MASSMED | Vital Signs

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Massachusetts Medical Society
860 Winter Street
Waltham MA 02451
(800) 322-2303 or (781) 893-4610
© Copyright 2004

Massachusetts Physician Environment Impairs Resident Recruiting, Retention Following Graduation

By Tom Walsh

Growing up in New Jersey, Sameena Ahmad, M.D., had no doubt she wanted to be a doctor some day. "I had family, aunts and uncles, who were physicians," said the fourth-year OB/GYN resident at Boston University Medical Center. "Seeing them, what they did, and the impact they had on their patients, it was pretty significant."

As Dr. Ahmad nears the end of her residency training, she has begun to consider what her world might be like a year from now. Despite the specter of burdensome professional liability premiums in her
specialty and concerns about other economic factors, such as relatively low reimbursement and high cost of living, she remains determined to pursue her career on her terms.

"I'm thinking of staying in the Boston area, probably in the suburbs somewhere," Dr. Ahmad said. "I like that Boston is a big city with a small-town feel. It's the center of things."

Residents Leave Massachusetts
A significant number of Massachusetts resident physicians do not share Dr. Ahmad's optimism about the Bay State.

Debugging Information

ColdFusion Server Standard	6,1,0,83762
Template	/AM/Template.cfm
Time Stamp	25-Feb-05 02:38 PM
Locale	English (US)
User Agent
Remote IP	10.1.1.35
Host Name	10.1.1.35

Execution Time

Total Time	Avg Time	Count	Template
31 ms	31 ms	1	D:\webfiles\MASSMED\WWW\AM\Template.cfm
16 ms	16 ms	1	D:\webfiles\MASSMED\WWW\AM\Application.cfm
16 ms	16 ms	1	D:\webfiles\MASSMED\WWW\AM\CM\HTMLDisplay.cfm
16 ms	16 ms	1	D:\webfiles\MASSMED\WWW\AM\TemplateBody.cfm
15 ms	15 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\TemplateHeader\TemplateHeader.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\ApplicationCustom.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\ApplicationUDFs.cfm
0 ms	0 ms	2	D:\webfiles\MASSMED\WWW\AM\Common\CachedStoredProcTag.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\DetermineHeader.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Ecommerce\BasketSetupTag.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\HierMenu\HierMenuTag.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\LoadSessionVariables.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\TemplateSection.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\FooterInclude.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\HeaderInclude.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\TemplateFooter\TemplateFooter.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\TemplateSideNav.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\TemplateSideNavWithImages.cfm
0 ms	0 ms	1	D:\webfiles\MASSMED\WWW\AM\Templates\TemplateTopNav.cfm
0 ms			STARTUP, PARSING, COMPILING, LOADING, & SHUTDOWN
47 ms			TOTAL EXECUTION TIME

red = over 250 ms average execution time

Exceptions

14:38:02.002 - Expression Exception - in D:\webfiles\MassMed\WWW\AM\TemplateSection.cfm : line 34

	    Cannot find key August6 in struct.

SQL Queries

GetSystemVariables (Datasource=CFWeb, Time=0ms, Records=90) in D:\webfiles\MassMed\WWW\AM\LoadSessionVariables.cfm @ 14:38:02.002

  SELECT a.*
    FROM System_Variable a
   WHERE VariableTypeCode = 'E'

qSavedBasket (Datasource=CFWeb, Time=0ms, Records=0) in D:\webfiles\MassMed\WWW\AM\Ecommerce\BasketSetupTag.cfm @ 14:38:02.002

    SELECT a.*, 
           b.EtailerID,
           b.SKU,
           b.TaxableFlag,
           b.UnitPrice AS NewPrice,
           b.MemberPrice AS NewMemberPrice,
           b.QuantityEditableFlag,
           c.StockStatusDesc AS StockStatus
      FROM Basket_Save a WITH (NOLOCK),
           Product b WITH (NOLOCK),
           Stock_Status_Ref c WITH (NOLOCK)
     WHERE a.ProductID = b.ProductID
       AND b.StockStatusCode = c.StockStatusCode
       AND 1=0

GetHTML (Datasource=CFWeb, Time=0ms, Records=1) in D:\webfiles\MASSMED\WWW\AM\CM\HTMLDisplay.cfm @ 14:38:02.002

    SELECT a.*, b.Keywords, b.Description, b.MembersOnlyFlag
      FROM Content_HTML a, Content b
     WHERE a.ContentID = b.ContentID
       AND a.ContentID = 6292

Stored Procedures

amsp_CMGetPublishedContentID (Datasource=CFWeb, Time=0ms) in D:\webfiles\MASSMED\WWW\AM\CM\HTMLDisplay.cfm @ 14:38:02.002

parameters

type CFSQLType value variable dbVarName

IN CF_SQL_NUMERIC 6292

OUT CF_SQL_NUMERIC l_PublishedContentID = l_PublishedContentID

IN CF_SQL_NUMERIC 1

resultsets

name resultset

Scope Variables

CGI Variables:
AUTH_PASSWORD=
AUTH_TYPE=
AUTH_USER=
CERT_COOKIE=
CERT_FLAGS=
CERT_ISSUER=
CERT_KEYSIZE=
CERT_SECRETKEYSIZE=
CERT_SERIALNUMBER=
CERT_SERVER_ISSUER=
CERT_SERVER_SUBJECT=
CERT_SUBJECT=
CF_TEMPLATE_PATH=D:\webfiles\MASSMED\WWW\AM\Template.cfm
CONTENT_LENGTH=
CONTENT_TYPE=
CONTEXT_PATH=
GATEWAY_INTERFACE=CGI/1.1
HTTPS=off
HTTPS_KEYSIZE=
HTTPS_SECRETKEYSIZE=
HTTPS_SERVER_ISSUER=
HTTPS_SERVER_SUBJECT=
HTTP_ACCEPT=
HTTP_ACCEPT_ENCODING=
HTTP_ACCEPT_LANGUAGE=
HTTP_CONNECTION=
HTTP_COOKIE=
HTTP_HOST=staging1.massmed.org
HTTP_REFERER=
HTTP_USER_AGENT=
PATH_INFO=/AM/Template.cfm
PATH_TRANSLATED=D:\webfiles\MassMed\WWW\AM\Template.cfm
QUERY_STRING=Section=August6&TEMPLATE=/CM/HTMLDisplay.cfm&CONTENTID=6292&FUSEFLAG=1
REMOTE_ADDR=10.1.1.35
REMOTE_HOST=10.1.1.35
REMOTE_USER=
REQUEST_METHOD=GET
SCRIPT_NAME=/AM/Template.cfm
SERVER_NAME=staging1.massmed.org
SERVER_PORT=80
SERVER_PORT_SECURE=0
SERVER_PROTOCOL=HTTP/1.1
SERVER_SOFTWARE=Microsoft-IIS/6.0
WEB_SERVER_API=

Client Variables:
cfid=16498
cftoken=59889857
hitcount=1
lastvisit={ts '2005-02-25 14:38:02'}
timecreated={ts '2005-02-25 14:38:02'}
urltoken=CFID=16498&CFTOKEN=59889857

Request Parameters:
defaultsectionurl=http://staging1.massmed.org/
graphicsdirectory=/AM/graphics/home_template/
l_htmlheadcontentinformation=
  
  
  
    
  
    
  
  
  
  MASSMED | Vital Signs - August 2003
securewebsiterooturl=http://staging1.massmed.org/
websiteindex=5
websitekey=31cadfd9-b130-44b4-af2e-6603cbcc422b
websitekeyvar=31cadfd9_b130_44b4_af2e_6603cbcc422b
websitename=MASSMED
websiterooturl=http://staging1.massmed.org/

Session Variables:
admin=False
administrator=False
adminmicrositeid=0
adminsectionlist=
alldynamic=N
ba=Struct (1)
bannercompanyid=0
bebroadcastemail=Array (0)
bebulkemailauditid=0
bememberid=
bg=Struct (3)
bgcompanyid=0
bgselectionid=0
bgtransactionmode=
browser=Unknown
browserversion=0
candidateid=0
cc=Struct (4)
cdadministratorid=0
cfid=16498
cftoken=59889857
chapter=
cm=Struct (13)
cmbordercolor=#D1CDBB
cmcurrentfolderid=
cmeditorredirecturl=
cmfolderdisplay=
cmfoldersectiondisplay=
cmnavcontentgroupind=
cmsavetemplatepath=
cmsectiondisplay=
cmsuperadminflag=False
cmsurftoeditcontentid=0
cmsurftoeditreturnurl=
cmtextonlytemplate=False
cmwebsitekey=
committee=
companyid=0
companymaster=false
companymembershipnum=
companyname=
contactid=0
coregistrant=Array (0)
cp=Struct (4)
cpemailattachmentlist=
cpinvitationkey=
cpinvitegroupmembers=Array (0)
cpinvitegroupname=
cpinvitegroupsearchcriteria=
ctchapterid=0
customerid=0
cwadministrator=False
debug=False
ec=Struct (6)
eccheckoutprocessstart=false
eccouponnum=
ecshippingmethod=
ecstoreafcheckoutlink=
ecstoreafcheckoutlinkdesc=
eg=Struct (1)
egsubscribedgrouplist=
emailaddress=
faqflag=
firstname=
fontface=verdana
fontsize=2
geformsubmitted=false
headersize=3
imismemberid=
initialized=True
interestcategorylist=
jb=Struct (8)
jbcompany=Struct (0)
jbcompanyname=
jbcoverlettertext=
jbjobid=0
jbpreview=Struct (0)
jbresumesearchflag=false
jbsearch=Struct (0)
lastname=
location=Struct (8)
loggedin=0
mc=Struct (6)
mccurrentmessage=FALSE
mcfirsttime=True
mcmessagetext=
mcprimaryrecipients=
mcsecondaryrecipients=
mcsubject=
md=Struct (1)
mdsearchcriteria=
member=Struct (18)
memberid=0
membershipflag=false
membertype=
message=
ms=Struct (2)
msinitializeprocess=false
msmicrositeadminlist=
mycommittees=
myinterests=
ol=Struct (5)
pe=Struct (2)
platform=Windows
publicresultsflag=
questiondisplaylimit=
recruiterflag=false
recruiterid=0
redirect=
redirectfrom=
registrationpage=
rowcolor1=FFFFFF
rowcolor2=D1DDEA
savedbasket=Query (0)
sb=Struct (1)
sbpresenterid=0
sc=Struct (4)
scadmincomponentcodelist=
screturnmessage=Click here to continue.
scsecuritygroup=
securitygrouplist=
sessionid=CFUSER_16498_59889857
shoppingcart=Array (0)
staff=Struct (13)
su=Struct (8)
supreviewingsurvey=False
surespondingsurveyid=
sureviewingprocess=false
surveydate=
surveyid=0
surveyreporttemplate=
surveyresponse=0
surveyresponseid=0
surveyreviewquestionlist=
surveytakenlist=
surveytype=
susurveyid=0
susurveyresponseid=0
susurveyreviewquestionlist=
susurveytakenlist=
susurveytype=
sy=Struct (21)
templatepath=/AM/Template.cfm?Section=Home
title=
urltoken=CFID=16498&CFTOKEN=59889857
username=
voucheramount=
voucheramountremain=
voucheramountused=
vouchernumber=

URL Parameters:
CONTENTID=6292
FUSEFLAG=1
SECTION=August6
TEMPLATE=/CM/HTMLDisplay.cfm

Debug Rendering Time: 47 ms