1.What are the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services? What are the implications of this shift for hospitals, consumers, and the healthcare delivery system? (An appropriate length to answer this problem is two to four paragraphs.) 

2.More than half of all surgical procedures are performed in ambulatory surgery facilities. What are the reasons for these shifts and what is the effect on the consumer? 

3.The Flexner Report of 1910 is described by the authors as "an accurate and searing description of abuses in the medical schools." Describe the major shortcomings of medical education cited by the Flexner report and the corrective measures that resulted. 

4.The reformed healthcare delivery system and federal initiatives are putting increased emphasis on maintaining wellness and promoting disease avoidance through healthy behaviors and lifestyles. What challenges does this new orientation pose for our existing system of medical education and training? 

5.In what ways did physicians' relationships with hospitals change as a result of healthcare industry reforms? Discuss the consequences of these changes for physicians' roles and responsibilities relating to hospitals. (An appropriate response for this problem is one to three paragraphs in length.)

6.Given the new role of the hospitalist in patient care, list the issues raised by this new brand of physician for the primary physician, patient, and hospital nurses. (An appropriate response for this problem is one to three paragraphs in length.)

7.Describe the differences in primary care centers, urgent care centers and retail clinics. (An appropriate response for this problem is one to three paragraphs in length.)

8.What are community health centers and how are they financed? 

9.What is the role of health information administrators with the healthcare system? What credentials are required for the position? 

10.How have medical schools responded to the demand for Health Information Technology in the profession? (An appropriate response for this problem is one to three paragraphs in length.)