Schools and colleges have stepped up to provide skilled manufacturing training
Fresno County offers employee training through the New Employment Opportunity program, which reimburses companies that hire through the program
Economic leaders/local government: bringing in diverse occupations and companies to the valley, including a medical complex in Clovis, which will house the first medical school in the valley
Industry: not enough highly skilled workers
Schools: not enough students going into high-paying jobs
Increasing jobs in Central Valley from large corporate warehouses, but those don't always come with high wages, can be dangerous
45% of Fresno Unified School District students take part in career and technical programs - better graduation rate, offers students work experience and skills
The central argument is that healthcare professionals are not trained well enough in mentally/ emotionally handling patient relationships when providing end-of-life care for terminal/ chronic illnesses.
The narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved.
Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed.
The stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.
Emergency responders not portrayed in the film; only medical professionals involved in long-term patient care are addressed.
Emergency responders are not portrayed in this film. This film focuses on long term care and the ethics of dealing with death, hospice, and gravely ill patients.
In this film, three groups of stakeholders are portrayed; doctors, patients, and mortality. The doctors depicted fight a loosing battle against aging, death, and terminal illness like cancer. They need to come to terms with the fact that they can't save everyone and they need to honor their patients wishes for how they want to conduct the end of their lives. The patients need to accept their impending death with the assistance of their doctors and advocate for how they want to conduct the end of their lives. And mortality is an object which is immaterial but ever present, and both doctors and patients need to learn how to grasp with it.