Sequestration Takes Effect, but Impact Is Not Immediate





WASHINGTON — University officials, city managers, day care providers and others spent Saturday assessing how they would absorb their part of the across-the-board cuts in federal spending that began taking effect over the weekend.




But even as the institutions that depend on federal money nervously took stock, most Americans were largely unaffected by the cuts, at least for now. At Los Angeles International Airport, John Konopka, 45, suffered no delays as he arrived from Atlanta.


“This is just another travel day,” Mr. Konopka said. “I think all of it’s been talked up a bit, way too politically, to make it seem a lot worse than it is. I don’t think it’s going to be the gloom and doom that some people are saying it would be.”


Others were less sanguine. Joel Silver, 63, a retiree from the Bronx, said he feared the cuts would affect the most vulnerable. He said he was angry that President Obama and lawmakers had not prevented what he called “an invented crisis.”


“What’s the point of a Congress?” he asked. “Aren’t they supposed to sit down and talk about things and figure them out? The economy was just recovering and now it’s going to slide back.”


Across the country, the impact of sequestration, as the cuts are known, appeared to be as varied as the thousands of federal programs, big and small, that now have shrunken pots of money from which to draw.


In Baltimore, the mayor called for an emergency cabinet meeting to discuss the reductions in federal money and their impact on a city that already has a projected deficit of $750 million over the next decade.


At research universities, administrators sent e-mails to faculty members and students warning that changes were coming. Samuel L. Stanley Jr., the president of Stony Brook University, said the institution would lose $7.6 million in “vital federal funding” for research grants and other programs. The University of California, Berkeley, warned that “as sequestration translates into fewer federal grants, the campus will be forced to hire fewer researchers.”


The Air Force Thunderbirds, the elite team of F-16 pilots who perform flight maneuvers at air shows around the country, announced on their Web site that all of their shows had been canceled starting April 1.


Federal officials began sending letters to governors, informing them of smaller grants. Shaun Donovan, the secretary of housing and urban development, wrote to Gov. John R. Kasich of Ohio, “You can expect reductions totaling approximately $35 million.”


In a 70-page report to Congress accompanying the sequestration order and detailing the reductions — agency by agency and program by program — Jeffrey D. Zients, Mr. Obama’s budget director, called them “deeply destructive to national security, domestic investments and core government functions.”


Among the $85 billion in cuts for the fiscal year ending Sept. 30: $3 million less for Pacific coastal salmon recovery; $148 million less for the patent office; a $1 million cut in support by the Defense Department for international sporting competitions; $289 million less for the Centers for Disease Control and Prevention; a $1 million cut in the Interior Department’s helium fund; and $16 million less for the Sept. 11 victim compensation fund.


But even as the reductions became official, the result of a stalemate between Mr. Obama and Congressional Republicans over increasing taxes, some of the immediate impact was difficult to see.


The process of trimming government budgets is slow and cumbersome, involving notifications to unions about temporary furloughs, reductions in overtime pay and cuts in grant financing to state and local programs. Less federal money will, over time, mean fewer government contracts with private companies. Reduced overtime pay for airport security checkpoint officers will make lines longer, eventually.


And so as the first weekend began for the new, slimmer government, little of that was evident yet.


At Kennedy International Airport in New York, travelers who arrived extra early were greeted by short lines, not the drastic delays that federal transportation officials have said could emerge as security officers are furloughed to save money.


“The check-in was fine, at least for now. I’m surprised,” said Chris Achilefu, 45, who arrived at the airport four hours before his flight to Lagos, Nigeria. Normally Mr. Achilefu, an automotive exporter who lives in Upper Darby, Pa., would arrive two hours early, but he said he was concerned about lines.


“I was listening to what the president said yesterday, that it won’t kick in right away,” he said. “Hopefully the two parties will come together, hopefully they will resolve it before another month.”


At the main San Ysidro port of entry between Mexico and San Diego, traffic moved smoothly late Friday night, just hours after the sequestration began, and border lines had only a few dozen vehicles in each lane.


Vendors who line the street where cars sometimes idle for hours waiting to enter the United States perked up when they heard about the cuts.


“That’s good for business,” said Emilio Gomez, an employee at a stand selling rugs, china figurines and soda. “When people are waiting, they get bored and they buy more stuff.”


In his weekly address on Saturday, Mr. Obama acknowledged that not everyone would be affected equally. “While not everyone will feel the pain of these cuts right away, the pain will be real,” he said. “Many middle-class families will have their lives disrupted in a significant way.”


In the Republican response to Mr. Obama’s address, Representative Cathy McMorris Rodgers of Washington also called the cuts “devastating,” but said that Republicans in the House would not yield on taxes. “Spending is the problem, which means cutting spending is the solution,” she said. “It’s that simple.”


Reporting was contributed by Robbie Brown from Atlanta; Will Carless from San Ysidro, Calif.; Ian Lovett from Los Angeles; and Marc Santora and Ravi Somaiya from New York.



Read More..

Kerry Criticizes Turkish Prime Minister Over Zionism Remark





ANKARA, Turkey — Secretary of State John Kerry chastised Turkey’s prime minister on Friday for recently calling Zionism a “crime against humanity,” a comment that could frustrate Mr. Kerry’s desire to see an improvement in estranged Turkish-Israeli relations.




When Mr. Kerry set off on Sunday on a nine-nation trip, his plan was to use his visit in Turkey to consult on trade, the crisis in Syria and other Middle East issues.


But on Wednesday, Prime Minister Recep Tayyip Erdogan told a United Nations forum in Vienna that the international community should consider Islamophobia a crime against humanity “like Zionism or anti-Semitism or fascism.”


The next day, Prime Minister Benjamin Netanyahu of Israel described Mr. Erdogan’s remarks as a “dark and false statement.”


By Friday Mr. Kerry was faced with the task of trying to discourage another outburst from the Turks and salvaging some chance of an improvement in ties between Turkey and Israel — the first a moderate Muslim-majority nation and important NATO ally, and the other the principal United States ally in the Middle East.


The Americans’ sternest message to the Turks was conveyed before Mr. Kerry’s plane even landed by a senior State Department official who spoke under ground rules that he not be identified by name.“This was particularly offensive,” the official said, referring to Mr. Erdogan’s comments. “It complicates our ability to do all of the things that we want to do together.”


Once in Ankara, Mr. Kerry initially approached the issue somewhat indirectly. Noting that he had attended a memorial event earlier in the day for a Turkish security guard who had been killed trying to stop suicide bomber at the American Embassy, Mr. Kerry said that this selflessness should inspire a “spirit of tolerance.”


“And that,” Mr. Kerry added, “includes all of the public statements made by all leaders.”


But in response to a question at a news conference with Foreign Minister Ahmet Davutoglu, Mr. Kerry was more direct.


“Obviously, we not only disagree with it. We found it objectionable,” Mr. Kerry said of Mr. Erdogan’s statement, noting that he planned to raise the matter Friday evening with the prime minister. The comments by Mr. Davutoglu suggested that it might not be an easy discussion.


The foreign minister insisted Turkey was not hostile to Israel and that the downturn in relations was Israel’s fault, referring to a 2010 episode in which eight Turks and an American of Turkish descent were killed when Israeli commandos boarded the lead ship of a pro-Palestinian activist flotilla that was trying to break Israel’s blockade of Gaza.


“If Israel is expected to hear positive comments from Turkey, I believe they need to revise their attitudes not only toward us but also toward the settlements in West Bank and the people of the region,” he added.


During the 1990s, Turkey and Israel enjoyed close cooperation in ties that were nurtured by the secular Turkish military and the Israeli national security establishment, Dan Arbell, a guest scholar at the Brookings Institution’s Saban Center for Middle East Policy, wrote last year.


Relations began to deteriorate after Mr. Erdogan became prime minister in 2003 and Turkey adopted a more assertive regional posture, which often involved sharp criticism of Israel’s policies. Ties between the countries reached a low point with the deadly Gaza flotilla confrontation.


American officials said they would like to find some way to foster an improvement in Turkish-Israeli relations, which the official on Mr. Kerry’s plane described as “frozen.”


“We want to see a normalization, not just for the sake of the two countries but for the sake of the region and, frankly, for the symbolism,” the official said. “Not that long ago you had these two countries demonstrating that a majority Muslim country could have very positive and strong relations with the Jewish state.”


On Friday night, Mr. Kerry dined at Mr. Erdogan’s residence. The session began inauspiciously when Mr. Kerry apologized for being a little late because of his lengthy discussions with Mr. Davutoglu.


Mr. Erdogan, who seemed irritated, said that Mr. Kerry and Mr. Davutoglu “must have spoken about everything, so there is nothing left for us to talk about.”


“There’s a lot to talk about,” Mr. Kerry said. “We actually didn’t talk about everything.”


According to a State Department official, the Turkish prime minister and Mr. Kerry discussed the gamut of Middle East issues, including the recent meeting in Rome on the Syria conflict, the situation in Iraq, Iran and the prospects for reviving the peace process between Israel and the Palestinians.


American officials did not provide details on the exchange regarding Mr. Erdogan’s Zionism comments or whether the Turkish prime minister believed they had in any way been excessive.


The two men, the State Department official said, had a “frank discussion of the prime minister’s speech in Vienna and how to move forward.”


Read More..

AP sources: Flacco agrees to Ravens deal


Joe Flacco is staying in Baltimore.


The Super Bowl MVP quarterback agreed Friday to a new contact with the Ravens, two people with knowledge of the deal told The Associated Press.


Terms were not immediately available, but Flacco was expected to get a long-term contract close to the $20 million average salary Drew Brees earns with New Orleans.


The people spoke on condition of anonymity because the agreement has not officially been announced.


Fox Sports first reported the new deal.


Flacco played out his rookie contract last season for $6.76 million and led Baltimore to the NFL championship.


The 28-year-old Flacco is the only quarterback to win a postseason game in each of his first five pro seasons. He had a spectacular playoffs and Super Bowl this year, throwing for 11 touchdowns with no interceptions.


He also holds the record for playoff road wins with six.


Before the Super Bowl, Ravens owner Steve Bisciotti expressed confidence that Flacco would be the Ravens' quarterback of the future.


"We've never lost a great, great franchise player from the beginning," Bisciotti said. "I'm just very comfortable that it will get done."


On Friday, it did.


Flacco was a first-round draft pick in 2008 out of Delaware and one of the most consistent postseason winners in NFL history.


Flacco said after the Super Bowl victory over San Francisco that he expected to be back in Baltimore. He made sure of that Friday, coincidentally hours after the franchise tag figures for 2013 became known.


Had Flacco been franchised, he would have earned at least $14.896 million this season.


Read More..

Well: A Rainbow of Root Vegetables

This week’s Recipes for Health is as much a treat for the eyes as the palate. Colorful root vegetables from bright orange carrots and red scallions to purple and yellow potatoes and pale green leeks will add color and flavor to your table.

Since root vegetables and tubers keep well and can be cooked up into something delicious even after they have begun to go limp in the refrigerator, this week’s Recipes for Health should be useful. Root vegetables, tubers (potatoes and sweet potatoes, which are called yams by most vendors – I mean the ones with dark orange flesh), winter squash and cabbages are the only local vegetables available during the winter months in colder regions, so these recipes will be timely for many readers.

Roasting is a good place to begin with most root vegetables. They sweeten as they caramelize in a hot oven. I roasted baby carrots and thick red scallions (they may have been baby onions; I didn’t get the information from the farmer, I just bought them because they were lush and pretty) together and seasoned them with fresh thyme leaves, then sprinkled them with chopped toasted hazelnuts. I also roasted a medley of potatoes, including sweet potatoes, after tossing them with olive oil and sage, and got a wonderful range of colors, textures and tastes ranging from sweet to savory.

Sweet winter vegetables also pair well with spicy seasonings. I like to combine sweet potatoes and chipotle peppers, and this time in a hearty lentil stew that we enjoyed all week.

Here are five colorful and delicious dishes made with root vegetables.

Spicy Lentil and Sweet Potato Stew With Chipotles: The combination of sweet potatoes and spicy chipotles with savory lentils is a winner.


Roasted Carrots and Scallions With Thyme and Hazelnuts: Toasted hazelnuts add a crunchy texture and nutty finish to this dish.


Carrot Wraps: A vegetarian sandwich that satisfies like a full meal.


Rainbow Potato Roast: A multicolored mix that can be vegan, or not.


Leek Quiche: A lighter version of a Flemish classic.


Read More..

Bits Blog: Judge Slashes Jury Award in Apple-Samsung Case

8:45 p.m. | Updated

A federal judge on Friday weakened the blow from Apple’s legal victory in a patent case against Samsung, lopping more than 40 percent off the damages a jury awarded Apple last year.

The ruling did not shift the case — one of the most closely watched in the high-tech industry — in Samsung’s favor. While Apple has lost other skirmishes against Samsung in courts around the world, the jury award in this case has been the biggest victory for either side so far.

Even at a reduced level, these would be among the highest damages in a patent dispute.

The judge ordered a new trial to recalculate a portion of those damages, leaving open the possibility that some of them could be restored.

She also indicated that Apple was entitled to additional damages for sales of Samsung products that have occurred since the jury’s decision last summer, which could further swell the amount Apple is owed by Samsung.

Tech companies around the world are waging legal battles over patents as they compete for supremacy in the lucrative smartphone market. Apple and Samsung are the most prominent combatants in that war; the two companies divide most of the profits in the surging mobile phone market.

Samsung has soared to the No. 1 spot in the smartphone business in recent years, but Apple says that it is, in part, because the company has swiped many of Apple’s ideas.

In her review of the jury’s decisions, which originally awarded Apple more than $1 billion for patent violations by Samsung in its mobile products, Judge Lucy H. Koh of the United States District Court in San Jose, Calif., knocked those damages down by $450 million, to $599 million. The new trial will determine how much of the $450 million, if any, should be restored.

“It will be years before the parties exhaust all of their litigation avenues and options,” said Alan M. Fisch, an intellectual property lawyer with Fisch Hoffman Sigler in Washington, who is not involved in the case. “Still, some form of patent cross-license between the two would not be an unsurprising final result.”

None of Judge Koh’s opinion changed the jury’s finding that Samsung violated a series of Apple patents in its smartphone and tablet products. But the judge took issue with how the jury calculated the damages Apple was entitled to from the Samsung devices named in the case, more than two dozen of them in all.

In her 27-page opinion, Judge Koh said that the jury failed to follow her instructions in calculating damages for a certain class of patents, known as utility patents.

She also decided in Samsung’s favor in a dispute between the two parties over when Apple notified Samsung that it was infringing Apple’s intellectual property. Evidence of such notice dates are important because they help determine how hefty the damages are in a court case, once the party being notified is found guilty of infringement.

Judge Koh chided Apple for using an expert in the case who used an “aggressive notice date” — meaning, an early one — to calculate damages.

“The need for a new trial could have been avoided had Apple chosen a more circumspect strategy or provided more evidence to allow the jury or the court to determine the appropriate award for a shorter notice period,” she said in her ruling.

Steve Dowling, a spokesman for Apple, declined to comment.

In a statement, Adam Yates, a Samsung spokesman, said that the company was pleased with the judge’s decision and that it intended to seek further review of the remaining award.

Apple and Samsung, meanwhile, continue to fight ferociously in the smartphone market, where Samsung has steadily worked its way to the No. 1 position over the last few years. In the fourth quarter, Samsung accounted for 29 percent of global smartphone shipments, while Apple accounted for 21.8 percent, according to IDC.

Mark A. Lemley, a professor at Stanford Law School, called the judge’s decision “an extremely careful and thorough opinion on a very difficult and interrelated set of issues.”

Mr. Lemley predicted that Samsung would eventually win some reduction in the original $1 billion award, but “almost certainly” less than the $450 million that Judge Koh reduced it by on Friday.

“We’ll need a new trial to figure that out,” said Mr. Lemley, who has done legal work in the past for Google, maker of the Android operating system involved in the Samsung case and others. “Judge Koh has encouraged both sides to appeal first. That may clarify some questions, but it is unlikely to prevent a new trial, just delay it some.”

Read More..

U.S. Aid to Syria Shows Obama’s Cautious Approach to Crisis





ROME — The food rations and medical supplies that Secretary of State John Kerry said Thursday would be provided to the Free Syrian Army mark the first time that the United States has publicly committed itself to sending nonlethal aid to the armed factions that are battling President Bashar al-Assad.




But the nature of the assistance also illustrates the Obama administration’s caution about getting involved in the Syrian crisis.


At each stop of his first foreign trip as secretary of state, Mr. Kerry has emphasized that one of his principal goals was to change Mr. Assad’s calculations about his ability to remain in power.


Mr. Assad is “out of time and must be out of power,” Mr. Kerry asserted after meeting here with Moaz al-Khatib, the leader of the Syrian opposition coalition.


The announcement of the supplies fell well short of the weapons and equipment Syrian rebels have requested and left unclear why Mr. Assad, who has fired Scud missiles at the city of Aleppo, would now conclude that he could no longer stand up to his opponents.


The nonlethal aid was just one element of the American program of assistance that Mr. Kerry unveiled on Thursday.


The United States is also providing $60 million to help the political wing of the Syrian anti-Assad coalition improve the delivery of basic services like sanitation and education in areas it has already wrested from the government’s control.


A covert effort to program to train rebel fighters, which State Department officials here were not prepared to discuss, has also been under way. According to an official in Washington, who asked not to be identified, the Central Intelligence Agency since last year has been training groups of Syrian rebels in Jordan.


The official did not provide details about the training or what difference it may have made on the battlefield, but said that the C.I.A. had not given weapons or ammunition to the rebels. An agency spokesman declined to comment.


Defending the limited program to provide medical supplies and military rations known as Meals Ready to Eat, or M.R.E.’s, to the military wing of the Syrian resistance, Mr. Kerry said that other countries would also provide help. He said that the “totality” of the effort would make an impression on Mr. Assad.


“We’re doing this, but other countries are doing other things,” Mr. Kerry said. But neither he nor any diplomats at a meeting here of the so-called Friends of Syria countries that support the Syrian resistance provided details about that effort.


Britain is planning more substantial nonlethal aid, which could include vehicles, bulletproof vests and night vision equipment, according to an American official. British officials have been consulting with European counterparts about what sort of nonlethal aid might be allowed under the terms of European Union decisions.


There is speculation that the Obama administration might expand its program of support to the Free Syrian Army to include nonlethal equipment if rebel fighters use the initial assistance effectively and do not allow any to fall into the hands of extremists.


“We’re in the Middle East. It’s all about the bargaining,” said Mona Yacoubian, a Middle East expert at the Henry L. Stimson Center in Washington. “It could be this is part of a strategy of deliberately trickling in aid, to sort of see how things are going on the ground. You start with harmless things, like M.R.E.’s. Is this a conversation starter? We might think of it that way.”


But Mr. Kerry provided no indication that the White House was committed to such a phased expansion of nonlethal support.


“I am going back to Washington with a number of thoughts and ideas that were put on the table today, and I’m confident we’re going to have a robust and ongoing conversation,” he said.


Some members of the Syria opposition said they were disappointed by the Rome session.


“It is obvious that the real support is absent,” said Walid al-Bunni, a spokesman for the anti-Assad coalition. He said what the resistance needed most was weapons. “What we want is to stop the Scuds launched on Aleppo, to stop the warplanes that are bombing our towns and villages.”


Mr. Khatib, for his part, delivered an emotional statement in which he urged establishment of a humanitarian corridor to the besieged city of Homs, and complained that many in the West were too quick to judge some members of the opposition as Islamic extremists because of “the length of a beard of a fighter.”


“Bashar Assad, for once in your life, behave as a human being,” Mr. Khatib said. “Bashar Assad, you have to make at least one wise decision in your life for the future of your country.”


One aim of the $60 million in aid is to help the Syrian Opposition Coalition, the umbrella group led by Mr. Khatib that the United States backs and has helped shape, in building credibility within the country and contesting the influence of extremist groups like the Al Nusra Front, an organization affiliated with Al Qaeda.


American officials have become increasingly concerned that the Al Nusra Front is making inroads among the Syrian population by dispersing assistance in the areas it controls.


The American assistance could also help the Syrian coalition develop the governance skills it will need to play a role in any post-Assad political transition.


The funds are to be used in areas controlled by the Syrian opposition coalition to improve education, sanitation and security. Another goal is to strengthen the rule of law in these areas and discourage vigilante justice or revenge killings. To carry out the program, the United States plans to send technical advisers to the headquarters of the Syrian opposition in Cairo. The advisers will be drawn from nongovernmental organizations.


The $60 million is on top of more than $50 million in assistance, including communications equipment, that the United States has already provided to local councils and civil activists. The new funds need to be approved by Congress, which is caught up in politics over how to cut the American budget deficit. But Mr. Kerry said that he expects Congressional approval soon.


Reporting was contributed by Mark Mazzetti from Washington, Anne Barnard and Hwaida Saad from Beirut, Lebanon, and Christine Hauser from New York.



Read More..

AP Source: Salary cap increases to $123 million


The NFL salary cap for the 2013 season will rise to $123 million from $120.6 million in 2012, an NFL Players Association official familiar with negotiations over the figure told The Associated Press on Thursday.


The official spoke to the AP on condition of anonymity because no formal announcement had been made.


The increase, which is larger than some in the NFL had anticipated, is a result of greater-than-expected revenues last season — primarily from NFL Properties — and a jump in projected league revenues, according to the official.


The league and the union work together to establish a cap number, based on parameters established under their collective bargaining agreement. The current 10-year CBA was signed in August 2011, ending the owners' lockout of the players.


One of the main areas of contention during that labor dispute was how to divide the more than $9 billion in annual league revenues, a figure that will keep rising, particularly once the NFL's new television contracts kick in for the 2014 season. Those additional revenues will be reflected in the salary cap for 2015, which is expected to see a more significant increase than the roughly 2 percent uptick from 2012 to 2013.


There was no salary cap in 2010, the final year of the old CBA. In 2011, the first year under the present deal, the figure was $120.375 million.


Over the next four seasons, from 2013-16, each of the NFL's 32 clubs will be required to spend an average of at least 89 percent of the salary cap in contract dollars, while overall league spending must average 95 percent in that span. That sort of minimum cash spending did not exist under the old CBA.


Another significant change under this agreement: owners and players divide types of revenues at different rates. Players receive 55 percent of revenue from the league's national TV and other media deals; 45 percent of licensing and national sponsorship deals, including NFL Properties; and 40 percent of local club revenues.


Read More..

Doctor and Patient: Why Failing Med Students Don’t Get Failing Grades

Tall and dark-haired, the third-year medical student always seemed to be the first to arrive at the hospital and the last to leave, her white coat perpetually weighed down by the books and notes she jammed into the pockets. She appeared totally absorbed by her work, even exhausted at times, and said little to anyone around her.

Except when she got frustrated.

I first noticed her when I overheard her quarreling with a nurse. A few months later I heard her accuse another student of sabotaging her work. And then one morning, I saw her storm off the wards after a senior doctor corrected a presentation she had just given. “The patient never told me that!” she cried. The nurses and I stood agape as we watched her stamp her foot and walk away.

“Why don’t you just fail her?” one of the nurses asked the doctor.

“I can’t,” she sighed, explaining that the student did extremely well on all her tests and worked harder than almost anyone in her class. “The problem,” she said, “is that we have no multiple choice exams when it comes to things like clinical intuition, communication skills and bedside manner.”

Medical educators have long understood that good doctoring, like ducks, elephants and obscenity, is easy to recognize but difficult to quantify. And nowhere is the need to catalog those qualities more explicit, and charged, than in the third year of medical school, when students leave the lecture halls and begin to work with patients and other clinicians in specialty-based courses referred to as “clerkships.” In these clerkships, students are evaluated by senior doctors and ranked on their nascent doctoring skills, with the highest-ranking students going on to the most competitive training programs and jobs.

A student’s performance at this early stage, the traditional thinking went, would be predictive of how good a doctor she or he would eventually become.

But in the mid-1990s, a group of researchers decided to examine grading criteria and asked directors of internal medicine clerkship courses across the country how accurate and consistent they believed their grading to be. Nearly half of the course directors believed that some form of grade inflation existed, even within their own courses. Many said they had increasing difficulty distinguishing students who could not achieve a “minimum standard,” whatever that might be. And over 40 percent admitted they had passed students who should have failed their course.

The study inspired a series of reforms aimed at improving how medical educators evaluated students at this critical juncture in their education. Some schools began instituting nifty mnemonics like RIME, or Reporter-Interpreter-Manager-Educator, for assessing progressive levels of student performance; others began to call regular meetings to discuss grades; still others compiled detailed evaluation forms that left little to the subjective imagination.

Now a new study published last month in the journal Teaching and Learning in Medicine looks at the effects of these many efforts on the grading process. And while the good news is that the rate of grade inflation in medical schools is slower than in colleges and universities, the not-so-good news is that little has changed. A majority of clerkship directors still believe that grade inflation is an issue even within their own courses; and over a third believe that students have passed their course who probably should have failed.

“Grades don’t have a lot of meaning,” said Dr. Sara B. Fazio, lead author of the paper and an associate professor of medicine at Harvard Medical School who leads the internal medicine clerkship at the Beth Israel Deaconess Medical Center in Boston. “‘Satisfactory’ is like the kiss of death.”

About a quarter of the course directors surveyed believed that grade inflation occurred because senior doctors were loath to deal with students who could become angry, upset or even turn litigious over grades. Some confessed to feeling pressure to help students get into more selective internships and training programs.

But for many of these educators, the real issue was not flunking the flagrantly unprofessional student, but rather evaluating and helping the student who only needed a little extra help in transitioning from classroom problem sets to real world patients. Most faculty received little or no training or support in evaluating students, few came from institutions that had remediation programs to which they could direct students, and all worked under grading systems that were subjective and not standardized.

Despite the disheartening findings, Dr. Fazio and her co-investigators believe that several continuing initiatives may address the evaluation issues. For example, residency training programs across the country will soon be assessing all doctors-in-training with a national standards list, a series of defined skills, or “competencies,” in areas like interpersonal communication, professional behavior and specialty-specific procedures. Over the next few years, medical schools will likely be adopting a similar system for medical students, creating a national standard for all institutions.

“There have to be unified, transparent and objective criteria,” Dr. Fazio said. “Everyone should know what it means when we talk about educating and training ‘good doctors.’”

“We will all be patients one day,” she added. “We have to think about what kind of doctors we want to have now and in the future.”

Read More..

DealBook: As Losses Mount, R.B.S. Unveils Plan to Sell Assets

LONDON – The Royal Bank of Scotland, hammered by losses, announced plans on Thursday to sell assets and pare back its investment banking business, in an effort to appease regulators and its biggest shareholder, the British government.

R.B.S. said it planned to sell a stake in the Citizens Financial Group, the American lender it bought in 1988, through an initial public offering in two years. The bank will also continue to reduce its investment banking operations, with plans to cut risky assets and eliminate jobs.

The moves are designed to help bolster the bank’s capital levels and refocus its operations, part of a multiyear turnaround effort initiated by its chief executive, Stephen Hester. In the end, R.B.S. will emerge a much smaller bank, largely focused on Britain.

“R.B.S. is four years into its recovery plan,” Mr. Hester said in a statement, “and good progress has been made. We are a much smaller, more focused and stronger bank. Our target is for 2013 to be the last big year of restructuring.”

Like many rivals, R.B.S. is struggling with the legacy of the financial crisis and a spate of legal issues. On Thursday, it reported a bigger-than-expected loss, in part tied to its legal troubles.

The bank, in which the British government holds an 82 percent stake after a bailout in 2008, posted a net loss of £5.97 billion ($9 billion) in 2012, much larger than the £2 billion loss recorded in 2011. Analysts had been expecting a loss of £5.1 billion. For the last quarter of 2012, R.B.S. reported a £2.6 billion loss, up from a £1.8 billion loss in the period a year earlier.

The rising losses reflect the bank’s regulatory and legal problems.

R.B.S. said on Thursday that it had set aside an additional £1.1 billion to compensate clients to which it improperly sold insurance products, bringing the total provision to £2.2 billion. It also estimated it would have to pay £700 million to compensate small businesses to which it improperly sold some interest-rate hedging products.

The bank agreed this year to pay $612 million to British and American authorities to settle accusations of rate-rigging. Since then, Mr. Hester has promised to tighten controls at the bank to limit the risk of future rate manipulation.

The head of R.B.S.’s investment banking division, John Hourican, resigned at the beginning of February as a result of the scandal related to manipulating the London interbank offered rate, or Libor. The bank plans to pay its fine with money clawed back from bonuses.

‘‘Along with the rest of the banking industry we faced significant reputational challenges,’’ Mr. Hester said in the statement. ‘‘We are determined to overcome the cultural and reputational baggage of precrisis times with the same focus we have applied to the financial cleanup from that era.’’

Eager to get back some of the £45.5 billion it invested in R.B.S., the British government recently increased pressure on the bank’s management to speed up the reorganization.

Some analysts said the government could start selling parts of its investment in the bank, even at a loss, before the next general election, which is set for 2015. R.B.S.’s shares are still trading at about half what the government paid for them in 2008. Some lawmakers said they would favor handing out shares to the public instead of a possible sale of the stake on the open market.

Richard Hunter, head of equities at Hargreaves Lansdown Stockbrokers, said there were signs that Mr. Hester’s efforts to turn around the bank had started to pay off, but that “the ongoing absence of a dividend and overhang of the government stake are negatives which need to be resolved.”

Read More..

The Lede: Video of Pope Benedict’s Public Farewell

During his final farewell address, Pope Benedict XVI describes the joys and challenges of his papacy via CNN on YouTube.

As our colleagues, Rachel Donadio and Alan Cowell report, Pope Benedict XVI held his final general audience in St. Peter’s Square on Wednesday, a day before he withdraws from the public for a cloistered life of prayer and meditation.

Before tens of thousands of people gathered in the square, the pope acknowledged the difficulties he faced during his papacy, describing “moments of joy and light but also moments that were not easy.” At times, when the “seas were rough”, he said that “the Lord seemed to sleep.”

From the full text of his address:

When, almost eight years ago, on April 19th, [2005], I agreed to take on the Petrine ministry, I held steadfast in this certainty, which has always accompanied me. In that moment, as I have already stated several times, the words that resounded in my heart were: “Lord, what do you ask of me? It a great weight that You place on my shoulders, but, if You ask me, at your word I will throw out the nets, sure that you will guide me” – and the Lord really has guided me. He has been close to me: daily could I feel His presence.

[These years] have been a stretch of the Church’s pilgrim way, which has seen moments joy and light, but also difficult moments. I have felt like St. Peter with the Apostles in the boat on the Sea of Galilee: the Lord has given us many days of sunshine and gentle breeze, days in which the catch has been abundant; [then] there have been times when the seas were rough and the wind against us, as in the whole history of the Church it has ever been – and the Lord seemed to sleep. Nevertheless, I always knew that the Lord is in the barque, that the barque of the Church is not mine, not ours, but His – and He shall not let her sink. It is He, who steers her: to be sure, he does so also through men of His choosing, for He desired that it be so. This was and is a certainty that nothing can tarnish. It is for this reason, that today my heart is filled with gratitude to God, for never did He leave me or the Church without His consolation, His light, His love.

An English translation from the Vatican of Pope Benedict XVI’s last general audience before his formal resignation on Thursday.

On Twitter, the pope’s account, @Pontifex, which has more than 1.5 million followers, posted:

Shortly after he announced his resignation, he asked on Twitter for people “to pray for me and for the church, trusting as always in divine providence.”

From St. Peter’s Square, people posted photographs from the crowd, including a shot of the pope arriving in the so-called popemobile, on his way to deliver his final farewell.

As my colleague, Laurie Goodstein reports, the church faces, among its many challenges as cardinals gather to select a new pope, the wounds caused by sexual abuse cases involving minors all over the world that have been mishandled for years.

In St. Peter’s Square, the pope also spoke briefly in English to the crowd.

The pope spoke in English, and asked Catholics to pray for both him and the new pope.

I offer a warm and affectionate greeting to the English-speaking pilgrims and visitors who have joined me for this, my last General Audience. Like Saint Paul, whose words we heard earlier, my heart is filled with thanksgiving to God who ever watches over his Church and her growth in faith and love, and I embrace all of you with joy and gratitude. During this Year of Faith, we have been called to renew our joyful trust in the Lord’s presence in our lives and in the life of the Church. I am personally grateful for his unfailing love and guidance in the eight years since I accepted his call to serve as the Successor of Peter. I am also deeply grateful for the understanding, support and prayers of so many of you, not only here in Rome, but also throughout the world.

The decision I have made, after much prayer, is the fruit of a serene trust in God’s will and a deep love of Christ’s Church. I will continue to accompany the Church with my prayers, and I ask each of you to pray for me and for the new Pope. In union with Mary and all the saints, let us entrust ourselves in faith and hope to God, who continues to watch over our lives and to guide the journey of the Church and our world along the paths of history. I commend all of you, with great affection, to his loving care, asking him to strengthen you in the hope which opens our hearts to the fullness of life that he alone can give. To you and your families, I impart my blessing. Thank you!

Read More..