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Challenging Operations Medical Reform and Resistance in Surgery (pdf)

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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 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.
						

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