On its initial publication, Forgive and Remember emerged as the definitive study of the training and lives of young surgeons. Now with an extensive new preface, epilogue, and appendix by the author, reflecting on the changes that have taken place since the book's original publication, this updated second edition of Charles L. Bosk's classic study is as timely as ever.
In this comprehensive review of urban ethnography, Steven Lubet encountered a field that relies heavily on anonymous sources, often as reported by a single investigator whose underlying data remain unseen. Upon digging into the details, he discovered too many ethnographic assertions that were dubious, exaggerated, tendentious, or just plain wrong. Employing the tools and techniques of a trial lawyer, Lubet uses original sources and contemporaneous documentation to explore the stories behind ethnographic narratives. Many turn out to be accurate, but others are revealed to be based on rumors, folklore, and unreliable hearsay. Interrogating Ethnography explains how qualitative social science would benefit from greater attention to the quality of evidence, and provides recommendations for bringing the field more closely in line with other fact-based disciplines such as law and journalism.
women doctors and the evolution of health care in America
Author: Ann K. Boulis
Publisher: Cornell University Press
The number of women practicing medicine in the United States has grown steadily since the late 1960s, with women now roughly at parity with men among entering medical students. Why did so many women enter American medicine? How are women faring, professionally and personally, once they become physicians? Are women transforming the way medicine is practiced? To answer these questions, The Changing Face of Medicine draws on a wide array of sources, including interviews with women physicians and surveys of medical students and practitioners. The analysis is set in the twin contexts of a rapidly evolving medical system and profound shifts in gender roles in American society. Throughout the book, Ann K. Boulis and Jerry A. Jacobs critically examine common assumptions about women in medicine. For example, they find that women's entry into medicine has less to do with the decline in status of the profession and more to do with changes in women's roles in contemporary society. Women physicians' families are becoming more and more like those of other working women. Still, disparities in terms of specialty, practice ownership, academic rank, and leadership roles endure, and barriers to opportunity persist. Along the way, Boulis and Jacobs address a host of issues, among them dual-physician marriages, specialty choice, time spent with patients, altruism versus materialism, and how physicians combine work and family. Women's presence in American medicine will continue to grow beyond the 50 percent mark, but the authors question whether this change by itself will make American medicine more caring and more patient centered. The future direction of the profession will depend on whether women doctors will lead the effort to chart a new course for health care delivery in the United States.
Positive Organizational Scholarship is an umbrella concept used to emphasize what elevates and what is inspiring to individuals and organizations by defining the possibilities for positive deviance rather than just improving on the challenging, broken, and needlessly difficult. Just as positive psychology explores optimal individual psychological states rather than pathological ones, positive organizational scholarship focuses attention on the generative dynamics in organizations that lead to the development of human strength, foster resiliency in employees, enable healing and restoration, and cultivate extraordinary individual and organizational performance. In this landmark volume, the first major resource for scholars and professionals in the field, authors comprehensively review basic principles, empirical evidence, and ideas for future research. An ideal resource for organizational scholars, students, practitioners, human resource managers, and professional associations, this handbook covers the full spectrum of organizational theories and outcomes that define, explain, and predict the occurrence, causes, and consequences of positivity.
Peter Angelos Numerous ethical issues arise in the care of oncology patients. Although much has been written in the last several decades on ethical issues in caring for patients, few volumes have sought to focus the exploration on ethical issues particularly relevant to the care of cancer patients. In 1999, the first edition of this book was published. Since that time, many changes have occurred in how some cancers are diagnosed and treated, but the central ethical issues have continued to challenge patients, families, and their health care providers. All of the chapters from the prior edition have been updated and there are seven new chapters in this expanded edition. In this second edition, the perspectives on what is an ethical issue have been broadened by bringing authors of differing backgrounds into the discussion. In Chapter 1, the perspective of a cancer patient is provided as an open letter to physicians. Although Parvez Kamangar is providing only one patient’s perspective, this is an essential voice that is not often heard in texts on medical ethics. In Chapters 2 and 3, the issues of communication and the physician-patient relationship are explored in order to better understand how the needs of patients and families can be met. In Chapter 4, Professor Tod Chambers highlights the challenges to providing ethical care to patients in a multicultural society.
Gain a thorough understanding of the key principles of patient safety with the subject's pioneer text -- Now in full color "This highly readable yet comprehensive book will appeal to every member of the healthcare team. It is a must for every physician's bookshelf." -- Abraham Verghese, MD, Professor, Stanford University and author of the bestselling Cutting for Stone "Bob Wachter's quest to improve the safety of American healthcare represents the very essence of a physician's duty to put the patient first. His unflinching candor about the nature and magnitude of our current safety problems is matched only by his passion for improvement." -- Mark R. Chassin, MD, MPP, MPH, President, The Joint Commission "Amazingly readable for such a wealth of important information. This book should be required reading for every health professional and every healthcare executive." -- Christine Cassel, MD, President and CEO, American Board of Internal Medicine "In a single volume, Wachter accomplishes the seemingly impossible: furnishing the novice with a highly accessible, easy-to-read introduction to patient safety, while providing a comprehensive, fully annotated reference for the experienced patient safety practitioner. All of the important issues are addressed in individual chapters, each with a lively and relevant clinical example and a “key points” summary at the end bracketing full, balanced and lucid descriptions. A true gem, destined to be a close companion for all of us who strive to make healthcare safe." -- Lucian Leape, MD, Professor, Harvard School of Public Health and Chair, Lucian Leape Institute of the National Patient Safety Foundation "There's no more prominent authority on patient safety than Bob Wachter. And there's no more effective primer on patient safety than this one." -- Atul Gawande, MD, MPH, Associate Professor, Harvard Medical School, staff writer for the New Yorker, and bestselling author of Complications and The Checklist Manifesto "Compelling: a must read for all concerned with patient safety. Bob Wachter has a unique voice, incorporating clinical experience, research expertise, and policy implications…all with the patient front and center." -- Peter J. Pronovost, MD, PhD, Professor and Director of the Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine Understanding Patient Safety, Second Edition is the essential book for anyone seeking to learn the core clinical, organizational, and systems issues of patient safety. Written in an engaging and accessible style by one of the world’s leading authorities on patient safety and quality, Understanding Patient Safety is filled with valuable cases and analyses, as well as tables, graphics, references, and tools. This classic reference is designed to make the patient safety field understandable to medical, nursing, pharmacy, hospital administration, and other trainees, and to be the go-to book for experienced clinicians and non-clinicians alike. The second edition has been revised to include coverage of the latest issues and trends, including: Information technology Measurements of safety, errors, and harm Checklist-based interventions Safety targets Policy issues in patient safety Balancing “no blame” and accountability Understanding Patient Safety, Second Edition delivers key insights to help you understand and prevent a a broad range of errors, including those related to medications, surgery, diagnosis, infections, and nursing care. The crucial contextual issues -- including errors at the person-machine interface, the role of culture, patient engagement in their own safety, and workforce and trainee considerations, are also well covered. Finally, the book provides a practical overview of how to organize an effective safety program, in both hospitals and clinics.
Everything you need to deliver safe patient care or to improve patient safety in your organization "This easy-to-read book provides an excellent overview of the patient safety movement in the United States....The author has written a useful book for the professional who needs a foundation in patient safety principles and theory. The book also provides a multitude of resources for the professional interested in gaining a more in-depth knowledge of the strategies and proponents of the patient safety movement."--Journal for Healthcare Quality Understanding Patient Safety is the essential book for anyone seeking to learn the key clinical, organizational, and systems issues in patient safety. Written in a lively and accessible style by one of the world's leaders in the fields of patient safety and quality, Understanding Patient Safety is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical, nursing, pharmacy, hospital administration, and other trainees, and to be the go-to book for experienced clinicians and non-clinicians alike. Features: Concise coverage of the core principles of patient safety All the key insights to help you understand and prevent a broad range of errors: including medication errors, surgical errors, diagnostic errors, errors at the man-machine interface, and nursing-related errors A focus on how reporting systems, teamwork training, simulation, the malpractice system, and information technology can impact patient safety and quality A practical overview on how to implement an effective safety program in both hospital and ambulatory settings Realistic case studies that illustrate key points and clarify pivotal concepts A detailed glossary, key references, and useful tools, websites, tables, and graphics
Now revised and updated—the landmark patient safety primer written by the world’s leading authorities Medical errors are the unfortunate byproduct of an increasingly complex healthcare system. Now more than ever, keeping patients safe takes well-trained caregivers, relevant insights from a range of industries, additional investment—and a groundbreaking text like Understanding Patient Safety. Understanding Patient Safety is “must read” for those seeking to master the clinical, organizational, and systems issues of patient safety. In this bestselling primer, patient safety pioneer Robert Wachter and Kiran Gupta put all the essential tools and principles at your fingertips. Engaging and accessible, the book is filled with high-yield cases, analyses, tables, graphics, along with key points and references—all designed to help you optimize quality and safety. Understanding Patient Safety begins with an introduction to patient safety and medical errors. Its second section surveys specific types of medical errors, including those related to surgery, medications, diagnosis, transition and handoff, and infections. The third section covers proven solutions, from establishing reporting systems, to creating a culture of safety. The third edition reflects pivotal new developments in the field, including major updates in diagnostic errors, information technology and patient safety, ambulatory safety, and clinician burnout. Features: •Coverage of human factors and errors at the person-machine interface •Review of workplace issues, including supporting caregivers after major errors •How to organize an effective safety program •Coordination of patient education and training •Overview of the malpractice system •Discussion of the patient’s role