How the authority of medicine is continuously shaped by relationships among physicians, industry, colleagues, and organizations Exploring how the authority of medicine is controlled, negotiated, and organized, Managing Medical Authority asks: How is knowledge shared throughout the profession? Who makes decisions when your heart malfunctions—physicians, hospital administrators, or private companies who sell pacemakers? How do physicians gain and keep their influence? Arguing that medicine’s authority is managed in collegial competition across venues, Daniel Menchik examines the full range of stakeholders driving the direction of the field: medical trainees, clinicians, researchers, administrators, and even the corporations that develop groundbreaking technologies enabling longer and better lives. Menchik takes us into Superior Hospital to witness surgeries and executive negotiations. He moves outside the hospital to watch professional committees craft standards for treatments, case management, and professional ethics. At industry-sponsored meetings, he observes company representatives who train some experienced doctors on their technologies, while deterring others who they think might injure patients. Using an innovative ethnographic approach tying individual actions and their collective consequences, he considers how stakeholders ally across the various venues of medicine, even as they are sometimes pressed into competition within those venues. Menchik finds that these alliances and rivalries strengthen the authority of medicine as a whole. From place to place, and group to group, we see how a medical specialty renews and reinvigorates itself. Beginning within the walls of the hospital, and moving to the professional and commercial venues that shape it, Managing Medical Authority offers an agenda-setting take on the social organization of medical authority.

The only available compendium of management topics, written by practising doctors for doctors of all grades and all specialties.

This is a reprint. It covers all aspects of the relationship between health organizations and physicians.

The landmark study of how medical errors are managed among surgeons and other hospital staff—now in an updated edition with a new preface and epilogue. When it was first published, Forgive and Remember offered groundbreaking insight into the training and lives of young surgeons. It quickly emerged as the definitive sociological study on the subject. While medical errors are both inevitable and potentially devastating, Bosk found that they could be forgiven—as long as they were remembered and never repeated. In this second edition, Bosk reflects more than twenty years later on how things have changed, both in the medical profession and in sociology. With an extensive new preface, epilogue, and appendix by the author, this updated edition of Forgive and Remember is as timely as ever.

You work in a profession where, despite your best efforts to plan your working week, your daily activities are often dictated by circumstance rather than strategy. You are sick of the constant juggle and live with an ever-present undercurrent of stress. You simply don't have enough time. And time for a quality life outside work? Forget it You know that something needs to change so that you can continue to be a great doctor and live a more integrated work/ life. Imagine if you could gain Control over your time. Bestselling author Kate Christie will help you invest your time to fi nd your lost time. Smart Time Management for Doctors provides a proven 5 Step process along with practical and easy to implement productivity strategies to help you identify and harness 30 hours of lost time a month.

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.

The Welfare and Retirement Fund of the United Mine Workers of America (UMWA) is widely acknowledged as the most innovative effort at group health care in the United States in the twentieth century. Ivana Krajcinovic describes the establishment, operation, and demise of the Fund that brought mining families from the backwater to the forefront of medical care in less than a decade. Krajcinovic analyzes the success of the Fund over nearly three decades in providing high-quality cost-effective care to miners and their families. She also explains the irony of its dismantlement at the very moment when its innovations gained currency among mainstream commercial plans.

This practical, concise book will help every medical manager survive and thrive in the increasingly challenging world of healthcare. It offers a hands-on introduction to the knowledge, skills, attitudes and behaviour required to succeed in a modern healthcare setting. Focussing on common issues and challenges, the authors examine organisational structures and strategies for productive relationship-building, goal-setting and quality maintenance. This edition updates every chapter, while three new chapters focus on encouraging innovation, how to lead and manage in difficult circumstances, and the major developments in the professionalization of medical management and leadership.

This essential guide provides a lifeline to authoritative, reliable information on medical management, giving you all the skills you need whether managing a junior colleague as a lead doctor, or running multidisciplinary consortia in the NHS or private sectors. Learn key skills from leadership, managing change, quality control, and project management through to doctors in difficulty, appraisals and revalidation, managing exceptional performance, and poor performance Comprehensive coverage of NHS and private healthcare, primary care, acute and emergency care, mental health, and many other sectors Gain insight into important topics such as healthcare innovations and technologies, implementing evidence-based medicine, medical education, patient safety, and primary care consortia Refine your management skills with advice, wisdom, and practical help from key opinion leaders, medical professionals, and management experts In this world of change, reforms and new government initiatives, can you afford not to build on your existing skills? Whether you are new to medical management or an experienced director wishing to stay up to date and refine your expertise, this book will be an invaluable source of advice to help you manage the delivery of high-quality care.

Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.