Why Surgeons Struggle With Work Hour Reforms

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Why Surgeons Struggle with Work-Hour Reforms

Author : James E. Coverdill
Publisher : Vanderbilt University Press
ISBN 13 : 0826501079
Total Pages : 285 pages
Book Rating : 4.8/5 (265 download)

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Book Synopsis Why Surgeons Struggle with Work-Hour Reforms by : James E. Coverdill

Download or read book Why Surgeons Struggle with Work-Hour Reforms written by James E. Coverdill and published by Vanderbilt University Press. This book was released on 2021-01-15 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: On July 1, 2003, work-hour reforms were enacted nationally for the roughly 129,000 resident physicians in the United States. The reforms limit weekly work hours (a maximum of eighty per week) and in-hospital call (no more than once every three nights), mandate days free of clinical and educational obligations (one day in seven), and regulate other aspects of resident work life. Why Surgeons Struggle with Work-Hour Reforms focuses on general surgeons, a historically long-hour specialty, who fiercely opposed the reforms and are among the least compliant. Why do surgeons struggle with the reforms? Why do they continue to work long hours and view the act of doing so as reasonable if not quintessentially professional? Although the analysis is situated in the growing scientific literature on the consequences of fatigue, the authors do not adjudicate between the claims of surgeons and reform advocates about the effects of long work hours on patient or provider safety. Rather, the aim is to explore and explain how aspects of the occupational culture of surgeons and the social organization of surgical training and practice interlock to impede the reforms.

Why Surgeons Struggle with Work-Hour Reforms

Author : James E. Coverdill
Publisher :
ISBN 13 : 9780826501059
Total Pages : 0 pages
Book Rating : 4.5/5 (1 download)

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Book Synopsis Why Surgeons Struggle with Work-Hour Reforms by : James E. Coverdill

Download or read book Why Surgeons Struggle with Work-Hour Reforms written by James E. Coverdill and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: An analysis of American surgical residents and their attendings working in the face of restrictions on resident work hours

Challenging Operations

Author : Katherine C. Kellogg
Publisher : University of Chicago Press
ISBN 13 : 0226430030
Total Pages : 244 pages
Book Rating : 4.2/5 (264 download)

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Book Synopsis Challenging Operations by : Katherine C. Kellogg

Download or read book Challenging Operations written by Katherine C. Kellogg and published by University of Chicago Press. This book was released on 2011-07-30 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Cincinnati Magazine

Author :
Publisher :
ISBN 13 :
Total Pages : 278 pages
Book Rating : 4./5 ( download)

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Book Synopsis Cincinnati Magazine by :

Download or read book Cincinnati Magazine written by and published by . This book was released on 2004-11 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cincinnati Magazine taps into the DNA of the city, exploring shopping, dining, living, and culture and giving readers a ringside seat on the issues shaping the region.

Medicine and Politics in Colonial Peru

Author : Adam Warren
Publisher : University of Pittsburgh Pre
ISBN 13 : 0822973871
Total Pages : 306 pages
Book Rating : 4.8/5 (229 download)

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Book Synopsis Medicine and Politics in Colonial Peru by : Adam Warren

Download or read book Medicine and Politics in Colonial Peru written by Adam Warren and published by University of Pittsburgh Pre. This book was released on 2010-10-24 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: By the end of the eighteenth century, Peru had witnessed the decline of its once-thriving silver industry and had barely begun to recover from massive population losses due to smallpox and other diseases. At the time, it was widely believed that economic salvation was contingent upon increasing the labor force and maintaining as many healthy workers as possible. In Medicine and Politics in Colonial Peru, Adam Warren presents a groundbreaking study of the primacy placed on medical care to generate population growth during this era. The Bourbon reforms of the eighteenth century shaped many of the political, economic, and social interests of Spain and its colonies. In Peru, local elites saw the reforms as an opportunity to positively transform society and its conceptions of medicine and medical institutions in the name of the Crown. Creole physicians, in particular, took advantage of Bourbon reforms to wrest control of medical treatment away from the Catholic Church, establish their own medical expertise, and create a new, secular medical culture. They asserted their new influence by treating smallpox and leprosy, by reforming medical education, and by introducing hygienic routines into local funeral rites, among other practices. Later, during the early years of independence, government officials began to usurp the power of physicians and shifted control of medical care back to the church. Creole doctors, without the support of the empire, lost much of their influence, and medical reforms ground to a halt. As Warren’s study reveals, despite falling in and out of political favor, Bourbon reforms and creole physicians were instrumental to the founding of modern medicine in Peru, and their influence can still be felt today.

The Westminster Review

Author :
Publisher :
ISBN 13 :
Total Pages : 610 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis The Westminster Review by :

Download or read book The Westminster Review written by and published by . This book was released on 1874 with total page 610 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Boston Medical and Surgical Journal

Author :
Publisher :
ISBN 13 :
Total Pages : 808 pages
Book Rating : 4.A/5 ( download)

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Book Synopsis The Boston Medical and Surgical Journal by :

Download or read book The Boston Medical and Surgical Journal written by and published by . This book was released on 1899 with total page 808 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Humanizing Healthcare Reforms

Author : Gerald Arbuckle
Publisher : Jessica Kingsley Publishers
ISBN 13 : 0857006584
Total Pages : 274 pages
Book Rating : 4.8/5 (57 download)

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Book Synopsis Humanizing Healthcare Reforms by : Gerald Arbuckle

Download or read book Humanizing Healthcare Reforms written by Gerald Arbuckle and published by Jessica Kingsley Publishers. This book was released on 2012-10-15 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking at the current turmoil facing contemporary healthcare systems worldwide, resulting from relentless imposition of financially-based performance indicators, the author argues that a return to a values-based approach to healthcare will create positive transformation. Writing from the fresh perspective of social anthropology, the author takes a highly pragmatic approach to practice, emphasizing the importance of values such as compassion, solidarity and social justice. He suggests that without being able clearly to identify the values and goals that unite their members, healthcare organizations are unlikely to be able to meet the demands of the constant and varied pressures they face, and explains how individuals at every level in healthcare can contribute in practical ways to positive change within their organizations. This much-needed and very accessible book will be essential reading for anyone interested in a better approach to healthcare reform, from clinicians and nurses, to managers and policy makers, as well as the interested reader.

The Surgeon General's Office

Author : Charles Lynch
Publisher :
ISBN 13 :
Total Pages : 1408 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis The Surgeon General's Office by : Charles Lynch

Download or read book The Surgeon General's Office written by Charles Lynch and published by . This book was released on 1923 with total page 1408 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Doctors, Folk Medicine and the Inquisition

Author : Timothy Walker
Publisher : BRILL
ISBN 13 : 9047407342
Total Pages : 462 pages
Book Rating : 4.0/5 (474 download)

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Book Synopsis Doctors, Folk Medicine and the Inquisition by : Timothy Walker

Download or read book Doctors, Folk Medicine and the Inquisition written by Timothy Walker and published by BRILL. This book was released on 2005-06-01 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: This groundbreaking monograph explores the fascinating social context of "witchcraft" trials in Portugal during the long eighteenth century, when conventional medical practitioners, motivated by a desire to promote "scientific" medicine, worked within the Holy Office to prosecute superstitious folk healers.

Westminster and Foreign Quarterly Review

Author :
Publisher :
ISBN 13 :
Total Pages : 602 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Westminster and Foreign Quarterly Review by :

Download or read book Westminster and Foreign Quarterly Review written by and published by . This book was released on 1874 with total page 602 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Boston Globe Index

Author :
Publisher :
ISBN 13 :
Total Pages : 1784 pages
Book Rating : 4.X/5 (4 download)

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Book Synopsis The Boston Globe Index by :

Download or read book The Boston Globe Index written by and published by . This book was released on 2002 with total page 1784 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Professions Education

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Boston Medical and Surgical Journal

Author :
Publisher :
ISBN 13 :
Total Pages : 668 pages
Book Rating : 4.B/5 (1 download)

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Book Synopsis Boston Medical and Surgical Journal by :

Download or read book Boston Medical and Surgical Journal written by and published by . This book was released on 1880 with total page 668 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Dental Cosmos: A Monthly Record Of Dental Science

Author : J. D. White
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.L/5 ( download)

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Book Synopsis The Dental Cosmos: A Monthly Record Of Dental Science by : J. D. White

Download or read book The Dental Cosmos: A Monthly Record Of Dental Science written by J. D. White and published by . This book was released on 1872 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

British Medical Journal

Author :
Publisher :
ISBN 13 :
Total Pages : 1152 pages
Book Rating : 4.B/5 (1 download)

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Book Synopsis British Medical Journal by :

Download or read book British Medical Journal written by and published by . This book was released on 1897 with total page 1152 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Charitable Words

Author : Margaret Preston
Publisher : Bloomsbury Publishing USA
ISBN 13 : 0313057451
Total Pages : 226 pages
Book Rating : 4.3/5 (13 download)

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Book Synopsis Charitable Words by : Margaret Preston

Download or read book Charitable Words written by Margaret Preston and published by Bloomsbury Publishing USA. This book was released on 2004-10-30 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mismanaged by local authority, in the 19th-century, Dublin lacked sufficient industrial development to provide adequate employment. Dublin's charitable workers attempted to improve the lives of the thousands who flocked to the city in search of relief. As a means to examining the hidden incentives of charity, the author offers a discussion of the language of charity in this setting. She notes how contemporary notions of race, class, and religion influenced how Ireland's philanthropists thought of and related to the poor. While much has been written on the perceived racial inferiority of the Celt as compared to the Anglo-Saxon, Preston suggests that the Irish upper classes, in seeking to gain equal footing with the British elite, adopted the same language to describe the poor. Intense sectarian strife marred Irish charities and undermined the smooth operation of social services. Preston offers insight by focusing on two women philanthropists who battled for the souls of Ireland's children. She also explores those who remained above the fray, such as the Religious Society of Friends in Ireland, who offered aid to all regardless of creed. Within the charitable records of this group, Preston contends that one can see how the Society changed over time and that, in Ireland, the industrial revolution as well as the 1798 Rebellion, contributed to the Society adapting to the mainstream. Finally, the women of charity helped to establish a modern nursing system for Ireland, and this work details their efforts at turning nursing into a respectable profession for women.