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Students may decline to perform any patient care element requested by a resident or attending physician for which they believe they have not received necessary instruction, have not acquired the necessary skill, or do not feel appropriately supervised. Your ability to access medical records in the hospitals and the SIU Clinics is essential to provide appropriate patient care and to facilitate the learning experience. Students are reminded, however, that these records are confidential and should only be accessed as needed for the purpose of providing health care to patients. You are expected to abide by the strictest policies of confidentiality when dealing with medical records in either paper or electronic format. Any violations will be treated as serious matters and may be subject to University, State and federal privacy laws regarding patient health information. The medical chart is a legal document upon which significant lawsuits revolve. Whether in paper or electronic form, be mindful that the medical record is a professional document and one might be asked to discuss chart entries in court, one should avoid sarcasm, humor, disparaging remarks about the patient or other providers involved, and speculation as to what might have occurred if other treatments or interventions had been provided. You will be given access to the Electronic Health Records EHR at SIU School of Medicine, Memorial Medical Center and St. John's Hospital. No person caring for a patient has the right to divulge information regarding that patient without specific permission to do so. You are not to converse with or provide written material regarding medical records to friends or relatives, representatives from the news media or law enforcement divisions without prior consent of the hospital administration.

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It turned out the cheapest and easiest way was to cover Mars in blood. Estimated PDFs of climate system properties including natural and anthropogenic forcings. In ac, it is shown that, to a high degree of accuracy, the evolving PDF can be well characterized by the theoretical distribution with an effective negative ocean feedback that is strong initially, and diminshes over the medium term to its analytical value. We consider a wide range of CO2 equivalent concentration scenarios spanning maximum concentrations of between 280 i. e. , preindustrial levels and 1100 ppmv, and spanning time to maximum of between 10 and 500 yr.

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