Challenging Operations: Medical Reform and Resistance in Surgery
Katherine C. Kellogg
Jan 2019 · Tantor Media Inc · Narrated by Hillary Huber
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8 hr 19 min
Unabridged
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About this audiobook
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.
About the author
Katherine C. Kellogg is the David J. McGrath, Jr. (1959) Professor of Management and Innovation and a Professor of Business Administration in the Work and Organization Studies Department at the MIT Sloan School of Management.
Hillary Huber is a multiple Audie Award finalist, an AudioFile Earphones Award winner, and an AudioFile Best Voice. She has recorded over 550 titles, spanning many genres.
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