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Today, nearly every graduating class has its share of student couples, and marriages in which both partners are practicing physicians are on the rise. But, for graduating seniors involved in a relationship, an additional hurdle awaits: the Couples Match. In this process, every couple has the same two goals: (1) to secure a residency position in the desired specialty of choice; and (2) to match at a program in the same hospital, city, or general geographic region. The Couples Match is a special arrangement within the main residency matching system. It eliminated the chaotic behind-the-scenes negotiations couples used to secure residency appointments. The Match system now easily accommodates the additional flexibility medical student couples require to achieve their goals. However, there are also couples-such as those who participated in an early match-who coordinated a successful outcome without entering the Couples Match. However, all types of couples can enter the Couples Match- boyfriends, girlfriends, newlyweds, gays, lesbians, or even close friends simply wishing to remain together during residency. Residency programs do not know which of their applicants are matching as couples, nor do they require couples to reveal the nature of their relationship. But before you and your best friend decide to Couples Match, remember that both partners in the relationship should be strongly committed to each other. After all, your futures (at least for the next 3 or more years) are intimately tied together. Based on recent Match statistics, the chances of matching together at the same hospital or in the same city are quite good (Table 10­1). In the residency application process, couples are usually limited to applying only to those programs with overlapping geography. If you are both applying in less competitive specialties, more flexibility exists due to the abundance of good residency programs within every major city. If one or both spouses are seeking extremely competitive specialties, the intense competition for a small number of positions will necessitate much more careful planning. Because of the extraordinary amount of compromise and commitment involved, the Couples Match can cause much tension and anxiety throughout the fourth year of medical school. You should think long and hard and be sure that your relationship is ready for the stressful planning and possible outcomes. Read this chapter, talk with other successful resident couples, and consult with advisors and deans to discuss different strategies. By doing so, medical students who are planning lives together can prevent the unfortunate painful outcome of matching into programs that are thousands of miles apart (or even in a least preferred specialty! The only point at which you are officially considered a couple occurs at the submission of the final rank-order list in February. Remember, the decision to match as a couple is not binding until the final submission of the rank list. You may uncouple yourselves at any point during the application and interview season. Through the Couples Match, two applicants who are seeking residency positions actually pair together their individual rank-order lists. The matching algorithm of the Couples Match works the same way as it does for placing individual applicants into program slots. The couple will match to the most highly ranked paired set of programs on the list at which both partners have been offered a position. Because of the coupling involved, each partner receives the exact same choice on the ranking positions. Until you actually enter the programs into the on-line ranking system, the process may seem overly complicated. It is a good illustration of the rules of the Couples Match and demonstrates a few of the possible outcomes. At first glance, you may wonder why the ranking preferences of this couple are different. Their second, third, and fourth choices indicate that they both wanted to be in New York City if they were unable to match at their top ranking.

Medical Policy 465 Guide for Aviation Medical Examiners 3. Nose, revise information on severe allergic rhinitis and hay fever requiring antihistamines so information is consistent with the Web version. G-U System, Gender Identity Disorder, rename to Gender Dysphoria, update information, and relocate entry to Item 48, General Systemic, Gender Dysphoria. General Systemic, Gender Dysphoria, add Gender Dysphoria Mental Health Status Report form. Heart, revise Hypertension Dispositions Table to clarify certification requirements. In Pharmaceuticals (Therapeutic Medications) Antihypertensives, revise to include table with examples of medications that are acceptable and not acceptable for treatment of hypertension. Medical Policy 467 Guide for Aviation Medical Examiners Coversheet to include box for Hypertension. G-U Systems, Neoplastic Disorders,Dispositions Table, revise information for Renal Cancer. G-U Systems, Urinary System, revise Disposition Table to include information on Hematuria, Proteinuria, and Glycosuria. Removed information on renal calculi, which is now captured in Kidney Stone (s) Disposition Table. G-U Systems, revised the list of conditions to appear in the following order: -General Disorders -Gender Identity Disorders -Inflamatory Conditions -Kidney Stone(s) -Neoplastic Disorders Bladder Cancer Prostate Cancer Renal Cancer Testicular Cancer 7. Administrative 468 Guide for Aviation Medical Examiners Other G-U Cancers/Neoplastic Disorders -Nephritis -Pregnancy -Urinary System In Item 41. G-U Systems, Neoplastic Disorders, Dispositions Table, revise information for Prostate Cancer. Skin, Disposition Table for Skin Cancer ­ All Classes, revise to clarify expression of Breslow level. Administrative 469 Guide for Aviation Medical Examiners 6. G-U System ­ Neoplastic Disorders, Disposition Table ­ Testicular Cancer ­ All Classes and in Disposition Table ­ Bladder Cancer ­ All Classes, revise to clarify - "Non metastatic and treatment completed 5 or more years ago. G-U System, Neoplastic Disorders, Dispositions Table, revise information for Bladder Cancer. Abdomen and Viscera, Dispositions, revise to include criteria for Liver Transplant - Recipient, Liver Transplant - Donor, and Combined Transplants (Liver in combination with kidney, heart, or other organ. G-U System, Neoplastic Disorders, Dispositions Table, revise information for Testicular Cancer. Medical Policy In Pharmaceuticals (Therapeutic Medications), add guidance for use of Erectile Dysfunction and/or Benign Prostatic Hyperplasia Medications, including table of wait times. Skin, replace dispositions table for Malignant Melanoma with an expanded table named "Skin Cancers ­ All classes. In Disease Protocols, Obstructive Sleep Apnea, create additional hyperlinks within the material. In Protocols, revise table of contents page to show entry for Obstructive Sleep Apnea 2015 03/19/2015 1. In Pharmaceuticals, Antihypertensives, revise to state that the combination use of beta-blockers and insulin, meglitinides, or sulfonylurea is now allowed. In Pharmaceuticals, Do Not Issue ­ Do Not Fly, remove "Concurrent use of a betablocker plus a sulfonylurea or insulin or a meglitinide" from the Do Not Issue listing. Pharmaceutical Considerations regarding chart of Acceptable Combinations of Diabetes Medications. In Pharmaceuticals, revise chart of Acceptable Combinations of Diabetes Medications regarding Bydureon and Beta-Blockers. Medical Policy 476 Guide for Aviation Medical Examiners 2014 05/16/2014 1. Administrative In Pharmaceuticals (Therapeutic Medications), Malaria, reorder category content.

Several years ago, most residency programs did not consider board scores when evaluating applicants. During the clinical years, audition rotations at other hospitals are generally discouraged; they do little to improve your chances of matching at that program. Instead, spend your senior year learning medicine other than anesthesiology, like cardiology or critical care. Of course, you should take, at the minimum, one rotation in anesthesiology to confirm your interest and to collect letters of recommendation. Among your three to four letters, submit no more than two from an anesthesiologist; the rest should come from faculty in internal medicine or surgery. As always, a little name who knows you well is better than a big name who does not. In your application, the personal statement should be a good read that clearly outlines your understanding of and interest in anesthesiology. Remember that poor grammar and spelling reflect on attention to detail, which is extremely important for this specialty. Dermatology In this extremely competitive specialty, most programs interview about 30 or so candidates (out of hundreds of applicants) for only two or three spots. Because of the stiff competition, future dermatologists must identify their interest very early in medical school. Because many students go into dermatology for the wrong reasons (lifestyle, money, etc. Clinical research and publications in journals are extremely important for your candidacy, so find a research mentor during the preclinical years. Board scores are also critical; earn the highest Step I score possible or else you may not make the cut. In the clinical years, you will have to get lots of honors grades in your third-year clerkships to have the right numbers for interview selection. Scheduling audition rotations at programs of highest interest can improve your chances of matching. During these rotations, work hard to portray yourself in the best possible light to the faculty and, in particular, the program director. Most candidates submit applications to nearly every program in the country (upwards of 40 applications! In the personal statement, explain how you arrived at the decision to enter dermatology and why your personality attributes are a good fit with this specialty. Be articulate and engaging, tell a compelling story, and use this opportunity to stand out from the crowd in a positive way. Candidates who are rejected and reapply the next year (retreads) are rarely successful. Emergency Medicine Selection committees like to see evidence that you are a healthy, well-adjusted person with interesting hobbies. Any specialty of clinical medicine is fine; program directors give bonus points for emergency medicine-related research. Immerse yourself in medical school and community activities, such as serving on committees, exploring emergency medicine interest groups, and volunteering Mother Theresa-style at local clinics. One successful candidate at a top program emphasized the importance of extracurriculars, especially "things that are outdoorsy, wild, crazy, or can kill you. Competitive candidates should then complete at least two rotations in emergency medicine-one at their home institution, the other at an audition hospital. The most desirable away rotations fill up quickly, so plan these fourth-year electives very early. A strong letter from a community preceptor carries less weight than one from a program director or departmental chair. Most programs also prefer to see letters from every emergency medicine clerkship completed.

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See also specific amendments judicial developments, 122-125 questioning the right to abortion, 130-139 Contraception. See Birth Control Cook, Constance, 113, 147-149 Cooke, Terence Cardinal, 157-158 Cooper, Owen, 258-259 Crisham, Thomas M. New York City Health & Hospitals Corporation (1972) Finer, June, 142 Finkbine, Sherri Chessen, 11-18 First Amendment arguments, 136, 233, 235 First National Conference on Abortion Laws, 38 Fletcher, Michele, 170 Flynn, Martin J. Lefkowitz and, 143-145 Supreme Court and Roe, 253 Fourth Amendment arguments, 135, 146, 173, 179, 233 in Abramowicz v. Connecticut (1965), 135, 146, 156, 180, 182-183, 192, 239, 253, 340, 352, 355-356 Guttmacher, Alan F. Louisiana (1968), 348 Lewittes, Joel, 138-139 Licciardello, Trudy, 189-190 Life, liberty, and property, right to , 173-174 Louisell, David W. Cook, 147-149 Redstocking protests, 126-130 New York Academy of Medicine, 319 New York Right to Life Committee, 157 Nineteenth Amendment, 120, 175-176, 178 Ninth Amendment arguments, 179, 233, 235, 322, 352-356 Nixon, Richard, 113, 257 letter to Terence Cardinal Cooke, 157-158 on population growth, 201, 210-212 voter party shift, 215 Noonan, John T. Wade (1973) cruel and unusual punishment, 335-337 denial of equal protection of the law, 327-328, 334 discrimination, 325 family planning, 337-339 infringement of rights, 322-323, 326-333 involuntary servitude, 341-347 population growth, 324, 346 statute is unconstitutionally vague, 320-321 Pilpel, Harriet F. Casey (1992), 260 Political affiliations, 113-115 Pontifical Study Commission, 74 Poor women and abortion, 3, 23, 51-53, 69-70, 109-110, 120, 140 Population Connection, 55 Population control, 55 "Population explosion," 54 Population growth, 347 argument against Roe, 358 argument in support of Roe, 324 class-based concerns, 54-55 Commission on Population Growth and the American Future, 201-207 zero population movement, 55-58 Powell, Lewis F. Wade, 253 Psychiatric reasons, for abortion, 107 Public health issue, abortion as, 22-24, 205, 272 R Race, and reproductive control, 45, 49, 202 Rape, as reason for abortion, 25, 28, 30, 39, 70-72, 84, 87, 95, 104-106, 119, 254 Reagan, Ronald, 115, 260 Reed v. See also Roe, Jane amicus curiae briefs citing: Wade, Henry amicus curiae briefs citing: announcing the decision, 245-249 argument and decision, 228-229 brief for appellants Jane Roe, et al. Brennan (1960), 347 Society for a Christian Commonwealth, 88 Society for Humane Abortion lesser of two evils, 11-18 letter from unwed mother, 7-8 "rush" procedure for going to Japan, 8-11 Southern Baptist Convention, 258-259 Resolution on Abortion (1971), 71-72 Speak-Out-Rage, 45-46 "Special Report on Secular Humanism vs. Christianity" (Christian Harvest Times), 259 Spencer, Hope, 160-162 Stearns, Nancy, 136, 140, 150, 167-168, 272 Sterilization, 45, 50-54 Stevens, John Paul, 258 Stewart, Potter, 223, 227 Struck, Susan R. Secretary of Defense (1972), 198-201 Student Guide to Sex on Campus, The, 30, 58 Student Nonviolent Coordinating Committee, 50 Sullman, Morris, 170 "Swing to Right Seen Among Catholics, Jews" (Cassels), 212-215 T Thalidomide, 11-18 Third World women, 45, 50-51, 53 Thirteenth Amendment, 176, 342-346 Timeline 1960s, 7-8, 11-18 "Triple-A" claims, 216, 218, 257 Tyler, Harold R. Markle I (1972), 177-184 legal arguments, 173-177 plaintiff recruit pamphlet, 167-177 plaintiff requirements, 176 responsibilities/opportunities of plaintiffs, 176-177 suit to find abortion law unconstitutional, 170-173 thoughts on strategy, 163-167 Union for Reform Judaism on abortion reform, 69-70 United Methodist Church Statement of Social Principles (1972), 70-71 United States v. Vuitch, 132, 225, 233 V Viguerie, Richard, 259 Voters and party affiliation shifts, 114, 115, 157, 215 Voting rights, 120, 175-176, 178 Vuitch, United States v. Wade (1973) equal protection clause of 14th Amendment, 347-349 fetus as autonomous human being, 350-351, 359-361 refutation of constitutional arguments, 352-359 Wechsler, Nancy F. A graduate of Radcliffe College (Harvard), she holds a Master of Studies in Law degree from Yale. She teaches constitutional law, civil rights, and legal history, and writes on the ways courts interact with representative government and popular movements in interpreting the Constitution. She is co-editor of the Constitution in 2020 and Processes in Constitutional Decisionmaking. We heard the voices of women and men ­ well-known, little-known, and completely unknown­ calling from across the years. It is a privilege to enable them to speak again in their own words in these pages. Wade explores the roots of the conflict, recovering through original documents and first-hand accounts the voices on both sides that helped shape the climate in which the Supreme Court ruled. Originally published in 2010, this new edition includes a new Afterword that explores what the history of conflict before Roe teaches us about the abortion conflict we live with today. Examining the role of social movements and political parties, the authors cast new light on a pivotal chapter in American history and suggest how Roe v. The majority are due to defects of single genes that code for enzymes that facilitate conversion of various substrates into other products. In most of the disorders, problems arise due to accumulation of substances which are toxic or interfere with normal function, or to the effects of reduced ability to synthesize essential compounds. Inborn errors of metabolism are now often referred to as congenital metabolic diseases or inherited metabolic diseases, and these terms are considered synonymous. The term inborn error of metabolism was coined by a British physician, Archibald Garrod (1857-1936), in the early 20th century (1908).