Lawton Robert Burns, Jeff C. Goldsmith and Aditi Sen
Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these…
Abstract
Purpose
Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these models and if this organizational transformation is underway.
Design/Methodology Approach
We summarize the evidence on scale and scope economies in physician group practice, and then review the trends in physician group size and specialty mix to conduct survivorship tests of the most efficient models.
Findings
The distribution of physician groups exhibits two interesting tails. In the lower tail, a large percentage of physicians continue to practice in small, physician-owned practices. In the upper tail, there is a small but rapidly growing percentage of large groups that have been organized primarily by non-physician owners.
Research Limitations
While our analysis includes no original data, it does collate all known surveys of physician practice characteristics and group practice formation to provide a consistent picture of physician organization.
Research Implications
Our review suggests that scale and scope economies in physician practice are limited. This may explain why most physicians have retained their small practices.
Practical Implications
Larger, multispecialty groups have been primarily organized by non-physician owners in vertically integrated arrangements. There is little evidence supporting the efficiencies of such models and some concern they may pose anticompetitive threats.
Originality/Value
This is the first comprehensive review of the scale and scope economies of physician practice in nearly two decades. The research results do not appear to have changed much; nor has much changed in physician practice organization.
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Deborah Bieler and Leslie David Burns
This chapter argues that equipping teachers for the essential task of serving as social justice advocates in their classroom and school communities must become the central task of…
Abstract
This chapter argues that equipping teachers for the essential task of serving as social justice advocates in their classroom and school communities must become the central task of English teacher preparation programs. This argument is positioned against the backdrop of a U.S. sociopolitical climate that has seen increased injustice and violence against youth, teachers, and schools in spite of official policies promising otherwise. The authors describe current efforts to achieve a social justice focus in two spaces that are particularly influential for practicing and aspiring English teachers: pre-service teacher preparation coursework and the National Council of Teachers of English (NCTE), our primary professional organization. The chapter examines the trajectory of research and practice that has arisen in response to the 2012 NCTE standard on social justice in English teacher preparation and offers suggestions to the next generation of educational researchers about increasing the visibility and efficacy of this important work.
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George Okechukwu Onatu, Wellington Didibhuku Thwala and Clinton Ohis Aigbavboa
D.L. Burns, R.L. Hildebrand and P.D. Thomas
Presented herein is information developed by a panel of the Sub‐Committee on Corrosion of the American Institute of Petroleum concerned with the mechanism of corrosion inhibition…
Abstract
Presented herein is information developed by a panel of the Sub‐Committee on Corrosion of the American Institute of Petroleum concerned with the mechanism of corrosion inhibition, temperature limitations, detergent action and chemical composition of the high‐molecular‐weight organic inhibitors commonly used in process streams. Included is a literature survey on the mechanism of corrosion inhibition; refinery experiences with inhibitors as developed by a questionnaire; and information contributed by manufacturers of inhibitors. Other data pertinent to corrosion and inhibitor problems are discussed.