Author: Theresa M. Campo, DNP, FNP-C, ENP-BC, FAANP
Publisher: Springer Publishing Company
ISBN: 0826141056
Category : Medical
Languages : en
Pages : 888
Book Description
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. A comprehensive, step-by-step, well-illustrated introduction to common clinical procedures This text is a user-friendly guide to performing 77 clinical procedures, ranging from those commonly performed to those infrequently called upon when minutes count in emergency, urgent, and primary care settings. This heavily updated third edition includes current and comprehensive text, graphic, and video instruction on the use of bedside ultrasound for procedural guidance in order to increase procedural accuracy and mitigate complications. Edited and written by academically accomplished physicians, physician assistants, and nurse practitioners, an interprofessional approach to the performance of procedures is highlighted throughout the book. Procedures are consistently formatted and presented in clear language with step-by-step detail organized by system-specific categories for easy access to information. Each procedure includes background considerations, indications & contraindications for performing the procedure, technique for safe and correct performance, special considerations, complications, post-procedure considerations, and patient education points. Original photos, videos, high quality sonographic footage, line drawings, and tables reinforce the guidelines and procedures. Abundant "Clinical Pearls" throughout the manuscript offer practical applications of key information representing years of clinical technical experience. Extensive references at the end of each chapter further enhance the book's utility New to the Third Edition: Delivers 16 completely new chapters covering a plethora of newly added procedures, incorporating an interprofessional approach to performing procedures Previous chapters have been extensively updated and expanded Provides new illustrative videos Presents a corresponding list of CPT codes Key Features: Delivers current, concise, step-by-step information for performing 77 commonly and less commonly used clinical procedures Provides abundant four-color photos and figures illustrating each procedure Organized by body system to provide fast access to key information Enriched with point of care ultrasound guided procedures Thoroughly introduces and teaches sonography at the most fundamental level as an important tool to enhance accuracy of procedures Reflects latest guidelines and evidence-based practice Includes prominently displayed links to numerous videos throughout the text
Essential Procedures for Emergency, Urgent, and Primary Care Settings, Third Edition
Author: Theresa M. Campo, DNP, FNP-C, ENP-BC, FAANP
Publisher: Springer Publishing Company
ISBN: 0826141056
Category : Medical
Languages : en
Pages : 888
Book Description
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. A comprehensive, step-by-step, well-illustrated introduction to common clinical procedures This text is a user-friendly guide to performing 77 clinical procedures, ranging from those commonly performed to those infrequently called upon when minutes count in emergency, urgent, and primary care settings. This heavily updated third edition includes current and comprehensive text, graphic, and video instruction on the use of bedside ultrasound for procedural guidance in order to increase procedural accuracy and mitigate complications. Edited and written by academically accomplished physicians, physician assistants, and nurse practitioners, an interprofessional approach to the performance of procedures is highlighted throughout the book. Procedures are consistently formatted and presented in clear language with step-by-step detail organized by system-specific categories for easy access to information. Each procedure includes background considerations, indications & contraindications for performing the procedure, technique for safe and correct performance, special considerations, complications, post-procedure considerations, and patient education points. Original photos, videos, high quality sonographic footage, line drawings, and tables reinforce the guidelines and procedures. Abundant "Clinical Pearls" throughout the manuscript offer practical applications of key information representing years of clinical technical experience. Extensive references at the end of each chapter further enhance the book's utility New to the Third Edition: Delivers 16 completely new chapters covering a plethora of newly added procedures, incorporating an interprofessional approach to performing procedures Previous chapters have been extensively updated and expanded Provides new illustrative videos Presents a corresponding list of CPT codes Key Features: Delivers current, concise, step-by-step information for performing 77 commonly and less commonly used clinical procedures Provides abundant four-color photos and figures illustrating each procedure Organized by body system to provide fast access to key information Enriched with point of care ultrasound guided procedures Thoroughly introduces and teaches sonography at the most fundamental level as an important tool to enhance accuracy of procedures Reflects latest guidelines and evidence-based practice Includes prominently displayed links to numerous videos throughout the text
Publisher: Springer Publishing Company
ISBN: 0826141056
Category : Medical
Languages : en
Pages : 888
Book Description
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. A comprehensive, step-by-step, well-illustrated introduction to common clinical procedures This text is a user-friendly guide to performing 77 clinical procedures, ranging from those commonly performed to those infrequently called upon when minutes count in emergency, urgent, and primary care settings. This heavily updated third edition includes current and comprehensive text, graphic, and video instruction on the use of bedside ultrasound for procedural guidance in order to increase procedural accuracy and mitigate complications. Edited and written by academically accomplished physicians, physician assistants, and nurse practitioners, an interprofessional approach to the performance of procedures is highlighted throughout the book. Procedures are consistently formatted and presented in clear language with step-by-step detail organized by system-specific categories for easy access to information. Each procedure includes background considerations, indications & contraindications for performing the procedure, technique for safe and correct performance, special considerations, complications, post-procedure considerations, and patient education points. Original photos, videos, high quality sonographic footage, line drawings, and tables reinforce the guidelines and procedures. Abundant "Clinical Pearls" throughout the manuscript offer practical applications of key information representing years of clinical technical experience. Extensive references at the end of each chapter further enhance the book's utility New to the Third Edition: Delivers 16 completely new chapters covering a plethora of newly added procedures, incorporating an interprofessional approach to performing procedures Previous chapters have been extensively updated and expanded Provides new illustrative videos Presents a corresponding list of CPT codes Key Features: Delivers current, concise, step-by-step information for performing 77 commonly and less commonly used clinical procedures Provides abundant four-color photos and figures illustrating each procedure Organized by body system to provide fast access to key information Enriched with point of care ultrasound guided procedures Thoroughly introduces and teaches sonography at the most fundamental level as an important tool to enhance accuracy of procedures Reflects latest guidelines and evidence-based practice Includes prominently displayed links to numerous videos throughout the text
Essential Procedures for Emergency, Urgent, and Primary Care Settings
Author: Theresa M. Campo, DNP, RN, FNP-C, ENP-BC, FAANP
Publisher: Springer Publishing Company
ISBN: 082617177X
Category : Medical
Languages : en
Pages : 514
Book Description
This is a concise, easy-to-use guide to executing more than 60 commonly performed clinical procedures, including sonography, in emergent, urgent, and ambulatory care settings. The procedures are consistently formatted, presented in detail, and organized into system-specific categories for easy access to information. The second edition is the only such resource to include two new chapters completely devoted to bedside ultrasound and how it is used as a tool to enhance the accuracy of numerous procedures. Grounded in fundamental sonography physics, these chapters provide readers with a clear foundational understanding of how to perform ultrasound with confidence. Additionally, eight chapters describe the use of ultrasound to increase the accuracy and efficiency of specific procedures such as locating a foreign body in the eye or soft body tissues, among other applications. The second edition also describes 13 new procedures and reflects the latest guidelines and evidence-based practice used for promotion of safely performed procedures. Each procedure is presented using a concise and consistent format that includes background considerations, indication for performing the procedure, how to perform it safely and correctly, contraindications, required documentation, complications, post-procedure considerations, and education points. Original photos, actual sonographic footage, line drawings, and tables reinforce the written content and provide clear directions regarding exactly how to perform each procedure. Author’s pearls and extensive references at the end of each chapter further enhance the book’s utility. New to the Second Edition: New chapters devoted to sonography and how it is used to enhance the accuracy of many procedures Describes the use of sonography to increase the accuracy and efficiency of eight specific procedures Includes 10 new procedures Offers ultrasound and videos Reflects latest guidelines and evidence-based practice Key Features: Provides step-by-step illustrated guidance for performing 60 frequently used procedures in urgent care, ambulatory, clinic, and office settings Four-color photos clearly illustrate each step in the procedure Body system organization supports quick access to needed procedural information Introduces sonography as a tool used to enhance accuracy of procedures and promote patient safety Includes actual sonographic footage demonstrating how sonography is used in various procedures
Publisher: Springer Publishing Company
ISBN: 082617177X
Category : Medical
Languages : en
Pages : 514
Book Description
This is a concise, easy-to-use guide to executing more than 60 commonly performed clinical procedures, including sonography, in emergent, urgent, and ambulatory care settings. The procedures are consistently formatted, presented in detail, and organized into system-specific categories for easy access to information. The second edition is the only such resource to include two new chapters completely devoted to bedside ultrasound and how it is used as a tool to enhance the accuracy of numerous procedures. Grounded in fundamental sonography physics, these chapters provide readers with a clear foundational understanding of how to perform ultrasound with confidence. Additionally, eight chapters describe the use of ultrasound to increase the accuracy and efficiency of specific procedures such as locating a foreign body in the eye or soft body tissues, among other applications. The second edition also describes 13 new procedures and reflects the latest guidelines and evidence-based practice used for promotion of safely performed procedures. Each procedure is presented using a concise and consistent format that includes background considerations, indication for performing the procedure, how to perform it safely and correctly, contraindications, required documentation, complications, post-procedure considerations, and education points. Original photos, actual sonographic footage, line drawings, and tables reinforce the written content and provide clear directions regarding exactly how to perform each procedure. Author’s pearls and extensive references at the end of each chapter further enhance the book’s utility. New to the Second Edition: New chapters devoted to sonography and how it is used to enhance the accuracy of many procedures Describes the use of sonography to increase the accuracy and efficiency of eight specific procedures Includes 10 new procedures Offers ultrasound and videos Reflects latest guidelines and evidence-based practice Key Features: Provides step-by-step illustrated guidance for performing 60 frequently used procedures in urgent care, ambulatory, clinic, and office settings Four-color photos clearly illustrate each step in the procedure Body system organization supports quick access to needed procedural information Introduces sonography as a tool used to enhance accuracy of procedures and promote patient safety Includes actual sonographic footage demonstrating how sonography is used in various procedures
Essential Procedures for Practitioners in Emergency, Urgent, and Primary Care Settings
Author: Theresa M. Campo
Publisher: Springer Publishing Company
ISBN: 082611878X
Category : Medical
Languages : en
Pages : 303
Book Description
includes: --
Publisher: Springer Publishing Company
ISBN: 082611878X
Category : Medical
Languages : en
Pages : 303
Book Description
includes: --
Essential Procedures for Emergency, Urgent, and Primary Care Settings, Third Edition
Author: Theresa M. Campo
Publisher: Springer Publishing Company
ISBN: 9780826141040
Category :
Languages : en
Pages : 702
Book Description
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. A comprehensive, step-by-step, well-illustrated introduction to common clinical procedures This text is a user-friendly guide to performing 77 clinical procedures, ranging from those commonly performed to those infrequently called upon when minutes count in emergency, urgent, and primary care settings. This heavily updated third edition includes current and comprehensive text, graphic, and video instruction on the use of bedside ultrasound for procedural guidance in order to increase procedural accuracy and mitigate complications. Edited and written by academically accomplished physicians, physician assistants, and nurse practitioners, an interprofessional approach to the performance of procedures is highlighted throughout the book. Procedures are consistently formatted and presented in clear language with step-by-step detail organized by system-specific categories for easy access to information. Each procedure includes background considerations, indications & contraindications for performing the procedure, technique for safe and correct performance, special considerations, complications, post-procedure considerations, and patient education points. Original photos, videos, high quality sonographic footage, line drawings, and tables reinforce the guidelines and procedures. Abundant Clinical Pearls throughout the manuscript offer practical applications of key information representing years of clinical technical experience. Extensive references at the end of each chapter further enhance the book's utility New to the Third Edition: Delivers 16 completely new chapters covering a plethora of newly added procedures, incorporating an interprofessional approach to performing procedures Previous chapters have been extensively updated and expanded Provides new illustrative videos Presents a corresponding list of CPT codes Key Features: Delivers current, concise, step-by-step information for performing 77 commonly and less commonly used clinical procedures Provides abundant four-color photos and figures illustrating each procedure Organized by body system to provide fast access to key information Enriched with point of care ultrasound guided procedures Thoroughly introduces and teaches sonography at the most fundamental level as an important tool to enhance accuracy of procedures Reflects latest guidelines and evidence-based practice Includes prominently displayed links to numerous videos throughout the text
Publisher: Springer Publishing Company
ISBN: 9780826141040
Category :
Languages : en
Pages : 702
Book Description
Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. A comprehensive, step-by-step, well-illustrated introduction to common clinical procedures This text is a user-friendly guide to performing 77 clinical procedures, ranging from those commonly performed to those infrequently called upon when minutes count in emergency, urgent, and primary care settings. This heavily updated third edition includes current and comprehensive text, graphic, and video instruction on the use of bedside ultrasound for procedural guidance in order to increase procedural accuracy and mitigate complications. Edited and written by academically accomplished physicians, physician assistants, and nurse practitioners, an interprofessional approach to the performance of procedures is highlighted throughout the book. Procedures are consistently formatted and presented in clear language with step-by-step detail organized by system-specific categories for easy access to information. Each procedure includes background considerations, indications & contraindications for performing the procedure, technique for safe and correct performance, special considerations, complications, post-procedure considerations, and patient education points. Original photos, videos, high quality sonographic footage, line drawings, and tables reinforce the guidelines and procedures. Abundant Clinical Pearls throughout the manuscript offer practical applications of key information representing years of clinical technical experience. Extensive references at the end of each chapter further enhance the book's utility New to the Third Edition: Delivers 16 completely new chapters covering a plethora of newly added procedures, incorporating an interprofessional approach to performing procedures Previous chapters have been extensively updated and expanded Provides new illustrative videos Presents a corresponding list of CPT codes Key Features: Delivers current, concise, step-by-step information for performing 77 commonly and less commonly used clinical procedures Provides abundant four-color photos and figures illustrating each procedure Organized by body system to provide fast access to key information Enriched with point of care ultrasound guided procedures Thoroughly introduces and teaches sonography at the most fundamental level as an important tool to enhance accuracy of procedures Reflects latest guidelines and evidence-based practice Includes prominently displayed links to numerous videos throughout the text
The Essential Guide to Primary Care Procedures
Author: E. J. Mayeaux
Publisher: Lippincott Williams & Wilkins
ISBN: 1451152868
Category : Medical
Languages : en
Pages : 1020
Book Description
Featuring over 1,300 full-color illustrations, this atlas is a comprehensive, hands-on guide to more than 100 medical procedures most commonly performed in an office setting. The book presents step-by-step instructions and illustrations for each procedure and discusses strategies for avoiding common pitfalls. Each chapter includes ordering information for necessary equipment or supplies, CPT codes, ICD-9 codes, global periods, and average U.S. fees for each procedure. Some chapters also refer the practitioner to patient education handouts that will appear online. A companion Website will offer the fully searchable text, over 100 patient education handouts, and videos of ten common procedures.
Publisher: Lippincott Williams & Wilkins
ISBN: 1451152868
Category : Medical
Languages : en
Pages : 1020
Book Description
Featuring over 1,300 full-color illustrations, this atlas is a comprehensive, hands-on guide to more than 100 medical procedures most commonly performed in an office setting. The book presents step-by-step instructions and illustrations for each procedure and discusses strategies for avoiding common pitfalls. Each chapter includes ordering information for necessary equipment or supplies, CPT codes, ICD-9 codes, global periods, and average U.S. fees for each procedure. Some chapters also refer the practitioner to patient education handouts that will appear online. A companion Website will offer the fully searchable text, over 100 patient education handouts, and videos of ten common procedures.
Essential Emergency Trauma
Author: Kaushal H. Shah
Publisher: Lippincott Williams & Wilkins
ISBN: 145115318X
Category : Medical
Languages : en
Pages : 512
Book Description
Essential Emergency Trauma is a concise, reader-friendly, and portable reference on the care of trauma patients in the emergency department. Geared to practicing emergency physicians, residents, and medical students. Major sections cover trauma of each anatomic region. Each section opens with a chapter "The First 15 Minutes, Algorithm, and Decision Making." Subsequent chapters focus on specific injury patterns, emphasizing pathophysiology, diagnosis, evaluation, and management. The information is presented in bullet points with numerous tables and images. Each chapter ends with an up-to-date review of the "Best Evidence."
Publisher: Lippincott Williams & Wilkins
ISBN: 145115318X
Category : Medical
Languages : en
Pages : 512
Book Description
Essential Emergency Trauma is a concise, reader-friendly, and portable reference on the care of trauma patients in the emergency department. Geared to practicing emergency physicians, residents, and medical students. Major sections cover trauma of each anatomic region. Each section opens with a chapter "The First 15 Minutes, Algorithm, and Decision Making." Subsequent chapters focus on specific injury patterns, emphasizing pathophysiology, diagnosis, evaluation, and management. The information is presented in bullet points with numerous tables and images. Each chapter ends with an up-to-date review of the "Best Evidence."
Emergency Nurse Practitioner Core Curriculum
Author: Reneé S. Holleran, FNP-BC, RN-BC, PhD, CEN, CFRN, CTRN (retired), CCRN (Alumnus), FAEN
Publisher: Springer Publishing Company
ISBN: 0826141471
Category : Medical
Languages : en
Pages : 782
Book Description
The only book to deliver essential knowledge specific to the needs of ENPs Edited by the American Academy of Emergency Nurse Practitioners, this authoritative resource encompasses the full scope of holistic, evidence-based practice across the lifespan and serves as a comprehensive certification review for emergency nurse practitioners (ENPs). The only book written specifically for this specialty practice, it delivers essential core knowledge for ENPs in all relevant programs and practice arenas. The book's four editors, 57 authors, and 15 reviewers—all recognized leaders in the field—present the most current knowledge available in a clear and succinct format. Incorporating diversity and inclusion throughout, this resource contains all essential information needed for the provision of skilled care, including the history and development of ENP; fundamental clinical skills; management of medical emergencies, shock and trauma, and environmental emergencies; toxicology; emergency medical services and disaster preparedness; and the needs of special patient populations—all according to the most current evidence-based research and guidelines. Key Features: Edited and authored by the American Association of Emergency Nurse Practitioners Provides succinct and pertinent details regarding patient management and care Addresses complexity and the need for acuity in the ENP setting Mirrors the AAENP Certification blueprint for use as a certification review guide Each chapter consistently written to include learning objectives, medical screening/physical examination, diagnostic testing, medical decision making and differential diagnosis, management, and patient disposition.
Publisher: Springer Publishing Company
ISBN: 0826141471
Category : Medical
Languages : en
Pages : 782
Book Description
The only book to deliver essential knowledge specific to the needs of ENPs Edited by the American Academy of Emergency Nurse Practitioners, this authoritative resource encompasses the full scope of holistic, evidence-based practice across the lifespan and serves as a comprehensive certification review for emergency nurse practitioners (ENPs). The only book written specifically for this specialty practice, it delivers essential core knowledge for ENPs in all relevant programs and practice arenas. The book's four editors, 57 authors, and 15 reviewers—all recognized leaders in the field—present the most current knowledge available in a clear and succinct format. Incorporating diversity and inclusion throughout, this resource contains all essential information needed for the provision of skilled care, including the history and development of ENP; fundamental clinical skills; management of medical emergencies, shock and trauma, and environmental emergencies; toxicology; emergency medical services and disaster preparedness; and the needs of special patient populations—all according to the most current evidence-based research and guidelines. Key Features: Edited and authored by the American Association of Emergency Nurse Practitioners Provides succinct and pertinent details regarding patient management and care Addresses complexity and the need for acuity in the ENP setting Mirrors the AAENP Certification blueprint for use as a certification review guide Each chapter consistently written to include learning objectives, medical screening/physical examination, diagnostic testing, medical decision making and differential diagnosis, management, and patient disposition.
Manual of Emergency and Critical Care Ultrasound
Author: Vicki E. Noble
Publisher: Cambridge University Press
ISBN: 1139495933
Category : Medical
Languages : en
Pages : 359
Book Description
Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.
Publisher: Cambridge University Press
ISBN: 1139495933
Category : Medical
Languages : en
Pages : 359
Book Description
Ultrasound has revolutionized a physician's ability to make urgent and emergent diagnoses at the bedside, and has changed the management of many acute injuries and conditions. This is a practical, concise introduction to what is rapidly becoming an essential tool for all critical care physicians: bedside emergency ultrasound. The Manual covers the full spectrum of conditions diagnosed using ultrasound and gives practical guidance in how to use ultrasound for common invasive procedures. Major applications are introduced using focused diagnostic questions and reviewing the image-acquisition skills needed to answer them. Images of positive and negative findings are presented, and scanning tips for improving image quality. The second edition has been substantially revised and expanded, with new images, updated literature reviews, new applications and clinical algorithms. New chapters cover additional procedures, musculoskeletal and pediatric applications, and the use of ultrasound in resuscitation. This text is invaluable for emergency physicians at all levels.
Essential ENT
Author: Rogan Corbridge
Publisher: CRC Press
ISBN: 1444149954
Category : Medical
Languages : en
Pages : 207
Book Description
This innovative and accessible guide to ear, nose and throat medicine delivers everything you need to know to develop a thorough grounding in the subject, acting as an essential course companion and an ideal revision aid.Written in a lively and accessible manner reflecting the author's popular lecturing style, the content has been carefully matched
Publisher: CRC Press
ISBN: 1444149954
Category : Medical
Languages : en
Pages : 207
Book Description
This innovative and accessible guide to ear, nose and throat medicine delivers everything you need to know to develop a thorough grounding in the subject, acting as an essential course companion and an ideal revision aid.Written in a lively and accessible manner reflecting the author's popular lecturing style, the content has been carefully matched
Emergency Services Leadership
Author: Chris Nollette
Publisher: Jones & Bartlett Publishers
ISBN: 0763781509
Category : Business & Economics
Languages : en
Pages : 202
Book Description
Emergency Services Leadership: A Contemporary Approach offers a comprehensive view of the historical developments of leadership models, presents a variety of leadership theories, and explores how various theories apply to current emergency services leadership roles. The authors address how leadership has evolved from the theories of "position and authority" to more contemporary approaches in which leadership is expressed in terms of influence relations, servitude, risk agencies, and transformational change agents. Best practices for making ethical, compassionate, and competent leadership decisions are also discussed. The ideal introduction to leadership concepts in modern-day emergency services agencies, Emergency Services Leadership: A Contemporary Approach is appropriate for EMS, fire services, law enforcement, emergency management, and military courses and is an ideal resource for department-specific training programs, especially for officer development. The authors weave personal experiences, interviews with current emergency services leaders, and leadership points to ponder throughout the chapters. End-of-chapter activities allow readers to explore their leadership capabilities and apply concepts presented in the text. The author team brings their extensive experience in emergency services, military application, and leadership research to this text. All of the authors are involved in higher education levels and serve in leadership capacities in various arenas.
Publisher: Jones & Bartlett Publishers
ISBN: 0763781509
Category : Business & Economics
Languages : en
Pages : 202
Book Description
Emergency Services Leadership: A Contemporary Approach offers a comprehensive view of the historical developments of leadership models, presents a variety of leadership theories, and explores how various theories apply to current emergency services leadership roles. The authors address how leadership has evolved from the theories of "position and authority" to more contemporary approaches in which leadership is expressed in terms of influence relations, servitude, risk agencies, and transformational change agents. Best practices for making ethical, compassionate, and competent leadership decisions are also discussed. The ideal introduction to leadership concepts in modern-day emergency services agencies, Emergency Services Leadership: A Contemporary Approach is appropriate for EMS, fire services, law enforcement, emergency management, and military courses and is an ideal resource for department-specific training programs, especially for officer development. The authors weave personal experiences, interviews with current emergency services leaders, and leadership points to ponder throughout the chapters. End-of-chapter activities allow readers to explore their leadership capabilities and apply concepts presented in the text. The author team brings their extensive experience in emergency services, military application, and leadership research to this text. All of the authors are involved in higher education levels and serve in leadership capacities in various arenas.