![]() ![]() Additionally, provisions in the CAA allow for adjustments to low Per Resident Amounts (PRAs) that were generated by inbound rotators, enhancing the capabilities of hospitals with artificially low PRAs to better finance residency program overhead and faculty salaries. Though the overall number of new positions available was relatively small (200 positions per year for 5 years, a 1% increase in funded slots), the prioritization of these positions to hospitals in rural and underserved areas as well as states with new medical schools creates a rare opportunity for community health systems to potential build or expand their own GME programs. The Consolidated Appropriations Act (CAA) 2021 created the first new allotment of Medicare-funded graduate medical education (GME) positions in approximately 25 years. ![]() The rapid expansion of advanced practice providers (APPs) in primary care has not been enough to bridge this ever-widening gap. The American Association of Medical Colleges (AAMC) now predicts a physician shortfall that could reach 139,000 by the year 2033, with severe shortages in primary care, a trend that could worsen due to effects of the COVID-19 pandemic on physician supply. While creating GME programs in a community health system may, at first glance, be perceived as cost-prohibitive, there are robust advantages to a system for their creation.Īt the time of the passage of the Patient Protection and Affordable Care Act (ACA), it was estimated that 34 million more patients need new primary care physicians, but the act provided no specific provisions to increase physician supply. Those trainees are the nucleus of succession planning for the current medical staff, can facilitate the creation and expansion of service lines, and may elevate the profile of the system through scholarly work and equity and quality improvement activities. Residents, fellows and medical students expand the capacity of the current healthcare workforce of a system by providing coverage during healthcare emergencies and staffing services in difficult-to-recruit specialties. The infrastructure needed to accredit GME programs may reduce the cost of care for both the patients and the system through improved patient outcomes and facilitation of system efforts to recognize and mitigate social determinants of health. This article provides a review of the evidence behind the value proposition for system administrators to foster the growth of GME in community health systems. The creation of new CMS-funded Graduate Medical Education (GME) cap positions by the Consolidated Appropriations Act 2021 offers a unique opportunity for systems in community and rural settings to develop and expand their training programs. ![]()
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![]() is alphabetical and it is Chinese, I would actually still agree with the statement “there is no Chinese alphabet”. It spreads the idea that Chinese characters are letters that spell out words, and there are already enough misconceptions about the language without that one being spread around. I just think that the term ‘Chinese alphabet’ shouldn’t be used at all, even to describe romanisation systems like pinyin. It seems to me that the Web does a pretty poor job of making that clear (see below). That would be Chinese characters, and they’re nothing like an alphabet. I know that when most people say ‘Chinese alphabet’ or search for it, what they mean is the writing system for Chinese. There are romanisation systems for Chinese that are alphabetical, but actual Chinese is not written with an alphabet. There aren’t enough people explaining the facts of this situation. But seriously, just Google for it, and there are several million results for this, and most of it is inaccurate and misleading. Hopefully that won’t have been too much of a revelation for most readers, though. So, if by some chance you’ve ended up on this site and didn’t know already… There is no Chinese alphabet. So much, in fact, that I thought it was worth writing about, if only to try and do my bit to dispel this nonsense. In my various travels around the Web looking for East Asia-related content, I’ve noticed that this term comes up far more than it should. They are endowed with reason and conscience and should act towards one another in a spirit of brotherhood.Chinese alphabet? Yes, you read that right. CHINESE LETTERS FREETranslated by the Magistri Classical Chinese Tutor TranslationĪll human beings are born free and equal in dignity and rights. Tāmen fùyǒu lǐxìng hé liángxīn, bìng yīng yǐ xiōngdì guānxì de jīngshén hùxiāng duìdài. Rénrén shēng ér zìyóu, zài zūnyán hé quánlì shàng yīlù píngděng. Sample text (Mandarin - Simplified characters) Sample text (Mandarin - Traditional characters) This type of writing system is known as semanto-phonetic, logophonetic, morphophonemic, logographic or logosyllabic. As a result there are multiple characters for each syllable, each of which has a different meaning. There are relatively few different types of syllable in spoken Chinese - about 1,700 in Mandairn, compared to languages like English with over 8,000 - yet there are tens of thousands of characters. Words in Chinese can be made up of one of more syllables and each syllable is represented by a single character. The main written form of Chinese is based mainly on the MandarinĬhinese is written with characters (汉字 hànzì) which represent both sound and meaning. The word 汉 (hàn) is used to refer to the Chinese people andĬomes from the Han Dynasty (206 BC - 220 AD). elsewhere it is refered to as 国语 (guóyǔ) = "national language" or 华语 (huáyǔ) = "Chinese language". Mandarin Chinese is known as 汉语 (hànyǔ) = "Han language", or 普通话 (pǔtōnghuà) = "common language" in China. In China the written form of Chinese, which is perceived as being uniform throughout the country is referred to as 中文 (zhōngwén), while the terms 语 (yǔ) or 话 (huà) are used in the names of spoken varities of Chinese, e.g. However there is little mutual intelligiblity between the different varieties of Chinese and as a result some non-Chinese linguists refer to them as separate languages.Ī distinction is made in Chinese between spoken and written language. Chinese people generally refer to Chinese as a single language with a number of different dialects or varieties. The English term dialect normally refers to mutually intelligible varieties of a single language, though the distinction between dialects and languages is often for sociological and political reasons rather than linguistic ones. The different varieties of Chinese are known as 方言 (fāngyán), which is translated as 'regional languages', 'toplects', 'dialects' or 'varieties'. More information about spoken Chinese Written Chinese (中文)īraille for Chinese (盲文) Chinese languages or dialects? Varieties of spoken Chinese are traditional grouped into the following major groups: There are also communities of Chinese speakers in many other parts of the world. ![]() ![]() Taiwan), Singapore and other parts of Southeast Asia. 1600-256 BC).Ĭhinese is spoken by about 1.3 billion people mainly in the People's Republic of China, the Republic of China (a.k.a. ![]() 5th - 12th centuries AD), and which developed from Old Chinese (上古汉语 ), which was spoken during the Shang and Zhou Dynasties and the Warring States Period (c. The modern varieties of Chinese all descended from Middle Chinese (中古汉语 ), which was spoken in China during Southern and Northern Dynasties, and the Sui, Tang, and Song dynasties (c. Chinese belongs to the Sinitic or Chinese branch of Sino-Tibetan language family. ![]() ![]() 'If the Adeptus Astartes are the Emperor's wrath, and the Imperial Guard His hammer, then His Holy Navy is His mighty shield.' - Cardinal Kregory Hestor The Imperial Navy is arguably the most iconic and most powerful navy in Warhammer 40k lore. ![]() Abaddon the Despoiler had attempted a campaign against the system, and after he was repelled by Imperial forces, it was decided that Cadia would be a fortress world against the sporadic attacks of forces in the Eye of Terror. Gothic Battlegroup patrolling a sector of space. The Cadian system is possibly the most well known system, with its 1st Imperial Guard Regiment having many successful campaigns and gaining Imperium wide recognition. ![]() eBay Battlefleet Gothic and W40k Imperial Guard. #BATTLE FLEET GOTHIC 2 IMPERIALGUARD PLUS#It is said that 7/10 of Tracian Primaris, the capital of the sector, is covered in Hive cities. Selling off multiple sets of BFG bits, plus 2 IG Chimera hulls, one with the FW Hydra hull. There are also two Forge Worlds which supply the vast Scarus Defence Forces, Nysa Stromolo and Mordax Prime. There are also numerous temperate and agri worlds to support the Hives. The Scarus subsector is the most populous of all the sectors, with no less than six Hive Worlds which come together in trade and commerce and mutual defence. It's surface is constantly moving, creating and destroying mountain ranges rapidly. The planet has frozen mountain ranges, volcanoes and boiling geysers. Death Guard Warhammer 40K Miniatures, Games Workshop Warhammer Wargames. The planet is bathed in perpetual gloom as the planet is covered in a blanket of pollution, rarely broken by the sun's rays. Adeptus Titanicus (30) Blackstone Fortress (29) Battlefleet Gothic (26) Blood. It is from these recruits that the Iron Hands draw their initiates to create new Space Marines. Unlike many other parts of the Eye, life is hard and uncivilised barbarians cover many of the planets. The Medusa subsector is most famous as the homeworld of the Iron Hands chapter. ![]() It is said that the entirety of Battlefleet Obscurus could dock in the vast orbital shipyards in orbit above Belis Corona. The Belis Corona subsector is the heart of the Imperium's naval efforts and its docks are listed in von Heffman's Glorium Imperialis as one of the wonders of the Imperium. Given that the story is centered on Abaddon the Despoiler’s 13th Black Crusade, you’re given a. The Imperial Navy's Cruisers are the real backbone of the Imperium's armada, boasting two weapon bays on each side, heavily armored prows and spurs for ramming into enemy vessels while unleashing vicious broadside and decently trained assault troops to wreak havoc on enemy ships and their subsystems. Sectors, Subsectors and Systems surrounding the Eye of Terror Battlefleet Gothic: Armada 2 ‘s newest expansion provides a brand new Chaos grand campaign. Battlefleet Gothic Armada 2 Opening Sectors Cinematic-0 ![]() |
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