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Full descriptions of these competencies can be found on the ACGME and ABMS web sites wwwacgmeorg and wwwabmsorg Other efforts at reaching consensus regarding the structure of requisite competencies for doctors have arisen concurrently in many parts of the world, with very similar results They include the Association of American Medical Colleges Medical Schools Objectives Project, the CanMeds 2000 report (focusing on patient expectations) from the Royal College of Physicians and Surgeons of Canada, and the work of the United Kingdom s General Medical Council published in Good Medical Practice All of them provide taxonomies of physician competencies that map into one another, as shown in Table 92 While the taxonomies have been simpli ed for comparison, each taxonomy captures the key elements of the others The emergence of these highly consistent de nitions of doctor competence supports efforts to design assessment tools to match the competencies Today,

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Comparison of taxonomies of medical competency AAMC MSOP Clinician Researcher, educator Lifelong learner Communicator Professionalism Manager CanMeds 2000 Clinical decision maker Medical expert Scholar Communicator Professional Manager, collaborator Professional relationships with patients Working in teams GMC Good clinical care

Payments to Employees / 175

for the node have been issued from a trusted CA, then the node is allowed to join the group Another possible policy is as follows:

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6 When an employee takes receipt of his or her pay envelope, there must be some evidence that the money has shifted into that person s possession, so there are no later claims of not having been paid This issue is readily solved by creating a pay receipt, an example of which is shown in Exhibit 104 This receipt manually lists the name of each employee and the amount of money paid Each employee must sign this document at the time of cash receipt It is also useful to have them enter the date when they received the cash, in case there are later claims that moneys were paid out later than the state-mandated date The main problem with the form shown in Exhibit 104 is that each employee signing the receipt can see the net amount paid to every other employee on the list, which does nothing to preserve the confidentiality of employee pay rates If this is a problem, use a separate pay receipt page for each employee

ACGME/ABMS Patient care Medical knowledge Practice-based learning Interpersonal, communication skills Professionalism System-based practice

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Exhibit 104 For Pay Period Ended May 15, 2003 Employee Name Barclay, David Fairchild, Enoch Harley, Jeff Jimenez, Sandra Nindle, Allison Cash Paid $23114 $40219 $30078 $22082 $27503

Intrusion Response: Alert(CompromisedNode x, IssuedBy $Trusted IDS :: RevokeCredentials(Node x)

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Date Received May 19, 2003 May 19, 2003 May 19, 2003 May 19, 2003 May 19, 2003

A far more common method for paying employees is to create a check payment for each one It is increasingly rare to see a company manually calculate and create payroll checks, since very inexpensive software can be obtained to tackle these chores, as well as the services of any of the dozens of payroll suppliers Nonetheless, if checks are prepared manually, one should carefully copy down the information from the payroll register onto the check, using ink so the results cannot be altered Also, to prevent fraudulent modifications to the check, be sure to write a line through all blank spots on the check, and begin writing as far to the left in each space provided as possible Once all checks are complete, conduct a final comparison of each one to the payroll register again, possibly including an independent recalculation of the payment to each person The much more common method for issuing checks is to integrate their completion into the workings of a standard payroll software package Under this approach, the software creates a payroll register report, which the payroll manager reviews and approves If it is acceptable, blank checks are loaded into the local printer and the software quickly churns out completed checks Checks are then

This policy de nes that, if an alert is issued by a trusted IDS stating that node x has been compromised, then the credentials for node x should be revoked 62313 Rei Policy Language The Rei language is a policy language based on deontic language and therefore belongs to the second category of policy languages as discussed earlier The Rei language is described in [107] Rei de nes rights, prohibitions, obligations, and dispensations:

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