In 2003, in the face of errors and accidents introduced on 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 attempting to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was every strong and worthwhile—in reality, two of the three hospitals she studied didn’t make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their victims. By the use of vivid anecdotes, interviews, and incisive comment and analysis, Kellogg reveals the difficult methods in which institutional reforms spark resistance as soon as they drawback long-standing beliefs, roles, and strategies of authority.
At a time when fairly a number of insurance coverage insurance policies have been enacted to cope with the nation’s hovering medical costs, uneven entry to care, and shortage of most important-care physicians, Challenging Operations sheds new light on the issue of implementing reforms and provides concrete strategies for efficiently meeting that drawback.
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