Challenging Operations Medical Reform and Resistance in Surgery

ISBN-10: 0226430030

ISBN-13: 9780226430034

Edition: 2011

Authors: Katherine C. Kellogg

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Description:

In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successfulin fact, two of the three hospitals she studied failed to make the change.Challenging Operationstakes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation's soaring medical costs, uneven access to care, and shortage of primary-care physicians,Challenging Operationssheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.
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Book details

List price: $33.00
Copyright year: 2011
Publisher: University of Chicago Press
Publication date: 7/30/2011
Binding: Paperback
Pages: 232
Size: 6.00" wide x 8.75" long x 0.50" tall
Weight: 0.748
Language: English

Preface
Introduction
The World at 120 hours a Week
A Day in the Life of an Intern
Similar Hospitals, Similar Programs
Meet the Iron Men
Potential Reformers
Collective Combat
Defending Stability
Relationally Mobilizing for Change
Countermobilizing for Resistance
Collectively Disrupting
Conclusions and Implications
Acknowledgments
Notes
References
Index
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