Challenging Operations

Medical Reform and Resistance in Surgery

By: Katherine C. Kellogg

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Paperback | 30 July 2011 | Edition Number 1

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248 Pages

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2.31 x 1.66 x 0.15

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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 successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes 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 Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Industry Reviews

"Kellogg's vivid account of the struggle to implement important medical reform instructs, inspires, and terrifies. Unique in its range of arguments and the literature it draws on, Challenging Operations is a wonderful book for students of the sociology of medicine, health and illness, occupations, organizations, work, and social movements." (Carol Heimer, Northwestern University)"

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Preface	p. ix
Introduction	p. 1
The World at 120 hours a Week
A Day in the Life of an Intern	p. 21
Similar Hospitals, Similar Programs	p. 33
Meet the Iron Men	p. 49
Potential Reformers	p. 73
Collective Combat
Defending Stability	p. 95
Relationally Mobilizing for Change	p. 115
Countermobilizing for Resistance	p. 133
Collectively Disrupting	p. 147
Conclusions and Implications	p. 165
Acknowledgments	p. 187
Notes	p. 191
References	p. 207
Index	p. 223
Table of Contents provided by Ingram. All Rights Reserved.

Challenging Operations

Medical Reform and Resistance in Surgery

At a Glance

Paperback

Industry Reviews

Shipping

How to return your order

Defective items

You Can Find This Book In

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