211 Matching Annotations
  1. Nov 2018
    1. “My feeling at the time was this was a good idea,” Dr. Wachter says. “The trend toward our system being pushed to deliver better, more efficient care was going to be enduring, and the old model of the primary-care doc being your hospital doc … couldn’t possibly achieve the goal of producing the highest value.”

      How can care be made further efficient? E.g., integration, cost-sharing, payment-sharing, parent partners, nurse partners

  2. Aug 2018
    1. efficiency has come to mean accomplishing a task with the least possible human intervention—a goal that often turns out to be self-defeating, particularly when efficiency becomes almost an end in itself. Recall Thomas Edison’s famous line that genius is one percent inspiration and 99 percent perspiration and contrast it with our contemporary enthusiasm for machine-like efficiency

      Interesting connection here between the efficiency mandate and the "talent means no effort required" attitude we see in many school settings.

  3. Apr 2017
  4. enst31501sp2017.courses.bucknell.edu enst31501sp2017.courses.bucknell.edu
    1. William Cunningham,

      William Cunningham is an Emeritus Professor at the University of Minnesota where he taught for 36 years in the Departments of Botany and Genetics and Cell Biology as well as the Conservation Biology Program, the Institute for Social, Economic, and Ecological Sustainability, the Center for Environmental Learning and Leadership, and the McArthur Program in Global Change. He received his Ph.D. in Botany from the University of Texas in 1963 and spent two years at Purdue University as a postdoctoral fellow. At various times, he has been a visiting scholar in Sweden, Norway, Indonesia, and China, as well as several universities and research institutions in the United States. Dr. Cunningham has devoted himself to education and teaching development at the undergraduate level in biology. He began his educational career in structural biology but for the last 10-15 years has concentrated on environmental science, teaching courses such as Social Uses of Biology; Garbage, Government, and the Globe; Environmental Ethics; and Conservation History. Within the past four years, he has received both of the two highest teaching honors that the University of Minnesota bestows: The Distinguished Teaching Award and a $15,000 Amoco Alumni Award. He has served as a Faculty Mentor for younger faculty at the university, sharing the knowledge and teaching skills that he has gained during his distinguished career.

      Cunningham, William. "Arctic National Wildlife Refuge." Environmental Encyclopedia 1 (2011). Accessed March 26, 2017.

  5. Jan 2017
  6. Feb 2016
    1. We are on the threshold of sweeping change that will make it easier for teachers to teach and students to learn faster and more effectively

      I see this as evidence of technology determinism, which this article is shot through with. This kind of sentiment comes off as if technologies make things better, faster, more efficient for all involved parties, without consequence. It also assumes a consensus around what improved teaching and learning looks like and means. IMO, "efficiency" recalls turn of 20th century industrialist philosophy and rhetoric. In the work of education, I think that we need to ask if efficiency really is always better, and better for who. I am suggesting that in many cases efficiency is better for administrators from a business perspective, but not so for learners.

  7. Jan 2016
  8. May 2014