Training for efficiency: work, time, and systems-based practice in medical residency.
Training for efficiency: work, time, and systems-based practice in medical residency.
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DOI：
10.1177/0022146512451130
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发表时间：
2012-09
影响因子：
5
通讯作者：
Bosk CL
中科院分区：
文献类型：
--
作者：
Szymczak JE;Bosk CL
住院医师实习期是一段高度社会化的时期，工作量很大。以前的社会学研究已经确定效率是成功所必需的实用技能。然而，自进行这些研究以来，训练环境的许多背景特征发生了巨大变化。这些变化对居民的时间管理社会化和职业认同的发展有什么影响？基于对三个培训项目的内科住院医师的观察和访谈，我们发现效率既是一种社会规范，也是住院医师用来管理工作需求超过可用时间供应的工作量的策略。我们发现，面对看似棘手的“系统”问题，居民们努力提高效率。实习医生会围绕这些问题工作，并在此过程中培养对组织脆弱性的容忍度。
Medical residency is a period of intense socialization with a heavy workload. Previous sociological studies have identified efficiency as a practical skill necessary for success. However, many contextual features of the training environment have undergone dramatic change since these studies were conducted. What are the consequences of these changes for the socialization of residents to time management and the development of a professional identity? Based on observations of and interviews with internal medicine residents at 3 training programs, we find that efficiency is both a social norm and strategy that residents employ to manage a workload for which the demand for work exceeds the supply of time available to accomplish it. We found that residents struggle to be efficient in the face of seemingly intractable “systems” problems. Residents work around these problems, and in doing so develop a tolerance for organizational vulnerabilities.
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影响因子：
2.4
作者：
Dixon-Woods, Mary
通讯作者：
Dixon-Woods, Mary
DOI：
10.1146/annurev.soc.012809.102612
发表时间：
2011-01-01
期刊：
ANNUAL REVIEW OF SOCIOLOGY, VOL 37
影响因子：
--
作者：
Fennell, Mary L.;Adams, Crystal M.
通讯作者：
Adams, Crystal M.
影响因子：
5.4
作者：
Dixon-Woods, Mary;Suokas, Anu;Tarrant, Carolyn
通讯作者：
Tarrant, Carolyn
DOI：
10.1016/0160-7979(80)90110-1
发表时间：
1980-01-01
期刊：
SOCIAL SCIENCE & MEDICINE PART A-MEDICAL SOCIOLOGY
影响因子：
--
作者：
ARLUKE, A
通讯作者：
ARLUKE, A
影响因子：
8.9
作者：
Antiel, Ryan M.;Thompson, Scott M.;Reed, Darcy A.
通讯作者：
Reed, Darcy A.