000			02922 a2200277 4500
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008			240611b ||||| |||| 00| 0 eng d
020			_a9780231189354
041			_aeng
082			_a610.71 JEN/D
100			_aJenkins, Tania M _98801
245			_aDoctors' orders : the making of status hierarchies in an elite profession
260			_bColumbia University Press -- + _c2020 _aUnited States of America --
300			_axix, 329p.
500			_aPreface Acknowledgments List of Terms and Acronyms Introduction 1. Meet the Residents 2. The Match List 3. A Day on the Wards 4. Grooming 5. Graduation 6. The Navy SEALs and the National Guard Conclusions and Implications Appendix: On Being a "Second-Year Intern" Notes Works Cited Index
520			_a "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. These international and osteopathic graduates have similar or better average track records than their American-trained MD counterparts. But 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"-- Provided by publisher.
650			_aMedicine and health _98338
650			_aMedical Schools _98802
650			_aMedical centers _98803
650			_aHospitals. _98804
650			_aDispensaries. _98805
650			_aClinics _98806
650			_aSocial status _98792
650			_aPhysicians _98807
942			_cBK