By Katherine C. Kellogg
In 2003, within the face of mistakes and injuries attributable to clinical and surgical trainees, the yank Council of Graduate clinical schooling mandated a discount in resident paintings hours to 80 every week. Over the process and a part years spent gazing citizens and employees surgeons attempting to enforce this new law, Katherine C. Kellogg came across that resistance to it used to be either powerful and successful—in truth, of the 3 hospitals she studied didn't make the switch. Challenging Operations takes up the obvious paradox of doctors resisting reforms designed to aid them and their sufferers. via vibrant anecdotes, interviews, and incisive commentary and research, Kellogg indicates the complicated ways in which institutional reforms spark resistance once they problem long-standing ideals, roles, and structures of authority.
At a time while various rules were enacted to deal with the nation’s hovering clinical charges, asymmetric entry to care, and absence of primary-care physicians, Challenging Operations sheds new gentle at the hassle of enforcing reforms and gives concrete innovations for successfully assembly that challenge.
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