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.
Download or read book A Paradigm Shift in Progress written by Kathryn A. Mendoza and published by . This book was released on 2004 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
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 and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
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.
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:
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.
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:
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.
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:
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:
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:
Download or read book The Healers written by David Hamilton and published by Pelican Publishing. This book was released on 1999-03-31 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Scotland offers almost unique opportunities for medical historians. For a conventional history, there is a rich stock of famous doctors and their discoveries. There are also the contributions of four ancient universities and three equally old colleges of physicians and surgeons. For historians of public health there is the famous struggle against the problems of the industrial revolution and the lives and works of the great sanitary reformers in Glasgow and Edinburgh. For the social historian there are equal opportunities in the diversity of the health care in the Highlands and Lowlands, the rich traditions of Scottish folk medicine and the interactions of Scottish and English medical practice. Much else can be learnt in relating Scotland's great innovative periods to her cultural and political state at the time. It is perhaps surprising therefore that there are no up-to-date accounts of any of these aspects of health and health care in Scotland. . . . there are now many new sources available and new questions to be asked. -from the Introduction In this book, author David Hamilton explores new sources and evaluates the rich history of medicinal practices in Scotland. Thus, for historians both of medicine and of Scotland, this study is necessary to more fully understand the country's history.
Download or read book Politics in a Time of Crisis written by Pablo Iglesias and published by Verso Books. This book was released on 2015-11-03 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: A manifesto for a new, democratic left: a political programme poised to transform Europe Since 2011, Pablo Iglesias has led Podemos, a new radical left party in Spain that is reframing the nature of modern politics. Under his guidance, the party has unmasked the ideological motives behind European austerity, revealing the true nature of this power grab conducted on behalf of elites intent on dismantling the welfare state. Here, Iglesias delineates his political vision. He skewers not only the Spanish establishment, but also the anti-democratic bloc comprising the Troika, corporate interests, and the “Wall Street Party.” Politics in a Time of Crisis—which includes an in-depth interview with Iglesias—is an incisive examination of the current situation in Europe as well as a stirring call for international resistance.
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:
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.
