where some 10, streamed back into Wenceslas Square. Those arrested included Petr Uhl, a leading human rights activist, who was charged in connection with the spreading of news about the alleged death of Martin Smid at police hands Friday. If convicted, he could be sentenced to three and a half years in prison. Ecstasy, or 3,4-methylenedioxy- methamphetamine, is a psychosti mulant causing hallucinogenic ef fects, such as changes in sensory rerception as well as stimulant ef- ects like those produced by amphet amines or cocaine, said Dr. Ecstasy, invented as an appetite suppressant in in Germany, causes people to lose their inhibi tions. Because of this, it was used by psychiatrists for many years. In , however, ecstasy became ille gal in the United States and the Drug Enforcement Agency pro posed that it be added to the list of Schedule I substances, which in cludes heroin and LSD. A Schedule I substance has three characteristics: it has no accepted medical use, it is believed to have a high potential for abuse and it has not been shown to be safe even when used with medical supervision. Peterson said that while some peo ple abuse the drug, it is less addictive than other drugs. With the normal dose, though, serious health problems sel dom occur, Peterson said. Dehydration is another problem, he said. An article in the February is sue of Science magazine said the drug has caused brain damage in rats and monkeys. It injures nerve cells in the brain that use serotonin as a neurotransmitter, but whether this toxic effect is permanent and whether ecstasy damages these neu rons in the human brain is un known. Peterson said the neurons that are affected control appetite, sex func tions, sleep patterns and hormone production. Rick Stewart, head of the Texas Department of Public Safety Narcotics Task Force, said three things can trigger suspicion that someone has taken ecstasy. A user may be hallucinating, be excited and talkative or be sleepy and groggy, he said. Like scientists, students disagree about the drug ecstasy and its ef fects. Scott, 20, tried ecstasy for the first time in July and uses it about twice a month. Cindy, 22, on the other hand, tried it twice three years ago and she said she would never try it again. Scott said he was attracted to the drug because he had heard nothing bad about it. He has tried LSD, co caine, crystal, marijuana and alco hol. She first tried the drug in a dry, gelatin form with a friend at a small party. I tried to go to sleep because it was really bad and I wanted it to end. Soon, however, she said she began to feel withdrawn and antisocial and for a week after taking it, she and her friend were paranoid. Because the good part was so good, Cindy tried ecstasy again but with bad results. Cindy said her short-term mem ory has never been the same, but Scott said the only long-term effect he has noticed is increased hunger without weight gain. Several years ago, during an in ventory search of some towed cars, ecstasy, in addition to other con trolled substances, was found, Wiatt said. No one has conducted a formal study about how widespread the use of ecstasy is across the United States, but an informal survey at Stanford University showed that roughly one- third of its undergraduates had tried ecstasy at least once, the Sciencema- gazine article said. Because of this. Peterson said ecstasy, which is manufactured in home laboratories, is cut, or stretched, with other drugs for street use and these drugs can change the effects of the drugs. Usually amphetamines and PCP are used, he said. On Aug. Wentrcek said that, after being arrested, Timothy Castillo smuggled the tablets into the Juvenile Probation Center and gave tablets to three other boys. Wentrcek said one boy took three, another took four and the third one turned his in immediately. Castillo took the remaining 12 tablets at 5 p. All three boys who took the drugs went into convulsions and the two who lived were hospitalized for several days. The tablet that was turned in was sent to the DPS lab in Austin, where it was identified as ecstasy, Wentrcek said.

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Mejicanos buying Ecstasy

Physician competencies have increasingly been a focus of medical education at all levels. This article gives a brief overview of how a competency-based curriculum differs from other approaches and then describes the issues that need to be considered in the design and implementation of such a curriculum. In order to achieve success, a competency-based curriculum requires careful planning, preparation and a long-term commitment from everyone involved in the educational process. Building a competency-based curriculum is really about maintaining quality control and relinquishing control to those who care the most about medical education, our students. In the face of the many challenges that are facing undergraduate medical education UME , including declining availability of teaching patients and over-burdened faculty, instituting quality control and relinquishing control will be necessary to maintain high quality. This is a preview of subscription content, log in via an institution to check access. Rent this article via DeepDyve. Institutional subscriptions. Accessed November 29, Albanese, M. Defining characteristics of educational competencies. Medical Education, 42 , — Article Google Scholar. Brown, T. A competency-based educational approach to reproductive biology. American Journal of Obstetrics and Gynecology, , — Google Scholar. Buckendahl, C. A comparison of Angoff and bookmark standard setting methods. Journal of Educational Measurements, 39 3 , — Burg, F. A method for defining competency in pediatrics. Journal of Medical Education, 51 , — Cooke, M. American medical education years after the Flexner report. The New England Journal of Medicine, , — Engel, G. Are medical schools neglecting clinical skills? JAMA, , — Hansen, W. Expected proficiencies for undergraduate economics majors. The Journal of Economic Education, 32 , — Horowitz, S. Board certification and physician quality. Medical Education, 38 1 , — Howsam, R. Change and challenge. Howsam Eds. Chicago: Science Research Associates. Jaeger, R. Minimum competency achievement testing: Motives, models, measures, and consequences. Livingston, S. Passing scores. May, B. Evaluation in a competency-based educational system. Physical Therapy, 57 , 28— McGaghie, W. Competency-based curriculum development in medical education: An introduction. Geneva: World Health Organization. Merenstein, J. A residency curriculum for the future. Family Medicine, 22 , — Nedelsky, L. Absolute grading standards for objective tests. Educational and Psychological Measurement, 14 , 3— Quinlan, T. The Rockford experience: Competency-based medical curriculum. American Journal of Pharmaceutical Education, 39 4 , — Seegel, D. Smith, S. AMEE guide No. Medical Teacher, 21 1 , 15— Talbot, M. Monkey see, monkey do: A critique of the competence model in graduate medical education. Medical Education, 38 , — Weinstein, H. Competency-based psychiatric education. American Journal of Psychiatry, , — Download references. This article is based upon a presentation the first author gave as the Jack L. The authors wish to thank the selection committee for providing the impetus for the genesis of this article. You can also search for this author in PubMed Google Scholar. Correspondence to Mark A. The Indiana University School of Medicine IUSM experience provides an example of faculty buy-in and faculty development being critical to the success of a competency-based curriculum. After adoption, there was substantial resistance from faculty who taught all four UME years. Thus buy-in was essential. These workshops emphasized that people normally evaluate each other on the basis of their interpersonal and communications skills as well as professionalism in their daily lives. Thus evaluating medical students on these competencies was a natural extension of this normal process. An important part of the workshop was to have basic science faculty reflect on past classes to remember the student s whom they felt lacked the interpersonal skills to become a competent physician yet had the knowledge base required to pass discipline and USMLE exams. Discussion centered on contrasting how this type of student would have been dealt with in a competency based curriculum. Next, faculty were asked whether they would prefer to be treated or have a family member treated by a physician who was judged competent in nine competency areas versus one not competent in one or more of these nine competencies. This further reinforced the general usefulness of the competency-based curriculum in the basic science years. The next part of the workshop was designed to assure basic science faculty that they could teach and assess competencies, emphasizing that each basic science course need not address all competencies, but should do several of them. The assessment form to be used in all courses contained multiple descriptors emphasizing behaviors and attitudes that were assessed on a three-point scale: 1 below attainment, 2 average attainment, and 3 exemplary attainment. It was pointed out that the goal was to identify outliers, and that these outliers would be remediated before being allowed to progress to the clinical years. Emphasis was placed on multiple observations of each competency, not a single assessment. Several examples were given of exercises in basic science that could be used to teach and assess particular competencies, and faculty were urged to come up with other examples in their courses. Workshops for faculty in years 3 and 4 followed the same general structure but emphasized that many of the competencies were best taught and assessed in the clinical years of UME. Each clerkship was originally asked to embrace only one competency to minimize the impact on overburdened clinical faculty. Over the years, many of the clerkships have adopted multiple competencies as part of their program. This has especially been true for student remediation upon non-attainment of competencies. Reprints and permissions. Building a competency-based curriculum: the agony and the ecstasy. Adv in Health Sci Educ 15 , — Download citation. Received : 02 January Accepted : 09 April Published : 15 May Issue Date : August Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative. Home Advances in Health Sciences Education Article Building a competency-based curriculum: the agony and the ecstasy Reflections Published: 15 May Volume 15 , pages —, Cite this article. Abstract Physician competencies have increasingly been a focus of medical education at all levels. Access this article Log in via an institution. Competency-based medical education for the clinician-educator: the coming of Milestones version 2 Article 13 February Article Google Scholar Brown, T. Google Scholar Buckendahl, C. Article Google Scholar Burg, F. Google Scholar Cooke, M. Article Google Scholar Engel, G. Article Google Scholar Hansen, W. Google Scholar Horowitz, S. Article Google Scholar Howsam, R. Google Scholar Jaeger, R. Google Scholar Livingston, S. Google Scholar May, B. Google Scholar McGaghie, W. Google Scholar Merenstein, J. Google Scholar Nedelsky, L. Article Google Scholar Quinlan, T. Google Scholar Seegel, D. Google Scholar Smith, S. Article Google Scholar Talbot, M. Article Google Scholar Weinstein, H. Google Scholar Download references. Acknowledgements This article is based upon a presentation the first author gave as the Jack L. Albanese View author publications. View author publications. Rights and permissions Reprints and permissions. About this article Cite this article Albanese, M. Copy to clipboard. 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Mejicanos buying Ecstasy