Privatisation in Space: Poor Prospects and the Inevitable Lurking Dangers – NewsClick

As part of the Rs 20 lakh crore economic stimulus package announced by the government to supposedly boost a COVID-19-impacted economy, the Finance Minister (FM) declared that all sectors of the economy would henceforth be open for the private sector, and that public sector undertakings (PSUs) would work mainly in strategic sectors and be privatised in others. One of the areas thrown open to the private sector was space.

The FMs telecast was followed by a Union Cabinet decision on June 24, 2020, which approved approved far reaching reforms in the Space sector aimed at boosting private sector participation in the entire range of space activities, including launch, satellites and even space exploration, through an announcement of opportunity mechanism. The related press statement underlined that the decision was in line with the long-term vision of the Prime Minister of transforming India and making the country self-reliant and technologically advanced.

New systems and institutions

The same cabinet meeting also approved the formation of an Indian National Space Promotion and Authorization Centre (IN-SPACe), an institution under the Department of Space, to provide a level playing field for private companies to use Indian space infrastructure (and also to) hand-hold, promote and guide the private industries in space activities through encouraging policies and a friendly regulatory environment.

Many media outlets wrongly reported that a new public sector undertaking (PSU) called New Space India Limited (NSIL) was also launched simultaneously to promote private sector collaboration. Actually, NSIL had been launched on March 6, 2019, to commercialise the R&D work of the space agency, launch satellites, co-produce rocket launchers and satellites in collaboration with other companies, and also take on marketing responsibilities for ISRO services. Antrix Corporation, bedeviled by scandal and damage claims, has clearly been dumped.

There has been the usual gushing welcome laid out for these reforms in the pink press and by some commentators. There has also been much speculation about the privatisation of the Indian Space Research Organization (ISRO), and predictions of the blossoming of a hitherto sluggish space establishment.

Before discussing these in detail, it should first be clarified that ISRO is not being privatised, not yet at least. Second, nevertheless, there are lurking dangers inherent in the extent and direction to which space is opened up to the private sector. Third, the anticipated efflorescence of an extensive private sector Indian space industry is very unlikely, given known structural weaknesses and capability constraints of the private sector in India.

Current ISRO-private sector collaboration

The basic idea of involving outside agencies, either public or private, in the Indian space sector, is actually almost as old as Indias space programme itself. The idea was to gradually build capabilities in Indian industry to broaden the industrial base and set up a supply chain for advanced technologies, while enabling ISRO to focus on R&D, new technologies, space exploration, and development and defence-related applications.

ISRO, like many other R&D-oriented institutions in India, or indeed like its peers abroad like NASA, is not structured for large-scale production. Therefore, ISRO has long sub-contracted its work for building components and sub-assemblies for rocket launchers and satellites, to companies in the public and private sectors, while itself undertaking system integration and actual launches and related activities.

As ISROs work load has increased now to around 10 satellite launches annually and several new ventures in the pipeline besides increasing launch orders from abroad, the pressure on ISRO to offload production tasks has increased sharply, with a need for more partners; especially those capable of higher levels of system integration.

ISRO already works with over 150 companies, mostly in the private sector, and such collaboration is increasing by the year. Just for comparison, NASA works with around 400 private partners. A considerable part of satellite construction in India is already undertaken by outside agencies.

In the ill-fated Chandrayaan-2 mission, many private companies, including both older engineering majors and new age entities, such as L&T, Godrej Group, Laxmi Machine Tools, INOX Technologies and Karnataka Hybrid Micro Devices, played important roles in fabrication and testing of engines, boosters for the GSLV launcher and thrusters for the lander etc.

Alpha Design Technologies from Bengaluru has already integrated two successfully launched ISRO satellites. ISRO controlled the design, quality control and components, many of which were also outsourced. ISRO now plans on involving three companies namely, Alpha Design, Defence-PSU Bharat Electronics Ltd (BEL) and Tata Advanced Systems, in integration of 27 new satellites over the next three years.

Earlier, ideas on hiving off or forming Joint Ventures (JV) for manufacture of ISROs work horse Polar Satellite Launch Vehicle (PSLV) will now be operationalised by the newly formed PSU NSIL, leaving only the actual launch, tracking and telemetry to ISRO.

NSIL will get small satellites made, and also manufacture the new Small Satellite Launch Vehicle (SSLV), a new launcher being developed by ISRO, all in collaboration with industry partners. NSIL has already bagged its first client in August 2019, the US space services provider Spaceflight, which will use the second development flight of the SSLV to place multiple micro-satellites in low-earth and sun-synchronous orbits for an "undisclosed US-based satellite constellation customer.

It is hoped that ISRO and NSIL, which has been set up specifically to bring technologies into production and build domestic supply chains, would also take major steps towards a greater indigenisation of satellite technologies. At present, between 40% and 50% of components are imported.

Lurking dangers

All of the above, though, are in the nature of sub-contracts and building supply chains, quite common to most PSUs. The real potential dangers lie in how future directions in space are envisaged and driven by Government, rather than ISRO, which has little option but to follow.

The language being used for the scope of work of IN-SPACe is eerily similar to that used for other government regulators in sectors like electricity, telecom, insurance and aviation wherein the regulators brief is to promote and build capabilities of private sector entities and simultaneously ensure a level playing field between the private and public sectors.

In practice, this has meant the whittling down of the role and scale of the public sector, boosting the interests of private entities, with the regulator placing a heavy thumb on the latters side of the balance. Such a structure has meant the domination of market forces rather than societal considerations in determining goals, technology options, operations and pricing. In almost all cases, this has resulted in higher prices, lower access for poorer classes, and generation of less public good than private profit.

This can have extremely serious repercussions for the space sector.

Indias space programme, from its inception in the early post-Independence era, had adopted a direction considerably different from that of other countries. Rather than being dominated by space exploration and national ego-boosting dramatic feats, India and ISROs space endeavours sought specifically to build self-reliance, being heavily tilted towards developmental applications remote sensing, cartography, geo-spatial resource mapping, tracking of land-use change, forests, urban spaces, one of the worlds earliest satellite education programmes, enabling artisanal fishers to locate shoals, later information and communication, and of course some military applications.

If market forces and interests of private players come to dominate, one can foresee a significant drop in application-oriented space programmes, with the Government declining to fund ISRO and requiring it to raise funds from private customers, with the latter being disinterested in many of these programmes. Only some commercial space activities such as communication and geo-location may survive, while other application-oriented programmes may shrink, leaving mainly costly space exploration and manned space flights to ISRO, with the government constantly bemoaning high costs, with little or no tangible returns as in the US. Self-reliance too may suffer with commercial players preferring launch services from other countries or entering into foreign collaboration for satellites, instruments and the like.

The other danger is in strategic areas. Most space applications have dual civilian and military applications. Civilian launchers and missiles share technologies and, in many countries, use the same rocket engines. ISRO has taken great pains to develop self-reliant capabilities in space technologies, and sharing such technologies with the private sector, except under strict controls, can lead to undesirable consequences.

This may not appear to be important when US companies like Boeing and Lockheed Martin operate in both the civilian and military sectors, and NASA does not make its own rocket engines but then in the US, even the private military-industrial complex is really part of the State. Unfortunately, the current government apparently sees no threats from opening the defence manufacturing industry to foreign defence majors and happily encourages collaboration of domestic private companies with the former. If this is the governments vision of self-reliance, then the dangers of similarly opening up in the space sector are evident.

Fanciful projections

Finally, while announcing these reforms, the government put forward several wild, exaggerated and far-fetched claims.

The measures were said to be "yet another step towards making our nation technologically advanced, without any explanation as to how that would happen. The private sector would gain from getting access to advanced technologies and new contracts, but mostly piggy-backing on ISRO technologies. The private sector has been ahead of the public sector in no advanced technology area in India. According to the policy itself, all the R&D would be done by ISRO like it its already happening there is no additional input or fresh R&D funding being promised, so it is difficult to understand how private sector participation helps technological advancement.

Similarly, the governments Press Note states that through the reforms, the sector will receive new energy and dynamism, to help the country leapfrog to the next stages of space activities." Again, there is no vision, funding or mission to enable such a jump in technologies, capabilities or infrastructure. Claims that these measures will enable the Indian industry to be an important player in the global space economy, and creates an opportunity for large-scale employment in the technology sector and India becoming a global technology powerhouse, are simply daydreams with no grounding in reality.

The prize for the most fanciful claim, though, must go to the notion that the private sector would also participate in planetary exploration! Private entities in India have historically and consistently shied away even from industrial or technological R&D, and we are expected to believe the private sector would spend money on space adventures? Unless of course the Government promised some crony capitalists mining rights on, say, the Moon?

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Privatisation in Space: Poor Prospects and the Inevitable Lurking Dangers - NewsClick

Japan to Boost Space Cooperation with US – Manufacturing Business Technology

Japanese Prime Minister Shinzo Abe, right, at a government meeting on space development at his office in Tokyo, June 29, 2020.

Kyodo News via AP

TOKYO (AP) Japan said Monday it will step up its defense capability in space and improve its ability to detect and track missiles, while cooperating with the United States in response to what it called a growing threat from North Korea and China.

A revised basic space policy adopted by the governments strategic space development panel endorses plans for a number of small-scale intelligence-gathering satellites to quickly assess North Korean missile movements.

In civil aerospace, Japan will seek to cooperate with the U.S. in sending astronauts on an American lunar mission.

The revised policy is be adopted by the Cabinet on Tuesday.

Japan aims to double the scale of its space industry from the current 1.2 trillion yen ($11 billion) by the early 2030s.

Prime Minister Shinzo Abe pledged Monday that his government will promote investment in future strategic areas such as technology to clean up or avoid hitting space debris, as he set a goal for Japan to become a future independent space power.

Abe has pushed for Japans Self-Defense Force to expand its international role and capability by bolstering cooperation and weapons compatibility with the U.S., as it increasingly works alongside American troops amid concerns about the increasing capabilities of China and North Korea.

Japan launched a new space defense unit in May to monitor and counter threats to the countrys satellites.

The Space Operations Squadron, part of Japans Air Self-Defense Force, started with 20 members and is expected to grow to about 100 once it is fully operational in 2023.

The launch of the squadron comes amid growing Japanese concern that China and Russia are seeking ways to interfere, disable or destroy satellites.

The squadron will cooperate with the U.S. Space Command that President Donald Trump established last year, as well as Japans space exploration organization, the Japan Aerospace Exploration Agency.

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Japan to Boost Space Cooperation with US - Manufacturing Business Technology

Sex in Space: Can Astronauts Ever Have This Out-of-the World Experience? – News18

Ever wondered how astronauts have survived inside a closed, isolated space for months and successfully (maybe) turned a blind eye to their human desires?

Yes, they are far away from the Earthly cravings and despite their extraterrestrial duties and principles, lets not forget, astronauts are humans with needs. And with science advancing itself so fast, how have we still not addressed the gamut of sex in the course of space exploration?

While events of space explorations and Mars Mission have always hit headlines, international space agencies are yet to come up with any scientific advancement that allows astronauts to make their space journeys needs-friendly.

According to reports, NASA and other space agencies have so long denied the occurrence of any sexual activity in the space.

But why so? Well, there seems to be nth number of troubles when it comes to having sex in micro-gravity.

As per a report by the New York Post, John Millis, a physicist and astronomer, compared having sex in space to having intercourse while skydiving. However, he added that it was not impossible.

He further explains, The issues surrounding the act, all revolve around the freefall, micro-gravity, environment experienced by astronauts, adding, Imagine engaging in sexual activity while skydiving every push or thrust will propel you in opposite directions.

Experts suggest that due to low gravity, the effect of blood flow and pressure in the body impacts ones sex drive. Micro-gravity makes the blood rise to the head instead of rushing to the genitals, making it difficult for humans to feel aroused.

Adding to it is the constant low pressure felt below the waist level causing the penis tissue to shrivel. Hence a man might shy away when it comes to an erection. Among several other issues caused due to the low gravity, there's also a sudden drop in testosterone levels killing the sexual craving.

Also to state the obvious, even if one manages to have sex in low gravity, it would be highly awkward to see all that sweat and fluid pooling and floating around the spaceship.

A report by Slate.com highlights another issue the constraint of space and privacy in the big, isolated, spacious space!

The report states that a regular shuttle is about the size of a Boeing 737, and lacks a closed room for astronauts to indulge in privacy. It has two main areas a crew cabin and a middeck, which are often described as small offices. This leaves them with a bathroom. However, the restroom, too, is just little more than a seat with a curtain.

Besides, astronauts have little time left for some rumpy-pumpy after attending to their hectic schedule. However, it has been reported that the crew members do have their designated week-offs when they "generally have a good time."

Then, does it mean people have never attempted to pleasure themselves during their long stint of floating? We dont know. Although speculations have been rampant, its yet to be addressed.

In 2008, speaking to Space.com, Bill Jeffs, spokesperson for NASAs Johnson Space Center in Houston, had said, "We dont study sexuality in space, and we dont have any studies ongoing with that. If thats your specific topic, theres nothing to discuss."

NASA has a policy to not let married couples travel together to space missions. However, an exception was made in 1991, when the agency allowed the first married couple to embark on a mission together. It was reported that Jan Davis and Mark Lee, the "training-camp sweethearts got secretly married very close to the launch date." But both had later refused to answer any question in this regard.

In another chain of whispers, a Russian astronaut, Valery Polyakov was rumoured to have drawn close to fellow astronaut Elena Kondakova during their time together in the Mir Mission for 14 months.

But, the Kremlin had strongly denied such claims and the New York Post reported that Polyvakov did admit to "being tortured by thoughts of randiness while on his long and arduous mission".

So can nothing be done to douse these thoughts and desires? Experts have suggestions to make.

Few of the firsts to consider are sex toys, virtual or augmented partners, erotic chatbots and erotic robots or erobots.

According to Space.com, erobots can be a practical solution to tackle the inhuman conditions of space exploration and colonization. It adds, erobots could enable the crew to approach questions of intimacy and sexuality in space from scientific, relational and technological perspectives.

Going by the NY Post report, sci-fi author and inventor Vanna Bonta even came up with an outfit for the application of human intimacy in space. The '2suit' was reported to facilitate movement and allow the wearers to engage in sexual intimacy because of its unique design. However, not much has been reported on its implementation.

To end with, we must begin to discuss harnessing our tech-know-how that will make spaceships more human-compatible and make out of the world sex a true, reality.

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Sex in Space: Can Astronauts Ever Have This Out-of-the World Experience? - News18

SpaceX success has Asia startups dreaming of the stars – Nikkei Asian Review

TOKYO/PALO ALTO, U.S. -- For 19 hours on May 31, Nobu Okada was glued to his computer screen as the SpaceX Crew Dragon lifted off from Cape Canaveral, Florida, and successfully docked with the International Space Station.

It was a history-making moment: Elon Musk's space venture had achieved the first-ever private launch of a crew into space. For Okada, and many like him in Asia's burgeoning commercial space industry,it was both an inspiration and a challenge.

"I'll go beyond that," the 47-year-old CEO said in an interview with the Nikkei Asian Review.

But while SpaceX may have marked a major milestone for the industry, whether companies such as Okada's Astroscale can followis far from certain.

Space startups worldwide attracted $5.7 billion in investment last year, up 61% on the year and more than six times as much asin 2014,according to Bryce Space and Technology, a global space consultancy. But funding is under threat from the sudden economic downturn caused by the novel coronavirus, and few startups have found a path to commercial viability. Chinese ventures face the added hurdle of geopolitical tensions between Beijing and Washington.

"Space is notoriously hard. Many companies have tried to do what [SpaceX] achieved and couldn't take it to all the way, either in terms of R&D or commercialization," said Simon Gwozdz, founder of Equatorial Space Systems. His Singapore-based rocket startup aims to launch Southeast Asia's first commercial sounding rocket around early 2021.

"In the crucible of these times, we'll see who has better technology, a more practical approach to the market, and thepure personal resolve to survive and build a company," Gwozdz said. "Only in a time of crisis [do]you get to show how committed you are to the project."

Okada likewise sees a make-or-break moment for the industry.

"A venture shouldn't become defensive in a time ofcrisis," he said. "They should see it as an opportunity." Astroscale acquired an Israeli startup on June 3 as it pushes into the emerging field of in-orbit satellite maintenance services. Job inquiries have poured in, giving Astroscale a chance to hire experienced talent.

Okada views SpaceX's recent success, moreover, as a sign that his company's services will be in demand. "It underscores that our mission of removing debris and keeping space safe for spaceships is going to be more important," he said.

But while there is no shortage of ambition, fundraising for the sector may prove more difficult from now on. Japanese startups alone have attracted 60 billion yen ($560 million) in capital over the last five years, but traditional sponsors such as airlines and travel companies have been hit hardby the coronavirus themselves and are not in a position to back projects with iffy returns.

Then there are the technical hurdles, which are by no means small.

Hokkaido-based Interstellar Technologies, founded by serial entrepreneur Takafumi Horie, faced its latest setback on June 14, when its attempt to launch a rocket into orbit failed. Five days later, the startup said it would plan another launch this summer.

Interstellar sent a 10-meter sounding rocket into space last May but has yet to replicate that success. In the face of repeated disappointments, Interstellar President Takahiro Inagawa says he takes inspiration from Space X, particularly its co-founder, Tom Mueller.

"His story of being an amateur rocketeer trying to build his own small rocket and achieving a historic crewed launch in just 20 years or so is very encouraging," Inagawa said. "This means that we can also do it if we do the same way."

Chinese startups, meanwhile, may also take inspiration from SpaceX's recent achievement, but they have had to follow a different path.

One reason is political: For most space startups, the main source of revenue is contracts for rocket launches. Since 1999, however, the U.S. has banned any satellites that contain U.S.-made components from being launched by China, after Washington accused Beijing of stealing U.S. missile and space technology.

Given the preeminence of American technologyin the satellite industry, "Chinese space companies, private or state-run, have been basically denied access to the international market since then," said Li Chao, a senior space analyst at a Shanghai-based consulting company.

"They might be able to get some contracts from some Third World countries who are not American allies, but other than that, not many would want to risk angering the U.S. to have their satellites being launched by a Chinese company," he added.

Lincoln Hines, a U.S.-China space industry researcher at Cornell University, agreed.

"China is having some kind of an image problem," Hines said. "Some characteristics that are distinct to China's political and economic system have made it more difficult for its commercial space sector to compete."

China's domestic space market, meanwhile, is dominated by state-run enterprises, such as China Long March Rocket, leaving newcomers in the private sector struggling for revenue. This, according to Li, is the bigger problem. "China's space industry has been striving for survival in the crevice from the very beginning," Li said." The exclusion from the Western world is not new. The real challenge for them is to find a profit model."

Then there is the issue of government support.

Under the Obama administration, NASA, the U.S. space agency, decided to hand over low-earth orbit transportation to private industry in order to focus on more ambitious missions, such as sending people to Mars.

"NASA's decision to reposition itself and start regularly contracting private companies for low-earth orbit projects is the main driver for the industry to flourish in the U.S.," Li said.

SpaceX alone has received billions of dollars in support and contracts from NASA, including more than $3.1 billion to fund the development of the recently launched Crew Dragon capsule. It has also secured several contracts with the agency over the past two decades, including a $1.6 billion commercial resupply services agreement in 2008 for at least 12 missions.

More recently, three companies -- SpaceX, Alabama-based Dynetics, and Blue Origin, the Washington State-based space startup owned by Amazon's Jeff Bezos -- were collectively awarded aNASA project worth almost $1 billionon April 30. Their job is to help land a man and the first woman on the surface of the moon by 2024.

"I think there's a tendency for the public to equate commercial with [the]private sector," said Hines at Cornell. "There are a lot of private space companies in the U.S. selling their products to state-run entities. They can still be private companies [even] if not 100% contracts are commercial," he added.

China, by contrast, has focused on state-run space exploration. Its latest milestone came on June 23, when it successfully launched into orbit the final satellite for its BeiDou-3 navigation system. The completedBeiDou-3 networkcan now provide worldwide navigation coverage, meaning China is no longer reliant on the U.S.-owned GPS.

It took China more than 20 years to complete the project, which reportedly cost the country more than $10 billion.

"BeiDou is the perfect example of whatChina's space industry has been like over the past decades: state-led, with world-leading technologies, but not evolving as quickly or spending as efficiently as it should be," said Wayne Shiong, partner at venture capital firm China Growth Fund, which is a backer of Chinese rocket startup LandSpace.

The country also overtook the U.S. in terms of launches back in 2011, last year putting 32 rockets into orbit, compared with 21 for the U.S., according to Bryce Space and Technology and the Center for Strategic and International Studies.

Despite its emergenceas a space power, however, Beijing has provided scant support for its commercial space industry. The State Council, China's chief administrative authority, gave private enterprise the green light to venture into space in 2014 and highlighted the need for government support for the sector in a 2016 white paper. But so far, no private space company in China has been awarded an independent launch contract.

"Until the Chinese government can hand out contracts to private space companies like NASA does, all the announced government support policies are just talk," Li said.

China nevertheless has over 120 private space companies. In the rocket launch segment alone, more than 23 startups have been founded since 2014, according to iResearch Consulting Group, a market research company.

The frontrunners in rocket launches include i-Space, LandSpace, One Space, LinkSpace and Galactic Energy, all founded after 2015. In just a few short years, they have attracted billions in funding from venture and strategic investors.

Among them, i-Space became the first Chinese private space company to successfully launch a rocket into orbit in 2019. LinkSpace successfully test-launched a reusable rocket, which landed in Mangai, Qinghai Province, after reaching an altitude of 300 meters.

"SpaceX makes China realize we are lagging behind in terms of rocket launches," said Shiong at China Growth Fund.

While China led the world with 34 orbital launch attempts, including two failures, in 2019, SpaceX alone accounted for 13 of the 21 U.S.-based launches last year and successfully launched 21 times in 2018.

"This one company has come close to launch[ing]as many rockets as an entire country, which is alarming to China," said Shiong.

"China is not lacking capital to invest in the space sector, there is plenty of money out there ready to pour into the sector. ... But for a lot of investors, space startups need to prove theirworth first," said Shiong.

"I think where those Chinese companies are at right now is where SpaceX was around 2010. They still need a good five to seven years to catch up. ... But one advantage they have is they know what mistakes not to make after SpaceX made them," he added.

But if there is another lesson that can be gleaned from the American company, it is the importance of sticking to a mission no matter how difficult. "It's important to know [that]what was not possible yesterday might be very much a reality tomorrow," said Gwozdz, the Singaporean entrepreneur. "It's up to us to make the difference today."

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SpaceX success has Asia startups dreaming of the stars - Nikkei Asian Review

We Have To Get Our Act Together: Cosmos: Possible Worlds Creator Ann Druyan On Science And Preserving Our Species – Deadline

We live in a world beset by major problems: the coronavirus pandemic, systemic racism and, as if those werent troubling enough, the threat of climate change. But Emmy-winning producer, director and author Ann Druyan maintains optimism about human potential. You might say she takes a cosmic view.

What gives me hope is that our ancestors had their backs to the wall on countless occasionsand they suffered tremendous hardships and managed to endure and even to flourish, Druyan tells Deadline. This is true of our speciesWe have what it takes.

She adds quickly that what she believes in is evidence-based hope.

We have the means to get through these terrible troubles, but we have to get our act together, Druyan insists. And one of the ways, in my view, is to spread the knowledge of science and high technology to the widest possible public once again.

Related Story'Cosmos: Possible Worlds' - Contenders TV Video

Druyan has been spreading the knowledge of science for at least 40 years now, going back to the 1980 PBS series Cosmos, which she co-created with her husband, astronomer Carl Sagan, and Steven Soter. The third installment in the series, Cosmos: Possible Worlds, recently premiered on National Geographic and will air this fall on Fox. Its contending for Emmy recognition as Outstanding Documentary or Nonfiction Series, as well as writing and directing honors.

Cosmos: Possible Worlds is forward looking, examining planets humans might one day inhabit, if we can there, but it equally explores ancient history.

Its about imagining the worlds of our ancestors, those vanished worlds of which we know so little, reconstructing the world of the distant past before humans even evolved, she explains, but also most deeply the possible world that this could becomeas well as our depictions of where we might go as a species if we endure and get to master interstellar travel.

Episodes document the importance of the development of the neocortex in mammals, as well as the work of pioneering scientists like Giovanni Domenico Cassini and Nikolai Vavilov, and philosophers like Spinoza, who located god in nature. Episode 1 delves into the possibility of space exploration using tiny nanocraft as the basis for future high-capability, lower-cost-risk missions beyond Earth, as NASAs Jet Propulsion Laboratory puts it.

We hope to launch a flotilla of a thousand such craft, Druyan shares. Theyre so small that I can carry one in my purse, in my wallet, actually. And yet they have all the capabilities of Voyager, but when fixed to a solar sail, they can actually achieve a significant fraction of the speed of light and would overtake both Voyagers [1 and 2] within four days.

Illustrating such complex concepts represents one of the primary tasks of Cosmos: Possible Worlds. The series makes use of animation and sophisticated visual effects to accomplish that.

All credit [goes] to my fellow director, Brannon Braga, to Jeffrey Okun, who is not only just a delightful person to work with, but a really brilliant VFX supervisor, and Karl Walter Lindenlaub, our director of photography, Druyan maintains. In really big-budget blockbuster movies, these visual effect shots usually last for 30 seconds or 20 seconds, but Jeff was creating visual effects for us that would last for five and six minutes. They really had to hold up. I just think he did an astonishingly brilliant job.

The series was shot on location around the world and on giant sound stages in Santa Fe, New Mexico. With a green screen as his backdrop, later substituted with the visual effects, host Neil deGrasse Tyson brought the cosmos to life with verve and scientific authority. He is an astrophysicist himself and director of the Hayden Planetarium at the Museum of Natural History in New York.

Every single one of those words was scripted by Brannon and me, so theres nothing spontaneous, Druyan reveals. Ive told him this a million times, his performance in this season was even greater than what he did in the previous season, which I thought was remarkable and wonderfulNeil is a scientist, so he has the kind of depth of understanding of what Brannon and I wrote. And he does have that same passion to connect that is critical if you want to be a science communicator.

Cosmos: Possible Worlds was supposed to premiere last year, but was delayed after Tyson was accused by several women of sexual misconduct. Druyan says she had made peace with the possibility the show might never see the light of day, but after several investigations National Geographic announced it was moving forward with the series (Tyson denied the most serious allegation against him, and said his behavior in other instances had been misinterpreted; he vowed in the future to be more sensitive to peoples personal space).

My own company, Cosmos Studio, mounted one of the investigations and we went about it with the utmost seriousness. BecauseIm a woman, and Ive lived the last 50 years or so of the trials and tribulations of what it is to be a woman in any business, Druyan comments. We just decided to follow the evidence wherever it led. And I know Fox, National Geographic, the American Museum of Natural History, everyone felt that way. But what we found was a degree of insensitivity, but nothing that rose to the level of anything more than that.

From 1980 onward, the Cosmos series has been on a journey of enlightenment, fueled by the dual engines of skepticism and wonder.

Then as now, there was a kind of a contempt for science widely expressed, and more recently to my horror, expressed by the current administration in myriad ways, Druyan notes. But when I first started doing Season 3, I was thinking that it was time once again, to make the case for science.

No one ever did that better than the late Carl Sagan, who died in 1996. Cosmos: Possible Worlds begins with his words and his distinctive voice: For all our failings, despite our limitations and fallibilities, we humans are capable of greatness.

Despite his passing almost a quarter of a century ago, Druyan says Dr. Sagans work and vision continue to inform the series.

Carl is very much at the heart of every season of Cosmos, she notes. Carl and I spent virtually every minute of 20 years together, working together, thinking together, building a family. And sonot in any supernatural way, but in the most natural waywhen you spend that much time thinking with someone and living with them, they continue to be a voice in your heart.

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We Have To Get Our Act Together: Cosmos: Possible Worlds Creator Ann Druyan On Science And Preserving Our Species - Deadline

Named the date of the first stage of placing of system of the Russian satellites in space – The Times Hub

Recently, the commander of aerospace forces of the Russian Federation Sergey Surovikin told the date of the first stage of the plan to deploy the national system of satellites in space. According to him, this will happen in 2022.

In a recent interview, General Sergei Surovikin, told reporters that experts deployed intelligence as one of the components of the program unified space system. After the run is done, the Russian space forces will begin work on high-orbit reconnaissance network. As for the full-scale launch, it will take place in 2024. At the moment, the experts have tested the item. Earlier, in the early autumn of last year, commander of aerospace forces of the Russian Federation presented the announcement of the tests of this installation.

As transfers the Internet-the edition Politekspert, now scientists are developing a complex system called Topaz. According to the plans of specialists, he will be able to control satellites of different types. According to Sergei Surovikino, space exploration would be to watch the movement of plants from all countries.

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Named the date of the first stage of placing of system of the Russian satellites in space - The Times Hub

Satellite Payload Market 2020 Size, Share, Trends with Growth and Business Strategies by 2026 |Dettwiler and Associates, honeywell International Inc,…

Satellite Payload Market Research Report

Los Angeles, United States, July 4th, 2020, The report on the global Satellite Payload market is comprehensively prepared with main focus on the competitive landscape, geographical growth, segmentation, and market dynamics, including drivers, restraints, and opportunities. It sheds light on key production, revenue, and consumption trends so that players could improve their sales and growth in the Global Satellite Payload Market. It offers a detailed analysis of the competition and leading companies of the global Satellite Payload market. Here, it concentrates on the recent developments, sales, market value, production, gross margin, and other important factors of the business of top players operating in the global Satellite Payload market.

With deep quantitative and qualitative analysis, the report provides encyclopedic and accurate research study on important aspects of the global Satellite Payload market. It brings to light key factors affecting the growth of different segments and regions in the global Satellite Payload market. It also offers SWOT, Porters Five Forces, and PESTLE analysis to thoroughly examine the global Satellite Payload market. It gives a detailed study on manufacturing cost, upstream and downstream buyers, distributors, marketing strategy, and marketing channel development trends of the global Satellite Payload market. Furthermore, it provides strategic bits of advice and recommendations for players to ensure success in the global Satellite Payload market.

Some of the Important Key player operating in this Report are: Macdonald, Dettwiler and Associates, honeywell International Inc, Thales Group, Raytheon Company, Airbus Group, Viasat, Inc, The Boeing Company, Harris Corporation, Space Exploration Technologies Corporation, Lockheed Martin Corporation

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Segmental Analysis

The report has classified the global Satellite Payload industry into segments including product type and application. Every segment is evaluated based on growth rate and share. Besides, the analysts have studied the potential regions that may prove rewarding for the Satellite Payload manufacturers in the coming years. The regional analysis includes reliable predictions on value and volume, thereby helping market players to gain deep insights into the overall Railway Signaling System industry.

Satellite Payload Segmentation by Product

, Navigation, Communication, Imaging, Others

Satellite Payload Segmentation by Application

Military, Commercial, Civil

Regions and Countries

The Middle East and Africa (GCC Countries and Egypt) North America (the United States, Mexico, and Canada) South America (Brazil etc.) Europe (Turkey, Germany, Russia UK, Italy, France, etc.) Asia-Pacific (Vietnam, China, Malaysia, Japan, Philippines, Korea, Thailand, India, Indonesia, and Australia)

Key Questions Answered

What is the size and CAGR of the global Satellite Payload market?

Which are the leading segments of the global Satellite Payload market?

What are the key driving factors of the most profitable regional market?

What is the nature of competition in the global Satellite Payload market?

How will the global Satellite Payload market advance in the coming years?

What are the main strategies adopted in the global Satellite Payload market?

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Table of Contents

Table of Contents 1 Market Overview of Satellite Payload1.1 Satellite Payload Market Overview1.1.1 Satellite Payload Product Scope1.1.2 Market Status and Outlook1.2 Global Satellite Payload Market Size Overview by Region 2015 VS 2020 VS 20261.3 Global Satellite Payload Market Size by Region (2015-2026)1.4 Global Satellite Payload Historic Market Size by Region (2015-2020)1.5 Global Satellite Payload Market Size Forecast by Region (2021-2026)1.6 Key Regions Satellite Payload Market Size YoY Growth (2015-2026)1.6.1 North America Satellite Payload Market Size YoY Growth (2015-2026)1.6.2 Europe Satellite Payload Market Size YoY Growth (2015-2026)1.6.3 China Satellite Payload Market Size YoY Growth (2015-2026)1.6.4 Rest of Asia Pacific Satellite Payload Market Size YoY Growth (2015-2026)1.6.5 Latin America Satellite Payload Market Size YoY Growth (2015-2026)1.6.6 Middle East & Africa Satellite Payload Market Size YoY Growth (2015-2026) 2 Satellite Payload Market Overview by Type2.1 Global Satellite Payload Market Size by Type: 2015 VS 2020 VS 20262.2 Global Satellite Payload Historic Market Size by Type (2015-2020)2.3 Global Satellite Payload Forecasted Market Size by Type (2021-2026)2.4 Navigation2.5 Communication2.6 Imaging2.7 Others 3 Satellite Payload Market Overview by Type3.1 Global Satellite Payload Market Size by Application: 2015 VS 2020 VS 20263.2 Global Satellite Payload Historic Market Size by Application (2015-2020)3.3 Global Satellite Payload Forecasted Market Size by Application (2021-2026)3.4 Military3.5 Commercial3.6 Civil 4 Global Satellite Payload Competition Analysis by Players4.1 Global Satellite Payload Market Size (Million US$) by Players (2015-2020)4.2 Global Top Manufacturers by Company Type (Tier 1, Tier 2 and Tier 3) (based on the Revenue in Satellite Payload as of 2019)4.3 Date of Key Manufacturers Enter into Satellite Payload Market4.4 Global Top Players Satellite Payload Headquarters and Area Served4.5 Key Players Satellite Payload Product Solution and Service4.6 Competitive Status4.6.1 Satellite Payload Market Concentration Rate4.6.2 Mergers & Acquisitions, Expansion Plans 5 Company (Top Players) Profiles and Key Data5.1 Macdonald, Dettwiler and Associates5.1.1 Macdonald, Dettwiler and Associates Profile5.1.2 Macdonald, Dettwiler and Associates Main Business and Companys Total Revenue5.1.3 Macdonald, Dettwiler and Associates Products, Services and Solutions5.1.4 Macdonald, Dettwiler and Associates Revenue (US$ Million) (2015-2020)5.1.5 Macdonald, Dettwiler and Associates Recent Developments5.2 honeywell International Inc5.2.1 honeywell International Inc Profile5.2.2 honeywell International Inc Main Business and Companys Total Revenue5.2.3 honeywell International Inc Products, Services and Solutions5.2.4 honeywell International Inc Revenue (US$ Million) (2015-2020)5.2.5 honeywell International Inc Recent Developments5.3 Thales Group5.5.1 Thales Group Profile5.3.2 Thales Group Main Business and Companys Total Revenue5.3.3 Thales Group Products, Services and Solutions5.3.4 Thales Group Revenue (US$ Million) (2015-2020)5.3.5 Raytheon Company Recent Developments5.4 Raytheon Company5.4.1 Raytheon Company Profile5.4.2 Raytheon Company Main Business and Companys Total Revenue5.4.3 Raytheon Company Products, Services and Solutions5.4.4 Raytheon Company Revenue (US$ Million) (2015-2020)5.4.5 Raytheon Company Recent Developments5.5 Airbus Group5.5.1 Airbus Group Profile5.5.2 Airbus Group Main Business and Companys Total Revenue5.5.3 Airbus Group Products, Services and Solutions5.5.4 Airbus Group Revenue (US$ Million) (2015-2020)5.5.5 Airbus Group Recent Developments5.6 Viasat, Inc5.6.1 Viasat, Inc Profile5.6.2 Viasat, Inc Main Business and Companys Total Revenue5.6.3 Viasat, Inc Products, Services and Solutions5.6.4 Viasat, Inc Revenue (US$ Million) (2015-2020)5.6.5 Viasat, Inc Recent Developments5.7 The Boeing Company5.7.1 The Boeing Company Profile5.7.2 The Boeing Company Main Business and Companys Total Revenue5.7.3 The Boeing Company Products, Services and Solutions5.7.4 The Boeing Company Revenue (US$ Million) (2015-2020)5.7.5 The Boeing Company Recent Developments5.8 Harris Corporation5.8.1 Harris Corporation Profile5.8.2 Harris Corporation Main Business and Companys Total Revenue5.8.3 Harris Corporation Products, Services and Solutions5.8.4 Harris Corporation Revenue (US$ Million) (2015-2020)5.8.5 Harris Corporation Recent Developments5.9 Space Exploration Technologies Corporation5.9.1 Space Exploration Technologies Corporation Profile5.9.2 Space Exploration Technologies Corporation Main Business and Companys Total Revenue5.9.3 Space Exploration Technologies Corporation Products, Services and Solutions5.9.4 Space Exploration Technologies Corporation Revenue (US$ Million) (2015-2020)5.9.5 Space Exploration Technologies Corporation Recent Developments5.10 Lockheed Martin Corporation5.10.1 Lockheed Martin Corporation Profile5.10.2 Lockheed Martin Corporation Main Business and Companys Total Revenue5.10.3 Lockheed Martin Corporation Products, Services and Solutions5.10.4 Lockheed Martin Corporation Revenue (US$ Million) (2015-2020)5.10.5 Lockheed Martin Corporation Recent Developments 6 North America Satellite Payload by Players and by Application6.1 North America Satellite Payload Market Size and Market Share by Players (2015-2020)6.2 North America Satellite Payload Market Size by Application (2015-2020) 7 Europe Satellite Payload by Players and by Application7.1 Europe Satellite Payload Market Size and Market Share by Players (2015-2020)7.2 Europe Satellite Payload Market Size by Application (2015-2020) 8 China Satellite Payload by Players and by Application8.1 China Satellite Payload Market Size and Market Share by Players (2015-2020)8.2 China Satellite Payload Market Size by Application (2015-2020) 9 Rest of Asia Pacific Satellite Payload by Players and by Application9.1 Rest of Asia Pacific Satellite Payload Market Size and Market Share by Players (2015-2020)9.2 Rest of Asia Pacific Satellite Payload Market Size by Application (2015-2020) 10 Latin America Satellite Payload by Players and by Application10.1 Latin America Satellite Payload Market Size and Market Share by Players (2015-2020)10.2 Latin America Satellite Payload Market Size by Application (2015-2020) 11 Middle East & Africa Satellite Payload by Players and by Application11.1 Middle East & Africa Satellite Payload Market Size and Market Share by Players (2015-2020)11.2 Middle East & Africa Satellite Payload Market Size by Application (2015-2020) 12 Satellite Payload Market Dynamics12.1 Industry Trends12.2 Market Drivers12.3 Market Challenges12.4 Porters Five Forces Analysis 13 Research Finding /Conclusion 14 Methodology and Data Source14.1 Methodology/Research Approach14.1.1 Research Programs/Design14.1.2 Market Size Estimation14.1.3 Market Breakdown and Data Triangulation14.2 Data Source14.2.1 Secondary Sources14.2.2 Primary Sources14.3 Disclaimer14.4 Author List

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Satellite Payload Market 2020 Size, Share, Trends with Growth and Business Strategies by 2026 |Dettwiler and Associates, honeywell International Inc,...

How much can you save by staying in-state for medical school? – American Medical Association

While tuition cost shouldnt necessarily be a deterrent from a career as a physician, the reality that the majority of medical students anticipate they will graduate with upwards of $150,000 in student-loan debtaccording to an AMA Insurance surveyis a daunting one.

Many students look for ways to lessen the tuition burden. Though not as widely available as they are for undergraduate study, medical school scholarships are available. It also can help save to stay in your state of residence for medical school and attend a public institution.

Paying public school tuitioneven for students who are not residents, in some casesis going to yield significant savings when compared with tuition costs at a private medical school.

A 2017 study based on tuition data gathered between 2006-16 found that the median cost of attendance for students paying in-state tuitionacross all statesover four years was $232,800. That figure compares favorably to the $306,200 four-year median cost of attendance for medical students attending private institutions over that time frame. Students attending public schools paying in-state tuition saved $73,400, according to the data.

That study also found that students paying in-state tuition had medical school debt loads that were about $20,000 lower than those attending private schools.

In-state tuition costs are always lower for residents, but the amount will vary. Based on data from the Association of American Medical Colleges, the most affordable medical school in the nation is Texas Tech University Health Sciences Center School of Medicine. For in-state medical students the current cost of tuition, student fees and health insurance is about $19,000 per year. For out-of-state students that number is around $32,000. That 40% tuition increase for out-of-state attendees is a fair baseline for how most states charge studentsthough there are some very notable exceptions.

That math was a factor for Avani Patel, MD, when she decided to attend the University of Mississippi School of Medicine in Jackson. Im someone who doesnt like the idea of debt, said Dr. Patel who will begin her residency training in the psychiatry program at Mississippi in July. If youre getting a very similar education, why would you pay more unless you want to pay more for the name or prestige?

Selecting a medical school requires a student to have some idea of what they envision their training experience to be. Dr. Patel valued hands-on clinical experience above other factors such as research opportunities, which made Mississippi a fit.

When I was researching medical schools, I knew affordability was important, so was being close to family and also feeling Id be very clinically strong, she said. I didnt want to go somewhere where I wouldnt have a ton of hands-on experience. Sometimes that doesnt happen at larger more prestigious institutions because they have to work down the hierarchy ladder [of other trainees]. They have fellows and residents to factor in, so you are going to be the last one to get any hands-on experience.

As far as factoring tuition cost into your decision, Dr. Patel views it as a something that is personal.

I always say self-awareness is key, Dr. Patel said. This is a choice that you have to make when youre very young but try to understand when youre researching [medical schools] what you are taking in terms of potential debt.

If youre interested in primary care and know you most likely [will] pursue primary care in your career it might make sense to go for a more affordable option. Its going to be less of a debt load, and youre going to get a great education. If youre looking to be the top neurosurgeon in the country and you need the top-notch research, for you it might be worth taking on a much higher debt load if it means going to an institution with the prestige and the resources that might be able to provide the opportunities you are looking for.

Medicine can be a career that is both challenging and highly rewarding, but figuring out a medical schools prerequisites and navigating the application process can be a challenge into itself. TheAMA premed glossary guidehas the answers to frequently asked questions about medical school, the application process, the MCAT and more.

Have peace of mind andget everything you need to start med school off strongwith the AMA.

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How much can you save by staying in-state for medical school? - American Medical Association

All UC Schools of Medicine to interview applicants virtually – University of California

The deans of University of California Health's six medical schools announced today (June 30) that all medical school, residency and fellowship interviews for the 2020-2021 academic year will be held in a virtual format. The decision creates a consistent approach of no in-person interviews so that all applicants who advance to the interview stage have the same setting for presenting their skills and are not encumbered by COVID-19 related travel concerns.

"We want to create an equitable process for all," said Dr. Cathryn Nation, vice president of health sciences for University of California Health. "Applicants to UC medical schools and residency programs rigorously prepare academically and usually travel for in-person panel interviews. We don't want these individuals to feel their chance for success is influenced by their ability to appear in-person at this time when the risk of coronavirus transmission remains a very real concern."

The announcement comes at the start of summer so that prospective students, residents and fellows can plan and prepare appropriately. Prospective medical school students typically submit their applications through the American Medical College Application Service in the summer with some applicants starting interviews in the fall. Those who apply for residencies submit applications by October. Students typically apply for fellowships, a phase of subspecialty training immediately after completion of residency, throughout the year depending on the area of specialization.

The shift to all remote interviewing was driven by a variety of factors including:

"We are adapting in real-time to unprecedented circumstances that disrupt typical practices," said Dr. Carrie L. Byington, executive vice president of University of California Health. "The shift to online interviews is consistent with our public health response to reduce the risk of viral transmission. Our goal is to support all applicants in pursuing their dreams without the additional stress related to the cost, logistics and transmission risk associated with interview travels."

This spring, UC medical schools also adapted 2020 Match Day ceremonies by moving to an online format. Match Day is when graduating medical students learn where they will serve their residencies, a critical step to become a licensed physician.

University of California Health's six medical schools - UC Davis Health, UC Riverside Health, UC San Diego Health, UCI Health, UCLA Health and UCSF Health - are all nationally ranked. UC's schools of medicine have approximately 3,500 medical students enrolled. Approximately 5,600 residents and fellows are advancing their post-graduation training in UC and affiliated hospitals.

About University of California HealthUniversity of California Health comprises five academic health centers, a community-based health system in Riverside and 19 health professional schools. All of UCs hospitals are ranked among the top ten in California and its medical schools and health professional schools are also ranked among the best in their respective areas. More information and news from University of California Health is available here.

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All UC Schools of Medicine to interview applicants virtually - University of California

Let COVID spark a new drive to expand medical education – ModernHealthcare.com

The crisis the American people confronted on Oct. 4, 1957, seems almost quaint by current standards: Our Cold War nemesis, the Soviet Union, had launched an artificial satellite into low-earth orbit. The beach ball-sized object, known as Sputnik 1, exposed a purported technology gap between the Western powers and our Communist adversary.

The U.S. responded neither with despair nor confrontation. Rather, the event proved a mainspring for an extraordinary investment in science and technology, transforming school curricula and leading to low-cost loans for STEM students through the National Defense Education Act.

Sputnik I also inspired a generation of young men and women to pursue careers in space technology and related fields. Watching the satellite cross the West Virginia sky propelled future Rocket Boys author Homer Hickam to a job as a NASA engineer; the event drove Alan Shepard, the first American in space, to become an astronaut.

Americans today face a grave crisis in COVID-19. Yet as thousands of healthcare workers serve on the front lines, fighting the virus and caring for their fellow citizens, we have an opportunity to make this pandemic our Sputnik I.

Despite increases in medical school applications and leaps in therapeutic offerings, perceptions of the medical profession have been in decline for some time. A 2014 study by Robert Blendon and colleagues found that only 58% of Americans agreed with the statement, "All things considered, doctors in the United States can be trusted." That compared with 76% in Great Britain and 75% in France. Increasingly, the burdens of electronic documentation and lost autonomy have thinned the ranks of physicians and scared away would-be replacements. If that were not deterrent enough, the average medical school graduate now carries more than $200,000 in debt.

COVID-19 may change some of those perceptions. In New York City, physicians have been cheered the way first responders were hailed after 9/11. Should we be fortunate, this newfound appreciation will prove the first step toward recruiting a future generation of passionate researchers and clinicians.

But inspiration is not enough. If our society is to make the most of this challenging moment, we must re-envision the healthcare workforce. Community buy-in for public health measures is essential during a crisis. Having a physician to whom one can relate is just as crucial for optimal care in non-pandemic times. This is best achieved through a diverse corps of physicians whose backgrounds and experiences reflect those of the broader population.

We are not there yet. For example, Black men have suffered disproportionate mortality during the COVID-19 pandemic, yet the total number of self-identified Black males entering U.S. medical schools last year was 604. Other underrepresented groups include first-generation college students, those from low-income backgrounds, Latinos, Native Americans and veterans. Children of blue-collar workers, single parents, and the disabled still face counterproductive barriers to entry.

Several marquee medical schools now offer free tuition, while others cap debt. That is a step toward equity. However, this approach largely helps candidates already in the pipeline.

What is needed are free post-baccalaureate programs for highly talented individuals who did not have a meaningful chance to pursue science education in high school or college so they can complete the preliminary coursework necessary to apply. Alternative pathways to entry are also essential: linkage programs that guarantee admission to "career changers" as long as they meet certain academic benchmarks. Low-income students giving up stable jobs to pursue pre-med courses should know that there is place for them in a medical school class if they succeed.

Finally, the country desperately needs more medical schools. At present, the number of seats for students is set artificially low, which in turn generates higher reimbursement for doctors. Yet the patient demand, especially in primary care, continues to grow. In essence, in a world of markets, doctors belong to a medieval guild. Why not let anyone capable of practicing first-class medicine join the field?

Much as Sputnik I transformed American scienceultimately leading to the first human steps on the moonmedicine is ready for its own moon landing. Let us make this the positive legacy of the current tragedy.

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Let COVID spark a new drive to expand medical education - ModernHealthcare.com

I Went Through Medical School For A Career I Loved And Put It To The Back Burner For My Kids – Yahoo Lifestyle

The clock was ticking steadily as I finished the last medical consultation for the day. It was already 58 minutes past 1pm, and I was looking at my watch nervously, hoping that this was the last of the long list of queries that the patient sitting in front of me had. I had already politely refused consultation to a couple of patients who were late, something that my receptionist could not fathom. I did not blame him, for not only was I facing a lot of aggressive competition in my field of medicine, but also my comeback to practice was very recent that too for limited hours. And the message that his expressions always conveyed to me was: Such an attitude towards work will take you nowhere! An attitude that was clearly completely opposite to my colleagues.

Was my love for medicine lesser than his? No I dont think so.

It had taken passion and loads of hard work to sift through those years in medical school, far away from family and friends. Experiencing innumerable instances of utter embarrassment at the hands of professors during clinical rotations in internship and going through the intense stress of medical examinations during post-graduation.oh, noit had been no easy task. And I had loved every bit of it. The joy of dissecting a corpse, my first friend in this journey to becoming a doctor; buying my first anatomy kit of human bones and painfully learning the tongue-twisting Latin name for every bony landmark (I dont understand why simple English has never worked in medicine; you have to be a complete sadist to make the subject more difficult than it already is!); trudging through the narrow lanes of the small village to the primary health care center for my community medicine posting; operating my first hernia under the expert guidance of a senior surgery resident; or delivering babies in a small crowded government obstetric set-up (no, I am not a gynecologist or a surgeon)I enjoyed every bit of my journey towards achieving my goal.

Story continues

And then came the residency and consultancy jobs in hospitals. The back-breaking night shifts, the medical rounds of patients that I admitted and re-assessed multiple times in the nights to make sure my treatment was helping them, the critical patients that we lost in spite of my teams best efforts in the emergency room, the lengthy discussions I had with my colleagues about difficult cases, and the welcoming comfort of home that I reached back to exhausted to the core, yet exalted after a days worth of hard work. Yes, I had loved it all.

Yet, I was ready to give it all up when I became a mother.

Despite having a great academic record during medical school and loving my profession for what it was, my family and my relationships had always taken a precedence over my work. Was it right? I do not know. But when my daughter was born, I knew that her tiny being needed me the most in those early years; and I would not deny her what she rightly deserved.

Unwittingly, I became her constant companion, while my husband toiled at the hospital, equally, or maybe more passionate about his work than me. During those years, despite enjoying those joyful moments with my daughter, I had pangs of regret for breaking my careers journey and intense longings for going back as well. But the thought of leaving her alone with nannies and maids in a city that was always in the news for its crimes, gave me the worst possible nightmares. And as usual, I gave my family a precedence over my work. When my son arrived, at a time when I had just started working a few hours at our clinic, the cycle repeated.

And even now, since I restarted my work two years ago, albeit with limited hours, I try to make sure that I reach my six- and four-year-olds on time to pick them up from school and be with them during their time at home. I see mothers (and fathers) who are passionately toiling away at their jobs, while their children are being picked up by nannies and being whisked away from one activity class to another, until their parents arrive back home in the wee hours of the evening. I am passing no judgement here; I know that not everyone has the option to pick their children up, and Im privileged to have that ability. But the joy that you see in your childs eyes when he catches a glimpse of you at the school gate, the contentment you feel when you pick him up safe and sound, the excitement in his voice when he chatters non-stop about his day at school (and believe me, the excitement is at a different level when parents are at the listening end), the satisfaction of seeing him eat his meal properly under your supervision, the joy of being able to spend some time with him playing or reading before he retires for the night these little moments are irreplaceable and will never come back.

Do I miss my work? Oh yes! Tremendously! I see colleagues of mine doing so much more, and so much better, than me. I see cases landing in emergency that I would love to handle, but I am no longer a part of that department. I see mothers at school looking incredulously at me for being there every day, dropping and picking up my kids what kind of doctor does that? And I wish tremendously that I could go back to full-time work at the hospital a place I loved, a profession I loved, a job I slogged at for so many years. But I see much younger colleagues taking up the mantle and I wonder if I will ever fit the profile once again.

Not that it takes away anything from my present day work profile that entails outpatient consultations and outpatient procedures, and yet keeps things flexible for me. The procedures are specialized, done by only a few in India, where I live, and I had the opportunity to study and learn them during my full-time job of parenting. It has given me a niche area of expertise, and I love the few hours I can devote fully to the job I have presently chosen. It may not compare to what I had aspired for and loved so much, but I am grateful for it, hoping that these baby steps will lead me to more fulfilling heights. Because aspirations and passions never die they always hunt you down!

Would I do things any differently if given a chance to turn back the clock? No, I dont think so. I may have missed out a lot in my career, but my childrens growing years will never come back, and missing out on them would have been the biggest regret of my life. Seasons are often fleeting; they come as fast as they go. It is evident in the rapid pace at which babies grow up. We should embrace these seasons or else we miss out on the beauty of each one. After all, we only have a small window of opportunity to shape our childrens hearts and minds.

Its a coincidence that all of us, my two sisters and I, have scaled down our full-time professions to take care of our families; maybe its the genes, or maybe its the sheer joy we felt to have our mother around us always.

There are days when one feels wasted and frustrated, days when one wants some relief from the constant responsibility of the family, days when one just wants to turn the clock back but it takes a lot of love, passion, hard work and sacrifice to balance the things that are important to oneself.

I hope that someday we can go back to taking out time for ourselves, doing the things we love, going back to jobs that we cherish, being who we were without guilt or hesitation. But for today, the best thing we can give our children is time.

See the original article on ScaryMommy.com

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I Went Through Medical School For A Career I Loved And Put It To The Back Burner For My Kids - Yahoo Lifestyle

Applying to residency? The Residency Explorer tool can help – AAMC

For many fourth-year medical students, the process of applying to residency is marked by anxiety, fierce competition for a select number of spots and, often, difficulty gauging which residency programs are most likely to meet their needs.

Its a scenario that has led many students to send out dozens of applications in the hopes of increasing their odds of matching into a program, consequently adding to their own stress and forcing programs to wade through an inordinate pool of candidates.

To help MD and DO students and international medical graduates make better-informed decisions about where to apply, the AAMC has partnered with eight national boards and associations that play critical roles in medical education and licensure to develop Residency Explorer. The tool, which launched on June 26, is intended to give medical students a clear picture of how they compare in experiences and exam scores to applicants who matched previously to programs, as well as provide dozens of characteristics of specific residency programs.

Students told us that the information they previously had access to was fractured, incomplete, and unreliable, says William Mallon, EdD, AAMC senior director of strategy and innovation development and one of the leaders of Residency Explorer. Students had difficulty finding any one source that had everything they needed.

Residency Explorer is designed to personalize medical students search for residency programs by allowing each student to create a profile that represents what they will be putting on their applications, including exam scores, peer-reviewed publications, volunteer work, and research experiences.

Once a student has created a profile and selected a specialty, they can refine the results to be limited to a certain state, region, or distance from ZIP code.

The tool will then show the student how they compare to applicants who matched with specific programs from 2016 to 2020 in each of the various criteria.

Students told us that the information they previously had access to was fractured, incomplete, and unreliable.

William Mallon, EdDAAMC senior director of strategy and innovation development

Beyond matching criteria data, the tool provides a page for each residency program that gives a snapshot of its characteristics, including how many people applied and what percentage were offered an interview, the programs self-reported USMLE or COMLEX-USA exam score ranges or minimum requirements, salary and benefits information, average hours per week a first-year resident works, the demographic makeup of the residents, and other information.

Students can select multiple programs and the tool will generate a spreadsheet to show side-by-side comparisons on the various metrics.

David Bernstein, MD, MBA, first learned about Residency Explorer when it was in its initial phases and he was serving as the chair of the AAMC Organization of Student Representatives. At the time, he was a fourth-year medical student at the University of Rochester School of Medicine and Dentistry, and he was beginning to think about his own residency applications.

He was happy to hear that there would be a reliable source of information that could help him as he began the process of narrowing down which programs he would pursue.

Theres a lot of unverified data and information out there, Bernstein says. Understanding that this was coming from the keepers of the true data was of interest to me and of value to me.

He notes that he and his peers could turn to mentors and advisors for guidance about various programs, which was helpful, but he believes that the verified data provided by Residency Explorer helped give him a more complete picture.

You didnt have that before, he says. It was just a guesstimation.

Bernstein is now starting his first year of residency in orthopedic surgery at Harvard Medical School, a program he chose because he believed it would not only prepare him to be a great surgeon but also foster his interests in patient advocacy, public policy, and the business of health care.

Right now, the students apply to a lot of programs and see what programs offer them an interview. Its like throwing spaghetti at the wall and seeing what sticks.

Donna Elliott, MD, EdDVice dean for medical education at the Keck School of Medicine of the University of Southern California

Its factors like these that should play a major role in matching decisions for both students and residency programs, says Donna Elliott, MD, EdD, vice dean for medical education at the Keck School of Medicine of the University of Southern California.

The students have trouble figuring out at the 30,000-foot level whats a good fit, she says. The values, the opportunities, the patient populations does it match what Im interested in?

Shes seen students become overwhelmed by options, with those pursuing particularly competitive subspecialties applying to as many as 120 residency programs.

Right now, the students apply to a lot of programs and see what programs offer them an interview, she explains. Its like throwing spaghetti at the wall and seeing what sticks.

Research conducted by the AAMC shows that there is a point at which a students chances of matching does not increase with the number of additional applications. That number can vary by specialty and depends on the students testing scores, but it suggests that students can save time, money, and administrative hassle by limiting the number of programs to which they apply.

Elliott believes Residency Explorer will take some of the guesswork out of the process and may help applicants make better informed decisions about where to apply. In turn, that could potentially help residency programs by giving them fewer applications to consider.

And with fewer submissions to sift through, Elliott hopes that, in the future, residency programs might be able to loosen up on policies that disadvantage learners with lower testing scores in favor of looking at each student as a whole.

The program will put a filter at [a USMLE score of] 240, she says. Programs are probably missing some excellent residents when they do that.

The path to Residency Explorer began several years ago when nine national associations and boards came together to help students with the struggles they faced in transitioning from medical school to residency. In addition to the AAMC, the groups were the Accreditation Council for Graduate Medical Education, the American Association of Colleges of Osteopathic Medicine, the American Medical Association, the Educational Commission for Foreign Medical Graduates, the Federation of State Medical Boards, the National Board of Medical Examiners, the National Board of Osteopathic Medical Examiners, and the National Resident Matching Program.

Our organizations realized that none of us had all the data and information that students wanted to help them make more confident decisions about where to apply, Mallon explains. But if we pooled our resources, we could provide a tool with the source-verified information that students desired and could trust.

After building and testing multiple prototypes with input from scores of medical students and their advisors, the organizations launched Residency Explorer on June 26, designed for rising fourth-year medical students and applicants for the 2021 ERAS and Match season.

This is one piece of a very complex, high-stakes, high-stress period in the life of medical students and others applying to residency, and this tool addresses one of those factors that contribute to that.

Angelique JohnsonAAMC senior director of integrated learner services

In feedback provided on the 2019 working prototype, 9 out of 10 users said that, after using the tool, they felt more confident about which programs to apply to and more informed about the characteristics of their programs of interest.

This is one piece of a very complex, high-stakes, high-stress period in the life of medical students and others applying to residency, and this tool addresses one of those factors that contribute to that, says Angelique Johnson, AAMC senior director of integrated learner services and one of the leaders in developing Residency Explorer. Thats one thing we can move out of the way.

This year is proving even more stressful than usual for fourth-year medical students.

On top of the anxiety that comes with applying to residency, students are now having to deal with the disruptions that have come with the COVID-19 pandemic. These include all-virtual interviews, not being able to visit a program or do audition rotations, and changes to the application timeline.

It was already stressful, and I think this year is even more so, says Samuel Bunting, a rising fourth-year medical student at Chicago Medical School at Rosalind Franklin University of Medicine and Science and an AAMC student representative.

He began using Residency Explorer when it was in a testing phase to get a sense for the psychiatry residency programs he might want to pursue.

Now, hes looking forward to the relaunch of the tool with more complete and up-to-date data as he works toward identifying the roughly 50 residency programs he plans to apply to this October.

Whats been nice is looking at specific programs beyond their STEP score being able to look at what they place importance on, Bunting says. Now, more than ever with this modified cycle, having that data is going to be really important.

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Applying to residency? The Residency Explorer tool can help - AAMC

Here’s Why Defunding the Police Can Change Medical Care for the Better – Pager Publications, Inc.

Defund the police has become one of the slogans of the protests shaking our nation amidst the COVID-19 pandemic. But what does this term truly mean, and could defunding the police be helpful for both the police and the healthcare community? Here, we define why reallocating police funds to health services could be in the best interest of both parties.

Defunding the police represents a divest and invest model: a fraction of the polices revenue is taken and diverted somewhere else. There is proof of concept that this process works: the police department in Camden, NJ was dissolved and recreated as a smaller force in 2012. By reorganizing the police department and drastically reducing their funding, the city of Camden was able to allocate money towards the partnership between police and social services. This changed the culture of the police in the city; rather than antagonizing one another, residents and officers entered a mutual partnership. From increased hiring of Black and Brown officers to visiting individual homes simply to say hello, this department achieved effective community-oriented policing. As a result, crime decreased forty-two percent over seven years, and the people of Camden felt safer. The point is clear defunding leads to more effective policing and lower violence.

Furthermore, the COVID-19 pandemic has made it alarmingly clear that our healthcare system is not funded adequately. As an example, we look at our own community. Our medical schools free clinic, aptly named Bridge to Care, is located in Prince Georges county in Maryland. The community largely benefits from this clinic location because of the especially high rate of uninsured patients in Prince Georges county. Over the course of this pandemic, Prince Georges county recorded over 17,000 cases, the highest among any county in Maryland. According to the fiscal summary, the approved 2020 budget for Prince Georges county police department is $367,280,300. Unfortunately, the funding for the health department for a community in dire need of affordable medical care was merely 25% of that, at only $93,472,500.

Allocating a portion of these funds from the police department to the health department would provide great benefit to the marginalized Black and Brown populations that attend free clinics. The abilities of our free clinic and many others are largely limited by funding. In our case, limited remote electronic medical records access, telemedicine ability, limited public insurance and inadequate supply of PPE have all significantly slowed down the pace at which we admit and care for patients. Many, if not all, of these issues could be rectified with increased monetary support, which is why we believe that the divest and invest model from the police department to healthcare services could make a meaningful impact on community health and social support.

While healthcare communities need money to treat physical ailments, there is another aspect where our clinic remains inadequate: mental health. Many patients do not have the means to afford regular visits to mental health professionals. There are compelling reasons to divert police funds into this sector of healthcare. People with mental illness account for only 3-5% of violent crimes, yet they are ten times more likely to be victims of violence compared to the general population. Specifically, there are numerous reports of people with mental illness being shot and killed by police. Let us examine the NYPD: in 2015, the City Hall established a crisis intervention training to educate police officers on methods of de-escalating encounters with mentally ill suspects. Theres significant evidence that officers who undergo such training have reported improved attitudes and reduced stigma. For example, CIT-trained officers are less likely to escalate to the use of force in confrontational encounters.

As of last year, however, just 11,970 of the NYPDs 36,753 officers have been formally trained in de-escalation, and it is unclear if the remainder will ever receive the necessary training. Only a small portion of the NYPDs massive funds would be required to address the mental health crisis by hiring mental health professionals in high-need areas. Divesting from law enforcement will not necessarily hurt police departments; however, investing these funds in mental health and medical services could drastically improve healthcare outcomes.

With the recent news revolving around the murders of Ahmaud Arbery, Breonna Taylor and George Floyd, a significant portion of the population is distressed and threatened by those who are meant to protect us. We believe that to see the necessary changes nationally, we need to counter the funding imbalances between police spending and healthcare budgets. With targeted interventions such as funding free clinics or diverting resources towards mental health, the United States may be able to address both its police problems and the health crises affecting its most vulnerable neighborhoods.

Image Credit: Defund the Police projections in Seattle(CC BY 2.0)byBackbone Campaign

Contributing Writer

The George Washington University School of Medicine and Health Sciences

Sangrag Ganguli is a second-year medical student at The George Washington University School of Medicine and Health Sciences in Washington D.C. In 2017, he graduated from Cornell University with a Bachelor of Arts in biological sciences. In 2019, he received his masters in immunology from Harvard University. He enjoys working out, reading, and FaceTiming his family. After graduating medical school, Sangrag would like to pursue a career in general surgery.

Contributing Writer

The George Washington University School of Medicine and Health Sciences

Varun is a medical student at The George Washington University School of Medicine in Washington, DC 23. In 2018, he graduated from Northwestern University with a Bachelors degree in neuroscience. He enjoys cooking, meeting new people, and playing tennis in his free time. Varun would like to one day pursue a career as a physician educator/researcher.

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Here's Why Defunding the Police Can Change Medical Care for the Better - Pager Publications, Inc.

How Well Trained Is the Class of COVID-19? – Medscape

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center.

During a family medicine rotation at Oregon Health and Sciences University (OHSU), third-year medical students are preparing for a patient visit. Only, instead of entering a clinic room, students sit down at a computer. The patient they're virtually examining a 42-year-old male cattle rancher with knee problems is an actor.

He asks for an MRI. A student explains that kneecap pain calls for rehab rather than a scan. The patient pushes back. "It would ease my mind," he says. "I really need to make sure I can keep the ranch running." The student must now try to digitally maintain rapport while explaining why imaging isn't necessary.

When COVID-19 hit, telehealth training and remote learning became major parts of medical education, seemingly overnight. Since the start of the pandemic, students have contended with canceled classes, missed rotations, and revised training timelines, even as the demand for new doctors grows ever more pressing.

Institutions have been forced to rethink how to best establish solid, long-term foundations to ensure that young doctors are adequately trained. "They may find themselves the only doctors to be practicing in a small town," said Stephen G. Post, PhD, bioethicist and professor at New York's Renaissance School of Medicine at Stony Brook University. "They have to be ready."

With limited hands-on access to patients, students must learn in ways most never have before. Medical schools are now test-driving a mix of new and reimagined teaching strategies that aim to produce doctors who will enter medicine just as prepared as their more seasoned peers.

Soon after starting her pediatrics rotation in March, recent Stanford University School of Medicine graduate Paloma Marin-Nevarez, MD, heard that children were being admitted to her hospital for evaluation to rule out COVID-19. Marin-Nevarez was assigned to help care for them but never physically met any an approach called "virtual rounding."

In virtual rounding, a provider typically goes in, examines a patient, and uses a portable device such as an iPad to send video or take notes about the encounter. Students or others in another room then give input on the patient's care. "It was bizarre doing rounds on patients I had not met yet, discussing their treatment plans in one of the team rooms," Marin-Nevarez said. "There was something very eerie about passing that particular unit that said, 'Do Not Enter,' and never being able to go inside."

Within weeks, the Association of American Medical Colleges (AAMC) advised medical schools to suspend any activities including clinical rotations that involved direct student contact with patients, even those who weren't COVID-19positive.

Many schools hope to have students back and participating in some degree of patient care at nonCOVID-19 hospital wards as early as July 1, says Michael Gisondi, MD, vice chair of education at Stanford's Department of Emergency Medicine. Returning students must now adapt to a restricted training environment, often while scrambling to make up training time. "This is uncharted territory for medical schools," Gisondi said. "Elective cases are down, surgical cases are down. That's potentially going to decrease exposure to training opportunities."

When students come back, lectures are still likely to remain on hold at most schools, replaced by Zoom conferences and virtual presentations. That's not completely new: A trend away from large, traditional classes predated the pandemic. In a 20172018 AAMC survey, 1 in 4 second-year medical students said they almost never went to in-person lectures. COVID-19 has accelerated this shift.

For faculty who have long emphasized hands-on, in-person learning, the shift presents "a whole pedagogical issue you don't necessarily know how to adjust your practices to an online format," Gisondi said. Instructors have to be even more flexible in order to engage students. "Every week I ask the students, 'What's working? What's not working?' " Gisondi said about his online classes. "We have to solicit feedback."

Changes to lectures are the easy part, says Elisabeth Fassas, a second-year student at the University of Maryland School of Medicine. Before the pandemic, she was taking a clinical medicine course that involved time in the hospital, something that helped link the academic with the practical. "You really get to see the stuff you're learning being relevant: 'Here's a patient who has a cardiology problem,' " she said. "[Capturing] that piece of connection to what you're working toward is going to be tricky, I think."

Some students who graduated this past spring worry about that clinical time they lost. Many remain acutely conscious of specific knowledge gaps. "I did not get a ton of experience examining crying children or holding babies," said Marin-Nevarez, who starts an emergency medicine residency this year. "I am going to have to be transparent with my future instructors and let them know I missed out because of the pandemic."

Such knowledge gaps mean new doctors will have to make up ground, says Jeremiah Tao, MD, who trains ophthalmology residents at the University of California, Irvine, School of Medicine. But Tao doesn't see these setbacks as a major long-term problem. His residents are already starting to make up the patient hours they missed in the spring and are refining the skills that got short shrift earlier on. For eligibility, "most boards require a certain number of days of experience," he said. "But most of the message from our board is [that] they're understanding, and they're going to leave it to the program directors to declare someone competent."

Robert Johnson, MD, dean of Rutgers New Jersey Medical School, in Newark, says short-term setbacks in training likely won't translate into longer-term skill deficits. "What most schools have done is overprepare students. We're sure they have acquired all the skills they need to practice."

To fill existing knowledge gaps and prevent future deficits, institutions hope to strike a balance between keeping trainees safe and providing necessary on-site learning. In line with ongoing AAMC recommendations, which suggest schools curtail student involvement in direct patient care in areas with significant COVID-19 spread, virtual rounding will likely continue.

Many schools may use a hybrid approach, in which students take turns entering patient rooms to perform checkups or observations while other students and instructors watch a video broadcast. "It's not that different from when I go into the room and supervise a trainee," Gisondi said.

Some schools are going even further, transforming education in ways that reflect the demands of a COVID-19era medical marketplace. Institutions such as Weill Cornell Medicine and OHSU have invested in telemedicine training for years, but COVID-19 has given telehealth education an additional boost. These types of visits have surged dramatically, underscoring the importance of preparing new doctors to practice in a virtual setting something that wasn't common previously. In a 2019 survey, only about a quarter of sampled medical schools offered a telemedicine curriculum.

Simulated telehealth consults such as OHSU's knee-pain scenario serve several purposes, says Ryan Palmer, EdD, associate dean of education at Northeast Ohio Medical University, in Rootstown. They virtually teach skills that students need such as clearly explaining to patients why a care plan is called for while allowing the trainees to practice forging an emotional connection with patients they are treating remotely.

"It's less about how you use a specific system," said Palmer, who developed OHSU's TeleOSCE, a telehealth training system that has interested other schools. He sees this as an opportunity, inasmuch as telemedicine is likely to remain an important part of practice for the foreseeable future.

To that end, the AAMC recently hosted an online seminar to help faculty with telehealth instruction. But training such as this can only go so far, says Rutgers' Johnson. "There are techniques you do have to learn at the patient's side."

Johnson says that a traditional part of medical school at Rutgers has been having students spend time in general practitioners' offices early on to see what the experience is like. "That's going to be a problem I expect many primary care practices will go out of business. Those types of shadowing experiences will probably go away. They may be replaced by experiences at larger clinics."

Some learning in clinics may soon resume. Although fears about COVID-19 still loom large, Tao's ophthalmology residents have started taking on something closer to a normal workload, thanks to patients returning for regular office visits. As people return to medical facilities in larger numbers, hospitals around the country have started separating patients with COVID-19 from others. Gisondi suggests that this means medical students may be able to circulate in nonCOVID-19 wards, provided the institution has enough personal protective equipment. "The inpatient wards are really safe there's a low risk of transmission. That's where core rotations occur."

In settings where patients' viral status remains uncertain, such as emergency wards and off-site clinics without rapid testing, in-person learning may be slower to resume. That's where longer-term changes may come into play. Some schools are preparing digital learning platforms that have the potential to transform medical education.

For example, Haru Okuda, MD, an emergency medicine doctor and director of the Center for Advanced Medical Learning and Simulation at the University of South Florida, in Tampa, is testing a new virtual-reality platform called Immertec. Okuda says that, unlike older teaching tools, the system is not a stale, static virtual environment that will become obsolete. Instead, it uses a live camera to visually teleport students into the space of a real clinic or operating room.

"Let's say you have students learning gross anatomy, how to dissect the chest. You'd have a cadaver on the table, demonstrating anatomy. The student has a headset you can see like you're in the room." The wrap-around visual device allows students to watch surgical maneuvers close up or view additional input from devices such as laparoscopes.

Okuda acknowledges that educators don't yet know whether this works as well as older, hands-on methods. As yet, no virtual reality system has touch-based sensors sophisticated enough to simulate even skills such as tying a basic surgical knot, Gisondi says. And immersive platforms are expensive, which means a gap may occur between schools that can afford them and those that can't.

The long-term consequences of COVID-19 go beyond costs that institutions may have to bear. Some students are concerned that the pandemic is affecting their mental well-being in ways that may make training a tougher slog. A few students graduated early to serve on the COVID-19 front lines. Others, rather than planning trips to celebrate the gap between medical school and residency, watched from home as young doctors they knew worked under abusive and unsafe conditions.

"Many of us felt powerless, given what we saw happening around us," said recent University of Michigan Medical School graduate Marina Haque, MD. She thinks those feelings, along with the rigors of practicing medicine during a pandemic, may leave her and her colleagues more prone to burnout.

The pandemic has also had a galvanizing effect on students some excited new doctors are eager to line up for duty on COVID-19 wards. But supervisors say they must weigh young doctors' desire to serve against the possible risks. "You don't want people who have a big future ahead of them rushing into these situations and getting severely ill," said Stony Brook's Post. "There is a balance."

All these changes, temporary or lasting, have led many to question whether doctors who complete their training under the cloud of the pandemic will be more or less prepared than those who came before them. But it's not really a question of better or worse, saysRutgers' Johnson, who stresses that medical education has always required flexibility.

"You come into medicine with a plan in mind, but things happen," he said. He reflected on the HIV pandemic of the late 1980s and early 1990s that influenced his medical career. He hopes young doctors come through the COVID-19 crucible more seasoned, resilient, and confident in crisis situations.

"This is a pivotal event in their lives, and it will shape many careers."

Elizabeth Svoboda is a science writer in San Jose, California. Her work has appeared in the Washington Post, Discover, and elsewhere. She is also the author of What Makes a Hero?: The Surprising Science of Selflessness.

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How Well Trained Is the Class of COVID-19? - Medscape

How Houston med students are helping doctors through the pandemic – Houston Chronicle

When 7-year old Owen McKay says, I swim in hot weather, his mother Dr. Sandra McKay hears so much more like progress and perseverance in the face of a coronavirus challenge.

McKay, a Missouri City resident, can tell that her son has perfected the s in swim and is almost as accomplished with the th in weather. These are milestones McKay assumed would be postponed during the pandemic, when Owen was away from his speech therapist provided through Fort Bend ISD.

That is until a group of students at McGovern Medical School created the Covert Undercover Virus Response Team to find ways to help faculty during the pandemic. Their effort has made a world of difference for Owen.

Hes actually progressed, McKay said. And I was shocked.

Owen was 4 years old when McKay and her husband noticed he struggled with certain sounds. Owens parents could understand him. We had the attitude that well just give it a little more time, McKay said.

As preschool approached, making sure other students and teachers could understand Owen became a top priority.

The Fort Bend ISD diagnosed Owen with an articulation disorder a problem with pronouncing certain sounds, which often includes substitution of one letter for another.

Treatment for articulation disorder is speech therapy, and Owen made quick progress with a professional assigned to help him through the school district. Before long, he conquered k and g.

Then COVID hit, McKay said.

The district provided a packet of information to continue Owens speech therapy at home.

But Im not a trained speech therapist, McKay said.

Still, in addition to being a busy pediatrician and assistant professor of pediatrics at McGovern Medical School at UTHealth, McKay took on the role of Owens speech therapist, teacher and parent, taking turns with her husband.

The McKays two older children, Emily, 16, and Jacob, 12, were able to adapt to their online classes and were self-sufficient. But Owen needed more time and help. And after the first week or two, he began getting frustrated with his parents becoming his speech therapist and teachers as well.

Then McKay stumbled upon a solution.

Students at the McGovern Medical School Michael Bagg, Helen Burks, Bili Yin and Kyle Meissner approached her with an idea to start the Covert Undercover Virus Response Team. They asked her to share the concept with faculty colleagues and gauge their interest. McKay agreed to pass along the information and jumped at the opportunity, asking if anyone would be willing to help Owen.

My kid needs some help, she explained.

Bagg explained that the idea for the group started soon after the coronavirus forced him and other medical students to take classes online.

People go to med school because theyre an altruistic bunch, Bagg said. And just because they were sent home did not mean their desire to help went away. We wanted to brainstorm how we could still contribute, while also doing everything safely.

At first, that meant helping connect medical facilities in need with personal protective equipmentand providing child care for physicians on the front line.

Theyre still at the hospital, and their kids were home from school, Bagg said.

Some students wanted to help in other ways including those who had returned home to other cities during the lockdown. They realized they could offer virtual tutoring services for children of attending physicians and residents regardless of where students sheltered in place.

We wanted to do something that doctors would want, Bagg said. We wondered if there was anything we could do virtually. We settled on tutoring. It really gives parents a break, and its a way to engage with kids that was safe.

Med students, for once, had free time. Bagg said the question became, How do we use it?

First-year medical student Caroline Andrews, 23, felt the same way. After a couple weeks with her family in Dallas, she fell into a routine with her studies and online lectures. She remembers thinking, I just wish there were something I could do to help.

Then she saw Bagg post a sign-up sheet for the Covert Undercover Virus Response Team on the McGovern Medical Schools Facebook page.

I had done some tutoring in the past, she said. I thought, this is definitely something I can do.

Andrews signed up right away. A couple of days later, she received a text about Owen.

Ive never done speech therapy before, but Ill definitely try, she responded.

McKay explained to Andrews how to work on the sounds with Owen. Andrews also watched some YouTube videos to prepare for her tutoring sessions. For the past couple months, Andrews has met with Owen for 15 minutes each day.

We started with s, and now hes mastered those, Andrews said. Hes also doing so well on th. The next one, were doing is r.

Even though the sessions are short, Andrews said Owen has made serious advances in his speech.

Its been so cool to see how these small, consistent routines can pay off, she said. Having that consistency in a time thats so uncertain is probably good for him, too.

Helping Owen has only increased her desire to work with children as a pediatrician.

He makes me laugh, Andrews said. Its confirmed to me that there are so many ways to help people. Right now, thats not working on the front line but there are always ways to help.

Thats exactly what the Covert Undercover Virus Response Team is all about. While med students werent quite ready to join the doctors on their rotations, the group still found a way to safely make a difference.

These students are incredible, said McKay. They latched on to figure out exactly what the faculty needed. They were reaching out to help the community, and that speaks volumes about their character. Im excited about the future of medicine.

Shes also excited about Owens progress.

I never expected Owen would actually make progress, McKay said. I was aiming for, Lets not regress.

Not only did he not lose the advances that he made, but the Covert Undercover Virus Response Team is helping him continue to move forward.

Owens come such a long way already, McKay said. We dont have to worry about him making s sounds anymore.

Lindsay Peyton is a Houston-based freelance writer.

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How Houston med students are helping doctors through the pandemic - Houston Chronicle

Court Analogizes Coinbase To ‘Traditional Bank’ For Purposes of Fourth Amendment Privacy Protection – Lexology

In the context of a search warrant in a criminal case, the Fifth Circuit Court of Appeals in the United States held that the virtual currency exchange Coinbase was like a traditional bank. The details of the case, U.S. v Gratkowski, Case No. 19-50492 (5th Cir. June 30, 2020), are as follows.

Richard Gratkowski became the subject of a federal investigation when federal agents began investigating a child-pornography website. To download material from the website, some users, like Gratkowski, paid the website in Bitcoin.

Federal agents used an outside service to analyze the publicly viewable Bitcoin blockchain and identify a cluster of Bitcoin addresses controlled by the website. Once they identified the websites Bitcoin addresses, agents served a grand jury subpoena on Coinbase for all information on the Coinbase customers whose accounts had sent Bitcoin to any of the addresses in the websites cluster. Coinbase identified Gratkowski as one of these customers. With this information, agents obtained a search warrant for Gratkowskis house. At his house, agents found a hard drive containing child pornography; Gratkowski admitted to them that he was a customer of the website. Gratkowski moved to suppress the evidence obtained through the warrant.

The case presented the novel question of whether an individual has a Fourth Amendment privacy interest in the records of their Bitcoin transactions. The right against unreasonable searches applies when a person has a reasonable expectation of privacy. But, under the so-called third party doctrine, there is no legitimate expectation of privacy in information voluntarily turned over to third parties. In applying that doctrine, the U.S. Supreme Court has previously held bank records were not subject to Fourth Amendment protections. The Supreme Court has also held that the third-party doctrine applies to telephone call logs.

However, in Carpenter v. United States, 138 S. Ct. 2206, 2217 (2018), the Supreme Court held that individuals had a privacy interest in their cell phone location records, because that provides officers with an all-encompassing record of the holders whereabouts and provides an intimate window into a persons life, revealing not only [an individuals] particular movements, but through them [their] familial, political, professional, religious, and sexual associations. In so holding, the court remarked that cell phones had become almost a feature of human anatomy.

The Fifth Circuit rejected Gratkowski analogy of the Bitcoin blockchain to Carpenter. It said that the Bitcoin information is limited and that transacting through Bitcoin is not a pervasive [or] insistent part of daily life.

The court further held that hat the Coinbase records are more akin to the bank records than to cell phone data. It said that Coinbase is a financial institution that provides Bitcoin users with a method for transferring Bitcoin. The main difference between Coinbase and traditional banks, is that Coinbase deals with virtual currency while traditional banks deal with physical currency. But both are subject to the Bank Secrecy Act as regulated financial institutions. Both keep records of customer identities and currency transactions.

Finally, the court noted that Bitcoin users are not required to use third parties. They can conduct Bitcoin transactions on their own. However, since that requires a high level of technical expertise, many people chose to use a third party intermediary instead, such as Coinbase. In making that choice, a person voluntarily agrees to sacrifice some privacy.

The court held that Gratkowski did not have a privacy interest in the records of his Bitcoin transactions on Coinbase. It therefore affirmed the district courts denial of Gratkowskis motion to suppress. The decision should also stand as a lesson to all those who believe that their Bitcoin transactions are anonymous.

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Court Analogizes Coinbase To 'Traditional Bank' For Purposes of Fourth Amendment Privacy Protection - Lexology

Ron Paul: Media Is Lying About ‘Second Wave’ Of Coronavirus – FITSNews

by RON PAUL || For months, The Washington Post and the rest of the mainstream media kept a morbid Covid-19 death count on their front pages and at the top of their news broadcasts. The coronavirus outbreak was all about the number of dead. The narrative was intended to boost governors like Cuomo in New York and Whitmer in Michigan, who turned their states authoritarian under the false notion that destroying peoples jobs, freedom, and lives would somehow keep a virus from doing what viruses always do: spread through a population until eventually losing strength and dying out.

The death count was always the headline.

But then all of a sudden early in June the mainstream media did a George Orwell and lectured us that it is all about cases and has always been all about cases. Death, and especially infection fatality rate, were irrelevant. Why? Because from the peak in April, deaths had decreased by 90 percent and were continuing to crash. That was not terrifying enough so the media pretended this good news did not exist.

With massive increases in testing, the case numbers climbed. This is not rocket science: the more people you test the more cases you discover.

Unfortunately our mainstream media is only interested in pushing the party line. So the good news that millions more have been exposed while the fatality rate continues to decline meaning the virus is getting weaker is buried under hysterical false reporting of new cases.

Unfortunately many governors, including our own here in Texas, are incapable of resisting the endless lies of the mainstream media. They are putting Americans again through the nightmare of forced business closures, mandated face masks, and restrictions of Constitutional liberties based on false propaganda.

In Texas the second wave propaganda has gotten so bad that the leaders of the four major hospitals in Houston took the extraordinary step late last week of holding a joint press conference to clarify that the scare stories of Houston hospitals being overwhelmed with Covid cases are simply untrue. Dr. Marc Boom of Houston Methodist said the reporting on hospital capacity is misleading. He said, quite frankly, were concerned that there is a level of alarm in the community that is unwarranted right now.

In fact, there has been much reporting that the spike in Texas cases is not due to a resurgence of the virus but to hospital practices of Covid-testing every patient coming in for any procedure at all. If its a positive, well that counts as a Covid hospitalization.

RELATED || Coronavirus Death Toll Dramatically Lowered Again

Why would hospitals be so dishonest in their diagnoses? Billions of appropriated federal dollars are being funneled to facilities based on the number of Covid cases they can produce. As Ive always said, if you subsidize something you get more of it. And thats why we are getting more Covid cases.

Lets go back to the original measurements used to scare Americans into giving up their Constitutional liberties: the daily death numbers. Even though we know hospitals have falsely attributed countless deaths to Covid-19 that were deaths WITH instead of FROM the virus, we are seeing actual deaths steadily declining over the past month and a half. Declining deaths are not a great way to push the second wave propaganda, so the media and politicians have moved the goal posts and decided that only cases are important. Its another big lie.

Resist propaganda and defend your liberty. That is the only way well get through this.

(Via: Gage Skidmore)

Ron Paulis a former U.S. Congressman from Texas and the leader of the pro-liberty, pro-free market movement in the United States. His weekly column reprinted with permission can be foundhere.

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Ron Paul: Media Is Lying About 'Second Wave' Of Coronavirus - FITSNews

"Throwing a hissyfit": Rand Paul criticized for accusing Dr. Anthony Fauci of promoting undue fear – Salon

Sen. Rand Paul of Kentucky was highly critical of Dr. Anthony Fauci and other health experts when he spoke Tuesday for a coronavirusSenatehearing.During the hearing, the GOP senator argued in favor of schools reopening and accused health officials of being arrogant know-it-alls an assertion that Paul is being slammed for on Twitter.

Arguing in favor of schools reopening, Paul asserted, "We need to not be so presumptuous that we know everything . . .Perhaps our planners might think twice before they weigh in on every subject. Perhaps our government experts might hold their tongue before expressing their opinion."

He also said: "We shouldn't presume that a group of experts somehow knows what's best for everyone."

During the hearing, Fauci who serves as director of the National Institute of Allergy and Infectious Diseases and is part of President Donald Trump's coronavirus task force defended his recent warning about professional sports. Fauci recently said that it would be risky for professional football to resume this fall in the U.S., and he stood by that warning during the hearing telling Paul and other senators, "It would be very hard to see how football is able to be played this fall."

Paul, who is the son of former Texas Rep. Ron Paul, accused Fauci of promoting "undue fear" and said, "We shouldn't presume that a group of experts somehow knows what's best for everyone. We just need more optimism."

Fauci, however, warned that the U.S. might be seeing 100,000 new cases of coronavirus per day "if things don't turn around" and stressed, "It could get very bad." And the expert immunologist went on to say that he was "quite concerned about what we are seeing evolve right now in several states" a reference to all the new coronavirus cases being reported in Sun Belt states such as Arizona, Florida, Texas and California.

"We've got to make sure when states start to try and open again, they need to follow the guidelines that have been very carefully laid out with regard to (reopening) checkpoints," Fauci told senators.

Twitter has been full of reactions to Paul's assertions. Twitter user Mike Naughton, @MikeNau99524529, posted, "Rand Paul and Trump refuse to grow up and listen to honest adults." And @sarahklop accused Paul of "throwing a hissy fit. About baseball."

@PJDeGenaro said of Paul, "Libertarians are just people who never grew the hell up. 'Wah! I want to play baseball NOW! I want to go to a restaurant NOW! I want to shoot guns indiscriminately and not wear a seatbelt! Wah!' I can't believe anyone voted for this guy."

@AclomaxAllen wrote, "Two things about Senator Paul. It's frightening that Rand Paul is a US Senator. It's frightening that Rand Paul has a medical degree."

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"Throwing a hissyfit": Rand Paul criticized for accusing Dr. Anthony Fauci of promoting undue fear - Salon

Twitter alternative Parler surges in popularity but it’s buggy – SiliconANGLE

In the culture wars in the U.S., Twitter Inc. has often been targeted thanks to limiting content and also not limiting content, the latter specifically tweets from President Donald Trump.Some accuse Twitter of having a left-wing bias in banning accounts from those on the right of politics, most recently Carpe Donktum, a conservative who is best known for posting pro-Trump memes.

Various attempts have been made over the years to establish alternatives to Twitter, often with a free speech focus, such as Gabin 2016, but it never took off. Now anewer player in the field Parler, launched in 2018 is surging in popularity amid the culture wars and accusations of bias against Twitter. The site is said to have increased its user base by 50% to 1.5 million users in the last week, primarily driven by conservatives looking for Twitter alternatives.

Parler offers a hybrid free speech platform with limitations. While not banning political speech, Parler will ban users when they break U.S. law such as inciting violence.

Despite attemptsby someto label it as far-right, Parler, which in the last week has topped free app download charts on both iOS and Android, has attracted somewhat of a mixed audience. While it can be said to have a right-leaning bias so far it has also attracted those on the left, particularly so-called trans-exclusionary radical feminists, radfems and others who are seeking an alternative to Twitter.Notably among users of Parler are Senator Ted Cruz and formerU.S. representative and presidential candidate Ron Paul.

Signing up to Parler is easy enough. A phone number is required, with two-factor authentication sent by SMS text to complete the process.

Parler looks like Twitter be it with a different color scheme and different terms. A retweet or a share is called an echo, while loving a post is a vote similar to Reddit. Anyone who has used Twitter or Facebook will easilyget Parlers setup.

That said, there are some issues with the service. On the user experience side, theres no recommendation engine to suggest users people should follow when joining. Thatmeans you have to seek out people to follow.

The biggest issue, though, is that the site and its app are buggy. The Android app occasionally crashes for no obvious reason. Perhaps because of growing pains, logging in through a web browser can take time. For nearly a minute while writing this review, I was stuck waiting for a captcha to log into my account.

Whether Parler can be successful or not depends on a range of issues. The basics are certainly there, but it needs to do more to scale up without issues and thats where it appearsto be having issues.

Their ultimate success may not be in their hands alone, however. Theresspeculation that President Trump may join the service in favor of Twitter. If its having growing pains now with an increased user base, its going to have a lot more if Trump joins.

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Twitter alternative Parler surges in popularity but it's buggy - SiliconANGLE

GOP candidates in Maine’s 2nd District praise Trump but still have differences – Bangor Daily News

Maine Republicans have about two weeks to choose between three 2nd Congressional District candidates who have spent much of their campaigns praising President Donald Trump but have carved out different areas of interest.

The hopefuls vying to challenge freshman Democratic U.S. Rep. Jared Golden real estate agent Adrienne Bennett of Bangor, former state Sen. Eric Brakey of Auburn and former state Rep. Dale Crafts of Lisbon have all built their race around supporting President Donald Trump, often praising him for a strong economy that faltered due to the coronavirus pandemic.

The candidates have shown up at protests led by conservatives blasting Gov. Janet Mills economic restrictions stemming from the coronavirus. Brakey was the only one who did not support the $2 trillion stimulus package passed by Congress and signed by Trump. That libertarian streak carries over into differences with the others on foreign policy and policing.

Those issues are sure to matter to Republicans who put fiscal issues such as taxes and spending at the top of their list this winter in a Bangor Daily News reader survey on election priorities. Behind that was jobs and the economy and national security. Here are the differences between those candidates, taking those priorities and recent events into account.

Brakey has differentiated himself as more of a libertarian, breaking with Bennett and Crafts on foreign policy and federal spending. Brakey came to Maine in 2012 when he worked on the Republican presidential campaign of Ron Paul. His support for more libertarian candidates continued in 2016, when Brakey chaired Kentucky Sen. Rand Pauls primary campaign before eventually supporting Trump in the general election.

That change in alliance is something his opponents try to hit him on frequently, but Brakey has plenty of views that align himself with the president. He is supportive of Trumps stated goal to pull U.S. troops out of the Middle East. It put him directly at odds with Crafts during a February debate. Crafts said that a retreat would cause economic and international instability.

But Brakey has deviated from his support of the president on the CARES Act, which sent billions of dollars in aid to states and corporations, as well as relief money to small businesses and individuals. The $2 trillion bill drew the ire of Brakey, who has made criticism of government spending and the deficit a central part of his platform.

He told the Sun Journal in March that the bill was paid for by stealing from our retirements with inflation and the futures of our children with debt and that the relief checks sent in the mail wouldnt cover the costs to taxpayers in the long run.

Bennett and Crafts pounced on that stance, saying the bill was critical for Americans to weather the pandemic. While both reiterated their support for the bill during the June 10 debate, Crafts and Bennett agreed that federal spending should be reined in.

The three candidates have vocalized support for police, but Brakey has gone furthest in backing accountability measures. Like most Republicans, the candidates responses to protests over instances of police brutality and racism across the country after the deaths of Black people including George Floyd in Minneapolis have been to indicate support for police.

But they take different approaches to police reform while vocalizing support for law enforcement. During a June 10 NEWS CENTER Maine candidate forum, Bennett called for stakeholders to find common ground and identify problems. She argued that the issue should be approached from a budgeting perspective of needs versus wants.

Crafts took a more general approach, saying some sort of reform should happen when a police officer has had multiple complaints lodged against him, as was the case with Minneapolis officer Derek Chauvin who knelt on Floyds neck for nearly nine minutes before he died. He also said any industry is going to have bad apples and called activist calls to defund police ludicrous.

Brakey, who did not attend the forum, called Floyds death an unacceptable tragedy in a statement. He said he supports banning no-knock raids and policies that protect rotten apples.

The candidates experiences have shaped the issues they want to tackle in office. The three candidates are different in age and background. Brakey, 31, is a longtime political operative. Bennett, 41, is a former TV reporter best known for her tenure as a spokesperson to former Gov. Paul LePage. Crafts, 61, is a businessman who served four terms in the Legislature and has used a wheelchair since he was paralyzed in a 1983 crash.

Bennett has styled herself an unconventional politician shaped by her poor upbringing in rural Waldo county and having her daughter at a young age. During the Lewiston forum, she indicated interest in transportation and infrastructure policy in Congress.

Brakey has leaned on his time in the Legislature, often pointing to a bill he sponsored that removed concealed carry permit requirements in Maine. He has made personalizing health care a part of his platform, including expanding health savings accounts and putting Medicaid money into them. In February, he said he would seek a role shaping health policy in Congress.

Crafts, meanwhile, has built his platform on his history as a businessman and a legislator, which won him the endorsement of LePage as he announced his candidacy last fall. He has expressed interest in serving on fiscal committees to leverage that experience.

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GOP candidates in Maine's 2nd District praise Trump but still have differences - Bangor Daily News