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008 230127t20202020nyu fo d z eng d
020 _a9780231548298
_qPDF
024 7 _a10.7312/jenk18934
_2doi
035 _a(DE-B1597)9780231548298
035 _a(DE-B1597)566393
035 _a(OCoLC)1191543760
040 _aDE-B1597
_beng
_cDE-B1597
_erda
072 7 _aSOC026000
_2bisacsh
082 0 4 _a610.71/550973
_223
084 _aonline - DeGruyter
100 1 _aJenkins, Tania M.
_eautore
245 1 0 _aDoctors' Orders :
_bThe Making of Status Hierarchies in an Elite Profession /
_cTania M. Jenkins.
264 1 _aNew York, NY :
_bColumbia University Press,
_c[2020]
264 4 _c©2020
300 _a1 online resource
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
505 0 0 _tFrontmatter --
_tContents --
_tPreface --
_tAcknowledgments --
_tList of Terms and Acronyms --
_tIntroduction --
_t1. Meet the Residents --
_t2. The Match List --
_t3. A Day on the Wards --
_t4. Grooming --
_t5. Graduation --
_t6. The Navy SEALs and the National Guard --
_tConclusions and Implications --
_tAfterword --
_tAppendix: On Being a “Second-Year Intern” --
_tNotes --
_tWorks Cited --
_tIndex
506 0 _arestricted access
_uhttp://purl.org/coar/access_right/c_16ec
_fonline access with authorization
_2star
520 _aThe 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. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, 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.
538 _aMode of access: Internet via World Wide Web.
546 _aIn English.
588 0 _aDescription based on online resource; title from PDF title page (publisher's Web site, viewed 27. Jan 2023)
650 7 _aSOCIAL SCIENCE / Sociology / General.
_2bisacsh
850 _aIT-RoAPU
856 4 0 _uhttps://doi.org/10.7312/jenk18934
856 4 0 _uhttps://www.degruyter.com/isbn/9780231548298
856 4 2 _3Cover
_uhttps://www.degruyter.com/document/cover/isbn/9780231548298/original
942 _cEB
999 _c184387
_d184387