Challenging Operations: Medical Reform and Resistance in Surgery by Katherine C. KelloggChallenging Operations: Medical Reform and Resistance in Surgery by Katherine C. Kellogg

Challenging Operations: Medical Reform and Resistance in Surgery

byKatherine C. Kellogg

Paperback | July 30, 2011

Pricing and Purchase Info


Earn 223 plum® points

Prices and offers may vary in store


In stock online

Ships free on orders over $25

Not available in stores


In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority.

At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

Katherine C. Kellogg is an associate professor at the MIT Sloan School of Management.
Title:Challenging Operations: Medical Reform and Resistance in SurgeryFormat:PaperbackDimensions:248 pages, 9 × 6 × 0.6 inPublished:July 30, 2011Publisher:University of Chicago PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0226430030

ISBN - 13:9780226430034

Look for similar items by category:

Table of Contents

Part I: The World at 120 Hours a Week

1 A Day in the Life of an Intern
2 Similar Hospitals, Similar Programs
3 Meet the Iron Men
4 Potential Reformers

Part II: Collective Combat

5 Defending Stability
6 Relationally Mobilizing for Change
7 Countermobilizing for Resistance
8 Collectively Disrupting

Conclusions and Implications