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Author: Tania M. Jenkins Publisher: Columbia University Press ISBN: 023154829X Category : Social Science Languages : en Pages : 531
Book Description
The United States does not have enough doctors. Every year since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions because there are too few American-trained MDs. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? Doctors’ Orders offers a groundbreaking examination of the construction and consequences of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients.
Author: Tania M. Jenkins Publisher: Columbia University Press ISBN: 023154829X Category : Social Science Languages : en Pages : 531
Book Description
The United States does not have enough doctors. Every year since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions because there are too few American-trained MDs. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? Doctors’ Orders offers a groundbreaking examination of the construction and consequences of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients.
Author: Diane Duane Publisher: Simon and Schuster ISBN: 0743420012 Category : Fiction Languages : en Pages : 248
Book Description
Dr. McCoy finds himself in over his head when put in command of the Starship Enterprise in this electrifying Star Trek adventure. When Dr. McCoy grumbles once too often about the way the Starship Enterprise ought to be run, Captain Kirk decides to leave the doctor in command while he oversees a routine diplomatic mission. But McCoy soon learns that command is a double-edged sword when Kirk disappears without a trace. Desperately trying to locate his captain, McCoy comes under pressure from Starfleet to resolve the situation immediately. Matters go from bad to worse when the Klingons arrive and stake their own claim on the planet. And when another deadly power threatens them all, McCoy and the Enterprise are pitted against an alien fleet in a battle they have no hope of winning.
Author: Radclyffe Publisher: ISBN: 9781626392113 Category : Lesbians Languages : en Pages : 0
Book Description
There'd been a Rivers at the helm of Argyle Community Hospital for six generations, and Harper Rivers was set to take her father's place whenever he decided to hang up his shingle. Unfortunately, the board of directors had other ideas-they were about to accept a buyout offer from the regional medical center and close the hospital's doors to the community that depended on it. They've even gone and hired Presley Worth, a high-powered corporate financier, to oversee the closure. Funny thing was, no one asked Harper, and she had no intentions of following anyone's orders but her own-no matter how beautiful, smart, or commanding the new boss might be.
Author: Dr. Leana Wen Publisher: Macmillan ISBN: 0312594917 Category : Health & Fitness Languages : en Pages : 350
Book Description
Discusses how to avoid harmful medical mistakes, offering advice on such topics as working with a busy doctor, communicating the full story of an illness, evaluating test risks, and obtaining a working diagnosis.
Author: Susan Gelfand Malka Publisher: University of Illinois Press ISBN: 025205394X Category : Social Science Languages : en Pages : 242
Book Description
Beginning in the 1960s, second-wave feminism inspired and influenced dramatic changes in the nursing profession. Susan Gelfand Malka argues that feminism helped end nursing's subordination to medicine and provided nurses with greater autonomy and professional status. She discusses two distinct eras in nursing history. The first extended from the mid-1960s to the mid-1980s, when feminism seemed to belittle the occupation in its analysis of gender subordination but also fueled nursing leaders' drive for greater authority and independence. The second era began in the mid-1980s, when feminism grounded in the ethics of care appealed to a much broader group of caregivers and was incorporated into nursing education. While nurses accepted aspects of feminism, they did not necessarily identify as feminists. Nonetheless, they used, passed on, and developed feminist ideas that brought about nursing school curricula changes and the increase in self-directed and specialized roles available to caregivers in the twenty-first century.
Author: Martin Benjamin Professor of Philosophy Publisher: Oxford University Press, USA ISBN: 0199759634 Category : Medical Languages : en Pages : 270
Book Description
Written by a nurse and a philosopher, Ethics in Nursing blends the concrete detail of recurring problems in nursing practice with the perspectives, methods, and resources of philosophical ethics. It stresses the aspects of the nurses role and relations withothers -- physicians, patients, administrators, other nurses -- that give ethical problems in nursing their special focus. Among the issues addressed are deception, parentalism, confidentiality, conscientious refusal, nurse autonomy, compromise, and personal responsibility for institutional and public policy. The third edition has been enlarged with new cases and case discussions related to AIDS and an additional chapter on the expanding scope of nursing ethics as it addresses issues related to scarce resources, cost containment, justice, and the possibilities of health care rationing.
Author: Clifton K. Meador MD Publisher: Square One Publishers, Inc. ISBN: 0757054935 Category : Medical Languages : en Pages : 190
Book Description
Clearly the science of medicine has progressed by leaps and bounds over the last twenty years—from computerized surgery to genetic modification. Yet medicine is more than just a science. It is also an art. As medical students complete their education, however, they may find that their training has been focused solely on the mechanics of diagnosis and treatment. While this scientific knowledge is fundamental to proper healthcare, it can overlook the importance of interacting with patients. In an attempt to refocus on how vital it is for doctors to consider their patients in full, Dr. Clifton K. Meador has written The Little Book of Doctors’ Rules. It offers simple and concise suggestions to humanize the practice of medicine. In this book, Dr. Meador draws on his nearly sixty-year medical career for nuggets of advice with both compassion and humor. Although there may not be a defined medical disease behind every physical symptom, Dr. Meador reminds us that the reason behind a symptom may be found if a doctor observes and listens carefully to a patient. He believes an effective physician treats a patient, not just a patient’s disease. The Little Book of Doctors’ Rules offers insightful rules that address a host of topics, which include developing a rapport with patients, treating dementia, and prescribing drugs. Designed for any healthcare professional, these short rules are easily understood and (mostly) non-technical. Here is a small sampling of Dr. Meador’s advice, from the sage and somber to the clever and sometimes controversial. While listening to a patient, do not do anything else. Just listen. Stop drug use in treatment whenever possible. If impossible, cease a patient’s use of as many drugs as possible whenever possible. Just because you know a lot of physiology, biochemistry, and anatomy does not mean you know anything about people. If all you listen to are symptoms, then all you will hear from your patients are symptoms. In addition to his own rules, Dr. Meador has included advice offered by some of the past giants of medicine. It is no coincidence that their words echo the message of this book, which gets to the true center of the healing arts.
Author: Jerome Groopman Publisher: HarperCollins ISBN: 0547348630 Category : Medical Languages : en Pages : 325
Book Description
On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
Author: Sandra J. Peterson Publisher: Lippincott Williams & Wilkins ISBN: 9780781785624 Category : Medical Languages : en Pages : 452
Book Description
This groundbreaking text is the most complete and detailed book devoted to middle-range theories and their applications in clinical nursing research. The book thoroughly explains the process of selecting an appropriate theory for a particular nursing research study and sets forth criteria for critiquing theories. Each chapter includes examples of research using middle-range theories, definitions of key terms, analysis exercises, reference lists, and relevant Websites. Instruments are presented in appendices. New features of this edition include analysis questions for all theories; new chapters on learning theory and physiologic middle-range theories; "Part" introductions to frame the selection process for each middle-range theory chosen; and a glossary of terms.
Author: Robert Klitzman Publisher: Oxford University Press ISBN: 0195327675 Category : Medical Languages : en Pages : 344
Book Description
For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.
Author: Tania M. Jenkins
Author: Tania M. Jenkins
Author: Diane Duane
Author: Radclyffe
Author: Dr. Leana Wen
Author: Susan Gelfand Malka
Author: Martin Benjamin Professor of Philosophy
Author: Clifton K. Meador MD
Author: Jerome Groopman
Author: Sandra J. Peterson
Author: Robert Klitzman