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Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity

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  • Veazey Brooks, Joanna
  • Bosk, Charles L.
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    Abstract

    We examine how a policy aimed at improving patient safety by limiting residents’ work hours brought with it an unintended and unexamined consequence: altered socialization due to modified rites of passage during residency that endangered the stereotypical “Surgical Personality” and created a potential rift between the occupational identities of surgical residents who train under duty hour regulations and those who trained before they were imposed. Through participant observation occurring between June 2008 and June 2010, in-depth interviews (n = 13), and focus groups (n = 2), we explore how surgical residents training in four U.S. hospitals think about the threats that the shift from unrestricted to restricted duty hours creates for their claims of competence and professionalism. We identify three types of resident responses: (1) neutralizing statements that deny any significant change to occupational identity has occurred; (2) embracing statements that express the belief that a changed and more balanced occupational identity is needed; and (3) apprehensive statements that expressed fear of an altered occupational identity and an anxiety about readiness for individual practice.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277953612005461
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    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 75 (2012)
    Issue (Month): 9 ()
    Pages: 1625-1632

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    Handle: RePEc:eee:socmed:v:75:y:2012:i:9:p:1625-1632

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    Related research

    Keywords: USA; Physicians; Patient safety; Resident socialization; Occupational identity; Rites of passage; Work hour restrictions; Surgical residency; Medical education;

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    1. Jagsi, Reshma & Surender, Rebecca, 2004. "Regulation of junior doctors' work hours: an analysis of British and American doctors' experiences and attitudes," Social Science & Medicine, Elsevier, vol. 58(11), pages 2181-2191, June.
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