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Why Surgeons Struggle with Work-Hour Reforms

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Release : 2021-01-15
Genre : Social Science
Kind : eBook
Book Rating : 079/5 ( reviews)

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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. This book was released on 2021-01-15. 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.

A Paradigm Shift in Progress

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Author :
Release : 2004
Genre : Hours of labor
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis A Paradigm Shift in Progress by : Kathryn A. Mendoza

Download or read book A Paradigm Shift in Progress written by Kathryn A. Mendoza. This book was released on 2004. Available in PDF, EPUB and Kindle. Book excerpt:

Challenging Operations

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Author :
Release : 2011-07-30
Genre : Medical
Kind : eBook
Book Rating : 030/5 ( reviews)

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Book Synopsis Challenging Operations by : Katherine C. Kellogg

Download or read book Challenging Operations written by Katherine C. Kellogg. This book was released on 2011-07-30. 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.

DUTY HOUR REFORM AND THE OUTCOMES OF PATIENTS TREATED BY NEW SURGEONS: Evaluating a New Paradigm in Surgical Training

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Author :
Release : 2020
Genre :
Kind : eBook
Book Rating : /5 ( reviews)

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Book Synopsis DUTY HOUR REFORM AND THE OUTCOMES OF PATIENTS TREATED BY NEW SURGEONS: Evaluating a New Paradigm in Surgical Training by :

Download or read book DUTY HOUR REFORM AND THE OUTCOMES OF PATIENTS TREATED BY NEW SURGEONS: Evaluating a New Paradigm in Surgical Training written by . This book was released on 2020. Available in PDF, EPUB and Kindle. Book excerpt:

Cincinnati Magazine

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Author :
Release : 2004-11
Genre :
Kind : eBook
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Book Synopsis Cincinnati Magazine by :

Download or read book Cincinnati Magazine written by . This book was released on 2004-11. 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.

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