Challenging Operations, Katherine C. Kellogg
Challenging Operations, Katherine C. Kellogg
List: $19.99 | Sale: $13.99
Club: $9.99

Challenging Operations
Medical Reform and Resistance in Surgery

Author: Katherine C. Kellogg

Narrator: Hillary Huber

Unabridged: 8 hr 19 min

Format: Digital Audiobook Download

Publisher: Tantor Media

Published: 01/22/2019


Synopsis

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 Katherine C. Kellogg

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.


Reviews

Goodreads review by Claire on February 25, 2025

I love reading ethnographies of my own culture! A great read as a surgical resident to get an outsiders view of how we do (or don’t) make changes and what can be done about it.......more

Goodreads review by Meredith on December 02, 2012

It's been a while since a soc book has been this hard for me to put down. It's a very accessible, clearly-written study of why a rule change (about the maximum number of hours med residents in surgery can work) was implemented so differently in three different hospitals. (And suddenly, Jack from Los......more